Institutt for klinisk medisin: Recent submissions
Now showing items 141-160 of 1974
-
Impact of Prosigna test on adjuvant treatment decision in lymph node-negative early breast cancer—a prospective national multicentre study (EMIT-1)
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-06-04)Background: EMIT-1 is a national, observational, single-arm trial designed to assess the value of the Prosigna, Prediction Analysis of Microarray using the 50 gene classifier (PAM50)/Risk of Recurrence (ROR), test as a routine diagnostic tool, examining its impact on adjuvant treatment decisions, clinical outcomes, side-effects and cost-effectiveness. Here we present the impact on treatment ... -
Survival after docetaxel for metastatic castration-resistant prostate cancer in a rural health care setting
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-04-15)Introduction: The aim of this study was to evaluate overall survival of men who received systemic therapy with docetaxel for metastatic castrationresistant prostate cancer (MCRPC) in rural Nordland County, Norway. Prognostic factors related to treatment and other variables were evaluated.<p> <p>Material and methods: Overall, 132 pa tients were included in this retrospective study covering the ... -
Dietitians' experiences of nutrition assessment via TeleNutrition: “Video-calls are better than phone-calls, but it's probably difficult for patients to show their ankles on the screen”
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-05-27)Background & Aims: Nutrition assessment is integral to dietetic practice. TeleNutrition enabled dietitians to continue nutrition care provision during the COVID-19 pandemic but created challenges with undertaking nutrition assessment. The aim of the present study was to describe how dietitians in three Nordic countries perceived their nutrition assessment practice when physically distant from ... -
DNA methylation fine-tunes pro-and anti-inflammatory signalling pathways in inactive ulcerative colitis tissue biopsies
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-03-21)DNA methylation has been implied to play a role in the immune dysfunction associated with inflammatory bowel disease (IBD) and the disease development of ulcerative colitis (UC). Changes of the DNA methylation and correlated gene expression in patient samples with inactive UC might reveal possible regulatory features important for further treatment options for UC. Targeted bisulfite sequencing ... -
MRSA-halsbærerskap hos to helsearbeidere
(Journal article; Tidsskriftartikkel, 2024-02-14)Helsearbeidere med påvist bærerskap av meticillinresistente Staphylococcus aureus (MRSA) opplever ofte negative konsekvenser, slik som arbeidsrestriksjoner, langvarige sykmeldinger, repeterte saneringsforsøk, stigmatisering og psykososialt stress. Vi omtaler to studenter som etter flere mislykkede saneringsforsøk fikk utført tonsillektomi for å kvitte seg med halsbærerskap. -
A case control study of the relationship between persistent serum creatine kinase elevation and polyneuropathy
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-06-15)Creatine kinase (CK) has been associated with neuropathy, but the mechanisms are uncertain. We hypothesized that peripheral nerve function is impaired in subjects with persistent CK elevation (hyperCKemia) compared to age- and sex matched controls in a general population. The participants were recruited from the population based Tromsø study in Norway. Neuropathy impairment score (NIS), nerve ... -
The fatty liver index and risk of incident venous thromboembolism: the Tromsø Study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-05-20)Background: For the relationship between obesity and venous thromboembolism (VTE), nonalcoholic fatty liver disease (recently termed metabolic dysfunction– associated steatotic liver disease) is of interest given the hepatic role in hemostasis.<p> <p>Objectives: We aimed to assess the association between the fatty liver index (FLI), as a proxy for nonalcoholic fatty liver disease, and VTE risk ... -
Proportion of venous thromboembolism attributed to recognized prothrombotic genotypes in men and women
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-02-08)Background: Data on the proportion of venous thromboembolism (VTE) risk attributed to prothrombotic genotypes in men and women are limited.<p> <p>Objectives: We aimed to estimate the population attributable fraction (PAF) of VTE for recognized, common prothrombotic genotypes in men and women using a populationbased case cohort. <p>Methods: Cases with incident VTE (n = 1493) and a randomly sampled ... -
Loneliness in adolescence and prescription of psychotropic drugs in adulthood: 23-year longitudinal population-based and registry study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-03-11)Aims We aim to determine whether (a) experiencing loneliness in adolescence and (b) changes in loneliness from adolescence to adulthood are prospectively associated with prescriptions for a variety of psychotropic drugs in adulthood.<p> <p>Method We used data from a Norwegian population-based sample with 2602 participants, collected across four waves between 1992 and 2006. Loneliness was assessed ... -
Team-based learning (TBL) in clinical disciplines for undergraduate medical students—a scoping review
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-01-03)Background Team-based learning (TBL) is an evidence-based pedagogical method that has been used in undergraduate medical education since 2001. However, its use in clinical disciplines is rarely reported, and the impact of its implementation is not known. The aim of this study was to explore and map the published literature on the impact of implementing TBL in clinical disciplines in undergraduate ... -
Disruption of sleep by one night of in-home polysomnographic recording: a longitudinal actigraphy study of patients with chronic musculoskeletal pain and pain-free controls
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-04-25)Background Patients with chronic pain frequently have comorbid sleep disturbances. Since improvement of sleep may alleviate both sleep problems and to some extent pain, sleep studies in this group becomes relevant. Polysomnography (PSG) is considered the gold standard for characterizing sleep; however, it is resource-demanding and may itself disrupt sleep due to the use of inconvenient equipment in ... -
Long-term cardiac effects of modern treatment for Hodgkin’s lymphoma
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-04-04)Background Hodgkin’s lymphoma (HL) is a hematological malignancy that affects both children and young adults. Traditional treatment is associated with a life-time prevalence of cardiac disease exceeding 50%. In the late 1990s protocols were modified to reduce cancer therapy-related adverse cardiac effects. This study aimed to assess the long-term impact of advances in treatment protocols on the ... -
Quality of life endpoints in cancer cachexia clinical trials: Systematic review 3 of the cachexia endpoints series
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-03-29)The use of patient-reported outcomes (PROMs) of quality of life (QOL) is common in cachexia trials. Patients' self-report on health, functioning, wellbeing, and perceptions of care, represent important measures of efficacy. This review describes the frequency, variety, and reporting of QOL endpoints used in cancer cachexia clinical trials. Electronic literature searches were performed in Medline, ... -
A human stomach cell type transcriptome atlas
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-02-14)Background The identification of cell type-specific genes and their modification under different conditions is central to our understanding of human health and disease. The stomach, a hollow organ in the upper gastrointestinal tract, provides an acidic environment that contributes to microbial defence and facilitates the activity of secreted digestive enzymes to process food and nutrients into ... -
Microbial-derived imidazole propionate links the heart failure-associated microbiome alterations to disease severity
(Journal article; Tidsskriftartikkel, 2024-02-08)<p><i>Background</i> Interactions between the gut microbiota, diet, and host metabolism contribute to the development of cardiovascular disease, but a firm link between disease-specific gut microbiota alterations and circulating metabolites is lacking. <p><i>Methods</i> We performed shot-gun sequencing on 235 samples from 166 HF patients and 69 healthy control samples. Separate plasma samples from ... -
Machine Learning Models for Predicting Disability and Pain Following Lumbar Disc Herniation Surgery
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-02-07)IMPORTANCE Lumber disc herniation surgery can reduce pain and disability. However, a sizable minority of individuals experience minimal benefit, necessitating the development of accurate prediction models.<p> <p>OBJECTIVE To develop and validate prediction models for disability and pain 12 months after lumbar disc herniation surgery. <p>DESIGN, SETTING, AND PARTICIPANTS A prospective, multicenter, ... -
Thrombolytic Treatment in Wake-Up Stroke: A Propensity Score-Matched Analysis of Treatment Effectiveness in the Norwegian Stroke Registry
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-01-31)BACKGROUND: Previous clinical trials found improved outcome of thrombolytic treatment in patients with ischemic wake-up stroke (WUS) selected by advanced imaging techniques. The authors assessed the effectiveness of thrombolytic treatment in patients with WUS in a nationwide stroke registry.<p> <p>METHODS AND RESULTS: Using propensity score matching, the authors assessed the effectiveness and ... -
Body mass index is associated with health-related quality of life and disease characteristics in young adults with juvenile idiopathic arthritis
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-02-02)Background There is a growing interest concerning the relationship between obesity and several medical conditions and inflammation. Nevertheless, there is a lack of studies regarding body mass index (BMI) among patients with juvenile idiopathic arthritis (JIA). Our aim was to investigate the impact of BMI on health-related quality of life (HRQoL) measured with a 36-Item Short Form Survey (SF-36), ... -
Inadequate nutritional care for malnourished patients in four university hospitals – The QuaNuT study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-01-30)Background & Aims: Adequate nutritional care to malnourished patients is described as a human right, and recommendations from nutritional care guidelines are legally binding in Norway. The primary objective of this study was to investigate nutritional care in malnourished hospitalized patients. We also wanted to describe the association between malnutrition and length of stay (LOS), readmission, ... -
Generative artificial intelligence to produce high-fidelity blastocyst-stage embryo images
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-04-10)STUDY QUESTION - Can generative artificial intelligence (AI) models produce high-fidelity images of human blastocysts?<p> <p>SUMMARY ANSWER - Generative AI models exhibit the capability to generate high-fidelity human blastocyst images, thereby providing substantial training datasets crucial for the development of robust AI models.<p> <p>WHAT IS KNOWN ALREADY - The integration of AI into IVF ...