Publications by authors named "M NIEMI"

Raloxifene has low bioavailability due to extensive glucuronidation in the intestine and the liver, and its pharmacokinetics is associated with high intra- and interindividual variability. Some of this variability could be explained by the enterohepatic recycling of raloxifene, which is driven by transporter-mediated uptake and efflux and gut microbial deglucuronidation of raloxifene glucuronides. These individual processes involved in raloxifene disposition, however, have not been characterized in full detail.

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Over the past three decades, incidental bycatch has been the single most frequent verified cause of death of the endangered Saimaa ringed seal (Pusa hispida saimensis). Spatial and temporal fishing closures have been enforced to mitigate bycatch, which is mainly caused by the gillnets of recreational fishers. In this study, we employed an array of statistical machine learning methods to recognize patterns of death and to evaluate the impacts of annual fishing closures (15th April-30th June) on the recovery of the Saimaa ringed seal population during 1991-2021.

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Background: Paracetamol-codeine combination tablet is widely used in pain management after day surgery. For safety reasons, its use has decreased in recent years. Codeine is a prodrug metabolised in the liver by the cytochrome P450 2D6 (CYP2D6) enzyme to morphine that produces the analgesic effect of codeine.

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In vitro evidence shows that the acyl--D-glucuronide metabolite of candesartan inhibits cytochrome P450 (CYP) 2C8 with an inhibition constant of 7.12 M. We investigated the effect of candesartan on the plasma concentrations and glucose-lowering effect of repaglinide, a sensitive clinical CYP2C8 index substrate.

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Article Synopsis
  • Low drug adherence significantly hampers the effectiveness of prescribed medications, making it crucial to understand the factors that lead to poor adherence and discontinuation of treatments.
  • Analysis of data from over 1.8 million individuals reveals that socio-demographic factors, such as needing social assistance and immigration status, negatively impact medication adherence and persistence, while demographic and health factors show less consistent effects.
  • Genetic factors show limited association with adherence, with some pharmacogenes linked to persistence; the study suggests that interventions targeting socio-economically disadvantaged populations could enhance medication uptake and overall health outcomes.
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