75 results match your criteria: "University of Oslo Faculty of Medicine[Affiliation]"
BMJ Open
December 2024
Centre for Social Ethics and Policy, Department of Law, School of Social Sciences, University of Manchester, Manchester, UK
BMJ Med
October 2024
MAGIC Evidence Ecosystem Foundation, Oslo, Norway.
Objective: To address the efficacy and safety of proactive therapeutic drug monitoring of biologic drugs for patients with inflammatory bowel disease, inflammatory arthritis, and psoriasis.
Design: Systematic review and meta-analysis.
Data Sources: Medline, Embase, Central, and CINAHL, from database inception to 23 May 2024.
BMJ Open
November 2024
Department of Thoracic Medicine, Haukeland University Hospital, Bergen, Norway.
Objectives: Due to prognostic uncertainty and limited decision-making capacity, the choice to perform transcatheter aortic valve implantation (TAVI) in patients with severe aortic stenosis (AS) and comorbid dementia is challenging. This study explores older adults' perspectives on complex decision-making preceding TAVI in the hypothetical setting of comorbid dementia.
Design: Qualitative study entailing semistructured interviews.
BMJ Ment Health
October 2024
Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Drammen, Norway.
Background: Basic self-disturbance (BSD), also called anomalous self-experiences (ASEs), are core phenotypic markers for schizophrenia spectrum disorders and a prepsychotic vulnerability marker considered to be temporally stable (trait-phenomenon). Studies of BSD in children and adolescents are lacking.
Objective: To be clinically useful, we need to know more about the characteristics and temporal development of BSD in prepsychotic phases.
Int J Gynecol Cancer
January 2025
Department of Health Management and Health Economics, University of Oslo Faculty of Medicine, Oslo, Norway.
Background: Sentinel lymph node biopsy (SLN) is increasingly used for surgical staging of endometrial carcinoma.
Objective: To estimate the effect and cost-effectiveness of the implementation of an SLN algorithm for surgical staging in patients with intermediate- and high-risk endometrial carcinoma compared with lymphadenectomy.
Methods: We performed a model-based, cost-effectiveness analysis using primary data from a tertiary referral hospital that included 829 patients with endometrial carcinoma undergoing surgical staging.
BMJ Open Qual
October 2024
Division of Surgery, Akershus University Hospital, Nordbyhagen, Norway.
Background: Hospitals should adopt multiple methods to monitor incidents for a comprehensive review of the types of incidents that occur. Contrary to traditional incident reporting systems, the Green Cross (GC) method is a simple visual method to recognise incidents based on teamwork and safety briefings. Its longitudinal effect on patient safety culture has not been previously assessed.
View Article and Find Full Text PDFBMJ Open
September 2024
Department of Occupational and Environmental Medicine, Telemark Hospital, Skien, Norway.
Objectives: This study aimed to estimate the incidence of asthma and assess the association between job exposure matrix (N-JEM) assigned occupational exposure, self-reported occupational exposure to vapour, gas, dust and fumes (VGDF), mould, damages from moisture and cold, and new-onset asthma. We also aimed to assess the corresponding population attributable fraction (PAF) for ever exposure to VGDF.
Design: Longitudinal population-based respiratory health study.
BMJ Open
August 2024
Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Objectives: Insufficient training and the absence of guidelines increase the risk of retraumatisation in torture survivors during surgical procedures. This study aims to develop guidelines to mitigate this risk and gather healthcare professionals' experiences treating torture survivors and insights on the guideline's feasibility and acceptability.
Design: The study was conducted in two phases.
Open Heart
August 2024
Department of Medical Research, Vestre Viken Hospital Trust, Bærum Hospital, Drammen, Norway.
Background: American and European guidelines define hypertension differently and are sex agnostic. Our aim was to assess the impact of different hypertension thresholds at the age of 40 on 30-year stroke risk and to examine sex differences.
Methods: We included 2608 stroke-free individuals from the Akershus Cardiac Examination 1950 Study, a Norwegian regional study conducted in 2012-2015 of the 1950 birth cohort, who had previously participated in the Age 40 Program, a nationwide health examination study conducted in 1990-1993.
BMJ Open
August 2024
Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway.
Objectives: The main objective of this study was twofold: to investigate what kind of information patients with heart failure (HF) tell their doctors about their medication adherence at home, and how often such information is provided in consultations where medication reconciliation is recommended. To meet these objectives, we developed an analysis to recognise, define, and count (1) patient utterances including medication adherence disclosures in clinical interactions (MADICI), (2) MADICI including red-flags for non-adherence, and (3) MADICI initiated by patients without prompts from their doctor.
Design: Exploratory interaction-based observational cohort study.
Med Humanit
September 2024
Department of Social Work, Child Welfare and Social Policy, Oslo Metropolitan University, Oslo, Norway.
In a lot of research on loneliness and technology, there is an underlying premise that actual, physical presence is more real than 'virtual' presence. This premise is rarely explicit, yet it implies a hierarchy of reality, where the 'here and now' is always on top. In this theoretical paper, we examine this latent hierarchy and the understandings of presence and mediation it implies.
View Article and Find Full Text PDFObjectives: To explore and compare physicians' reported moral distress in 2004 and 2021 and identify factors that could be related to these responses.
Design: Longitudinal survey.
Setting: Data were gathered from the Norwegian Physician Panel Study, a representative sample of Norwegian physicians, conducted in 2004 and 2021.
J Nutr
July 2024
Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway; The Lipid Clinic, Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway.
Background: Potatoes are a staple food in many traditional cuisines, yet their impact on long-term risk of cardiovascular disease (CVD) and mortality is unclear, hampering evidence-based dietary guidelines.
Objectives: This study aimed to examine the association between potato consumption and all-cause and CVD-specific death over a substantial follow-up period within a cohort predominantly consuming boiled potatoes.
Methods: Adults from 3 Norwegian counties were invited to 3 health screenings in 1974-1988 (>80% attendance).
BMJ Open
May 2024
Division of Orthopaedic Surgery, Oslo University Hospital Ullevål, Oslo, Norway.
Introduction: Bacterial infection and Modic changes (MCs) as causes of low back pain (LBP) are debated. Results diverged between two randomised controlled trials examining the effect of amoxicillin with and without clavulanic acid versus placebo on patients with chronic LBP (cLBP) and MCs. Previous biopsy studies have been criticised with regard to methods, few patients and controls, and insufficient measures to minimise perioperative contamination.
View Article and Find Full Text PDFAnn Rheum Dis
May 2024
Rheumatology, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milan, Italy.
Objective: To formulate evidence-based recommendations and overarching principles on the use of imaging in the clinical management of crystal-induced arthropathies (CiAs).
Methods: An international task force of 25 rheumatologists, radiologists, methodologists, healthcare professionals and patient research partners from 11 countries was formed according to the EULAR standard operating procedures. Fourteen key questions on the role of imaging in the most common forms of CiA were generated.
BMJ Open
January 2024
Department of Orthopedic Surgery, Innlandet Hospital Trust Gjøvik Hospital, Gjovik, Norway.
Introduction: Surgery is widely recognised as the treatment of choice for suprasyndesmotic ankle fractures, because of the assumption that these injuries yield instability of the ankle joint. Stability assessment of ankle fractures using weightbearing radiographs is now used regularly to guide the treatment of transsyndesmotic and infrasyndesmotic ankle fractures. Patients with a congruent ankle joint on weightbearing radiographs can be treated non-operatively with excellent results.
View Article and Find Full Text PDFOccup Environ Med
December 2023
Department of Research, Cancer Registry of Norway, Oslo, Norway.
Objective: The objective of our study was to examine whether occupational exposure to benzene is associated with lung cancer among males in the Norwegian Offshore Petroleum Workers cohort.
Methods: Among 25 347 male offshore workers employed during 1965-1998, we conducted a case-cohort study with 399 lung cancer cases diagnosed between 1999 and 2021, and 2035 non-cases sampled randomly by 5-year birth cohorts. Individual work histories were coupled to study-specific job-exposure matrices for benzene and other known lung carcinogens.
BMJ Glob Health
November 2023
Dean of Students Office, Charité Universitätsmedizin Berlin, Berlin, Germany.
BMJ Evid Based Med
January 2024
Institute of Health and Society, University of Oslo Faculty of Medicine, Oslo, Norway.
Objectives: To investigate medical students' ability to interpret evidence, as well as their self-assessed understandability, perceived usefulness and preferences for design alternatives in an interactive decision support tool, displaying GRADE evidence summaries for multiple treatment options (Making Alternative Treatment CHoices Intuitive and Trustworthy, MATCH-IT).
Design: A combined randomised controlled trial and survey. Participants were presented with a clinical scenario and randomised to one of two versions of the MATCH-IT tool (A/B), instructed to explore the evidence and decide on a recommendation.
Gastroenterology
January 2024
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Background & Aims: There is a need to develop safe and effective pharmacologic options for the treatment of celiac disease (CeD); however, consensus on the appropriate design and configuration of randomized controlled trials (RCTs) in this population is lacking.
Methods: A 2-round modified Research and Development/University of California Los Angeles Appropriateness Method study was conducted. Eighteen gastroenterologists (adult and pediatric) and gastrointestinal pathologists voted on statements pertaining to the configuration of CeD RCTs, inclusion and exclusion criteria, gluten challenge, and trial outcomes.
BMJ Open Sport Exerc Med
July 2023
Medical & Scientific, International Olympic Committee, Lausanne, Switzerland.
Vision plays an important role in an athletes' success. In sports, nearly 80% of perceptual input is visual, and eye health and sports medicine are closely intertwined fields of utmost importance to athletes. The physical nature of sports activities renders individuals more prone to various eye injuries than the general population.
View Article and Find Full Text PDFActa Radiol Open
June 2023
Internal Medicine Clinic, Østfold Hospital, Kalnes, Norway.
Background: Rapid diagnosis and risk stratification are important to reduce the risk of adverse clinical events and mortality in acute pulmonary embolism (PE). Although clot burden has not been consistently shown to correlate with disease outcomes, proximally located PE is generally perceived as more severe.
Purpose: To explore the ability of the Mean Bilateral Proximal Extension of the Clot (MBPEC) score to predict mortality and adverse outcome.
BMJ Support Palliat Care
January 2024
Department of Palliative Medicine, Western General Hospital, University of Edinburgh, Edinburgh, UK
BMJ Glob Health
May 2023
Global Network of People Living with HIV (GNP+), Cape Town, South Africa.
Introduction: Digital health offers the potential to strengthen health systems in low- and middle-income countries. However, experts have warned about threats to human rights.
Methods: We used qualitative methods to investigate how young adults in Ghana, Kenya and Vietnam use their mobile phones to access online health information and peer support, and what they see as the effect on their human rights.
Eur Respir J
June 2023
Lungenklinik Heckeshorn, HELIOS Klinikum Emil von Behring GmbH, Berlin, Germany.