Publications by authors named "Jakobsen T"

Purpose: This review explores the role of pigment epithelium-derived factor (PEDF) in retinal degenerative and vascular disorders and assesses its potential both as an adjunct to established vascular endothelial growth factor inhibiting treatments for retinal vascular diseases and as a neuroprotective therapeutic agent.

Methods: A comprehensive literature review was conducted, focusing on the neuroprotective and anti-angiogenic properties of PEDF. The review evaluated its effects on retinal health, its dysregulation in ocular disorders, and its therapeutic application in preclinical models.

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Background: Following the implementation of the fast-track protocol in total hip arthroplasty (THA), total knee arthroplasty (TKA), and unicompartmental knee arthroplasty (UKA), the median length of stay (LOS) has been significantly reduced without an increase in readmissions. However, it is unclear if the reduction in LOS is at the expense of an increase in nonhome discharge. The aim of this study was to investigate the discharge destination among THA, TKA, and UKA patients.

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Multiple myeloma (MM) is a haematological malignancy with abnormal proliferation of plasma cells in the bone marrow (BM), and MM patients with highly proliferative plasma cells have reduced overall survival. Circular RNAs (circRNAs) are endogenous, non-coding molecules that are promising biomarkers in cancer. Here, we present the largest study of circRNAs in MM to date and explore the prognostic potential of circRNAs and the link between proliferation and circRNA expression in MM.

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Background: The role of physical activity (PA) monitoring during the recovery after orthopaedic surgeries is unclear. This study aimed to explore early changes in the pattern and level of PA following orthopedic surgeries.

Methods: This observational feasibility study included 11 hip replacement patients (four females) with a mean age of 66 years and five knee replacement patients (four females) with a mean age of 65 years.

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Article Synopsis
  • - The study aimed to assess day-case surgery success rates for primary total hip arthroplasty (THA), total knee arthroplasty (TKA), and medial unicompartmental knee arthroplasty (mUKA), investigating the reasons for patients not being discharged on the same day despite eligibility.
  • - Conducted over a year with 6,142 patients, the study found that 34% of THA and TKA patients and 52% of mUKA patients were eligible for day-case surgery, with mUKA showing the highest success rates (72%) when surgeries were completed before 1:00 pm.
  • - Key reasons for day-case failures included issues with patient mobilization,
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Purpose: The purpose of this study is to investigate 3-year efficacy of orthokeratology lenses (OKL) in controlling axial length progression in myopic Scandinavian children. Through a cross-over design of the control group to compare the treatment efficacy in younger versus older children, with the latter having higher cycloplegic spherical refractive error (cSEQ) at treatment initiation. Further, the study aimed to evaluate the safety of the treatment.

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Introduction: Chronic wounds affect 1%-2% of the global population, with rising incidence due to ageing and lifestyle-related diseases. Bacterial biofilms, found in 80% of chronic wounds, and scattered single-cell bacteria may hinder healing. Microbes are believed to negatively impact healing by exacerbating inflammation and host immune response.

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  • Preoperative psychopharmacological treatment (PPT) was analyzed to see if it negatively impacts patient-reported outcomes following hip and knee surgeries, focusing on a multicenter fast-track study in Denmark.
  • The study included over 7,200 patients and tracked their health improvements for up to 24 months through various scoring systems.
  • Results indicated that while PPT did not correlate with worse outcomes at the 12-month mark, patients receiving PPT had consistently lower scores both at baseline and after surgery compared to those who did not.
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  • Pleural infections pose serious challenges, especially for elderly and immunocompromised patients, but MRIs can provide a radiation-free imaging option despite historical drawbacks like longer scan times and discomfort.
  • A feasibility study involving thirteen patients found high technical success in thoracic MRI, with acceptable scan times and minimal issues reported by both radiographers and patients.
  • The study suggests thoracic MRI could be a valuable alternative to CT, particularly in detecting complications like pleural effusion septations, while maintaining a good patient experience.
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The rise in osteomyelitis and periprosthetic joint infections, in combination with increasing life expectancy and the prevalence of diabetes, underscores the urgent need for rapid and accurate diagnostic tools. Conventional culture-based methods are often time-consuming and prone to false-negatives, leading to prolonged and inappropriate antibiotic treatments. This study aims to improve osteomyelitis diagnostics by decreasing the time to detection and the time to an antibiotic susceptibility result to enable a targeted treatment using isothermal microcalorimetry (IMC).

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Introduction: In recent years, different factors such as population aging have caused escalating demand for hip and knee arthroplasty straining already limited hospitals' resources. To address this challenge, focus is put on medical and operational efficiency improvements. This includes an increased use of machine learning (ML) to predict duration of surgery (DOS) and length of stay (LOS) for total knee and total hip arthroplasty, which can be utilized for optimizing resource allocation to satisfy medical and operational limitations.

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Background: Hip and knee osteoarthritis (OA) patients demonstrate distinct gait patterns, yet detecting subtle abnormalities with wearable sensors remains uncertain. This study aimed to assess a predictive model's efficacy in distinguishing between hip and knee OA gait patterns using accelerometer data.

Method: Participants with hip or knee OA underwent overground walking assessments, recording lower limb accelerations for subsequent time and frequency domain analyses.

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Background/objectives: Median survival of pancreatic ductal adenocarcinoma (PDAC) is around eight months and new prognostic tools are needed. Circular RNAs (circRNAs) have gained interest in different types of cancer. However, only a few studies have evaluated their potential in PDAC.

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  • * A new compound called H6-335-P1 has been developed to disrupt bacterial biofilms by targeting the c-di-GMP signaling pathway, leading to the dispersal of bacteria into a more vulnerable planktonic state.
  • * Formulated as Disperazol, this water-soluble compound shows significantly enhanced efficacy when combined with the antibiotic ciprofloxacin in treating catheter-associated UTIs, demonstrating potential for improved treatment options.
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  • * A prospective study involved 2,756 patients, where 37% were eligible for same-day discharge based on specific criteria, and 21% were actually discharged that day, marking a significant increase compared to pre-pandemic discharge rates.
  • * The findings suggest that outpatient procedures are feasible in public healthcare settings, with expectations that success rates will improve as hospitals gain more experience with the protocol.
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A number of patients with colon cancer with local or local advanced disease suffer from recurrence and there is an urgent need for better prognostic biomarkers in this setting. Here, the transcriptomic landscape of mRNAs, long noncoding RNAs, snRNAs, small nucleolar RNAs (snoRNAs), small Cajal body-specific RNAs, pseudogenes, and circular RNAs, as well as RNAs denoted as miscellaneous RNAs, was profiled by total RNA sequencing. In addition to well-known coding and noncoding RNAs, differential expression analysis also uncovered transcripts that have not been implicated previously in colon cancer, such as RNA5SP149, RNU4-2, and SNORD3A.

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  • The study focuses on understanding the impact of perioperative diabetes management on patient outcomes after hip and knee surgeries, considering the complexity of diabetes treatment guidelines and the limited existing data.
  • A multicenter observational study will be conducted across 8 Danish arthroplasty centers, involving 1400 diabetic patients undergoing fast-track surgeries from September 2022 to December 2025, with follow-up lasting 90 days post-surgery.
  • The primary goals are to evaluate hospital length of stay and readmission rates, while secondary outcomes include the relationship between diabetes treatment and other factors related to patient recovery and complications.
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Purpose: To translate and cross-culturally adapt PREP2 into Danish and to investigate the face validity and reliability of Danish PREP2 through cognitive interviewing, Rasch and reliability analyses.

Methods: The Danish PREP2 was translated using a standardized procedure and then pretested following the Three-Steps-Interviews (TSTI) process. A total of 15 myopic children aged 7-14 wearing either orthokeratology lenses (ortho-k) or single-vision spectacles (SVS) were included in pretesting comprising cognitive interviews and Rasch analysis.

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Neovascular age-related macular degeneration (nAMD) is a frequent cause of vision loss among the elderly in the Western world. Current disease management with repeated injections of anti-VEGF agents accumulates the risk for adverse events and constitutes a burden for society and the individual patient. Sustained suppression of VEGF using gene therapy is an attractive alternative, which we explored using adeno-associated virus (AAV)-based delivery of novel RNA interference (RNAi) effectors in a porcine model of choroidal neovascularization (CNV).

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Background: Biomechanical reconstruction of the hip significantly impacts the clinical outcome and implant survival. Our knowledge is limited of the ability of neck-stabilised prostheses to restore hip biomechanics. We hypothesised that hip biomechanics, specifically leg length and global offset (GO), may be restored to an acceptable range using the Primoris™ stem.

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This study aimed to develop and validate "the Imprint method,", a technique for sampling microbes from chronic wounds while preserving their two-dimensional spatial organization. We used nylon filters to sample bacteria and compared with sampling using Eswabs in 12 patients. The Imprint method identified a mean of 0.

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Introduction: Digital body mapping can be used to document and quantify the area and location (distribution) of pain and discomfort and support assessment, monitoring, and treatment in clinical populations. This study determines the test-retest reliability of drawings detailing pain and pins and needles using digital body charts and their relationship to pain intensity and patient-reported shoulder function.

Methods: Sixty-two participants with shoulder disorder completed pain and pins and needles drawings with test-retest interval of 30 minutes.

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The cell-to-cell communication system quorum sensing (QS), used by various pathogenic bacteria to synchronize gene expression and increase host invasion potentials, is studied as a potential target for persistent infection control. To search for novel molecules targeting the QS system in the Gram-negative opportunistic pathogen , a chemical library consisting of 3,280 small compounds from LifeArc was screened. A series of 10 conjugated phenones that have not previously been reported to target bacteria were identified as inhibitors of QS in .

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Article Synopsis
  • This study explores the effectiveness of a machine-learning model in predicting postoperative morbidity and length of stay (LOS) for patients undergoing fast-track total hip (THA) and knee (TKA) arthroplasties in Denmark.
  • Data was collected from 2014-2017, with a focus on preoperative comorbidities and medications, using machine-learning techniques and traditional logistic regression for prediction analysis.
  • Results showed that the machine-learning model slightly outperformed the logistic regression model in precision and predictive capability, highlighting the potential for improved postoperative care.
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The prevalence of myopia is estimated to be 2.6 billion people worldwide and the percentage of individuals with sight-threatening high myopia (≤ -6 diopters) is increasing. Myopia is primarily caused by excessive axial elongation of the eyeball, and treatment modalities attempt to reduce this progression.

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