Doktorgradsavhandlinger (Helsefak): Nye registreringer
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Three essays on health and labour market participation
(Doctoral thesis; Doktorgradsavhandling, 2023-03-23)‘Good health for all’ and ‘employment for all’ are two widely agreed-upon goals in Norwegian politics. Nevertheless, considerable inequalities in health exist, and the economic sustainability of public pensions is pressured by a substantial increase in life expectancy. Improving our understanding of inequalities in health and the relationship between health detriments and labour market participation ... -
Exploring the genomes of the Norwegian vancomycin resistant enterococci
(Doctoral thesis; Doktorgradsavhandling, 2023-03-24)Enterococci are gram-positive commensals in the human gut microbiota that may cause severe infections, especially in immunocompromised and hospitalised patients. Their ability to accumulate antimicrobial resistance and virulence genes has been vital in their evolution into leading pathogens. Vancomycin resistant enterococci (VRE) are among the most important resistant pathogens causing outbreaks ... -
Physical activity and the structure and function of the left side of the heart
(Doctoral thesis; Doktorgradsavhandling, 2023-03-16)Current knowledge about the relationship between exercise and cardiac remodelling is mostly based on studies of athletes. Little is known about cardiac adaptations to moderate doses of exercise in the general adult and elderly population, and whether exercise-induced cardiac remodelling is a benign physiological adaption of exercise or part of a pathophysiological mechanism. The main objective of ... -
The immune microenvironment in oral squamous cell carcinoma – characterization and prognostic markers
(Doctoral thesis; Doktorgradsavhandling, 2018-09-27)Oral squamous cell carcinomas (OSSCs) are aggressive tumors often associated with a low survival rate. The immune system influences the development of OSCCs, and the immune infiltrate surrounding the cancer cells is an indicator of the host’s anti-tumor response. The main aim of this thesis was to describe how the tumor microenvironment in OSCC is organized, and to determine whether different subsets ... -
Regional Variation in Utilisation of Healthcare Services - A study on hospital care in Norway
(Doctoral thesis; Doktorgradsavhandling, 2023-02-28)<p><i>Background:</i> In 1938, J. Alison Glover published a study on incidence of tonsillecto-mies in school children, demonstrating variation in treatment rates across school districts. Consequently, it rates raised questions as to what determines when to treat a patient. After Wennberg and Gittelsohns’ paper ‘Small Area Variations in Health Care Delivery’ was pub-lished in 1973, it became clear ... -
Obesity-related venous thromboembolism
(Doctoral thesis; Doktorgradsavhandling, 2023-02-22)Venous thromboembolism (VTE), a collective term for deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common and multicausal disease. Obesity is a major and likely causal risk factor for VTE. However, to what extent obesity contributes to VTE risk in the general population and the mechanism of obesity-related VTE remain poorly understood. The overall aim of this thesis was (i) to ... -
Cardiovascular disease: risk assessment, total risk, and primary prevention in the general population. Insights from the Tromsø Study
(Doctoral thesis; Doktorgradsavhandling, 2023-02-20)Cardiovascular disease (CVD) is a major cause of mortality and morbidity, calling for an active preventive approach. Elevated blood pressure and cholesterol, smoking, diabetes, unhealthy diet, inactivity, and obesity are key risk factors for CVD development. Several risk factors combined may put an individual at a high total CVD risk. To measure total CVD risk, we used the NORRISK 2 score that ... -
Parental cognitive vulnerability during the perinatal period and its effect on mental health and the parent-infant relationship. Results from the NorBaby-study
(Doctoral thesis; Doktorgradsavhandling, 2023-02-10)Perinatal periode er en krevende overgang i livet, som medfører økt risiko for psykiske helseutfordringer. Nedsatt psykisk helse hos foreldrene utgjør risiko for foreldre-barn relasjonen og for barnets utvikling. Gjennom samspillet med sine omsorgsgivere utvikler barnet emosjonsregulering og sosiale ferdigheter. Foreldre som blir fanget i repeterende negative tanker kan ha lite kapasitet til å plukke ... -
Child Mental Health in Nepal. An epidemiological study of emotional and behavioral problems (EBP) among Nepali schoolchildren reported by parents and teachers
(Doctoral thesis; Doktorgradsavhandling, 2023-01-20)<p><i>Background -</i> There is a substantial gap in our knowledge about the prevalence, magnitude, and correlates of child emotional and behavioral problems (EBPs) in Nepal. Little is known about the agreement between parent and teacher reports on EBP among Nepali children. Therefore, a large-scale survey in the general population was undertaken to fill this gap. <p><i>Methods -</i> This is a ... -
Towards interprofessional patient care: Health profession students exploring interprofessional collaboration in group meetings in joint clinical placement
(Doctoral thesis; Doktorgradsavhandling, 2023-01-20)The aim of this study is to develop knowledge about how health profession students learn interprofessional collaboration in group meetings during a joint voluntary period of practice. It is an observational study. Interprofessional student groups were followed throughout a two-week practice period. The groups had a mandate to independently develop interprofessional collaboration in the healthcare ... -
A study of occupational health among mine workers in Murmansk Oblast, Russia
(Doctoral thesis; Doktorgradsavhandling, 2014-05-27)The mining industry is growing in the north, with the largest mining communities located in North Russia. Increased knowledge about the health and work conditions of the employees is important in order to enhance safety and prevention of ill health. The aim of the study was to describe how the health of mine workers in Murmansk oblast is assessed, determine the prevalence of low back pain (LBP) as ... -
Inflammation and Sleep as Risk Factors for Psychological Distress During Adolescence. The influence of low-grade inflammation and sleep duration on psychological distress in girls and boys aged 15-18 years. The Fit Futures study
(Doctoral thesis; Doktorgradsavhandling, 2023-01-06)<p><i>Background:</i> Onset of depression and psychological distress increase dramatically during adolescence. In adults, research has indicated that low-grade inflammation and short sleep duration are risk factors for depression. Less research has been conducted on these risk factors in healthy adolescents. <p><i>Methods:</i> This thesis explores associations between two respective exposures 1) ... -
Alcohol and aging: A longitudinal study of alcohol habits and health effects due to alcohol consumption in old adulthood
(Doctoral thesis; Doktorgradsavhandling, 2022-12-15)Alcohol use is a leading risk factor for injuries, mortality and the burden of disease. Alcohol consumption among older adults varies considerably, depending on factors such as age, social class, education, ethnicity, time period and geographical setting. Furthermore, the health effects associated with alcohol consumption in old age are an under researched area. The overall aim of this thesis was ... -
Providing a short and effective transdiagnostic treatment intervention and a valid outcome measure for adolescent with anxiety and depression. A randomized controlled trial of the SMART intervention and validation of the CORE-OM in adolescents aged 14 to 17
(Doctoral thesis; Doktorgradsavhandling, 2022-12-15)Anxiety and depression are the most prevalent mental health problems among children and adolescents, and the consequences can be harmful if they are left untreated. Providing short and effective treatment for this group is paramount. When this effectiveness study of The Structured Material for Therapy (SMART) was conducted, it was the first Randomized Controlled Trial (RCT) of short-term transdiagnostic ... -
Optimising drug therapy in older patients. Exploring different approaches across the patient pathway
(Doctoral thesis; Doktorgradsavhandling, 2022-12-14)<p><i>Background -</i> Drug therapy contributes to healthy aging but has a key duality: It prolongs and can improve quality of life, but drugs can also cause serious harm. Harm from drugs include falls, cognitive decline, lowered quality of life, hospitalisation, and death. Older patients are especially at risk for harm from drug therapy, therefore optimising drug therapy is imperative for this ... -
Family care strategies in an unpredictable ICU environment. ICU nurses’ and physicians’ interprofessional and individual strategies for critically ill ICU patients’ families – a qualitative study
(Doctoral thesis; Doktorgradsavhandling, 2022-12-13)<p><i>Background:</i> Critical illness not only disrupts the patient’s life, but also the lives of close family members. The care provided by ICU nurses and physicians can reduce the family members’ burden and improve the patient's outcome. Previous research shows that although ICU families generally report high satisfaction, there are several barriers to family care and areas for improvement. Family ... -
Falsifiable Network Models. A Network-based Approach to Predict Treatment Efficacy in Ulcerative Colitis
(Doctoral thesis; Doktorgradsavhandling, 2022-12-09)This work is focused on understanding the treatment efficacy of patients with ulcerative colitis (UC) using a network-based approach. UC is one of two forms of inflammatory bowel disease (IBD) along with Crohn’s disease. UC is a debilitating condition characterized by chronic inflammation and ulceration of the colon and rectum. UC symptoms occur gradually rather than abruptly, and the degree of ... -
Some systemic markers of inflammation in older adults with psychiatric disorders
(Doctoral thesis; Doktorgradsavhandling, 2022-12-02)Research has demonstrated that inflammation is a central part of several psychiatric disorders, of which depression in the most researched condition. Most studies have, however, been conducted on younger adults, and studies on elderly are scarce. This thesis explores the possible association between systemic markers of inflammation and characteristics of older psychiatric patients. In study I, ... -
Understanding the development of information literacy in higher education: Knowing, doing, and feeling
(Doctoral thesis; Doktorgradsavhandling, 2022-11-25)Information literacy (IL) is the ability to recognize when information is needed and to find, evaluate, and effectively use this information. The aim of this doctoral research was to study the development of IL in undergraduates over three years, including their knowledge, skills, and attitudes, and the relationships among the three. Mixed methods were employed to better understand the totality of ... -
Hip fractures in Norway – Inequity in treatment and outcomes
(Doctoral thesis; Doktorgradsavhandling, 2022-11-11)Målet med forskningsprosjektet var å belyse variasjon i behandling og utfall etter hoftebrudd i Norge, kartlegge forklaringer på og konsekvensene av variasjon, vurdere risikofaktorer for død etter hoftebrudd og deres relative betydning. I tillegg ønsket man å vurdere overlevelsesmønsteret og estimere varigheten av overdødelighet etter hoftebrudd. Prosjektet var en observasjonsstudie ...