Institutt for klinisk medisin: Recent submissions
Now showing items 1821-1840 of 1974
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A review of clinical trials of cetuximab combined with radiotherapy for non-small cell lung cancer
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)Treatment of non-small cell lung cancer (NSCLC) is challenging in many ways. One of the problems is disappointing local control rates in larger volume disease. Moreover, the likelihood of both nodal and distant spread increases with primary tumour (T-) stage. Many patients are elderly and have considerable comorbidity. Therefore, aggressive combined modality treatment might be contraindicated or ... -
Prehospital trauma care reduces mortality : ten-year results from a time-cohort and trauma audit study in Iraq
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)Background Blunt implementation of Western trauma system models is not feasible in low-resource communities with long prehospital transit times. The aims of the study were to evaluate to which extent a low-cost prehospital trauma system reduces trauma deaths where prehospital transit times are long, and to identify specific life support interventions that contributed to survival. Methods In ... -
Controversial treatment of a victim of severe head injury complicated by septic shock and acute respiratory distress syndrome
(Journal article; Tidsskriftartikkel; Peer reviewed, 2011)Pneumonia, severe sepsis, and acute respiratory distress syndrome (ARDS) are frequent complications after head trauma. Recombinant human activated protein C (APC) reportedly improves circulation and respiration in severe sepsis, but is contraindicated after head injury because of increased risk of intracranial bleeding. A 21-year-old man with severe head injury after a car accident was endotracheally ... -
Methodologies for assessing telemedicine : a systematic review of reviews
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)Previous reviews have expressed concerns about the quality of telemedicine studies. There is debate about shortcomings and appropriate methodologies. The aim of this review of systematic reviews of telemedicine is to summarize methodologies used in telemedicine research, discuss knowledge gaps and recommendations and suggest methodological approaches for further research. -
Classification of bipolar disorder in psychiatric hospital : a prospective cohort study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)Background This study has explored the classification of bipolar disorder in psychiatric hospital. A review of the literature reveals that there is a need for studies using stringent methodological approaches. Methods 480 first-time admitted patients to psychiatric hospital were found eligible and 271 of these gave written informed consent. The study sample was comprised of 250 patients (52%) ... -
Agreement on web-based diagnoses and severity of mental health problems in Norwegian child and adolescent mental health services
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)Objective: This study examined the agreement between diagnoses and severity ratings assigned by clinicians using a structured web-based interview within a child and adolescent mental health outpatient setting. Method: Information on 100 youths was obtained from multiple informants through a web-based Development and Well-Being Assessment (DAWBA). Based on this information, four experienced ... -
MicroRNA Signatures in Tumor Tissue Related to Angiogenesis in Non-Small Cell Lung Cancer
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)Angiogenesis is regarded as a hallmark in cancer development, and anti-angiogenic treatment is presently used in non-small cell lung cancer (NSCLC) patients. MicroRNAs (miRs) are small non-coding, endogenous, single stranded RNAs that regulate gene expression. In this study we aimed to identify significantly altered miRs related to angiogenesis in NSCLC. From a large cohort of 335 NSCLC patients, ... -
Adoption of telemedicine : from pilot stage to routine delivery
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)Today there is much debate about why telemedicine has stalled. Teleradiology is the only widespread telemedicine application. Other telemedicine applications appear to be promising candidates for widespread use, but they remain in the early adoption stage. The objective of this debate paper is to achieve a better understanding of the adoption of telemedicine, to assist those trying to move applications ... -
Differences in gene expression between first and third trimester human placenta : a microarray study.
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)The human placenta is a rapidly developing organ that undergoes structural and functional changes throughout the pregnancy. Our objectives were to investigate the differences in global gene expression profile, the expression of imprinted genes and the effect of smoking in first and third trimester normal human placentas. Placental samples were collected from 21 women with uncomplicated pregnancies ... -
Socioeconomic conditions and number of pain sites in women
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)Women in deprived socioeconomic situations run a high pain risk. Although number of pain sites (NPS) is considered highly relevant in pain assessment, little is known regarding the relationship between socioeconomic conditions and NPS. The study population comprised 653 women; 160 recurrence-free long-term gynecological cancer survivors, and 493 women selected at random from the general population. ... -
Core genome conservation of Staphylococcus haemolyticus limits sequence based population structure analysis
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)The notoriously multi-resistant Staphylococcus haemolyticus is an emerging pathogen causing serious infections in immunocompromised patients. Defining the population structure is important to detect outbreaks and spread of antimicrobial resistant clones. Currently, the standard typing technique is pulsed-field gel electrophoresis (PFGE). In this study we describe novel molecular typing schemes for ... -
Templates for reporting pre-hospital major incident medical management : systematic literature review
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)Introduction In 2010, a total of 385 natural disasters killed more than 297 000 people worldwide and affected over 217 million others. More standardised reporting of major incident management have been advocated in the previous years. Prevention, mitigation, preparedness and major incident response may be improved through collection and analysis of high-quality standardised data on medical management ... -
Obesity-related cardiovascular risk factors after weight loss : a clinical trial comparing gastric bypass surgery and intensive lifestyle intervention
(Journal article; Tidsskriftartikkel; Peer reviewed, 2010)Objective: Weight reduction improves several obesity-related health conditions. We aimed to compare the effect of bariatric surgery and comprehensive lifestyle intervention on type 2 diabetes and obesityrelated cardiovascular risk factors. Design: One-year controlled clinical trial (ClinicalTrials.gov identifier NCT00273104). Methods: Morbidly obese subjects (19–66 years, mean (S.D.) body mass ... -
A young man with acute dilated cardiomyopathy associated with methylphenidate.
(Journal article; Tidsskriftartikkel, 2008)An 18-year-old obese man with a body mass index of 40, diagnosed with attention-defi cit hyperactivity disorder and treated with methylphenidate (Concerta®) was acutely admitted to hospital with hypoxia and dyspnoea. On investigation signs of liver-, renal-, and heart-failure were found. Noradrenalin infusion was started. Echocardiography showed dilated left ventricle and an ejection fraction (EF) ... -
Impaired Fasting Glucose Is Associated With Renal Hyperfiltration in the General Population
(Journal article; Tidsskriftartikkel; Peer reviewed, 2011)Increased glomerular filtration rate (GFR), also called hyperfiltration, is a proposed mechanism for renal injury in diabetes. The causes of hyperfiltration in individuals without diabetes are largely unknown, including the possible role of borderline hyperglycemia. We assessed whether impaired fasting glucose (IFG; 5.6–6.9 mmol/L), elevated HbA1c, or hyperinsulinemia are associated with hyperfiltration ... -
Inflammation and reduced endothelial function in the course of severe acute heart failure
(Journal article; Tidsskriftartikkel; Peer reviewed, 2011)Systemic inflammation and elevated circulating levels of the endogenous nitric oxide inhibitor asymmetrical dimethylarginine (ADMA) have been associated with increased risk in cardiogenic shock (CS). In this prospective study, we assessed, over 4 consecutive days, the changes and possible associations between vascular function, markers of inflammation, and circulating ADMA levels in patients with ... -
Pacemaker implantation in small hospitals : complication rates comparable to larger centres
(Journal article; Tidsskriftartikkel; Peer reviewed, 2011)Some countries have a demography that makes it necessary to maintain relatively small pacemaker centres. We wanted to assess the quality of pacemaker surgery in two such hospitals. Through patient records we gathered information on ∼535 consecutive primary pacemaker implantations in two small pacemaker centres with 30 and 80 annual operations, respectively. All patients were followed for 3 years. ... -
Metaphor interpretation and use : a window into semantics in schizophrenia
(Journal article; Tidsskriftartikkel; Peer reviewed, 2011)The nature of putative semantic anomalies in schizophrenia is controversial. Metaphor interpretation and use provide a useful methodology with which to probe semantics since metaphors are critical in reasoning processes and in how conceptual knowledge is organized. The first study examined free speech for figurative language. The second study explored whether emotional versus non-emotional metaphorical ... -
Detecting order-disorder transitions in discourse : implications for schizophrenia
(Journal article; Tidsskriftartikkel; Peer reviewed, 2011)Abstract Several psychiatric and neurological conditions affect the semantic organization and content of a patient's speech. Specifically, the discourse of patients with schizophrenia is frequently characterized as lacking coherence. The evaluation of disturbances in discourse is often used in diagnosis and in assessing treatment efficacy, and is an important factor in prognosis. Measuring these ... -
Beta cell function after weight loss : a clinical trial comparing gastric bypass surgery and intensive lifestyle intervention
(Journal article; Tidsskriftartikkel; Peer reviewed, 2011)The effects of various weight loss strategies on pancreatic beta cell function remain unclear. We aimed to compare the effect of intensive lifestyle intervention (ILI) and Roux-en-Y gastric bypass surgery (RYGB) on beta cell function. Design One year controlled clinical trial (ClinicalTrials.gov identifier NCT00273104). One hundred and nineteen morbidly obese participants without known diabetes from ...