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Articles by E. Kumpusalo
Total Records ( 3 ) for E. Kumpusalo
  J. Saltevo , M. Vanhala , H. Kautiainen , E. Kumpusalo and M. Laakso

Aims We explored gender differences in the association of high-sensitivity C-reactive protein (hs-CRP), interleukin-1 receptor antagonist (IL-1Ra) and adiponectin with the metabolic syndrome (MetS) defined by the National Cholesterol Education Program (NCEP) and the International Diabetes Federation (IDF) criteria.

Methods A population-based study of 923 middle-aged subjects in Pieksämäki, East Finland.

Results The prevalence of the MetS according to the IDF and NCEP definitions was 38% and 34% in men (N=405) and 34% and 27% in women (N = 497), respectively. hs-CRP and IL-1Ra levels were higher in subjects with the MetS compared with those without the MetS in both sexes (P < 0.001). The levels of hs-CRP (P < 0.001) and IL-1Ra (P = 0.0016 for NCEP criteria, P = 0.0028 for IDF criteria) were significantly higher in women with MetS than in men with MetS. In contrast, in subjects without MetS, no gender differences in the levels of hs-CRP or IL-1Ra were found.

Conclusion Women with MetS, defined by the IDF or NCEP criteria, had higher levels of hs-CRP and IL-1Ra than did men with MetS. Thus, low-grade inflammation may contribute to the high risk of cardiovascular disease in women with MetS.

  M Aira , P Mantyselka , A Vehvilainen and E. Kumpusalo

Background It is proposed that isolation in general practice is one of the factors that leads to work-related stress and the low attraction of this work. In Finland, 71% of physicians who worked or had worked in a primary health care centre agreed with the statement ‘working as a doctor in a health centre is too often isolated work’.

Aims To gain a deeper understanding of this feeling and to find out which factors constitute it.

Methods A qualitative in-depth interview study of 32 physicians working in a primary health care centre in Finland. Qualitative analysis of transcribed verbatim interviews using a constant comparison method.

Results The main components of isolation were making decisions alone, lack of collaboration with other workers in the health centre and secondary care specialists, not being a part of the work community and lack of mentoring at work.

Conclusions Enabling flexible teamwork and social and professional support networks are the key issues in solving the problem of occupational isolation in general practice.

  P Mantyselka , M Aira , A Vehvilainen and E. Kumpusalo

Background A Finnish national survey in 2002 revealed that Finnish physicians often feel that working in a primary heath care centre is isolated work.

Aims To determine the factors related to perceived isolation in health centre work among general practitioners (GP) working in health centres.

Methods A postal questionnaire study of physicians (N = 1829) working in primary health care centres.

Results The majority of GPs (67%) agreed that ‘working in a health centre is too often isolated work’. Physicians felt isolated most often when working in the largest health centres (>20 posts), whereas physicians working in health centres with 3–10 posts perceived isolation least often. Difficulty in collaboration with partners or the managerial team was associated with this feeling.

Conclusions Feelings of isolation are common among Finnish health centre physicians, but increasing the size of primary health care units may not prevent these feelings.

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