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Objective. Identify and describe general practitioners ' (GPs ' ) refl ections on and attitudes to the referral process and cooperation with hospital specialists. Design. Qualitative study using semi-structured focus-group interviews with GPs analysed using Giorgi ' s method as modifi ed by Malterud. Setting. Interviews conducted over four months from November 2010 to February 2011. Subjects . 17 female and 14 male GPs aged 29 to 61 years from 21 different practices, who had practised for 3 -35 years. Main outcome measures. Description of GPs ' views on the referral process. Results. GPs wished for improved dialogue with the hospital specialists. The referral process was often considered as asymmetric and sometimes humiliating. GPs saw the benefi t of using templates in the referral process, but were sceptical concerning the use of mandatory fi xed formats. Conclusions . The referral process is essential for good patient care between general practice and specialist services. GPs consider referring as asymmetric and sometimes humiliating. The dichotomy between the wish for mutual dialogue and the convenience of using templates should be kept in mind when assuring quality of the referral process.

Norway 2 to 12 2 to 10 3 to 5 Abstract -The report presents a survey of the reliability of squirrel cage motors on board drilling-, production-and other platforms offshore, together with cage motors in petrochemical industry, gas terminals and refineries onshore. Most of the activity in this connection is related to The North Sea that offers a tough environment for motors. The collected data have been treated statistically, and the faults sorted according to supply-and motor data, driving conditions, maintenance and so on. Comparisons between this survey and a survey from IEEE have been done. The report also pays some attention to methods for monitoring of machinery and detecting of faults. Generating of glycolLiving auarter

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BackgroundIn most Western countries, the referral letter forms the basis for establishing the priority of patients for specialised health care and for the coordination of care between the services. To be able to define the quality of referral letters, the potential impact of the quality on the organisation of care, and to improve the quality of the letters, we need a multidimensional definition of the ideal content. The study’s aim was to explore what information is seen as most important and should be included in referral letters from primary care to specialised mental health care to facilitate prioritisation and planning of treatment and follow-up of the patients.MethodsBased on purposive sampling, four mixed discussion groups, which included general practitioners, mental health nurses from primary health care, psychiatrists and psychologists from specialised mental health care, managers and patient representatives, were formed; they were asked to identify the information they considered important in a mental health referral letter. In line with the Delphi technique, the importance of the themes was later individually rated by the participants. The study was conducted within The Western Norway Regional Health Authority.ResultsThe four groups identified 174 information themes. After excluding themes that were assessed as duplicates, replaceable or less important, 40 themes were suggested, organised in seven units. A set of check-off points of essential information is recommended as an introduction in the referral letter.ConclusionCompared with general guidelines and guidelines for somatic care, the results of this study suggest that the referral letter to specialised mental health care should have a larger emphasis on the overall treatment plan, on the specific role of specialised health care in the continuum of care, and on patient involvement. Further research should evaluate the validity of these findings for other patient groups in need of integrated care and investigate how the quality of referral letters affects patient-related and organisational outcomes.Trial RegistrationTrial Registration number: NCT01374035