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Kaija Komulainen DDS Pekka Ylöstalo DDS PhD Anna‐Maija Syrjälä DDS PhD Piia Ruoppi DDS Matti Knuuttila DDS PhD Raimo Sulkava MD PhD Sirpa Hartikainen MD PhD 《Special care in dentistry》2014,34(1):19-26
The aim was to study the determinants of preventive oral health care need among community‐dwelling old people. The study population consisted of 165 participants, a subpopulation in the Geriatric Multidisciplinary Strategy for Good Care of Elderly People (GeMS) study. Fifty‐five percent of the edentate participants with full dentures and 82% of the dentate had a need for preventive oral health care. In the total study population, the need for preventive care was associated with co‐morbidity (measured by means of the Modified Functional Co‐morbidity Index) odds ratios (OR) 1.2 (confidence intervals [CI] 1.0–1.5), being pre‐frail or frail, OR 2.5 (CI 1.2–5.1), presence of natural teeth, OR 4.8 (CI 2.2–10.4), and among dentate participants, the use of a removable partial denture, OR 12.8 (CI 1.4–114.4). Primary care clinicians should be aware of the high need for preventive care and the importance of nonoral conditions as determinants of preventive oral health care need. 相似文献
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Eetu Heervä Laura Huilaja Pekka Leinonen Sirkku Peltonen Juha Peltonen 《Calcified tissue international》2014,94(6):608-612
This is the first prospective follow-up study to describe the effects of oral alendronate medication on neurofibromatosis 1 (NF1)-related osteoporosis. NF1 is a neurocutaneous skeletal syndrome associated with increased fracture risk and high frequency of osteopenia and osteoporosis. Alendronate is a bisphosphonate drug which inhibits the function of bone-resorbing osteoclasts, ultimately leading to an increase in bone mineral density (BMD) and reduction in fracture risk. However, in vitro studies have shown that NF1 osteoclasts display insensitivity to apoptotic signals caused by bisphosphonates. Our aim was to monitor the effects of alendronate medication in patients with NF1. Five men and one woman, aged 28–76 years, with NF1-related osteoporosis were enrolled to the study. Study participants did not have other conditions and were not taking any medication known to affect bone. The medication included a weekly dose of 70 mg alendronate and a daily 20 μg vitamin D supplementation. After 23 months of follow-up, BMD was increased in five out of six patients, but the increase was not statistically significant. Serum levels of the bone turnover markers CTX and PINP were reduced, suggesting slower bone remodeling, as expected. An unexpected result was that serum levels of the osteoclast activity marker TRAP5b did not change during the follow-up. One new stress fracture of the tibia was documented during the alendronate therapy. Even though the study group was small, the findings of the current study (one new fracture and one patient with decreased BMD) call for a larger study to assess the efficacy of bisphosphonates in NF1-related osteoporosis. 相似文献
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IL‐33 polymorphisms are associated with increased risk of hay fever and reduced regulatory T cells in a birth cohort
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Paul C. Schröder Vera I. Casaca Sabina Illi Maximilian Schieck Sven Michel Andreas Böck Caroline Roduit Remo Frei Anna Lluis Jon Genuneit Petra Pfefferle Marjut Roponen Juliane Weber Charlotte Braun‐Fahrländer Josef Riedler Roger Lauener Dominique Angèle Vuitton Jean‐Charles Dalphin Juha Pekkanen Erika von Mutius Michael Kabesch Bianca Schaub PASTURE Study group 《Pediatric allergy and immunology》2016,27(7):687-695
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Jukka Hytönen Tamim Khawaja Juha O. Grönroos Anna Jalava Seppo Meri Jarmo Oksi 《APMIS : acta pathologica, microbiologica, et immunologica Scandinavica》2017,125(1):59-62
We report two cases of louse‐borne relapsing fever (LBRF) in young Somali asylum seekers having recently arrived to Finland. They had sought medical attention for a febrile illness. Blood smears were examined for suspected malaria, but instead, spirochete shaped bacteria were observed. The bacteria were confirmed as Borrelia recurrentis by PCR and sequencing. The patients survived, but their treatment was complicated by Jarisch–Herxheimer reaction. We conclude that LBRF must be considered as a diagnostic option in febrile refugees also in the northernmost parts of Europe. 相似文献
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