A5036796392- Innovations in Medical Education
- Diversity and Career in Medicine
- Medical Education and Admissions
- Primary Care and Health Outcomes
- Venous Thromboembolism Diagnosis and Management
- Global Health Workforce Issues
- Pharmacological Effects and Toxicity Studies
- Healthcare Policy and Management
- Healthcare professionals’ stress and burnout
- Healthcare Systems and Technology
- Atrial Fibrillation Management and Outcomes
- Research in Social Sciences
- Emergency and Acute Care Studies
- Central Venous Catheters and Hemodialysis
- Epilepsy research and treatment
- Ultrasound in Clinical Applications
- Clinical Reasoning and Diagnostic Skills
- Cardiac electrophysiology and arrhythmias
- Healthcare Quality and Management
- Patient Satisfaction in Healthcare
- Empathy and Medical Education
- Cardiac Arrhythmias and Treatments
- Medical Coding and Health Information
- Medical Malpractice and Liability Issues
- Protease and Inhibitor Mechanisms
Moisio Hospital
2021-2024
Kuopio University Hospital
2011-2021
Mikkelin keskussairaala
2021
University of Eastern Finland
1996-2008
Applying for medical school is the first and also one of most important career choices a physician makes. It to understand reasons behind this decision if we are choose best applicants schools enable them pursue satisfying careers. Respondents Finnish Junior Physician 88, 1998 2008 studies were asked: "To what extent did following factors influence your apply school?" In respondents "If you starting now, would start studying medicine?" had answer "Yes" or "No". The odds ratios "No" tested...
Background: Pharmacological cardioversion of atrial fibrillation is a reasonable alternative for electrical in acute fibrillation. We compared the efficacy and safety intravenous vernakalant flecainide patients with recent-onset (< 48 h) Methods: A total 200 consecutive patients, 100 undergoing flecainide, were included this single centre non-randomized retrospective study. The primary endpoint was conversion to sinus rhythm within 120 minutes from drug administration. Results:...
Elevated soluble urokinase Plasminogen Activator Receptor (suPAR) is a biomarker associated with adverse outcomes. We aimed to investigate the associations between plasma suPAR levels (testing cut-offs ⩽4, 4-6, and ⩾6 ng/mL) risk of 14-day mortality, mechanical ventilation in patients that tested positive for SARS-CoV-2.Observational cohort study presenting symptoms COVID-19 at Department Emergency Medicine, Amager Hvidovre Hospital, Denmark from March 19th, 2020 April 3rd, 2020. Plasma was...
This study focused on Finnish physicians' views of their undergraduate medical education. Differences between traditional and community-oriented faculties were examined changes which had taken place during a 10-year follow-up period also assessed.The was based data retrieved from postal survey made among physicians in 1998. The population consisted all doctors who graduated 1987 1996 (n=4926); those born odd-numbered days selected for this (n=2492). A questionnaire two reminders sent to...
The outcome of status epilepticus (SE) can be improved by facilitating early recognition and treatment with antiepileptic drugs. purpose this study was to analyze the delay SE in a prospectively recruited patient cohort. Improvements process are suggested. Consecutive adult patients were emergency department Kuopio University Hospital (KUH) between March 23 December 31, 2015. defined as prolonged (> 5 min) epileptic seizure or recurrent tonic-clonic seizures (≥ 3 within any 24 h). Diagnostic...
In Finland the number of medical specialists varies between specialties and regions. More regulation post-graduate training is planned. Therefore, it important to clarify what predicts doctors' satisfaction with their chosen specialty. A random sample contained 50 % all Finnish doctors under 70 years age. The respose rate was 50.5 %. Working-age were asked value motives when choosing a They also if they would choose same specialty again. odds ratios for not again tested. Diversity work most...
PurposeTo evaluate the treatment of status epilepticus (SE) and adherence to guideline in a large Finnish community hospital.Materials methodsA consecutive series 137 patients treated emergency department Kuopio University Hospital. Enrollment took place between March 23 December 31, 2015. Pediatric postanoxic seizures were excluded. The Status Epilepticus Current Care Guideline was used as evaluation benchmark.ResultsSeventeen recovered spontaneously. First-line given 108 with 35.2%...
Background: Choosing a medical specialty is an important element predefining physician's career and life. Although there has been some research in this area of interest, not much where the profession researched as whole, or trend data over different generations presented.Aim: The aim our study was to ascertain motives affecting physicians' choice specialty.Methods: cohort comprised random sample 7758 doctors who were registered Finland during years 1977–2006. Altogether 4167 questionnaires...
Abstract Background Soluble urokinase plasminogen activator receptor (suPAR) levels have previously been associated with readmission and mortality in acute medical patients the ED. However, no specific cut-offs for suPAR tested this population. Methods Prospective observational study of consecutively included patients. Follow-up was carried out 30- 90 days stratified into baseline < 4, 4–6 > 6 ng/ml. were measured using suPARnostic® Turbilatex assay on a Cobas c501 (Roche Diagnostics...
Emergency department (ED) overcrowding is a global issue setting challenges to all care providers. Elderly patients are frequent visitors of the ED and their risk stratification demanding due insufficient assessment methods. A prospective cohort study was conducted determine risk-predicting value prognostic biomarker, soluble urokinase plasminogen activator receptor (suPAR), in ED, concentrating on elderly patients. SuPAR levels were determined as part standard blood sampling 1858 The...
Abstract Background The use of point-of-care ultrasound (POCUS) is increasing. Numerous investigators have evaluated the learning curves in POCUS, but there are no published studies on how emergency physicians perceive their own competence level with this skill. Methods A nationwide survey amongst Finnish was conducted. respondents reported POCUS and it has affected clinical decision-making. number examinations performed compared to self-assessed skill different applications. Cut-off values...
This paper describes factors influencing doctor-managers' decision making in specialised health care, centres and at different levels of management.Data were collected as part a survey on physicians graduating 1977-1991 drawn from the register Finnish Medical Association. The study sample was formed by selecting all born odd days (n=4144) baseline group (n=8232). category doctor-managers comprised reporting their main occupation: principal or assistant physician hospital, medical director...
Abstract Background The aim of this study was to retrospectively determine whether teaching limited compression ultrasound (LCUS) general practitioners (GP) would reduce the number patients with a suspected lower extremity DVT referred hospital for (US) examination. According current literature, an LCUS protocol is safe way diagnose or exclude deep venous thrombosis (DVT) and good option radiologist-performed whole-leg (US), especially in remote health care units where there may be...
Several studies have revealed that undergraduate medical education does not adequately prepare students for their work as physicians. There been attempts to solve this problem in curriculum reforms faculties. In article, Finnish physicians' opinions on are analysed. 1988, a postal questionnaire was mailed 2632 physicians registered during 1977-86, and altogether 1745 questionnaires were returned (66.3%). A follow-up study done 1998, sent 2529 who graduated between 1987 1996; 1822 (73.1%)....
In this paper a specialist in general practice is referred to as practitioner (GP). Finland only half of all GPs work health centre physician. The present aim was establish what the working places specializing and specialized physicians are, where they assume will future. study population comprised 5,357 licensed during years 1977–1996. Altogether 2,956 questionnaires were returned, response rate 55.2%. Those either (GP trainees, n=133) or already having (GPs, n=426) included study....
The study focuses on Finnish doctors' views of their undergraduate medical education. In 1988, a (Junior Physician 88 Study) involving all the doctors registered during years 1977–1986 in Finland (n = 5208) was carried out. A questionnaire sent to random sample 2632 doctors, and after two mailings 1745 questionnaires (66.3%) were returned. total 1334 gave at least one answer question: ‘Where should special attention be paid education?’ Five later, 1993, another (Physician 93 1982–1991 4671)...
Atrial fibrillation (AF) is a common arrhythmia that causes numerous visits to emergency departments (ED). The aim of the FinFib2 study was evaluate whether treatment patients with AF in ED consistent contemporary European Society Cardiology (ESC) management guidelines. Here we report results antiarrhythmic drug therapy (AAD) ED.All within two-week period whose primary reason for visit symptomatic were included into this prospective multicentre study. Comprehensive data on factors...
Background: The competencies required of a GP are complex and ever-expanding. training should adequately cover all the content areas.Objectives: aim was to assess GPs’ trainees’ satisfaction with their specialist contents training. Trends in assessments over ten-year period were investigated.Methods: Data from Finnish national surveys physicians conducted 1998, 2003 2008 analysed 606, 457 324 GPs trainees respectively being sampled present study. Respondents asked how satisfied they own...