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Acceptability of dental appearance in a group of Finnish 16- to 25-year-olds.

https://arctichealth.org/en/permalink/ahliterature151199
Source
Angle Orthod. 2009 May;79(3):479-83
Publication Type
Article
Date
May-2009
Author
Anna-Liisa Svedström-Oristo
Terttu Pietilä
Ilpo Pietilä
Tero Vahlberg
Pentti Alanen
Juha Varrela
Author Affiliation
Department of Oral Development and Orthodontics, Institute of Dentistry, University of Turku, Lemminkäisenkatu 2, 20520 Turku, Finland. anlisve@utu.fi
Source
Angle Orthod. 2009 May;79(3):479-83
Date
May-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Area Under Curve
Diastema - pathology
Esthetics, Dental
Female
Finland
Humans
Incisor - pathology
Male
Malocclusion - classification - psychology
Needs Assessment
Orthodontics, Corrective - psychology
Personal Satisfaction
ROC Curve
Self Concept
Sex Factors
Young Adult
Abstract
To define a grade in the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN) that would differentiate between esthetically acceptable and unacceptable occlusions and that would also be both subjectively and objectively meaningful.
Dental appearance and self-perceived orthodontic treatment need were analyzed in a group of Finnish young adults (171 males, 263 females, age range 16-25 years). Subjective data were gathered using a questionnaire, and the respondents were requested to score their dental appearance on a visual analog type 10-grade scale. Professional assessment of dental appearance was performed by two orthodontists using the AC of the IOTN. The cutoff value between esthetically acceptable and unacceptable occlusions was defined using receiver operating characteristic curves.
Sixty-six percent of orthodontically treated and 74% of the untreated respondents were satisfied with their own dental appearance. Every third respondent reported one or more disturbing traits in their dentition. The most frequently expressed reason for dissatisfaction was crowding; girls expressed dissatisfaction more often than boys did (P = .005). A self-perceived treatment need was reported infrequently by 8% of orthodontically treated and 6% of untreated respondents. In the logistic regression analysis, self-perceived need for orthodontic treatment was the only significant factor explaining dissatisfaction with own dental esthetics. On the applied scales, grades 1 and 2 fulfilled the criteria for satisfactory dental esthetics.
The results suggest that the AC grade 3 could serve as a cutoff value between esthetically acceptable and unacceptable occlusions.
PubMed ID
19413382 View in PubMed
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Allergy from infancy to adolescence. A population-based 18-year follow-up cohort.

https://arctichealth.org/en/permalink/ahliterature149497
Source
BMC Pediatr. 2009;9:46
Publication Type
Article
Date
2009
Author
Minna Kaila
Päivi Rautava
Doris Holmberg-Marttila
Tero Vahlberg
Minna Aromaa
Matti Sillanpää
Author Affiliation
Clinical Research Centre, Turku University Hospital, Turku, Finland. minna.kaila@iki.fi
Source
BMC Pediatr. 2009;9:46
Date
2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Asthma - complications - diagnosis - epidemiology
Child
Child, Preschool
Female
Finland - epidemiology
Follow-Up Studies
Humans
Hypersensitivity - complications - diagnosis - epidemiology
Infant
Infant, Newborn
Male
Prevalence
Abstract
Anxious parents have many concerns about the future health of their atopic infants. Paediatricians and primary care practitioners need to seek knowledge on long-term outcomes in order to cope with the increasing caseload of suspected allergy and the concerns of parents. The aim of the study was to assess suspected and diagnosed allergy in infancy as predictors of allergy and asthma in adolescence.
Families expecting their first baby and making their first visit to a maternity health care clinic in 1986 were selected as the study population in a random sample. There were 1278 eligible study families. The data were provided of the children at the ages of 9 and 18 months and 3, 5, 12, 15 and 18 years by health care professionals, parents, and adolescents (themselves).
At the age of 9 months, the prevalence of allergy suspicions was distinctly higher than that of allergy diagnoses. At the age of five years suspected allergy approaches were nil, and the prevalence of diagnosed allergy was about 9%. During the adolescence, the prevalence of self-reported allergy increases steadily up to the age of 18 years, and that of asthma remains at approximately 5%. Suspected allergy at the age of 9 or 18 months and at the 5 years of age does not predict allergy at adolescence. Compared with non-allergic children, children with definite allergy at the age of 5 were over 8 times more likely to have allergy and nearly 7 times more likely to have asthma in adolescence.
An early ascertained diagnosis of allergy, but not suspicions of allergy, predicts prevailing allergy in adolescence. Efforts need to be focused on accurate diagnosis of early childhood allergies.
Notes
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Cites: Ann Allergy Asthma Immunol. 2002 Dec;89(6 Suppl 1):33-712487202
PubMed ID
19630989 View in PubMed
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Ambulatory orthopaedic surgery patients' emotions when using different patient education methods.

https://arctichealth.org/en/permalink/ahliterature121314
Source
J Perioper Pract. 2012 Jul;22(7):226-31
Publication Type
Article
Date
Jul-2012
Author
Katja Heikkinen
Sanna Salanterä
Tiina Leppänen
Tero Vahlberg
Helena Leino-Kilpi
Author Affiliation
University of Turku, Department of Nursing Science, FIN-20014 Turku, Finland. katheik@utu.fi
Source
J Perioper Pract. 2012 Jul;22(7):226-31
Date
Jul-2012
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Ambulatory Surgical Procedures - psychology
Computer-Assisted Instruction
Depression - prevention & control
Emotions
Female
Finland
Humans
Internet
Male
Middle Aged
Nurse-Patient Relations
Orthopedic Procedures - psychology
Patient Education as Topic - methods
Stress, Psychological - prevention & control
Abstract
A randomised controlled trial was used to evaluate elective ambulatory orthopaedic surgery patients' emotions during internet-based patient education or face-to-face education with a nurse. The internet-based patient education was designed for this study and patients used websites individually based on their needs. Patients in the control group participated individually in face-to-face patient education with a nurse in the ambulatory surgery unit. The theoretical basis for both types of education was the same. Ambulatory orthopaedic surgery patients scored their emotions rather low at intervals throughout the whole surgical process, though their scores also changed during the surgical process. Emotion scores did not decrease after patient education. No differences in patients' emotions were found to result from either of the two different patient education methods.
PubMed ID
22919767 View in PubMed
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Apolipoprotein E polymorphism and changes in serum lipids during a family-based counselling intervention.

https://arctichealth.org/en/permalink/ahliterature167254
Source
Public Health Nutr. 2006 Oct;9(7):859-65
Publication Type
Article
Date
Oct-2006
Author
Marika Salminen
Terho Lehtimäki
Yue-Mei Fan
Tero Vahlberg
Sirkka-Liisa Kivelä
Author Affiliation
Institute of Clinical Medicine, Family Medicine, Lemminkäisenkatu 1, FI-20014 University of Turku, Turku, Finland. majosa@utu.fi
Source
Public Health Nutr. 2006 Oct;9(7):859-65
Date
Oct-2006
Language
English
Publication Type
Article
Keywords
Adolescent
Analysis of Variance
Apolipoproteins E - genetics
Child
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Coronary Disease - blood - genetics - prevention & control
Female
Finland
Genetic Predisposition to Disease
Genotype
Humans
Lipids - blood
Male
Nutritional Physiological Phenomena
Polymorphism, Genetic
Public Health
Risk assessment
Risk factors
Sex Factors
Triglycerides - blood
Abstract
To compare serum lipids and their changes during a family-based health education in children aged 6-17 years with or without the epsilon4 allele of the gene encoding apolipoprotein E (apoE).
An intervention study.
A family-based prevention of risk factors of coronary heart disease in Eastern Finland. The programme consisted of two counselling meetings at children's schools and three at children's homes.
Four hundred and thirty-nine children with a family history of cardiovascular diseases (CVD) participated in a family-based health education. The children were divided into two groups according to apoE genotype. The risk group consisted of 143 children having apoE epsilon4 allele (genotype epsilon3/4 or epsilon4/4) and the non-risk group of 296 children without apoE epsilon4 allele (epsilon2/3 or epsilon3/3). The final sample of the follow-up study included 354 (81%) children (114 and 240, respectively).
Baseline differences were found in low-density lipoprotein cholesterol (LDL-C) (P=0.007) and LDL-C/high-density lipoprotein cholesterol (HDL-C) ratio (P=0.030) among boys and in total cholesterol (TC)/HDL-C (P=0.008) and LDL-C/HDL-C ratios (P=0.006) among girls. Differences between groups in changes during the follow-up were observed only for TC/HDL-C ratio (P-value adjusted for age=0.049) among boys.
At baseline, children with apoE epsilon4 allele had on average a more unfavourable lipid profile than those without apoE epsilon4 allele. However, the effect of about 33 months' family-based health education on plasma lipids did not depend on apoE genotype in children with a family history of CVD.
Notes
Comment In: Public Health Nutr. 2006 Oct;9(7):821-217010243
PubMed ID
17010251 View in PubMed
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Associations of social support and alexithymia with psychological distress in Finnish young adults.

https://arctichealth.org/en/permalink/ahliterature296551
Source
Scand J Psychol. 2018 Dec; 59(6):602-609
Publication Type
Journal Article
Date
Dec-2018
Author
Suvi Saikkonen
Max Karukivi
Tero Vahlberg
Simo Saarijärvi
Author Affiliation
Adolescent Psychiatry, University of Turku and Turku University Hospital, Turku, Finland.
Source
Scand J Psychol. 2018 Dec; 59(6):602-609
Date
Dec-2018
Language
English
Publication Type
Journal Article
Keywords
Affective Symptoms - psychology
Female
Finland
Humans
Male
Mental health
Social Support
Stress, Psychological - psychology
Surveys and Questionnaires
Young Adult
Abstract
The positive influence of social support on psychological wellbeing is well documented but the research among young adults is scarce. Additionally, it is still unclear what type of social support explains the positive influence in this age group. Alexithymia has been linked to lacking social support and higher levels of psychological distress, but the underlying mechanisms are not well known. We aimed to assess the association of social support and alexithymia with psychological distress in a sample of young adults. The non-clinical sample comprised 316 young Finnish adults (mean age 23 years). Psychological distress was assessed using the 12-item General Health Questionnaire (GHQ-12), alexithymia was measured with the Toronto Alexithymia Scale (TAS-20) and social support with the Multidimensional Scale of Perceived Social Support (MSPSS). The associations were assessed using regression analyses. The TAS-20 (p = 0.002) and MSPSS (p =
PubMed ID
30085355 View in PubMed
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Biomarkers of kidney function and prediction of death from cardiovascular and other causes in the elderly: A 9-year follow-up study.

https://arctichealth.org/en/permalink/ahliterature284646
Source
Eur J Intern Med. 2016 Sep;33:98-101
Publication Type
Article
Date
Sep-2016
Author
Marika Salminen
Kaisa Laine
Päivi Korhonen
Elise Wasen
Tero Vahlberg
Raimo Isoaho
Sirkka-Liisa Kivelä
Minna Löppönen
Kerttu Irjala
Source
Eur J Intern Med. 2016 Sep;33:98-101
Date
Sep-2016
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Biomarkers - blood
Cardiovascular Diseases - blood - mortality
Creatinine - blood
Cystatin C - blood
Female
Finland
Follow-Up Studies
Glomerular Filtration Rate
Humans
Longitudinal Studies
Male
Proportional Hazards Models
Renal Insufficiency, Chronic - blood
Risk factors
Abstract
Cystatin C is claimed to be superior to creatinine-based estimates of glomerular filtration rate (eGFRcr). The purpose of the study is to analyze whether cystatin C, creatinine, and/or estimated glomerular filtration rates (eGFR) predicted cardiovascular and/or non-cardiovascular deaths among Finnish elderly.
Hazard ratios (HR) of cystatin C, creatinine and eGFRs for cardiovascular and non-cardiovascular deaths.
During a 9-year follow-up, 275 died, 192 deaths were a result of cardiovascular disease. In age-adjusted analyses, cystatin C predicted the risk of non-cardiovascular and cardiovascular death in men (HR for 0.1-unit increase 1.12 [95% CI, 1.04-1.19] for non-CVD deaths and 1.18 [1.09-1.28] for CVD deaths) and women (1.14 [1.07-1.21] and 1.14 [1.06-1.22], respectively). CKD-EPIcr-cyc predicted the risk of CVD deaths in men (HR for 5-unit decrease 1.17 [1.09-1.25]) and women (1.09 [1.02-1.17]) and non-CVD deaths in women (1.07 [1.01-1.14]). Also, MDRD (HR for 5-unit decrease 1.16 [1.05-1.27]) and CKD-EPI (HR for 5-unit decrease 1.15 [1.05-1.25]) predicted CVD deaths among men. After additional adjustments, predictive value of cystatin C remained significant. Also, the predictive value of CKD-EPIcr-cys remained significant in non-CVD deaths among women.
Cystatin C was clearly the best predictor for cardiovascular and non-cardiovascular deaths among Finnish elderly. Serum cystatin C is more accurate for clinical decision making than creatinine-based eGFR equations or the combined CKD-EPIcr-cys equation in persons older than 64years.
PubMed ID
27370901 View in PubMed
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Citizen scientist lepidopterists exposed to potential carcinogens.

https://arctichealth.org/en/permalink/ahliterature278291
Source
Food Chem Toxicol. 2016 May;91:1-7
Publication Type
Article
Date
May-2016
Author
Petri J Vainio
Tero Vahlberg
Jyrki Liesivuori
Source
Food Chem Toxicol. 2016 May;91:1-7
Date
May-2016
Language
English
Publication Type
Article
Keywords
Animals
Carcinogens - toxicity
Chloroform - toxicity
Entomology - manpower
Ethane - analogs & derivatives - toxicity
Finland
Humans
Hydrocarbons, Chlorinated - toxicity
Lepidoptera
Occupational Exposure
Abstract
Lepidopterists use substantial volumes of solvents, such as chloroform, 1,1,2,2-tetrachloroethane and xylene, in their traps when collecting faunistic and phenological data. A majority of them are citizen scientists and thus in part not identified by occupational healthcare as being at risk due to solvent handling. We surveyed the extent of solvent use, the frequency and extent of potential exposure and the safety precautions taken in trapping and catch handling by Finnish lepidopterists. Chloroform and 1,1,2,2-tetrachloroethane were the most frequently used anaesthetics. Potential for exposure prevailed during trap maintenance and exploration and catch sorting. Adequate protection against vapours or spills was worn by 17% during trap exploration. Subjects completed a median of 100 trap explorations per season. Dermal or mucosal spills were recorded at a median rate of one spill per ten (chloroform) to 20 (1,1,2,2-tetrachloroethane and xylene) trap explorations. Median annual cumulative durations of 8 and 20 h of exposure to chloroform and 1,1,2,2-tetrachloroethane at levels above odour detection threshold were reported. Subjective adverse findings possibly related solvents had been noticed by 24 (9.8%) lepidopterists. All the events had been mild to moderate. No factor predicting unsafe procedures or adverse reactions was recorded despite thorough statistical testing.
PubMed ID
26945614 View in PubMed
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The Cultural Competence of Graduating Nursing Students.

https://arctichealth.org/en/permalink/ahliterature285883
Source
J Transcult Nurs. 2017 Jan;28(1):98-107
Publication Type
Article
Date
Jan-2017
Author
Hanna Repo
Tero Vahlberg
Leena Salminen
Irena Papadopoulos
Helena Leino-Kilpi
Source
J Transcult Nurs. 2017 Jan;28(1):98-107
Date
Jan-2017
Language
English
Publication Type
Article
Keywords
Adult
Cultural Competency - education - psychology
Curriculum - trends
Education, Nursing, Baccalaureate - methods - standards - statistics & numerical data
Female
Finland
Humans
Male
Multivariate Analysis
Psychometrics - instrumentation - methods
Students, Nursing - psychology - statistics & numerical data
Transcultural Nursing - education - standards - statistics & numerical data
Abstract
Cultural competence is an essential component in nursing. The purpose of this study was to evaluate the level of cultural competence of graduating nursing students, to identify associated background factors to cultural competence, and furthermore to establish whether teaching multicultural nursing was implemented in nursing education.
A structured Cultural Competence Assessment Tool was used in a correlational design with a sample of 295 nursing students in southern Finland.
The level of cultural competence was moderate, and the majority of students had studied multicultural nursing. Minority background (p = .001), frequency of interacting with different cultures (p = .002), linguistic skills (p = .002), and exchange studies (p = .024) were positively associated to higher cultural competence.
To improve cultural competence in students, nursing education should provide continuous opportunities for students to interact with different cultures, develop linguistic skills, and provide possibilities for internationalization both at home and abroad.
PubMed ID
26873438 View in PubMed
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Dementia associates with undermedication of cardiovascular diseases in the elderly: a population-based study.

https://arctichealth.org/en/permalink/ahliterature169022
Source
Dement Geriatr Cogn Disord. 2006;22(2):132-41
Publication Type
Article
Date
2006
Author
Minna Lopponen
Ismo Raiha
Raimo Isoaho
Tero Vahlberg
Hannu Puolijoki
Sirkka-Liisa Kivela
Author Affiliation
Department of Family Medicine, University of Turku, Lemminkäisenkatu 1, Turku, Finland. minna.lopponen@utu.fi
Source
Dement Geriatr Cogn Disord. 2006;22(2):132-41
Date
2006
Language
English
Publication Type
Article
Keywords
Aged
Cardiovascular Agents - administration & dosage - therapeutic use
Cardiovascular Diseases - complications - drug therapy - epidemiology
Dementia - complications - diagnosis - epidemiology
Electrocardiography - drug effects
Female
Finland - epidemiology
Humans
Longitudinal Studies
Male
Neuropsychological Tests
Patient compliance
Population
Risk assessment
Abstract
To compare medication use in patients suffering from cardiovascular disease with and without dementia.
All inhabitants aged 75 and older in Lieto, Finland (n = 462, participation rate 82%).
Direct standardised assessments of dementia and cardiovascular diseases. Quantification of drug use by self-report and by prescription and drug container checks.
In multivariate analyses, the odds ratio for demented cardiovascular patients receiving any cardiovascular medication (use vs. non-use) was 0.31 (95% confidence interval 0.12-0.82). Compared to the non-demented, demented stroke patients were treated less often with antithrombotic agents (p = 0.041) and demented hypertensive patients less often with beta-blockers (p = 0.045).
Demented cardiovascular patients, even mildly to moderately demented, were prescribed fewer evidence-based cardiovascular medications than non-demented patients.
PubMed ID
16741361 View in PubMed
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Depression-focused interpersonal counseling and the use of healthcare services after myocardial infarction.

https://arctichealth.org/en/permalink/ahliterature128589
Source
Perspect Psychiatr Care. 2012 Jan;48(1):47-55
Publication Type
Article
Date
Jan-2012
Author
Olli Oranta
Sinikka Luutonen
Raimo K R Salokangas
Tero Vahlberg
Helena Leino-Kilpi
Author Affiliation
Department of Nursing Science and Psychiatric Clinic, University of Turku, Turku University Hospital, Turku, Finland. olpeor@saunalahti.fi
Source
Perspect Psychiatr Care. 2012 Jan;48(1):47-55
Date
Jan-2012
Language
English
Publication Type
Article
Keywords
Aged
Counseling - methods
Depression - therapy
Depressive Disorder - therapy
Female
Finland
Follow-Up Studies
Health Services - utilization
Humans
Male
Middle Aged
Myocardial Infarction - psychology
Abstract
The purpose for this study was to evaluate the association between depression-focused interpersonal counseling (IPC) and the use of healthcare services in Finland after myocardial infarction (MI).
The measures were done at 6 and 18 months after MI in the randomized intervention (n= 51) and the control group (n= 52).
There was less use of somatic specialized healthcare services in the intervention group from 6 to 18 months after hospital discharge, and with intervention patients who had no other long-term disease during 6 months.
Confirmation of possible benefits of IPC for practice calls for more specific studies.
PubMed ID
22188047 View in PubMed
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70 records – page 1 of 7.