Advanced search    

Search: authors:"Elina Hemminki"

39 papers found.
Use AND, OR, NOT, +word, -word, "long phrase", (parentheses) to fine-tune your search.

Perinatal outcomes after induced termination of pregnancy by methods: A nationwide register-based study of first births in Finland 1996–2013

used for termination. Author Contributions Conceptualization: Situ KC, Elina Hemminki, Mika Gissler, Reija Klemetti. Data curation: Mika Gissler. Formal analysis: Situ KC. Funding acquisition: Situ ... . Virtanen, Reija Klemetti. Software: Situ KC. Validation: Situ KC. Supervision: Suvi M. Virtanen, Reija Klemetti. Visualization: Situ KC, Elina Hemminki, Mika Gissler, Reija Klemetti. Writing ± original

Actors involved in the regulation of clinical research: comparison of Finland to England, Canada, and the USA

Background The relevance and quantity of clinical research has caused concern and regulation is claimed to hinder clinical research. This paper compares clinical research regulations in Finland to those of England, Canada, and the USA around 2010–2011. Methods Several approaches and data sources were used, including semi- or unstructured interviews of experts. For the analysis, a ...

Changes in work behavior during pregnancy in rural Anhui, China from 2001–03 to 2009: a population based cross-sectional study

Background In low- and middle-income countries, many women continue working later into pregnancy. In our recent study on some areas in rural China, most women stopped working already during the first trimester (≤3 months) of pregnancy. In this paper we aimed to explore whether stopping work during early pregnancy has changed over an 8 year period (between 2001–03 and 2009); we also ...

Caesarean section rates in Mozambique

Background The Caesarean section (C-section) rate is used as an indicator for availability and utilization of life-saving obstetric services. The purpose of the present study was to explore changes in C-section rates between 1995 and 2011 by area, place of delivery and maternal socioeconomic factors in Mozambique. Methods Cross-sectional data from the Demographic and Health Surveys ...

Varying ethics rules in clinical research and routine patient care – research ethics committee chairpersons’ views in Finland

Background To present empirical data on how the variation in regulating clinical research and patient care was perceived in Finland between 2009 and 2012. Methods Notes of interviews with 22 research ethics committee (REC) chairpersons were analyzed to identify whether differences in the regulation of clinical research and patient care were addressed. REC chairpersons’ opinions on ...

Clinical research in Finland in 2002 and 2007: quantity and type

Background Regardless of worries over clinical research and various initiatives to overcome problems, few quantitative data on the numbers and type of clinical research exist. This article aims to describe the volume and type of clinical research in 2002 and 2007 in Finland. Methods The research law in Finland requires all medical research to be submitted to regional ethics ...

Cesarean section in Shanghai: women’s or healthcare provider’s preferences?

Background Cesarean section (CS) rate has increased rapidly over the past two decades in China mainly driven by non-medical factors. This study was to compare recalled preferences for CS among first-time mothers in early and late pregnancy with actual delivery mode; to explore factors related to CS preference and CS performed without medical indications; and to consider the role of ...

Variability of bothersome menopausal symptoms over time – a longitudinal analysis using the Estonian postmenopausal hormone therapy trial (EPHT)

Background Very little data are available on the natural course or level of disturbance of vasomotor symptoms among middle-aged women. Using readily collected trial data we studied the persistence of vasomotor symptoms among untreated women. Methods In a trial comparing combined hormone therapy to placebo or no treatment (control groups), a cohort of women aged 50–59 at recruitment ...

Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland

Introduction Social determinants of health have not been intensively studied in Russia, even though the health divide has been clearly demonstrated by an increased mortality rate among those with low education. A comparative analysis of social health determinants in countries with different historical and economic backgrounds may provide useful evidence for addressing health ...

Results from a blind and a non-blind randomised trial run in parallel: experience from the Estonian Postmenopausal Hormone Therapy (EPHT) Trial

Piret Veerus 0 Krista Fischer Matti Hakama Elina Hemminki for The EPHT Trial 0 Department of Epidemiology and Biostatistics, National Institute for Health Development , Hiiu 42, 11619 Tallinn

The effect of hormone therapy on women's quality of life in the first year of the Estonian Postmenopausal Hormone Therapy trial

6 Myra Hunter 5 Elina Hemminki 4 6 0 Hjelt Institute, University of Helsinki , PO BOX 40 (Kytösuontie 11) , FI-00014 University of Helsinki , Helsinki , Finland 1 Department of epidemiology and

“Together at school” - a school-based intervention program to promote socio-emotional skills and mental health in children: study protocol for a cluster randomized controlled trial

Background Schools provide a natural context to promote children’s mental health. However, there is a need for more evidence-based, high quality school intervention programs combined with an accurate evaluation of their general effectiveness and effectiveness of specific intervention methods. The aim of this paper is to present a study protocol of a cluster randomized controlled ...

Evaluation of a community-based randomized controlled prenatal care trial in rural China

Background A community-based randomized control prenatal care trial was performed in a rural county of China during 2000-2003. The purpose of this paper is to describe the trial implementation and the impact of the trial on the utilization of prenatal care and perinatal outcomes. Materials and methods In the study county, 10 townships (from a total of 55) were each paired with a ...

Inequalities in health and health service utilisation among reproductive age women in St. Petersburg, Russia: a cross-sectional study

Background Russian society has faced dramatic changes in terms of social stratification since the collapse of the Soviet Union. During this time, extensive reforms have taken place in the organisation of health services, including the development of the private sector. Previous studies in Russia have shown a wide gap in mortality between socioeconomic groups. There are just a few ...

Physical activity and change in quality of life during menopause -an 8-year follow-up study

Background and objectives The aim of this study was to study the role of menopausal status and physical activity on quality of life. Methods A total of 1,165 Finnish women aged 45-64 years from a national representative population-based study were followed up for 8 years. Study participants completed the Health 2000 study questionnaire and follow-up questionnaire in 2008. Ordinal ...

Immediate adverse events after second trimester medical termination of pregnancy: results of a nationwide registry study

BACKGROUND Increasing gestational age is associated with an increased risk of complications in studies assessing surgical termination of pregnancy (TOP). Medical TOP is widely used during the second trimester and little is known about the frequency of complications. This epidemiological study was undertaken to assess the frequency of adverse events following the second trimester ...

Utilization of delivery care among rural women in china: does the health insurance make a difference? a cross-sectional study

Dang 0 1 Elina Hemminki Duolao Wang Qian Long Jianmin Gao 0 Department of Epidemiology and Health Statistics, School of Public Health, Xi'an Jiaotong University College of Medicine , Xi'an, Shaanxi

Utilisation, contents and costs of prenatal care under a rural health insurance (New Co-operative Medical System) in rural China: lessons from implementation

Qian Long Tuohong Zhang 0 Elina Hemminki Xiaojun Tang Kun Huang Shengbin Xiao Rachel Tolhurst 0 School of Public Health, Peking University , Beijing , P.R. China Background: In China, the New Co

Experiences of a long-term randomized controlled prevention trial in a maiden environment: Estonian Postmenopausal Hormone Therapy trial

Background Preventive drugs require long-term trials to show their effectiveness or harms and often a lot of changes occur during post-marketing studies. The purpose of this article is to describe the research process in a long-term randomized controlled trial and discuss the impact and consequences of changes in the research environment. Methods The Estonian Postmenopausal Hormone ...

Special features of health services and register based trials – experiences from a randomized trial of childbirth classes

Background Evaluating complex interventions in health services faces various difficulties, such as making practice changes and costs. Ways to increase research capacity and decrease costs include making research an integral part of health services and using routine data to judge outcomes. The purpose of this article is to report the feasibility of a pilot trial relying solely on ...