8,008 results match your criteria: "Karolinska Hospital[Affiliation]"

Chronic kidney disease (CKD) is a progressive condition that affects more than 10% of the population worldwide, accounting for more than 843 million (M) individuals. The prevalence of CKD (844 M patients) is higher than that of diabetes mellitus (422 M patients), cancer (42 M patients), and HIV (37 M patients), but people are often less aware of it. Global expert groups predict reductions in the nephrology workforce in the next decade, with a declining interest in nephrology careers.

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Using TECHnology to predict the future of biomedical education.

FEBS Open Bio

January 2025

Vocational School of Health Services, İzmir University of Economics, İzmir, Türkiye.

Biomedical research is currently benefiting from a technological revolution in which multiple forms of omics are permitting unprecedented characterization of molecular pathways. Likewise, medical device and Ai-assisted technologies now make diagnoses and medical imaging more accurate. The field of education is also starting to embrace how technology can promote pedagogical development and student learning.

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Body dysmorphic disorder.

Nat Rev Dis Primers

December 2024

Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Healthcare Services, Region Stockholm, Stockholm, Sweden.

Body dysmorphic disorder (BDD) is an obsessive-compulsive disorder-related psychiatric condition characterized by an intense preoccupation with perceived physical flaws that are not observable by others. BDD affects ~2% of the adult population but is underdiagnosed, partly owing to limited clinician awareness, and undertreated, partly due to limited access to treatment. Research on the aetiology of BDD is scarce but likely involves an interplay between genetic and environmental factors.

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Article Synopsis
  • Critical illness myopathy (CIM) leads to severe muscle function decline in ICU patients, characterized by muscle mass loss where the reduction in specific force outpaces the muscle mass decrease.
  • The hallmark of CIM is marked by a significant reduction in the molecular motor protein myosin, which severely impacts the muscle's ability to generate force.
  • An innovative study using cadmium telluride quantum dots revealed that muscle efficiency declines before myosin loss occurs, highlighting early changes in myosin function as potential targets for future CIM treatments.
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This Virtual Issue of the International Journal of Eating Disorders honors the legacy of the late Dr. Michael Strober in the eating disorders and child psychiatry fields. Having served as Editor-in-Chief of the International Journal of Eating Disorders from 1983 to 2012, Dr.

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Second primary cancers in patients with a pharyngeal index tumour: a register-based cohort study.

BMC Cancer

November 2024

Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki, Helsinki University Hospital, P.O. Box 263, Helsinki, FI-00029 HUS, Finland.

Background: While prior research on the SPC (second primary cancer) risk among pharyngeal carcinoma (PC) patients has been conducted in other regions, the European perspective is underrepresented. Our register-based cohort study aims to assess the subsite-specific risk of SPC among individuals initially diagnosed with a pharyngeal index tumour.

Methods: Standardized incidence ratios (SIR) of SPC were calculated relative to the general population for all patients diagnosed with a primary oropharyngeal, nasopharyngeal, and hypopharyngeal carcinoma (OPC, NPC, and HPC) in Finland during 1953-2021.

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Regionalized disease prevalence is a common feature of the gastrointestinal tract. Herein, we employed regionally resolved Smart-seq3 single-cell sequencing, generating a comprehensive cell atlas of the adult mouse esophagus. Characterizing the esophageal axis, we identify non-uniform distribution of epithelial basal cells, fibroblasts, and immune cells.

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The gut microbiota has been recognized as an important determinant in the initiation and progression of colorectal cancer (CRC), with recent studies shining light on the molecular mechanisms that may contribute to the interactions between microbes and the CRC microenvironment. Despite the increasing wealth of associations being established in the field, proving causality remains challenging. Obstacles include the high variability of the microbiome and its context, both across individuals and across time.

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Objective: Thyroid-originated paragangliomas are very uncommon, and there is a lack of established guidelines regarding their management.

Methods: A case study was presented, and a review of the literature was conducted.

Results: Diagnosing a paraganglioma requires multiple diagnostic methods, including a 24-h measurement of metanephrines or catecholamines, anatomical imaging using magnetic resonance or computed tomography (CT) scans, and functional imaging using metaiodobenzylguanidine or F-DOPA PET/CT scans.

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Article Synopsis
  • * Analyzing data from nearly 15 million individuals, the findings show that men with lower SES have higher risks of developing various HNCs, while managers experience lower risks.
  • * The study suggests that targeted public health interventions, such as tobacco and alcohol control and better healthcare access, are needed for socio-economically disadvantaged groups to address the disparities in HNC incidence.
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Laryngeal cancer relative survival trends from 1972 to 2021 in the Nordic countries.

Acta Oncol

August 2024

Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland; Research Program in Systems Oncology, Faculty of Medicine, University of Helsinki, Helsinki, Finland; Division of Ear, Nose and Throat Diseases, Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet and Karolinska Hospital, Stockholm, Sweden.

Background And Purpose: Changes in treatment approaches, characterised by the shift from laryngectomy to a focus on organ-preserving methods may have potentially resulted in lower survival. We aim to identify differences in survival trends for laryngeal cancer (LC) in the Nordic countries over a period of 50 years, and discuss the potential impact of factors such as changes in treatment protocols.

Materials And Methods: Five-year relative survival (RS) data from 1972 to 2021 were obtained from the NORDCAN database 2.

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Purpose: The occurrence of a second primary cancer (SPC) after primary esophageal carcinoma (EC) or gastric cardia carcinoma(GCC) is well acknowledged. However, previous research on the risk of SPC among these patients has been predominantly conducted in Asian countries. Yet, notable population-dependent variation in histological types and risk profiles exists.

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Factors affecting adherence to recommendations on pre-operative cardiac testing: A cohort study.

Eur J Anaesthesiol

September 2024

From the Department of Anaesthesiology, University Hospital Düsseldorf, Heinrich Heine University, Düsseldorf, Germany (AS, TS, SR, RM, GLB), Clinic for Anaesthesia, Intermediate Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, Switzerland (EM), Department of Anaesthesia and Intensive Care, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania (DI), Center for Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Kraków, Poland (WS), Department of Anaesthesiology and Peri-operative Medicine, Ghent University Hospital, Ghent University, Ghent, Belgium (SDH), Division of Anaesthesiology, Intensive Care, Rescue and Pain Medicine, Kantonsspital St. Gallen, St. Gallen (MF), Institute of Anaesthesiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland (BBS), Department of translational medicine, University of Ferrara, Ferrara, Italy (SS), Department of Anaesthesia, Hospital Clinic of Barcelona, Universidad de Barcelona, Spain (PM), Department of Anaesthesiology and ICU, Ankara University Medical School, Ankara, Turkey (SCT), Department of Anaesthesiology, University Medical Centre Utrecht, Utrecht, The Netherlands (JvW), Department of Anaesthesiology, Hospital Beatriz Ângelo, Loures, Portugal (FL), Aretaieion University Hospital National and Kapodistrian University of Athens, Athens, Greece (KT), Department of Peri-operative Medicine and Intensive Care, Karolinska Hospital and Institution for Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden (AG), Department of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany (H-JG), Anaesthesia and Intensive Care Department, University Hospital, Varese, Italy (LG), Department of Anaesthesiology, Intensive Care and Pain Management, Pomeranian Medical University, Szczecin, Poland (KK), Department of Anaesthesiology, Heidelberg University Hospital, Heidelberg, Germany (JL), Anaesthesia and Intensive Care Department III, Carol Davila University of Medicine and Pharmacy Bucharest, Central Military Emergency University Hospital 'Dr Carol Davila', Bucharest, Romania (DC), Leeds Institute of Medical Research, University of Leeds, Leeds, United Kingdom (SJH), and CARID, Cardiovascular Research Institute Düsseldorf, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine University Düsseldorf, Germany (GLB, AS, SR, RM).

Background: Cardiac risk evaluation prior to noncardiac surgery is fundamental to tailor peri-operative management to patient's estimated risk. Data on the degree of adherence to guidelines in patients at cardiovascular risk in Europe and factors influencing adherence are underexplored.

Objectives: The aim of this analysis was to describe the degree of adherence to [2014 European Society of Cardiology (ESC)/European Society of Anaesthesiology (ESA) guidelines] recommendations on rest echocardiography [transthoracic echocardiography (TTE)] and to stress imaging prior to noncardiac surgery in a large European sample and to assess factors potentially affecting adherence.

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  • Recent studies highlight the role of bacterial peptidoglycan fragments, specifically the muramyl dipeptide (MDP), as signaling molecules from gut bacteria that may influence brain function and behavior.
  • MDP triggers rapid changes in gene expression and cytokine secretion in microglial cells, with its lowest effective dose significantly impacting CCL5, which is crucial for memory and synaptic function.
  • The study suggests that varying MDP levels activate distinct microglial responses by involving NF-κB and MAPK pathways, positioning microglia as key players in the communication between gut microbiota and brain health.
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The increasing incidence of oropharyngeal squamous cell carcinoma (OPSCC) is primarily due to human papillomavirus, and understanding the tumor biology caused by the virus is crucial. Our goal was to investigate the proteins present in the serum of patients with OPSCC, which were not previously studied in OPSCC tissue. We examined the difference in expression of these proteins between HPV-positive and -negative tumors and their correlation with clinicopathological parameters and patient survival.

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  • Atherosclerotic plaques' destabilization is linked to the presence of specific microvessels, which might be leaky, although evidence is still needed.
  • This study aimed to find key molecular drivers of dysfunction in these vessels by analyzing transcriptome data from human atherosclerotic lesions and identifying crucial genes related to microvascular density and inflammation.
  • The research highlighted Spectrin Beta Non-Erythrocytic 1 (sptbn1) as a central gene that, when silenced, increased vascular permeability and inflammation, suggesting it plays a significant role in regulating the leaky characteristics of plaque microvessels related to cardiovascular disease.
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Anorexia nervosa is an often-severe psychiatric illness characterized by significantly low body weight, fear of gaining weight, and distorted body image. Multiple neuroimaging studies have shown abnormalities in cortical morphology, mostly associated with the starvation state. Investigations of white matter, while more limited in number, have suggested global and regional volume reductions, as well as abnormal diffusivity in multiple regions including the corpus callosum.

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Background: The Bethesda System for Reporting Thyroid Cytopathology is a commonly used classification for fine needle aspiration (FNA) cytology of suspicious thyroid nodules. The risk of malignancy (ROM) for each category has recently been analyzed in three international databases. This paper compares the diagnostic performance of the Bethesda classification in a high-volume referral center in Belgium.

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Purpose: Almost 200,000 tongue cancers were diagnosed worldwide in 2020. The aim of this study was to describe occupational risk variation in this malignancy.

Methods: The data are based on the Nordic Occupational Cancer (NOCCA) study containing 14.

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Six-month mortality has decreased for patients with curative treatment intent for head and neck cancer in Sweden.

PLoS One

April 2024

Division of Sensory Organs and Communication, Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden.

Background: In general, survival outcomes for patients with Head and Neck Cancer (HNC) has improved over recent decades. However, mortality within six months after diagnosis for curative patients remains at approximately 5%. The aim of this study was to identify risk factors for early death among patients with curative treatment, and furthermore, to analyze whether the risk of early death changed over recent years.

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Biomarkers are not broadly used in the management of head and neck cancers (HNCs). Biomarkers have been beneficial in the management of other cancers, however, not in HNCs. Therefore, we observed the immunopositivity of a novel biomarker called immunoglobulin superfamily member 3 (IGSF3) in tumor tissues in HPV-related and HPV-unrelated OPSCC.

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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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Prolonged use of antibacterial mouthwash is linked to an increased risk of systemic disease. We aimed to investigate if disturbing the oral microbiota would impact the lower gut microbiome with functional effects in diet-induced obesity. Mice were exposed to oral chlorhexidine and fed a Western diet (WD).

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