12,145 results match your criteria: "Kuopio University Hospital & University of Easterrn Finland[Affiliation]"

Background: Temporomandibular disorders (TMD) are multifactorial musculoskeletal pain and dysfunctions in temporomandibular joints (TMJs) and masticatory muscles. Genetic factors play a role in TMD-related pain, but only a few genome-wide association studies (GWAS) have been conducted.

Objective: The aim of this GWAS was to explore genetic factors associated with painful TMD in Finnish populations.

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Promising initial studies on vitamin D (VD) supplementation as an adjunct treatment for major depressive disorder (MDD) require rigorously designed randomized controlled trials (RCTs). We aim to investigate the effects of augmenting standard MDD treatment with VD supplementation and examine factors influencing the treatment outcome. This article describes the study design, measures, and baseline characteristics.

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Article Synopsis
  • - The study explores the potential relationship between chemokines and tumor-infiltrating lymphocytes (TILs) in the prognosis of seminoma, a type of testicular cancer, highlighting the need for more research in this area.
  • - Researchers analyzed samples from 25 seminoma patients and 24 controls, finding that chemokine profiles were significantly different in seminoma compared to normal testis, with notable over-expression in TILs.
  • - Results suggest that the expression of chemokines and the proliferation marker Ki-67 in TILs could be valuable indicators for predicting relapse and understanding seminoma biology, calling for further studies.
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Female reproductive tract microbiota varies with MHC profile.

Proc Biol Sci

October 2024

Department of Environmental and Biological Sciences, University of Eastern Finland, PO Box 111, Joensuu 80101, Finland.

Numerous studies have shown that a healthy reproductive tract microbiota is crucial for successful reproduction and that its composition is influenced by various environmental and host factors. However, it is not known whether the reproductive microbiota is also shaped by the major histocompatibility complex (MHC), a family of genes essential to differentiate 'self' from 'non-self' peptides to initiate an adaptive immune response. We tested the association between the follicular fluid microbiome and MHC genes in 27 women.

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Aims: Obstructive sleep apnoea (OSA) imposes significant stress on the cardiovascular system and the heart. While long-term cardiac effects are understood, the immediate impact of hypoxaemia on the heart's electrophysiology lacks understanding. Our study aims to explore desaturation severity on cardiovascular repolarisation.

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Article Synopsis
  • - The study evaluates the Center for Epidemiological Studies-Depression scale (CES-D) to determine its effectiveness in measuring depression among older adults, specifically those aged 90+ and with cognitive impairments.
  • - Using data from two Finnish twin studies, the research found consistent factor structures across various CES-D versions and confirmed their applicability for different age and cognitive statuses.
  • - Findings indicate that higher genetic risk for major depressive disorder correlates with increased depressive symptoms, suggesting that the CES-D can effectively assess depression in older populations.
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Background: Dementia preventive interventions targeting multiple modifiable risk factors are a promising approach. However, the impact of modifiable risk factors in the presence of beta-amyloid or phosphorylated-tau (p-tau) pathology is unclear.

Methods: The objective of the study was to examine the role of modifiable risk factors (vascular factors, depression, and smoking) in the progression to mild cognitive impairment (MCI) or dementia among 434 cognitively unimpaired (CU) and 611 individuals with MCI from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database.

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Objective: The study aimed to calculate the subsequent birth rate for different delivery modes, comparing them with spontaneous vaginal deliveries, using a comprehensive nationwide high-quality registry.

Methods: Data from the National Medical Birth Register (MBR) were used to evaluate the birth rate after different delivery modes. All first deliveries for a mother during the years 2004 to 2016 were included.

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Evidence is accumulating on the connection of early adversities and harsh family environment with epigenetic ageing. We investigated whether early psychosocial resilience is associated with epigenetic ageing in adulthood. We used the population-based Young Finns data (n = 1593).

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Background/objectives: Obesity impairs intestinal glucose uptake (GU) (intestinal uptake of circulating glucose from blood) and alters gut microbiome. Exercise improves intestinal insulin-stimulated GU and alters microbiome. Genetics influence the risk of obesity and gut microbiome.

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Article Synopsis
  • - The study investigates how subjective memory complaints (SMCs) affect the effectiveness of a 2-year multidomain lifestyle intervention focused on preventing cognitive decline in older adults.
  • - Participants aged 60-77 were divided into two groups: one receiving an intervention involving diet, exercise, and cognitive training, and another receiving regular health advice, with cognitive performance tested before and after the intervention.
  • - Results indicated that individuals with more SMCs showed a greater improvement in memory performance from the intervention, suggesting that such lifestyle changes may be particularly beneficial for those experiencing these complaints.
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Digitalization in healthcare education has shifted simulation learning methods to distanced implementations. Successful transition to distance education requires effective communication and the teacher's good ability to use digital learning methods, as well as students' active interaction and motivation throughout the entire educational process. This study explores participants' experiences of online large group simulations as an approach for learning about interprofessional collaboration.

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Article Synopsis
  • Obstructive sleep apnea (OSA) is a diverse sleep disorder, and researchers have previously analyzed its different phenotypes using various clustering methods.
  • This study tested four clustering techniques (Agglomerative Hierarchical Clustering, K-means, Fuzzy C-means, and Gaussian Mixture Model) on 865 patients to see how method selection influences the classification of OSA clusters and their physiological differences.
  • Results showed that two clusters were consistently distinct across all methods, while three had overlapping features; K-means performed best overall, and Fuzzy C-means excelled in managing overlapping clusters, underscoring the significance of clustering method choice in OSA phenotyping.
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State-of-the-art automatic sleep staging methods have demonstrated comparable reliability and superior time efficiency to manual sleep staging. However, fully automatic black-box solutions are difficult to adapt into clinical workflow due to the lack of transparency in decision-making processes. Transparency would be crucial for interaction between automatic methods and the work of sleep experts, i.

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Diurnal preference to eveningness might predispose to depression. There is preliminary evidence of infrared-A (IR-A) induced whole-body hyperthermia (WBH) in the treatment of depression. In this exploratory study with 19 adults, we investigated the effects of a 20-min exposure of water-filtered IR-A (wIRA) to the skin of back and buttock area, without inducing WBH, on mood and assessed the outcome by diurnal preference (#R19047, approval on 7 May 2019).

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Comparison of Vancomycin AUC24 Calculation Methods for Neonates and Infants.

Eur J Drug Metab Pharmacokinet

November 2024

School of Pharmacy, University of Eastern Finland, Yliopistonranta 1 C, 70210, Kuopio, Finland.

Background And Objective: For neonates and infants receiving intermittent vancomycin infusions, the area under the concentration-time curve during 24 h (AUC24) is often estimated with Bayesian forecasting using one or more measured vancomycin concentrations. When practical peak and trough concentrations are measured at steady state, AUC24 can also be calculated with first-order steady-state equations for a one-compartment model (Sawchuk-Zaske method), but previously this method has been applied only for adults. The objective of this study was to compare AUC24 values obtained with the Sawchuk-Zaske method and two Bayesian models.

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Describing Clinical Nurse Specialist Practice: A Mixed-Methods Study.

Clin Nurse Spec

October 2024

Author Affiliations: Associate Professor and Susan E. French Chair in Nursing Research and Innovative Practice(Dr Kilpatrick), Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University; Affiliate Faculty (Dr Kilpatrick), Canadian Centre for Advanced Practice Nursing Research (CCAPNR); and Regular Researcher (Dr Kilpatrick), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Est-de-l'Île-de-Montréal-Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada; BScN Student, Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal (Ms Tewah); and Full Professor and Canadian Research Chair in the Economics of Infection Prevention and Control, Département des sciences infirmières, Université du Québec en Outaouais, Saint-Jérôme, Québec, Canada (Dr Tchouaket); University Lecturer (Dr Jokiniemi), Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio; and Associate Professor (Dr Bouabdillah), Département des sciences infirmières, Université du Québec à Trois-Rivières, Trois-Rivières; Director of Nursing (Dr Biron), McGill University Health Centre, Montréal; Assistant to the Director of Nursing (Ms Emed), Professional Practice and Academic Affairs, Jewish General Hospital, CIUSSS du Centre-Ouest-de-l'Île-de-Montréal; and Assistant Professor (Ms Emed), Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal; Director of Nursing (Ms Martel), Centre hospitalier universitaire (CHU) de Québec-Université Laval; Research Administrator (Ms Atallah), Susan E. French Chair in Nursing Research and Innovative Practice, Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University; and Research Professional (Ms Jabbour), CIUSSS de l'Est-de-l'Île-de-Montréal-Hôpital Maisonneuve-Rosemont, Montréal, Québec; and Full Professor and Alba DiCenso Chair in Advanced Practice Nursing (Dr Bryant-Lukosius), School of Nursing, Faculty of Health Sciences, and Associate Member (Dr Bryant-Lukosius), Department of Medical Oncology, Juravinski Cancer Centre, McMaster University; and Codirector (Dr Bryant-Lukosius), Canadian Centre for Advanced Practice Nursing Research, and Health Sciences Centre, Hamilton, Ontario, Canada.

Purpose/aims: To describe clinical nurse specialist practice in Québec, Canada, and propose a dashboard to track role dimensions and outcomes.

Design: Sequential mixed-methods study across 6 sites in Québec (June 2021 to May 2022).

Methods: Phase 1: Focus groups (n = 8) and individual interviews (n = 3) were conducted to adapt a time and motion tool.

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There is a dire need for the establishment of active dengue surveillance to continuously detect cases, circulating serotypes, and determine the disease burden of dengue fever (DF) in the country and region. Predicting dengue PCR results using machine learning (ML) models represents a significant advancement in pre-emptive healthcare measures. This study outlines the comprehensive process of data preprocessing, model selection, and the underlying mechanisms of each algorithm employed to accurately predict dengue PCR outcomes.

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Objective: This study aimed to assess whether exposure to hyperglycemia influences prescription medicine purchases in the offspring of women with type 1 diabetes (exposed offspring).

Patients/materials And Methods: We identified all singleton exposed offspring born in the hospital district of Helsinki and Uusimaa, Finland, between 1988 and 2011 from the Finnish Medical Birth Register, maintained by the Finnish Institute for Health and Welfare. For each exposed offspring, we obtained five age- and province-matched offspring of women without diabetes (reference offspring), from the Finnish Medical Birth Register.

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Article Synopsis
  • Subcortical brain structures play a crucial role in various developmental and psychiatric disorders, and a study analyzed brain volumes in 74,898 individuals, identifying 254 genetic loci linked to these volumes, which accounted for up to 35% of variation.
  • The research included exploring gene expression in specific neural cell types, focusing on genes involved in intracellular signaling and processes related to brain aging.
  • The findings suggest that certain genetic variants not only influence brain volume but also have potential causal links to conditions like Parkinson’s disease and ADHD, highlighting the genetic basis for risks associated with neuropsychiatric disorders.
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Article Synopsis
  • The EMPRISE study evaluated empagliflozin's effectiveness in reducing various health risks (including all-cause mortality and hospitalization for heart failure) compared to DPP-4 inhibitors in patients with type 2 diabetes across four Nordic countries.
  • Using a noninterventional, multicountry cohort design and propensity score matching, the study analyzed data from 43,695 patients and employed Cox proportional hazards regression for risk assessment.
  • Results indicated that patients starting empagliflozin had a significantly lower risk of all-cause mortality, hospitalization for heart failure, cardiovascular mortality, and end-stage renal disease, though no significant differences were found for stroke or myocardial infarction.
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Background & Aims: A new nomenclature and subclassification for steatotic liver disease (SLD) was recently introduced. We validated the prognostic value of SLD subclasses in a Finnish population-based cohort and explored the impact of metabolic risk factors and alcohol consumption on liver-related outcomes and death.

Methods: The study included 23,910 individuals (47% men, mean age 50.

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Background And Purpose: The European Academy of Neurology (EAN) has adhered to the global plan for reducing the burden of neurological disorders and promoting brain health launched by the World Health Organisation (WHO), the WHO Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders. This study reports the results of an EAN survey among national neurological societies (NNSs) on their awareness of brain health policies.

Methods: The EAN survey on the current state of national brain health policies was conducted among the 47 presidents of the NNSs affiliated with the EAN, with the aim of developing the best strategy for close collaboration among stakeholders.

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