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Sökning: WFRF:(Pihkala J.)

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  • Eriksson, Peter J, 1959, et al. (författare)
  • Transcatheter Intervention for Coarctation of the Aorta A Nordic Population-Based Registry With Long-Term Follow-Up
  • 2023
  • Ingår i: Jacc-Cardiovascular Interventions. - : Elsevier BV. - 1936-8798 .- 1876-7605. ; 16:4, s. 444-453
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND Coarctation of the aorta (CoA), a congenital narrowing of the proximal descending thoracic aorta, is a relatively common form of congenital heart disease. Untreated significant CoA has a major impact on morbidity and mortality. In the past 3 decades, transcatheter intervention (TCI) for CoA has evolved as an alternative to surgery.OBJECTIVES The authors report on all TCIs for CoA performed from 2000 to 2016 in 4 countries covering 25 million inhabitants, with a mean follow-up duration of 6.9 years.METHODS During the study period, 683 interventions were performed on 542 patients.RESULTS The procedural success rate was 88%, with 9% considered partly successful. Complications at the intervention site occurred in 3.5% of interventions and at the access site in 3.5%. There was no in-hospital mortality. During follow-up, TCI for CoA reduced the presence of hypertension significantly from 73% to 34%, but despite this, many patients remained hypertensive and in need of continuous antihypertensive treatment. Moreover, 8% to 9% of patients needed aortic and/or aortic valve surgery during follow-up.CONCLUSIONS TCI for CoA can be performed with a low risk for complications. Lifetime follow-up after TCI for CoA seems warranted. (J Am Coll Cardiol Intv 2023;16:444-453) & COPY; 2023 by the American College of Cardiology Foundation.
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  • Akhter, Naveed, et al. (författare)
  • Growing, Developing, and Performing Family Business Groups : Introduction to the Handbook
  • 2022
  • Ingår i: The Palgrave Handbook of Managing Family Business Groups. - Cham : Springer. - 9783031132056 - 9783031132087 - 9783031132063 ; , s. 1-12
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
    • Family business groups (FBGs) are a fascinating phenomenon. They exist everywhere under different names and guises (Parada et al., Academia Revista Latinoamericana De Administración 20:19-30, 2016; Tu et al., Business Horizons 45:39-46, 2002). Their emergence and development showcase the dynamics of families in business and the decisions they proactively, or reactively, take to business opportunities or institutional and contextual challenges. More recent accounts underscore that we are just beginning to understand how they grow, develop, and perform over time (Rosa, P., Rautiainen, M., Pihkala, T., Parada, M. J., and Discua Cruz, A. (2019). Conclusions: Researching family business groups: Lessons learned and avenues for further research. In The family business group phenomenon (pp. 387-395). Palgrave Macmillan, Cham.).
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  • Akhter, Naveed, et al. (författare)
  • Understanding the Dynamics of FBGs : Avenues for Further Research
  • 2022
  • Ingår i: The Palgrave Handbook of Managing Family Business Groups. - Cham : Springer. - 9783031132056 - 9783031132087 - 9783031132063 ; , s. 619-630
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
    • The main interest of this book has dealt with the inherent strengths of FBGs, widening our understanding of their sustainability, competitiveness, and development. This book highlights that research conducted on the internal dynamics of FBGs is sparse. The phenomenon has remained severely understudied around the world.
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  • Autti, Taina, et al. (författare)
  • Bone marrow transplantation in aspartylglucosaminuria : histopathological and MRI study
  • 1999
  • Ingår i: Neuropediatrics. - : Georg Thieme Verlag KG. - 0174-304X .- 1439-1899. ; 30:6, s. 283-8
  • Tidskriftsartikel (refereegranskat)abstract
    • This study comprised two patients with aspartylglucosaminuria (AGU), who were followed up for 4 and 7 years. The patients underwent allogeneic bone marrow transplantation (BMT) at the ages of 2 and 2.6 years. Both patients had abnormal speech development and gross motor clumsiness. At the time of the BMT, they were mentally retarded. We report on follow-up data of these patients obtained by MRI, in addition to the histopathological, biochemical and clinical investigations. MR images of six non-transplanted patients and seven healthy children served as controls. In the non-transplanted patients, MRI revealed evident delay of myelination in contrast to the two transplanted patients showing fair or evident grey- vs. white matter differentiation on T2-weighted images. The aspartylglucosaminidase (AGA) activity in blood leukocytes reached a heterozygous level. Urinary excretion of aspartylglucosamine and glycoasparagines slowly decreased but remained about a third of the pre-BMT level 5 years after BMT. Storage lysosomes in electron microscopic investigations were not decreased 6 months after BMT, but after 1.5-2 years, rectal mucosa samples showed a decrease in the storage vacuoles of different cells. Three years after BMT, no cells with storage vacuoles were present. Allogeneic BMT slowly normalises the pathological, biochemical and MRI findings in patients with AGU.
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