Artikler, rapporter og annet (klinisk medisin): Recent submissions
Now showing items 1601-1620 of 1974
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Combined inhibition of complement and CD14 improved outcome in porcine polymicrobial sepsis
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-11-27)Introduction: Sepsis is an exaggerated and dysfunctional immune response to infection. Activation of innate immunity recognition systems including complement and the Toll-like receptor family initiate this disproportionate inflammatory response. The aim of this study was to explore the effect of combined inhibition of the complement component C5 and the Toll-like receptor co-factor CD14 on survival, ... -
Gene expression profiling of Gram-negative bacteria-induced inflammation in human whole blood: The role of complement and CD14-mediated innate immune response
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-05-30)Non-sterile pathogen-induced sepsis and sterile inflammation like in trauma or ischemia–reperfusion injury may both coincide with the life threatening systemic inflammatory response syndrome and multi-organ failure. Consequently, there is an urgent need for specific biomarkers in order to distinguish sepsis from sterile conditions. The overall aim of this study was to uncover putative sepsis ... -
The influence of mental health, psychosocial factors and educational skills on educational aspirations among indigenous Sámi and nonindigenous adolescents in the Arctic
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-09-18)Background: Mental health and psychosocial factors seem to influence the educational aspirations of adolescents, which are also known to be related to educational skills and sociodemographic factors such as gender, ethnicity, religious affiliation, and socioeconomic status. Previously, the relationship between educational aspirations and mental health, psychosocial factors, and educational and ... -
Adherence and factors affecting satisfaction in long-term telerehabilitation for patients with chronic obstructive pulmonary disease: a mixed methods study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-02-25)<i>Background</i>: Telemedicine may increase accessibility to pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD), thus enhancing long-term exercise maintenance. We aimed to explore COPD patients’ adherence and experiences in long-term telerehabilitation to understand factors affecting satisfaction and potential for service improvements.<p> <p><i>Methods</i>: A two-year pilot ... -
The Tromsø Study: Fit Futures: a study of Norwegian adolescents' lifestyle and bone health
(Journal article; Tidsskriftartikkel; Peer reviewed, 2014-06-04)Summary: Bone mass achievement predicts later fracture risk. This population-based study describes bone mineral density levels (BMD) and associated factors in Norwegian adolescents. Compared with international reference ranges, BMD levels appear higher and physical activity levels are positively associated with BMD. <p>Purpose: Norway has one of the highest reported incidences of osteoporotic ... -
Estimated GFR is biased by non-traditional cardiovascular risk factors
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-01-23)Background: Estimated glomerular filtration rate (eGFR) based on either cystatin C or creatinine perform similarly in estimating measured GFR, but associate differently with cardiovascular disease (CVD) and mortality. This could be due to confounding by non-GFRrelated traits associated with cystatin C and creatinine levels. We investigated non-GFRrelated associations between eGFR and two types ... -
Randomized trial of a novel game-based appointment system for a university hospital venereology unit: Study protocol
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-04-08)<p>Background: Chlamydia is the most common reportable sexually transmitted disease (STD) in Norway, and its incidence in the two northernmost counties has been disclosed to be nearly the double of the Norwegian average. The latest publicly available rates showed that 85.6% of the new cases were diagnosed in people under 29 years old. The information and communication technologies are among the ... -
Plectin as a prognostic marker in non-metastatic oral squamous cell carcinoma
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-08-26)<p>Background: Oral squamous cell carcinoma (OSCC) is associated with a poor 5-year survival rate. In general, patients diagnosed with small tumors have a fairly good prognosis, but some small tumors have an aggressive behavior leading to early death. There are at present no reliable prognostic biomarkers for oral cancers. Thus, to optimize treatment for the individual patient, there is a need ... -
Tissue remodelling following resection of porcine liver
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-06)Aim. To study genes regulating the extracellular matrix (ECM) and investigate the tissue remodelling following liver resection in porcine. <p>Methods. Four pigs with 60% partial hepatectomy- (PHx-) induced liver regeneration were studied over six weeks. Four pigs underwent sham surgery and another four pigs were used as controls of the normal liver growth. Liver biopsies were taken upon laparotomy, ... -
ST waveform analysis vs. cardiotocography alone for intrapartum fetal monitoring: A systematic review and meta-analysis of randomized trials
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015)Key message: ST waveform analysis is purposed to be better for labor surveillance than conventional CTG. We quantified the efficacy of these two methods, assessing quality of the scientific evidence with the GRADE tool, and determined that evidence is insufficient to justify the use of ST waveform analysis as intrapartum monitoring. -
Health Impact Index. Development and Validation of a Method for Classifying Comorbid Disease Measured against Self-Reported Health.
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-02-05)The objective of this study was to develop a method of classifying comorbid conditions that accounts for both the severity and joint effects of the diseases. The Tromsø Study is a cohort study with a longitudinal design utilizing a survey approach with physical examinations in the Tromsø municipality from 1974 to 2008, where in total 40051 subjects participated. We used Tromsø 4 as reference population ... -
CD14 and complement crosstalk and largely mediate the transcriptional response to Escherichia coli in human whole blood as revealed by DNA microarray
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-02-23)Systemic inflammation like in sepsis is still lacking specific diagnostic markers and effective therapeutics. The first line of defense against intruding pathogens and endogenous damage signals is pattern recognition by e.g., complement and Toll-like receptors (TLR). Combined inhibition of a key complement component (C3 and C5) and TLR-co-receptor CD14 has been shown to attenuate certain systemic ... -
Airway management by physician-staffed Helicopter Emergency Medical Services – a prospective, multicentre, observational study of 2,327 patients
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-08-07)<p>Background: Despite numerous studies on prehospital airway management, results are difficult to compare due to inconsistent or heterogeneous data. The objective of this study was to assess advanced airway management from international physician-staffed helicopter emergency medical services. <p>Methods: We collected airway data from 21 helicopter emergency medical services in Australia, England, ... -
Can Auditory Brainstem Response be Used as a Diagnostic Tool for Patients Suffering from Schizophrenia, Attention Deficit Hyperactivity Disorder, and Bipolar Disorder?
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-02-12)<p>Background: Psychiatric disorders, such as schizophrenia, attention deficit hyperactivity disorder (ADHD), and bipolar disorder, may sometimes be difficult to diagnose. There is a great need for a valid and reliable diagnostic tool to aid clinicians in arriving at the diagnoses in a timely and accurate manner. Prior studies have suggested that patients suffering from schizophrenia and ADHD may ... -
Risk factors, complications and survival after upper abdominal surgery: A prospective cohort study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-07-07)<p>Background: Preoperative weight loss and abnormal serum-albumin have traditionally been associated with reduced survival. More recently, a correlation between postoperative complications and reduced long-term survival has been reported and the significance of the relative proportion of skeletal muscle, visceral and subcutaneous adipose tissue has been examined with conflicting results. We ... -
Local inpatient units may increase patients' utilization of outpatient services: A comparative cohort-study in Nordland County, Norway
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-10-28)Objectives: In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care. <p>Methods: Two ... -
Hyperglycemia, Assessed by HbA1c, and Future Risk of Venous Thromboembolism - The Tromsø Study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2014-03-05)Background: Glycated hemoglobin (HbA1c), a marker of average plasma glucose during the last 8-12 weeks, is associated with future risk of cardiovascular disease (CVD) and all-cause mortality. Objectives: To examine the association between hyperglycemia, assessed by HbA1c, and future risk of VTE in a population based cohort. Methods: HbA1c was measured in 16 156 unique subjects (25-87 years) ... -
IP-10 differentiates between active and latent tuberculosis irrespective of HIV status and declines during therapy
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-01-15)Objectives: Biomarkers for diagnosis and therapy efficacy in tuberculosis (TB) are requested. We have studied biomarkers that may differentiate between active and latent TB infection (LTBI), the influence of HIV infection and changes during anti-TB chemotherapy. Methods: Thirty-eight plasma cytokines, assessed by multiplex and enzyme immunoassays, were analyzed in patients with active TB before ... -
Impact of incident venous thromboembolism on risk of arterial thrombotic diseases
(Journal article; Tidsskriftartikkel; Peer reviewed, 2013-11-22)BACKGROUND: Growing evidence supports an association between venous thromboembolism (VTE) and arterial thrombotic diseases (ie, myocardial infarction and ischemic stroke). We aimed to study the association between VTE and future arterial events and to determine the population attributable risk of arterial events by VTE in a large prospective cohort recruited from the general population. METHODS AND ... -
Unexplained severe lactic acidosis in emergency medicine
(Journal article; Tidsskriftartikkel; Peer reviewed, 2013-10-20)Case report A 49-year-old previously healthy man was admitted to the ICU after cardiac arrest following a short history with headache, blurred speech and reduced consciousness. After cardiopulmonary resuscitation perfusion rhythm was regained, but the patient didn`t regain consciousness. The arterial blood gas analysis at the ICU revealed a severe metabolic acidosis with pH at 6.86 and lactate ...