Døgnvariasjoner for innleggelser ved akuttpsykiatriske enheter

Aim: The aim of this study was to investigate diurnal variations of admissions in acute psychiatry. Method: The registration of 2763 submissions were conducted from 01.04.15–31.12.17 at the University Hospital of North-Norway by completing a form for every admission. Results: The results revealed that a majority of the admissions took place at evening and nighttime. There were significantly (p = .001) more admissions at evening and night. Results revealed that 21,[A1] 5 % (539) of the admissions were between 00:00–08:00, whereas 27,5 % (758) of the admissions were between 08:00–16:00, and 51 % (1409) of the admissions were between 16:00–00:00. Conclusion: The causes behind this distribution of the admissions should be investigated in future studies. Future studies should ask the patients about the causes of the late admissions. Keywords: diurnal variations, admissions, acute psychiatry

Endoscopic full-thickness dissection (EFTD) in the rectum: a case series

Background Rectal endoscopic full- thickness dissection (EFTD) using a flexible colonoscope is an alternative to the well-established trans-anal endoscopic microsurgery (TEM) and the trans-anal minimally invasive surgery (TAMIS) techniques for resecting dysplastic or malignant rectal lesions. This study evaluated EFTD safety by analyzing outcomes of the first patients to undergo rectal EFTD at the University Hospital of North-Norway. Methods The first 10 patients to undergo rectal EFTD at the University Hospital of North-Norway April, 2016 and January, 2021, were included in the study. The procedural indications for EFTD were therapeutic resection of non-lifting adenoma, T1 adenocarcinoma (AC), recurrent neuroendocrine tumor (NET) and re-excision of a T1-2 AC. Results EFTD rectal specimen histopathology revealed three ACs, five adenomas with high-grade dysplasia (HGD), one NET and one benign lesion. Six procedures had negative lateral and vertical resection margins and in three cases lateral margins could not be evaluated due to piece-meal dissection or heat damaged tissue. Two patients experienced delayed post-procedural hemorrhage, one of whom also presented with a concurrent post-procedural infection. No serious complications occurred. Conclusion Preliminary results from this introductory trial indicate that EFTD in the rectum can be conducted with satisfactory perioperative results and low risk of serious complications.

The Blue Economy in the Arctic Ocean: Governing Aquaculture in Alaska and North Norway

In the Arctic, the concept of the blue economy is increasingly dominating discussions on regional development. This entails utilising the region’s ocean-based resources in a sustainable way – both from a global and local level, as well as from an environmental and economic perspective. A crucial aspect in this development is how blue activities are regulated. The UNCLOS-regime plays a vital part in providing the mechanisms and procedures for states to manage marine resources more broadly. However, the predominant mode of governance for Arctic maritime activities will remain unilateral management by each of the coastal states. Thus, the national and local legal and political framework needs to be mapped. In this article we will explore and explain how aqua/-mariculture is governed in the United States (Alaska) and Norway (North Norway). This will be done by examining how parameters for blue economic projects are defined and determined at the international, regional, national and local governance level. Thus, our article will illustrate the complexity behind the blue economy. There is no such thing as one blue economy and no such thing as one Arctic, but it is still possible to find common ground and avenues for knowledge and best practice exchange. By this we will bring the academic and political discussions about the blue economy on the right track.

Interruptions: Affective futures and uncanny presences at Giemaš, Finnmark

This paper concerns affective relations and unexpected interruptions as the planned expansion of an extractive open-pit mining site gathers momentum. The site is a mountain in Varanger, North Norway, criss-crossed by a sand-coloured meshwork of roads that are part of the current infrastructure of a quartzite quarry. Recently purchased by Chinese investors, the mining company Elkem plans a massive expansion of the operations, which will interrupt a wide range of practices and projects, including the migratory movement of reindeer, as well as their grazing patterns. Known as Giemaš amongst Sámi speakers, the mountain is also alluded to as a site of other powers, manifesting as unexpected accidents. In this article, I explore how the planned expansion evokes this contested site as more than a singular mountain, and how divergent epistemic formations interrupt the making of extractive resources in multiple ways.

Dreams of Prosperity – Enactments of Growth

An old tractor serves as an ethnographic entry point to shifting articulations of resources in coastal Finnmark, North Norway. Idle since the 1970s, the tractor is a relic of agricultural dreams, turned to rubble as novel layers of the Varanger landscape are conjured as resourceful. Farming in Finnmark was a geopolitical strategy to secure national borders and to expand a post-war welfare state, it was also a colonial effort to cultivate farmers in the far north. This article details the back-breaking practices required to make thin Arctic topsoil collaborate in realizing modernist dreams of agricultural growth, while state interventions sought to ensure national borders and national identity. The author highlights dialectic relations between mapping and forgetting, crucial in the making of resources and colonizing practices.

The Politics of Establishing ICT Governance for Large-Scale Healthcare Information Infrastructures

In Norway, the focus on interoperability and communication across healthcare practices has increased the need to connect ICT portfolios at different levels of healthcare, into large-scale information infrastructures (II). Governing healthcare practices is exceptionally complex, due to the diverging goals and policies of the heterogeneous actors involved. Establish well-functioning ICT governance organizations to handle these large infrastructures is therefore important. Using information infrastructure theory, and governance literature from the IS field, this paper contributes with empirical insight to the longitudinal and political process of establishing ICT governance in a healthcare context, reporting from one of Norway's largest health ICT projects, situated in the North Norway Regional Health Authority in 2012–2016. Our focus was on the following research questions: How does organizational politics shape the process of establishing an ICT governance organization in a heterogeneous healthcare environment, and what does it take to establish such ICT governance organization?

Ichneumonid parasitoids (Hymenoptera: Ichneumonidae) reared in North Europe from pupae of Chelis puengeleri (Bang-Haas, 1927) (Lepidoptera: Erebidae, Arctiinae)

Four ichneumonid species were reared for the first time from pupae of Chelis puengeleri in North Europe. One female of Pimpla sodalis Ruthe, 1859 (Pimplinae) was reared in Cievrracohkka, N Sweden in July 2012. One male of Ichneumon formosus Gravenhorst, 1829 (Ichneumoninae) was reared in Nissuntjårro, Torne Lappland, Sweden in July 2012. One male of Ichneumon vafer Tischbein, 1876 (Ichneumoninae) was reared in July 1999 in the Iremel Mountain reserve, Baskiria, South Ural, Russia. Two females and one male of Ichneumon holoarctiae Riedel et Vikberg sp. n. (Ichneumoninae) were reared in June and July 2004 and 2012 in Finnmark, North Norway.