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Teismann T, Forkmann T, Glaesmer H, Alpers GW, Brakemeier EL, Brockmeyer T, Christiansen H, Fehm L, Glombiewski J, Heider J, Hermann A, Hoyer J, Kaiser T, Klucken T, Lincoln TM, Lutz W, Margraf J, Pedersen A, Renneberg B, Rubel J, Rudolph A, Schöttke H, Schwartz B, Stark R, Velten J, Willutzki U, Wilz G, In-Albon T. Prevalence of suicidal ideation in German psychotherapy outpatients: A large multicenter assessment. J Affect Disord 2024; 351:971-976. [PMID: 38346649 DOI: 10.1016/j.jad.2024.02.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Revised: 01/30/2024] [Accepted: 02/07/2024] [Indexed: 02/17/2024]
Abstract
BACKGROUND Suicidal ideation is a major concern in clinical practice. Yet, little is known about prevalence rates of suicidal ideation in patients undergoing outpatient psychotherapeutic treatment. Therefore, the aim of the current study is to assess the prevalence of suicidal ideation in a large sample of psychotherapy outpatients in Germany. The data analyzed in this study is taken from the KODAP-project on the coordination of data collection and analysis at German university-based research and training outpatient clinics for psychotherapy. METHODS A total of N = 10,357 adult outpatients (64.4 % female; age: M(SD) = 35.94 (13.54), range: 18-92 years of age) starting cognitive-behavioral therapy at one of 27 outpatient clinics in Germany were included in the current study. Prevalence of suicidal ideation was assessed with the Suicide Item (Item 9) of the Beck-Depression Inventory II. RESULTS Suicidal ideation was reported by 36.7 % (n = 3795) of the participants. Borderline Personality Disorder, Posttraumatic Stress Disorder, and recurrent Major Depression were the diagnoses most strongly associated with the presence and severity of suicidal ideation. LIMITATION Suicide ideation was assessed only with the respective item of the Beck Depression Inventory II. CONCLUSION Suicidal ideation is very common among adult patients who start psychotherapy in Germany. A well-founded knowledge of risk assessment in suicidal patients and suicide-specific treatment options is therefore highly relevant.
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Affiliation(s)
- T Teismann
- Mental Health Research and Treatment Center, Department of Psychology, Ruhr-Universität Bochum, Germany.
| | - T Forkmann
- Clinical Psychology and Psychotherapy, Universität Duisburg-Essen, Germany.
| | - H Glaesmer
- Medical Psychology and Medical Sociology, Universität Leipzig, Germany.
| | - G W Alpers
- Otto Selz Institute & Department of Psychology, School of Social Sciences, University of Mannheim, Germany.
| | - E L Brakemeier
- Clinical Psychology and Psychotherapy, Universität Greifswald, Germany.
| | - T Brockmeyer
- Clinical Psychology and Psychotherapy, University of Goettingen, Germany.
| | - H Christiansen
- Clinical Child and Adolescent Psychology, Philipps-Universität Marburg, Germany.
| | - L Fehm
- Institute for Psychology, Humboldt-Universität zu Berlin, Germany.
| | - J Glombiewski
- Clinical Psychology and Psychotherapy of Adulthood, University of Kaiserslautern-Landau, Germany.
| | - J Heider
- Clinical Psychology and Psychotherapy of Adulthood, University of Kaiserslautern-Landau, Germany.
| | - A Hermann
- Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Germany.
| | - J Hoyer
- Faculty of Psychology, Technische Universität Dresden, Germany.
| | - T Kaiser
- Methods and Evaluation/Quality Assurance, Freie Universität Berlin, Germany.
| | - T Klucken
- Clinical Psychology and Psychotherapy, Universität Siegen, Germany.
| | - T M Lincoln
- Clinical Psychology and Psychotherapy, Universität Hamburg, Germany.
| | - W Lutz
- Clinical Psychology and Psychotherapy, Universität Trier, Germany.
| | - J Margraf
- Mental Health Research and Treatment Center, Department of Psychology, Ruhr-Universität Bochum, Germany
| | - A Pedersen
- Clinical Psychology and Psychotherapy, Kiel University, Germany.
| | - B Renneberg
- Clinical Psychology and Psychotherapy, Freie Universität Berlin, Germany.
| | - J Rubel
- Clinical Psychology and Psychotherapy of Adulthood, Universität Osnabrück, Germany.
| | - A Rudolph
- Clinical Psychology and Psychotherapy, Universität Leipzig, Germany.
| | - H Schöttke
- Clinical Psychology and Psychotherapy, Universität Osnabrück, Germany.
| | - B Schwartz
- Clinical Psychology and Psychotherapy, Universität Trier, Germany.
| | - R Stark
- Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Germany.
| | - J Velten
- Mental Health Research and Treatment Center, Department of Psychology, Ruhr-Universität Bochum, Germany
| | - U Willutzki
- Clinical Psychology and Psychotherapy, Faculty of Health, University Witten/Herdecke, Germany.
| | - G Wilz
- Counseling and Clinical Intervention, Department of Psychology, Friedrich-Schiller Universität Jena.
| | - T In-Albon
- Clinical Child and Adolescent Psychology and Psychotherapy, University of Kaiserslautern-, Landau, Germany.
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Nielsen KA, Jogvansson B, Valsamidis AN, Pedersen A, Tulloh B, de Beaux A, Helligsø P, Mogensen CB, Nielsen MF. P-014 RISK FACTORS FOR SHORT- AND LONG-TERM COMPLICATIONS FOLLOWING VENTRAL HERNIA REPAIR WITH THE PERITONEAL FLAP TECHNIQUE. Br J Surg 2022. [DOI: 10.1093/bjs/znac308.114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Aim
The peritoneal flap technique has been introduced for the repair of complex abdominal wall defects. The present study was conducted to determine the association between preoperative risk factors and the incidence of short and long-term complications.
Material & Methods
Patients undergoing abdominal wall repair between January 2010 and September 2020 were included in the study. Patient files were retrospectively reviewed and the presence of risk-factors and the incidence of postoperative short and long-term complications were recorded. A multivariable logistic regression analysis was used to estimate odds ratio (OR) for postoperative complications.
Results
327 patients were included. 48.0% were male. Median body mass index(BMI) was 30.9, 13.8% had diabetes and 23.2% were active smokers. Median defect size was 8 cm2 and median mesh size was 667.5 cm2. Median length of hospital stay was 5 days. 13.1% of patients developed a superficial wound infection, 10.4% seroma and 1.2% skin necrosis. Chronic pain was observed in 4.6% and recurrence in 2.4%. The regression analysis demonstrated a stepwise increase in OR for short and long-term complications. This risk was increased by 10% per unit BMI (P<0.01). Smoking and hernial defect size contributed only to a minor extent to the risk of postoperative complications.
Conclusion
The peritoneal flap method is a safe procedure associated with a low risk of recurrence. The risk of complications is associated with BMI whereas smoking and hernial defect size only contributes to a minor extent.
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Affiliation(s)
- K A Nielsen
- General surgery, Hospital of Southern Denmark , Aabenraa , Denmark
| | - B Jogvansson
- General surgery, Hospital of Southern Denmark , Aabenraa , Denmark
| | - A N Valsamidis
- General surgery, Hospital of Southern Denmark , Aabenraa , Denmark
| | - A Pedersen
- Clinical Research, Hospital of Southern Denmark , Aabenraa , Denmark
| | - B Tulloh
- Upper GI Surgery, Royal Infirmary of Edinburgh , Edinburgh , United Kingdom
| | - A de Beaux
- Upper GI Surgery, Royal Infirmary of Edinburgh , Edinburgh , United Kingdom
| | - P Helligsø
- General surgery, Hospital of Southern Denmark , Aabenraa , Denmark
| | - C B Mogensen
- Clinical Research, Hospital of Southern Denmark , Aabenraa , Denmark
| | - M F Nielsen
- General surgery, Hospital of Southern Denmark , Aabenraa , Denmark
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Kommers IO, Eijgelaar RS, Barkhof F, Bouget D, Pedersen A, Ardon H, Bello L, Berger MS, Bouwknegt W, Conti Nibali M, Furtner J, Han SJ, Han SJ, Hervey-Jumper S, Hervey-Jumper S, Idema AJS, Kiesel B, Kloet A, Nandoe Tewarie R, Mandonnet E, Reinertsen I, Robe PA, Rossi M, Sciortino T, Solheim O, van den Brink WA, Vandertop PW, Wagemakers M, Widhalm G, Witte MG, Zwinderman AH, De Witt Hamer PC. P11.37.B When to resect or biopsy for patients with supratentorial glioblastoma: a multivariable prediction model. Neuro Oncol 2022. [DOI: 10.1093/neuonc/noac174.226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
The prospects of a patient with suspected glioblastoma may rely heavily on the indication for surgical resection versus biopsy only. Biopsy percentages vary considerably across hospitals and guidelines for treatment of glioblastoma lack criteria for surgical decision-making. To identify patient and tumor characteristics associated with the decision to resect or biopsy a glioblastoma and to develop and validate a prediction model for decision support.
Material and Methods
Clinical data and pre-operative MRI scans were collected for adults who underwent first-time surgery for supratentorial glioblastoma from a registry-based cohort study of 12 hospitals from the Netherlands, Germany, France, Italy, and the United States between 1st of January 2007 and 31st of December 2011. The main outcome was the type of surgical procedure: surgical resection or biopsy only. Predictors were patient- and tumor-related characteristics. Radiological factors were extracted from MRI using an automated tumor segmentation method. A prediction model was constructed using multivariable logistic regression analysis. The model was cross-validated and externally validated with a leave-one-hospital-out approach.
Results
Out of 1053 patients treated for glioblastoma, 28% underwent biopsy only. Biopsy rates varied from 15-40% across hospitals. The prediction model showed excellent discrimination with an average area under the curve of 0.86. Of the patient-related characteristics, younger age was associated more with resection and Karnofsky Performance Score of 60 or less with biopsy. Of the tumor-related characteristics, a location in the right hemisphere, unifocality, no tumor midline crossing, and no involvement of the cortical spinal tract, were associated with resection, as well as a high expected resectability index, a location in the right occipital lobe, and a higher percentage of tumor in Schaefer’s dorsal or ventral attention, limbic, and default networks. External validation proved acceptable to outstanding discrimination with areas under the curve ranging between 0.79 and 0.92 for hospitals.
Conclusion
A prediction model is presented and validated to support the decision to resect or to biopsy a patient with a suspected supratentorial glioblastoma. In this prediction model, tumor-related characteristics were more informative than patient-related factors. This may support surgical decision-making for individual patients, or facilitate comparisons of patient cohorts between surgeons or institutions.
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Affiliation(s)
- I O Kommers
- Department of Neurosurgery, Amsterdam University Medical Centers, Vrije Universiteit , Amsterdam , Netherlands
- Cancer Center Amsterdam, Brain Tumor Center, Amsterdam University Medical Centers , Amsterdam , Netherlands
| | - R S Eijgelaar
- Department of Neurosurgery, Amsterdam University Medical Centers, Vrije Universiteit , Amsterdam , Netherlands
- Cancer Center Amsterdam, Brain Tumor Center, Amsterdam University Medical Centers , Amsterdam , Netherlands
| | - F Barkhof
- Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Vrije Universiteit , Amsterdam , Netherlands
- Institutes of Neurology and Healthcare Engineering, University College London , London , United Kingdom
| | - D Bouget
- Department of Health Research, SINTEF Digital , Trondheim , Norway
| | - A Pedersen
- Department of Health Research, SINTEF Digital , Trondheim , Norway
| | - H Ardon
- Department of Neurosurgery, Twee Steden Hospital , Tilburg , Netherlands
| | - L Bello
- Neurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Humanitas Research Hospital, Università Degli Studi di Milano , Milano , Italy
| | - M S Berger
- Department of Neurological Surgery, University of California San Francisco , San Fransisco, CA , United States
| | - W Bouwknegt
- Medische Kliniek Velsen , Velsen , Netherlands
| | - M Conti Nibali
- Neurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Humanitas Research Hospital, Università Degli Studi di Milano , Milano , Italy
| | - J Furtner
- Department of Biomedical Imaging and Image-Guided Therapy, Medical University Vienna , Wien , Austria
| | - S J Han
- Department of Neurological Surgery, Oregon Health & Science University , Portland, OR , United States
| | - S J Han
- Department of Neurological Surgery, Oregon Health & Science University , Portland, OR , United States
| | - S Hervey-Jumper
- Department of Neurological Surgery, University of California San Francisco , San Fransisco, CA , United States
| | - S Hervey-Jumper
- Department of Neurological Surgery, University of California San Francisco , San Fransisco, CA , United States
| | - A J S Idema
- Department of Neurosurgery, Northwest Clinics , Alkmaar , Netherlands
| | - B Kiesel
- Department of Neurosurgery, Medical University Vienna, , Wien , Austria
| | - A Kloet
- Department of Neurosurgery, Haaglanden Medical Center , The Hague , Netherlands
| | - R Nandoe Tewarie
- Department of Neurosurgery, Haaglanden Medical Center , The Hague , Netherlands
| | - E Mandonnet
- Department of Neurological Surgery, Hôpital Lariboisière , Paris , France
| | - I Reinertsen
- Department of Health Research, SINTEF Digital , Trondheim , Norway
| | - P A Robe
- Department of Neurology and Neurosurgery, University Medical Center Utrecht , Utrecht , Netherlands
| | - M Rossi
- Neurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Humanitas Research Hospital, Università Degli Studi di Milano , Milano , Italy
| | - T Sciortino
- Neurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Humanitas Research Hospital, Università Degli Studi di Milano , Milano , Italy
| | - O Solheim
- Department of Neurosurgery, St. Olavs University Hospital , Trondheim , Norway
- Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology , Trondheim , Norway
| | | | - P W Vandertop
- Department of Neurosurgery, Amsterdam University Medical Centers, Vrije Universiteit , Amsterdam , Netherlands
- Cancer Center Amsterdam, Brain Tumor Center, Amsterdam University Medical Centers , Amsterdam , Netherlands
| | - M Wagemakers
- Department of Neurosurgery, University Medical Center Groningen, University of Groningen , Groningen , Netherlands
| | - G Widhalm
- Department of Neurosurgery, Medical University Vienna , Wien , Austria
| | - M G Witte
- Department of Radiation Oncology, The Netherlands Cancer Institute , Amsterdam , Netherlands
| | - A H Zwinderman
- Department of Clinical Epidemiology and Biostatistics, Amsterdam University Medical Centers, University of Amsterdam , Amsterdam , Netherlands
| | - P C De Witt Hamer
- Department of Neurosurgery, Amsterdam University Medical Centers, Vrije Universiteit , Amsterdam , Netherlands
- Cancer Center Amsterdam, Brain Tumor Center, Amsterdam University Medical Centers , Amsterdam , Netherlands
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4
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Pedersen JK, Risbo N, Pedersen A, Wang L, Havregaard Sørensen C, Andersen K, Ellingsen T. OP0067 MORE THAN SIX-FOLD INCREASED MORTALITY RISK IN PATIENTS WITH INCIDENT RHEUMATOID ARTHRITIS AND DEPRESSION IN A LARGE COHORT WITH 10-YEAR FOLLOW-UP. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.1414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundThe occurrence of depression is increased in patients with rheumatoid arthritis (RA) compared with the background population. (1) Recently, we described that in RA the most frequent indication for filling antidepressant prescriptions is depression and the frequency of filling coincides with the occurrence of depression reported in the scientific literature. (2) In patients with stroke, depression defined as filling of antidepressants or a diagnosis with depression is associated with increased mortality risk and the risk is similar for both definitions of depression. (3)ObjectivesWe used the first filling of antidepressants as proxy for depression with the objective to describe the mortality risk associated with depression in patients with incident RA.MethodsWe included patients diagnosed with incident RA (index date) from the nationwide DANBIO register (4) from January 1, 2008 to September 30, 2018. Participants were identified by unique personal registration numbers. Included patients were without a recorded filling of methotrexate (Anatomic Therapeutic Chemical code L01BA01) and antidepressants (N06A) in the Danish National Prescription Register or recorded hospital contacts with RA and depression (International Classification of Diseases (version 10) codes M05, M06, F32) in the Danish National Patient Register, three years prior to the index date. From the index date, we defined depression as first filling of antidepressants and collected death dates from the Danish Civil Registration System. The participants were followed until December 31, 2018 and all-cause mortality estimated in two dynamic risk periods: the period from the index date until first filling of antidepressants (if it occurred) and the period after filling of antidepressants. We calculated hazard rate ratios (HRR) by modelling filling of antidepressants as time-varying exposure for total follow-up and adjusted for potential confounders defined a priori: age, sex, comorbidity, cohabitation, employment status, highest attained education, and income. Cumulative mortality was described by Kaplan-Meier curves. Results were reported with 95% confidence intervals (CI).ResultsAmong 11,071 RA patients followed for 56,993 person-years, 1,095 (10%) filled prescriptions for antidepressants. The median age at diagnosis was 61 years, 66% were female, and 64% diagnosed with seropositive RA. Adjusted HRR was highest in the age group <55 years but also increased between 55-70 years, >70 years, among females and males, and in patients diagnosed with seropositive and seronegative RA (Table 1). The cumulative mortality is seen in Figure 1.Table 1.StrataHRR (95% CI)CrudeAdjustedAge, years<558.40 (4.20-16.80)6.66 (2.80-15.85)55-703.27 (2.35-4.54)3.30 (2.27-4.80)>702.97 (2.36-3.75)2.94 (2.26-3.83)SexFemale3.72 (2.95-4.70)2.91 (2.22-3.81)Male3.10 (2.32-4.15)3.70 (2.66-5.14)RA diagnosisSeropostive (M05)3.73 (2.99-4.65)3.45 (2.66-4.47)Seronegative (M06)2.85 (2.07-3.91)3.08 (2.17-4.37)Figure 1.ConclusionDepression, defined as first filling of antidepressants, was associated with more than six-fold increased mortality risk in patients with incident RA.References[1]Matcham F, et al. The prevalence of depression in rheumatoid arthritis: A systematic review and meta-analysis. Rheumatology 2013;52:2136-48.[2]Pedersen JK, et al. No difference in antidepressant prescription in rheumatoid arthritis and controls. Results from a population-based, matched inception cohort. Scand J Rheumatol. 2021; Jun 29:1-7.[3]Jørgensen TSH, et al. Incidence of depression after stroke, and associated risk factors and mortality outcomes, in a large cohort of Danish patients. JAMA Psychiatry 2016;73:1032-1040.[4]Ibfelt EH, et al. The Danish nationwide clinical register for patients with rheumatoid arthritis: DANBIO. Clin Epidemiol 2016;8:737-42.AcknowledgementsThe study was supported by the Danish Rheumatism Association.Disclosure of InterestsNone declared.
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Kaur KP, Chaudry MS, Chamat-Hedemand S, Larsen AR, Pedersen A, Fosboel EL, Oestergaard L, Torp-Pedersen C, Bruun NE. Risk of infective endocarditis in patients with Staphylococcus aureus blood stream infection and declining kidney function. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Worldwide, Staphylococcus aureus (S.aureus) is one the most common causes of infective endocarditis (IE), particularly in dialysis patients. However, the association between mildly and moderately decreased kidney function and IE in patients with S.aureus blood stream infection (SAB) has not been examined.
Purpose
In a retrospective nation-wide study, to evaluate the association between IE and declining kidney function in SAB patients.
Methods
All patients with first-time SAB between January 1st, 1996 to December 31st, 2018 were identified from a national database including >90% of all patients with SAB. By cross-linking with other nationwide databases, co-morbidities were recorded. The population was divided into 4 groups according to eGFR: group 1 (eGFR ≥90), group 2 (eGFR 30–89), group 3 (eGFR <30) and group 4 (Renal Replacement Therapy dependent). Patients were followed until the outcome of IE. Changes in co-morbidities across the eGFR groups were tested with the Cochran-Armitage test. In a multivariable logistic regression analysis, the odds ratio (OR) of IE was calculated for each eGFR group while adjusting for age, sex, hypertension, diabetes, native valve disease (NVD), prosthetic valve, and cardiac implantable electronic device (CIED).
Results
Among 17,759 SAB patients, 1,098 were diagnosed with IE. The male population accounted for 60–70% of the IE patients in each eGFR group (Table 1). The overall median age of S.aureus IE patients was 61.5 [48–72] with the highest median age in group 2 (67 [57–76]). Across the eGFR groups, there was a significant increase in the prevalence of diabetes (12.6% in group 1 to 47.0% in group 4), hypertension (18.9% in group 1 to 80% in group 4) and native valve disease (18.7% in group 1 to 36.4% in group 4), p<0.0001. In a multivariate analysis with group 1 as reference, the adjusted OR of S.aureus IE increased significantly with OR 1.16 [95% CI 1.01–1.34] in group 2 to OR 1.42 [95% CI 1.07–1.87] in group 3. The increase was not significant in group 4, OR 1.63 [95% CI 0.95–2.53]. The OR of S.aureus IE decreased with increasing age groups and OR was 0.55 [95% CI 0.43–0.71] among patients >80 years as compared to the reference age group, 18–39 years. A significantly increased OR of S.aureus IE was found among patients with NVD (OR 3.25 [95% CI 2.22–4.76]), prosthetic valve (OR 6.31 [95% CI 5.10–7.79] and CIED (OR 2.88 [95% CI 2.35–3.53]). The overall in-hospital mortality was 16.4% (n=181), with the highest mortality in group 3 (n=11, 22.3%). Overall, the one-year mortality was 26.6% (n=292), and the highest mortality was found in group 4 (n=29, 34.1%). When adjusting for age and sex, mortality did not differ significantly with declining eGFR.
Conclusion
In this study, we found a significant increase in the odds ratio of IE in patients with SAB when kidney function decreased. Both in-hospital and one-year mortality were high, but did not differ significantly across the eGFR groups.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- K P Kaur
- Zealand University Hospital, Department of Cardiology, Roskilde, Denmark
| | - M S Chaudry
- Herlev and Gentofte Hospital, Department of Cardiology, Copenhagen, Denmark
| | - S Chamat-Hedemand
- Zealand University Hospital, Department of Cardiology, Roskilde, Denmark
| | - A R Larsen
- Statens Serum Institut, Copenhagen, Denmark
| | - A Pedersen
- Statens Serum Institut, Copenhagen, Denmark
| | - E L Fosboel
- Rigshospitalet - Copenhagen University Hospital, The Heart Center, Copenhagen, Denmark
| | - L Oestergaard
- Rigshospitalet - Copenhagen University Hospital, The Heart Center, Copenhagen, Denmark
| | - C Torp-Pedersen
- Aalborg University Hospital, Department of Cardiology and Clinical Epidemiology, Aalborg, Denmark
| | - N E Bruun
- Zealand University Hospital, Department of Cardiology, Roskilde, Denmark
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Kristensen VA, Opheim R, Perminow G, Huppertz-Hauss G, Detlie TE, Lund C, Andersen S, Olsen BC, Johansen I, Medhus AW, Vatn S, Brackmann S, Olbjørn C, Rove J, Henriksen M, Løvlund EE, Bengtson MB, Aabrekk TB, Tønnessen T, Vikskjold FB, Yassin H, Frigstad SO, Hasund A, Høie O, Schmidt K, Cetinkaya RB, Torp R, Skogestad E, Holm HK, Ahmad TR, Hovde Ø, Ystrøm CM, Aballi B, Sagosen A, Pedersen A, Dahler S, Pallenschat J, Ricanek P, Høivik ML. Inflammatory bowel disease in South-Eastern Norway III (IBSEN III): a new population-based inception cohort study from South-Eastern Norway. Scand J Gastroenterol 2021; 56:899-905. [PMID: 34154494 DOI: 10.1080/00365521.2021.1922746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND AIM Modern treatment strategies for inflammatory bowel disease (IBD) are postulated to change the natural disease course. Inception cohort studies are the gold standard for investigating such changes. We have initiated a new population-based inception cohort study; Inflammatory bowel disease in South Eastern Norway III (IBSEN III). In this article, we describe the study protocol and baseline characteristics of the cohort. METHODS IBSEN III is an ongoing, population-based observational inception cohort study with prospective follow-up. Adult and pediatric patients with suspected IBD in the South-Eastern Health Region of Norway (catchment area of 2.95 million inhabitants in 2017), during the 3-year period from 2017 to 2019, were eligible for inclusion. Comprehensive clinical, biochemical, endoscopic, demographic, and patient-reported data were collected at the time of diagnosis and throughout standardized follow-up. For a portion of the patients, extensive biological material was biobanked. RESULTS The study included 2168 patients, of whom 1779 were diagnosed with IBD (Crohn's disease: 626, ulcerative colitis: 1082, IBD unclassified: 71). In 124 patients, there were subtle findings indicative of, but not diagnostic for, IBD. The remaining 265 patients were classified as symptomatic non-IBD controls. CONCLUSION We have included patients in a comprehensive population-based IBD cohort from a catchment population of 2.95 million, and a unique biobank with materials from newly diagnosed and treatment-naïve IBD patients and symptomatic non-IBD controls. We believe this cohort will add important knowledge about IBD in the years to come.
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Affiliation(s)
- Vendel A Kristensen
- Department of Gastroenterology, Oslo University Hospital, Oslo, Norway.,Unger-Vetlesen Institute, Lovisenberg Diaconal Hospital, Oslo, Norway
| | - Randi Opheim
- Department of Gastroenterology, Oslo University Hospital, Oslo, Norway.,Department of Nursing Science, Institute of Health and Society, University of Oslo, Oslo, Norway
| | - Gøri Perminow
- Pediatric Department, Oslo University Hospital, Oslo, Norway
| | | | - Trond Espen Detlie
- Department of Gastroenterology, Akershus University Hospital, Lørenskog, Norway.,Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Charlotte Lund
- Department of Gastroenterology, Oslo University Hospital, Oslo, Norway.,Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Svend Andersen
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway.,Department of Paediatrics, Vestfold Hospital Trust, Tønsberg, Norway
| | - Bjørn C Olsen
- Department of Gastroenterology, Telemark Hospital, Skien, Norway.,Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Ingunn Johansen
- Department of Health Sciences, Østfold University college, Halden, Norway
| | - Asle W Medhus
- Department of Gastroenterology, Oslo University Hospital, Oslo, Norway
| | - Simen Vatn
- Department of Gastroenterology, Akershus University Hospital, Lørenskog, Norway.,Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Stephan Brackmann
- Department of Gastroenterology, Akershus University Hospital, Lørenskog, Norway.,Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Christine Olbjørn
- Department of Paediatric and Adolescent Medicine, Akershus University Hospital, Lørenskog, Norway
| | - Jon Rove
- Department of Paediatric and Adolescent Medicine, Akershus University Hospital, Lørenskog, Norway
| | - Magne Henriksen
- Department of Gastroenterology, Østfold Hospital Trust, Grålum, Norway
| | | | | | | | - Tor Tønnessen
- Department of Gastroenterology, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway
| | - Florin Berge Vikskjold
- Department of Pediatric and Adolescent medicine, Drammen Hospital Vestre Viken Hospital Trust
| | - Hussain Yassin
- Department of Pediatrics, Telemark Hospital, Skien, Norway
| | - Svein Oskar Frigstad
- Department of Medicine, Baerum Hospital, Vestre Viken Hospital Trust, Gjettum, Norway
| | - Audun Hasund
- Department of Medicine, Sorlandet Hospital Kristiansand, Kristiansand, Norway
| | - Ole Høie
- Department of Internal Medicine, Sørlandet Sykehus Arendal, Arendal, Norway
| | - Katharina Schmidt
- Department of Pediatric and Adolescent Medicine, Sørlandet Sykehus Arendal, Arendal, Norway
| | | | - Roald Torp
- Medical Department, Innlandet Hospital Trust, Hamar, Norway
| | - Erik Skogestad
- Medical Department, Innlandet Hospital Trust, Lillehammer, Norway
| | | | - Tahir Riaz Ahmad
- Department of Medicine, Lovisenberg Diakonale Sykehus, Oslo, Norway
| | - Øistein Hovde
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway.,Department of Medicine, Innlandet Hospital Trust, Gjøvik, Norway
| | | | - Batool Aballi
- Pediatric Department, Innlandet Hospital Trust, Elverum, Norway
| | - Arnt Sagosen
- Department of Medicine, Kongsberg Hospital, Vestre Viken Hospital Trust, Kongsberg, Norway
| | - Aina Pedersen
- Department of Medicine, Kongsvinger Hospital, Kongsvinger, Norway
| | - Stein Dahler
- Department of Medicine, Notodden Hospital, Notodden, Norway
| | - Jens Pallenschat
- Department of Medicine, Sørlandet Hospital Flekkefjord, Flekkefjord, Norway
| | - Petr Ricanek
- Department of Gastroenterology, Akershus University Hospital, Lørenskog, Norway
| | - Marte Lie Høivik
- Department of Gastroenterology, Oslo University Hospital, Oslo, Norway.,Institute of Clinical Medicine, University of Oslo, Oslo, Norway
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Pedersen A, Greenhalgh M, Tan M, Terry R, Royle C, Royles K. 534 ADVANCED COMMUNICATION SKILLS: TEACHING DURING A PANDEMIC. Age Ageing 2021. [DOI: 10.1093/ageing/afab117.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
In the first wave of the COVID-19 pandemic, it was recognised there would be an increased demand on clinicians to provide patients and relatives with bad news. The national ban on hospital visiting rapidly changed the way in which this news would be delivered. In recognition of these new challenges, our team sought to design a teaching course that could be implemented quickly and cost effectively, with the aim of improving clinician’s confidence around these difficult skills.
Methods
A teaching programme was created using senior geriatric and palliative care clinicians as simulated patients, open to any grade and speciality. Learners were required to break bad news (BBN) without any visual feedback, to simulate skills required when using the telephone. Surveys were collected to determine self–assessed confidence across four domains (Table 1) before, immediately after and 4–20 weeks after the course. Participants were asked to rank their confidence for each skill on a 5 point scale with 1 being very unsure and 5 being very confident.
Results
Pre-teaching scores showed an average of 3 (neither confident nor unsure) across all domains. After the course all domains improved, most notably around discussing end of life (EoL) care and discussing information over the phone.
Conclusion
This project has highlighted a lack of confidence across all skill levels when it comes to BBN. This confidence is easily improved by a short, cost-effective teaching course. It remains to be seen if this improved confidence translates to better communication with relatives.
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Henriksen C, Paur I, Pedersen A, Kværner A, Ræder H, Henriksen H, Bøhn S, Wiedswang G, Smeland S, Blomhoff R. Agreement between GLIM-criteria and PG-SGA category for the diagnosis of malnutrition depends on screening tool. Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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9
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Slack RJ, Hirani N, Gibbons MA, Simpson A, Ford P, Leffler H, Nilsson UJ, Sethi T, Pedersen A, Schambye H, Maher T, MacKinnon AC. Translational pharmacology of TD139, an inhaled small molecule galectin‐3 (Gal‐3) inhibitor for the treatment of idiopathic pulmonary fibrosis (IPF). FASEB J 2020. [DOI: 10.1096/fasebj.2020.34.s1.02311] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | - T.M. Maher
- Royal Brompton and Harefield NHS Foundation Trust
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10
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Muloi D, Ward M, Hassell J, Bettridge J, Robinson T, Pedersen A, Kang’ethe E, Kariuki S, Fèvre E, Woolhouse M. One Health genomic epidemiology of antimicrobial resistant Escherichia coli carriage in sympatric humans and livestock in Nairobi, Kenya. J Infect Public Health 2020. [DOI: 10.1016/j.jiph.2020.01.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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11
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Vilches-Moraga A, Springall N, Rowley M, Khan H, Paracha A, Price A, Pedersen A, Miguel-Alhambra L, Fox J. 67THE OLDER EMERGENCY GENERAL SURGERY PATIENT. FACTORS PRESENT AT THE TIME OF HOSPITAL ADMISSION THAT ARE PREDICTIVE OF DEATH AT 12-MONTHS: SALFORD POPS-GS. Age Ageing 2019. [DOI: 10.1093/ageing/afy214.04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- A Vilches-Moraga
- Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust
- School of Medicine, University of Manchester
| | - N Springall
- Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust
| | - M Rowley
- Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust
| | - H Khan
- Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust
| | - A Paracha
- Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust
| | - A Price
- Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust
| | - A Pedersen
- Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust
| | - L Miguel-Alhambra
- Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust
| | - J Fox
- Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust
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12
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Pedersen A, Howe A, Earnshaw C, Akbar S, Chmiel W, Choonara H, Jalil H, Logue G, Evans J, Gaillemin O, Vilches-Moraga A. 1SHOP-75: SAFER HANDOVER FOR OLDER PEOPLE 75+. Age Ageing 2019. [DOI: 10.1093/ageing/afy211.01] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - A Howe
- Salford Royal NHS Foundation Trust
| | | | - S Akbar
- Salford Royal NHS Foundation Trust
| | - W Chmiel
- Salford Royal NHS Foundation Trust
| | | | - H Jalil
- Salford Royal NHS Foundation Trust
| | - G Logue
- Salford Royal NHS Foundation Trust
| | - J Evans
- Salford Royal NHS Foundation Trust
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13
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Olsson M, Stanne TM, Pedersen A, Lorentzen E, Kara E, MartinezâPalacian A, RÃnnow Sand NP, Jacobsen AF, Sandset PM, Sidelmann JJ, EngstrÃm G, Melander O, Kanse SM, Jern C. Genome-wide analysis of genetic determinants of circulating factor VII-activating protease (FSAP) activity. J Thromb Haemost 2018; 16:2024-2034. [PMID: 30070759 PMCID: PMC6485504 DOI: 10.1111/jth.14258] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Indexed: 01/17/2023]
Abstract
Essentials Knowledge of genetic regulators of plasma factor VII activating protease (FSAP) levels is limited. We performed a genome-wide analysis of variants influencing FSAP activity in Scandinavian cohorts. We replicated an association for Marburg-1 and identified an association for a HABP2 stop variant. We identified a novel locus near ADCY2 as a potential additional regulator of FSAP activity. SUMMARY Background Factor VII-activating protease (FSAP) has roles in both coagulation and fibrinolysis. Recent data indicate its involvement in several other processes, such as vascular remodeling and inflammation. Plasma FSAP activity is highly variable among healthy individuals and, apart from the low-frequency missense variant Marburg-I (rs7080536) in the FSAP-encoding gene HABP2, determinants of this variation are unclear. Objectives To identify novel genetic variants within and outside of the HABP2 locus that influence circulating FSAP activity. Patients/Methods We performed an exploratory genome-wide association study (GWAS) on plasma FSAP activity amongst 3230 Swedish subjects. Directly genotyped rare variants were also analyzed with gene-based tests. Using GWAS, we confirmed the strong association between the Marburg-I variant and FSAP activity. HABP2 was also significant in the gene-based analysis, and remained significant after exclusion of Marburg-I carriers. This was attributable to a rare HABP2 stop variant (rs41292628). Carriers of this stop variant showed a similar reduction in FSAP activity as Marburg-I carriers, and this finding was replicated. A secondary genome-wide significant locus was identified at a 5p15 locus (rs35510613), and this finding requires future replication. This common variant is located upstream of ADCY2, which encodes a protein catalyzing the formation of cAMP. Results and Conclusions This study verified the Marburg-I variant to be a strong regulator of FSAP activity, and identified an HABP2 stop variant with a similar impact on FSAP activity. A novel locus near ADCY2 was identified as a potential additional regulator of FSAP activity.
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Affiliation(s)
- M. Olsson
- Department of Pathology and GeneticsInstitute of BiomedicineThe Sahlgrenska Academy at University of GothenburgGothenburgSweden
| | - T. M. Stanne
- Department of Pathology and GeneticsInstitute of BiomedicineThe Sahlgrenska Academy at University of GothenburgGothenburgSweden
| | - A. Pedersen
- Department of Pathology and GeneticsInstitute of BiomedicineThe Sahlgrenska Academy at University of GothenburgGothenburgSweden
| | - E. Lorentzen
- Bioinformatics Core FacilityUniversity of GothenburgGothenburgSweden
| | - E. Kara
- Institute of Basic Medical SciencesFaculty of MedicineUniversity of OsloOsloNorway
| | - A. MartinezâPalacian
- Institute of Basic Medical SciencesFaculty of MedicineUniversity of OsloOsloNorway
| | - N. P. RÃnnow Sand
- Department of CardiologyHospital of South West DenmarkEsbjerg and Department of Regional Health ResearchFaculty of Health ScienceUniversity of Southern DenmarkEsbjergDenmark
| | - A. F. Jacobsen
- Department of ObstetricsOslo University Hospital and University of OsloOsloNorway
| | - P. M. Sandset
- Department of HematologyOslo University Hospital and University of OsloOsloNorway
| | - J. J. Sidelmann
- Unit for Thrombosis ResearchDepartment of Regional Health ResearchFaculty of Health ScienceUniversity of Southern DenmarkEsbjergDenmark
| | - G. EngstrÃm
- Department of Clinical Sciences, MalmÃLund UniversityLundSweden
| | - O. Melander
- Department of Clinical Sciences, MalmÃLund UniversityLundSweden
| | - S. M. Kanse
- Institute of Basic Medical SciencesFaculty of MedicineUniversity of OsloOsloNorway
| | - C. Jern
- Department of Pathology and GeneticsInstitute of BiomedicineThe Sahlgrenska Academy at University of GothenburgGothenburgSweden
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Kadish N, Brunke M, Spychalski P, Müller F, Berghaeuser J, Pedersen A, Siniatchkin M, Moliadze V. PB19. tDCS in the left DLPFC: When to stimulate and which cognitive domains it affects. Clin Neurophysiol 2018. [DOI: 10.1016/j.clinph.2018.04.643] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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15
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Hanert A, Weber F, Pedersen A, Born J, Bartsch T. P58. Sleep in humans stabilizes hippocampal pattern separation performance. Clin Neurophysiol 2018. [DOI: 10.1016/j.clinph.2018.04.695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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16
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Goebel S, Köhler M, Steinmann E, Pedersen A, Mehdorn HM. Psychosoziale Einflüsse auf das Outcome neurochirurgischer Operationen: Die Rolle der präoperativen Angst. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- S Goebel
- Christian-Albrechts-Universität zu Kiel, Lehrstuhl für Klinische Psychologie und Psychotherapie, Kiel
| | - M Köhler
- Christian-Albrechts-Universität zu Kiel, Lehrstuhl für Klinische Psychologie und Psychotherapie, Kiel
| | - E Steinmann
- Christian-Albrechts-Universität zu Kiel, Lehrstuhl für Klinische Psychologie und Psychotherapie, Kiel
- Klinik für Neurochirurgie des UKSH, Kiel
| | - A Pedersen
- Christian-Albrechts-Universität zu Kiel, Lehrstuhl für Klinische Psychologie und Psychotherapie, Kiel
| | - HM Mehdorn
- Klinik für Neurochirurgie des UKSH, Kiel
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17
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Hamilton D, Pedersen A, Blanchford H, Bins J, McMeekin P, Thomson R, Paleri V, Wilson J. A comparison of attitudes to laryngeal cancer treatment outcomes: A time trade-off study. Clin Otolaryngol 2017; 43:117-123. [DOI: 10.1111/coa.12906] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2017] [Indexed: 11/29/2022]
Affiliation(s)
- D.W. Hamilton
- Institute of Health and Society; Newcastle University; Newcastle upon Tyne UK
| | - A. Pedersen
- Institute of Health and Society; Newcastle University; Newcastle upon Tyne UK
| | | | - J.E. Bins
- Institute of Health and Society; Newcastle University; Newcastle upon Tyne UK
| | - P. McMeekin
- Institute of Health and Society; Newcastle University; Newcastle upon Tyne UK
| | - R. Thomson
- Institute of Health and Society; Newcastle University; Newcastle upon Tyne UK
| | - V. Paleri
- Freeman Hospital; Newcastle upon Tyne UK
| | - J.A. Wilson
- Institute of Health and Society; Newcastle University; Newcastle upon Tyne UK
- Freeman Hospital; Newcastle upon Tyne UK
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18
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Coombs MA, Nelson K, Psirides AJ, Suter N, Pedersen A. Characteristics and dying trajectories of adult hospital patients from acute care wards who die following review by the rapid response team. Anaesth Intensive Care 2016; 44:262-9. [PMID: 27029659 DOI: 10.1177/0310057x1604400213] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
A third of patients reviewed by rapid response teams (RRT) require end-of-life care. However, little is known about the characteristics and management of these patients following RRT review. This paper presents results of a retrospective, descriptive audit that explored the dying trajectory of adult ward inpatients who died outside of intensive care following RRT review. The study setting was a 430-bed tertiary New Zealand hospital during 2013. RRT, inpatient databases and hospital notes were used to identify 100 consecutive adult inpatients who died subsequent to RRT review. Outcome measures included time from RRT review to death, place of death, pre-existing co-morbidities and frequency of medical review. Results demonstrated that patients were old (median 77 years, IQR 63-85years), emergency admissions (n=100) and admitted under a medical specialty (n=71). All but one of the cohort had pre-existing co-morbidities (mean 3.2, SD 1.7), almost a third (n=31) had cancer and 51% had 1-4 previous inpatient admissions within the previous 12 months. The mean length of stay prior to RRT review was 4.9 days (SD 5.5) during which patients were frequently reviewed by senior medical staff (mean 6.8 times, SD 6.9, range 0-44). Twenty per cent of patients died after their first RRT review with a further 40% receiving treatment limitation/palliation. Fifty-two per cent of patients had a pre-existing DNAR. Eighty per cent of patients died in hospital. Whilst the RRT fulfils an unmet need in decision-making at end of life, there is a need to understand what RRT, instead of ward-based or palliative care teams, offers dying patients.
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Affiliation(s)
- M A Coombs
- Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, Wellington, New Zealand
| | - K Nelson
- Graduate School of Nursing Victoria University Wellington
| | - A J Psirides
- Capital and Coast District Health Board, Wellington Regional Hospital
| | - N Suter
- Wellington Hospital, Capital and Coast District Health Board
| | - A Pedersen
- Capital and Coast District Health Board, Wellington Regional Hospital
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Pedersen A, Wilson J, McColl E, Carding P, Patterson J. Swallowing outcome measures in head and neck cancer--How do they compare? Oral Oncol 2015; 52:104-8. [PMID: 26564310 DOI: 10.1016/j.oraloncology.2015.10.015] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Revised: 10/14/2015] [Accepted: 10/15/2015] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Dysphagia is a common and debilitating side effect of chemoradiotherapy. Assessment is difficult; swallowing is multifactorial and studies choose from a range of dysphagia assessments. This study intended to investigate the relationship between swallowing assessments of dysphagia in a cohort of patients and to evaluate whether clinical swallowing measures can predict patient reported swallowing outcomes. MATERIALS AND METHODS One hundred and seventy-three head and neck cancer patients from two teaching hospitals were recruited prospectively over 25 months. At three months follow-up patients were assessed using Rosenbeck's Penetration-Aspiration Scale (PAS), The 100 ml Water Swallow Test (WST), The Performance Status Scale: Normalcy of Diet and the MD Anderson Dysphagia Inventory (MDADI). RESULTS The highest correlation was observed between the MDADI and Normalcy of Diet (rho 0.68) and the lowest between the MDADI and the PAS (rho 0.34). Using multiple regression the PAS and WST accounted for 44% of the variance in the MDADI scores (R2 = 0.44, F = 37.8, p < 0.001). On stepwise regression, the model only retained the Normalcy of Diet scores (R2 = 0.42, F=107.9, p < 0.001). Separating the PAS into subgroups, those with no penetration or aspiration on the PAS scored significantly higher on the MDADI (p = <0.001). CONCLUSION Patient reported swallowing outcomes were strongly aligned with diet restrictions but poorly aligned with clinical assessment. The WST, however, was more correlated than the PAS score, representing a more functional assessment. Clinical dysphagia, associated with significant morbidity, and patient reported dysphagia related to quality of life are not interchangeable and must be measured separately.
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Affiliation(s)
- A Pedersen
- Department of Ear, Nose and Throat Surgery, Freeman Hospital, Newcastle upon Tyne, UK.
| | - Janet Wilson
- Institute for Health and Society, Newcastle University, Newcastle upon Tyne, UK
| | - Elaine McColl
- Institute for Health and Society, Newcastle University, Newcastle upon Tyne, UK
| | - Paul Carding
- Speech Pathology, Faculty of Health Sciences, Australian National Catholic University, Brisbane Campus, Australia
| | - Jo Patterson
- Speech & Language Therapy Department, Sunderland Royal Hospital, Sunderland, UK
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Larsen KA, Pedersen A. Roentgenologic Findings in the Stomach and Duodenum in Cancer of the Pancreas. Acta Radiol 2013. [DOI: 10.1177/028418515604500605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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21
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Severinsen K, Pedersen A. Amantadine treatment of aphasia after stroke. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.1969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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22
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Trotzke P, Starcke K, Pedersen A, Brand M. Cue-Reactivity und Craving bei Personen mit pathologischem Kaufen. Suchttherapie 2013. [DOI: 10.1055/s-0033-1351521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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23
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Geburek AJ, Rist F, Gediga G, Stroux D, Pedersen A. Electrophysiological indices of error monitoring in juvenile and adult attention deficit hyperactivity disorder (ADHD)--a meta-analytic appraisal. Int J Psychophysiol 2012; 87:349-62. [PMID: 22902313 DOI: 10.1016/j.ijpsycho.2012.08.006] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2011] [Revised: 08/07/2012] [Accepted: 08/08/2012] [Indexed: 10/28/2022]
Abstract
Attempts to identify the central disturbed processes explaining the overt symptoms of juvenile and adult ADHD rely heavily on the concept of deficient error monitoring processes. A number of studies have investigated event-related potentials (ERPs) and behavioral performance in tasks traditionally used to probe the interference control and inhibition of motor responses. The inspection of the error negativity (Ne/ERN) and error positivity (Pe) components evoked in these tasks has produced conflicting results with respect to the nature and extent of an error monitoring deficit in ADHD. A meta-analytic aggregation of these single studies should help develop a reliable appraisal of the evidence for the compromised performance monitoring processes in ADHD. Our meta-analysis was confined to studies of adult and juvenile ADHD participants examined in GoNogo and Flanker task studies that also reported the Ne/ERN and Pe ERP components. Only seven studies were suited for the meta-analysis, but their aggregation nevertheless led to clear results: Ne was attenuated in adult and adolescent ADHD participants for both tasks, and Pe was attenuated only in the GoNogo tasks. The ADHD participants made more errors than the controls in both tasks but responded slower only in the Flanker task. To our knowledge, this meta-analysis is the first to compare electrophysiological and behavioral indices of error monitoring in adult and juvenile ADHD patients and healthy controls. Admittedly, the data available for this comparison were sparse and heterogeneous; nevertheless, this meta-analysis produced salient results that indicate a monitoring deficit as a central feature of the ADHD syndrome.
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Affiliation(s)
- A J Geburek
- Clinical Psychology and Psychotherapy, Institute of Psychology, University of Münster, Fliednerstraße 21, 48149 Münster, Germany.
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Sjöhamn J, Öberg F, Fischer G, Moberg A, Pedersen A, Neutze R, Hedfalk K. Glycosylation increases the thermostability of human aquaporin 10. Acta Crystallogr A 2012. [DOI: 10.1107/s0108767312096912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Pedersen A, Tomaszycki ML. Oxytocin antagonist treatments alter the formation of pair relationships in zebra finches of both sexes. Horm Behav 2012; 62:113-9. [PMID: 22633910 DOI: 10.1016/j.yhbeh.2012.05.009] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2012] [Revised: 05/16/2012] [Accepted: 05/17/2012] [Indexed: 01/23/2023]
Abstract
Oxytocin and vasopressin are known to be important in affiliative behaviors. Although these peptides have been shown to be involved in monogamous pairing behavior in a few mammalian species, their role across monogamous species is not well understood. In particular, monogamy is most common in birds, yet the role of mesotocin and vasotocin (avian homologues of oxytocin and vasopressin) in pair relationships has not been established in any avian species. The goal of the present study was to investigate the effects of an oxytocin antagonist on pairing and pairing-related behaviors in the monogamous zebra finch. To accomplish this, we systemically administered one of three doses of an oxytocin antagonist (1 μg, 5 μg, or 10 μg) or a vehicle to adult male and female zebra finches (in separate experiments) with no prior pairing experience. Subjects were observed over three days and allowed to choose mates. We found that oxytocin antagonists increased the latency to pair and decreased pair formation in both sexes. The effects of these treatments on overall pairing behaviors were more pronounced in females than in males, suggesting sexually differentiated effects on motivation to contact conspecifics. Treatments also reduced courtship, as measured by directed singing, in males. These results suggest that nonapeptides play a key role in pair formation in zebra finches of both sexes, similar to findings in other monogamous species.
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Affiliation(s)
- A Pedersen
- Department of Psychology, Wayne State University, Detroit, MI 48202, USA
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Karssemeijer LJ, Pedersen A, Jónsson H, Cuppen HM. Long-timescale simulations of diffusion in molecular solids. Phys Chem Chem Phys 2012; 14:10844-52. [DOI: 10.1039/c2cp41634d] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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27
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Griffiths E, Pedersen A, Fenton A, Petchey O. P1-459 A within-host network of human coinfection. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976g.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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28
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Norra C, Pedersen A, Juckel G, Waniek S. Mismatch negativity generation deficits and selective monoaminergic treatments in patients with major depression. KLIN NEUROPHYSIOL 2011. [DOI: 10.1055/s-0031-1272801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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29
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Nilsson J, Moslemi A, Halim A, Pedersen A, Oldfors A. P4.46 Molecular pathogenesis of a new glycogenosis caused by a mutation in glycogenin-1. Neuromuscul Disord 2010. [DOI: 10.1016/j.nmd.2010.07.242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Zong QG, Zhou XZ, Wang YF, Li X, Song P, Baker DN, Fritz TA, Daly PW, Dunlop M, Pedersen A. Energetic electron response to ULF waves induced by interplanetary shocks in the outer radiation belt. ACTA ACUST UNITED AC 2009. [DOI: 10.1029/2009ja014393] [Citation(s) in RCA: 226] [Impact Index Per Article: 15.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Q.-G. Zong
- Institute of Space Physics and Applied Technology; Peking University; Beijing China
- Center for Atmospheric Research; University of Massachusetts Lowell; Lowell Massachusetts USA
| | - X.-Z. Zhou
- Institute of Space Physics and Applied Technology; Peking University; Beijing China
| | - Y. F. Wang
- Institute of Space Physics and Applied Technology; Peking University; Beijing China
| | - X. Li
- Laboratory for Atmospheric and Space Physics; University of Colorado; Boulder Colorado USA
| | - P. Song
- Institute of Space Physics and Applied Technology; Peking University; Beijing China
| | - D. N. Baker
- Laboratory for Atmospheric and Space Physics; University of Colorado; Boulder Colorado USA
| | - T. A. Fritz
- Center for Space Physics; Boston University; Boston Massachusetts USA
| | - P. W. Daly
- Max-Planck-Institut für Sonnensystemforschung; Katlenburg-Lindau Germany
| | - M. Dunlop
- CCLRC Rutherford Appleton Laboratory; Didcot UK
| | - A. Pedersen
- Department of Physics; University of Oslo; Oslo Norway
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Saunamäki KI, Pedersen A. Significance of cardiac arrhythmias preceding first cardiac arrest in patients with acute myocardial infarction. Acta Med Scand 2009; 199:461-6. [PMID: 937071 DOI: 10.1111/j.0954-6820.1976.tb06764.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
In 417 consecutive cases of acute myocardial infarction (AMI) within a minimum of 21 days' stay in the Coronary Care Unit (CCU), primary cardiac arrest occurred in 41 patients (9.9%), the first episode occurring during ECG monitoring in 24 patients. After cessation of ECG monitoring, and within 2-25 days after admission, it occurred in 17 patients. Cardiac arrhythmias before the first cardiac arrest were analysed in these two groups of patients, and compared with the occurrence of cardiac arrhythmias within the first 5 days in 100 consecutive patients with AMI without complicating cardiac arrest. No significant difference in the frequency of cardiac arrhythmias could be demonstrated between the two groups with cardiac arrest and the control series. Moreover, complete absence of rhythm disturbances right up to the beginning of cardiac arrest was as frequent in the patient groups as in the control series (around 20%). As there is not sufficient evidence that treatment with antiarrhythmic drugs can provide safe prophylaxis against the occurrence of cardiac arrest, it is concluded that all patients with AMI should be kept in the CCU and monitored, by cable or by telemetry, for the duration of their stay. To achieve this, the cost in financial terms, manpower and reorganization is not a deterrent. Furthermore, this study does not give any support to the usual practice of confining possible attempts of prophylactic antiarrhythmic treatment to patients with arrhythmias of certain frequencies and/or types.
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Kornerup HJ, Pedersen EB, Christensen NJ, Pedersen A, Pedersen G. Labetalol in the treatment of severe essential hypertension: relationship between arterial blood pressure, plasma catecholamines, plasma renin activity, plasma aldosterone and body weight. Acta Med Scand Suppl 2009; 625:59-64. [PMID: 34981 DOI: 10.1111/j.0954-6820.1979.tb00743.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Rasmussen S, Leth A, Kjøller E, Pedersen A. Cardiac rupture in acute myocardial infarction. A review of 72 consecutive cases. Acta Med Scand 2009; 205:11-6. [PMID: 760397 DOI: 10.1111/j.0954-6820.1979.tb05997.x] [Citation(s) in RCA: 85] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Grande P, Christiansen C, Pedersen A. Creatine kinase MB isoenzyme in diagnosis of acute myocardial infarction. Acta Med Scand Suppl 2009; 623:48-52. [PMID: 282789 DOI: 10.1111/j.0954-6820.1979.tb00697.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Rauch AV, Reker M, Ohrmann P, Pedersen A, Bauer J, Dannlowski U, Kölkebeck K, Konrad C, Kugel H, Arolt V, Heindel W, Suslow T. Amygdala response during automatic processing of facial emotion in schizophrenia and its association with psychopathology: a 3-T fMRI study. KLIN NEUROPHYSIOL 2008. [DOI: 10.1055/s-2008-1073005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Lee S, Oh-Park M, Pedersen A, Kim D. 71. Latency values correlated to arm length as a screening tool for ulnar neuropathy. Clin Neurophysiol 2008. [DOI: 10.1016/j.clinph.2007.11.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Juhler-Nøttrup T, Korreman S, Aarup L, Nyström H, Olsen M, Pedersen A, Specht L. 2721. Int J Radiat Oncol Biol Phys 2006. [DOI: 10.1016/j.ijrobp.2006.07.1137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Abstract
OBJECTIVE LongoVital (LV) is a herbal-based tablet enriched with the recommended daily doses of vitamins. The present study was undertaken to investigate possible prevention of recurrent aphthous ulceration (RAU) during 4 months daily intake of the Norwegian LV. DESIGN The study was a placebo-controlled, double-blind, randomized, clinical trial. SUBJECTS Sixty otherwise healthy patients with at least one attack of minor RAU per 2 months were included in the study. METHODS After an introduction period (IP) of 60 days, the patients were randomly divided into three groups and given either LV, the herbs of LV only, or placebo. Three test tablets were taken every day together with breakfast for 4 months [tablet period (TP)] and the patients followed up for another 4 months (F-UP). The number of new ulcers (NU) and ulcer-free days (UFD) were observed. RESULTS Fifty-two patients completed the study. Neither NU nor UFD showed any statistical significant differences between any of the groups in any of the periods. All three groups, however, showed a significant increase in UFD during the first 2 months of TP compared to IP. Within the LV group only, there was a further increase in UFD after 2 months intake of the tablets. The number of NU and UFD decreased significantly in both the LV and the herbal group in F-UP compared with TP. CONCLUSION Neither the Norwegian LV nor the herbal component alone was superior to placebo in the prevention of RAU. The results, however, indicate that neither the LV nor the herbal group benefited from the treatment.
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Affiliation(s)
- I Kolseth
- Department of Oral Surgery and Oral Medicine, University of Oslo, Norway
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Sapru W, Nøttrup T, Korreman S, Aarup L, Pedersen A, Nystrom H, Specht L, Mänsson S. 237 Positional stability of lung tumours during curative radiotherapy. Radiother Oncol 2005. [DOI: 10.1016/s0167-8140(05)81214-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Nottruo T, Korreman S, Aarup L, Olsen M, Pedersen A, Specht L, Nyström H. 144 Changes in respiratory pattern during curative radiotherapy for lung cancer. Radiother Oncol 2005. [DOI: 10.1016/s0167-8140(05)81120-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Wahlund JE, Boström R, Gustafsson G, Gurnett DA, Kurth WS, Pedersen A, Averkamp TF, Hospodarsky GB, Persoon AM, Canu P, Neubauer FM, Dougherty MK, Eriksson AI, Morooka MW, Gill R, André M, Eliasson L, Müller-Wodarg I. Cassini measurements of cold plasma in the ionosphere of Titan. Science 2005; 308:986-9. [PMID: 15894529 DOI: 10.1126/science.1109807] [Citation(s) in RCA: 158] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The Cassini Radio and Plasma Wave Science (RPWS) Langmuir probe (LP) sensor observed the cold plasma environment around Titan during the first two flybys. The data show that conditions in Saturn's magnetosphere affect the structure and dynamics deep in the ionosphere of Titan. The maximum measured ionospheric electron number density reached 3800 per cubic centimeter near closest approach, and a complex chemistry was indicated. The electron temperature profiles are consistent with electron heat conduction from the hotter Titan wake. The ionospheric escape flux was estimated to be 10(25) ions per second.
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Affiliation(s)
- J E Wahlund
- Swedish Institute of Space Physics, Box 537, SE-751 21 Uppsala, Sweden.
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Gurnett DA, Kurth WS, Hospodarsky GB, Persoon AM, Averkamp TF, Cecconi B, Lecacheux A, Zarka P, Canu P, Cornilleau-Wehrlin N, Galopeau P, Roux A, Harvey C, Louarn P, Bostrom R, Gustafsson G, Wahlund JE, Desch MD, Farrell WM, Kaiser ML, Goetz K, Kellogg PJ, Fischer G, Ladreiter HP, Rucker H, Alleyne H, Pedersen A. Radio and Plasma Wave Observations at Saturn from Cassini's Approach and First Orbit. Science 2005; 307:1255-9. [PMID: 15604362 DOI: 10.1126/science.1105356] [Citation(s) in RCA: 210] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
We report data from the Cassini radio and plasma wave instrument during the approach and first orbit at Saturn. During the approach, radio emissions from Saturn showed that the radio rotation period is now 10 hours 45 minutes 45 +/- 36 seconds, about 6 minutes longer than measured by Voyager in 1980 to 1981. In addition, many intense impulsive radio signals were detected from Saturn lightning during the approach and first orbit. Some of these have been linked to storm systems observed by the Cassini imaging instrument. Within the magnetosphere, whistler-mode auroral hiss emissions were observed near the rings, suggesting that a strong electrodynamic interaction is occurring in or near the rings.
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Affiliation(s)
- D A Gurnett
- Department of Physics and Astronomy, University of Iowa, Iowa City, IA 52242, USA.
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Dragsted LO, Ravn-Haren G, Hansen M, Kall M, Breinholt V, Jakobsen J, Rasmussen SE, Pedersen A, Sandström B, Hermetter A, Basu S, Castenmiller J, Stagsted J, Skibsted LH, Loft S. Reply to M Serafini et al. Am J Clin Nutr 2005. [DOI: 10.1093/ajcn.81.2.532] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Rothermundt M, Falkai P, Ponath G, Abel S, Bürkle H, Diedrich M, Hetzel G, Peters M, Siegmund A, Pedersen A, Maier W, Schramm J, Suslow T, Ohrmann P, Arolt V. Glial cell dysfunction in schizophrenia indicated by increased S100B in the CSF. Mol Psychiatry 2004; 9:897-9. [PMID: 15241436 DOI: 10.1038/sj.mp.4001548] [Citation(s) in RCA: 121] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Pedersen A, Earley MB, Fenner DJ, Postlewaite CS, Scott AD. How to build a cardiac surgery program. Nurs Manag (Harrow) 2004; 32:46-50. [PMID: 15129498 DOI: 10.1097/00006247-200110000-00019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Follow one hospital's experience in opening a new heart center, including its philosophy, triaging of issues, and staff preparation to achieve successful patient outcomes.
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Affiliation(s)
- A Pedersen
- Piedmont Medical Center, Rock Hill, S.C., USA
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Abstract
BACKGROUND There may be a weak association between total alcohol intake and colorectal cancer but the effect of different types of alcohol and effect on colon subsites have not been investigated satisfactorily. AIMS To investigate the relationship between amount and type of alcohol and the risk of colon and rectal cancer. SUBJECTS A population based cohort study with baseline assessment of weekly intake of beer, wine, and spirits, smoking habits, body mass index, educational level, and leisure time physical activity in Copenhagen, Denmark. The study included a random sample of 15 491 men and 13 641 women, aged 23-95 years. Incident cases of colorectal cancer were identified in the nationwide Danish Cancer Register. RESULTS During a mean follow up of 14.7 years, we observed 411 colon cancers and 202 rectal cancers. We observed a dose-response relationship between alcohol and rectal cancer. Drinkers of more than 41 drinks a week had a relative risk of rectal cancer of 2.2 (95% confidence limits 1.0-4.6) compared with non-drinkers. Drinkers of more than 14 drinks of beer and spirits a week, but not wine, had a risk of 3.5 (1.8-6.9) of rectal cancer compared with non-drinkers, while those who drank the same amount of alcohol but including more than 30% of wine had a risk of 1.8 (1.0-3.2) of rectal cancer. No relation between alcohol and colon cancer was found when investigating the effects of total alcohol, beer, wine, and spirits, and percentage of wine of total alcohol intake. CONCLUSION Alcohol intake is associated with a significantly increased risk of rectal cancer but the risk seems to be reduced when wine is included in the alcohol intake.
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Affiliation(s)
- A Pedersen
- Copenhagen Centre for Prospective Population Studies, Danish Epidemiology Science Centre at the Institute of Preventive Medicine, Copenhagen Hospital Corporation, Denmark
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Abstract
Using a serial reaction-time task, the implicit memory performances of 29 high scoring (schizotypes) and 24 low scoring subjects (controls) on the German version of the 1997 Schizotypal Personality Questionnaire by Klein, Andresen, and Jahn were compared. To test the hypothesis that schizotypes show a differential deficit, subjects participated either in a single task condition of the serial reaction-time task or in a dual task condition of a secondary tone-counting task. Neither under single task conditions nor under dual task conditions did schizotypes show any impairment of implicit memory compared with controls. In addition, a separate analysis of the response latencies for the unique and ambiguous transitions of the repeated sequence did not indicate any differences between the two groups. These findings support and augment the results reported by Ferraro and Okerlund (1995).
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Pedersen A. LongoVital® and herpes labialis: a randomised, double blind, placebo‐controlled study. Oral Dis 2001. [DOI: 10.1034/j.1601-0825.2001.0070404.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Pedersen A. LongoVital and herpes labialis: a randomised, double-blind, placebo-controlled study. Oral Dis 2001; 7:221-5. [PMID: 11575872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Abstract
OBJECTIVE LongoVital (LV) (DK. Reg. No. 5178/75) is a herbal-based tablet enriched with the recommended daily doses of vitamins. The present study was undertaken to investigate possible prevention of recurrent herpes labialis (RHL) during 4 months' daily intake of LV. DESIGN Placebo-controlled, double-blind, randomised, clinical trial. SUBJECTS Fifty-two patients with a minimum of 4 yearly HL episodes. METHODS The patients were given either LV or placebo for 4 months and followed-up for another 4 months. The number, duration and maximal size of lesions were assessed. RESULTS Twenty-seven patients (Group A) received LV and 25 patients placebo (Group B). There were no statistically significant differences between Group A and Group B with respect to number, duration and size of lesions. Within Group A, however, there was a decrease in all three parameters after 2 months' intake of LV (P < 0.05). The decrease in the number of HL episodes in Group A lasted during the entire follow-up period (P < 0.05). At the end of the medication period, significantly more patients in Group A than in Group B assessed the number and duration of recurrences to be reduced compared with before the trial (P < 0.05). CONCLUSION LV was not superior to placebo in the prevention of RHL although subjective assessment was in favour of LV, and the LV group had less episodes after 2 months on the tablets.
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Affiliation(s)
- A Pedersen
- The Oral Medicine Clinic, Peblingesøen, Copenhagen, Denmark.
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