Memorials and monuments can help us to create a common history, to keep the past alive. However, when it comes to the process of reconciliation memorials and monuments can be a double-edged sword. On the one hand memorials can ensure a public awareness of our common history, of what has happened. Memorials ensure that misdeeds will not be forgotten too easily; the perpetrators cannot simply demand that the victims forget in the name of the common future. On the other hand, memorials can have the effect that we remember all too well, that we linger in a victim identity, which freezes history and, in this aspect, closes the future. This article analyses the uses of memorials and monuments and describes how memory is an essential part of a process of reconciliation. Memorials and monuments are not static expressions. In fact, monuments can turn into offensive statements, and the question here is how to deal with this? Is the solution to tear them down, to erect counter-monuments or to use them to illustrate the development of history? All these questions are asked in the context of how memorials and monuments can influence the process of reconciliation positive and negatively.
Background Aspiration of a foreign body can lead to a fatal outcome, especially in children younger than 3 years of age. Case presentation A healthy 2-year-old child was admitted to the emergency unit due to cough and respiratory distress. They were admitted to the paediatric ward with a tentative diagnosis of pneumonia. After some hours, the child deteriorated, showing severe respiratory compromise. Non-invasive respiratory support and inhalation therapy were ineffective. The child was intubated, but mechanical ventilation was not feasible due to hypercapnia. Bronchoscopy was carried out and several foreign bodies were removed. Visual examination revealed fragments of almonds. The child was discharged from hospital after 12 days. Interpretation The child underwent aspiration. After intubation, the almonds may have caused a ball-valve effect, leading to the life-threatening situation. It is important to consider a foreign body as a potential cause of abnormal respiratory symptoms in children.
20.03.2025: Originalartikkel - Helserelatert livskvalitet, målt med spørreskjemainstrumentet EQ-5D-5L, var statistisk signifikant lavere blant pasienter som hadde hatt hjerteinfarkt enn i den generelle norske befolkning (EQ-5D-5L indeks 0,86 vs.
Bakgrunn: Pasienter med personlighetsforstyrrelser, med komplisert interpersonlig problematikk og suicidalitet, kan by på utfordrende terapeutiske prosesser og vekke sterke motoverføringer hos terapeutene. Tidligere forskning har vist at spesielt suicidalitet kan være krevende for norske psykologer mer generelt. I vår studie undersøkte vi hva terapeuter i Nettverk for personlighetsforstyrrelser opplever utfordrende, og til hjelp, i sitt arbeid. Metode: Et elektronisk spørreskjema ble utviklet og sendt ut til om lag 140 behandlere i Nettverket, og vi fikk 79 besvarelser, noe som gav en svarprosent på 56. Resultat: Suicidalitet ble oppgitt som et mindre problem hos størsteparten av behandlerne, mens pasienters unngåelse av følelser var en større utfordring i både individual- og gruppeterapi. Forhold utenfor terapien, som økonomi og sosiale problemer, var også utfordrende i individualtimene. Motoverføringer forbundet med emosjonelt ustabile trekk ble i liten grad rapportert som et problem, mens narsissistiske og antisosiale trekk vekket mer krevende motoverføringer. Veiledning og kollegasamtaler var det som ble opplevd som mest nyttig. Konklusjon: Blant behandlere i Nettverket var unngåelse av følelser en større utfordring i terapi enn suicidalitet. Pasienter med narsissistiske og antisosiale trekk vekte oftere krevende motoverføringsreaksjoner enn pasienter med emosjonelt ustabile trekk. Veiledning og kollegasamtaler opplevdes mest hjelpsomt for terapeutene. Nøkkelord: terapeuter, personlighetsforstyrrelser, motoverføringer, veiledning
The proportion of pregnant women with overweight or obesity whose labour is induced is increasing. The aim of this study was to examine the relationship between pre-pregnancy body mass index (BMI) and mode of delivery among pregnant women whose labour was induced. The study included women with singleton pregnancies, a fetus in cephalic presentation and a liveborn child, whose labour was induced at the University Hospital of North Norway, Tromsø in the period 2016-18. The mode of delivery was compared for women with a pre-pregnancy BMI < 25 kg/m2, overweight (BMI 25.0-29.9 kg/m2) and obesity (BMI ≥ 30 kg/m2). In the study, we included 807 women whose labour was induced. Of these, 402 had a pre-pregnancy BMI < 25 kg/m2, 202 had overweight and 203 had obesity. Of these, 306 (76.1 %), 149 (73.8 %) and 140 (69.0 %) had a spontaneous birth, while 60 (14.9 %), 40 (19.8 %) and 44 (21.7 %) had a caesarean section. As pre-pregnancy BMI increased, the proportion of spontaneous births decreased (p = 0.06), while the proportion delivered by caesarean section increased (p = 0.03). Women with obesity whose labour was induced were at a higher risk of caesarean section (odds ratio 1.6 (95 % confidence interval 1.0-2.4)) compared to those with a BMI < 25 kg/m2. After adjusting for age, height, prolonged rupture of membranes, parity and previous mode of delivery, the odds ratio remained virtually unchanged, but was no longer statistically significant (odds ratio 1.5 (95 % CI 0.9-2.4)). Pre-pregnancy obesity was linked to a higher risk of caesarean section following induced labour, but the risk was more significantly influenced by being primiparous or multiparous without a prior vaginal delivery than by obesity itself.
