Publications by authors named "Katriina Mikola"

Objective: Temporomandibular joint (TMJ) arthritis is a common finding in juvenile idiopathic arthritis (JIA) patients. TMJ arthritis can cause significant disturbances in TMJ function and growth without treatment. Our aim was to evaluate the effectiveness of medical treatments used to manage TMJ arthritis and how to evaluate the outcome of the treatment.

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Background: With chronic diseases, the responsibility for care transfers to adult clinics at some point. Juvenile idiopathic arthritis (JIA) is the most common persistent rheumatic condition in children. A successful transition requires sufficient self-management skills to manage one´s chronic condition and all the tasks involved.

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Article Synopsis
  • - The study examines the transition process from pediatric to adult care for patients with juvenile idiopathic arthritis (JIA), focusing on transferral rates and disease activity in Nordic countries.
  • - Out of 408 participants, 40% were directly transferred to adult clinics, with an overall transition rate of 52%; however, variations were noted across different centers.
  • - Findings indicate the importance of improving transition practices, as 39% of patients who never transferred still experienced disease activity, suggesting a lack of adequate health care follow-up.
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Background: Juvenile idiopathic arthritis (JIA) is a chronic inflammatory disease in which temporomandibular joint (TMJ) arthritis commonly occurs. It may be asymptomatic and could cause problems in the growing joints. Our aim was to evaluate the craniofacial structures, occlusal features and temporomandibular dysfunction (TMD) symptoms of patients with JIA.

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Article Synopsis
  • The study investigates the reasons for treatment interruptions in patients using TNF-inhibitors (infliximab and adalimumab) and how these interruptions impact immunisation and treatment switching.
  • Based on a survey of 370 patients from various hospitals in Finland, it was found that treatment interruptions were significantly linked to immunisation and more common among those treated for rheumatic diseases.
  • The most frequent interruption cause was infections, and such interruptions can lead to increased immunisation risk and a greater need for switching medications, highlighting the need for careful clinical decision-making.
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The purpose of this clinical update is to provide an overview of the fear of needles and needle phobia in children and adolescents including characteristics and diagnosis, prevalence and epidemiology, etiological factors, and treatment options. Needle-related fear and needle phobia present as significant needle-related distress and avoidance behavior. The etiology is biopsychosocial.

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