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  1. Book: Neuroleptanalgesia in cataract surgery / 1 / Pöntinen, P. J. and Miettinen, P.

    Pöntinen, Pekka J. / Miettinen, Pentti / Reinikainen, Mikko

    1964  

    Collection Neuroleptanalgesia in cataract surgery
    Language English
    Size 31 S. : graph. Darst.
    Publisher Munksgaard
    Publishing place Copenhagen
    Publishing country Denmark
    Document type Book
    HBZ-ID HT004925764
    Database Catalogue ZB MED Medicine, Health

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  2. Book: Neuroleptanalgesia in cataract surgery / 2 / by Pöntinen, P. J., Miettinen, P., and Reinikainen, M.

    Pöntinen, Pekka J. / Miettinen, Pentti / Reinikainen, Mikko

    1966  

    Collection Neuroleptanalgesia in cataract surgery
    Language English
    Size 36 S.
    Publisher Munksgaard
    Publishing place Copenhagen
    Publishing country Denmark
    Document type Book
    HBZ-ID HT004925765
    Database Catalogue ZB MED Medicine, Health

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  3. Article ; Online: Central precocious puberty in boys: secular trend and clinical features.

    Huttunen, Heta / Kärkinen, Juho / Varimo, Tero / Miettinen, Päivi J / Raivio, Taneli / Hero, Matti

    European journal of endocrinology

    2024  Volume 190, Issue 3, Page(s) 211–219

    Abstract: ... the male CPP incidence increased (incidence rate ratio [IRR] 1.10, P = .001). This increase was driven ... by rising idiopathic CPP (ICPP) incidence (IRR 1.11, 95% CI 1.05-1.19, P < .001), while OCPP incidence ... remained stable (P = .41). Compared with the patients with ICPP, the patients with OCPP were younger (P ...

    Abstract Objective: Recent studies suggest that boys enter puberty at a younger age, and the incidence of male central precocious puberty (CPP) is increasing. In this study, we explore the incidence of male CPP and identify key clinical and auxological indicators for organic CPP (OCPP).
    Design: A retrospective registry-based study.
    Methods: The medical records of 43 boys treated with CPP at the Helsinki University Hospital between 1985 and 2014 were reviewed. Clinical, auxological, and endocrine data of the CPP patients were included in the analyses.
    Results: Based on brain MRI, 26% of patients had OCPP. Between 2010 and 2014, the CPP incidence in boys was 0.34 per 10 000 (95% CI 0.20-0.60). Between 1990 and 2014, the male CPP incidence increased (incidence rate ratio [IRR] 1.10, P = .001). This increase was driven by rising idiopathic CPP (ICPP) incidence (IRR 1.11, 95% CI 1.05-1.19, P < .001), while OCPP incidence remained stable (P = .41). Compared with the patients with ICPP, the patients with OCPP were younger (P = .006), were shorter (P = .003), and had higher basal serum testosterone levels (P = .038). Combining 2 to 4 of these readily available clinical cues resulted in good to excellent (all, area under the curve 0.84-0.97, P < .001) overall performance, differentiating organic etiology from idiopathic.
    Conclusions: The estimated incidence of CPP in boys was 0.34 per 10 000, with 26% of cases associated with intracranial pathology. The increase in CPP incidence was driven by rising ICPP rates. Patients with OCPP were characterized by shorter stature, younger age, and higher basal testosterone levels, providing valuable cues for differentiation in addition to brain MRI. Utilizing multiple cues could guide diagnostic decision-making.
    MeSH term(s) Humans ; Male ; Luteinizing Hormone ; Puberty, Precocious/diagnosis ; Puberty, Precocious/epidemiology ; Follicle Stimulating Hormone ; Retrospective Studies ; Testosterone ; Gonadotropin-Releasing Hormone
    Chemical Substances Luteinizing Hormone (9002-67-9) ; Follicle Stimulating Hormone (9002-68-0) ; Testosterone (3XMK78S47O) ; Gonadotropin-Releasing Hormone (33515-09-2)
    Language English
    Publishing date 2024-03-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1183856-5
    ISSN 1479-683X ; 0804-4643
    ISSN (online) 1479-683X
    ISSN 0804-4643
    DOI 10.1093/ejendo/lvae021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Machine learning models in predicting health care costs in patients with a recent acute coronary syndrome: A prospective pilot study.

    Hautala, Arto J / Shavazipour, Babooshka / Afsar, Bekir / Tulppo, Mikko P / Miettinen, Kaisa

    Cardiovascular digital health journal

    2023  Volume 4, Issue 4, Page(s) 137–142

    Abstract: Background: Health care budgets are limited, requiring the optimal use of resources. Machine learning (ML) methods may have an enormous potential for effective use of health care resources.: Objective: We assessed the applicability of selected ML ... ...

    Abstract Background: Health care budgets are limited, requiring the optimal use of resources. Machine learning (ML) methods may have an enormous potential for effective use of health care resources.
    Objective: We assessed the applicability of selected ML tools to evaluate the contribution of known risk markers for prognosis of coronary artery disease to predict health care costs for all reasons in patients with a recent acute coronary syndrome (n = 65, aged 65 ± 9 years) for 1-year follow-up.
    Methods: Risk markers were assessed at baseline, and health care costs were collected from electronic health registries. The Cross-decomposition algorithms were used to rank the considered risk markers based on their impacts on variances. Then regression analysis was performed to predict costs by entering the first top-ranking risk marker and adding the next-best markers, one by one, to build up altogether 13 predictive models.
    Results: The average annual health care costs were €2601 ± €5378 per patient. The Depression Scale showed the highest predictive value (r = 0.395), accounting for 16% of the costs (
    Conclusion: Higher depression score is the primary variable forecasting health care costs in 1-year follow-up among acute coronary syndrome patients. The ML tools may help decision-making when planning optimal utilization of treatment strategies.
    Language English
    Publishing date 2023-05-13
    Publishing country United States
    Document type Journal Article
    ISSN 2666-6936
    ISSN (online) 2666-6936
    DOI 10.1016/j.cvdhj.2023.05.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Prenatal, newborn and childhood factors and the timing of puberty in boys and girls.

    Suutela, Maria / Hero, Matti / Kosola, Silja / Miettinen, Päivi J / Raivio, Taneli

    Pediatric research

    2024  

    Abstract: ... 1.8 months in girls, 95%CI = -3.2 to -0.3, p = 0.015 and -1.7 months in boys, 95%CI = -3.1 to -0.3 ... p = 0.016). Older gestational age predicted later age at PHV in boys. One SDS increase ... in birth weight led to 1.7 months later age at PHV in girls (95%CI = 1.2 to 2.2, p < 0.001) and 0.8 months in boys ...

    Abstract Background: Our aim was to determine if prenatal factors, gestational age, birth weight and length, and childhood body mass index (BMI) are associated with the timing of puberty.
    Methods: Our population-based study comprised 4826 girls and 5112 boys born between 1997 and 2002. Multiple linear regression modeled the relationships between the maternal and child predictors and the age at peak height velocity (PHV).
    Results: Maternal smoking throughout pregnancy was associated with earlier age at PHV (-1.8 months in girls, 95%CI = -3.2 to -0.3, p = 0.015 and -1.7 months in boys, 95%CI = -3.1 to -0.3, p = 0.016). Older gestational age predicted later age at PHV in boys. One SDS increase in birth weight led to 1.7 months later age at PHV in girls (95%CI = 1.2 to 2.2, p < 0.001) and 0.8 months in boys (95%CI = 0.2 to 1.3, p = 0.005). At the age of 9 years, each increment of BMI by 1 kg/m
    Conclusions: Fetal exposure to smoking can potentially exert enduring effects on pubertal timing. Birth weight and childhood nutritional status are significant determinants of pubertal timing in both sexes.
    Impact: Maternal smoking was associated with earlier timing of puberty and greater birth weight with later timing of puberty in both girls and boys. Most previous studies have focused on girls and used surveys to assess pubertal development, but we studied both sexes and used the same objective measure (age at peak height velocity) for the timing of puberty. Our study increases knowledge especially regarding factors associated with the timing of puberty among boys.
    Language English
    Publishing date 2024-04-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 4411-8
    ISSN 1530-0447 ; 0031-3998
    ISSN (online) 1530-0447
    ISSN 0031-3998
    DOI 10.1038/s41390-024-03159-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Cost of surgical treatment for ulnar nerve entrapment in Finland, 2011-2015: a registry-based cost description study.

    Hannula, Aarni / Miettinen, Laura / Lampainen, Kaisa / Ryhänen, Jorma / Torkki, Paulus / Hulkkonen, Sina

    BMJ open

    2023  Volume 13, Issue 6, Page(s) e068964

    Abstract: Objectives: The aim of this study was to evaluate the cost of surgical treatment for primary ulnar nerve entrapment (UNE) borne by the public sector in Finland.: Design: Registry-based cost description study.: Setting: Primary and secondary care ... ...

    Abstract Objectives: The aim of this study was to evaluate the cost of surgical treatment for primary ulnar nerve entrapment (UNE) borne by the public sector in Finland.
    Design: Registry-based cost description study.
    Setting: Primary and secondary care throughout Finland.
    Participants: We identified all the patients diagnosed with primary UNE in the whole population of Finland from 2011 to 2015 from the Care Register for Health Care. From these patients, we identified those who had undergone ulnar nerve release during the year they were diagnosed or the following year.
    Interventions: Open ulnar nerve release.
    Outcome measures: The primary outcome measure was cost borne by the public sector in 2015 euros. The cost of surgery was based on the diagnosis-related group prices. We calculated the cost of a single visit to a primary care physician, an electroneuromyography examination, a preoperative visit to a hand surgeon and a follow-up appointment by telephone in specialised care for each patient. These unit costs were provided by the Finnish Institute for Health and Welfare and the same costs were used for each patient. We obtained the number of reimbursed sick days and the total amount reimbursed to each patient in euros within the 2 years after diagnosis from the Social Insurance Institution of Finland.
    Results: During our study period, approximately 1786 primary UNE diagnoses were made yearly, and on average, 876 (49%) of patients received surgical treatment annually. The surgery-related cost per patient averaged at EUR 1341 (43%) and reimbursed sick leaves at EUR 952 (30%) during this period. The annual cost of surgical treatment for UNE borne by the public sector in Finland varied between EUR 3082 and EUR 3213 per patient.
    Conclusions: The average cost of surgical treatment for UNE in Finland was EUR 3140 per patient between 2011 and 2015.
    MeSH term(s) Humans ; Ulnar Nerve Compression Syndromes/surgery ; Finland ; Registries
    Language English
    Publishing date 2023-06-01
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2022-068964
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Quantitative Comparison against Experiments Reveals Imperfections in Force Fields' Descriptions of POPC-Cholesterol Interactions.

    Javanainen, Matti / Heftberger, Peter / Madsen, Jesper J / Miettinen, Markus S / Pabst, Georg / Ollila, O H Samuli

    Journal of chemical theory and computation

    2023  Volume 19, Issue 18, Page(s) 6342–6352

    Abstract: Cholesterol is a central building block in biomembranes, where it induces orientational order, slows diffusion, renders the membrane stiffer, and drives domain formation. Molecular dynamics (MD) simulations have played a crucial role in resolving these ... ...

    Abstract Cholesterol is a central building block in biomembranes, where it induces orientational order, slows diffusion, renders the membrane stiffer, and drives domain formation. Molecular dynamics (MD) simulations have played a crucial role in resolving these effects at the molecular level; yet, it has recently become evident that different MD force fields predict quantitatively different behavior. Although easily neglected, identifying such limitations is increasingly important as the field rapidly progresses toward simulations of complex membranes mimicking the in vivo conditions: pertinent multicomponent simulations must capture accurately the interactions between their fundamental building blocks, such as phospholipids and cholesterol. Here, we define quantitative quality measures for simulations of binary lipid mixtures in membranes against the C-H bond order parameters and lateral diffusion coefficients from NMR spectroscopy as well as the form factors from X-ray scattering. Based on these measures, we perform a systematic evaluation of the ability of commonly used force fields to describe the structure and dynamics of binary mixtures of palmitoyloleoylphosphatidylcholine (POPC) and cholesterol. None of the tested force fields clearly outperforms the others across the tested properties and conditions. Still, the Slipids parameters provide the best overall performance in our tests, especially when dynamic properties are included in the evaluation. The quality evaluation metrics introduced in this work will, particularly, foster future force field development and refinement for multicomponent membranes using automated approaches.
    MeSH term(s) Lipid Bilayers/chemistry ; Phosphatidylcholines/chemistry ; Molecular Dynamics Simulation ; Cholesterol/chemistry
    Chemical Substances 1-palmitoyl-2-oleoylphosphatidylcholine (TE895536Y5) ; Lipid Bilayers ; Phosphatidylcholines ; Cholesterol (97C5T2UQ7J)
    Language English
    Publishing date 2023-08-24
    Publishing country United States
    Document type Journal Article
    ISSN 1549-9626
    ISSN (online) 1549-9626
    DOI 10.1021/acs.jctc.3c00648
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Cornea-Specific Human Adipose Stem Cell-Derived Extracellular Matrix for Corneal Stroma Tissue Engineering.

    Puistola, Paula / Kethiri, Abhinav / Nurminen, Antti / Turkki, Johannes / Hopia, Karoliina / Miettinen, Susanna / Mörö, Anni / Skottman, Heli

    ACS applied materials & interfaces

    2024  Volume 16, Issue 13, Page(s) 15761–15772

    Abstract: Utilizing tissue-specific extracellular matrices (ECMs) is vital for replicating the composition of native tissues and developing biologically relevant biomaterials. Human- or animal-derived donor tissues and organs are the current gold standard for the ... ...

    Abstract Utilizing tissue-specific extracellular matrices (ECMs) is vital for replicating the composition of native tissues and developing biologically relevant biomaterials. Human- or animal-derived donor tissues and organs are the current gold standard for the source of these ECMs. To overcome the several limitations related to these ECM sources, including the highly limited availability of donor tissues, cell-derived ECM offers an alternative approach for engineering tissue-specific biomaterials, such as bioinks for three-dimensional (3D) bioprinting. 3D bioprinting is a state-of-the-art biofabrication technology that addresses the global need for donor tissues and organs. In fact, there is a vast global demand for human donor corneas that are used for treating corneal blindness, often resulting from damage in the corneal stromal microstructure. Human adipose tissue is one of the most abundant tissues and easy to access, and adipose tissue-derived stem cells (hASCs) are a highly advantageous cell type for tissue engineering. Furthermore, hASCs have already been studied in clinical trials for treating corneal stromal pathologies. In this study, a corneal stroma-specific ECM was engineered without the need for donor corneas by differentiating hASCs toward corneal stromal keratocytes (hASC-CSKs). Furthermore, this ECM was utilized as a component for corneal stroma-specific bioink where hASC-CSKs were printed to produce corneal stroma structures. This cost-effective approach combined with a clinically relevant cell type provides valuable information on developing more sustainable tissue-specific solutions and advances the field of corneal tissue engineering.
    MeSH term(s) Animals ; Humans ; Tissue Engineering/methods ; Corneal Stroma/metabolism ; Cornea ; Extracellular Matrix/chemistry ; Biocompatible Materials/metabolism ; Adipose Tissue ; Stem Cells ; Tissue Scaffolds ; Bioprinting/methods
    Chemical Substances Biocompatible Materials
    Language English
    Publishing date 2024-03-21
    Publishing country United States
    Document type Journal Article
    ISSN 1944-8252
    ISSN (online) 1944-8252
    DOI 10.1021/acsami.3c17803
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: During an 18-month course of automated insulin delivery treatment, children aged 2 to 6 years achieve and maintain a higher time in tight range.

    Pulkkinen, Mari-Anne / Varimo, Tero J / Hakonen, Elina T / Hero, Matti T / Miettinen, Päivi J / Tuomaala, Anna-Kaisa

    Diabetes, obesity & metabolism

    2024  

    Abstract: ... mean SG value and TAR decreased significantly (p < 0.001); the favourable effect persisted through 18 ... 37.5; 3 months: mean score 28.6 [p = 0.06]; 18 months: mean score 24.6 [p < 0.001]).: Conclusions ...

    Abstract Aims: To investigate whether the positive effects on glycaemic outcomes of 3-month automated insulin delivery (AID) achieved in 2- to 6-year-old children endure over an extended duration and how AID treatment affects time in tight range (TITR), defined as 3.9-7.8 mmol/L.
    Research design and methods: We analysed 18 months of follow-up data from a non-randomized, prospective, single-arm clinical trial (n = 35) conducted between 2021 and 2023. The main outcome measures were changes in time in range (TIR), glycated haemoglobin (HbA1c), time above range (TAR), TITR, and mean sensor glucose (SG) value during follow-up visits (at 0, 6, 12 and 18 months). The MiniMed 780G AID system in SmartGuard Mode was used for 18 months. Parental diabetes distress was evaluated at 3 and 18 months with the validated Problem Areas in Diabetes-Parent, revised (PAID-PR) survey.
    Results: Between 0 and 6 months, TIR and TITR increased, and HbA1c, mean SG value and TAR decreased significantly (p < 0.001); the favourable effect persisted through 18 months of follow-up. Between 3 and 18 months, PAID-PR score declined significantly (0 months: mean score 37.5; 3 months: mean score 28.6 [p = 0.06]; 18 months: mean score 24.6 [p < 0.001]).
    Conclusions: Treatment with AID significantly increased TITR and TIR in young children. The positive effect of AID on glycaemic control observed after 6 months persisted throughout the 18 months of follow-up. Similarly, parental diabetes distress remained reduced during 18 months follow-up. These findings are reassuring and suggest that AID treatment improves glycaemic control and reduces parental diabetes distress in young children over an extended 18-month follow-up.
    Language English
    Publishing date 2024-03-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 1454944-x
    ISSN 1463-1326 ; 1462-8902
    ISSN (online) 1463-1326
    ISSN 1462-8902
    DOI 10.1111/dom.15562
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Health-related quality of life and self-reported health status in adolescents with chronic health conditions before transfer of care to adult health care: an international cohort study.

    Kallio, Mira / Tornivuori, Anna / Miettinen, Päivi J / Kolho, Kaija-Leena / Relas, Heikki / Culnane, Evelyn / Loftus, Hayley / Sawyer, Susan M / Kosola, Silja

    BMC pediatrics

    2024  Volume 24, Issue 1, Page(s) 163

    Abstract: ... than Australia (80.6 vs. 72.2 and 0.905 vs. 0.825, p < 0.001 for all). Adolescents with diabetes, rheumatological ... or other disease syndromes (p < 0.001). PedsQL and 16D scores showed a strong correlation ...

    Abstract Background: Heath-related quality of life (HRQoL) is lower in adolescents with chronic health conditions compared to healthy peers. While there is evidence of some differences according to the underlying condition and gender, differences by measure and country are poorly understood. In this study we focus on the differences in HRQoL in adolescents with various chronic medical conditions in the year before transfer of care to adult health services. We also study the associations of two different HRQoL measurements to each other and to self-reported health.
    Methods: We recruited 538 adolescents from New Children`s Hospital, Helsinki, Finland, and the Royal Children`s Hospital, Melbourne, Australia in 2017-2020. We used two validated HRQoL measurement instruments, Pediatric Quality of Life Inventory (PedsQL) and 16D, and a visual analog scale (VAS) for self-reported health status.
    Results: In total, 512 adolescents (50.4% female, mean age 17.8 [SD 1.2] years), completed the survey measures. Higher HRQoL was reported in males than females in both countries (PedsQL 79.4 vs. 74.1; 16D 0.888 vs. 0.846), and in adolescents from Finland than Australia (80.6 vs. 72.2 and 0.905 vs. 0.825, p < 0.001 for all). Adolescents with diabetes, rheumatological, nephrological conditions and/or organ transplants had higher HRQoL than adolescents with neurological conditions or other disease syndromes (p < 0.001). PedsQL and 16D scores showed a strong correlation to each other (Spearman correlation coefficient r = 0.81). Using the 7-point VAS (1-7), 52% (248 of 479) considered their health status to be good (6-7) and 10% (48 of 479) rated it poor (1-2). Better self-reported health was associated with higher HRQoL.
    Conclusions: The HRQoL of transition aged adolescents varies between genders, diagnostic groups, and countries of residence. The association between self-reported health and HRQoL suggests that brief assessment using the VAS could identify adolescents who may benefit from in-depth HRQoL evaluation.
    Trial registration: Trial registration name The Bridge and registration number NCT04631965 ( https://clinicaltrials.gov/ct2/show/NCT04631965 ).
    MeSH term(s) Adolescent ; Adult ; Aged ; Child ; Female ; Humans ; Male ; Chronic Disease ; Cohort Studies ; Delivery of Health Care ; Health Status ; Quality of Life ; Self Report ; Surveys and Questionnaires
    Language English
    Publishing date 2024-03-08
    Publishing country England
    Document type Clinical Trial ; Journal Article
    ZDB-ID 2041342-7
    ISSN 1471-2431 ; 1471-2431
    ISSN (online) 1471-2431
    ISSN 1471-2431
    DOI 10.1186/s12887-024-04629-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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