Institutt for klinisk medisin: Recent submissions
Now showing items 141-160 of 1907
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Serum Markers of Neuronal Damage and Astrocyte Activity in Patients with Chronic Epilepsy: Elevated Levels of Glial Fibrillary Acidic Protein
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-02-07)Objectives. Blood-brain barrier (BBB) dysfunction is one of the key pathogenic mechanisms in the development of epilepsy. There is therefore an increasing need to identify BBB biomarkers as these will have prognostic and therapeutic implications. The purpose of this study was to assess the levels of the BBB permeability markers, glial fibrillary acidic protein (GFAP), neuron-specific enolase ... -
Nasjonal anbefaling for utredning og behandling av døgnrytmelidelser
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023)Nasjonal kompetansetjeneste for søvnsykdommer (fra 2023: Nasjonalt senter for søvnmedisin) nedsatte høsten 2022 en arbeidsgruppe for å utvikle en nasjonal anbefaling for utredning og behandling av døgnrytmelidelser. Gruppen bestod av personer med ulik yrkesbakgrunn (allmennlege, psykolog, psykiater, klinisk nevrofysiolog, fysiolog, sykepleier), som alle har forskningskompetanse innen fagområdet. ... -
No effect of omega-3 polyunsaturated fatty acid supplementation on inflammatory markers in familial hypercholesterolemia: a randomized crossover trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-31)Individuals with familial hypercholesterolemia (FH) have increased cardiovascular risk despite lipid-lowering therapy, and additional therapy is warranted. Omega-3 polyunsaturated fatty acid (n-3 PUFA) supplements have demonstrated an effect on cardiovascular endpoints in some clinical trials. Platelet-modifying and anti-inflammatory properties are among the proposed beneficial effects of n-3 PUFA. ... -
Reflections on the nature of measurement in language-based automated assessments of patients' mental state and cognitive function
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-09-22)Modern advances in computational language processing methods have enabled new approaches to the measurement of mental processes. However, the field has primarily focused on model accuracy in predicting performance on a task or a diagnostic category. Instead the field should be more focused on determining which computational analyses align best with the targeted neurocognitive/psychological functions ... -
Maternal mortality related to pulmonary embolism in the United States, 2003–2020
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-09-23)BACKGROUND - Pulmonary embolism is a leading cause of maternal morbidity and mortality in Western countries. In the United States, pulmonary embolism–related mortality rates have plateaued in the general population after an initial decrease in the past 20 years.<p> <p>OBJECTIVE - This study aimed to describe the changes in pulmonary embolism–related maternal mortality rates in the United States ... -
Does it make sense to use written instruments to assess communication skills? Systematic review on the concurrent and predictive value of written assessment for performance
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-12-23)Objectives - To evaluate possible associations between learners’ results in written and performance-based assessments of communication skills (CS), either in concurrent or predictive study designs.<p> <p>Methods - Search included four databases for peer-reviewed studies containing both written and performance-based CS assessment. Eleven studies met the inclusion criteria.<p> <p>Results - ... -
Incidence of venous thromboembolism, recurrence, and bleeding after isolated superficial vein thrombosis: findings from the Venous Thrombosis Registry in Østfold Hospital
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-10-31)Background - There are limited data on the long-term risk of venous thromboembolism (VTE) after high-risk isolated superficial vein thrombosis (iSVT) treated with anticoagulants.<p> <p>Objectives - To determine the short- and long-term risk of VTE and iSVT recurrence after cessation of anticoagulant treatment and to calculate 45-day cumulative bleeding incidence in patients with iSVT.<p> <p>Methods ... -
Combined effect of high factor VIII levels and high mean platelet volume on the risk of future incident venous thromboembolism
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-06-29)Background - High factor VIII (FVIII) levels and large platelets, as reflected by a high mean platelet volume (MPV), are separately associated with increased risk of venous thromboembolism (VTE). Whether the combination of high FVIII levels and large platelets has a supra-additive effect on VTE risk is unknown.<p> <p>Objectives - We aimed to investigate the joint effect of high FVIII levels and ... -
The Risk of Incident Venous Thromboembolism Attributed to Overweight and Obesity: The Tromso Study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-08-07)Background: Obesity is a well-established risk factor for venous thromboembolism (VTE). However, data on the proportion of incident VTEs attributed to overweight and obesity in the general population are limited.<p> <p>Objective: To investigate the population attributable fraction (PAF) of VTE due to overweight and obesity in a population-based cohort with repeated measurements of body mass index ... -
Brain Metastases: Is There Still a Role for Whole-Brain Radiation Therapy?
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-27)Whole-brain radiation therapy (WBRT) has commonly been prescribed to palliate symptoms from brain metastases, to reduce the risk of local relapse after surgical resection, and to improve distant brain control after resection or radiosurgery. While targeting micrometastases throughout the brain can be considered advantageous, the simultaneous exposure of healthy brain tissue might cause adverse events. ... -
Flexible and Biocompatible Antifouling Polyurethane Surfaces Incorporating Tethered Antimicrobial Peptides through Click Reactions
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-11-27)Efficient, simple antibacterial materials to combat implant-associated infections are much in demand. Herein, the development of polyurethanes, both cross-linked thermoset and flexible and versatile thermoplastic, suitable for “click on demand” attachment of antibacterial compounds enabled via incorporation of an alkyne-containing diol monomer in the polymer backbone, is described. By employing ... -
Global Transcriptome Analysis Reveals Distinct Phases of the Endothelial Response to TNF
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-11-29)The vascular endothelium acts as a dynamic interface between blood and tissue. TNF-α, a major regulator of inflammation, induces endothelial cell (EC) transcriptional changes, the overall response dynamics of which have not been fully elucidated. In the present study, we conducted an extended time-course analysis of the human EC response to TNF, from 30 min to 72 h. We identified regulated genes and ... -
Dying at “home” - a qualitative study of end-of-life care in rural Northern Norway from the perspective of health care professionals
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-12-05)Background - ‘Most patients want to die at home’ is a familiar statement in palliative care. The rate of home deaths is therefore often used as a success criterion. However, providing palliative care and enabling patients to die at home in rural and remote areas may be challenging due to limited health care resources and geographical factors. In this study we explored health care professionals’ ... -
Global Effect of Modifiable Risk Factors on Cardiovascular Disease and Mortality.
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023)BACKGROUND - Five modifiable risk factors are associated with cardiovascular disease and death from any cause. Studies using individual-level data to evaluate the regional and sex-specific prevalence of the risk factors and their effect on these outcomes are lacking.<p> <p>METHODS - We pooled and harmonized individual-level data from 112 cohort studies conducted in 34 countries and 8 geographic ... -
Implementering av DBT i en rural kontekst. [Implementing DBT in a rural context]. Psykologtidskriftet.
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-08-01)ABSTRACT Background and purpose: Dialectical behaviour therapy (DBT) is a widespread evidence-based method of treating emotionally unstable personality disorder, but the method has barely been studied in a rural context. The purpose of this study is to identify rural challenges for the four treatment channels of DBT, to pinpoint implicit urban starting points in DBT, and to suggest possible adaptations ... -
The novel bacteriocin romsacin from Staphylococcus haemolyticus inhibits Gram-positive WHO priority pathogens
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-10-31)Staphylococcus haemolyticus is an increasingly relevant nosocomial pathogen. The combination of multi-drug resistance and ability to form biofilms makes S. haemolyticus infections difficult to treat. Bacteriocins are ribosomally synthesized antimicrobial peptides produced by bacteria to inhibit growth of often closely related bacteria. Due to differences in the modes of action between bacteriocins ... -
Performance of creatinine-based equations to estimate glomerular filtration rate in White and Black populations in Europe, Brazil and Africa
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-08-24)Background - A new Chronic Kidney Disease Epidemiology Collaboration equation without the race variable has been recently proposed (CKD-EPIAS). This equation has neither been validated outside USA nor compared with the new European Kidney Function Consortium (EKFC) and Lund-Malmö Revised (LMREV) equations, developed in European cohorts.<p> <p>Methods - Standardized creatinine and measured glomerular ... -
C1 inhibitor deficiency enhances contact pathway–mediated activation of coagulation and venous thrombosis
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-05-11)C1 inhibitor (C1INH) is a multifunctional serine protease inhibitor that functions as a major negative regulator of several biological pathways, including the contact pathway of blood coagulation. In humans, congenital C1INH deficiency results in a rare episodic bradykinin-mediated swelling disorder called hereditary angioedema (HAE). Patients with C1INH deficiency–associated HAE (C1INH-HAE) have ... -
Prognostic factors and independent validation of a risk stratification model in octogenarian patients irradiated for brain metastases
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-01-25)Background/Aim: This study aimed at validation of a prognostic model, originally developed by Rades et al., in an age-restricted, particularly vulnerable subgroup of patients with brain metastases, because international variations in clinical practice and survival outcomes may impact on the performance of survival prediction tools. Patients and Methods: Retrospectively, data from a single institution ... -
Independent validation of a risk stratification model predicting survival in elderly patients irradiated for bone metastases
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-02)Background/Aim: Many patients with bone metastases receive palliative radiotherapy. However, treatment personalization tools are needed, due to heterogeneous survival. The aim of this study was to analyze the validity of the prognostic survival model, originally developed by Rades et al., because international variations in clinical practice and survival outcomes may impact on the performance of ...