[The patient throughout history since Hippokrates].

Throughout history, the patient's dependency on the social group in which he or she happens to be born, has remained unchanged. The period in the 19th to the 20th century, during which the authority of physicians over patients grew markedly, seems to have passed. As in the classical period, a wealthy western patient is again able to choose the most suitable one from the healthcare service providers.

Noise sensitivity and disability retirement: a longitudinal twin study.

Objective: To analyze whether noise sensitivity increases the risk of disability pension (DP).

Methods: Questionnaire data of a sample of 706 Finnish twin individuals (age range, 31 to 65 years) with record linkage to information on DP during 16 years of follow-up were analyzed using individual and pairwise Cox proportional hazards models.

Results: Noise sensitivity increased the risk of DP (hazard ratio = 1.

Noise sensitivity and multiple chemical sensitivity scales: properties in a population based epidemiological study.

Noise sensitivity is considered to be a self-perceived indicator of vulnerability to stressors in general and not noise alone. Multiple chemical sensitivity (MCS) has to some extent been accompanied by noise sensitivity, indicating a moderate correspondence between them. The aim of this study is to investigate if the Weinstein's Noise Sensitivity Scale and Quick Environmental Exposure and Sensitivity Inventory's (QEESI) Chemical Intolerance Subscale can differentiate noise sensitivity and MCS as different entities, and if there are overlaps in the characteristics of noise sensitivity and MCS.

Noise sensitivity and hearing disability.

The aim of this study was to investigate the association of noise sensitivity with self-reported hearing disability and hearing levels, with consideration of the role of self-reported history of noise exposure and use of hearing protectors. The study is based on the Finnish Twin Cohort. In 1988, a noise questionnaire was sent to 1005 twin pairs, 1495 individuals (688 men, 807 women) replied.

The association of noise sensitivity with coronary heart and cardiovascular mortality among Finnish adults.

The association of coronary heart and cardiovascular mortality with noise sensitivity was studied. We also investigated how this association is affected by self-reported lifetime noise exposure. In 1988 a case-control study, based on the Finnish Twin Cohort, was carried out to investigate the relationship between noise and hypertension (n=1495).

Somatic and psychological characteristics of noise-sensitive adults in Finland.

The authors examined the relationship of noise sensitivity with health status and psychological factors in individuals <70 yr of age in Finland. Subjects (n = 1,355) were selected from a 1988 case-control study, based on the Finnish Twin Cohort, that assessed noise sensitivity, lifetime noise exposure, and hypertension. Other health status and psychological factors were obtained from a questionnaire that had been administered to the same individuals in 1981.

Genetic component of noise sensitivity.

We investigated the genetic component of noise sensitivity using a twin-study design. The study sample consisted of 573 same-sexed twin pairs from the Finnish Twin Cohort. The 131 monozygotic (MZ) and 442 dizygotic (DZ) twin pairs with an age range of 31 to 88 years replied to a questionnaire on noise and health-related items in 1988.