{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:09:08Z","timestamp":1787314148285,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["VR\u2010523\u20102014\u20102048"],"award-info":[{"award-number":["VR\u2010523\u20102014\u20102048"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008084","name":"Neurof\u00f6rbundet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008084","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      Self\u2010estimated health can be used for comparison of different diseases between countries. It is important to elaborate on whether disparities in self\u2010estimated health are due to disease\u2010specific parameters or socioeconomic differences. In this study, we aimed at evaluating clinical and social similarities and differences in myasthenia gravis (\n                      <jats:styled-content style=\"fixed-case\">MG<\/jats:styled-content>\n                      ) patients between comparable regions in two Baltic Sea countries, Estonia and Sweden.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross\u2010sectional study included southern counties in Sweden and Estonia of comparable size. All patients with a confirmed\n                      <jats:styled-content style=\"fixed-case\">MG<\/jats:styled-content>\n                      diagnosis were asked to answer two questionnaires including demographic and disease\u2010specific data, lifestyle issues, and mental fatigue (Fatigue Severity Scale [\n                      <jats:styled-content style=\"fixed-case\">FSS<\/jats:styled-content>\n                      ]). Clinical fatigue was assessed objectively through the Quantitative Myasthenia Gravis Score (\n                      <jats:styled-content style=\"fixed-case\">QMG<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010six of 92 identified patients in Estonia and 40 of 70 identified\n                      <jats:styled-content style=\"fixed-case\">MG<\/jats:styled-content>\n                      patients in Sweden chose to participate in the study. The demographic characteristics and symptoms reported by the patients were similar.\n                      <jats:styled-content style=\"fixed-case\">QMG<\/jats:styled-content>\n                      score did not differ; however, the Estonian patients scored their current subjective disease severity significantly higher (5.6\u00a0\u00b1\u00a02.8) compared to the Swedish patients (3.4\u00a0\u00b1\u00a02.3,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.0005). Estonian patients also had significantly higher\n                      <jats:styled-content style=\"fixed-case\">FSS<\/jats:styled-content>\n                      scores (5.0\u00a0\u00b1\u00a01.7) than Swedish patients (3.5\u00a0\u00b1\u00a01.6;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.001). Swedish patients were more active and performed physical activity more regularly (29.1% in Estonia and 74.2% in Sweden,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Although, the patients had comparable clinical fatigue, Estonian patients evaluated their health state as being more severe and reported more mental fatigue than Swedish patients. These data indicate large regional differences in disease perception of\n                      <jats:styled-content style=\"fixed-case\">MG<\/jats:styled-content>\n                      , which is important to consider in international studies.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.653","type":"journal-article","created":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T22:42:41Z","timestamp":1488408161000},"source":"Crossref","is-referenced-by-count":17,"title":["Diversity in mental fatigue and social profile of patients with myasthenia gravis in two different Northern European countries"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5727-8404","authenticated-orcid":false,"given":"Liis","family":"Sabre","sequence":"first","affiliation":[{"name":"Department of Neuroscience, Clinical Neurophysiology Uppsala University and Uppsala University Hospital  Uppsala Sweden"},{"name":"Department of Neurology 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