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Many sparsely populated municipalities in the Västerbotten County have difficulties recruiting medical professionals to the primary care. The problem is also evident in urban primary care facilities, but to a lesser extent. These units are thus often dependent on temporarily hired physicians, a situation which entail unnecessary high costs, affect…
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Ultrasound examination of the heart, known as echocardiography, is of major importance to establish or rule out certain heart diseases. Echocardiography is only offered at the county's hospitals and to address this limitation, researchers from Skellefteå hospital have developed a method whereby a cardiac ultrasound examination can be executed from…
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Storuman cottage hospital provides CBT treatment via video to patients in several municipalities in the sparsely populated areas of Västerbotten. The therapist connects to the meeting using an ordinary webcam and the patient joins either from the closest primary healthcare facility or by using a similar equipment at home. The…
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Ten percent of the Swedish population suffers from chronic pain, which represents almost 60 percent of all long-term sick leaves. Pain involves suffering on many levels and can cause physical as well as psychological and social problems. Each year about 320 people, mostly in the age of 18-65, with chronic…
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In the very beginning of the 21st century, the Speech Pathology Clinic at Nus developed a novel concept for remote rehabilitation of patients with voice and speech disorders. The concept originally came about as the speech therapists were too few to cover the needs of the county. Today, this work…
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The Pathology Department at Nus participates in about 60 rounds every week in different areas. The haematology round, held twice a month via video, is coordinated by the centre for laboratory medicine at Nus and is part of the normal routines since the late 1990s. Hospitals in the northern region…
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The multidisciplinary breast conference is managed from Nus and includes Skellefteå hospital. The conference started already in the late 1990s and is one of the first rounds that allowed remote participation. The conference deals with patients with breast cancer or suspected breast cancer, and all patients are discussed at the…
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There is a lack of full-time nephrologists at the dialysis unit in Lycksele Hospital, thus specialists at Nus regularly perform rounds remotely with support from the local staff in Lycksele. The rounds are enabled through mobile videoconferencing equipment, which makes it possible to carry out rounds wherever it is best…
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For more than a decade, the Centre of Medicine at Nus carries out joint rounds in renal pathology together with Karolinska University Hospital in Stockholm. Kidney biopsy specimens from patients in Umeå are prepared and sent to the pathologist at Karolinska. Once a month, renal pathologists at Karolinska connects to…
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Since many years, Nus and Sahlgrenska University Hospital holds joint rounds for patients from the Northern Healthcare Region who has undergone kidney transplantation at Sahlgrenska. The rounds are held every two months and currently include Östersund hospital as well. In case of clinical indications, renal biopsies are sampled from the…
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Within the colorectal area, i.e., colon, rectal and anal cancer, multidisciplinary rounds have been carried out for a long time. The rounds engage pathologists, oncologists, surgeons, radiologists, contact nurses, and all patients from Umeå and Skellefteå are brought up on the round. Since 2009, it is possible to join the…
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In conjunction with the construction of the radiotherapy unit at Sundsvall Hospital in 2000, a multidisciplinary round known as distributed radiotherapy was established between Nus and Sundsvall Hospital. The aim was to make use of the experience from Nus radiotherapy and support the dose planning for patients to be treated…
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Once a month, a regional dermatology round is held by the dermatology clinic at Nus with participation from the hospitals in Östersund, Sunderbyn and Sundsvall. The round utilizes videoconference with ability to simultaneously show clinical images and focuses on complex cases where the specialists want to discuss how to manage…
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In the dialysis area, so-called access meetings are held via video conferencing and involve physicians and biomedical scientists from the physiology lab (fyslab), doctor and nurse from the dialysis unit and vascular surgeon and doctors from the IR lab. Activities include Nus, Skellefteå and Lycksele Hospitals. The aim of the…
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This is a regional round involving patients in Northern Sweden with tumours in the lung and thorax. Since 2009, the lung clinics at Nus, Sunderby, Östersund and Sundsvall hospitals participate in the round with professionals in the fields of oncology, thoracic surgery, radiology, pathology and pulmonary medicine. Patients are brought…
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Regional round established since many years that addresses patients from Northern Sweden with neuro-endocrine tumours. Frequent participants are Nus, Östersund Hospital and Uppsala Academic Hospital, although several other hospitals in the northern healthcare region are also invited. Among the Swedish university hospitals, the Academic Hospital is most experienced with this…
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A number of primary care facilities in the county provide patients with equipment to measure blood pressure and coagulation unsupervised, or with limited support from the staff. Traditional monitoring of anticoagulant therapy is based on venous blood sampling, which is time consuming for both patient and staff. The alternative of…
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In Sweden there are five sarcoma centres responsible for diagnosing and treating tumours mainly in the extremities, abdominal and trunk wall, and pelvis. In addition, they handle certain tumours of the abdomen and underlying organs as well as the spine, chest, neck and shoulder region. Sarcoma rounds are held locally…
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The Interpretation Centre in Västerbotten offers support to people with deafness and blindness, and those suffering from a hearing imparement. In the middle of the 1990s, this centre started a project to offer writing interpretation remotely. The interpreter utilizes a video conferencing system or web cam and the patient watches…
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The paediatric cardiology unit at Nus offers virtual appointments to children with suspected heart conditions at Sunderby and Gällivare hospitals. The approach started as a pilot in 2014 and will be implemented in regular activities in 2016. The procedure and technical solution is the same as in a work model…
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