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K Kouvalainen

Publications and source records attributed to K Kouvalainen.

123 records · Page 7Linked to original sources
PubMedDate not supplied

Increase of HLA haplotype A9-Bw16 in familial insulin-dependent diabetes mellitus in northern-Finland.

Twenty-one families, each with two diabetic children, from North Finland were HLA typed. The grade of HLA identity between diabetic siblings was evaluated, and frequencies of various HLA antigens in familial cases were compared to those of non-familial cases from the same area. Ten pairs of diabetic children were HLA-identical and eleven haploidentical; two of the latter were identical for the HLA-D locus. These figures emphasize the significance of HLA-region associated genetic factors in the susceptibility to the disease, but do not support a simple dominant/recessive gene theory. There was a significant difference between familial and non-familial IDDM cases in the frequencies of B15, Bw16, B40 and Cw3 antigens. Bw16 was greatly increased and B15, B40 and Cw3 decreased among familial cases. The haplotype A9, Bw16 was common in familial cases, but, compared to healthy controls, the frequencies of the two antigens were also slightly increased among non-familial cases. Neither Dw3 nor Dw4 was associated with Bw16 antigen. The differences between familial and non-familial IDDM cases and the significance of the A9, Bw16 combination in the patients emphasize the heterogeneity of IDDM.

Diabetes Mellitus↗
PubMedDate not supplied

Nutrient intake and blood lipids in children.

Nutrient intake and serum total cholesterol (C T), serum high density lipoprotein cholesterol (HLD), triglycerides (TG) and fatty acids were evaluated from 692 3-year, 8-year and 12-year-old children in different areas in Finland. Serum/plasma TC concentrations varied from 4.8 to 5.0 mmol/l, HDL from 1.3 to 1.5 mmol/l and TG from 0.70 to 0.87 mmol/l. 12-year-old boys consumed significantly more energy than girls at the same age. In the 8-year-old boys the quality of fat used on the bread and quality of milk drunk influenced on the serum fatty acid composition, the proportion of linoleic acid being greater in those children who used margarine and/or low fat milk. The 3-year-old children at the highest quartiles of TC concentration used less wheat products and their intake of riboflavin was less than children in the lowest quartile. HDL concentration was associated with the intake of thiamine. The 12-year-old children having their TC concentrations in the highest quartile used more saturated fats and got more saturated fatty acids than children in the lowest quartile. The higher the sugar consumption and sucrose intake were, the lower was the HDL concentration. The prevalence of obesity increased with the age, being 0.5%, 5.0% and 8.5% in the 3-year, 8-year and 12-year-old children respectively. Urban children were more commonly obese than rural children, the prevalence being 8.0% versus 2.2% (p less than 0.01).

Child↗
PubMedDate not supplied

Finnish approach to the treatment of acute otitis media. Report of the Finnish Consensus Conference.

The theme of the first consensus conference to be held in Finland was the treatment of acute otitis media. The statements and recommendations accepted by the conference, which was organized according to the National Institutes of Health model, are presented in this report. On the basis of scientific knowledge, clinical experience, and conditions in Finland, the conference delegates concluded that penicillin V, in large doses, is still the drug of first choice in this disease. The importance of surgical drainage of the middle ear was stressed, as was the necessity of careful follow-up of the patient until the condition is completely healed. Decongestants were considered rather useless. In the prevention of recurrent attacks, adenoidectomy but not tonsillectomy was regarded as being of help, tympanostomy of probable benefit, antimicrobial (sulfonamide) prophylaxis worth considering in selected cases, but the effect of pneumococcal vaccination poor. The conference delegates agreed that uncomplicated acute otitis media should, as before, usually be treated by physicians taking care of children at the primary health care level.

Acute Disease↗