Mainstream Satanic Cinema in the Seventies: A Generational Crisis of Assimilation

A particularly fertile period for satanic presence can be found in mainstream Hollywood during the early to mid 1970s. Encouraged by the success of Rosemary’s Baby, major studios produced The Exorcist and The Omen series, not to mention a flurry of independent productions across the decade. Neither before nor since this decade has satanic content in cinema achieved such widespread popularity, and so this particular moment ought to warrant deeper consideration. In general, these narratives appealed to countercultural notions of conspiracy, especially with respect to authority figures and/or the government. But at an even more subconscious level, these satanic films spoke to a pervading fear, at this particular time, of relinquishing a former sense of control over one’s destiny. This article explores and elucidates the cultural conditions attributable for the emergence and popular embrace of these films in this particularly modernist cultural moment

ILSA 2017 in Tromsø : proceedings from the 42nd annual conference of the International Lung Sound Association

Edited by Hasse Medbye, med bidrag fra flere.<brThe usefulness of lung auscultation is changing. It depends on how well practitioners understand the generation of sounds. It also depends on their knowledge on how lung sounds are associated with lung and heart diseases, as well as with other factors such as ageing and smoking habits. In clinical practice, practitioners need to give sufficient attention to lung auscultation, and they should use the same terminology, or at least understand each other’s use of terms. Technological innovations lead to an extended use of lung auscultation. Continuous monitoring of lung sounds is now possible, and computers can extract more information from the complex lung sounds than human hearing is capable of. Learning how to carry out lung auscultation and to interpret the sounds are essential skills in the education of doctors and other health professionals. Thus, new computer based learning tools for the study of recorded sounds will be helpful. In this conference there will be focus on all these determinants for efficient lung auscultation. In addition to free oral presentations, we have three symposia: on computerized analysis based on machine learning, on diagnostics, and on learning lung sounds, including the psychology of hearing. The symposia include extended presentations from invited speakers. The 42nd conference is the first in history arranged by a research unit for general practice. Primary care doctors are probably the group of health professionals that put the greatest emphasis on lung auscultation in their clinical work. Many patients with chest symptoms consult without a known diagnosis, and several studies have shown that general practitioners pay attention to crackles and wheezes when making decisions, for instance when antibiotics are prescribed to coughing patients. In hospital, the diagnosis of lung diseases is more strongly influenced by technologies such as radiography and blood gas analysis. Since lung auscultation holds a strong position in the work of primary care doctors, I think it is just timely, that the 42nd ILSA conference is hosted by General Practice Research Unit in Tromsø. I hope all participants will find presentations of importance, and that the stay in Tromsø will be enjoyable

Self-reported nutritional competence and -practice among health care workers at nursing homes in two Norwegian municipalities : a cross-sectional study

Background: Malnutrition is common in elderly. Possible causes are multimorbidity and natural changes from ageing. Aim: The aim of this study was to describe nutritional competence and nutritional practice among health care workers in nursing homes in two municipalities. Method: Health care workers from ten nursing homes received an electronic questionnaire. The questionnaire included 49 items regarding practice of documentation, self-reported nutritional competence, and knowledge about anthropometric measures and body mass index. In addition, familiarity of key documents and guidelines about nutrition were assessed. The data was analyzed with frequencies, Chi-square, and regression analyses. Results: Out of 542 invited participants, 185 (34 %) responded to the survey, of which 37 % were registered nurses. The majority reported good nutritional competence. A small proportion were familiar with relevant documents about nutrition; 25 % knew the “Norwegian dietary guidelines” and 37 % were familiar with the “Dietary handbook”. The health care workers reported to have a good nutritional practice, especially of documenting food intake. The practice of measuring weight and height both on admission and regularly was good, but knowledge and practice regarding body mass index were insufficient. The staff wished for increased knowledge about nutrition, especially in dementia and patients with chronical diseases. Conclusion: Self-perceived nutritional competence and -practice were relatively good, but there is room for improvement especially in regarding and familiarity with relevant documents and use of body mass index. The health care workers wanted more knowledge about nutrition

Point of care testing for C-reactive protein

Copyright © 2006 Royal Australian College of General Practitioners Copyright to Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.BACKGROUND: New approaches are needed to reduce antibiotic usage in respiratory tract infections in general practice without compromising patient safety. Point of care tests for C-reactive protein (CRP) are now being used for this purpose in some European countries. OBJECTIVE: Current knowledge about the CRP response in respiratory tract infections is presented, as well as the usefulness of applying the test when sinusitis and pneumonia may be suspected. DISCUSSION: A promising ability of the test in ruling in or out severe infection has been demonstrated in clinical studies. There are still controversies about the use of the CRP test in respiratory tract infections, however clinical research supports its use for some conditions, and therefore introduction into Australian general practice should be considered. Further evaluation of its utility is needed.H. Melbye and N. Stock

Gender of offspring and long-term maternal breast cancer risk

Gender of offspring is influenced by maternal hormonal level during pregnancy, which is blieved to influence the subsequent maternal breast cancer risk. However, analysing national birth and cancer registrations in a cohort of 998 499 women, we found no association between gender of offspring and subsequent breast cancer risk. © 2000 Cancer Research Campaig

Convolutional neural network for breathing phase detection in lung sounds

We applied deep learning to create an algorithm for breathing phase detection in lung sound recordings, and we compared the breathing phases detected by the algorithm and manually annotated by two experienced lung sound researchers. Our algorithm uses a convolutional neural network with spectrograms as the features, removing the need to specify features explicitly. We trained and evaluated the algorithm using three subsets that are larger than previously seen in the literature. We evaluated the performance of the method using two methods. First, discrete count of agreed breathing phases (using 50% overlap between a pair of boxes), shows a mean agreement with lung sound experts of 97% for inspiration and 87% for expiration. Second, the fraction of time of agreement (in seconds) gives higher pseudo-kappa values for inspiration (0.73-0.88) than expiration (0.63-0.84), showing an average sensitivity of 97% and an average specificity of 84%. With both evaluation methods, the agreement between the annotators and the algorithm shows human level performance for the algorithm. The developed algorithm is valid for detecting breathing phases in lung sound recordings

Promotion and prevention focused feeding strategies: Exploring the effects on healthy and unhealthy child eating

This is an open access article, originally published in BioMed Research International under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.There is a general lack of research addressing the motivations behind parental use of various feeding practices. Therefore, the present work aims to extend the current literature on parent-child feeding interactions by integrating the traditional developmental psychological perspective on feeding practices with elements of Regulatory Focus Theory (RFT) derived from the field of motivational psychology. In this paper, we seek to explain associations between parental feeding practices and child (un)healthy eating behaviors by categorizing parental feeding practices into promotion and prevention focused strategies, thus exploring parent-child feeding interactions within the framework of RFT. Our analyses partly supported the idea that (1) child healthy eating is positively associated with feeding practices characterized as promotion focused, and (2) child unhealthy eating is negatively associated with feeding practices characterized as prevention focused. However, a general observation following from our results suggests that parents’ major driving forces behind reducing children’s consumption of unhealthy food items and increasing their consumption of healthy food items are strategies that motivate rather than restrict. In particular, parents’ provision of a healthy home food environment seems to be essential for child eating

GP utilisation by education level among adults with COPD or asthma: A cross-sectional register-based study

Published version. Source at http://doi.org/10.1038/npjpcrm.2016.27. License CC BY 4.0.There is a marked socioeconomic gradient in the prevalence of chronic obstructive pulmonary disease (COPD) and asthma, but a large proportion of patients remain undiagnosed. It is a challenge for general practitioners (GPs) to both identify patients and contribute to equity and high quality in services delivered. The aim of this study was to identify patients with COPD and asthma diagnoses recorded by GPs and explore their utilisation of GP services by education level. This was a cross-sectional, national, register-based study from Norwegian general practice in the period 2009–2011. Based on claims from GPs, the number of patients aged ⩾40 years with a diagnosis of COPD or asthma and their GP services utilisation were estimated and linked to the national education database. Multivariate Poisson and logistic regression models were used to explore the variations in GP utilisation. In the population aged ⩾40 years, 2.8% had COPD and 3.8% had asthma according to GPs’ diagnoses. COPD was four times more prevalent in patients with basic education than higher education; this increase was ⩽80% for asthma. Consultation rates were 12% higher (P<0.001) for COPD and 25% higher (P<0.001) for asthma in patients with low versus high education in the age group of 40–59 years after adjusting for comorbidity, and patient and GP characteristics. Approximately 25% of COPD patients and 20% of asthma patients had ⩾1 spirometry test in general practice in 2011, with no significant education differences in adjusted models. The higher consultation rate in lower-education groups indicates that GPs contribute to fair distribution of healthcare

Predictors of ICS/LABA prescribing in COPD patients: A study from general practice

BACKGROUND: A combination of inhaled corticosteroid and long-acting beta(2) agonist (ICS/LABA) is used frequently to treat chronic obstructive pulmonary disease (COPD) patients. The aim of the study was to determine whether prescribing ICS/LABA to COPD patients in primary care in 2009/10 was within the GOLD guidelines and whether and to what degree patient characteristics were associated with prescription of these drugs by GPs. METHODS: This was a cross-sectional study in seven Norwegian GP practices. Patients registered with a diagnosis of asthma or COPD in the previous five years were included. RESULTS: Among the 376 patients included in the analysis, 149 patients had COPD, defined as a post-bronchodilator FEV(1)/FVC <0.7 and 55.6% of these patients were treated with ICS/LABA. The rate of prescribing was significantly higher in the COPD patients also diagnosed with asthma than in those with COPD as the only diagnosis, 66.7%, and 39.0%, respectively (P = 0.001). The prescribing rate in the latter subgroup would have been 18.6% if the 2007 GOLD guidelines had been followed. One or more exacerbations in the previous year was the strongest predictor of ICS/LABA prescribing in the COPD patients who were not registered with a concomitant diagnosis of asthma (OR 3.2, 95% CI 1.0–10.0) but this association was limited to the patients with severe disease (FEV(1)% predicted <50) (OR 13.5, 95% CI 1.8–101.1). Cardiovascular disease was associated with decreased ICS/LABA prescribing (OR 0.4, 95% CI 0.2–0.8) in the COPD group. A Kappa coefficient of 0.32 was found between the actual prescribing rate and that recommended in the 2007 GOLD guidelines. CONCLUSIONS: Overprescribing of ICS/LABA for the COPD patients was shown. Previous exacerbation was a strong predictor of ICS/LABA prescribing only in patients with severe COPD. Because of the low emphasis on previous exacerbation when prescribing for COPD patients with mild to moderate disease, the actual prescribing rate agreed more closely with the GOLD guidelines from 2007 than with those published in 2011. Cardiovascular disease was associated with decreased prescribing, indicating that GPs adjust the treatment in cases with multimorbidity