Doktorgradsavhandlinger (Helsefak): Recent submissions
Now showing items 161-180 of 761
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Guanylate cyclase activators and stimulators. Potential cardiovascular therapeutics, with special focus on the right ventricle
(Doctoral thesis; Doktorgradsavhandling, 2022-09-09)<p><i>Background -</i> Soluble guanylate cyclase, sGC, is a major contributor to the signal transduction in the cardiovascular system, and dysfunction in the NO-sGC-cGMP signaling plays an important role in cardiovascular disease. This system is sensitive to a wide variety of pathological conditions spanning from substrate shortage to sGC-insensitivity to nitric oxide (NO), during pathological ... -
Optimizing medication therapy in older hospitalized patients. Identifying potentially inappropriate medications and testing an interdisciplinary intervention
(Doctoral thesis; Doktorgradsavhandling, 2022-08-26)The overall aim of this thesis is to provide knowledge on potentially inappropriate medications (PIMs) in hospitalized older patients and to investigate how clinical pharmacist services in an interdisciplinary setting can contribute to medication optimization and improve patient outcomes. First, we used national health registers to investigate how admissions to Norwegian geriatric hospital wards ... -
Novel screening methods for nanoscale changes in liver cell fenestrations elicited by pharmaceuticals
(Doctoral thesis; Doktorgradsavhandling, 2022-08-19)This thesis focuses on liver sinusoidal endothelial cells (LSEC) and one of their characteristic features called fenestrations. LSEC line the hepatic sinusoids and filter solutes from the plasma. The bidirectional transport of solutes between the bloodstream and the interior of the liver is facilitated via transcellular nanopores called fenestrations. Fenestrations are dynamic structures with diameters ... -
Venous Air Embolism and Complement-driven Thromboinflammation. In vitro human whole blood studies and in vivo porcine studies on the effect of air emboli on the complement system, cytokine network, and the hemostasis
(Doctoral thesis; Doktorgradsavhandling, 2022-09-27)<p><i>Background:</i> Air embolism may complicate many medical procedures and cause vascular occlusion, organ infarctions, or death. In vitro, air triggers the alternative complement pathway and activates platelets. Previous studies of air emboli were conducted in serum, plasma, or heparin anticoagulated whole blood, with ambient air present in tubes, precluding detailed examination of thromboinflammation. ... -
Antimicrobial activity and mode of action - Examples from natural products, peptides, and peptidomimetics
(Doctoral thesis; Doktorgradsavhandling, 2022-08-12)Infections caused by bacteria are the third leading cause of death worldwide. Antimicrobials are used to treat and prevent those infections and enabled the development of the modern healthcare system as we know it. However, those achievements are threatened by the global emergence of antimicrobial-resistant bacteria. There is an obvious need for developing new antimicrobials. Natural environments, ... -
Myocardial metabolic, structural and functional remodelling following nutritional and hormonal stress
(Doctoral thesis; Doktorgradsavhandling, 2022-06-22)The overall aim of this thesis was to increase our knowledge related to the underlying mechanisms of diabetes-induced cardiomyopathy. The primary objective of the first two papers was to elucidate the role of the reactive oxygen species (ROS) producing enzyme, NADPH oxidase 2 (NOX2), in the development of cardiac dysfunction in obesity/diabetes. We also wanted to examine the potential link between ... -
Risk Factors and Triggers of Venous Thromboembolism in Patients with Myocardial Infarction
(Doctoral thesis; Doktorgradsavhandling, 2022-06-17)<p>During the past decades, extensive data from the general population have revealed that patients with acute myocardial infarction (MI) are at increased risk of venous thromboembolism (VTE, i.e., deep vein thrombosis [DVT] and pulmonary embolism [PE]). The risk is highest in the initial 0-6 months following an acute MI, and declines rapidly thereafter. The explanation for the observed association ... -
Geographic and socioeconomic variation in the utilisation of specialist health care services in Norway – Three selected health care services
(Doctoral thesis; Doktorgradsavhandling, 2022-06-21)<p>The overall theme of this thesis is geographic and socioeconomic variation in the use of specialist health care services. Three different health care services were studied. Complete population data on individual level with high level of quality from nationwide registries (i.e., The Norwegian Patient Registry, The Cancer Registry of Norway and Statistics Norway) were used in the analysis. <p>The ... -
Prediction of outcome in patients with severe aortic stenosis treated with transcatheter aortic valve implantation
(Doctoral thesis; Doktorgradsavhandling, 2022-06-17)Surgical aortic valve replacement (SAVR) has until the last decade been the standard treatment for patients with aortic stenosis (AS). However, many patients were not offered surgical treatment due to high age or unacceptable surgical risk estimated by surgical risk scores. Transcatheter aortic valve implantation (TAVI) is a less invasive treatment modality where the valve is implanted using a ... -
Microscopy Meets Nanomedicine: The Challenge of Liposomes. Selecting, Understanding, and Adapting Imaging Techniques to Localize and Characterize Nanocarriers
(Doctoral thesis; Doktorgradsavhandling, 2022-06-10)Nanocarriers have brought several medical advances through better diagnostics and improved drug therapy. Yet, many promising preclinical findings were never translated into clinical success, consequently slowing drug development, and increasing its financial burden. By reliably predicting the nanoparticle fate at in vitro stages, the disappointment of suboptimal in vivo outcome could be avoided. To ... -
Vitamin D: Relations with Sleep and Bone Mineral Density. Insights from the Tromsø Study and randomized controlled trials
(Doctoral thesis; Doktorgradsavhandling, 2022-06-10)In this thesis, the relationship between vitamin D and health-related outcomes has been investigated. More than 21,000 individuals participated in the Tromsø Study 2015-16. The participants donated blood samples and filled in questionnaires regarding their health status, including questions about their sleep health. Using these data, the association between vitamin D and sleep duration, daytime ... -
Optimising breast reconstruction. A clinical study on autologous breast reconstruction
(Doctoral thesis; Doktorgradsavhandling, 2022-06-03)Denne avhandlingen omhandler metoder for å optimalisere utfallet av brystrekonstruksjon ved bruk av kroppseget vev. Det første delarbeidet beskriver en kirurgisk teknikk som kombinerer to lapper fra henholdsvis buken (DIEP og TRAM lapper) og ytre deler av brystkassen (LICAP lapp) for å oppnå større volum og penere fasong på det rekonstruerte brystet hos kvinner med lite overskuddsvev på buken. LICAP ... -
Physical performance, physical and perceived health, and the use of healthcare services in a population of adults with intellectual disability
(Doctoral thesis; Doktorgradsavhandling, 2022-06-07)<p><i>Bakgrunn:</i> Voksne med utviklingshemming har dårligere fysisk og selvrapportert helse, og mindre tilgang til helsetjenester sammenlignet med generell befolkning. Dette har vært lite undersøkt i Norge. <p><i>Formål:</i> Øke kunnskap om helse og fysisk funksjon hos voksne med utviklingshemming. Undersøke faktorer assosiert med gjennomføring av fysiske funksjonstester, samt fysisk og selvopplevd ... -
Cerebral structural and functional changes in adolescent females with anorexia nervosa
(Doctoral thesis; Doktorgradsavhandling, 2022-05-25)Cerebral structural changes are associated with acute AN. Volume reduction is found in several regions, but it is unclear if this is a global phenomenon and how other morphological measures are affected. Cortical thickness (CTh) and surface area (CSA) are morphometrics that are less studied and develop with different trajectories in adolescence, when AN normally debuts. Alterations in the brains ... -
A short-form personality measure for military personnel selection: Psychometric investigation and perspectives on usage
(Doctoral thesis; Doktorgradsavhandling, 2022-05-20)This doctoral thesis aimed to evaluate the psychometric properties and the practical use of a newly developed self-report personality measure for the Armed Forces, the Norwegian Military Personality Inventory (NMPI). Three published studies contributed to this end. Study 1 explored associations between candidate personality traits and leadership competency ratings at an officer selection program. ... -
A novel dual-task paradigm for evaluating the interplay between gait, cognition, and hearing loss in normal aging and MCI: Effects of Dichotic Listening during overground walking
(Doctoral thesis; Doktorgradsavhandling, 2022-05-12)The association between gait and cognition in aging has been widely studied with the help of dual-task paradigms consisting of walking while simultaneously performing a cognitive task. However, previous dual-task research has lacked consistency in methods. In this doctoral work, we introduced a novel dual-task paradigm including Dichotic Listening (DL) performed concomitantly with walking overground. ... -
Discovery and detection of phase-II metabolites of exogenous steroids in anti-doping analysis
(Doctoral thesis; Doktorgradsavhandling, 2022-04-29)Anti-doping measures are an essential part of professional sports around the world. Anabolic androgenic steroids have been among the most widely used illicit substance classes since the early days of the fight against doping. The conventional method for analysing these substances is gas chromatography combined with mass spectrometry (GC-MS). This approach is sensitive and selective but also very ... -
Multiple sclerosis in Northern Norway, epidemiology and comorbidity
(Doctoral thesis; Doktorgradsavhandling, 2022-04-25)<p><i>Background:</i> Multiple sclerosis (MS) is a severe chronic inflammatory disease in the central nervous system, mainly affecting young adults. The prevalence varies between different parts of the world, but the general rule is that it increases with increasing latitude. Studies on comorbid conditions in MS are limited, but this topic have gained increasing interest. <p><i>Aims:</i> To describe ... -
Molar-Incisor Hypomineralization (MIH). Prevalence among 16-year-old adolescents: A case-control study of children with a low Apgar score at birth and a study on tooth formation and antibiotics in mice
(Doctoral thesis; Doktorgradsavhandling, 2022-04-22)<p><i>Background/Aims:</i> Molar-Incisor Hypomineralization (MIH) is one of the most common dental developmental disorders with a global prevalence of 13%. The etiology of MIH is still elusive. The aims of this thesis were to report the prevalence of MIH in northern Norway, to investigate a possible association between birth asphyxia and MIH, and to document the effect of antibiotics on the developing ... -
Epigenetics in Inflammatory Bowel Disease. Contribution of DNA methylation to Ulcerative Colitis pathogenesis
(Doctoral thesis; Doktorgradsavhandling, 2022-04-08)Ulcerative colitis (UC) is a chronic, inflammatory disease of the gastrointestinal tract, primarily affecting the colon. Along with Crohn’s disease (CD) they constitute the most common subtypes of inflammatory bowel disease (IBD). Genetic variants can only explain approximately 20 % of all IBD cases, indicating a more complex pathogenesis which is not fully understood. It has been implied that an ...