Publications by authors named "Haapanen M"

Article Synopsis
  • - The study investigates the accessibility and trends of labor analgesia methods, particularly epidural use, across Finnish hospital districts from 2007 to 2019, highlighting significant regional disparities.
  • - Data was collected from the Finnish Medical Birth Register, focusing on 567,593 vaginal births, with findings indicating that neuraxial analgesia was the most common method used, averaging 63.6% of deliveries.
  • - The research concludes that there are notable differences in labor analgesia practices among various hospital districts in Finland, suggesting a lack of uniform analgesia policies across the country.
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Norway spruce is an important coniferous species in boreal forests. Root and stem rot diseases caused by the necrotrophic pathogen Heterobasidion parviporum threaten the wood production of Norway spruce which necessitates the search for durable control and management strategies. Breeding for resistant traits is considered a viable long-term strategy.

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This study examines the association between decentralized wage bargaining and worker health in Finland. We utilize unique data on collective agreements matched with total population administrative data on mental health disorders and sickness absence for the 2005-2013 period. We find that decentralized wage bargaining is related to mental health among blue-collar workers.

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Purpose: Labor pain can be treated by medical and non-medical analgesia. Smoking during pregnancy has been shown to increase the incidence of several complications and may influence analgesic effectiveness. Previous studies have linked socioeconomic status to the use of epidurals for labor analgesia.

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To compare preventive medications against graft failures in coronary artery bypass graft surgery (CABG) patients after a 1-year follow-up. Systematic review with Bayesian network meta-analysis and meta-regression analysis. We searched PubMed, Scopus, and Web of Science databases in February 2023 for randomized controlled trials, comparing preventive medications against graft failure in CABG patients.

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Article Synopsis
  • This study examined how variations in a specific polygenic risk score related to brain insulin receptors are linked to frailty over time.
  • During the research involving 1,605 participants, it was found that women generally exhibited higher frailty levels than men, particularly those with a high risk score in the hippocampus.
  • The results suggest that understanding this genetic variation could lead to new strategies for treating frailty and age-related issues.
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Introduction: Few studies have investigated the association between frailty and subsequent body composition.

Methods: We performed separate linear mixed model analyses to study the associations between changes in the participant frailty status assessed by a frailty index (FI) and subsequent body mass index (BMI), lean mass index (LMI), fat mass index (FMI), and FMI to LMI ratio values assessed on three occasions over 17 years. The analyses were carried out among 996 participants spanning from age 57 to 84 years.

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Background: Few studies have examined longitudinal changes in lifestyle-related factors and frailty.

Methods: We examined the association between individual lifestyle factors (exercise, diet, sleep, alcohol, smoking and body composition), their sum at baseline, their change over the 17-year follow-up and the rate of change in frailty index values using linear mixed models in a cohort of 2,000 participants aged 57-69 years at baseline.

Results: A higher number of healthy lifestyle-related factors at baseline was associated with lower levels of frailty but not with its rate of change from late midlife into old age.

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Article Synopsis
  • The study investigated how early life factors like growth, stress, and socioeconomic status impact the accumulation of chronic diseases later in life.
  • The research focused on a national birth cohort of individuals born in Helsinki between 1934 and 1944, tracking their health records from 1987 to 2017 to analyze these relationships.
  • Findings revealed that factors such as maternal age and weight during pregnancy, as well as low birthweight, were linked to a faster rate of chronic disease accumulation in older age.
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Background Frailty, defined as an increased vulnerability to and impaired recovery from stressors, is common in individuals in late midlife to old age. While frailty predisposes individuals to adverse health outcomes and increased health care utilization, how it impacts imaging service use and related costs remains unclear. Purpose To determine whether frailty is associated with greater use of imaging services and higher imaging-related costs.

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Cardiovascular disease (CVD) is one of the leading causes of premature retirement. However, the relationship between CVD risk factors and workforce participation is not well known. We studied the relationship between midlife CVD risk, age at retirement, work-loss years, and survival in retirement.

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Background: The true prevalence of healthy ageing on a population level is unknown. In this study we aimed to examine the upper limit for the prevalence of healthy ageing, by quantifying the probability of surviving and remaining free of chronic diseases that could impact functioning (ie, healthy survival) across adulthood. We also estimated the prevalence of clinically assessed healthy ageing, and the determinants of healthy survival and healthy ageing.

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Background: This study examined the association between early parental death and children's subsequent mental health, years of schooling, and labour-market outcomes (ie, employment and earnings) in adulthood.

Methods: We used nationwide register-based data for Finnish citizens born between 1971 and 1986 (n=962 350). Logistic and linear regression models were used to examine the association of early parental death before the age of 21 years with subsequent mental health and labour-market outcomes in adulthood at ages 26-30.

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Background: Sex-specific physical and mental functioning trajectory classification could offer a way of understanding the differences in healthcare use at older age.

Methods: Using latent growth mixture models, sex-specific physical and mental functioning trajectory classes were formed for 1991 participants (mean age 61.5 years) of the Helsinki Birth Cohort Study.

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Objectives: Resilience, a capacity to cope with adversity, has been linked to better functioning and health in older age. However, little is still known about resilience in relation to frailty. We explored whether resilience would be associated with frailty in older age and if we would observe differences in association between resilience and frailty according to the type of adversity.

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To analyze whether the addition of risk-based criteria to clinical examination-based selective ultrasound screening would increase the rates of early detected cases of developmental dysplasia of the hip (DDH) and decrease the rate of late detected cases. A systematic review with meta-analysis was performed. The initial search was performed in the PubMed, Scopus, and Web of Science databases in November 2021.

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Norway spruce is a major industrial tree species in Fennoscandia and future productivity of the species must be secured by matching the variation in adaptation of the species with suitable sites for optimized performance. An appropriate transfer model for forest reproductive material (FRM) is crucial for regeneration of productive forests in the changing climatic conditions that are predicted to occur in Fennoscandia. We have developed a transfer model for prediction of height of Norway spruce in Norway, Sweden, and Finland, using data acquired from 438 progeny and provenance trials with 1919 genetic entries of local and transferred origins.

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In this study, we investigated the outcome of goal attainment in individual and group-based neuropsychological intervention for young adults with dyslexia. Participants ( = 120) were randomly assigned to individual intervention, group intervention, or wait-list control group. Attainment of goals set personally before the intervention was evaluated after the intervention using Goal Attainment Scaling.

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Article Synopsis
  • Body mass index (BMI) is not the best predictor of frailty because its components, lean and fat mass, can affect frailty differently.
  • The study analyzed data from 2,000 participants in the Helsinki Birth Cohort Study over 17 years, measuring frailty with a 39-item index and various body composition metrics.
  • Results indicated that increased fat mass was associated with higher frailty levels in women, while abdominal obesity was significant in men, suggesting high fat mass may lead to frailty, whereas lean mass could be protective unless high fat mass is also present.
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Families (and sometimes courts) make important decisions regarding child physical custody arrangements post-separation, and shared parenting arrangements are increasingly common in most developed countries. Shared arrangements may be differentially associated with parental satisfaction, and these associations may vary across countries. Using data from surveys of separated mothers in Wisconsin and Finland, the present study explores this possibility and is guided by three aims: (a) to identify child and family characteristics associated with sole and shared child placements 6 or more years after separation; (b) to estimate associations of children's post-separation placements with maternal satisfaction with placements and expense sharing; (c) to examine whether the relationship between post-separation placement and maternal satisfaction varies by mothers' earnings and the quality of parents' relationships.

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Importance: Universal ultrasonographic screening for developmental dysplasia of the hip (DDH) has gained increasing popularity despite the lack of benefit in terms of reducing the rates of late-detected cases (age ≥12 weeks) in randomized clinical trials.

Objective: To report the reported incidence of DDH in the English scientific literature and compare rates of late-detected cases in settings with different DDH screening strategies.

Data Sources: PubMed, Scopus, and Web of Science databases were searched on November 25 and 27, 2021.

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Root and stem rot caused by is a severe problem in boreal Scots pine. Dissecting the features of disease resistance is generally an essential step in resistance breeding in plants and forest trees. In this study, we explored inherent resistance factors of Scots pine against .

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Social restrictions interrupted the normal respiratory virus circulation in Spring 2020. This report describes virus circulation in the pediatric population before and after the restrictions ended in Finland in September 2021. We used data from the Finnish Infectious Disease Register.

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Background: Associations between retirement characteristics and consequent physical functioning (PF) are poorly understood, particularly in higher socioeconomic groups, where postponing retirement has had both positive and negative implications for PF.

Methods: Multiple assessments of PF, the first of which at the mean age of 73.3 years, were performed on 1709 men who were retired business executives and managers, using the RAND-36/SF-36 instrument, between 2000 and 2010.

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