Article
Public, Environmental & Occupational Health
Susan Atuhairwe, Claudia Hanson, Lynn Atuyambe, Josaphat Byamugisha, Nazarius Mbona Tumwesigye, Ronald Ssenyonga, Kristina Gemzell-Danielsson
Summary: Approximately 9.6% of abortion-related deaths occur in Sub-Saharan Africa. Task sharing between midwives and physicians for treating abortion complications in the first trimester has been proven to be safe and effective. However, there is limited evidence on task sharing in the second trimester. This study found that women's acceptability of misoprostol treatment for incomplete second trimester abortion was equally high when provided by midwives compared with physicians.
Article
Public, Environmental & Occupational Health
Susan Atuhairwe, Josaphat Byamugisha, Othman Kakaire, Claudia Hanson, Amanda Cleeve, Marie Klingberg-Allvin, Nazarius Mbona Tumwesigye, Kristina Gemzell-Danielsson
Summary: The study found that treatment for incomplete second trimester abortion with misoprostol provided by midwives was equally effective and safe as when provided by physicians, showing potential to increase women's access to safe post-abortion care.
LANCET GLOBAL HEALTH
(2022)
Article
Nursing
Kate Coleman-Minahan
Summary: The study found that pregnant patients in Colorado may not receive evidence-based pregnancy options counseling or abortion referrals, highlighting the need for clinician training in these areas.
JOURNAL OF MIDWIFERY & WOMENS HEALTH
(2021)
Article
Nursing
Esita Patel, Ryan Kandrack
Summary: The study found that primary care NPs provide fewer laboratory and imaging services compared to physicians during visits.
Article
Obstetrics & Gynecology
A. R. A. Aiken, P. A. Lohr, J. Lord, N. Ghosh, J. Starling
Summary: A comparison study of over 52,000 women shows that medical abortion without ultrasound via telemedicine is safe, effective, and improves access to care.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2021)
Article
Anthropology
Mara Buchbinder
Summary: This article analyzes the roles of physicians as gatekeepers to contested medical services through a comparative analysis of abortion and medically assisted death. It explores how dirty work in medicine enrolls the agency and subjectivity of physicians in distinctive ways, which may be overshadowed by totalizing biopolitical frameworks.
MEDICAL ANTHROPOLOGY QUARTERLY
(2022)
Article
Cardiac & Cardiovascular Systems
Andrea Driscoll, Jennifer J. Watts, Sharon Meagher, Rhoda Kennedy, Ronald Mar, Doug Johnson, David L. Hare, Omar Faourque, Lan Gao
Summary: This study aimed to compare the cost-effectiveness of heart failure nurse practitioner (NP) inpatient service with no NP service. The results showed that the NP service had lower costs and higher quality-adjusted life years (QALYs) compared to no NP service.
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
(2023)
Article
Pharmacology & Pharmacy
Lorena de Sousa Rosa, Sostenes Mistro, Marcio Galvao Oliveira, Clavdia Nickolaevna Kochergin, Mateus Lopes Cortes, Danielle Souto de Medeiros, Daniela Arruda Soares, Jose Andrade Louzado, Kelle Oliveira Silva, Vanessa Moraes Bezerra, Welma Wildes Amorim, Mark Barone, Luiz Carlos Passos
Summary: This study evaluated the cost-effectiveness of using a point-of-care A1c device in primary care settings for people with type 2 diabetes, showing it to be a cost-effective alternative for monitoring blood glucose control. The POC-A1c device increased the rate of early blood glucose control and reduced costs of diabetes-related outcomes compared to traditional laboratory tests. Model results were influenced by costs for nephropathy, retinopathy, cardiovascular disease, and the probability of hospitalization due to diabetes.
FRONTIERS IN PHARMACOLOGY
(2021)
Article
Medicine, General & Internal
Ibrahim Abdulaziz Bali, Muneera Rashid Al-Jelaify, Yazed AlRuthia, Jaazeel Zohair Mulla, Dana Fawzi Amlih, Alanoud Ibrahim Bin Omair, Reem Abdullah Al Khalifah
Summary: The economic evaluation suggests that subcutaneous insulin aspart is more cost-effective than intravenous regular insulin in managing mild uncomplicated DKA in children.
Article
Multidisciplinary Sciences
Jacqueline Pui-Wah Chung, Ginenus Fekadu, Daljit Singh Sahota, Tak-Yeung Leung, Joyce H. S. You
Summary: The study found that ultrasound-guided manual vacuum aspiration (US-MVA) with cervical preparation is a cost-saving and effective option for treating early pregnancy loss from the perspective of the public healthcare provider in Hong Kong.
Article
Public, Environmental & Occupational Health
Shan Jiang, Yitong Wang, Junwen Zhou, Yawen Jiang, Gordon Guo-En Liu, Jing Wu
Summary: The inclusion of future unrelated medical costs can improve the internal and external consistency of economic evaluation and the comparability of results between different jurisdictions. However, more research is needed to further explore this issue.
Article
Critical Care Medicine
Takehiko Oami, Taro Imaeda, Taka-aki Nakada, Toshikazu Abe, Nozomi Takahashi, Yasuo Yamao, Satoshi Nakagawa, Hiroshi Ogura, Nobuaki Shime, Yutaka Umemura, Asako Matsushima, Kiyohide Fushimi
Summary: This study retrospectively analyzed the nationwide medical claims database of sepsis patients in Japan from 2010 to 2017. The results showed that while the gross medical costs to treat sepsis increased over the decade, the effective cost per survivor significantly decreased. This indicates an improvement in the cost-effectiveness of sepsis treatment during the study period.
JOURNAL OF INTENSIVE CARE
(2022)
Review
Cardiac & Cardiovascular Systems
Andrea Driscoll, Lan Gao, Jennifer J. Watts
Summary: This study conducted an integrated review of economic evaluations of nurse-led post-discharge services for heart failure patients, and found that nurse-led heart failure clinics and telemonitoring programs are cost-effective, providing value for money by reducing rehospitalisations and improving patient outcomes.
BMC CARDIOVASCULAR DISORDERS
(2022)
Article
Public, Environmental & Occupational Health
Siao-Jing Guo, Hsing-Chu Chen, Chia-Feng Yen
Summary: This study developed a method to estimate healthcare access based on disease prevalence and population data, protecting patient privacy and showing high accuracy and consistency.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Obstetrics & Gynecology
Tierney Wolgemuth, Colleen Judge-Golden, Katherine Lane, Jamie Stern, Sonya Borrero
Summary: The study found that many Internal Medicine primary care providers, especially trainees, believe that medication abortion falls within their scope of practice and are interested in providing this care in the future. Among the surveyed providers, 44% believed that medication abortion can be provided by IM PCPs, with limited training in residency (70%) and low familiarity with abortion medications (57%) being the most commonly cited barriers to provision.
Article
Oncology
Gudny Jonsdottir, Marie Beermann, Annika Lundgren Cronsioe, Klara Hasselrot, Helena Kopp Kallner
Summary: This study aimed to evaluate the effectiveness, feasibility, and acceptability of microwave ablation (MWA) compared to uterine artery embolization (UAE) for treating uterine fibroids. The results showed no significant difference in volume reduction between MWA and UAE, but the MWA group had shorter hospitalization days and sick leave. Therefore, MWA shows promise as a treatment for uterine fibroids.
INTERNATIONAL JOURNAL OF HYPERTHERMIA
(2022)
Article
Public, Environmental & Occupational Health
Anna Wikman, Julia Sacher, Marie Bixo, Angelica L. Hirschberg, Helena Kopp Kallner, C. Neill Epperson, Erika Comasco, Inger Sundstrom Poromaa
Summary: Current suicidal ideation was reported by nearly 40% of women with confirmed PMDD in the late luteal phase. Previous psychological treatment for PMDD and higher depressive symptoms in the late luteal phase were positively associated with current suicidal ideation, while higher self-rated health ratings were associated with lower odds ratios for current suicidal ideation.
Article
Family Studies
Karin Emtell Iwarsson, Elin C. Larsson, Isabella Bizjak, Niklas Envall, Helena Kopp Kallner, Kristina Gemzell-Danielsson
Summary: This trial evaluated the effects of structured contraceptive counselling on different populations and found that it can increase the use of LARC and have a more significant impact on foreign-born migrants and second-generation migrants.
BMJ SEXUAL & REPRODUCTIVE HEALTH
(2022)
Article
Obstetrics & Gynecology
Helena Kopp-Kallner, Marie Linder, Carolyn E. Cesta, Silvia Segovia Chacon, Helle Kieler, Sofie Graner
Summary: This study estimated the incidence rates of ectopic pregnancy among women using hormonal contraception in Sweden. The results showed that hormonal contraception significantly reduces the risk of ectopic pregnancy, but the use of low-dose hormonal IUD may be associated with a higher risk of ectopic pregnancy.
OBSTETRICS AND GYNECOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Anna-Karin Klint Carlander, Malin Thorsell, Youstina Demetry, Sky Nikodell, Helena Kopp Kallner, Charlotte Skoglund
Summary: The challenges faced by young women with ADHD in terms of sexual risk-taking and the consequences it has on their health, such as sexually transmitted diseases and teenage pregnancies, need to be addressed. Specifically, there is a need for targeted reproductive health and contraceptive counseling for this group of women.
SEXUAL & REPRODUCTIVE HEALTHCARE
(2022)
Article
Obstetrics & Gynecology
Sara Hogmark, Karin Lichtenstein Liljeblad, Niklas Envall, Kristina Gemzell-Danielsson, Helena Kopp Kallner
Summary: This study aimed to investigate if placement of an intrauterine device within 48 hours of completed medical abortion at up to 63 days' gestation leads to higher user rates at 6 months after the abortion compared with placement at 2 to 4 weeks after abortion. The results showed that there was no significant difference in usage rates between the intervention group and the control group. Furthermore, early placement of intrauterine devices seems to be safe, preferred by patients, and associated with lower pain scores.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2023)
Editorial Material
Public, Environmental & Occupational Health
Helena Kopp Kallner, Giovanni Grandi
EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE
(2022)
Article
Obstetrics & Gynecology
Karin Elgemark, Sofie Graner, Julia McTaggart, Jennie Ramirez Lofstrom, Daniela Sorensen, Niklas Envall, Helena Kopp Kallner
Summary: The study aims to assess the risk of ectopic pregnancy in women using levonorgestrel-releasing intrauterine systems (LNG-IUS) with different hormonal reservoir doses and found that the lower the dose, the higher the risk of ectopic pregnancy.
OBSTETRICS AND GYNECOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Niklas Envall, Tove Wallstrom, Kristina Gemzell Danielsson, Helena Kopp Kallner
Summary: The use of contraception among Swedish women is low, with only 62.4% using contraceptives, and the unmet need for contraception has reached 17.2%. The survey reveals that close to one third of Swedish women do not use contraception, and one fifth have experienced at least one unintended pregnancy.
EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE
(2022)
Article
Biochemistry & Molecular Biology
Asa Kolterud, Niko Valimaki, Heli Kuisma, Joonatan Patomo, Sini T. Ilves, Netta Makinen, Jaana Kaukomaa, Kimmo Palin, Eevi Kaasinen, Auli Karhu, Annukka Pasanen, Ralf Butzow, Oskari Heikinheimo, Helena Kopp Kallner, Lauri A. Aaltonen
Summary: This study found that the treatment response of uterine fibroids is influenced by molecular subclasses, with MED12 mutant fibroids having a higher chance of shrinking after ulipristal acetate treatment compared to HMGA2 driven fibroids. Gene expression and DNA methylation analyses also revealed subclass specific differences in progesterone receptor signaling. These findings highlight the importance of considering genetic subclasses in evaluating uterine fibroid therapies.
HUMAN MOLECULAR GENETICS
(2023)
Article
Oncology
Marie Beermann, Gudny Jonsdottir, Annika Cronisoe, Klara Hasselrot, Helena Kopp Kallner
Summary: Microwave ablation (MWA) treatment for symptomatic uterine fibroids showed long-term improvement in most patients and continuous shrinkage of fibroids. Preoperative vascularization, high T2 signal intensity, and submucosal location were predictive of treatment success.
INTERNATIONAL JOURNAL OF HYPERTHERMIA
(2022)
Article
Psychology, Developmental
Cecilia Lundin, Anna Wikman, Per Wikman, Helena Kopp Kallner, Inger Sundstrom-Poromaa, Charlotte Skoglund
Summary: Women with ADHD have an increased risk of developing depression when using hormonal contraception, especially oral combined HC. Information on risks and benefits of different contraception methods should be provided to young women with ADHD. Rating: 7/10.
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
(2023)
Article
Public, Environmental & Occupational Health
Kerstin Erlandsson, Helena Lindgren, Helena Kopp Kallner, Ulrika Aden, Ingrid Osika Friberg, Liselotte Schafer Elinder, Nemat Hajeebhoy, Kristina Gemzell-Danielsson
Summary: This project focuses on midwife-led care and aims to improve care quality by developing a tool to determine resource needs. The team used Delphi study technique and conducted on-site visits in two Sub-Saharan African countries to develop a tool for determining resource needs.
SEXUAL & REPRODUCTIVE HEALTHCARE
(2022)
Article
Obstetrics & Gynecology
Sara Hogmark, Niklas Envall, Kristina Gemzell-Danielsson, Helena Kopp Kallner
Summary: Immediate placement of IUDs after medical abortion increases continuation and satisfaction rates, and reduces the occurrence of unprotected intercourse.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Article
Obstetrics & Gynecology
Minna Lunden, Ingela Hulthen Varli, Helena Kopp Kallner, Hanna Amark
Summary: The incidence of stillbirth has declined in the Stockholm Region, but among women originating from sub-Saharan Africa, the incidence has significantly increased, with a higher likelihood of premature stillbirth and multiparity.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
