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

Current guidelines recommend that surveillance imaging should be performed at least every third year for patients with ascending thoracic aortic aneurysm (ATAA) even though such aneurysms' growth rate is mostly minimal. The purpose of this study was to clarify the pattern of the growth of ATAAs in a real-life patient population to adjust the optimal timing of aortic surveillance for each patient. This study includes patients ( = 209) who had been followed due to ATAA in the central hospital of North Karelia in Eastern Finland between years 2007 and 2023.

View Article and Find Full Text PDF

Background: New biomarkers that improve diagnosis of Alzheimer's disease (AD) are warranted. Tear fluid (TF) containing variety of proteins that reflect pathophysiological changes of systemic diseases makes TF proteins potential biomarker candidates for AD.

Objective: We investigated the expression levels of TF proteins in persons with mild AD and cognitively healthy controls (CO) to find out if altered proteins may link to the AD pathophysiology.

View Article and Find Full Text PDF

Background: According to the FAIR principles (Findable, Accessible, Interoperable, and Reusable), scientific research data should be findable, accessible, interoperable, and reusable. The COVID-19 pandemic has led to massive research activities and an unprecedented number of topical publications in a short time. However, no evaluation has assessed whether this COVID-19-related research data has complied with FAIR principles (or FAIRness).

View Article and Find Full Text PDF

Introduction: Post-resuscitation care of cardiac arrest patients may be complicated by systemic inflammation elicited in response to whole-body ischaemia-reperfusion injury. We assessed the association between early WBC with one-year mortality in a large, unselected population of cardiac arrest patients.

Methods: We collected a retrospective multicentre cohort of ICU-treated CA patients from the Finnish national ICU registry.

View Article and Find Full Text PDF

Background And Aims: The role of vascular smooth muscle cells (SMCs) in atherosclerosis has evolved to indicate causal genetic links with the disease. Single cell RNA sequencing (scRNAseq) studies have identified multiple cell populations of mesenchymal origin within atherosclerotic lesions, including various SMC sub-phenotypes, but it is unknown how they relate to patient clinical parameters and genetics. Here, mesenchymal cell populations in atherosclerotic plaques were correlated with major coronary artery disease (CAD) genetic variants and functional analyses performed to identify SMC markers involved in the disease.

View Article and Find Full Text PDF

Background: Pericytes play a crucial role in controlling inflammation and vascular functions in the central nervous system, which are disrupted in Parkinson's disease (PD). Still, there is a lack of studies on the impact of pericytes on neurodegenerative diseases, and their involvement in the pathology of PD is unclear. Our objective was to investigate the molecular and functional differences between healthy pericytes and pericytes with the LRRK2 G2019S mutation, which is one of the most common mutations associated with PD.

View Article and Find Full Text PDF
Article Synopsis
  • Prostate cancer treatment resistance is a major challenge, with genomic studies revealing how cancer cells evade therapies, yet the tumor microenvironment's (TME) role remains unclear.
  • A study using advanced techniques on samples from 120 patients offers a detailed transcriptomic profile of the prostate TME throughout the treatment process.
  • The research highlights a unique cell type called club-like cells that interact with the immune system, suggesting their involvement in inflammation and resistance to androgen deprivation therapy, indicating they could be potential targets for new treatments.
View Article and Find Full Text PDF

Objective: To evaluate the association between starch intake (amount and type) and changes in dental caries among adults over 11 years.

Methods: Data from 1679 adults, aged 30 years and over, who participated in three consecutive surveys in Finland were pooled for analysis. Participants completed a validated semi-structured 128-item food frequency questionnaire at baseline, from which total starch intake (g/day and % energy intake) and the intake (g/day) of seven food groups high in starch (potatoes, potato products, roots and tubers, refined grains, pasta, wholegrains, and legumes) were estimated.

View Article and Find Full Text PDF

The challenges of antipsychotic polypharmacy.

Lancet Psychiatry

December 2024

Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital, 70240 Kuopio, Finland; Department of Clinical Neuroscience, Karolinska Institutet, and Center for Psychiatry Research, Stockholm City Council, Stockholm, Sweden; School of Pharmacy, University of Eastern Finland, Kuopio, Finland.

View Article and Find Full Text PDF

Purpose: Localized diseases can be affected by and affect the systemic environment via blood circulation. In this study, we explored the differences in circulating serum mRNAs between patients with wet AMD (wAMD) and controls.

Methods: Blood samples were obtained from 60 Finnish patients with wAMD and 64 controls.

View Article and Find Full Text PDF
Article Synopsis
  • Unemployment is linked to a higher risk of cardiovascular disease and overall mortality, but the reasons for this connection are not fully understood.
  • A study in Finland analyzed data from nearly 1,500 participants over 15 years, focusing on how employment status and depressive symptoms impacted mortality.
  • Results showed that unemployed individuals with depressive symptoms had a significantly higher risk of death compared to employed non-depressive individuals, while unemployment alone did not strongly correlate with higher mortality rates.
View Article and Find Full Text PDF

Repurposing Semaglutide and Liraglutide for Alcohol Use Disorder.

JAMA Psychiatry

January 2025

Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital, Kuopio, Finland.

Importance: Preliminary studies suggest that glucagon-like peptide-1 receptor (GLP-1) agonists, used to treat type 2 diabetes and obesity, may decrease alcohol consumption.

Objective: To test whether the risk of hospitalization due to alcohol use disorder (AUD) is decreased during the use of GLP-1 agonists compared with periods of nonuse for the same individual.

Design, Setting, And Participants: This cohort study was an observational study conducted nationwide in Sweden using data from January 2006 to December 2023.

View Article and Find Full Text PDF

Gabapentinoids and Risk of Hip Fracture.

JAMA Netw Open

November 2024

Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Australia.

Importance: The increased use of gabapentinoids has been most pronounced in older people who are also susceptible to hip fractures.

Objective: To investigate the overall association between gabapentinoids and the risk of hip fractures and the stratified association across age groups, frailty status, and history of chronic kidney disease.

Design, Setting, And Participants: This was a case-case-time-control study in patients hospitalized for hip fracture in Victoria, Australia, between March 1, 2013, and June 30, 2018, with at least 1 prescription for a gabapentinoid before fracture.

View Article and Find Full Text PDF

Autologous hematopoietic cell transplants (auto-HCTs) remain the standard of care for transplant-eligible MM patients. The general practice has been to undergo upfront apheresis following induction to collect sufficient number of CD34+ cells to facilitate two auto-HCTs. However, 5-30% of MM patients do not initially mobilise a sufficient number of hematopoietic stem cells and are classified as poor mobilizers (PM).

View Article and Find Full Text PDF

Aim: The present study aimed to explore the impact of transactional leadership and psychological empowerment on Greek nurses' job satisfaction.

Methods: Α cross-sectional study was conducted in five Greek public general hospitals between January 1 and March 30, 2022. Participants were 608 nurses.

View Article and Find Full Text PDF

The association between oral diseases and neurodegenerative disorders.

J Alzheimers Dis

December 2024

Institute of Dentistry, Medical School, University of Eastern Finland, and Oral and Maxillofacial Teaching Unit, Kuopio University Hospital, Kuopio, Finland.

Article Synopsis
  • The study reviewed recent literature on the connection between oral diseases, particularly periodontitis, and cognitive neurodegenerative diseases like Alzheimer's.
  • The research highlighted significant links especially in older adults who have other risk factors, showing worse oral health correlating with higher neurodegenerative disease risk.
  • It concluded that maintaining good oral health might help prevent or lessen the risks associated with neurodegenerative diseases.
View Article and Find Full Text PDF

Background: Hearing impairment is a known risk factor for Alzheimer's disease (AD), although less is known about vision impairment or dual sensory impairment (DSI) as risk factors for AD. We studied the association between diagnosed hearing impairment, visual impairment, or DSI, and the risk of AD.

Method: The Medication use and Alzheimer's disease study (MEDALZ) is a register-based nested case-control study including 70,718 community-dwelling persons diagnosed with incident AD in 2005-2011 in Finland and their 282,845 matched controls.

View Article and Find Full Text PDF

Centor scores associated poorly with rapid antigen test findings in children with sore throat.

Eur J Pediatr

November 2024

Institute of Clinical Medicine and Department of Pediatrics, University of Eastern Finland, Yliopistonranta 2, 70211, Kuopio, Finland.

Unlabelled: The Finnish Current Care Guideline recommends rapid antigen tests as the primary diagnostic tool for both adults and children with Centor score ≥ 3. We aimed to analyze the association of Centor score and rapid antigen test positivity of group A streptococcal pharyngitis (GAS) in Finnish children. We performed a retrospective single-center study from July 2019 to June 2022.

View Article and Find Full Text PDF

Hospitalization Due to Infections before and after Alzheimer's Disease Diagnosis.

J Am Med Dir Assoc

January 2025

School of Pharmacy, University of Eastern Finland, Kuopio, Finland; Kuopio Research Centre of Geriatric Care, University of Eastern Finland, Kuopio, Finland.

Article Synopsis
  • The study investigates the rates and changes in infections before and after a diagnosis of Alzheimer's disease (AD), revealing limited research on this topic.
  • It analyzes data from over 70,000 Finnish individuals, highlighting a significant increase in infection-related hospitalizations in those with AD, particularly occurring 1-2 years prior to diagnosis.
  • The findings suggest that higher infection rates in AD patients could be linked to factors such as systemic inflammation and caregiver burden, emphasizing the need for infection prevention in the care of individuals with cognitive disorders.
View Article and Find Full Text PDF

Objective: Integrated care pathways are essential for consistent, effective epilepsy care, offering equal access and quality regardless of socioeconomic status. They must align with the WHO Global Action Plan on Epilepsy, ensuring best practices and cost-effective management. We describe the Finnish national epilepsy care pathway, which includes multiple levels of care, from initial diagnosis to long-term care for all types of epilepsy, with a specific focus on rare and complex cases integrated with the European Reference Network (ERN) for Rare and Complex Epilepsies EpiCARE.

View Article and Find Full Text PDF

Reliable predictors of long-term all-cause mortality are needed for middle-aged and older populations. Previous metabolomics mortality studies have limitations: a low number of participants and metabolites measured, measurements mainly using nuclear magnetic spectroscopy, and the use only of conventional statistical methods. To overcome these challenges, we applied liquid chromatography-tandem mass spectrometry and measured >1000 metabolites in the METSIM study including 10,197 men.

View Article and Find Full Text PDF

Inflammation is a major component of the pathogenesis of atherosclerosis and the formation of in-stent restenosis (ISR). A novel flavonoid, DHIF, attenuates reactive oxygen species and nf-κB signaling and has potential to limit ISR via antioxidant action. While current drug eluting stents (DESs) perform well in clinical practice, new therapies to prevent ISR without dependance on cytotoxic drugs are warranted.

View Article and Find Full Text PDF

An abdominal obesity missense variant in the adipocyte thermogenesis gene TBX15 is implicated in adaptation to cold in Finns.

Am J Hum Genet

November 2024

Department of Human Genetics, University of California, Los Angeles, Los Angeles, CA, USA; Bioinformatics Interdepartmental Program, UCLA, Los Angeles, CA, USA; Institute for Precision Health, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA. Electronic address:

Article Synopsis
  • Research on abdominal obesity highlighted that the rs10494217 variant in the TBX15 gene is linked to adipocyte health and the heritability of obesity.
  • The frequency of this variant shows a geographical trend, decreasing from north to south, particularly evident in the Finnish population, suggesting an adaptive response to colder climates.
  • Individuals with the risk allele exhibit changes in gene expression related to thermogenesis and unhealthy fat cell growth, indicating the variant's possible role in promoting abdominal obesity.
View Article and Find Full Text PDF

Introduction: Cesarean section is the most common surgery performed on women. The enhanced recovery recommendations are early urinary catheter removal and early mobilization, as essential elements of post-operative care. This study aimed to analyze the association between these elements and whether limiting the catheter treatment duration affects the timing of post-operative mobilization.

View Article and Find Full Text PDF

Vibrational spectroscopy methods such as mid-infrared (MIR), near-infrared (NIR), and Raman spectroscopies have been shown to have great potential for in vivo biomedical applications, such as arthroscopic evaluation of joint injuries and degeneration. Considering that these techniques provide complementary chemical information, in this study, we hypothesized that combining the MIR, NIR, and Raman data from human osteochondral samples can improve the detection of cartilage degradation. This study evaluated 272 osteochondral samples from 18 human knee joins, comprising both healthy and damaged tissue according to the reference Osteoarthritis Research Society International grading system.

View Article and Find Full Text PDF