Artikler, rapporter og annet (klinisk medisin): Recent submissions
Now showing items 401-420 of 1974
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Behandling av prostatakreft uten spredning: hurtigoversikt for samvalgsverktøy (oppdatering)
(Research report; Forskningsrapport, 2023)Prostatakreft er den nest hyppigst diagnostiserte kreftsykdommen blant menn over hele verden. Selv om forekomsten av prostatakreft er høy, er dødeligheten relativt lav. Begrepet lokalt begrenset prostatakreft spenner fra pasienter med lav risiko som ikke skal behandles, til høy risiko som skal behandles. Vi inkluderte en systematisk oversikt om effekten av kirurgi sammenlignet med aktiv overvåkning ... -
Associations of adolescent alcohol use and self-reported alcohol tolerance with risk of self-harm and suicide in early adulthood: a birth-cohort study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-11-17)Objective We aimed to assess the predictive associations of age at first drink (AFD), age at first intoxication (AFI), frequency of intoxication, and self-reported alcohol tolerance at age 15-16 to self-harm requiring medical attention or suicide death by age 33.<p> <p>Method In an ongoing follow-up study, the Northern Finland Birth Cohort 1986, a total of 7,735 individuals were included at age ... -
Home administration of needle injections for children with rheumatic diseases: A qualitative study on nurses’ perception of their educational role
(Journal article; Tidsskriftartikkel, 2022-04-28)<p><i>Purpose -</i> To explore nurses' perceptions of their educational role, pedagogical competence, and practice in teaching children with rheumatic diseases and their parents to manage subcutaneous injections at home. <p><i>Design and methods -</i> In this qualitative study, we used thematic analysis to analyze data from three focus groups with 14 nurses responsible for patient education at one ... -
Natural Language Processing and Psychosis: On the Need for Comprehensive Psychometric Evaluation
(Journal article; Tidsskriftartikkel, 2022-06-23)<p><i>Background and Hypothesis:</i> Despite decades of “proof of concept” findings supporting the use of Natural Language Processing (NLP) in psychosis research, clinical implementation has been slow. One obstacle reflects the lack of comprehensive psychometric evaluation of these measures. There is overwhelming evidence that criterion and content validity can be achieved for many purposes, ... -
Making wise decisions for completion thyroidectomies
(Journal article; Tidsskriftartikkel, 2022-11-25)<p>Unilateral differentiated thyroid cancer (DTC) <4 cm can be treated with thyroid lobectomy or total thyroidectomy (TT), depending on the presence of high-risk features. Information about some of these features, such as micrometastasis in lymph nodes or microscopic extrathyroidal extension (ETE), are usually incidental findings that only become available after histological assessment from the first ... -
The Risk of Venous Thromboembolism Attributed to Established Prothrombotic Genotypes
(Journal article; Tidsskriftartikkel, 2022-01-17)<p><i>Background -</i> The proportion of venous thromboembolism (VTE) events that can be attributed to established prothrombotic genotypes has been scarcely investigated in the general population. We aimed to estimate the proportion of VTEs in the population that could be attributed to established prothrombotic genotypes using a population-based case-cohort. <p><i>Methods -</i> Cases with incident ... -
Cross-Ancestry Investigation of Venous Thromboembolism Genomic Predictors
(Journal article; Tidsskriftartikkel, 2022)<p><i>Background:</i> Venous thromboembolism (VTE) is a life-threatening vascular event with environmental and genetic determinants. Recent VTE genome-wide association studies (GWAS) meta-analyses involved nearly 30 000 VTE cases and identified up to 40 genetic loci associated with VTE risk, including loci not previously suspected to play a role in hemostasis. The aim of our research was to expand ... -
Factors associated with treatment satisfaction in patients with hidradenitis suppurativa: results from the Global VOICE project
(Journal article; Tidsskriftartikkel, 2022-12-01)<p><i>Background</i> Nearly half of patients with hidradenitis suppurativa (HS) report dissatisfaction with their treatment. However, factors related to treatment satisfaction have not been explored. <p><i>Objectives</i> To measure associations between treatment satisfaction and clinical and treatment‐related characteristics among patients with HS. <p><i>Methods</i> Treatment satisfaction was ... -
The mental health consequences on children of the war in Ukraine: A commentary
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-08-18)The news from Ukraine is currently full of heart-wrenching stories accompanied by graphic images of civilian casualties and massacres that are telecast world-wide on a daily basis. It is hard to fathom the magnitude of the devastation and disruption to regular lives and everyday routines that war brings with it, the witnessing of countless deaths, the associated trauma of living in perpetual fear, ... -
Plasma levels of platelet-derived microvesicles are associated with risk of future venous thromboembolism
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-18)Background - Microvesicles (MVs) are small double‐membrane encapsulated particles shed from cells. Case‐control studies have reported elevated plasma levels of platelet‐derived MVs (PDMVs) in patients with venous thromboembolism (VTE). However, it is not known whether high PDMV levels is a risk factor or a consequence of the acute VTE event.<p> <p>Objectives - To investigate the association between ... -
Joint Effect of Multiple Prothrombotic Genotypes and Mean Platelet Volume on the Risk of Incident Venous Thromboembolism
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-07-31)Background - A high mean platelet volume (MPV), a marker of increased platelet reactivity, is a risk factor for venous thromboembolism (VTE). Whether established prothrombotic single nucleotide polymorphisms (SNPs) further increase the VTE risk in subjects with high MPV because of biological interaction remains unknown.<p> <p>Aim - To investigate the joint effect of high MPV and prothrombotic ... -
Prevalence of unruptured intracranial aneurysms: impact of different definitions-the Tromsø Study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-06-10)Background - Management of incidental unruptured intracranial aneurysms (UIAs) remains challenging and depends on their risk of rupture, estimated from the assumed prevalence of aneurysms and the incidence of aneurysmal subarachnoid haemorrhage. Reported prevalence varies, and consistent criteria for definition of UIAs are lacking. We aimed to study the prevalence of UIAs in a general population ... -
Physiological Impact of Hypothermia: The Good, the Bad, and the Ugly
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-22)Hypothermia is defined as a core body temperature of <35°C, and as body temperature is reduced the impact on physiological processes can be beneficial or detrimental. The beneficial effect of hypothermia enables circulation of cooled experimental animals to be interrupted for 1–2 h without creating harmful effects, while tolerance of circulation arrest in normothermia is between 4 and 5 min. This ... -
Perceived autonomy support in telerehabilitation by people with chronic respiratory disease: a mixed methods study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-12-24)Background - Autonomy-supportive health environments can assist patients in achieving behavior change and can influence adherence positively. Telerehabilitation may increase access to rehabilitation services, but creating an autonomy-supportive environment may be challenging.<p> <p>Research Question - To what degree does telerehabilitation provide an autonomy-supportive environment? What is the ... -
European Society for Radiotherapy and Oncology and European Organisation for Research and Treatment of Cancer consensus on re-irradiation: definition, reporting, and clinical decision making
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-09-26)Re-irradiation can be considered for local recurrence or new tumours adjacent to a previously irradiated site to achieve durable local control for patients with cancer who have otherwise few therapeutic options. With the use of new radiotherapy techniques, which allow for conformal treatment plans, image guidance, and short fractionation schemes, the use of re-irradiation for different sites is ... -
Independent Validation of a Risk Stratification Model Predicting Survival in Patients With Metastatic Hormone-sensitive Prostate Cancer
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-07-05)Background/Aim: The aim of this study was to analyze the survival predictions obtained from an online nomogram, originally developed in two US patient cohorts with metastatic hormone-sensitive prostate cancer, because clinical practice and survival outcomes may vary on an international level. Patients and Methods: A retrospective single-institution study of 197 patients, managed according to Norwegian ... -
Independent External Validation of the METSSS Model Predicting Survival after Palliative Radiotherapy
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-26)Background/Aim: A validation of the recently published METSSS model (developed from a large US database) predicting survival after palliative radiotherapy was performed. METSSS includes age, sex, cancer type, localization of distant metastases, comorbidity, and radiotherapy site. Patients and Methods: Both 1- and 5-year survival was assessed in the validation cohort. Deviations between model-predicted ... -
Classic pattern dyssynchrony is associated with outcome in patients with Fontan circulation
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-02)Background - Morbidity and mortality increase as Fontan patients age into adulthood. Limited studies have examined cardiac magnetic resonance and echocardiographic parameters to predict death and transplantation in children after the Fontan operation. The aim of this study was to investigate echocardiographic parameters in adolescents and adults after Fontan operation, including myocardial mechanics ... -
Increasing access to cognitive screening in the elderly: Applying natural language processing methods to speech collected over the telephone
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-08-30)Barriers to healthcare access are widespread in elderly populations, with a major consequence that older people are not benefiting from the latest technologies to diagnose disease. Recent advances in the automated analysis of speech show promising results in the identification of cognitive decline associated with Alzheimer's disease (AD), as well as its purported pre-clinical stage. We utilized ... -
Implementation of Locoregional Adjuvant Radiotherapy for Breast Cancer in a Rural Healthcare Region: Toxicity Outcomes in the Initial Cohort
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-29)Background/Aim: The aim of this study was to analyze the toxicity of locoregional adjuvant breast cancer radiotherapy after implementation of this service in a rural healthcare region with long travel distance. Patients and Methods: This was a retrospective single-institution analysis of 87 consecutive female patients (the initial cohort), managed with conventionally fractionated 3-D conformal ...