Publications by authors named "Paula Bergman"

Background: Dance classes for people with Parkinson's Disease (PD) are offered worldwide; however, further studies are needed to explore patients' experiences of how dance affects well-being.

Purpose: To explore how Dance for Parkinson (Dance for PD) is experienced, and how it contributes to the well-being and health of participants in Sweden.

Methods: This qualitative study collected data from four focus groups.

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  • A study examined medication-related problems (MRPs) in asthma vs. allergy patients, finding that 24% of asthma patients and 12% of allergy patients reported at least one MRP during self-management.
  • The most common issues for asthma patients involved timing of medication (16%), administration technique (7%), and inhaler use (4%), while allergy patients mainly struggled with remembering to take their medications on time (10%).
  • The study concluded that severe cases increase the risk for MRPs, and health professionals should focus on education for younger, older, and less-educated patients to help manage these issues.*
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Introduction: Intrauterine conditions and accelerating early growth are associated with childhood obesity. It is unknown, whether fetal programming affects the early growth and could alterations in the maternal-fetal metabolome be the mediating mechanism. Therefore, we aimed to assess the associations between maternal and cord blood metabolite profile and offspring early growth.

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  • Research on health-related quality of life (HRQoL) in idiopathic pulmonary fibrosis (IPF) is necessary for improving palliative care, particularly in understanding how dyspnea affects patients over time.
  • A study involving 246 IPF patients revealed that their HRQoL scores were significantly lower than those of the general population, with notable impairment in various dimensions related to daily living activities and breathing, especially in patients experiencing higher levels of dyspnea (MMRC ≥2).
  • Despite a decline in HRQoL scores during follow-up for both dyspnea categories, patients' mental health remained stable, highlighting the need for integrated palliative care to address the complex challenges faced by those with IPF.
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Background: Fecal microbial transplantation (FMT) is a promising new method for treating active ulcerative colitis (UC), but knowledge regarding FMT for quiescent UC is scarce.

Aim: To investigate FMT for the maintenance of remission in UC patients.

Methods: Forty-eight UC patients were randomized to receive a single-dose FMT or autologous transplant colonoscopy.

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  • The study investigated the genetic and clinical factors that contribute to post-operative nausea and vomiting (PONV), which affects about 30% of patients despite existing preventive measures.
  • Conducted at Helsinki University Hospital, the research involved 815 women undergoing breast cancer surgery, examining genetic variants and their association with PONV through a genome-wide association study (GWAS).
  • Results revealed that 35% experienced PONV post-surgery, with significant predictors identified, including age, anesthesia status, and previous history of nausea; the GWAS found six genetic variants potentially linked to PONV.
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Background: Our study addressed the gap in research on the effectiveness of cognitive behavioral therapy (CBT) in treating children with mixed psychiatric disorders. We examined the immediate and long-term effects of group CBT (GCBT), delivered in naturalistic clinical settings, on reducing internalizing and externalizing symptoms in children with mixed psychiatric disorders. Further, we compared the effectiveness of cost-effective, manualized GCBT to treatment as usual (TAU) consisting of individually tailored psychiatric outpatient services delivered by mental health care specialists.

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Purpose: Patients with bronchiectasis (BE) who suffer frequent exacerbations are likely to experience negative effects on quality of life (QoL) and require more healthcare utilization. We aimed to discover, in a cohort of Finnish BE patients, those risk factors that influence QoL.

Methods: Non-cystic fibrosis BE patients of a Helsinki University Hospital cohort were examined with high-resolution computed tomography (HRCT) of the chest.

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Objective: The purpose of this study was to examine maternal perceptions of postnatal breastfeeding support in the hospital before and after designation to the Baby-Friendly Hospital Initiative (BFHI). Further maternal and infant characteristics associated with the maternal perception of breastfeeding support were investigated. Our hypothesis was that mothers would perceive breastfeeding support more adherent to the standards of the BFHI after the hospital was designated to the BFHI compared with before.

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Aims/hypothesis: The aim of this study was to assess the interaction between genetic risk and lifestyle intervention on the occurrence of gestational diabetes mellitus (GDM) and postpartum diabetes.

Methods: The RADIEL study is an RCT aimed at prevention of GDM and postpartum diabetes through lifestyle intervention. Participants with a BMI ≥30 kg/m and/or prior GDM were allocated to intervention and control groups before pregnancy or in early pregnancy.

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  • Guided self-management for asthma is well-supported, but there's less guidance for allergy patients; this study analyzed the differences in how both groups receive support.
  • A survey of Finnish pharmacies found that 73% of asthma patients and 61% of anaphylaxis patients received written action plans, with variability among other allergy patients.
  • Community pharmacists were the primary source of treatment information for both groups, but older males and less-educated patients received less information overall.
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Objective: To explore work participation and the health-related factors affecting work participation among the Finnish Spinal Cord injury (FinSCI) study population (n = 884).

Methods: A cross-sectional explorative observational study in the FinSCI community survey applying Patient-Reported Outcomes Measurement Information System (PROMIS®) forms on Social Health and Global Health. Analyses of socio-demographic and injury-related data were performed.

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Study Design: A cross-sectional survey of the Finnish population with spinal cord injury (FinSCI database).

Objectives: To describe the functional independence of the population with spinal cord injury (SCI) in Finland and to identify how generic and lesion characteristics affect their functional independence.

Setting: The participants were recruited from the registers of three SCI outpatient clinics responsible for lifelong follow-up and care for people with SCI in Finland.

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Study Design: A cross-sectional study.

Objectives: To explore the prevalence of comorbidities, secondary health conditions (SHCs), and multimorbidity in the Finnish population with spinal cord injury (SCI).

Setting: The data were collected from the Finnish Spinal Cord Injury Study (FinSCI).

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Background: Rocuronium, a common neuromuscular blocking agent, is mainly excreted unchanged in urine (10-25%) and bile (>70%). Age, sex, liver blood flow, smoking, medical conditions, and ethnic background can affect its pharmacological actions. However, reasons for the wide variation in rocuronium requirements are mostly unknown.

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Context: Early growth is associated with childhood adiposity, but the influence of lifestyle remains unknown.

Objective: This work aimed to investigate the association of growth profiles from high-risk pregnancies with adiposity at age 5 years, taking into account lifestyle and several antenatal/postnatal exposures.

Methods: This prospective cohort study.

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A large number of fibroblast foci (FF) predict mortality in idiopathic pulmonary fibrosis (IPF). Other prognostic histological markers have not been identified. Artificial intelligence (AI) offers a possibility to quantitate possible prognostic histological features in IPF.

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Aim: Women with prior gestational diabetes (GDM) are at increased diabetes risk. This study aimed to assess whether lifestyle is associated with glycemic health of high-risk women 5 years postpartum, taking into account the pre-pregnancy BMI.

Methods: The RADIEL study enrolled before or in early pregnancy 720 women with pre-pregnancy BMI ≥ 30 kg/m and/or prior GDM.

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Introduction: Chronic respiratory insufficiency impacts patients' lives and reduces quality of life. The Severe Respiratory Insufficiency (SRI) questionnaire examines health-related quality of life and is designed specifically for patients receiving home mechanical ventilation (HMV) for chronic respiratory failure (CRF).

Objectives: The aim of this study was to validate the Finnish version of the SRI and study its reproducibility in patients with CRF.

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In vitro cancer drug testing carries a low predictive value. We developed the human leiomyoma-derived matrix "Myogel" to better mimic the human tumor microenvironment (TME). We hypothesized that Myogel could provide an appropriate microenvironment for cancer cells, thereby allowing more in vivo-relevant drug testing.

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  • A study on Finnish pig farms looked at why sows (female pigs) die or are put down, finding many health problems causing this issue.
  • They examined 65 sows and discovered that most had multiple health issues like arthritis and infections, especially in their joints and teeth.
  • The results suggest that sows often suffer for a long time before getting help, highlighting the need for better care to prevent these problems.
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Study Design: Observational cohort study.

Objectives: To measure and compare the structural validity of the Oswestry Disability Index (ODI) and the Scoliosis Research Society-30 (SRS-30) questionnaire in an adult population with prolonged degenerative thoracolumbar disease.

Summary Of Background Data: The ODI and the SRS-30 are commonly used patient-reported outcome instruments to assess back-specific disability and symptoms related to scoliosis.

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Background: The main objectives of this observational, cross-sectional study were to characterize piglet producing farms in Finland and to investigate how farm profiles are associated with sow culling and mortality.The study was conducted on 43 farms during 2014. A questionnaire survey was administered in-person and supplemented with observations in the housing facilities.

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Background: By definition bronchiectasis (BE) means destructed structure of normal bronchus as a consequence of frequent bacterial infections and inflammation. In many senses, BE is a neglected orphan disease. A recent pan-European registry study, EMBARC, has been set up in order to better understand its pathophysiology, better phenotype patients, and to individualize their management.

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This observational retrospective cohort study provides benchmarking information on recent sow productivity development in Finnish herds. It focuses on parity cycle specific trends in sow removal patterns, and especially on the role of litter performance (size and piglet survival) in sow removal. In addition, the generated models offer a tool for calculating sow removal risks in any period, which could be used in economic and other simulation models.

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