Maria Romøren

• Heen, Espen Kolstad; Romøren, Maria; Yassin, Amal A & Madar, Ahmed Ali (2021). Household Water is the Main Source of Iodine Consumption Among Women in Hargeisa, Somaliland: A Cross-Sectional Study. Journal of Nutrition. ISSN 0022-3166. doi: 10.1093/jn/nxab377. Vis sammendrag

  Background: Iodine status surveys of women in Somaliland present widely conflicting results. Previous research indicates elevated concentrations of iodine (IQR 18-72 µg/L) in groundwater used for drinking and cooking, but the relationship with iodine intake is not characterized well. Objective: We aimed to investigate the contribution of household water iodine concentration (WIC), breastfeeding, total fluid intake, hydration levels, and urine volume on urinary iodine concentration and excretion (UIC, UIE) during 24 hours, and to define iodine status from iodine intake estimates and median UIC, normalized to a mean urine volume of 1.38L/day (hydration-adjusted). Methods: The study sample comprised 118 nonpregnant, healthy women aged 15-69. All resided in Hargeisa; 27 breastfeeding. Data collection consisted of a 24-hour (24-h) urine collection, a 24-h fluid intake diary, a beverage frequency questionnaire, and a structured recall interview. We measured UIC and WIC in all urine and in 49 household-water samples using the Sandell-Kolthoff reaction. Results: WIC ranged between 3 and 188 μg/L, with significant median differences across the water sources and city districts (P

• Heen, Espen Kolstad; Madar, Ahmed Ali; Yassin, Amal A & Romøren, Maria (2021). Estimates of fluid intake, urine output and hydration-levels in women from Somaliland: a cross-sectional study. Journal of Nutritional Science (JNS). ISSN 2048-6790. doi: 10.1017/jns.2021.54. Vis sammendrag

  The study objective was to measure fluid intake and associations with background characteristics and hydration biomarkers in healthy, free-living, non-pregnant women aged 15–69 years from Hargeisa city. We also wanted to estimate the proportion of euhydrated participants and corresponding biomarker cut-off values. Data from 136 women, collected through diaries and questionnaires, 24h urine samples and anthropometric measurements, were obtained with a cross-sectional, purposeful sampling from fifty-two school and health clusters, representing approximately 2250 women. The mean (95 % CI) 24 h total fluid intake (TFI) for all women was 2⋅04 (1⋅88, 2⋅20) litres. In multivariate regression with weight, age, parity and a chronic health problem, only weight remained a predictor (P 0.034, B 0.0156 (l/kg)). Pure water, Somali tea and juice from powder and syrup represented 49⋅3, 24⋅6 and 11⋅7 % of TFI throughout the year, respectively. Mean (95 % CI) 24 h urine volume (Uvol) was 1⋅28 (1⋅17, 1⋅39) litres. TFI correlated strongly with 24 h urine units (r 0.67) and Uvol (r 0.59). Approximately 40 % of the women showed inadequate hydration, using a threshold of urine specific gravity (Usg) of 1⋅013 and urine colour (Ucol) of 4. Five percent had Usg > 1⋅020 and concomitant Ucol > 6, indicating dehydration. TFI lower cut-offs for euhydrated, non-breast-feeding women were 1⋅77 litres and for breast-feeding, 2⋅13 litres. Euhydration cut-off for Uvol was 0⋅95 litre, equalling 9⋅2 urine units. With the knowledge of adverse health effects of habitual hypohydration, Somaliland women should be encouraged to a higher fluid intake.

• Hestmark, Lars; Heiervang, Kristin S.; Pedersen, Reidar; Hansson, Kristiane Myckland; Ruud, Torleif & Romøren, Maria (2021). Family involvement practices for persons with psychotic disorders in community mental health centres – a cross-sectional fidelity-based study. BMC Psychiatry. ISSN 1471-244X. 21, s. 1–11. doi: 10.1186/s12888-021-03300-4. Fulltekst i vitenarkiv
• Harbin, Nicolay Jonassen; Haug, Jon Birger; Romøren, Maria & Lindbæk, Morten (2020). Oral and parenteral antibiotic use in Norwegian nursing homes: are primary care institutions becoming our new local hospitals? JAC-Antimicrobial Resistance (JAC-AMR). ISSN 2632-1823. 2(4). doi: 10.1093/jacamr/dlaa093. Fulltekst i vitenarkiv
• Hestmark, Lars; Romøren, Maria; Heiervang, Kristin S.; Weimand, Bente; Ruud, Torleif & Norvoll, Reidun [Vis alle 11 forfattere av denne artikkelen] (2020). Implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centres (IFIP): protocol for a cluster randomised controlled trial. BMC Health Services Research. ISSN 1472-6963. 20:934, s. 1–15. doi: 10.1186/s12913-020-05792-4. Fulltekst i vitenarkiv
• Klomstad, Kristin; Pedersen, Reidar; Førde, Reidun & Romøren, Maria (2018). Involvement in decisions about intravenous treatment for nursing home patients: Nursing homes versus hospital wards. BMC Medical Ethics. ISSN 1472-6939. 19(34), s. 1–9. doi: 10.1186/s12910-018-0258-5. Fulltekst i vitenarkiv
• Nyborg, Gunhild; Brekke, Mette; Straand, Jørund; Gjelstad, Svein & Romøren, Maria (2017). Potentially inappropriate medication use in nursing homes: an observational study using the NORGEP-NH criteria. BMC Geriatrics. ISSN 1471-2318. 17:220, s. 1–11. doi: 10.1186/s12877-017-0608-z.
• Romøren, Maria; Skaare, Dagfinn & Grude, Nils (2017). Klamydiatesting i praksis - rekvirenter og pasienter. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 137(19). doi: 10.4045/tidsskr.16.0709.
• Romøren, Maria; Gjelstad, Svein & Lindbæk, Morten (2017). A structured training program for health workers in intravenous treatment with fluids and antibiotics in nursing homes: A modified stepped-wedge cluster-randomised trial to reduce hospital admissions. PLOS ONE. ISSN 1932-6203. 12(9). doi: 10.1371/journal.pone.0182619. Fulltekst i vitenarkiv
• Romøren, Maria; Pedersen, Reidar & Førde, Reidun (2017). Én pasient, to verdener – samhandling mellom sykehjemsleger og sykehusleger. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 137(3), s. 193–197. doi: 10.4045/tidsskr.16.0099.
• Romøren, Maria; Pedersen, Reidar & Førde, Reidun (2016). How do nursing home doctors involve patients and next of kin in end-of-life decisions? A qualitative study from Norway. BMC Medical Ethics. ISSN 1472-6939. 17(1). doi: 10.1186/s12910-016-0088-2.
• Fagan, Mark Stephan; Lindbæk, Morten; Grude, Nils; Reiso, Harald; Romøren, Maria & Skaare, Dagfinn [Vis alle 7 forfattere av denne artikkelen] (2015). Antibiotic resistance patterns of bacteria causing urinary tract infections in the elderly living in nursing homes versus the elderly living at home: an observational study . BMC Geriatrics. ISSN 1471-2318. 15. doi: 10.1186/s12877-015-0097-x.
• Horntvedt, May-Elin T; Romøren, Maria & Solvoll, Betty-Ann (2014). Ethical problems related to intravenous fluids in nursing homes. Nursing Ethics. ISSN 0969-7330. 21(8), s. 890–901. doi: 10.1177/0969733014521093.
• Nordeng, Hedvig Marie Egeland; Lupattelli, Angela; Romøren, Maria & Koren, Gideon (2013). Neonatal outcomes after gestational exposure to nitrofurantoin. Obstetrics and Gynecology. ISSN 0029-7844. 121(2), s. 306–313. doi: 10.1097/AOG.0b013e31827c5f88.
• Romøren, Maria; Lindbæk, Morten & Nordeng, Hedvig Marie Egeland (2012). Pregnancy outcome after gestational exposure to erythromycin - a population-based register study from Norway. British Journal of Clinical Pharmacology. ISSN 0306-5251. 74(6), s. 1053–1062. doi: 10.1111/j.1365-2125.2012.04286.x.
• Mordal, Jon; Holm, Bjørn ; Gossop, Michael; Romøren, Maria; Mørland, Jørg & Bramness, Jørgen Gustav (2011). Psychoactive substance use among patients admitted to an acute psychiatric ward: Laboratory findings and associations with clinical characteristics. Nordic Journal of Psychiatry. ISSN 0803-9488. 65(3), s. 208–215. doi: 10.3109/08039488.2010.527014.
• Juvkam, kari Hilde; Moi, Harald & Romøren, Maria (2008). Gynekologiske infeksjoner. I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 102–105.
• Moi, Harald; Romøren, Maria & Juvkam, Kari Hilde (2008). Bakteriell vaginose X84 (del av kap 7.7). I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 106–109.
• Juvkam, Kari Hilde; Moi, Harald & Romøren, Maria (2008). Vulvovaginal candida X72 (del av kap 7.7). I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 110–113.
• Romøren, Maria; Juvkam, Kari Hilde & Moi, Harald (2008). Trichomoniasis X73, A78 (del av kap 7.7). I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 114–115.
• Romøren, Maria; Juvkam, Kari Hilde & Moi, Harald (2008). Seksuelt overførbare infeksjoner (intro til kap 7.8). I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 116–119.
• Romøren, Maria; Juvkam, Kari Hilde & Moi, Harald (2008). Gonoré X71, Y71 (del av kap 7.8). I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 120–123.
• Romøren, Maria; Hussein, Fatma; Steen, Tore W.; Velauthapillai, Man; Sundby, Johanne & Hjortdahl, Per [Vis alle 7 forfattere av denne artikkelen] (2007). Costs and health consequences of chlamydia management strategies among pregnant women in sub-Saharan Africa. Sexually Transmitted Infections. ISSN 1368-4973. 83, s. 558–566. doi: 10.1136/sti.2007.026930.
• Romøren, Maria; Sundby, Johanne; Velauthapillai, Manonmany; Rahman, Mafizur; Klouman, Elise & Hjortdahl, Per (2007). Chlamydia and gonorrhoea in pregnant Batswana women: time to discard the syndromic approach? BMC Infectious Diseases. ISSN 1471-2334. 7. doi: 10.1186/1471-2334-7-27.
• Romøren, Maria; Velauthapillai, M; Rahman, M; Sundby, J; Klouman, Elise & Hjortdahl, P (2007). Trichomoniasis and bacterial vaginosis in pregnancy: inadequately managed with the syndromic approach. Bulletin of the World Health Organization. ISSN 0042-9686. 85(4), s. 297–304. doi: 10.2471/BLT.06.031922.
• Romøren, Maria; Hjortdahl, Per & Sundby, Johanne (2004). Chlamydia and gonorrhoea in pregnancy: effectiveness of diagnosis and treatment in Botswana. Sexually Transmitted Infections. ISSN 1368-4973. 80(5), s. 395–400.
• Romøren, Maria & Rahman, M (2004). Syphilis screening in the antenatal care: a cross-sectional study from Botswana. BMC International Health and Human Rights. ISSN 1472-698X. 80, s. 395–400.
• Boonstra, Eelco; Lindbæk, Morten; Klouman, Elise; Ngome, Enock; Romøren, Maria & Sundby, Johanne (2003). Syndromic management of sexually transmitted diseases in Botswana's primary health care: quality of care aspects. Tropical medicine & international health. ISSN 1360-2276. Jul(8(7)), s. 604–614.

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• Pedersen, Reidar & Romøren, Maria (2021). Presentasjon "Implementing Advance Care Planning - A Cluster Randomised Controlled Study". Hvordan involvere fastlegene i forhåndssamtaler?
• Romøren, Maria & Hansson, Kristiane Myckland (2021). Preliminary results from interviews with patients and relatives (their experiences with the intervention).
• Pedersen, Reidar; Hansson, Kristiane Myckland & Romøren, Maria (2020). Nettside: Covid-19: Alvorlig psykisk lidelse og pårørendesamarbeid .
• Hansson, Kristiane Myckland; Pedersen, Reidar; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Nettverkssamling for forbedringsteam intervensjonsarm BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Heiervang, Kristin S.; Hansson, Kristiane Myckland; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Heiervang, Kristin S.; Hestmark, Lars; Hansson, Kristiane Myckland & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Hestmark, Lars; Heiervang, Kristin S. & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Heiervang, Kristin S.; Hansson, Kristiane Myckland; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Hestmark, Lars; Heiervang, Kristin S. & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Hestmark, Lars; Heiervang, Kristin S. & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Hestmark, Lars; Romøren, Maria & Heiervang, Kristin S. (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Romøren, Maria (2019). Bedre Pårørendesamarbeid (BPS): Et implementerings- og forskningsprosjekt - status og planer for Vestfold.
• Romøren, Maria & Pedersen, Reidar (2019). Bedre Pårørendesamarbeid (BPS): Et implementerings- og forskningsprosjekt - status og planer for Telemark.
• Romøren, Maria & Norheim, Irene (2019). Bedre Pårørendesamarbeid (BPS): Et implementerings- og forskningsprosjekt om pårørendesamarbeid - status høst 2019.
• Romøren, Maria & Norheim, Irene (2019). Bedre Pårørendesamarbeid (BPS): Et implementerings- og forskningsprosjekt om pårørendesamarbeid ved alvorlige psykiske lidelser.
• Romøren, Maria (2019). Etiske utfordringer ved intravenøs behandling av sykehjemspasienter.
• Pedersen, Reidar & Romøren, Maria (2018). Presentasjon prosjektet Bedre pårørendesamarbeid.
• Pedersen, Reidar & Romøren, Maria (2018). Presentasjon prosjektet "Bedre pårørendesamarbeid".
• Romøren, Maria (2018). En pasient – to verdener. Sykehjemsleger og sykehuslegers beskrivelser av samhandling om sykehjemspasienter.
• Romøren, Maria (2018). A structured training program for health workers in intravenous treatment with fluids and antibiotics in nursing homes: A modified stepped-wedge cluster-randomized trial to reduce hospital admissions.
• Dysthe, Bjørg Elise Tønnesen; Lødøen, Gjertrud; Romøren, Maria & Lindbæk, Morten (2018). Klamydiaepidemien som viste seg å være feilregistreringer. Tidsskrift for Den norske legeforening. ISSN 0029-2001. doi: 10.4045/tidsskr.17.0965.
• Romøren, Maria (2018). En pasient – to verdener: Sykehjemsleger og sykehuslegers beskrivelser av samhandling om sykehjemspasienter.
• Hanger, Mari Rian & Romøren, Maria (2017). Reduserte innleggelser hos pasienter på sykehjem. [Fagblad]. Dagens Medisin.
• Dommerud, Tine & Romøren, Maria (2017). Ny behandling på sykehjem fører til kraftig reduksjon i innleggelser på sykehus. [Avis]. Aftenposten.
• Solvang, Fredrik & Romøren, Maria (2017). Dagsnytt 18: Debatt av artikkelen En pasient, to verdener (http://tidsskriftet.no/2017/02/originalartikkel/en-pasient-verdener-samhandling-mellom-sykehjemsleger-og-sykehusleger). [TV]. NRK.
• Romøren, Maria; Førde, Reidun & Pedersen, Reidar (2017). En pasient - to verdener. Dagens medisin. ISSN 1501-4290.
• Romøren, Maria; Juvkam, kari Hilde & Moi, Harald (2015). Mycoplasma genitalium i allmennpraksis – bare en pille hvis det er ille? Utposten. ISSN 0800-5680. 6. Vis sammendrag

  Retningslinjer skal være oversiktlige og tydelige, men ofte er virkeligheten betydelig mer komplisert – som for infeksjoner forårsaket av den seksuelt overførte bakterien Mycoplasma genitalium. Mange allmennleger har, med god grunn, spørsmål til hvordan man skal håndtere genital mycoplasmainfeksjon i praksis.

• Nordeng, Hedvig Marie Egeland; Romøren, Maria & Lindbæk, Morten (2010). Safety of macrolides during pregnancy – with special focus on erythromycin and congenital heart malformations.
• Dommerud, Tine & Romøren, Maria (2010). Bedre med intravenøst på sykehjemmet. [Fagblad]. Dagens Medisin.
• Romøren, Maria & Sundby, Johanne (2006). Where is the humility for the limitations of research? Clinical Infectious Diseases. ISSN 1058-4838. 42, s. 888–888.
• Romøren, Maria (2004). Detection of curable sexually transmitted infections in antenatal care in Botswana. Vis sammendrag

  DETECTION OF CURABLE STIS IN THE ANTENATAL CARE IN BOTSWANA Romøren M, Velauthapillai M, Hjortdahl P, Sundby J, Khulumani P, Rahman M. University of Oslo, Norway, National Health Laboratory and Ministry of Health, Gaborone, Botswana BACKGROUND: The burden of sexually transmitted infections (STIs) in Botswana is high. Many of the complications are pregnancy related, and diagnosis and treatment of STIs in pregnancy is important. As many infected women are asymptomatic, a substantial proportion of STIs in pregnancy remains undetected. Laboratory screening to identify the infections is one solution to this problem, and screening for syphilis in the antenatal care (ANC) program has been established in Botswana for many years. The aim of this study is to find the prevalence of selected curable STIs among pregnant women and to evaluate if screening of these STIs also should be integrated in the ANC program. METHODS: 703 ANC clients from all clinics in Gaborone were included in the study. The women were interviewed about demographic data, reproductive history and STI symptoms. A genital examination was performed with a special focus on abnormal vaginal discharge. High vaginal and cervical swabs were taken for laboratory analysis of the infections within the vaginal discharge syndrome. RESULTS 21 (3%) of the pregnant women had gonorrhoea, 53 (7%) chlamydia, 131 (19%) trichomoniasis, and 265 (38%) had bacterial vaginosis. All these are conditions important to treat in pregnancy, but less than half of the affected women had symptoms and signs that would lead to treatment by the syndromic management. CONCLUSION: We find a high prevalence of STIs among ANC clients in Gaborone, and the existing STI management in Botswana is not effective in this population. In the second phase of this study we will conduct a cost-effectiveness analysis of screening ANC clients for these infections. With the results from our cost analysis, we will be able to discuss whether laboratory screening of selected curable STIs should be considered as a supplement to the STD management of ANC clients in Botswana.

• Romøren, Maria (2001). Introducing laboratory analysis to the management of STDs in Botswana -is it feasible?
• Romøren, Maria (2001). Sexually transmitted disease management in Botswana-a need for improvement?
• Romøren, Maria (1999). Evaluation of the Syndromic Approach to diagnose sexually transmitted infections among pregnant women in Botswana.
• Romøren, Maria (1999). Sexually transmitted infections among females in Botswana.
• Romøren, Maria & Nyrerød, Hans Christian (1995). Enjoyment, responsibility and change. NORAD.

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