Institutt for samfunnsmedisin: Recent submissions
Now showing items 541-560 of 2031
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Associations with Post-Consultation Health-Status in Primary Care Managed Acute Exacerbation of COPD
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-16)Background: It has been demonstrated that antibiotic prescribing for Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) can be safely reduced in primary care when general practitioners have access to C-reactive protein (CRP) rapid testing.<p> <p>Aim: To investigate the factors associated with post-consultation COPD health status in patients presenting with AECOPD in this sett ... -
Helseundersøkelsen i Arkhangelsk 2000
(Others; Andre, 2003)Institutt for samfunnsmedisin ved Universitetet i Tromsø har siden slutten av 1980-tallet hatt samarbeide med klinikere og forskere fra Universitetet i Arkhangelsk. Dette samarbeidet har resultert i utveksling av helsepersonell og studenter, flere utviklings- og forskningsprosjekter har blitt igangsatt og avsluttet, og en rekke felles møter og konferanser om situasjonen for folkehelsen i Russland ... -
Comparing the New Interdisciplinary Health in Work Intervention With Conventional Monodisciplinary Welfare Interventions at Norwegian Workplaces: Protocol for a Pragmatic Cluster Randomized Trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-04-07)Background: Musculoskeletal and mental health complaints are the dominant diagnostic categories in long-term sick leave and disability pensions in Norway. Continuing to work despite health complaints is often beneficial, and a good work environment can improve work inclusion for people affected. In 2001, the Norwegian Labour and Welfare Administration began to offer inclusive work measures to ... -
Pooled analysis of all-cause and cause-specific mortality among Nordic military veterans following international deployment
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-04-12)Objectives - To investigate all-cause and cause-specific mortality risks, including deaths from external, cardiovascular and cancer causes, among deployed Nordic military veterans in comparison to the general population in each country.<p> <p>Design - Pooled analysis.<p> <p>Setting - Denmark, Norway, Finland and Sweden.<p> <p>Participants - Military veterans deployed between 1990 and 2010 ... -
Development and Validation of a Deep Learning Method to Predict Cerebral Palsy From Spontaneous Movements in Infants at High Risk
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-07-11)Importance Early identification of cerebral palsy (CP) is important for early intervention, yet expert-based assessments do not permit widespread use, and conventional machine learning alternatives lack validity. Objective To develop and assess the external validity of a novel deep learning–based method to predict CP based on videos of infants’ spontaneous movements at 9 to 18 weeks’ corrected ... -
ILSA 2017 in Tromsø : proceedings from the 42nd annual conference of the International Lung Sound Association
(Conference object; Konferansebidrag, 2017)The usefulness of lung auscultation is changing. It depends on how well practitioners understand the generation of sounds. It also depends on their knowledge on how lung sounds are associated with lung and heart diseases, as well as with other factors such as ageing and smoking habits. In clinical practice, practitioners need to give sufficient attention to lung auscultation, and they should use ... -
Dietary intakes of dioxins and polychlorobiphenyls (PCBs) and breast cancer risk in 9 European countries
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-03-26)Background: Dioxins and polychlorobiphenyls (PCBs) are persistent organic pollutants that have demonstrated endocrine disrupting properties. Several of these chemicals are carcinogenic and positive associations have been suggested with breast cancer risk. In general population, diet represents the main source of exposure.<p><p> Methods: Associations between dietary intake of 17 dioxins and 35 PCBs ... -
Anti-cancer therapy is associated with long-term epigenomic changes in childhood cancer survivors
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-03-30)BACKGROUND: Childhood cancer survivors (CCS) exhibit significantly increased chronic diseases and premature death. Abnormalities in DNA methylation are associated with development of chronic diseases and reduced life expectancy. We investigated the hypothesis that anti-cancer treatments are associated with long-term DNA methylation changes that could be key drivers of adverse late health ... -
Epigenetic mechanisms of lung carcinogenesis involve differentially methylated CpG sites beyond those associated with smoking
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-05-20)Smoking-related epigenetic changes have been linked to lung cancer, but the contribution of epigenetic alterations unrelated to smoking remains unclear. We sought for a sparse set of CpG sites predicting lung cancer and explored the role of smoking in these associations. We analysed CpGs in relation to lung cancer in participants from two nested case–control studies, using (LASSO)-penalised ... -
Risk Factors, Subsequent Disease Onset, and Prognostic Impact of Myocardial Infarction and Atrial Fibrillation
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-03-24)BACKGROUND: Although myocardial infarction (MI) and atrial fibrillation (AF) are frequent comorbidities and share common cardiovascular risk factors, the direction and strength of the association of the risk factors with disease onset, subsequent disease incidence, and mortality are not completely understood.<p> <p>METHODS AND RESULTS: In pooled multivariable Cox regression analyses, we examined ... -
A Smartphone-Based Information Communication Technology Solution for Primary Modifiable Risk Factors for Noncommunicable Diseases: Pilot and Feasibility Study in Norway
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-25)Background: Cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes are the 4 main noncommunicable diseases. These noncommunicable diseases share 4 modifiable risk factors (tobacco use, harmful use of alcohol, physical inactivity, and unhealthy diet). Short smartphone surveys have the potential to identify modifiable risk factors for individuals to monitor trends. Objective: ... -
Tension between local, regional and national levels in Norway’s handling of COVID-19
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-03)Aims: This study aimed to explore the tension between local, regional, and national authorities evoked by some rural municipalities’ decisions to impose local infection-control measures during the first weeks of the COVID-19 pandemic in Norway. Methods: Eight municipal Chief Medical Officers of Health (CMOs) participated in semi-structured interviews, and six crisis management teams participated ... -
Complementary and alternative medicine modalities used to treat adverse effects of anti‑cancer treatment among children and young adults: a systematic review and meta‑analysis of randomized controlled trials
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-04-02)Background - Dealing with the symptom burden of cancer diagnosis and treatment has led parents to seek different self-management strategies including Alternative and Complementary Medicine (CAM). The aim of this study was to perform a systematic review and meta-analysis about the use and effect of CAM modalities to treat adverse effects of conventional cancer treatment among children and young ... -
Talking together in rural palliative care: a qualitative study of interprofessional collaboration in Norway
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-03-07)Background - Caring for people with palliative care needs in their homes requires close collaboration within and between primary and hospital care. However, such close collaboration is often lacking. Transitions of care are potentially unsafe and distressing points in a patient trajectory. Few studies have explored the experiences of healthcare professionals in the community who receive patients ... -
Circulating inflammatory cytokines and risk of five cancers: a Mendelian randomization analysis
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-11)Background - Epidemiological and experimental evidence has linked chronic inflammation to cancer aetiology. It is unclear whether associations for specific inflammatory biomarkers are causal or due to bias. In order to examine whether altered genetically predicted concentration of circulating cytokines are associated with cancer development, we performed a two-sample Mendelian randomisation (MR) ... -
Socioeconomic inequalities in physiological risk biomarkers and the role of lifestyles among Russians aged 35-69 years
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-04-15)Background: Socioeconomic inequalities in cardiovascular (CVD) health outcomes are well documented. While Russia has one of the highest levels of CVD mortality in the world, the literature on contemporary socio-economic inequalities in biomarker CVD risk factors is sparse. This paper aims to assess the extent and the direction of SEP inequalities in established physiological CVD risk biomarkers, ... -
Risk factors of anemia among preschool children in Ethiopia: a Bayesian geo-statistical model
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-07)Background - The etiology and risk factors of anemia are multifactorial and varies across context. Due to the geospatial clustering of anemia, identifying risk factors for anemia should account for the geographic variability. Failure to adjust for spatial dependence whilst identifying risk factors of anemia could give spurious association. We aimed to identify risk factors of anemia using a Bayesian ... -
Is amalgam removal in patients with medically unexplained physical symptoms cost-effective? A prospective cohort and modelling study in Norway
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-04-29)There are many patients in general practice with health complaints that cannot be medically explained. Some of these patients attribute their health complaints to dental amalgam restorations. This study examined the cost-effectiveness of the removal of amalgam restorations in patients with medically unexplained physical symptoms (MUPS) attributed to amalgam fillings compared to usual care, based ... -
Conventional health care service utilization among cancer survivors that visit traditional and complementary providers in the Tromsø study: a cross-sectional study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-11)Background: Traditional and complementary medicine (T&CM) is commonly used among cancer patients worldwide. Cancer patients in Norway mainly visit T&CM providers in addition to conventional health care services. It is not known how their utilization of T&CM providers influences their use of conventional health care services. The aim of this study was to investigate the difference between the ... -
Mellom hypoteser og tilfeldigheter
(Others; Andre, 2017)Dette er en personlig, objektiv beskrivelse av grunnlaget for Kvinner og Kreft, utviklingen over tid og samspillet mellom ideer, engasjement og tilfeldigheter. Over ca femti år er det meste forandret fra forskning drevet av nysgjerrighet til forskning som konkurranse. Det springende spørsmål er hva som gir best utbytte i fremtiden? Prosjekter har ofte en meget lang tidshorisont. Politiske og ...