1,456 results match your criteria: "Copenhagen University Hospital Bispebjerg[Affiliation]"

Background And Aim: Vitamin K deficiency is common in persons with kidney disease, which is a known complication of diabetes. We aimed to assess the association of vitamin K status as reflected by plasma dephosphorylated-uncarboxylated matrix Gla protein (dp-ucMGP) with mortality, cardiovascular disease (CVD) and progression to end-stage kidney disease (ESKD) in persons with type 1 diabetes.

Materials And Methods: We analysed plasma dp-ucMGP in stored baseline samples from a cohort of 667 persons with type 1 diabetes (baseline visit: 2009-2011).

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Background: The long-term recovery (in years) of patellar tendinopathy treated with loading-based rehabilitation remains largely unknown.

Purpose: To examine the clinical outcome and tendon structure years after exercise-based treatment of chronic patellar tendinopathy.

Study Design: Case series; Level of evidence, 4.

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Bacillus Calmette-Guérin vaccination induces a trained innate immunity phenotype in adults over 50 years of age: A randomized trial in Guinea-Bissau.

Vaccine

December 2024

Bandim Health Project, Department of Clinical Research, University of Southern Denmark and Odense University Hospital, Studiestræde 6, 1455 Copenhagen C, Denmark; Danish Institute for Advanced Study, University of Southern Denmark, Fioniavej 34, 5230 Odense, Denmark.

Article Synopsis
  • BCG (Bacillus Calmette-Guérin) has shown non-specific immune benefits against infections, and this study investigates its effects in older adults in a TB-endemic area.
  • A single-blinded trial in Guinea-Bissau involved 40 adults over 50, with half receiving BCG and the other half a placebo, measuring cytokine production after vaccination.
  • Results showed that BCG improved immune responses, particularly in those previously exposed to TB, indicating its potential for enhancing immunity in older populations and warranting further research.
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  • The study explores the genetic factors influencing β-cell function (BCF) and their relationship to type 2 diabetes (T2D), expanding on previous genetic research using large-scale data.
  • By analyzing GWAS data from around 26,000 individuals, the researchers identified 55 unique genetic associations related to BCF traits derived from oral glucose tolerance tests.
  • The findings reveal key genes that regulate insulin secretion and illustrate how different genetic mechanisms can affect T2D risk, offering a deeper understanding of the complex biology behind the disease.
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Background: High pain levels immediately after surgery have been associated with persistent postsurgical pain. Still, it is uncertain if analgesic treatment of immediate postsurgical pain prevents the development of persistent postsurgical pain.

Methods: We searched MEDLINE, CENTRAL, and Embase up to September 12, 2023, for randomized controlled trials investigating perioperative analgesic interventions and with reported pain levels 3 to 24 months after total hip or knee arthroplasty in patients with osteoarthritis.

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Background: Evidence of incidence of functional somatic disorders (FSD) is hampered by unclear delimitations of the conditions and little is known about the possible interchangeability between syndromes. Further, knowledge on remission and persistence of FSD in the general population is limited. We aimed to assess the natural course of various FSD over 5 years in the general population.

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Aim: The aim was to evaluate the role of insufficient use of personal protective equipment (PPE) in SARS-CoV-2 transmission risk for healthcare workers (HCW) during the COVID-19 pandemic.

Methods: Prospective study within the COBRA cohort, including 15,127 HCW. Daily assessment of insufficient use of PPE, defined as self-reported PPE failure or noncompliance, in relation to SARS-CoV-2 infection ascertained by polymerase chain reaction (PCR) test.

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Article Synopsis
  • * A review of peer-reviewed studies focused on CVSM solutions in general wards identified 26 relevant studies that examined AI algorithms aimed at enhancing clinical outcomes and optimizing alarm thresholds.
  • * While all four CVSM solutions indicated advanced AI capabilities on their websites, most studies only demonstrated algorithms functioning as simple AI, highlighting a gap between marketed promises and actual AI performance.
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Background: Medication reviews (MRs) are a well-described initiative that improves health outcomes for polypharmacy patients. However, there is limited knowledge about the performance of medication reviews carried out in general practice especially under the leadership of hospital clinical pharmacists. When developing complex interventions, such as MRs, it is essential to describe the development process to ensure transparency and avoid research waste.

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Objective: This study investigated the effectiveness of supramaximal high-intensity interval training (supramaximal HIT) on muscle capacities and physical function compared to moderate-intensity training (MIT) for older adults.

Methods: Sixty-eight older adults (66-79 years, 56% women), not engaged in regular exercise, were randomised to 3 months of twice-weekly supramaximal HIT (20 minutes including 10 × 6-second intervals) or MIT (40 minutes including 3 × 8-minute intervals). Both groups performed the training on stationary bicycles in a group setting.

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  • Hidradenitis suppurativa (HS) is linked to a higher risk of cardiovascular diseases, but its genetic connection to cardiometabolic diseases is unclear.
  • This study, involving over 391,000 participants from the UK Biobank, analyzed the relationship between a polygenic risk score (PRS) for HS and the likelihood of developing coronary artery disease (CAD) and diabetes.
  • Results showed that a high PRS for HS was associated with increased odds of CAD (1.09) and diabetes (1.13), indicating a significant genetic correlation between HS and these cardiometabolic outcomes.
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  • A study using RNA sequencing showed that BCC induction in murine skin resulted in significant gene upregulation, with treatments like AFL and the hedgehog inhibitor vismodegib reversing these changes, though vismodegib was more effective.
  • Both treatments increased immune cell infiltration in the skin, with AFL notably recruiting a larger number of immune cells, suggesting different mechanisms at play that could inform future combined treatment strategies.
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Article Synopsis
  • - The study explores the effects of different exercise training methods—high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT)—on extra-pulmonary symptoms of chronic obstructive pulmonary disease (COPD), as well as their impact on cognitive and muscle function compared to healthy controls.
  • - Conducted as a multi-center, randomized controlled trial, the research involves two phases: the first examines the immediate effects of a 12-week HIIT vs. MICT regimen, while the second phase tracks the long-term impact on cognitive decline and inflammation over 24 months.
  • - Key outcomes include improvements in cognitive function, cardiorespiratory fitness, and muscle strength, with additional assessments of neuroinflammation
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Article Synopsis
  • Researchers studied how much patients know about their medications and why it's important for safe use.
  • They looked at 99 studies from 33 countries with over 42,000 participants.
  • The results showed a big difference in how well people understand their medications, and they suggested needing a better way to measure this knowledge consistently.
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  • Dyslipidemia is a major risk factor for cardiovascular disease, and while statins are commonly used, PCSK9 inhibitors like alirocumab and evolocumab are effective alternatives for lowering LDL cholesterol (LDL-C) levels.
  • A study in Denmark analyzed data from 907 patients who switched from alirocumab to evolocumab, finding that both medications equally reduced LDL-C levels and did not significantly impact major cardiovascular events (MACE).
  • The results indicate that alirocumab and evolocumab can be considered interchangeable treatments in managing dyslipidemia, providing useful insights for clinicians in lipid management.
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  • A novel AI-based smartphone application called "SCAI" was developed to help identify new skin lesions through paired images of skin before and after applying simulated test spots.
  • In a study with 24 healthy volunteers, the SCAI-app accurately detected 92% of the simulated skin changes, showcasing high sensitivity and specificity with some limitations in predictive values.
  • While preliminary results indicate that the SCAI-app can effectively spot changes in a controlled environment, further research is needed to evaluate its performance on real skin lesions and to address issues like false positives.
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Family Screening in Hypertrophic Cardiomyopathy: Identification of Relatives With Low Yield From Systematic Follow-Up.

J Am Coll Cardiol

November 2024

Department of Cardiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Background: Hypertrophic cardiomyopathy (HCM) is a common inherited cardiac disease, and clinical and genetic family screening is recommended by guidelines.

Objectives: This study sought to investigate the diagnostic yield of screening relatives of HCM patients and identify predictive factors for HCM development during long-term follow-up in relatives from gene-elusive families.

Methods: This was a retrospective cohort study of families screened at clinics for inherited cardiomyopathies in Eastern Denmark, from 2006 to 2023.

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Clinical and Imaging Outcomes Over 12 Weeks in Elite Athletes With Early-Stage Tendinopathy.

Scand J Med Sci Sports

October 2024

Department of Orthopedic Surgery M, Institute of Sports Medicine Copenhagen, Copenhagen University Hospital-Bispebjerg and Frederiksberg and Center for Healthy Aging, Institute of Sports Medicine Copenhagen, University of Copenhagen, Copenhagen, Denmark.

Article Synopsis
  • A recent study examined the effects of a 12-week pain-guided activity modification program on elite athletes with early Achilles or patellar tendinopathy, showing clinical improvements despite unchanged tendon structure.
  • The research involved 65 athletes divided into three groups based on symptom duration (0-3 months) and assessed various clinical and imaging outcomes at the beginning and end of the study.
  • Key findings revealed that while athletes reported reductions in pain and improvement in function, the structural aspects of their tendons remained largely the same throughout the 12-week period, indicating that clinical recovery does not necessarily correlate with physical changes in tendon morphology.
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Article Synopsis
  • Severe large vessel disease can lead to critical issues in regulating blood flow to the brain, increasing the risk of ischemic events.
  • A case study compared two imaging techniques—[O]HO PET and [Tc]HMPAO SPECT—during different conditions: vasodilation induced by medication and a transient ischemic attack (TIA) caused by rapid standing.
  • The results showed significant differences in blood flow patterns, suggesting that pharmacological methods of vasodilation do not accurately reflect physiological conditions during ischemic events, raising questions about their use in assessments.
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Background: Ongoing opioid treatment can potentially modify symptoms of myocardial infarction (MI) and cause a lack of recognition and treatment delay.

Objectives: The purpose of this study was to examine MI symptoms and the time to hospitalization for patients in ongoing opioid treatment compared to patients without ongoing opioid treatment.

Methods: We evaluated calls to the Copenhagen Emergency Medical Services in Denmark from 2014 to 2018.

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Squamous cell carcinoma (SCC) is a common skin cancer, often caused by exposure to ultraviolet radiation (UVR). Recent studies have shown that changes in DNA methylation play a crucial role in the development of cancers. However, methylation patterns of SCC are not well characterised.

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Background: Plasma levels of D-dimer are elevated in patients with thromboembolisms. Here we investigated the existence of interfering antibodies as a potential cause for elevated D-dimer levels.

Case Presentation: A 42-year-old white Caucasian woman with a prior history of pulmonary embolism during her first pregnancy (treated with heparin therapy for 6 weeks postnatally) and hypothyroidism had a persistent elevated D-dimer without any clinical or ultrasound-based signs of thromboembolic conditions during her second pregnancy.

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Evaluating the scientific reliability of ChatGPT as a source of information on asthma.

J Allergy Clin Immunol Glob

November 2024

Department of Public Health, Environment, Occupation, and Health, Aarhus University, Aarhus, Denmark.

Article Synopsis
  • A study assessed ChatGPT's reliability as a source for asthma information, highlighting the need for dependable medical info in light of concerns about digital misinformation.
  • The evaluation involved medical professionals analyzing ChatGPT's answers to 26 asthma-related questions, resulting in about 81% of responses rated as accurate.
  • While generally reliable, ChatGPT showed some inaccuracies and limitations, emphasizing that it should complement, rather than replace, professional medical advice.
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