10.10.2021: Tongue-tie in infants can cause difficulties with breastfeeding. New evidence-based guidelines for healthcare professionals will make it easier to obtain help. Healthcare professionals in Norway have long called for guidelines on the management of tongue-tie (ankyloglossia) in infants. If tongue-tie gives rise to difficulties with breastfeeding, breastfeeding counselling is to be offered first. If this does not lead to improvement a frenotomy may be considered. There is a sufficient evidence base to support this primary recommendation, which is also consistent with the recommendations of...

20.07.2021: Will decentralising medical education in Norway enhance learning, reduce the burden on university hospitals and increase recruitment in rural areas? The conditions for educating doctors have changed. As the demand for doctors has increased, the annual intake of students at Norway's four medical education programmes has gradually crept up from 367 in 1973 to 636 in 2019 (1). The Grimstad Committee has recommended adding a further 440 study places, with the aim of educating 80 % of Norway's doctors domestically (1). Eighty new study places have recently been allocated to the four universities...

28.06.2021: Can COVID-19 cause epilepsy, or increase the tendency to seizures in those with epilepsy? Is it safe for persons with epilepsy to be vaccinated against COVID-19? The Epilepsy Association's advisory service has noted a marked increase in enquiries since the outbreak of the pandemic. Patients and their families primarily ask for more specific information about COVID-19 and epilepsy. Many have difficulty applying the general information to their particular health and life situation. We conducted a literature search and used a discretionary selection of this literature to provide answers to key...

27.05.2021: The everyday lives of children and adolescents have changed drastically during the COVID-19 pandemic. Can increased use of digital devices affect the risk of developing myopia? Since March 2020, the COVID-19 pandemic has been triggering alarm bells and restrictions throughout the world. Various measures have been implemented to limit the spread of the virus in the population, and the use of digital aids has rocketed. For children and adolescents, the closure of schools and the introduction of home learning have led to prolonged periods in front of a computer screen. Leisure activities, sports...

21.05.2021: Hand sanitiser is both flammable and explosive. During the COVID-19 pandemic, the use of hand sanitiser has seen a dramatic increase, exposing patients and healthcare personnel to significant risk of injury. Hand sanitiser contains ethanol, a highly flammable substance that can be ignited by static electricity. When ethanol ignites, the flame is almost completely invisible and does not produce smoke (1, 2). The problem of burns when using and storing alcohol-based sanitiser should be well known, and Norwegian health institutions are obliged to carry out ongoing HSE work. In my role as fire...

23.04.2021: Quality assurance of surgical procedures and interventions requires suitable tools and the necessary resources. It is not uncommon to see sensational reports in Norwegian media about the poor quality of services in certain hospital departments, sometimes related to specific surgeons. Therefore, a surgical department should have a complete overview at all times of activities, types of procedures, risk factors and outcomes (fatalities, complications, length of hospitalisation, etc.) so that the management can review adverse events. Most of this information requires structured data that currently...

14.04.2021: Should past mistakes play a role in how medical assistance is prioritised? If so, the debate on the prioritisation of health resources will take on a whole new dimension. If Oslo receives more vaccine doses because of its infection rate, this would be a kind of 'reverse reward' (1). It was the mayor of the town of Molde, Torgeir Dahl, who expressed this view in a discussion on the skewed distribution of COVID-19 vaccines based on where infection rates are highest. The reason was that he was not impressed by what Oslo, the capital of Norway, had achieved. According to Dahl, the infection rate...

07.04.2021: There are plans to sell nicotine-containing e-cigarettes freely in Norway. In our view, the harmful effects of nicotine, particularly on young people and during pregnancy, should not be understated. These new nicotine products can be very attractive to young people and women of childbearing age who might not otherwise have started using such products. E-cigarettes are regarded as being less harmful than cigarettes, and some researchers recommend them as a harm-reduction tool (1). People who need help to stop smoking can currently use oral moist snuff (snus) or nicotine replacement therapy (NRT...

06.04.2021: Implicit bias in health personnel leads to disparities in the treatment of patients. The Norwegian Medical Association needs to address this issue. We constantly make more or less well-considered generalisations when interacting with other people. Psychologists refer to such subconscious thought processes based on pattern recognition as implicit bias (1). The phenomenon also manifests itself when doctors, other healthcare workers and clinical researchers meet patients. But are they aware of how this affects their professional practice? Unequal treatment A number of studies have shown that...

22.03.2021: Keratoconus is a progressive corneal disease that can impair vision. Early diagnosis and treatment can be crucial for preventing severe and permanent loss of vision. Estimates for the prevalence of the corneal disease keratoconus have varied. Historically the condition was considered relatively rare, with a reported prevalence of around 0.05 % (1, 2). However, several recent studies have found the prevalence to be higher. In a Norwegian study, we estimated it to be 0.19 % in the general population (and higher in younger age groups) (3), while a study from the Netherlands calculated a...