133 research outputs found

    Comparison of blood RNA isolation methods from samples stabilized in Tempus tubes and stored at a large human biobank

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    Additional file 3. Evaluation of reference gene stability. The non-normalized raw Cq-values of reference small ncRNAs for adult (n=12 Tempus tubes) and cord blood (n=3 Tempus tubes) samples collected in the Tempus tubes of the blood-RNA samples isolated using the three RNA isolation protocols

    Ethical aspects of registry-based research in the Nordic countries

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    National health care registries in the Nordic countries share many attributes, but different legal and ethical frameworks represent a challenge to promoting effective joint research. Internationally, there is a lack of knowledge about how ethical matters are considered in Nordic registry-based research, and a lack of knowledge about how Nordic ethics committees operate and what is needed to obtain an approval. In this paper, we review ethical aspects of registry-based research, the legal framework, the role of ethics review boards in the Nordic countries, and the structure of the ethics application. We discuss the role of informed consent in registry-based research and how to safeguard the integrity of study participants, including vulnerable subjects and children. Our review also provides information on the different government agencies that contribute registry-based data, and a list of the major health registries in Denmark, Finland, Iceland, Norway, and Sweden. Both ethical values and conditions for registry-based research are similar in the Nordic countries. While Denmark, Finland, Iceland, Norway, and Sweden have chosen different legal frameworks, these differences can be resolved through mutual recognition of ethical applications and by harmonizing the different systems, likely leading to increased collaboration and enlarged studies

    Socioeconomic status and sick leave granted for mental and somatic disorders: a prospective study of young adult twins

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    Background Low socioeconomic status (SES), indicated by low income and education, has consistently been found to be a strong predictor of sick leave. Several possible pathways from SES to sick leave have been described in previous literature, but there are also evidence indicating that the association can be confounded by common underlying factors. This study utilizes a population-based sample of employed young adult twins to estimate (i) the degree to which education and income are prospectively related to sick leave granted for mental, somatic, and any disorder, and (ii) whether these associations are confounded by familial factors. Methods Registry data on educational attainment and income at age 30 and subsequent sick leave were available for 6,103 employed young adult twins, among which there were 2,024 complete twin pairs. The average follow-up time was 6.57 years. Individual-level associations and fixed effects within twin pairs were estimated. Results Low education and income were associated with sick leave granted for both mental and somatic disorders, and with sick leave granted for any disorder. Associations were attenuated within dizygotic twin pairs and reduced to non-significance within monozygotic twin pairs, suggesting influence of familial factors on the associations between SES and sick leave. Conclusions Low SES is associated with a higher level of sick leave granted for both mental and somatic disorders among young adults, but these associations are confounded by factors that are common to co-twins. Education and income are therefore not likely to strongly affect sick leave in young adulthood

    Agrárpiaci Jelentések Gabona és ipari növények

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    Kiadványunk a következő témákban ad információkat: biodízel, bioetanol, bioüzemanyag, búza, cukor, gabona határidős jegyzések, ipari növény kereskedelem, kereslet-kínálat, kikötői ár, kukorica kínálat, napraforgó nemzetközi árinformációk, növényi olaj piac, piaci jelentések, repce, takarmány termelés, termelői ár, tőzsde, világpiac, árpa átlagár, értékesítési ár, külkereskedelmi ár

    Advantages of linking national registries with twin registries for epidemiological research

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    Linking national registries with twin data represents an opportunity to produce epidemiological research of high quality. National registries contain information on a broad array of variables, some of which cannot be measured reliably in regular health surveys. By taking kinship into consideration, twin studies have the benefit of being able to identify confounding stemming from genetic or shared environmental sources. In this paper, we use examples from our own interview and questionnaire-based twin studies from the Norwegian Twin Registry (NTR) on mental disorders, alcohol use and socioeconomic status linked to registry data on medical benefits to demonstrate the value. In the first example, we examined to what extent genetic and environmental factors contributed to sick leave and disability pension and the association between these two types of benefits. In the second example, we explored the genetic and environmental relationship between personality disorders and sick leave. In the third example, a co-twin control design was applied to explore whether there is a true protective relationship between moderate alcohol consumption and health. The fourth example shows to what degree anxiety and depression are associated with later sick leave granted for not only mental disorders, but also somatic disorders, adjusted for confounding by genetic and shared environmental factors. In the fifth example, we address the socioeconomic gradient in sick leave, adjusting for non-observed confounders associated with the family in a co-twin control design. Our examples illustrate some of the potentials obtainable by linking national registries with twin data. The efforts that have been made to create the NTR in Norway and the International Network of Twin Studies (INTR) internationally make these types of linkage studies easier to conduct and available to more researchers. As there are still many areas to explore, we encourage epidemiological researchers to make use of this possibility

    The Norwegian Twin Registry

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    The Norwegian Twin Registry (NTR) is a large population based twin cohort for research purposes. At present, the registry has 14 692 complete twin pairs with information on zygosity and to varying degree information on somatic and mental health, lifestyle and demographics. The registry covers birth years 1895-1960 and 1967- 1991. NTR was established in 2009, at the Norwegian Institute of Public Health, as a merger of three major twin panels, the oldest originating in the 1960s. Since then Norwegian twin research has been a notable contributor to twin research internationally. Norwegian twin researchers have published over 250 papers based on Norwegian twin data, spanning a broad range of somatic and mental health phenotypes. In twin studies of heritability a data structure with both variance within and between pairs is required. Therefore a large sample is necessary, especially when studying rare diseases and conditions, and it is of vital importance to expand the registry. NTR is actively recruiting new twins, both young and older, but declining response rates are a challenge. The value of NTR is greatly enhanced through the linkage possibilities offered by Norway’s many nationwide registries (medical, demographic, and socio-economic). Access to data is permitted by the NTR steering group and will in most instances need permission from the Regional Ethics Committee

    Musculoskeletal pain and work absence – a 10 year follow-up study of Norwegian young adult twins

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    Background and aims: Sickness absence (SA) and disability pension (DP) are increasingly recognized as major public problems. Musculoskeletal disorders are among the most common diagnoses set by physicians granting SA and DP. Results from recent twin studies have established that SA and DP are influenced not only by environmental and social factors, but also moderately to substantially by genes. The aim of the current study was to examine to what degree musculoskeletal complaints in young adults predict SA and DP, including SA granted for other diagnoses. As the participants were twins, we were able to perform within pair analyses, to see if the associations between musculoskeletal pain and later DP or SA were confounded by unmeasured genetic and shared environmental factors. Materials and methods: The Norwegian twin registry includes a questionnaire conducted in 1998. From this, we included three measures of recurrent pain (lower back, neck/shoulders and muscular) as well as symptoms of anxiety and depression (measured by the Symptom Checklist-5 (SCL-5)). The questionnaire has been linked to highly reliable official registries on SA and DP, as well as a range of sociodemographic variables, for a ten-year follow up period. We applied logistic (DP as dependent variable) and binomial regression (SA as dependent variable) analyses to explore the relationship between musculoskeletal pain and DP and SA. In the final models, we adjusted for sociodemographic factors and symptoms of anxiety and depression. Differences between twins in a pair were explored by applying fixed effect models. All analyses were conducted using STATA version 13.1. Results: The final sample of 7,626 twins included 3,055 complete pairs (488 monozygotic (MZ) male, 349 dizygotic (DZ) male, 747 MZ female, 589 DZ female, and 882 opposite sex twin pairs) and 1,516 singletons. By the end of follow up, 181 subjects (44 men and 137 women) received DP, and 63.7% of the sample (47.4% of males and 76.0% of females) had at least one period of SA extending 16 days. Pain at any site was significantly associated with DP in both sexes. Any increase in the number of pain sites reported was associated with about a 60% increased risk for receiving DP (OR 1.6, 95% CI 1.4-1.9), and the strength of the association was only marginally reduced when adjusted for symptoms of mental disorders (1.4, 1.2- 1.7). In the within pair analyses the effect was no longer significant, indicating possible confounding from genetic and shared environmental effects. As for all cause SA, musculoskeletal pain predicted SA independently of all measured confounders, and the results remained significant in the within pair analyses (Incidence Rate Ratio (IRR) 1.12, 95% CI 1.03-1.23). Conclusion: In young adults, musculoskeletal pain strongly predicted SA and DP for a 10 year follow-up period. Musculoskeletal pain was associated with higher levels of all cause SA, even within discordant MZ twin pairs. Our results indicate that interventions to prevent musculoskeletal pain in young adults can reduce levels of SA and DP

    Healthy minds 0-100 years: Optimising the use of European brain imaging cohorts ("Lifebrain").

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    The main objective of "Lifebrain" is to identify the determinants of brain, cognitive and mental (BCM) health at different stages of life. By integrating, harmonising and enriching major European neuroimaging studies across the life span, we will merge fine-grained BCM health measures of more than 5000 individuals. Longitudinal brain imaging, genetic and health data are available for a major part, as well as cognitive and mental health measures for the broader cohorts, exceeding 27,000 examinations in total. By linking these data to other databases and biobanks, including birth registries, national and regional archives, and by enriching them with a new online data collection and novel measures, we will address the risk factors and protective factors of BCM health. We will identify pathways through which risk and protective factors work and their moderators. Exploiting existing European infrastructures and initiatives, we hope to make major conceptual, methodological and analytical contributions towards large integrative cohorts and their efficient exploitation. We will thus provide novel information on BCM health maintenance, as well as the onset and course of BCM disorders. This will lay a foundation for earlier diagnosis of brain disorders, aberrant development and decline of BCM health, and translate into future preventive and therapeutic strategies. Aiming to improve clinical practice and public health we will work with stakeholders and health authorities, and thus provide the evidence base for prevention and intervention.This research is funded by the EU Horizon 2020 Grant: ‘Healthy minds 0–100 years: Optimising the use of European brain imaging cohorts (“Lifebrain”)’. Grant agreement number: 732592. Call: Societal challenges: Health, demographic change and well-bein

    Smoking in pregnancy and child ADHD

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    BACKGROUND AND OBJECTIVE: There is a well-documented association between maternal smoking during pregnancy and offspring attention-deficit/hyperactivity disorder (ADHD). The degree to which this reflects causal intrauterine effects or is due to unmeasured confounding is not clear. We sought to compare the association between maternal smoking during pregnancy and offspring ADHD with the associations with paternal smoking, grandmother’s smoking when pregnant with mother, and maternal smoking in previous pregnancies. Each of these exposures is expected to be influenced by much of the same confounding factors as maternal smoking during pregnancy, but cannot have direct intrauterine effects. A sibling control design was also used. METHODS: The current study used data from the Norwegian Mother and Child Cohort Study (n > 100 000 children). Mothers and fathers reported on smoking during pregnancy, and mothers reported on smoking in previous pregnancies and their mother’s smoking when pregnant with them. Mothers reported on child ADHD symptoms at 5 years of age. Information about child ADHD diagnosis was obtained from the Norwegian Patient Registry. RESULTS: Maternal smoking during pregnancy was not more strongly associated with offspring ADHD diagnosis than was paternal smoking, grandmother’s smoking when pregnant with mother, or maternal smoking in previous pregnancies. Sibling control analyses showed no association between maternal smoking in pregnancy and child ADHD symptoms among siblings discordant for maternal smoking. CONCLUSIONS: These results suggest that the association between maternal smoking during pregnancy and offspring ADHD is not due to causal intrauterine effects, but reflects unmeasured confounding
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