35 results match your criteria: "Dept. of Clinical Science and Education[Affiliation]"

Background: The aim of this study was to describe the presence of pain sensitization (PS) and its association with baseline factors after cast removal in patients older than 60 years with distal radius fracture (DRF) treated conservatively.

Methods: This cross-sectional study included 220 patients older than 60 years with extra-articular DRF who completed the Pain Sensitivity Questionnaire (PSQ). Patients with PSQ score > 7 points were considered positive for PS.

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Background And Study Aims: Lynch syndrome (LS) is a hereditary autosomal dominant condition, with an increased lifetime risk of developing malignancies including colorectal cancer (CRC). Current guidelines differ in recommended colonoscopy-surveillance intervals from 1 to 2 years. Although colonoscopy is considered a safe procedure, there are risks of severe adverse events (SAEs), such as perforation and bleeding, as well as adverse events (AEs), such as abdominal discomfort and post-colonoscopy gastrointestinal infections.

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Objective: To determine in the long term whether supervised physiotherapy is more effective than a home exercise program for functional improvement and pain relief in patients with distal radius fracture (DRF).

Design: Randomized controlled trial.

Setting: Rehabilitation hospital.

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Background: Female genital mutilation (FGM) is defined as all procedures involving partial or total removal of the external female genitalia, or other injuries to them for non-medical reasons. Due to migration, healthcare providers in high-income countries need to better understand the consequences of FGM. The aim of this study was to elucidate women's experiences of FGM, with particular focus on perceived health consequences and experiences of healthcare received in Sweden.

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Background: The registry-based randomized VALIDATE-SWEDEHEART trial (NCT02311231) compared bivalirudin vs. heparin in patients undergoing percutaneous coronary intervention (PCI) for myocardial infarction (MI). It showed no difference in the composite primary endpoint of death, MI, or major bleeding at 180 days.

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The prevalence of double- and multiple crush syndromes in patients surgically treated for peripheral nerve compression in the upper limb.

Hand Surg Rehabil

December 2023

Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar; Karolinska Institutet, Dept. of Clinical Science and Education, Sodersjukhuset, Stockholm, Sweden.

Article Synopsis
  • The double crush syndrome involves multiple points of nerve entrapment, often overlooked in cases of median neuropathy, especially in the context of common conditions like carpal tunnel syndrome.
  • A study analyzed 183 patients undergoing nerve decompression and found that 78% showed double crush syndrome affecting the median nerve, while isolated conditions were significantly less common.
  • The results suggest that clinicians should routinely assess for double crush syndrome to prevent misdiagnosis and improve treatment outcomes.
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Purpose: This study aimed to analyze baseline predictors of functional outcomes six weeks and at one year follow-up in patients older than 60 years with complex regional pain syndrome type 1 (CRPS I) after distal radius fracture (DRF).

Methods: A total of 120 patients with CRPS I after DRF were prospectively recruited. Presumptive relevant factors were collected and analyzed as potential baseline predictors.

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Relationship between iron deficiency and expression of genes involved in iron metabolism in human myocardium and skeletal muscle.

Int J Cardiol

May 2023

Karolinska Institutet, Division of Cardiovascular Medicine, Dep. of Clinical Sciences, Danderyd Hospital, Stockholm, Sweden.

Background: Iron deficiency (ID) is associated with adverse prognosis in patients with heart failure. This study aims to investigate the relationship between ID and expression of genes involved in iron metabolism in human myocardium and skeletal muscle, focusing on Transferrin 1 receptor (TfR1), the main pathway of cellular iron uptake.

Methods: Patients undergoing elective CABG were assessed prior to surgery with echocardiography and serum iron parameters.

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Article Synopsis
  • The study investigates the clinical features and surgical results of lacertus syndrome (LS) alongside median nerve compression, focusing on patients who underwent lacertus release surgery from June 2012 to June 2021.
  • A total of 275 surgical cases were reviewed, with key findings showing that loss of hand strength and endurance were the most common symptoms, and patients exhibited significant improvement in their disability and pain scores following surgery.
  • The results indicate that lacertus release not only restores hand strength effectively but also leads to high patient satisfaction, with 88% reporting excellent outcomes and minimal residual pain or numbness post-operation.
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Article Synopsis
  • Food allergies impact about 2-4% of both children and adults, prompting a guideline from the Global Allergy and Asthma European Network (GALEN) to help manage these allergies.
  • A multidisciplinary international Task Force used established frameworks to review 161 studies and developed recommendations focusing on the balance of benefits and harms in managing food allergies.
  • Key suggestions include avoiding known allergens, using hypoallergenic formulas for infants with cow’s milk allergy, and considering oral immunotherapy for certain allergies, while highlighting the need for further research on various treatment strategies and their effectiveness.
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Air pollution, metabolites and respiratory health across the life-course.

Eur Respir Rev

September 2022

Dept of Clinical Science and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.

Previous studies have explored the relationships of air pollution and metabolic profiles with lung function. However, the metabolites linking air pollution and lung function and the associated mechanisms have not been reviewed from a life-course perspective. Here, we provide a narrative review summarising recent evidence on the associations of metabolic profiles with air pollution exposure and lung function in children and adults.

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Background: There are phenotypic differences in asthma in males and females. Differences in lung function between the sexes at the peak lung function level in young adulthood are so far not directly addressed. The aim of the present study was to assess lung function in early adulthood in males and females depending on asthma onset and remission.

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Background: Early-life respiratory tract infections might affect chronic obstructive respiratory diseases, but conclusive studies from general populations are lacking. Our objective was to examine if children with early-life respiratory tract infections had increased risks of lower lung function and asthma at school age.

Methods: We used individual participant data of 150 090 children primarily from the EU Child Cohort Network to examine the associations of upper and lower respiratory tract infections from age 6 months to 5 years with forced expiratory volume in 1 s (FEV), forced vital capacity (FVC), FEV/FVC, forced expiratory flow at 75% of FVC (FEF) and asthma at a median (range) age of 7 (4-15) years.

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Rationale: Bronchopulmonary dysplasia (BPD) in preterm-born infants is a risk factor for chronic airway obstruction in adulthood. Cytotoxic T-cells are implicated in COPD, but their involvement in BPD is not known.

Objectives: To characterise the distribution of airway T-cell subsets in adults with a history of BPD.

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At present, there is no cure for asthma, and treatment typically involves therapies that prevent or reduce asthma symptoms, without modifying the underlying disease. A "disease-modifying" treatment can be classed as able to address the pathogenesis of a disease, preventing progression or leading to a long-term reduction in symptoms. Such therapies have been investigated and approved in other indications, rheumatoid arthritis and immunoglobulin E-mediated allergic disease.

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Background: Older adults (age ≥ 65 years) represent a significant proportion of all patients who are not transported to hospital after assessment by ambulance clinicians (non-conveyed patients). This study aimed to fill the knowledge gap in the understanding of the prevalence of older adult non-conveyed patients and investigate their characteristics and risk factors for subsequent and adverse events with those of younger non-conveyed patients comparatively.

Methods: This population-based retrospective cohort study included all adult non-conveyed patients who availed the ambulance service of Region Stockholm, Sweden in 2015; they were age-stratified into two groups: 18-64 and ≥ 65 years.

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Background: The prevalences of obstructive and restrictive spirometric phenotypes, and their relation to early-life risk factors from childhood to young adulthood remain poorly understood. The aim was to explore these phenotypes and associations with well-known respiratory risk factors across ages and populations in European cohorts.

Methods: We studied 49 334 participants from 14 population-based cohorts in different age groups (≤10, >10-15, >15-20, >20-25 years, and overall, 5-25 years).

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Introduction: Lung function development from childhood to young adulthood is important for lung health later in life. We investigated the association between asthma control and lung function from 8 to 24 years of age.

Methods: A total of 668 participants from the population-based BAMSE cohort study, with persistent or incidental asthma and between 8 and 24 years of age, were included.

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Purpose: Dysmenorrhea is a common, recurring, painful condition with a global prevalence of 71%. The treatment regime for dysmenorrhea includes hormonal therapies and NSAID, both of which are associated with side effects. A dose of 10 mg melatonin daily has previously been shown to reduce the level of pelvic pain in women with endometriosis.

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Biologicals in childhood severe asthma: the European PERMEABLE survey on the .

ERJ Open Res

July 2021

Dept of Pediatric Pneumology and Allergy, University Children's Hospital Regensburg (KUNO) at the Hospital St Hedwig of the Order of St John, University of Regensburg, Regensburg, Germany.

Introduction: Severe asthma is a rare disease in children, for which three biologicals, anti-immunoglobulin E, anti-interleukin-5 and anti-IL4RA antibodies, are available in European countries. While global guidelines exist on who should receive biologicals, knowledge is lacking on how those guidelines are implemented in real life and which unmet needs exist in the field. In this survey, we aimed to investigate the and identify open questions in biological therapy of childhood asthma across Europe.

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Nursing students' expectations of the process of writing a bachelor's thesis in Sweden: A qualitative study.

Nurse Educ Pract

July 2021

Sophiahemmet University, Dept. of Nursing Science, Stockholm, Sweden; Karolinska Institutet, Södersjukhuset, Dept. of Clinical Science and Education, Stockholm, Sweden. Electronic address:

Unlabelled: While performing various academic work, such as writing a bachelor's thesis, are known to be challenging for university students, less is known about students' expectations in this regard.

Aim: The aim was to describe students' expectations of the upcoming process of writing a bachelor's thesis.

Design: The study employed an explorative, qualitative approach with a single, written open-ended question design.

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Objective: The aim was to explore the potential role of the placenta for the risk of stillbirth at term in pregnancies of obese women.

Methods: This was a case-control study comparing placental findings from term stillbirths with placental findings from live born infants. Cases were singleton term stillbirths to normal weight or obese women, identified in the Stockholm stillbirth database, n = 264 and n = 87, respectively.

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Background: The clinical presentation of children sensitised to dog dander varies from asymptomatic to severe allergic airway disease, but the genetic mechanisms underlying these differences are not clear. The objective of the present study was to investigate nasal transcriptomic profiles associated with dog dander sensitisation in school children and to reveal clinical symptoms related with these profiles.

Methods: RNA was extracted from nasal epithelial cell brushings of children sensitised to dog dander and healthy controls.

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Intake of -3 polyunsaturated fatty acids in childhood, genotype and incident asthma.

Eur Respir J

September 2021

Institute of Population Health Sciences, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Longitudinal evidence on the relation between dietary intake of -3 (ω-3) very-long-chain polyunsaturated fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), in mid-childhood and asthma risk is scarce. We aimed to investigate whether a higher intake of EPA and DHA from fish in childhood is associated with a lower risk of incident asthma.In the Avon Longitudinal Study of Parents and Children, dietary intakes of EPA and DHA from fish were estimated by food frequency questionnaire at 7 years of age.

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