Institutt for klinisk medisin: Recent submissions
Now showing items 241-260 of 1974
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Users’ Experiences with Online Access to Electronic Health Records in Mental and Somatic Healthcare: Cross-Sectional Study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-12-25)Background: Patient-accessible electronic health records (PAEHRs) hold promise for empowering patients, but their impact may vary between mental and somatic health care. Medical professionals and ethicists have expressed concerns about the potential challenges of PAEHRs for patients, especially those receiving mental health care. <p> <p>Objective: This study aims to investigate variations in the ... -
The NORDeHEALTH 2022 Patient Survey: Cross-Sectional Study of National Patient Portal Users in Norway, Sweden, Finland, and Estonia
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-11-13)Background: Although many surveys have been conducted on patients accessing their own health records in recent years, there is a limited amount of nationwide cross-country data available on patients’ views and preferences. To address this gap, an international survey of patient users was conducted in the Nordic eHealth project, NORDeHEALTH.<p> <p>Objective: We aimed to investigate the sociodemographic ... -
Multimodal classification of molecular subtypes in pediatric acute lymphoblastic leukemia
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-12-08)Genomic analyses have redefined the molecular subgrouping of pediatric acute lymphoblastic leukemia (ALL). Molecular subgroups guide risk-stratification and targeted therapies, but outcomes of recently identified subtypes are often unclear, owing to limited cases with comprehensive profiling and cross-protocol studies. We developed a machine learning tool (ALLIUM) for the molecular subclassification ... -
Identification of a regulatory pathway governing TRAF1 via an arthritis-associated non-coding variant
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-10-16)TRAF1/C5 was among the first loci shown to confer risk for inflammatory arthritis in the absence of an associated coding variant, but its genetic mechanism remains undefined. Using Immunochip data from 3,939 patients with juvenile idiopathic arthritis (JIA) and 14,412 control individuals, we identified 132 plausible common non-coding variants, reduced serially by single-nucleotide polymorphism ... -
Association of maternal SARS-CoV-2 infection at the time of admission for delivery with labor process and outcomes of vaginal birth: A cohort study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-11-05)Introduction - This study aimed to investigate the impact of maternal SARS-CoV-2 infection at the time of admission for delivery on labor process and outcomes of vaginal birth.<p> <p>Material and methods - A cohort study was carried out at the Obstetrics Department of Anhui Provincial Hospital, China, where universal reverse transcriptase polymerase chain reaction (RT-PCR) testing for SARS-CoV-2 ... -
Lifestyle factors as mediators of area-level socioeconomic differentials in mental health and cognitive function: the Tromsø Study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-11-22)Introduction - Low socioeconomic status (SES) is associated with poor mental health and cognitive function. Individual-level SES and area-level SES (ASES) may affect mental health and cognitive function through lifestyle. We aimed to quantify the associations of ASES with mental health and cognitive function and examine the mediating role of lifestyle behaviours independent of individual-level SES ... -
‘Days of Frustration’: A Qualitative Study of Adolescents’ Thoughts and Experiences of Schooling after Early Dropout
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-10-29)School dropout increases the risk of unemployment, health problems, and disability benefits. Employing an ecological-developmental perspective, we analyzed the interviews of thirteen students from a peripheral Norwegian county, aiming to explore the possible influence of upbringing and schooling on dropout. The analysis revealed that dropout was associated with an unstable family situation, lack ... -
Effect of a one-year personalized intensive dietary intervention on body composition in colorectal cancer patients: Results from a randomized controlled trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-07-11)Background & aims Changes in body composition may affect colorectal cancer (CRC) patient's risk of cancer recurrence, secondary cancer, and other chronic diseases. The suggested interventions for changes in body composition such as low muscle mass or high fat mass, are diet and physical activity. Nevertheless, there is limited evidence of how dietary intervention alone can impact body composition. ... -
Re-irradiation in clinical practice: Results of an international patterns of care survey within the framework of the ESTRO-EORTC E2-RADIatE platform
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-10-06)Background: Re-irradiation is an increasingly utilized treatment for recurrent, metastatic or new malignancies after previous radiotherapy. It is unclear how re-irradiation is applied in clinical practice. We aimed to investigate the patterns of care of re-irradiation internationally.<p> <p>Material/Methods: A cross-sectional survey conducted between March and September 2022. The survey was structured ... -
Nordic survey showed wide variation in discharge practices for very preterm infants
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-08-04)Aim: We aimed to describe clinical practices and criteria for discharge of very preterm infants in Nordic neonatal units.<p> <p>Methods: Medical directors of all 89 level-2 and level-3 units in Denmark, Finland, Iceland, Norway and Sweden were invited by e-mail to complete a web-based multiple-choice survey with the option to make additional free-text comments. <p>Results: We received responses ... -
Hearing impairment after asphyxia and neonatal encephalopathy: a Norwegian population-based study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-11-22)The purpose of this study is to evaluate the association between perinatal asphyxia, neonatal encephalopathy, and childhood hearing impairment. This is a population-based study including all Norwegian infants born≥36 weeks gestation between 1999 and 2014 and alive at 2 years (n=866,232). Data was linked from fve national health registries with follow-up through 2019. Perinatal asphyxia was defned ... -
Association of eGFR and mortality with use of a joint model: results of a nationwide study in Iceland
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-02-09)Objectives. Prior studies on the association of estimated glomerular filtration rate (eGFR) and mortality have failed to include methods to account for repeated eGFR determinations. The aim of this study was to estimate the association between eGFR and mortality in the general population in Iceland employing a joint model.<p> <p>Methods. We obtained all serum creatinine and urine protein measurements ... -
Translation and validation of the Norwegian version of the postoperative quality of recovery score QoR-15
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-09-08)Background As patient-centered care gains more attention, assessing the patient's perspective on their recovery has become increasingly important. In response to the need for a reliable and valid patient reported outcome measurement tool for major surgical resections in Norway. The Norwegian Registry for Gastrointestinal Surgery (NORGAST) initiated a project to translate and evaluate QoR-15's ... -
Incidence of SARS-CoV-2 and all-cause mortality in persons with co-occurring substance use disorder and mental illness during the pandemic: a Norwegian cohort study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-11-28)Purpose - Most people were affected by the COVID-19 pandemic. Persons with co-occurring substance use disorder (SUD) and mental illness (MI) are already a marginalized group, with above average mortality. Thus, the study aim was to investigate SARS-CoV-2 incidence and mortality among persons with SUD/MI during the first two years of the pandemic.<p> <p>Methods - This historical cohort study merged ... -
Dopamine agonist serum concentrations and impulse control disorders in Parkinson's disease
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-11-13)Background and purpose: Impulse control disorders (ICDs) are common among Parkinson's disease patients using dopamine agonists. We wanted to determine whether ICD patients have higher dopamine agonist serum concentrations than those without any sign of ICD.<p> <p>Methods: Patients who used either pramipexole or ropinirole depot once daily were screened for ICDs using the validated Questionnaire ... -
Altered biomarkers for cardiovascular disease and inflammation in autoimmune Addison's disease - a cross-sectional study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-10-09)Objective - Increased prevalence of cardiovascular disease has been reported in autoimmune Addison's disease (AAD), but pathomechanisms are poorly understood.<p> <p<Design - Cross-sectional study.<p> <p>Methods - We compared serum levels of 177 cardiovascular and inflammatory biomarkers in 43 patients with AAD at >18-h glucocorticoid withdrawal and 43 matched controls, overall and stratified ... -
GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-09-07)Conventional measurements of fasting and postprandial blood glucose levels investigated in genome-wide association studies (GWAS) cannot capture the effects of DNA variability on ‘around the clock’ glucoregulatory processes. Here we show that GWAS meta-analysis of glucose measurements under nonstandardized conditions (random glucose (RG)) in 476,326 individuals of diverse ancestries and without ... -
Effects of oral anticoagulation in people with atrial fibrillation after spontaneous intracranial haemorrhage (COCROACH): prospective, individual participant data meta-analysis of randomised trials
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-10-12)Background - The safety and efficacy of oral anticoagulation for prevention of major adverse cardiovascular events in people with atrial fibrillation and spontaneous intracranial haemorrhage are uncertain. We planned to estimate the effects of starting versus avoiding oral anticoagulation in people with spontaneous intracranial haemorrhage and atrial fibrillation.<p> <p>Methods - In this prospective ... -
Recurrent venous thromboembolism and bleeding with extended anticoagulation: the VTE-PREDICT risk score
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-01-17)Aims Deciding to stop or continue anticoagulation for venous thromboembolism (VTE) after initial treatment is challenging, as individual risks of recurrence and bleeding are heterogeneous. The present study aimed to develop and externally validate models for predicting 5-year risks of recurrence and bleeding in patients with VTE without cancer who completed at least 3 months of initial treatment, ... -
Description of the prehospital emergency healthcare system in Norway
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-11-23)Background: Norway has a long coastline, steep mountains, and wide fjords, which presents some challenges to the prehospital emergency healthcare system. In recent years, the prehospital emergency medical services (EMS) have undergone significant changes, structurally, in terms of professionalisation of the services and in the education level of the personnel. In this article, we aim to describe ...