500 results match your criteria: "Kaernsjukhuset Skaraborg Hospital[Affiliation]"

Estimating functions for visual field progression in newly diagnosed exfoliation glaucoma patients in Sweden.

Sci Rep

November 2023

Eye Department, Skaraborg Hospital, Skövde, Sahlgrenska Academy, Gothenburg University & Karolinska Institute, 541 85, Skövde, Sweden.

This study aimed to determine whether glaucoma progression was linear or not in newly diagnosed exfoliation glaucoma patients. A total of 96 patients with newly diagnosed exfoliation glaucoma were included. These patients were required to undergo at least seven visual field tests within 3 years (± 1 month), and all were treated at the time of inclusion.

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Predictors of preparedness for recovery following colorectal cancer surgery: a latent class trajectory analysis.

Acta Oncol

December 2023

Institute of Health and Care Sciences, and Centre for Person‑Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Aim: With an interest in providing knowledge for person-centred care, our overall goal is to contribute a greater understanding of diversity among patients in terms of their preparedness before and up to six months after colorectal cancer surgery. Our aim was to describe and provide a tentative explanation for differences in preparedness trajectory profiles.

Material And Methods: The study was explorative and used prospective longitudinal data from a previously published intervention study evaluating person-centred information and communication.

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Nationwide lung function monitoring from infancy in newborn-screened children with cystic fibrosis.

ERJ Open Res

September 2023

Department of Paediatric and Adolescent Medicine, Copenhagen University Hospital, Danish PCD and chILD Centre, CF Centre Copenhagen, Paediatric Pulmonary Service, Copenhagen, Denmark.

Article Synopsis
  • Cystic fibrosis (CF) lung disease starts in infancy and can be evaluated for lung function impairment using multiple breath washout (MBW) and scans, but these methods are not well correlated in young children. This study aimed to describe lung function trajectories, identify risk factors for progression, and assess the impact of lumacaftor/ivacaftor treatment.
  • The study involved 59 infants and toddlers, collecting data over a median follow-up of nearly 11 months, which revealed an overall average annual decline in lung function (measured via ventilation distribution efficiency, or z-VDE).
  • Results showed that children who had experienced bacterial infections exhibited worse lung function trajectories compared to those who didn't, while
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Background: Sex-specific trends over time with respect to kidney graft survival have scarcely been described in earlier studies. The present study aimed to examine whether kidney graft survival differs between women and men over time.

Methods: This study was based on prospectively collected data extracted from a quality registry including all kidney transplant patients between January 1965 and September 2017 at the transplantation center of a university hospital in Sweden.

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Risk Factors and Frequency of Examinations for Detecting Visual Field Deterioration in Patients with Newly Diagnosed Exfoliation Glaucoma in Sweden.

J Glaucoma

March 2024

Eye Department, Skaraborg Hospital, Skövde, Sahlgrenska Academy, Karolinska Institute, Gothenburg University, Solna, Sweden.

Prcis: The study identified risk factors for exfoliation glaucoma and recommended re-evaluating target intraocular pressure (IOP) after 5 visual fields to slow disease progression.

Purpose: This study aimed to establish risk factors for exfoliation glaucoma and determine the earliest time points for estimating disease progression.

Patients: A total of 96 patients with newly diagnosed exfoliation glaucoma were included.

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Optimal Performance of Selective Laser Trabeculoplasty: Results from the Swedish Optimal SLT Multicenter Randomized Controlled Trial.

Ophthalmol Glaucoma

March 2024

Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Ophthalmology, Sahlgrenska University Hospital, Region Västra Götaland, Mölndal, Sweden.

Purpose: Selective laser trabeculoplasty (SLT) is a first-line treatment for glaucoma and ocular hypertension. However, due to insufficient comparative evidence in efficacy and safety, several SLT treatment protocols are currently used in practice. The objective of this trial was to compare the clinical outcomes of the 4 most significant SLT variants.

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Aim: Assessing rates of neurodevelopmental problems (NDPs) in 11-year-old children and possible association with other health complaints and school performance.

Methods: In-school study of 11-year-old children as an add-on assessment to the 4th grade regular health check-up, comprising a structured physical neurodevelopmental examination, neuropsychological assessment, behavioural ratings, maternal interview, review of medical records and academic achievements.

Results: Out of 348 children recruited from eight schools, 223 (64%) participated.

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Obstructive sleep apnea severity and prevalent atrial fibrillation in a sleep clinic cohort with versus without excessive daytime sleepiness.

Sleep Med

December 2023

Department of Molecular and Clinical Medicine/Cardiology, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Pulmonary Medicine, Koc University School of Medicine & Koc University Research Center for Translational Medicine (KUTTAM), Istanbul, Turkey; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital & Harvard Medical School, Boston, MA, USA; Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Department of Clinical Sciences, Respiratory Medicine and Allergology, Faculty of Medicine, Lund University, Lund, Sweden.

Article Synopsis
  • Obstructive sleep apnea (OSA) is linked with a higher prevalence of atrial fibrillation (AF), with this study focusing specifically on how this relationship varies among patients with and without excessive daytime sleepiness (EDS).
  • The research involved analyzing data from 3,814 patients over several years and found that the risk of AF increased with the severity of OSA, particularly in those without EDS.
  • The findings indicate that patients with severe OSA who do not experience EDS are at significant risk for AF, highlighting the need for careful monitoring and treatment in this group to prevent potential cardiovascular issues.
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Background: Femoral shaft fractures in school-aged children are commonly treated with intramedullary nail fixation. Outcomes such as time to healing, alignment and non-union, leg length discrepancy, and refractures, and other complications are often reported based on radiographic findings. There are limited reports on physical function, including objective quantitative measures.

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Purpose: This study explored how respiration, voice, and speech were affected following expiratory muscle strength training (EMST) and maintenance training in persons with Parkinson's disease (PD) or multiple sclerosis (MS).

Method: Nine participants with PD and six with MS participated in a randomised study, where the effects of EMST, sham, and maintenance treatment were investigated. Outcome measures included maximum expiratory pressure (MEP); maximum phonation time (MPT); intelligibility; verbal diadochokinesis (DDK); speech rate; a self-report form on voice, speech, and communication; and open questions about how the participants experienced the intervention.

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Adult psychiatric and psychosocial outcomes of children with mild intellectual disability: a register follow-up of a population-based cohort.

J Intellect Disabil Res

January 2024

Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Sahlgren's Academy, Gothenburg University, Gothenburg, Sweden.

Background: Very few longitudinal psychiatric and psychosocial outcome studies of children with mild intellectual disability (MID) have been performed.

Methods: The study group was population based and consisted of 82 individuals, born in 1979-1985 and diagnosed in childhood at ages between 3 and 15 years with MID. In the present study, register data regarding school attendance, employment, economic situation, psychiatric diagnoses and criminal sentences were retrieved for the years 1997-2018, when the individuals were up to 39 years old.

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Lead aprons and thyroid collars: to be, or not to be?

J Radiol Prot

September 2023

Department of Medical Radiation Sciences, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, SE-413 45, Sweden.

Wearing lead aprons and thyroid collars for long periods of time has a subjective component: to balance the effective dose reduction with the effort of carrying a heavy load. Occupational radiation exposure has decreased dramatically in the last century within the health care system. During the same period the use of lead aprons and thyroid collars has also gone up.

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Spatial isolation and health during the Covid-19 pandemic: A critical discourse analysis.

Health Place

September 2023

Department of Health Sciences and the Institute for Palliative Care Lund University and Region Skåne, HSC, Lund, Sweden; Faculty of Caring Sciences, Work Life & Social Welfare, University of Borås, Sweden.

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Purpose: To address the consequences of living with supraventricular tachycardia and to improve the quality of treatment, there is a need to highlight patient experiences of treatment with catheter ablation. Therefore, the aim was to describe the phenomenon of catheter ablation, as it is experienced by patients being treated awake.

Methods: A descriptive design was applied based on a reflective lifeworld research founded on phenomenological epistemology.

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Being Caught in a Vicious Circle: An Interview Study of Individuals Suffering From Grade II-IV Hiatal Hernia.

Gastroenterol Nurs

December 2023

Berith Wennström, PhD, RNA, is at Departments of Anaesthesia, Surgery, and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden.

Large paraesophageal hernias are related to life-threatening complications that warrant immediate surgery. Whether the long-standing chronic symptoms related to the disease in individuals without hernia incarceration motivate surgical treatment is still a subject for discussion. The aim of this study was to explore how individuals suffering from Grade II-IV hiatal hernia describe their symptoms and health, as well as how the disease affects their life.

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Background: The evidence for the benefits of early mobilization in intensive care is growing. Early mobilization differs from most other interventions in intensive care since the patient's participation is requested. What kind of challenges this entails for the intensive care clinicians, and what is crucial in successful early mobilization from their perspective, is sparsely explored and was therefore the purpose of this study.

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Background: The optimal first-line treatment in early rheumatoid arthritis (RA) is debated. We compared clinical and radiographic outcomes of active conventional therapy with each of three biological treatments with different modes of action.

Methods: Investigator-initiated, randomised, blinded-assessor study.

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Objective: We evaluated the performance of an early-warning algorithm, based on ward-specific incidence cutoffs for detecting transmission in hospitals. We also sought to determine the frequency of intrahospital transmission in our setting.

Design: Diagnostic performance of the algorithm was tested with confirmed transmission events as the comparison criterion.

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Background: Immunoglobulin A nephropathy (IgAN) frequently leads to kidney failure. The urinary proteomics-based classifier IgAN237 may predict disease progression at the time of kidney biopsy. We studied whether IgAN237 also predicts progression later in the course of IgAN.

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Background: The etiology of juvenile idiopathic arthritis (JIA) is poorly understood. This study investigated genetic and environmental factors and infant gut microbiota in a prospective birth cohort to assess disease risk.

Methods: Data was collected from the All Babies in Southeast Sweden (ABIS) population-based cohort (n = 17,055), 111 of whom later acquired JIA (ABIS).

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A four-year clinical and sonographic longitudinal follow-up of clubfeet treated according to Ponseti with normal references.

J Child Orthop

June 2023

Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Purpose: To follow children with a clubfoot by ultrasonography during the entire treatment period up to 4 years and compare with controls.

Method: Thirty clubfeet in 20 children treated using the Ponseti method and 29 controls were followed by repeated ultrasonography investigations from neonates to the age of 4 years. The previously established coronal medial and lateral, sagittal dorsal and posterior projections were used.

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Objective: Fetal alcohol spectrum disorders (FASD) is an umbrella term covering a spectrum of medical conditions caused by prenatal alcohol exposure. The FASD Eye Code is a new complementary ophthalmological diagnostic tool created to corroborate the complex FASD diagnosis. The aim of this work was to validate the FASD Eye Code by testing it on a second group of children diagnosed with FASD in a clinical setting.

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Risk factors for recurrent healthcare-facility associated Clostridioides difficile infection in a Swedish setting.

Anaerobe

June 2023

Department of Infectious Diseases, Skaraborg Hospital, Lövängsvägen, 451 42, Skövde, Sweden; Center for Antibiotic Resistance Research (CARe), Department of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, Box 440, 405 30, Göteborg, Sweden. Electronic address:

Objective: The objectives were to determine the risk factors for recurrent healthcare facility-associated Clostridioides difficile infection (HCF-CDI) in a high CDI incidence, low antibiotic use setting and to determine if length of cefotaxime exposure is a risk factor for recurrent HCF-CDI.

Methods: The risk factors for recurrent HCF-CDI were evaluated with a retrospective nested case control study based on chart reading. The risk factors were evaluated univariately and multivariately.

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Does patient-surgeon sex discordance impact adverse events following primary total hip arthroplasty?

Acta Orthop

May 2023

Department of Orthopaedics, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg; Department of Research, Development, Education and Innovation, Skaraborg Hospital, Skövde, Sweden.

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