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Riemenschneider KA, Lund H, Pommergaard HC. No evidence for fixation of mesh in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair: a systematic review and meta-analysis of randomized controlled trials. Surg Endosc 2023; 37:8291-8300. [PMID: 37674053 PMCID: PMC10615908 DOI: 10.1007/s00464-023-10237-0] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2022] [Accepted: 06/13/2023] [Indexed: 09/08/2023]
Abstract
OBJECTIVE To investigate the differences in hernia recurrence and chronic postoperative inguinal pain (CPIP) in randomized, controlled trials comparing fixation and non-fixation of the mesh in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. METHODS A multi-database systematic search was conducted for randomized, controlled trials comparing fixation versus non-fixation of the mesh in TAPP inguinal hernia repair. All eligible papers were assessed for risk of bias using the revised Cochrane risk of bias tool for randomized trials (RoB 2.0). Quality of evidence was evaluated using the GRADE system. Meta-analyses were performed regarding recurrence and CPIP using RevMan. RESULTS Seven prospective, randomized controlled trials were included. Laparoscopic TAPP inguinal hernia repair was performed in 1732 patients with 737 procedures performed without fixation and 995 procedures with fixation of the mesh. Despite all trials being RCTs, the trials were limited by substantial bias and the quality of evidence was low regarding hernia recurrence and very low regarding CPIP. Pooled estimates from meta-analyses were an OR of 2.80 (95% CI 0.61-12.77) for hernia recurrence and a mean difference in visual analogue scale (VAS) of 0.17 (95% CI 0.90-1.24) for CPIP, respectively. CONCLUSION The current evidence is very uncertain and mesh fixation may have little to no effect regarding hernia recurrence and chronic postoperative inguinal pain in patients operated with TAPP inguinal hernia repair.
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Affiliation(s)
- K A Riemenschneider
- Department of Surgery and Transplantation, Rigshospitalet, University of Copenhagen, Inge Lehmanns Vej 7, 2100, Copenhagen, Denmark.
- Department of Surgery, Nordsjaellands Hospital, Dyrehavevej 29, 3400, Hilleroed, Denmark.
| | - H Lund
- Department of Surgery, Nordsjaellands Hospital, Dyrehavevej 29, 3400, Hilleroed, Denmark
| | - H C Pommergaard
- Department of Surgery and Transplantation, Rigshospitalet, University of Copenhagen, Inge Lehmanns Vej 7, 2100, Copenhagen, Denmark
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Trsnjak Radakovic A, Schulte C, Klein I, Peter D, Lichthardt S, Reibetanz J, Nothhaft M, Wöckel A, Lund H, Rehn M. Fallbericht: Milzarterien-Aneurysma und Splenomegalie bei Morbus Gaucher in der Schwangerschaft. Geburtshilfe Frauenheilkd 2022. [DOI: 10.1055/s-0042-1749041] [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] Open
Affiliation(s)
| | - C Schulte
- Frauenklinik und Poliklinik, Universitätsklinikum, Würzburg
| | - I Klein
- Chirurgische Klinik I, Universitätsklinikum, Würzburg
| | - D Peter
- Chirurgische Klinik I, Universitätsklinikum, Würzburg
| | - S Lichthardt
- Chirurgische Klinik I, Universitätsklinikum, Würzburg
| | - J Reibetanz
- Chirurgische Klinik I, Universitätsklinikum, Würzburg
| | - M Nothhaft
- Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Universitätsklinikum, Würzburg
| | - A Wöckel
- Frauenklinik und Poliklinik, Universitätsklinikum, Würzburg
| | - H Lund
- Frauenklinik und Poliklinik, Universitätsklinikum, Würzburg
| | - M Rehn
- Frauenklinik und Poliklinik, Universitätsklinikum, Würzburg
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Nussbaumer-Streit B, Ziganshina LE, Mahmić-Kaknjo M, Gartlehner G, Sfetcu R, Lund H. Resource use during systematic review production varies widely: a scoping review: authors' reply. J Clin Epidemiol 2021; 142:321-322. [PMID: 34666152 DOI: 10.1016/j.jclinepi.2021.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 10/11/2021] [Indexed: 11/16/2022]
Affiliation(s)
| | - L E Ziganshina
- Cochrane Russia at the Russian Medical Academy for Continuing Professional Education (RMANPO) of the Ministry of Health of Russian Federation and the Kazan State Medical University of the Ministry of Health of Russian Federation, Kazan, Russia
| | - M Mahmić-Kaknjo
- Department of Clinical Pharmacology, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina; Faculty of Medicine, University of Zenica, Zenica, Bosnia and Herzegovina
| | - G Gartlehner
- Cochrane Austria, Danube University Krems, Krems a.d. Donau, Austria; RTI International, Research Triangle Park, NC, USA
| | - R Sfetcu
- National School of Public Health, Management and Professional Development Bucharest, Romania; Spiru Haret University, Faculty of Psychology and Educational Sciences, Romania
| | - H Lund
- Section for Evidence-Based Practice, Western Norway University of Applied Sciences, Bergen, Norway
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Bricca A, Lund H, Roos EM, Juhl CB. When enough is enough - How to determine when the evidence for the effectiveness of a treatment is sufficient? Osteoarthritis Cartilage 2019; 27:1253-1256. [PMID: 31212032 DOI: 10.1016/j.joca.2019.06.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 06/06/2019] [Accepted: 06/10/2019] [Indexed: 02/02/2023]
Affiliation(s)
- A Bricca
- Aberdeen Health Psychology Group, Institute of Applied Health Sciences, University of Aberdeen, Foresterhill Campus, Aberdeen, UK.
| | - H Lund
- Centre for Evidence-Based Practice, Western Norway University of Applied Sciences, Bergen, Norway
| | - E M Roos
- Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - C B Juhl
- Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Department of Physiotherapy and Occupational Therapy, University Hospital of Copenhagen, Herlev and Gentofte, Denmark
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Koefoed L, Vase KH, Stenlid JH, Brinck T, Yoshimura Y, Lund H, Pedersen SU, Daasbjerg K. On the Kinetic and Thermodynamic Properties of Aryl Radicals Using Electrochemical and Theoretical Approaches. ChemElectroChem 2017. [DOI: 10.1002/celc.201700772] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Line Koefoed
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 DK-8000 Aarhus C Denmark
| | - Karina H. Vase
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 DK-8000 Aarhus C Denmark
| | - Joakim H. Stenlid
- Applied Physical Chemistry, School of Chemical Science and Engineering; KTH Royal Institute of Technology; SE-100 44 Stockholm Sweden
| | - Tore Brinck
- Applied Physical Chemistry, School of Chemical Science and Engineering; KTH Royal Institute of Technology; SE-100 44 Stockholm Sweden
| | - Yuichi Yoshimura
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 DK-8000 Aarhus C Denmark
| | - Henning Lund
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 DK-8000 Aarhus C Denmark
| | - Steen U. Pedersen
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 DK-8000 Aarhus C Denmark
| | - Kim Daasbjerg
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 DK-8000 Aarhus C Denmark
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Andreasen J, Aadahl M, Sorensen E, Eriksen H, Lund H, Overvad K. SELF-REPORTED FRAILTY AT DISCHARGE IS ASSOCIATED WITH READMISSION AND MORTALITY IN OLDER PATIENTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1393] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J. Andreasen
- Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Hobrovej 18–22, Aalborg, Denmark,
- Department of Clinical Medicine, Aalborg University, Sdr. Skovvej 15, Aalborg, Denmark,
| | - M. Aadahl
- Research Centre for Prevention and Health, The Capital Region of Denmark, Rigshospitalet- Glostrup Hospital, Ndr. Ringvej 57, Afsnit 84/85, Glostrup, Denmark,
- Department of Public Health, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark,
| | - E.E. Sorensen
- Department of Clinical Medicine, Aalborg University, Sdr. Skovvej 15, Aalborg, Denmark,
- Clinical Nursing Research Unit, Aalborg University Hospital, Sdr. Skovvej 15, Aalborg, Denmark,
| | - H.H. Eriksen
- Unit of Clinical Biostatistics and Bioinformatics, Aalborg University Hospital, Aalborg, Denmark,
| | - H. Lund
- Research Unit for Musculoskeletal Function and Physiotherapy, Institute for Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, Odense, Denmark,
- Centre for Evidence-Based Practice, Bergen University College, Inndalsveien 28, Bergen, Norway,
| | - K. Overvad
- Department of Cardiology, Aalborg University Hospital, Hobrovej 18–22, Aalborg, Denmark,
- Section for Epidemiology, Department of Public Health, Aarhus University, Bartholins Alle 2, Aarhus, Denmark
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Nielsen SU, Koefoed L, Lund H, Daasbjerg K, Pedersen SU. Wohl-Ziegler Bromination of Electrografted Films for Optimizing Atom Transfer Radical Polymerization. ELECTROANAL 2016. [DOI: 10.1002/elan.201600208] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Stefan Urth Nielsen
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 8000 Aarhus C Denmark
| | - Line Koefoed
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 8000 Aarhus C Denmark
| | - Henning Lund
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 8000 Aarhus C Denmark
| | - Kim Daasbjerg
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 8000 Aarhus C Denmark
- Carbon Dioxide Activation Center; Aarhus University; Gustav Wieds Vej 14 8000 Aarhus C Denmark
| | - Steen U. Pedersen
- Department of Chemistry and Interdisciplinary Nanoscience Center (iNANO); Aarhus University; Langelandsgade 140 8000 Aarhus C Denmark
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Nyboe L, Vestergaard CH, Lund H, Møller MK, Videbech P. Metabolic syndrome in first-time hospitalized patients with depression: a 1-year follow-up study. Acta Psychiatr Scand 2016; 133:241-8. [PMID: 26251964 DOI: 10.1111/acps.12470] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [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] [Accepted: 06/24/2015] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Studies on metabolic syndrome (MetS) in younger patients with depression are few. We examined the prevalence and progression of MetS in first-time hospitalized patients with depression during 1 year of follow-up. Furthermore, we explored putative risk factors of MetS. METHOD We evaluated MetS and its components in first-time hospitalized patients with depression (N = 52) and healthy controls (N = 50) (18-45 years). Physical activity, aerobic fitness, sleeping disturbances, smoking and dietary habits, and psychopharmacological treatment were recorded at baseline for all participants and after 1 year for the patients. RESULTS Patients had significantly higher waist circumference (WC) and lower high-density lipoproteins compared with healthy controls (P < 0.05). Patients had higher prevalence of MetS, but this was not significant when adjusted for age. Patients had significant increase in WC and triglycerides and a non-significant increase in the prevalence of MetS. Antipsychotic medication (OR 10.5, 95% CI 1.18-94.14) and low aerobic fitness (OR 0.79, 95% CI 0.68-0.93) were significantly correlated with MetS (P < 0.05). CONCLUSION Metabolic syndrome is highly prevalent in younger, severely depressed patients and the incidence increases during 1 year of follow-up. Low aerobic fitness and use of atypical antipsychotics are strongly correlated with MetS.
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Affiliation(s)
- L Nyboe
- The Research Unit, Department of Affective Disorders Q, Aarhus University Hospital Risskov, Risskov, Denmark
| | - C H Vestergaard
- The Research Unit, Department of Affective Disorders Q, Aarhus University Hospital Risskov, Risskov, Denmark
| | - H Lund
- SEARCH - Research Group for Synthesis of Evidence and Research, Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Sciences and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.,Centre for Evidence-based Practice, Bergen University College, Bergen, Norway
| | - M K Møller
- Department of Medicine, Horsens Regional Hospital, Horsens, Denmark
| | - P Videbech
- The Research Unit, Department of Affective Disorders Q, Aarhus University Hospital Risskov, Risskov, Denmark
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9
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Turovska B, Lund H, Lūsis V, Lielpētere A, Liepiņš E, Beljakovs S, Goba I, Stradiņš J. Photoinduced 1,2,3,4-tetrahydropyridine ring conversions. Beilstein J Org Chem 2015; 11:2166-70. [PMID: 26664638 PMCID: PMC4660982 DOI: 10.3762/bjoc.11.234] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Accepted: 10/27/2015] [Indexed: 01/28/2023] Open
Abstract
Stable heterocyclic hydroperoxide can be easily prepared as a product of fast oxidation of a 1,2,3,4-tetrahydropyridine by (3)O2 if the solution is exposed to sunlight. The driving force for the photoinduced electron transfer is calculated from electrochemical and spectroscopic data. The outcome of the reaction depends on the light intensity and the concentration of O2. In the solid state the heterocyclic hydroperoxide is stable; in solution it is involved in further reactions.
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Affiliation(s)
- Baiba Turovska
- Physical-organic Chemistry Laboratory, Latvian Institute of Organic Synthesis, 21 Aizkraukles Str., Riga LV-1006, Latvia
| | - Henning Lund
- Department of Organic Chemistry, Aarhus University, Langelandsgade 140, DK 8000 Aarhus, Denmark
| | - Viesturs Lūsis
- Physical-organic Chemistry Laboratory, Latvian Institute of Organic Synthesis, 21 Aizkraukles Str., Riga LV-1006, Latvia
| | - Anna Lielpētere
- Physical-organic Chemistry Laboratory, Latvian Institute of Organic Synthesis, 21 Aizkraukles Str., Riga LV-1006, Latvia
| | - Edvards Liepiņš
- Physical-organic Chemistry Laboratory, Latvian Institute of Organic Synthesis, 21 Aizkraukles Str., Riga LV-1006, Latvia
| | - Sergejs Beljakovs
- Physical-organic Chemistry Laboratory, Latvian Institute of Organic Synthesis, 21 Aizkraukles Str., Riga LV-1006, Latvia
| | - Inguna Goba
- Physical-organic Chemistry Laboratory, Latvian Institute of Organic Synthesis, 21 Aizkraukles Str., Riga LV-1006, Latvia
| | - Jānis Stradiņš
- Physical-organic Chemistry Laboratory, Latvian Institute of Organic Synthesis, 21 Aizkraukles Str., Riga LV-1006, Latvia
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10
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Østerås N, Jordan KP, Clausen B, Cordeiro C, Dziedzic K, Edwards J, Grønhaug G, Higginbottom A, Lund H, Pacheco G, Pais S, Hagen KB. Self-reported quality care for knee osteoarthritis: comparisons across Denmark, Norway, Portugal and the UK. RMD Open 2015; 1:e000136. [PMID: 26535147 PMCID: PMC4623369 DOI: 10.1136/rmdopen-2015-000136] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Revised: 09/10/2015] [Accepted: 09/18/2015] [Indexed: 12/29/2022] Open
Abstract
Objectives To assess and compare patient perceived quality of osteoarthritis (OA) management in primary healthcare in Denmark, Norway, Portugal and the UK. Methods Participants consulting with clinical signs and symptoms of knee OA were identified in 30 general practices and invited to complete a cross-sectional survey including quality indicators (QI) for OA care. A QI was considered as eligible if the participant had checked ‘Yes’ or ‘No’, and as achieved if the participant had checked ‘Yes’ to the indicator. The median percentage (with IQR and range) of eligible QIs achieved by country was determined and compared in negative binominal regression analysis. Achievement of individual QIs by country was determined and compared using logistic regression analyses. Results A total of 354 participants self-reported QI achievement. The median percentage of eligible QIs achieved (checked ‘Yes’) was 48% (IQR 28%, 64%; range 0–100%) for the total sample with relatively similar medians across three of four countries. Achievement rates on individual QIs showed a large variation ranging from 11% (referral to services for losing weight) to 67% (information about the importance of exercise) with significant differences in achievement rates between the countries. Conclusions The results indicated a potential for improvement in OA care in all four countries, but for somewhat different aspects of OA care. By exploring these differences and comparing healthcare services, ideas may be generated on how the quality might be improved across nations. Larger studies are needed to confirm and further explore the findings.
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Affiliation(s)
- N Østerås
- National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology , Diakonhjemmet Hospital , Oslo , Norway
| | - K P Jordan
- Arthritis Research UK, Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University , Staffordshire , UK
| | - B Clausen
- Research Unit for Musculoskeletal Function and Physiotherapy , Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark , Odense , Denmark
| | - C Cordeiro
- Faculty of Science and Technology and Centre for Research and Development in Health (CESUAlg) , University of Algarve , Faro , Portugal ; Centre of Statistics and Applications (CEAUL), University of Lisbon , Lisbon , Portugal
| | - K Dziedzic
- Arthritis Research UK, Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University , Staffordshire , UK
| | - J Edwards
- Arthritis Research UK, Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University , Staffordshire , UK
| | - G Grønhaug
- National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology , Diakonhjemmet Hospital , Oslo , Norway
| | - A Higginbottom
- Arthritis Research UK, Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University , Staffordshire , UK
| | - H Lund
- Research Unit for Musculoskeletal Function and Physiotherapy , Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark , Odense , Denmark
| | - G Pacheco
- School of Health (ESSUAlg), University of Algarve , Faro , Portugal
| | - S Pais
- School of Health (ESSUAlg), University of Algarve , Faro , Portugal ; Centre for Research and Development in Health (CESUAlg), University of Algarve , Faro , Portugal
| | - K B Hagen
- National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology , Diakonhjemmet Hospital , Oslo , Norway
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Nyboe L, Vestergaard CH, Moeller MK, Lund H, Videbech P. Metabolic syndrome and aerobic fitness in patients with first-episode schizophrenia, including a 1-year follow-up. Schizophr Res 2015; 168:381-7. [PMID: 26278336 DOI: 10.1016/j.schres.2015.07.053] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [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] [Received: 05/07/2015] [Revised: 07/29/2015] [Accepted: 07/30/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To compare the prevalence of metabolic syndrome (MetS) and metabolic abnormalities in patients with first-episode schizophrenia (FES) with sex- and age-matched healthy controls; to investigate changes in MetS during 1year of treatment; and to investigate predictors of MetS. METHODS Patients with FES (N=99) and healthy controls (N=50) were included in the study. MetS was defined according to IDF based on waist circumference (WC), blood pressure (BP), triglycerides (TG), high-density lipoprotein (HDL), and fasting-glucose. Data on physical activity, aerobic fitness, smoking, and dietary habits, sleeping disturbances, psychopathology and psychotropic medication were also obtained. Patients were assessed at baseline and at 1year follow-up. RESULTS Compared with healthy controls patients with FES had a higher baseline prevalence of MetS (p=.07), and metabolic abnormalities: WC (p<.01), TG (p<.01), HDL (p=.017), and fasting glucose (p=.04). Patients with FES had significantly increased prevalence of MetS (p=.03), WC (p=.04), and TG (p=.01) during the study period. Antipsychotics and low physical activity were significantly correlated with the increase in metabolic abnormalities. In multivariate analyses low aerobic fitness was the most consistent and significant predictor of metabolic abnormalities and MetS. CONCLUSION MetS and metabolic abnormalities are highly prevalent in patients with FES, and both increase significantly during 1year of treatment. Apart from confirming the metabolic adverse effects of antipsychotics, our study highlights that low aerobic fitness is a significant risk factor for MetS. Promoting a healthier lifestyle should be part of psychiatric treatment and rehabilitation.
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Affiliation(s)
- L Nyboe
- The Research Unit, Department of Affective Disorders Q, Aarhus University Hospital, Risskov, Denmark.
| | - C H Vestergaard
- The Research Unit, Department of Affective Disorders Q, Aarhus University Hospital, Risskov, Denmark
| | - M K Moeller
- Horsens Regional Hospital, Department of Medicine, Denmark.
| | - H Lund
- SEARCH - Research Group for Synthesis of Evidence and Research, Research Unit for Musculoskeletal Function and Physiotherapy (FoF), Department of Sports Sciences and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Center for Evidence-based Practice, Bergen University College, Bergen, Norway.
| | - P Videbech
- The Research Unit, Department of Affective Disorders Q, Aarhus University Hospital, Risskov, Denmark
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Cuperus N, Vliet Vlieland TPM, Brodin N, Hammond A, Kjeken I, Lund H, Murphy S, Neijland Y, Opava CH, Roškar S, Sargautyte R, Stamm T, Mata XT, Uhlig T, Zangi H, van den Ende CH. Characterizing the concept of activity pacing as a non-pharmacological intervention in rheumatology care: results of an international Delphi survey. Scand J Rheumatol 2015; 45:66-74. [DOI: 10.3109/03009742.2015.1052552] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Saeterbakken A, Andersen V, Brudeseth A, Lund H, Fimland MS. The Effect of Performing Bi- and Unilateral Row Exercises on Core Muscle Activation. Int J Sports Med 2015; 36:900-5. [PMID: 26134664 DOI: 10.1055/s-0034-1398646] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The purpose of the study was to compare core muscle activation in 3 different row exercises (free-weight bent-over row, seated cable row and machine row) performed unilaterally and bilaterally, at matched effort levels. 15 resistance-trained men (26.0±4.4 years, 81.0±9.5 kg, 1.81±0.07 m) performed the exercises in randomized order. For erector spinae and multifidus, EMG activities in unilateral machine- and cable row were 60-63% and 74-78% of the bilateral performance (P≤0.036). For external oblique, the EMG activities recorded during bilateral exercises were 37-41% of the unilateral performance (P≤0.010). In unilateral cable- and machine rows, the EMG activities in external oblique and multifidus were 50-57% and 70-73% of the free-weight row (P≤0.002). In bilateral free-weight row, EMG activity in erector spinae was greater than bilateral machine- (+34%, P=0.004) and unilateral free-weight rows (+12%, P=0.016). For rectus abdominis there were no significant differences between conditions. In conclusion, 1) free-weight row provided greater EMG activity in erector spinae (bilaterally and unilaterally) and multifidus (unilaterally) than machine row; 2) unilateral performance of exercises activated the external oblique more than bilateral performance, regardless of exercise; and 3) generally bilateral performance of exercises provided higher erector spinae and multifidus EMG activity compared to unilateral performance.
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Affiliation(s)
- A Saeterbakken
- Faculty of Teacher Education and Sport, Sogn og Fjordane University College, Sogndal, Norway
| | - V Andersen
- Faculty of Teacher Education and Sport, Sogn og Fjordane University College, Sogndal, Norway
| | - A Brudeseth
- Faculty of Teacher Education and Sport, Sogn og Fjordane University College, Sogndal, Norway
| | - H Lund
- Faculty of Teacher Education and Sport, Sogn og Fjordane University College, Sogndal, Norway
| | - M S Fimland
- Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway
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Cuperus N, Vliet Vlieland T, Brodin N, Hammond A, Kjeken I, Lund H, Murphy S, Neijland Y, Opava C, Roškar S, Sargautyte R, Stamm T, Torres Mata X, Uhlig T, Zangi H, van den Ende E. OP0231-HPR How do we Perceive Activity Pacing in Rheumatology Care? An International Delphi Survey. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2556] [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: 11/03/2022]
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Østerås N, Jordan K, Clausen B, Cordeiro C, Dziedzic K, Grønhaug G, Lund H, Pais S, Hagen K. THU0360 Differences in Self-Reported Quality of Care for Knee Osteoarthritis Across Denmark, Norway, Portugal and United Kingdom. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2412] [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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Juhl C, Christensen R, Roos EM, Zhang W, Lund H. Impact of exercise type and dose on pain and disability in knee osteoarthritis: a systematic review and meta-regression analysis of randomized controlled trials. Arthritis Rheumatol 2014; 66:622-36. [PMID: 24574223 DOI: 10.1002/art.38290] [Citation(s) in RCA: 344] [Impact Index Per Article: 34.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2012] [Accepted: 11/19/2013] [Indexed: 12/22/2022]
Abstract
OBJECTIVE To identify the optimal exercise program, characterized by type and intensity of exercise, length of program, duration of individual supervised sessions, and number of sessions per week, for reducing pain and patient-reported disability in knee osteoarthritis (OA). METHODS A systematic review and meta-analysis of randomized controlled trials were performed. Standardized mean differences (SMDs) were combined using a random-effects model. Study-level covariates were applied in meta-regression analyses in order to reduce between-study heterogeneity. RESULTS Forty-eight trials were included. Similar effects in reducing pain were found for aerobic, resistance, and performance exercise (SMD 0.67, 0.62, and 0.48, respectively; P = 0.733). These single-type exercise programs were more efficacious than programs that included different exercise types (SMD 0.61 versus 0.16; P < 0.001). The effect of aerobic exercise on pain relief increased with an increased number of supervised sessions (slope 0.022 [95% confidence interval 0.002, 0.043]). More pain reduction occurred with quadriceps-specific exercise than with lower limb exercise (SMD 0.85 versus 0.39; P = 0.005) and when supervised exercise was performed at least 3 times a week (SMD 0.68 versus 0.41; P = 0.017). No impact of intensity, duration of individual sessions, or patient characteristics was found. Similar results were found for the effect on patient-reported disability. CONCLUSION Optimal exercise programs for knee OA should have one aim and focus on improving aerobic capacity, quadriceps muscle strength, or lower extremity performance. For best results, the program should be supervised and carried out 3 times a week. Such programs have a similar effect regardless of patient characteristics, including radiographic severity and baseline pain.
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Affiliation(s)
- C Juhl
- University of Southern Denmark, Odense, Denmark, and Copenhagen University Hospital, Gentofte, Denmark
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Stoffer M, van Bodegom-Vos L, Lund H, Vliet Vlieland T. SP0180 Health professionals workshop session: “I’ve been asked to review a clinical guideline – where do I start?”. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1655] [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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Lund H. SP0179 Clinical guidelines-what is it? and are they really useful in my daily practice? Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1654] [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: 11/03/2022]
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Lund H, Cramer A, Großmann C, Kranzfelder D. Vergleich mammographischer, sonographischer und histopathologischer Beurteilung des Primärtumors und des axillären Lymphknoten-Status bei Patientinnen mit primärem Mammakarzinom am Brustzentrum Main-Tauber im Zeitraum 2007-2009. Geburtshilfe Frauenheilkd 2012. [DOI: 10.1055/s-0032-1318527] [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] Open
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Sellebjerg F, Hesse D, Limborg S, Lund H, Søndergaard HB, Krakauer M, Sørensen PS. Dendritic cell, monocyte and T cell activation and response to glatiramer acetate in multiple sclerosis. Mult Scler 2012; 19:179-87. [PMID: 22653658 DOI: 10.1177/1352458512450353] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Treatment with glatiramer acetate (GA) modestly decreases disease activity in multiple sclerosis (MS). The mechanism of action is incompletely understood and differences in the response to treatment between individuals may exist. OBJECTIVE To study the activation of CD4+ T cells, monocytes and dendritic cells (DC) in relation to disease activity in MS patients treated with GA. METHODS Flow cytometry was used to study the activation of CD4+ T cells and T cell subsets (CD25(high) and CD26(high) cells), monocytes and DCs in a cross-sectional study of 39 untreated and 29 GA-treated MS patients, the latter followed prospectively for one year. Gd-enhanced magnetic resonance imaging (MRI) studies were conducted in all patients. Disease activity was assessed as relapses. RESULTS The median percentage of DCs expressing CD40 was 10% in untreated MS patients and 5.9% in GA-treated patients (Bonferroni-corrected p=0.0005). The hazard ratio of relapse was 1.32 (95% confidence interval 1.05-1.64) per 1% increase in CD40+ DCs. Patients treated with GA had fewer CD4+ T cells expressing surface markers associated with T helper type 1 effector responses and more CD4+ T cells expressing surface markers associated with regulatory, naïve or central memory T cell populations, but CD4+ T cell activation was not related with relapse risk. CONCLUSIONS MS patients treated with GA show prominent changes in circulating antigen-presenting cells and CD4+ T cells. Expression of CD40 on DCs is significantly lower and associated with relapse risk in MS patients treated with GA.
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Affiliation(s)
- F Sellebjerg
- Danish Multiple Sclerosis Center, Copenhagen University Hospital Rigshospitalet, Denmark.
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Lund H, Jønsson A, Andresen J, Rostrup E, Paulson OB, Sørensen PS. Cognitive deficits in multiple sclerosis: correlations with T2 changes in normal appearing brain tissue. Acta Neurol Scand 2012; 125:338-44. [PMID: 21793807 DOI: 10.1111/j.1600-0404.2011.01574.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [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: 11/28/2022]
Abstract
OBJECTIVES Although disease load in multiple sclerosis (MS) often is based on T2 lesion volumes, the changes in T2 of normal appearing brain tissue (NABT) are rarely considered. By means of magnetic resonance, (MR) we retrospectively investigated whether T2 changes in NABT explain part of the cognitive impairment seen in MS and constitute a supplement to traditional measurement of T2 lesion volume. MATERIALS AND METHODS Fifty patients with clinically definite MS were included (38 women, 12 men). Patients were MR scanned, neuropsychologically tested, and evaluated clinically with the Kurtzke Expanded Disability Status Scale (EDSS) and the Multiple Sclerosis Impairment Scale (MSIS). Voxel-wise T2 estimates and total T2 lesion volume were tested for correlations with eight cognitive domains, a general cognitive dysfunction factor (CDF), and the two clinical scales. RESULTS We found distinct clusters of voxels with T2 estimates correlating with CDF, mental processing speed, complex motor speed, verbal fluency, and MSIS. A significant negative correlation was found between total lesion volume and CDF (r = -0.34, P = 0.02), verbal intelligence (r = -0.40, P = 0.005), mental processing speed (r = -0.34, P = 0.03), visual problem solving (r = -0.40, P = 0.01), and complex motor speed (r = -0.39, P = 0.01). No significant correlation was detected between total lesion load and the clinical measures EDSS and MSIS. CONCLUSION Our results suggest that even in the NABT MR detects changes likely to be associated with an underlying pathology and possibly contributes to the cognitive impairment in MS.
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Affiliation(s)
- H Lund
- Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital, Hvidovre, Denmark.
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Wæhrens EE, Bliddal H, Danneskiold-Samsøe B, Lund H, Fisher AG. Differences between questionnaire- and interview-based measures of activities of daily living (ADL) ability and their association with observed ADL ability in women with rheumatoid arthritis, knee osteoarthritis, and fibromyalgia. Scand J Rheumatol 2012; 41:95-102. [DOI: 10.3109/03009742.2011.632380] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Momsen A, Rasmussen J, Nielsen C, Iversen M, Lund H. Multidisciplinary team care in rehabilitation: An overview of reviews. J Rehabil Med 2012; 44:901-12. [DOI: 10.2340/16501977-1040] [Citation(s) in RCA: 74] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Sellebjerg F, Hedegaard CJ, Krakauer M, Hesse D, Lund H, Nielsen CH, Søndergaard HB, Sørensen PS. Glatiramer acetate antibodies, gene expression and disease activity in multiple sclerosis. Mult Scler 2011; 18:305-13. [PMID: 22020419 DOI: 10.1177/1352458511420268] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND Glatiramer acetate (GA) treatment suppresses disease activity in multiple sclerosis (MS). The immunological response to treatment may differ in patients who are stable on GA therapy and patients with breakthrough disease activity, but the results of previous studies are inconsistent. OBJECTIVES We studied the immunological response to GA and its relationship with disease activity. METHODS Anti-GA antibodies in plasma and the expression of genes encoding cytokines and T-cell-polarizing transcription factors in blood cells were analysed by flow cytometric bead array and polymerase chain reaction (PCR) analysis in 39 untreated and 29 GA-treated relapsing-remitting MS patients. Definition of breakthrough disease was based on the occurrence of relapses, disability progression, or gadolinium (Gd)-enhanced MRI. RESULTS The expression of T helper type 1 (Th1) and Th17 cytokines and transcription factors was reduced during long-term treatment, but there was no relationship between the expression of cytokines and transcription factors and anti-GA antibodies. High expression of mRNA encoding GATA3 and lymphotoxin-β (LT-β) was associated with low disease activity in Gd-enhanced MRI studies. None of the variables studied were associated with clinical disease activity. GA treatment resulted in the development of IgG and IgG4 anti-GA antibodies during the first months of treatment, persisting during long-term treatment. CONCLUSIONS The observed relationship between the expression of mRNA encoding GATA3 and LT-β expression and MRI disease activity deserves further analysis in future studies. The development of anti-GA antibodies was observed in all patients treated with GA, but this was not related with measures of cellular immunity, clinical or MRI disease activity.
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Affiliation(s)
- F Sellebjerg
- Danish Multiple Sclerosis Center, Department of Neurology, Copenhagen University Hospital Rigshospitalet, Denmark.
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Lund H. 4188 POSTER A Central Contact Unit at a Big Oncological Department. Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)71354-5] [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: 10/17/2022]
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Hesse D, Krakauer M, Lund H, Søndergaard HB, Limborg SJW, Soelberg Sørensen P, Sellebjerg F. Disease protection and interleukin‐10 induction by endogenous interferon‐β in multiple sclerosis? Eur J Neurol 2011; 18:266-272. [DOI: 10.1111/j.1468-1331.2010.03116.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- D. Hesse
- Department of Neurology, Danish Multiple Sclerosis Research Center, Copenhagen University Hospital, Rigshospitalet
| | - M. Krakauer
- Department of Neurology, Danish Multiple Sclerosis Research Center, Copenhagen University Hospital, Rigshospitalet
| | - H. Lund
- Danish Research Centre for Magnetic Resonance, Section 340, Copenhagen University Hospital, Hvidovre, Denmark
| | - H. B. Søndergaard
- Department of Neurology, Danish Multiple Sclerosis Research Center, Copenhagen University Hospital, Rigshospitalet
| | - S. J. W. Limborg
- Department of Neurology, Danish Multiple Sclerosis Research Center, Copenhagen University Hospital, Rigshospitalet
| | - P. Soelberg Sørensen
- Department of Neurology, Danish Multiple Sclerosis Research Center, Copenhagen University Hospital, Rigshospitalet
| | - F. Sellebjerg
- Department of Neurology, Danish Multiple Sclerosis Research Center, Copenhagen University Hospital, Rigshospitalet
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Berstad T, Dørum C, Jakobsen J, Kragset S, Li H, Lund H, Morin A, Munkejord S, Mølnvik M, Nordhagen H, Østbya E. CO2 pipeline integrity: A new evaluation methodology. ACTA ACUST UNITED AC 2011. [DOI: 10.1016/j.egypro.2011.02.210] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [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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Kläning U, Lund T, Lund H, Pedersen SU, Daasbjerg K. Are Reactions Between Metal Cyanides and Aryl Diazonium Ions Really Outer-Sphere Electron Transfer Processes? J Phys Chem A 2010; 114:6575-85. [DOI: 10.1021/jp100592v] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Ulrik Kläning
- Department of Chemistry, University of Aarhus, DK-8000C, Denmark, and Department of Science, Nature and Systems, Roskilde University, Box 260, DK-4000 Roskilde, Denmark
| | - Torben Lund
- Department of Chemistry, University of Aarhus, DK-8000C, Denmark, and Department of Science, Nature and Systems, Roskilde University, Box 260, DK-4000 Roskilde, Denmark
| | - Henning Lund
- Department of Chemistry, University of Aarhus, DK-8000C, Denmark, and Department of Science, Nature and Systems, Roskilde University, Box 260, DK-4000 Roskilde, Denmark
| | - Steen Uttrup Pedersen
- Department of Chemistry, University of Aarhus, DK-8000C, Denmark, and Department of Science, Nature and Systems, Roskilde University, Box 260, DK-4000 Roskilde, Denmark
| | - Kim Daasbjerg
- Department of Chemistry, University of Aarhus, DK-8000C, Denmark, and Department of Science, Nature and Systems, Roskilde University, Box 260, DK-4000 Roskilde, Denmark
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Hesse D, Krakauer M, Lund H, Søndergaard H, Langkilde A, Ryder L, Sorensen P, Sellebjerg F. Breakthrough disease during interferon-β therapy in MS. Neurology 2010; 74:1455-62. [DOI: 10.1212/wnl.0b013e3181dc1a94] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Background: Disease activity is highly variable in patients with multiple sclerosis (MS), both untreated and during interferon (IFN)-β therapy. Breakthrough disease is often regarded as treatment failure; however, apart from neutralizing antibodies (NAbs), no blood biomarkers have been established as reliable indicators of treatment response, despite substantial, biologically measurable effects. We studied the biologic response to treatment in a cohort of NAb-negative patients to test whether difference in responsiveness could segregate patients with and without breakthrough disease during therapy.Methods: Gene expression in blood cells from 23 patients with relapsing-remitting MS was analyzed by microarray and PCR. Samples were collected pretreatment and 9–12 hours after IFNβ injection at 3 and 6 months' treatment. Definition of breakthrough disease was based on the occurrence of relapses, disability progression, or subclinical activity on 3T MRI at 3 and 6 months.Results: Sixteen patients had breakthrough disease and 7 patients were stable. Microarray and PCR showed marked effects of IFNβ on gene expression profiles, but biologic responses did not differ between patients with breakthrough disease and stable patients. However, pretreatment variables did differ: patients with breakthrough disease had lower baseline IL10 expression, more gadolinium-enhancing lesions, and a higher number and volume of T2 lesions.Conclusions: Breakthrough disease during interferon (IFN)-β treatment is not paralleled by differences in biologic responsiveness to treatment in NAb-negative patients; most likely, the spontaneously occurring variation in underlying disease activity between patients causes the varying level of breakthrough disease observed in IFNβ-treated patients with multiple sclerosis.
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Lund H, Gröndahl K, Gröndahl HG. Accuracy and precision of linear measurements in cone beam computed tomography Accuitomo tomograms obtained with different reconstruction techniques. Dentomaxillofac Radiol 2009; 38:379-86. [PMID: 19700531 DOI: 10.1259/dmfr/15022357] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVES To assess the accuracy and precision of linear measurements, the influence of different object positions in cone beam CT (CBCT) images and the effect of different systems for reformatting and viewing the tomograms on measurement values. METHODS An object consisting of Plexiglas plates with metal spheres was radiographically examined in three positions using the CBCT unit Accuitomo. Tomograms were reformatted using the i-Dixel software and Sectra picture archiving and communication system (PACS) multiplanar reformatting (MPR). Two observers measured 20 linear distances in axial, frontal and sagittal planes. Physical measurements of actual distances by means of a digital caliper served as the gold standard. RESULTS For measurements performed on the Accuitomo and Sectra PACS workstations, the mean differences between repeated measurements were below 0.13 mm (standard deviation (SD) 0.13 mm) and 0.21 mm (SD 0.18 mm), respectively. Mean differences between the two observers were below 0.11 mm (SD 0.07 mm) and 0.15 mm (SD 0.09 mm). The mean difference between the gold standard and the basic position when using the Accuitomo workstation, was -0.08 mm (SD 0.21 mm) and for a deviated/rotated position -0.08 mm (SD 0.23 mm) and -0.09 mm (SD 0.20 mm). None was statistically significant (P > 0.05). For measurement performed on MPR tomograms using the Sectra PACS workstation, mean differences were -0.09 mm (SD 0.17 mm) for basic position, and -0.08 mm (SD 0.19 mm) and -0.13 mm (SD 0.15 mm) for deviated and rotated positions, respectively. The mean difference between gold standard and basic/rotated positions was statistically significant, with P = 0.032 and P = 0.002. CONCLUSIONS Our study confirms previous findings indicating that measurements in 3DX Accuitomo FPD (flat panel detector) tomograms show a high level of agreement with actual distances. Our findings suggest the possibility of minor distortion in tomograms reformatted by means of Sectra PACS MPR.
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Affiliation(s)
- H Lund
- Department of Oral and Maxillofacial Radiology, Sahlgrenska Academy, University of Gothenburg, Sweden.
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Danneskiold-Samsøe B, Bartels EM, Bülow PM, Lund H, Stockmarr A, Holm CC, Wätjen I, Appleyard M, Bliddal H. Isokinetic and isometric muscle strength in a healthy population with special reference to age and gender. Acta Physiol (Oxf) 2009; 197 Suppl 673:1-68. [PMID: 19744082 DOI: 10.1111/j.1748-1716.2009.02022.x] [Citation(s) in RCA: 151] [Impact Index Per Article: 10.1] [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: 12/30/2022]
Abstract
AIM Muscle strength is an excellent indicator of general health when based on reliable measurements. Muscle strength data for a healthy population are rare or non-existent. The aim of the present study was to measure a set of normal values for isometric and isokinetic muscle strength for all the major joint movements of the body and, from these data, to create a basis for comparison of the muscle strength of an individual with the expected value in a normal population. METHODS A randomly selected group, aged 20-80 years, from the Copenhagen City Heart Study were studied. The group was subgrouped according to age and gender. Isometric and isokinetic muscle strength was measured in each subject across the main joints in the body. A statistical model was developed that encompassed the three main muscle groups: upper limbs, trunk and lower limbs. RESULTS Muscle strength in healthy men decreases in a linear fashion from the age of 25 years down to between 54% and 89% at the age of 75 years, and seems not highly dependent on any other parameter than age. For women, the muscle strength is dependent on weight and is only related to age from around 40 years of age. The decrease in muscle strength from the age around 40 to 75 years is 48-92%. For most muscle groups, men are 1.5-2 times stronger than women, with the oldest men having strength similar to that observed among the youngest women. CONCLUSION We developed a model to compare the isometric and isokinetic muscle strength of all the major joint movements of an individual with values for a healthy man or woman at any age in the range of 20-80 years. In all age groups, women have lower muscle strength than men. Men's muscle strength declines with age, while women's muscle strength declines from the age of 41 years.
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Affiliation(s)
- B Danneskiold-Samsøe
- The Parker Institute, Frederiksberg Copenhagen University Hospital, Frederiksberg, Denmark.
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Ellegaard K, Torp-Pedersen S, Henriksen M, Lund H, Danneskiold-Samsoe B, Bliddal H. Influence of recent exercise and skin temperature on ultrasound Doppler measurements in patients with rheumatoid arthritis--an intervention study. Rheumatology (Oxford) 2009; 48:1520-3. [DOI: 10.1093/rheumatology/kep294] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [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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Trans T, Aaboe J, Henriksen M, Christensen R, Bliddal H, Lund H. Effect of whole body vibration exercise on muscle strength and proprioception in females with knee osteoarthritis. Knee 2009; 16:256-61. [PMID: 19147365 DOI: 10.1016/j.knee.2008.11.014] [Citation(s) in RCA: 117] [Impact Index Per Article: 7.8] [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] [Received: 06/25/2008] [Revised: 11/18/2008] [Accepted: 11/19/2008] [Indexed: 02/02/2023]
Abstract
The purpose of this study was to assess the effect of whole body vibration (WBV) exercise on muscle strength and proprioception in female patients with osteoarthritis in the knee (knee-OA). A single blinded, randomised, controlled trial was performed in an outpatient clinic on 52 female patients diagnosed with knee-OA (mean age 60.4 years+/-9.6). They were randomly assigned to one of 3 groups: 1. WBV-exercise on a stable platform (VibM; n=17 (mean age, 61.5+/-9.2)), WBV-exercise on a balance board (VibF; n=18 (mean age, 58.7+/-11.0)), or control group (Con; n=18 (mean age, 61.1+/-8.5)). The WBV groups trained twice a week for 8 weeks, with a progressively increasing intensity. The WBV groups performed unloaded static WBV exercise. The following were measured: knee muscle strength (extension/flexion) and proprioception (threshold for detection of passive movement (TDPM)). Self-reported disease status was measured using WOMAC. It was found that muscle strength increased significantly (p<0.001) in VibM compared to Con. Isometric knee-extension significantly increased (p=0.021) in VibM compared to Con. TDPM was significantly improved (p=0.033) in VibF compared to Con, while there was a tendency (p=0.051) for VibM to perform better compared to Con. There were no effects in the self-reported disease status measures. This study showed that the WBV-exercise regime on a stable platform (VibM) yielded increased muscle strength, while the WBV-exercise on a balance board (VibF) showed improved TDPM. The WBV-exercise is a time-saving and safe method for rehabilitation of women with knee-OA.
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Affiliation(s)
- T Trans
- Clinical Motor Function Laboratory, The Parker Institute, Frederiksberg Hospital, Denmark
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Olsson L, Lund H, Henriksen M, Rogind H, Bliddal H, Danneskiold-Samsøe B. Test–retest reliability of a knee joint position sense measurement method in sitting and prone position. ACTA ACUST UNITED AC 2009. [DOI: 10.1080/14038190310009894] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Mårtensson A, Rustad P, Lund H, Ossowicki H. Creatininium reference intervals for corrected methods. Scandinavian Journal of Clinical and Laboratory Investigation 2009; 64:439-41. [PMID: 15223706 DOI: 10.1080/00365510410002832] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Mikalsen J, Olsen AB, Rudra H, Moldal T, Lund H, Djønne B, Bergh O, Colquhoun DJ. Virulence and pathogenicity of Francisella philomiragia subsp. noatunensis for Atlantic cod, Gadus morhua L., and laboratory mice. J Fish Dis 2009; 32:377-381. [PMID: 19335614 DOI: 10.1111/j.1365-2761.2008.00987.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- J Mikalsen
- National Veterinary Institute, Section for Fish Health, Oslo, Norway.
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Lund H, Juul-Kristensen B, Hansen K, Christensen R, Christensen H, Danneskiold-Samsoe B, Bliddal H. Movement detection impaired in patients with knee osteoarthritis compared to healthy controls: a cross-sectional case-control study. J Musculoskelet Neuronal Interact 2008; 8:391-400. [PMID: 19147977] [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] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The purpose of this study was to clarify whether osteoarthritis (OA) patients have a localized or a generalized reduction in proprioception. Twenty one women with knee OA (mean age [SD]: 57.1 [12.0] years) and 29 healthy women (mean age [SD]: 55.3 [10.1] years) had their joint position sense (JPS) and threshold to detection of a passive movement (TDPM) measured in both knees and elbows. JPS was measured as the participant's ability to actively reproduce the position of the elbow and knee joints. TDPM was measured as the participant's ability to recognize a passive motion of the elbow and knee joints. The absolute error (AE) for JPS (i.e., absolute difference in degrees between target and estimated position) and for TDPM (i.e., the difference in degrees at movement start and response when recognizing the movement) was calculated. For TDPM a higher AE (mean [SE]) was found in the involved knees in patients than in the matched knees of healthy participants (AE: 2.41 degrees [0.20 degrees] versus 1.47 degrees [0.14], p=0.001). The same held true for the non-involved knees between OA and healthy subjects (AE: 2.20 degrees [0.20 degrees] versus 1.57 degrees [0.14 degrees], p=0.016). Furthermore TDPM was higher in OA patients' right elbows compared to healthy participants' right elbows (AE: 2.15 degrees [0.20 degrees] versus 1.45 degrees [0.15 degrees], p=0.011). No significant difference between healthy women and OA patients regarding the left elbow for TDPM, or JPS was observed. The present age-controlled, cross-sectional study suggests that there is an increase in threshold to detection of a passive motion in knees and elbows for patients with knee OA. This indicates that OA may be associated with a generalized defect in proprioception with possible implications for the pathogenesis of the joint degeneration.
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Affiliation(s)
- H Lund
- Research Initiative for Physiotherapy, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
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Ellegaard K, Torp-Pedersen S, Lund H, Henriksen M, Terslev L, Jensen PS, Danneskiold-Samsøe B, Bliddal H. Quantification of colour Doppler activity in the wrist in patients with rheumatoid arthritis--the reliability of different methods for image selection and evaluation. Ultraschall Med 2008; 29:393-398. [PMID: 18709606 DOI: 10.1055/s-2008-1027196] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
PURPOSE The amount of colour Doppler activity in the inflamed synovium is used to quantify inflammatory activity. The measurements may vary due to image selection, quantification method, and point in cardiac cycle. This study investigated the test-retest reliability of ultrasound colour Doppler measurements in the wrist of patients with rheumatoid arthritis (RA) using different selection and quantification methods. MATERIALS AND METHODS 14 patients with RA had their wrist scanned twice by the same investigator with an interval of 30 minutes. The images for analysis were selected either by the anatomical position only or by the anatomical position with maximum colour Doppler activity. Subsequently, the amount of colour Doppler was measured in an area defined by either the synovial tissue or by specific anatomical structures surrounding the synovial tissue. RESULTS The best test-retest reliability was obtained when the images were selected guided by colour Doppler and the subsequent quantification was done in an area defined by anatomical structures. With this method, the intra-class coefficient ICC (2.1) was 0.95 and the within-subject SD (SW) was 0.017, indicating good reliability. In contrast, poor test-retest reliability was found if the images were selected by anatomical position only and the quantification was done in an area defined by the synovial tissue (ICC [2.1] = 0.48 and SW = 0.049). CONCLUSION The study showed that colour Doppler measurements are reliable if the images for analysis are selected by anatomical position in combination with colour Doppler activity and the subsequent analysis is performed in an area defined by anatomical structures.
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Affiliation(s)
- K Ellegaard
- The Parker Institute, Frederiksberg Hospital.
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Abstract
BACKGROUND Clinical experience indicates that aquatic exercise may have advantages for osteoarthritis patients. OBJECTIVES To compare the effectiveness and safety of aquatic-exercise interventions in the treatment of knee and hip osteoarthritis. SEARCH STRATEGY We searched MEDLINE from 1949, EMBASE from 1980, CENTRAL (Issue 2, 2006), CINAHL from 1982, Web of Science from 1945, all up to May 2006. There was no language restriction. SELECTION CRITERIA Randomised controlled trials or quasi-randomised clinical trials. DATA COLLECTION AND ANALYSIS Two review authors independently selected trials for inclusion, assessed the internal validity of included trials and extracted data. Pooled results were analyzed using standardized mean differences (SMD). MAIN RESULTS There is a lack of high-quality studies in this area. In total, six trials (800 participants) were included. At the end of treatment for combined knee and hip osteoarthritis, there was a small-to-moderate effect on function (SMD 0.26, 95% confidence interval (CI) 0.11 to 0.42) and a small-to-moderate effect on quality of life (SMD 0.32, 95% CI 0.03 to 0.61). A minor effect of a 3% absolute reduction (0.6 fewer points on a 0 to 20 scale) and 6.6% relative reduction from baseline was found for pain. There was no evidence of effect on walking ability or stiffness immediately after end of treatment. No evidence of effect on pain, function or quality of life were observed on the one trial including participants with hip osteoarthritis alone. Only one trial was identified including knee osteoarthritis alone, comparing aquatic exercise with land-based exercise. Immediately after treatment, there was a large effect on pain (SMD 0.86, 95%CI 0.25 to 1.47; 22% relative percent improvement), but no evidence of effect on stiffness or walking ability. Only two studies reported adverse effects, that is, the interventions did not increase self-reported pain or symptom scores. No radiographic evaluation was performed in any of the included studies. AUTHORS' CONCLUSIONS Aquatic exercise appears to have some beneficial short-term effects for patients with hip and/or knee OA while no long-term effects have been documented. Based on this, one may consider using aquatic exercise as the first part of a longer exercise programme for osteoarthritis patients. The controlled and randomised studies in this area are still too few to give further recommendations on how to apply the therapy, and studies of clearly defined patient groups with long-term outcomes are needed to decide on the further use of this therapy in the treatment of osteoarthritis.
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Affiliation(s)
- H Lund
- The Hygienic Institute of the University of Copenhagen
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Hansen AN, Bergheim R, Fagertun H, Lund H, Wiklund I, Moum B. Long-term management of patients with symptoms of gastro-oesophageal reflux disease -- a Norwegian randomised prospective study comparing the effects of esomeprazole and ranitidine treatment strategies on health-related quality of life in a general practitioners setting. Int J Clin Pract 2006; 60:15-22. [PMID: 16409423 DOI: 10.1111/j.1368-5031.2006.00768.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.4] [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] [Indexed: 11/30/2022] Open
Abstract
This article reports quality of life (QoL) aspects of a study that investigated the efficacy of three treatment regimens in gastro-oesophageal reflux disease patients. Following a 4-week symptom-control phase (esomeprazole 40 mg once daily), patients were randomised to 6 months' esomeprazole 20 mg once daily continuously (n = 658), on-demand (n = 634) or ranitidine 150 mg twice daily continuously (n = 610). Esomeprazole 40 mg once daily improved QoL during the symptom-control phase. At 6 months, both esomeprazole regimens were more effective than ranitidine in all dimensions of the Quality of Life in Reflux and Dyspepsia questionnaire (p < 0.0001). Esomeprazole continuous and on-demand led to a significant improvement in symptoms (Overall Treatment Evaluation questionnaire) compared with ranitidine (continuous: 80.2%, on-demand: 77.8%, vs. ranitidine 47.0%; p < 0.001). Esomeprazole once daily continuously maintained QoL better than esomeprazole on-demand and was associated with greater patient satisfaction. In conclusion, esomeprazole 20 mg once daily continuously and on-demand were more effective than ranitidine continuously for maintaining QoL.
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Lund H, Svith H, Pedersen SU, Daasbjerg K. Versatile electrochemically based preparation of unusual Grignard reagents containing electrophilic substituents. Electrochim Acta 2005. [DOI: 10.1016/j.electacta.2005.05.027] [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: 10/25/2022]
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Bartels EM, Lund H, Hagen KB, Dagfinrud H, Christensen R, Danneskiold-Samsøe B. Aquatic exercise for the treatment of knee and hip osteoarthritis. THE COCHRANE DATABASE OF SYSTEMATIC REVIEWS 2005. [DOI: 10.1002/14651858.cd005523] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Baymak M, Celik H, Lund H, Zuman P. Experimental evidence of formation of imines in the course of reduction of hydrazones. J Electroanal Chem (Lausanne) 2005. [DOI: 10.1016/j.jelechem.2005.04.030] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Grosse J, Anielski P, Hemmersbach P, Lund H, Mueller RK, Rautenberg C, Thieme D. Formation of 19-norsteroids by in situ demethylation of endogenous steroids in stored urine samples. Steroids 2005; 70:499-506. [PMID: 15894033 DOI: 10.1016/j.steroids.2005.01.005] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.8] [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: 03/03/2004] [Revised: 11/29/2004] [Accepted: 01/25/2005] [Indexed: 10/25/2022]
Abstract
The formation of 19-norsteroids by demethylation of endogenous steroids in stored urine samples was observed. Suspicious urine samples (i.e. containing trace amounts of 19-norandrosterone and 19-noretiocholanolone) were selected and spiked with deuterated analogues of androsterone and etiocholanolone at concentrations corresponding to high endogenous levels (4 microg/mL). After incubation, respective 19-norsteroids (19-norandrosterone-d4 and 19-noretiocholanolone-d5) were identified in these samples by high-resolution mass spectrometry. The transformation of the 5 beta-isomer (etiocholanolone) yields about three-fold higher concentrations, compared to the 5 alpha-isomer. A significant temperature dependence was observed by comparison of reaction kinetics at room temperature (23+/-2 degrees C) and 37 degrees C. Concentrations of 19-norandrosterone-d4 and 19-noretiocholanolone-d5, respectively, were 2.7 and 3.6 times higher at elevated temperature. The conversion of androsterone-d4 to 19-norandrosterone-d4 did not exceed a relative amount of 0.1%. Incubation of the urine samples with androsterone-d4-glucuronide led to the production of 19-norandrosterone-d4-glucuronoide. A partial stabilization was observed after addition of metabolic inhibitors (e.g. EDTA). The application of the incubation experiments described may contribute to the clarification of adverse analytical findings regarding low levels of 19-norsteroid metabolites.
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Affiliation(s)
- J Grosse
- Institute of Doping Analysis and Sports Biochemistry, D-01731 Kreischa, Germany.
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Hansen AN, Wahlqvist P, Jørgensen E, Bergheim R, Fagertun H, Lund H, Moum B. Six-month management of patients following treatment for gastroesophageal reflux disease symptoms -- a Norwegian randomized, prospective study comparing the costs and effectiveness of esomeprazole and ranitidine treatment strategies in a general medical practitioners setting. Int J Clin Pract 2005; 59:655-64. [PMID: 15924593 DOI: 10.1111/j.1368-5031.2005.00563.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [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] [Indexed: 01/23/2023] Open
Abstract
This study assesses the difference in direct medical costs between on-demand treatment with esomeprazole 20 mg, continuous treatment with esomeprazole 20 mg once-daily and continuous treatment with ranitidine 150 mg twice-daily to prevent symptomatic relapse in patients with gastroesophageal reflux disease over 26 weeks. Two hundred eighty-one GP clinics in Norway enrolled 2156 patients to an open, randomized, parallel group, Norwegian society perspective study during 2000-2001. The total direct medical costs of each strategy were 171.9 Euros for on-demand esomeprazole (n = 634), 221.6 Euros for ranitidine (n = 610) and 248.8 Euros for continuous esomeprazole (n = 658). The total costs for on-demand and continuous esomeprazole treatment and ranitidine treatment were 221.5, 286.5 and 295.8 Euros, respectively. The highest proportion of costs was because of the study medication cost in each strategy. The on-demand and continuous treatment strategies with esomeprazole were found to be cost-effective, compared with ranitidine.
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