- Research in Social Sciences
- Primary Care and Health Outcomes
- Sinusitis and nasal conditions
- Pharmaceutical Practices and Patient Outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Musculoskeletal pain and rehabilitation
- Healthcare Systems and Technology
- Interprofessional Education and Collaboration
- Antibiotic Use and Resistance
- Pneumonia and Respiratory Infections
- Long-Term Effects of COVID-19
- Cardiac Health and Mental Health
- Physical Activity and Health
- Health Sciences Research and Education
- Health Systems, Economic Evaluations, Quality of Life
- Workplace Health and Well-being
- Psychosomatic Disorders and Their Treatments
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Innovations in Medical Education
- Medication Adherence and Compliance
- Drug-Induced Adverse Reactions
- Pregnancy and Medication Impact
- Pain Mechanisms and Treatments
- Health and Wellbeing Research
- Infection Control in Healthcare
University of Helsinki
2014-2025
Helsinki University Hospital
2015-2025
The University of Western Australia
2015-2023
Primary Health Care
2010-2020
Tampere University
2013
Children's Hospital of Eastern Ontario
2013
Izaak Walton Killam Health Centre
2010
General practitioners (GPs) manage the drug therapies of people with chronic diseases, and poor adherence to medication remains a major challenge.This qualitative study examined GPs' insights into non-adherence ways overcoming this problem.We ran four focus groups comprising 16 GPs at Kirkkonummi Health Centre (Southern Finland). Interviews were audiotaped, transcribed verbatim analysed by inductive content analysis.The two main themes in discussions care disease increased need for medicine...
The 'Oslo Chronic Fatigue Consortium' consists of researchers and clinicians who question the current narrative that chronic fatigue syndromes, including post-covid conditions, are incurable diseases. Instead, we propose an alternative view, based on research, which offers more hope to patients. Whilst regard symptoms these conditions as real, they likely reflect brain's response a range biological, psychological, social factors, rather than specific disease process. Possible causes include...
Background Persistent somatic symptoms unexplained by a defined medical or psychiatric condition often include component of central sensitization. Many treatment options are based on cognitive behavioral therapy. Effective widely available therapies scarce. There self-management programs and e-therapies that aim at overcoming the sensitization modifying interoceptive neural networks in brain. Objectives This study aims to investigate effect mindfulness-based amygdala insula retraining (AIR)...
Background The mechanisms underlying persistent symptoms after non-severe COVID-19 remain unclear. This study aimed to investigate transcriptomic changes in peripheral blood cells of patients with post-COVID-19 condition (PCC) and assess if distinct clinical subtypes specific gene signatures could be identified. Methods cohort included 111 PCC from the SARS-CoV-2 Omicron variant era, 57 recovered (Recov) 54 having prolonged indicative PCC. results were compared 63 healthy controls (Ctrl)...
Objective: To present the occurrence, characteristics, etiology, interference, and medication of chronic pain among elderly living independently at home. Design/setting: A total 460 subjects in three cohorts aged 75, 80 85 years respectively received visits by communal home-care department nurses for a cross-sectional survey. Of them, 175 had (duration ≥ 3 months) with an average intensity 4/10 and/or moderate interference daily life. Main outcome measures: Clinical assessment was performed...
Objectives The aim of this study was to assess the effect an ergonomic intervention on pain and sickness absence caused by upper-extremity musculoskeletal disorders. Methods In randomized controlled study, subjects aged 18–60 years (N=177) seeking medical advice due symptoms were included if their symptoms, or exacerbation had started <30 days prior consultation immediate sick leave not required. Workplace improvements made in group. Data absences gathered during one-year follow-up. Results...
Although a number of studies have evaluated the effectiveness computerized decision-support systems (CDSS), there is lack data on user perspectives, barriers, and facilitators to implementation CDSSs in real-life surroundings. The aim this study was assess individually perceived ideas influencing CDSS usability. In qualitative study, five focus groups were carried out with physicians nurses separately at Tampere City Health Center, Finland. participants end-users EBMeDS decision support...
Hazardous and harmful alcohol use high blood pressure are central risk factors related to premature non-communicable disease (NCD) mortality worldwide. A reduction in the prevalence of both has been suggested as a route reach global NCD targets. This study aims highlight that screening interventions for hypertension hazardous primary healthcare can contribute substantially achieving targets.A consensus conference based on systematic reviews, meta-analyses, clinical guidelines, experimental...
Objective. To explore medical students’ potential interest in family medicine the future and their perceptions of a GP's work. Design. A cross-sectional survey 2008–2010. Setting subjects. Fifth-year students prior to main course General Practice at University Helsinki. Main outcome measures. The opinions regarding work aims Results. 309/359 (mean age 25.7 years, 64% females) responded survey. Among students, 76% considered most attractive feature be that it is versatile challenging. least...
We aimed to identify clinically relevant clusters among patients with post-Covid-19 condition (PCC) and assess prognosis overall within clusters. Prospective cohort study of PCC attending a rehabilitation clinic. monitored patient reported outcome measures (PROMs): EuroHIS quality life symptoms. Unsupervised hierarchical cluster analyses were performed different quantity symptoms, symptoms presenting together. Preliminary findings on symptom prevalence at 12 months are reported. Among 409...
Background. Evidence-based clinical guidelines could support shared decision-making and help patients to participate actively in their care. However, it is not well known how view as a source of health information. This qualitative study aimed assess what know about guidelines, they think presentation formats. Research question. What the role information for implementation evidence-based be improved? Methods. A with focus groups that were built around semi-structured topic guide. Focus...
Aims: We examined the associations of physical activity (PA) frequency with self-rated health (SRH), well-being (SRW) and depressive symptoms, in middle-aged men Finland. Methods: The cross-sectional study comprised 665 (mean age 41 ± 3 SD years; body mass index (BMI) 26.8 4.2 kg/m 2 ), who had completed screening questionnaire an intervention for cardiovascular risk factors. Their weekly PA was assessed by a questionnaire, SRH SRW visual analog scales (VAS), symptoms Patient Health...
Background Psychotropic medication use occurs in 8% of pregnancies, with rates increasing, and often multiple medications prescribed. Aims This study aims to determine if the psychotropic medication, a cohort women severe mental illness, increases special care nursery admission reports differences between antidepressant antipsychotic either alone or combination. Methods A retrospective database analysis from illness pregnancy identified 268 pregnant who were grouped according type....
Introduction: Lithium treatment in pregnancy represents a significant dilemma for women and treating health professionals alike. The complexity of risk-benefit analysis is impacted by limited information.Methods: A cohort study 33 with severe mental illness, who were prescribed lithium at any time during the pregnancy, gave birth between December 2007 January 2015 specialist antenatal clinic Western Australia. descriptive comparison continued throughout those ceased on discovery was...
Introduction After COVID-19, many continue to experience persistent debilitating symptoms, that is, long COVID. Its most prevalent symptoms are chest pain, difficulties with breathing, painful muscles, ageusia or anosmia, tingling extremities and general tiredness. This paper describes the protocol of Long COVID Cohort Study assess prognosis prognostic determinants patients by implementing patient-reported outcome measures (PROMs), (PREMs) clinical examinations during a 1-year follow-up....
Objective: Research and PhDs are relatively rare in family medicine primary care. To promote research, regular one-year research courses for care professionals with a focus on clinical epidemiology were started. This study explores the academic outcomes of first four cohorts surveys participants’ perspectives course. Design: An electronic survey was sent to course participants. All peer-reviewed scientific papers published by these students retrieved literature searches PubMed. Setting:...