LIS1-leger og medisinsk usikkerhet – en kvalitativ studie

BAKGRUNN - Hvordan norske leger håndterer medisinsk usikkerhet, er lite studert. Formålet med studien var å undersøke hvordan leger i spesialisering del 1 (LIS1-leger) opplever og håndterer usikkerhet i en klinisk hverdag. MATERIALE OG METODER - Ti LIS1-leger ved to sykehus ble rekruttert til intervjuer etter svarmønsteranalyse fra et kartleggende spørreskjema. Intervjuene ble analysert med systematisk tekstkondensering. RESULTATER - Analysen avdekket tre hovedtemaer i intervjuene: håndtering av medisinsk usikkerhet, personlig respons på medisinsk usikkerhet samt arbeidsmiljø, tilbakemeldinger og forberedelse. Innen alle de tre tematiske områdene brukte informantene ordene sikker/usikker og trygg/utrygg om hverandre. FORTOLKNING - LIS1-legene strevde med medisinens iboende usikkerhet og kjente på en betydelig utrygghet, spesielt i starten av tjenesten. Mottakelsen og tilbakemeldingene legene fikk på arbeidsplassen var viktige. Den medisinske utdannelsen hadde i liten grad forberedt LIS1-legene på møtet med medisinsk usikkerhet i en klinisk hverdag

THE USE OF HORSERADISH IN FOOD AND MEDICINE IN THE NORDIC COUNTRIES

Horseradish, Armoracia rusticana P. Gaertn., B. Mey. & Scherb. has a long history as a plant used by man and it was already mentioned in “De material medicia libri quinque” written in 100 A. D. The plant, which has its origin in southeast Europe, was brought to the Nordic countries by monks during the thirteenth century. In the Nordic countries, horseradish was used both as a bitter spice and as a medicinal plant. The plant contains high levels of sulfur-containing glycosides, so called glucosinolates. The most dominant is sinigrin, which causes a pungent taste . Some glucosinolates also possess anti-microbial characters, and horseradish has traditionally been used as a component in preserving. The root also has a high content of vitamin C and was taken to prevent scurvy on long sailing tours. Horseradish was also used as a medicinal plant for headaches, digestive disorders, high blood pressure and gout. Earlier it was also believed that the plant had magical powers and could prevent snakebites if you had rubbed your hands with it. The production of horseradish has decreased in the Nordic countries due to high production costs, changes in traditional cooking manners and a decrease in homemade preserving. NordGen, the Gene Bank for the Nordic countries, has a collection of horseradish consisting of 170 accessions. The roots were collected from old gardens or as refugees from gardens in Denmark, Finland, Norway and Sweden. The accessions have been evaluated for contents of glucosinolates and vitamin C and a large variation in bioactive substances has been found