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All Journal Journal of Advances in Medicine and Pharmaceutical Sciences
Torhild, Hilde Juzeniene
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Biochemistry, Genetics & Molecular Biology Chemistry Medicine & Pharmacology Nursing Public Health

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Policies, Progress and Challenges in Addressing Antimicrobial Resistance Torhild, Hilde Juzeniene; Geisler, Andreas; Kirstin, Agnete Olga
Journal of Advances in Medicine and Pharmaceutical Sciences Vol 3 No 2: November 2024
Publisher : Lamintang Education and Training Centre, in collaboration with the International Association of Educators, Scientists, Technologists, and Engineers (IA-ESTE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36079/lamintang.jamaps-0302.804

Abstract

Antimicrobial Resistance (AMR) poses a critical challenge to global healthcare systems, including Norway, despite its relatively low antibiotic consumption rate. This study aims to evaluate antibiotic resistance rates, analyze government policies, and explore progress in the development of antibiotics and alternative therapies in Norway. A qualitative descriptive design with a case study approach was used, combining data from policy documents, research articles, and semi-structured interviews with 30 respondents, including microbiologists, healthcare professionals, and policymakers from Oslo, Bergen, and Tromsø. Findings reveal that although Norway’s antibiotic resistance rate is lower than other European countries, certain bacteria, such as MRSA, Enterococcus faecium, and ESBL-producing E. coli, remain problematic in hospitals. The Norwegian government’s strict management policies, including prescription restrictions and diagnostic mandates, have effectively reduced resistance. In addition, research on new antibiotics and alternative therapies, such as phage therapy and probiotics, shows promise but requires further exploration. Challenges such as high R&D costs, resource constraints, and the global spread of resistant bacteria hinder progress. This study highlights the need for international collaboration, innovative funding models, and expanded research into alternative therapies. Future studies should address hospital-specific resistance challenges and strategies to accelerate antibiotic development. Norway’s experience provides valuable insights for global AMR management and policy.
Acupuncture as a Complementary Therapy for Stroke Risk Reduction in Rheumatoid Arthritis Torhild, Hilde Juzeniene; Carlet, Kjennerud; Torhild, Linda Juzeniene
Journal of Advances in Medicine and Pharmaceutical Sciences Vol 4 No 1: May 2025
Publisher : Lamintang Education and Training Centre, in collaboration with the International Association of Educators, Scientists, Technologists, and Engineers (IA-ESTE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36079/lamintang.jamaps-0401.818

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disease associated with increased inflammation and increased risk of stroke. In Norway, where acupuncture is widely practiced, there is growing interest in its potential role in reducing cardiovascular complications. This study explored the effectiveness of acupuncture in reducing stroke risk factors among RA patients and its potential integration into healthcare practice. Conducted in 2024 in Oslo, Bergen, and Trondheim, the study included 200 RA patients aged 18–75 years who met the 2010 ACR/EULAR criteria and received regular acupuncture treatment. Quantitative data were collected through clinical evaluation of blood pressure, inflammatory markers (CRP, TNF-α), and stroke risk indicators at baseline and post-treatment, while qualitative data were obtained through semi-structured interviews. The findings showed significant reductions in inflammatory markers and improved blood pressure regulation following acupuncture therapy. Participants also reported improved quality of life, supporting the role of acupuncture as a complementary therapy. These findings are in line with similar studies in Sweden but offer local insights specific to Norway. Mechanistically, acupuncture appears to reduce inflammation and improve vascular health through modulation of the autonomic nervous system. This study underscores the importance of integrating acupuncture into RA management to reduce cardiovascular risk. Future studies should focus on long-term effects, larger sample sizes, and explore a wider range of cardiovascular markers. Cost-effectiveness studies and assessment of cultural acceptability are also recommended to support its inclusion in the public health care system.
Co-Authors Carlet, Kjennerud Geisler, Andreas Kirstin, Agnete Olga Torhild, Linda Juzeniene