Publications by authors named "Lehtonen O"

Background And Aims: We examined temporal trends and age-related differences in the prevalence of vascular diseases and in their association with ischemic stroke (IS) risk in patients with atrial fibrillation (AF).

Methods: The registry-based FinACAF study covered all patients with AF in Finland during 2007-2018. Incidence rate ratios (IRRs) of IS were computed with Poisson regression, and the interaction of vascular diseases with age and calendar year period was assessed.

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Article Synopsis
  • The study investigates how time-in-therapeutic-range (TTR) impacts the effectiveness and safety of warfarin compared to direct oral anticoagulants (DOACs) in patients with atrial fibrillation (AF).
  • Researchers analyzed data from a nationwide Finnish study between 2011 and 2018, using hazard ratios to assess risks of ischaemic stroke, intracranial hemorrhage, and mortality among patients using warfarin and different DOACs.
  • Results indicated that lower TTR was associated with higher risks of complications and mortality in warfarin users, while differences in outcomes between high TTR groups and standard dose DOACs were minimal.
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Aims: Elective cardioversion (ECV) is routinely used in atrial fibrillation (AF) to restore sinus rhythm. However, it includes a risk of thromboembolism even during adequate oral anticoagulation treatment. The aim of this study was to evaluate the risk of thromboembolic and bleeding complications after ECV in a real-life setting utilizing data from a large AF population.

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Myocardial infarction (MI) and atrial fibrillation (AF) are commonly seen in the same patient. In this study, we evaluated the temporal relations and prognosis of MI and AF. This is a substudy of the nationwide registry-based Finnish Anticoagulation in Atrial Fibrillation (FinACAF) study, comprising all Finnish patients with new-onset AF from 2010 to 2017.

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Detecting cell types from histopathological images is essential for various digital pathology applications. However, large number of cells in whole-slide images (WSIs) necessitates automated analysis pipelines for efficient cell type detection. Herein, we present hematoxylin and eosin (H&E) Image Processing pipeline (HEIP) for automatied analysis of scanned H&E-stained slides.

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Article Synopsis
  • Ovarian high-grade serous carcinoma (HGSC) is usually detected at advanced stages, and the tumors contain many genetically diverse clones before treatment begins.
  • The study analyzed 510 samples from 148 patients, identifying three unique evolutionary states with different genomic features and treatment responses, along with two main paths of evolution between those states.
  • Additional experiments on tumor organoids suggest that targeting the PI3K/AKT pathway with the drug alpelisib could be effective, and it was found that samples from the original tumor sites had significantly more unique clones compared to metastatic sites.
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Low socioeconomic status has been associated with poor outcomes in patients with atrial fibrillation (AF). However, little is known about socioeconomic disparities in adherence to stroke prevention with direct oral anticoagulants (DOACs). We assessed the hypothesis that AF patients with higher income or educational levels have better adherence to DOACs in terms of treatment implementation and persistence.

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Motivation: Single-cell proteomics technologies, such as mass cytometry, have enabled characterization of cell-to-cell variation and cell populations at a single-cell resolution. These large amounts of data, require dedicated, interactive tools for translating the data into knowledge.

Results: We present a comprehensive, interactive method called Cyto to streamline analysis of large-scale cytometry data.

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This paper estimates the effect of the expansion of broadband infrastructure, which enables high-speed Internet, on population development in panel of Finnish areas in the period 2010-2018. The study differs from previous studies in that it uses accurate statistics on the availability of broadband in 1 km * 1 km population grids. Therefore, the impact of broadband availability on rural development is evaluated more accurately than previously.

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Motivation: Non-parametric dimensionality reduction techniques, such as t-distributed stochastic neighbor embedding (t-SNE), are the most frequently used methods in the exploratory analysis of single-cell datasets. Current implementations scale poorly to massive datasets and often require downsampling or interpolative approximations, which can leave less-frequent populations undiscovered and much information unexploited.

Results: We implemented a fast t-SNE package, qSNE, which uses a quasi-Newton optimizer, allowing quadratic convergence rate and automatic perplexity (level of detail) optimizer.

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In recent years, supramolecular complexes comprising a poly(4-vinylpyridine) backbone and azobenzene-based halogen bond donors have emerged as a promising class of materials for the inscription of light-induced surface-relief gratings (SRGs). The studies up to date have focused on building supramolecular hierarchies, i.e.

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The tetrahedral Au complexes [Au(GeCl )L ] (L=PMe  (1), PMe Ph (2), PMePh  (3), PPh  (4)) were synthesized by in situ treatment of the [Au(GeCl )(tht)] complex with three equivalents of the corresponding tertiary phosphine. The crystal structures of complexes 1 and 3 have been determined through X-ray diffraction studies and show [GeCl ] fragments bonded to the corresponding [Au(PR ) ] units through covalent bonds, leading to a tetrahedral coordination environment for gold. Complexes 3 and 4 show dual phosphorescence in the solid state at 77 K and, in the case of complex 4, an interesting room-temperature mechanochromism effect is observed.

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Invited for this month's cover are collaborators from the group of José M. López-de-Luzuriaga at Universidad de la Rioja, Spain and researchers from University of Helsinki, Finland. The cover picture shows a photograph of a gold-germanium complex that has two emission modes corresponding to two independent triplet excited states.

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Heterobimetallic complexes of formula [M{(PPh2)2C2B9H10}(S2C2B10 H10)M'(PPh3)] (M=Pd, Pt; M'=Au, Ag, Cu) and [Ni{(PPh2)2C2B9H10}(S2C2B10H10)Au(PPh3)] were obtained from the reaction of [M{(PPh2)2C2B10H10}(S2C2B10H10)] (M=Pd, Pt) with [M'(PPh3)](+) (M'=Au, Ag, Cu) or by one-pot synthesis from [(SH2C2B10H10], (PPh2 )2C2B10H10, NiCl2 ⋅6 H2 O, and [Au(PPh3)](+). They display d(8)-d(10) intermetallic interactions and emit red light in the solid state at 77 K. Theoretical studies on [M{(PPh2)2C2B9H10}(S2C2B10H10)Au(PPh3)] (M=Pd, Pt, Ni) attribute the luminescence to ligand (thiolate, L)-to-"P2-M-S2" (ML') charge-transfer (LML'CT) transitions for M=Pt and to metal (M)-to-"P2-M-S2" (ML') charge-transfer (MML'CT) transitions for M=Ni, Pd.

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Tetrahedral Au complexes [L Au(SnCl )] (L=PMe (1), PMe Ph (2), PMePh (3), and PPh (4)) were prepared by treatment of the [(tht)Au(SnCl )] (tht=tetrahydrothiophene) complex with three equivalents of the corresponding tertiary phosphine. The crystal structures of complexes 1-4 have been determined through X-ray diffraction studies showing, in all cases, [SnCl ] fragments covalently bonded to the corresponding [Au(PR ) ] units, which leads to a tetrahedral coordination environment for gold. Complexes 3 and 4 show phosphorescence in the solid state at room temperature and 77 K that is largely redshifted relative to the free [Au(PR ) ] and [SnCl ] counterparts.

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An overview of applications of the recently developed gauge including magnetically induced current method (GIMIC) is presented. The GIMIC method is used to obtain magnetically induced current densities in molecules. It provides detailed information about electron delocalization, aromatic character, and current pathways in molecules.

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We present here a "non-invasive" computational method to estimate the strength of individual hydrogen bonds using magnetically induced currents. The method is calibrated using H-bonding dimers, and applied on Watson-Crick DNA base pairs and proton wires in carbonic anhydrase.

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The electronic excitation spectra of trans-1,3-butadiene (CH(2)=CH-CH=CH(2)) and trans-2-propeniminium (CH(2)=CH-CH=NH(2)(+)) have been studied at several coupled-cluster and time-dependent density functional theory levels using the linear response approach. Systematic studies employing large correlation-consistent basis sets show that approximate singles and doubles coupled-cluster calculations yield excitation energies in good agreement with experiment for all states except for the two lowest excited A(g) states of trans-1,3-butadiene which have significant multiconfigurational character. Time-dependent density functional theory calculations employing the generalized gradient approximation and hybrid functionals yield too low excitation energies in the basis set limit.

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Light-absorption and luminescence processes in nano-sized materials can be modelled either by using computational approaches developed for quantum chemical calculations or by applying computational methods in the effective mass approximation (EMA) originally intended for solid-state theory studies. An overview of the theory and implementation of an ab initio correlation EMA method for studies of luminescence properties of embedded semiconductor quantum dots is presented. The applicability of the method and the importance of correlation effects are demonstrated by calculations on InGaAs/GaAs quantum-dot and quantum-ring samples.

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The electronic excitation spectra of unsubstituted linear silanes (n-Si(m)H(2m+2), m = 1-6), cyclopentasilane (c-Si5H10), and neopentasilane (neo-Si5H12) have been studied at the coupled-cluster approximate singles and doubles (CC2) level using Dunning's quadruple-zeta basis sets augmented with diffuse functions (aug-cc-pVQZ). Comparisons with measured ultraviolet spectra for Si2H6 and n-Si3H8 show that CC2 calculations using these basis sets yield excitation energies in good agreement with experiment. The calculated excitation thresholds for Si2H6 and n-Si3H8 of 7.

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Time-dependent density functional theory (TDDFT) calculations show that silicon nanoclusters (Si-NC) capped by linear silane groups have large oscillator strengths of the same magnitude as reported in recent experimental studies. We propose a mechanism where linear silanes attached to the Si-NC surface affect the optical properties enhancing the oscillator strengths and thereby accounting for the bright luminescence observed in the blue region of the visible spectrum. The anisotropic emission seen experimentally can also be explained by the presence of the silane groups on the cluster surface.

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We used molecular dynamics simulations to study how a non-natural substrate, L-ribose, interacts with the active site of Actinoplanes missouriensis xylose isomerase. The simulations showed that L-ribose does not stay liganded in the active site in the same way as D-xylose, in which the oxygens O2 and O4 are liganded to the metal M1. The oxygen O4 of L-ribose moved away from the metal M1 to an upside down position.

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Introduction: About one million accidents occur yearly in Finland (population 5.2 million), resulting in over 3,000 deaths, annually. The governmental and municipal authorities are responsible for the healthcare services that respond to these accidents.

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From August 1991 to October 1992, two successive outbreaks of methicillin-resistant Staphylococcus aureus (MRSA) occurred at a hospital in Finland. During and after these outbreaks, MRSA was diagnosed in 202 persons in our medical district; >100 cases involved epidemic MRSA. When control policies failed to stop the epidemic, more aggressive measures were taken, including continuous staff education, contact isolation for MRSA-positive patients, systematic screening for persons exposed to MRSA, cohort nursing of MRSA-positive and MRSA-exposed patients in epidemic situations, and perception of the 30 medical institutions in that district as one epidemiologic entity brought under surveillance and control of the infection control team of Turku University Hospital.

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