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- Ljunggren, Östen, et al.
(author)
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Study description and baseline characteristics of the population enrolled in a multinational observational study of extended teriparatide use (ExFOS)
- 2014
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In: Current Medical Research and Opinion. - : Informa Healthcare. - 0300-7995 .- 1473-4877. ; 30:8, s. 1607-1616
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Journal article (peer-reviewed)abstract
- Objective: To better characterize patients who are currently being prescribed teriparatide in Europe, this article describes the study design and baseline characteristics of participants of the Extended Forsteo* Observational Study (ExFOS). Research design and methods: ExFOS is a noninterventional, multicenter, prospective, observational study in men and women with osteoporosis treated with teriparatide during the course of normal clinical practice for up to 24 months and with a post-treatment follow-up of at least 18 months. Main outcome measures: Baseline characteristics, including history of fracture and back pain, and health-related quality of life (HRQoL, assessed using the EuroQol-5 Dimension [EQ-5D]). Results: Of 1607 patients enrolled, 90.9% were women. At baseline, mean (standard deviation [SD]) age was 70.3 (9.8) years, and 85.8% of patients had a history of fracture (64.7% with >= 2 fragility fractures). Of those with historic fractures, 90.8% had vertebral fractures (67.8% had thoracic fractures). The mean (SD) of reported bone mineral density T-scores were -3.0 (1.2), -2.4 (1.0), and -2.5 (0.9) for lumbar spine, total hip (left), and femoral neck (left), respectively. Overall, 39.3% of patients had experienced >= 1 fall during the 12 months before enrollment. At baseline, 11.4% of patients were osteoporosis-treatment naive and 15% were currently using glucocorticoids. The mean (SD) visual analog scale score for back pain during the last month was 50.7 (26.9), and 62.1% of patients experienced daily or almost daily back pain. The median EQ-5D health state value at baseline was 0.62 (first and third quartiles: 0.19, 0.74). Conclusions: Baseline characteristics of the ExFOS study cohort indicate that patients prescribed teriparatide in Europe have severe osteoporosis with highly prevalent vertebral fractures, frequent and disabling back pain, and a poor HRQoL, despite previous pharmacotherapy for osteoporosis. Limitations include non-randomization, lack of a comparator group, and patient self-report for data on prior medication and fracture history.
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- Eisenbeck, Nikolett, et al.
(author)
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An international study on psychological coping during COVID-19 : Towards a meaning-centered coping style
- 2022
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In: International Journal of Clinical and Health Psychology. - : Elsevier. - 1697-2600 .- 2174-0852. ; 22:1
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Journal article (peer-reviewed)abstract
- Background/Objective: This study examined the role of different psychological coping mechanisms in mental and physical health during the initial phases of the COVID-19 crisis with an emphasis on meaning-centered coping.Method: A total of 11,227 people from 30 countries across all continents participated in the study and completed measures of psychological distress (depression, stress, and anxiety), loneliness, well-being, and physical health, together with measures of problem-focused and emotion-focused coping, and a measure called the Meaning-centered Coping Scale (MCCS) that was developed in the present study. Validation analyses of the MCCS were performed in all countries, and data were assessed by multilevel modeling (MLM).Results: The MCCS showed a robust one-factor structure in 30 countries with good test-retest, concurrent and divergent validity results. MLM analyses showed mixed results regarding emotion and problem-focused coping strategies. However, the MCCS was the strongest positive predictor of physical and mental health among all coping strategies, independently of demographic characteristics and country-level variables.Conclusions: The findings suggest that the MCCS is a valid measure to assess meaning-centered coping. The results also call for policies promoting effective coping to mitigate collective suffering during the pandemic.
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- Hudelja, H., et al.
(author)
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Freeze-casting of highly porous cellulose-nanofiber-reinforced γ˗Al2O3 monoliths
- 2021
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In: Open Ceramics. - : Elsevier. - 2666-5395. ; 5
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Journal article (peer-reviewed)abstract
- Freeze-casting is a powerful consolidation technique for the fabrication of highly porous and layered-hybrid materials, including ceramic-metal composites, and porous scaffolds for catalysis, bone substitutes and high-performance membranes. The aqueous suspensions to be freeze-casted usually contain dense particles facilitating macroporous, layered ceramics with dense (nonporous) struts. In the present study, hierarchical macro-mesoporous alumina (HMMA) monoliths were successfully prepared by freeze-casting of aqueous suspensions containing hierarchically-assembled, mesoporous γ‒Al2O3 (MA) powder and cellulose nanofibers (CNF). As-prepared monoliths were ultra-porous (93.1‒99.2 %), had low densities (0.01‒0.25 g/cm3), and displayed relatively high surface areas (91‒134 m2/g), but were still remarkably rigid with high compressive strengths (up to 52 kPa). Owing to the columnar porosity and mesoporous nature of the struts the freeze-casted HMMA monoliths exhibited high permeability and high thermal insulation, the latter ranging from 0.039 W/m∙K to 0.071 W/m∙K, depending on pore orientation.
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