Institutt for klinisk medisin: Recent submissions
Now showing items 1-20 of 1930
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Validity of dietary intake methods in cancer cachexia
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024)Purpose of review: Accurate assessment of dietary intake, especially energy and protein intake, is crucial for optimizing nutritional care and outcomes in patients with cancer. Validation of dietary assessment methods is necessary to ensure accuracy, but the validity of these methods in patients with cancer, and especially in those with cancer cachexia, is uncertain. Validating nutritional intake ... -
High density of TCF1+ stem-like tumor-infiltrating lymphocytes is associated with favorable disease-specific survival in NSCLC
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-12-19)Introduction: Tumor-infiltrating lymphocytes are both prognostic and predictive biomarkers for immunotherapy response. However, less is known about the survival benefits of their subpopulations.<p> <p>Methods: Using machine learning models, we assessed the clinical association of the CD8+, PD1+, TCF1+ cel l subset by multiplex immunohistochemistry using tissue microarrays in 553 non-small cell ... -
Labor curves based on cervical dilatation over time and their accuracy and effectiveness: A systematic scoping review
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-03-22)Objectives: This systematic scoping review was conducted to 1) identify and describe labor curves that illustrate cervical dilatation over time; 2) map any evidence for, as well as outcomes used to evaluate the accuracy and effectiveness of the curves; and 3) identify areas in research that require further investigation.<p><p> Methods: A three-step systematic literature search was conducted for ... -
How well can the fetal heart rate baseline be assessed by intrapartum intermittent auscultation? An interrater reliability and agreement study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-08-20)Background: We aimed to examine the inter-reliability and agreement among midwives when assessing the fetal heart rate (FHR) using the handheld Doppler. The primary aim was to measure the reliability and agreement of FHR baseline (baseline) as beats per minute (bpm). The secondary aims were to measure fluctuations from the baseline, defined as increases and decreases, and classifications ... -
Incidence and genetic risk of juvenile idiopathic arthritis in Norway by latitude
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-10-21)Objective: We aimed to investigate the incidence of juvenile idiopathic arthritis (JIA) in the three geographic regions of Norway and whether potential regional incidence differences are explained by environmental or genetic factors across regions. <p><p>Methods: We conducted a register-based cohort study including all Norwegian children born from 2004 to 2019, with follow-up throughout 2020. The ... -
Geografiske forskjeller i trombolysebehandling ved akutt hjerneinfarkt
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-12-16)Bakgrunn - Trombolysebehandling tidligst mulig etter symptomstart påvirker behandlingsresultatet ved akutt hjerneinfarkt. Målet med studien var å kartlegge om avstanden fra sykehus påvirker trombolysetilbudet ved akutt hjerneinfarkt ved Universitetssykehuset Nord-Norge Tromsø.<p> <p>Materiale og metode - I denne prospektive kvalitetsstudien inkluderte vi 231 pasienter innlagt med akutt hjerneinfarkt ... -
Transcranial direct current stimulation (tDCS) enhances cognitive function in schizophrenia: A randomized double-blind sham-controlled trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-12-02)This study aimed to examine the cognitive effects of tDCS and the subjective cognitive improvement perceived by patients with schizophrenia. A total of 173 outpatients diagnosed with schizophrenia were recruited for this double-blind, randomized, placebo-controlled trial. Two different stimulation modes were applied: 2 mA 20 minutes active tDCS and sham tDCS. Ten daily sessions over 10 consecutive ... -
Characteristics That Predict Psoriatic Arthritis by the Classification Criteria for Psoriatic Arthritis in Patients With Juvenile Idiopathic Arthritis 18 Years After Disease Onset
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-11-10)Objective. The purposes of this study were to assess the clinical characteristics of patients with juvenile idiopathic arthritis (JIA) who fulfill the ClASsification criteria for Psoriatic ARthritis (CASPAR) 18 years after disease onset in a population-based setting and to identify features likely to predict psoriatic arthritis (PsA).<p> <p>Methods. Patients with JIA from defined geographic regions ... -
A hands-free carotid Doppler can identify spontaneous circulation without interrupting cardiopulmonary resuscitation: an animal study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-12-27)Background Identifying spontaneous circulation during cardiopulmonary resuscitation (CPR) is challenging. Current methods, which involve intermittent and time-consuming pulse checks, necessitate pauses in chest compressions. This issue is problematic in both in-hospital cardiac arrest and out-of-hospital cardiac arrest situations, where resources for identifying circulation during CPR may be limited. ... -
What is it all about? An explorative study of patients’ experiences with medication free treatment
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-12-02)Background As a response to the political decision by the Norwegian Ministry of Health and Care Services to establish some kind of“medication free treatment” for patients with severe mental illness throughout the country, a 6-bed ward unit dedicated to offer such treatment was in 2017 established in Tromsø, Norway by the North Norway Health Care Region. The aim of the present study was to explore ... -
The annual trend of suicide rates from 2010 to 2021 in patients with cannabis use disorder – a national registry study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-10-28)Purpose - The temporal trend of suicide in patients with cannabis use disorder (CUD) is important to investigate, considering the recent increases in THC concentration in cannabis products. This study describes the annual suicide rates in patients with CUD from 2010 to 2021. To investigate if any change in suicide rate was specific to CUD, we compared these suicide rates with corresponding data for ... -
Development of brain metastases in patients managed with non-curative thoracic radiotherapy for stage II/III non-small cell lung cancer
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-09-27)Background - This retrospective study analyzed the incidence of subsequent brain metastases after palliative radiotherapy or chemoradiation in patients with stage II/III non-small cell lung cancer (NSCLC). Risk factors for brain metastases development and survival after diagnosis were evaluated.<p> <p>Methods - Different baseline parameters including but not limited to age, stage and target volume ... -
P314 TNF gene activation used as criterion to discontinue biologic therapy – A patient series introducing the NovaPrime TNF kit
(Conference object; Konferansebidrag, 2021-05-27)<p><i>Background - </i>Severe inflammatory bowel disease can be successfully treated with biologic drugs such as anti-TNF. However, there is no consensus on if and how to stop treatment. Our group has earlier shown that normalization of TNF gene expression may be a beneficial prognostic factor when attempting to discontinue biologic therapy. We here present data from a series of patients in endoscopic ... -
Agreement between child- and parent-reported orofacial symptoms in patients with juvenile idiopathic arthritis
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-10-30)Objective: To assess the agreement between child- and parent-reported orofacial symptoms in the Danish version of the patient questionnaire Assessment of Orofacial Symptoms in Juvenile Idiopathic Arthritis.<p> <p>Method: This cross-sectional study was conducted at Aarhus University in March 2023. Eligible candidates were consecutive subjects with juvenile idiopathic arthritis (JIA) and ... -
Patient-reported outcomes after treatment for rectal cancer—A prospective nationwide study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-11-08)Aim - While modern treatment has improved rectal cancer (RC) survival, it can cause late side effects that impact health-related quality of life (HRQoL). The aim of this study was to evaluate HRQoL and late effects 1 year after diagnosis in patients who underwent major resection for Stage I–III RC.<p> <p>Method - All patients with RC registered in the Cancer Registry of Norway between 1 January ... -
Ethics in the operating room: a systematic review
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-11-09)Background/Objective - The act of surgery involves harming vulnerable patients with the intent that the results will improve their health and, ultimately, help the patients. Such activities will inevitably entail moral decisions, yet the ethics of surgery has only recently developed as a field of medical ethics. Within this field, it is striking how few accounts there are of actions within the ... -
Transient biopsy-proven progressive multifocal leukoencephalopathy-immune reconstitution inflammatory syndrome (PML-IRIS) in an elderly woman without known immunodeficiency: a case report
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-11-09)Background - Progressive multifocal leukoencephalopathy (PML) is a severe opportunistic brain disease caused by lytic JC polyomavirus (JCPyV) replication in oligodendrocytes. Although JCPyV infection is common in the general population, PML almost exclusively occurs in patients immunocompromised due to untreated HIV/AIDS, haematological malignancies, primary immunodeficiencies, solid organ ... -
Massive entry of BK Polyomavirus induces transient cytoplasmic vacuolization of human renal proximal tubule epithelial cells
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-11-21)BK polyomavirus (BKPyV) is a ubiquitous human virus that establishes a persistent infection in renal tubular epithelial cells and mainly causes disease in kidney transplant recipients. The closely related simian polyomavirus SV40 is known to cause cytoplasmic vacuolization in simian kidney cells, possibly increasing progeny release and cell death. This study aimed to determine whether BKPyV causes ... -
Comparison between the EKFC-equation and machine learning models to predict Glomerular Filtration Rate
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-11-02)In clinical practice, the glomerular filtration rate (GFR), a measurement of kidney functioning, is normally calculated using equations, such as the European Kidney Function Consortium (EKFC) equation. Despite being the most general equation, EKFC, just like previously proposed approaches, can still struggle to achieve satisfactory performance, limiting its clinical applicability. As a possible ... -
Timely empirical antibiotic therapy against sepsis in a rural Norwegian ambulance service: a prospective cohort study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-10-31)Background Early diagnosis and antibiotic therapy in patients with sepsis reduce morbidity and mortality, thus pre-hospital management is likely to affect patient outcomes. Pre-hospital administration may increase the risk of unnecessary use of broad-spectrum antibiotics, but identification of an infectious focus enables more targeted antibiotic therapy. The aim of this study was to investigate ...