| 1. |
- Bergström, Göran, 1964, et al.
(author)
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Prevalence of Subclinical Coronary Artery Atherosclerosis in the General Population
- 2021
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In: Circulation. - Philadelphia : American Heart Association. - 0009-7322 .- 1524-4539. ; 144:12, s. 916-929
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Journal article (peer-reviewed)abstract
- Background: Early detection of coronary atherosclerosis using coronary computed tomography angiography (CCTA), in addition to coronary artery calcification (CAC) scoring, may help inform prevention strategies. We used CCTA to determine the prevalence, severity, and characteristics of coronary atherosclerosis and its association with CAC scores in a general population.Methods: We recruited 30 154 randomly invited individuals age 50 to 64 years to SCAPIS (the Swedish Cardiopulmonary Bioimage Study). The study includes individuals without known coronary heart disease (ie, no previous myocardial infarctions or cardiac procedures) and with high-quality results from CCTA and CAC imaging performed using dedicated dual-source CT scanners. Noncontrast images were scored for CAC. CCTA images were visually read and scored for coronary atherosclerosis per segment (defined as no atherosclerosis, 1% to 49% stenosis, or ≥50% stenosis). External validity of prevalence estimates was evaluated using inverse probability for participation weighting and Swedish register data.Results: In total, 25 182 individuals without known coronary heart disease were included (50.6% women). Any CCTA-detected atherosclerosis was found in 42.1%; any significant stenosis (≥50%) in 5.2%; left main, proximal left anterior descending artery, or 3-vessel disease in 1.9%; and any noncalcified plaques in 8.3% of this population. Onset of atherosclerosis was delayed on average by 10 years in women. Atherosclerosis was more prevalent in older individuals and predominantly found in the proximal left anterior descending artery. Prevalence of CCTA-detected atherosclerosis increased with increasing CAC scores. Among those with a CAC score >400, all had atherosclerosis and 45.7% had significant stenosis. In those with 0 CAC, 5.5% had atherosclerosis and 0.4% had significant stenosis. In participants with 0 CAC and intermediate 10-year risk of atherosclerotic cardiovascular disease according to the pooled cohort equation, 9.2% had CCTA-verified atherosclerosis. Prevalence estimates had excellent external validity and changed marginally when adjusted to the age-matched Swedish background population.Conclusions: Using CCTA in a large, random sample of the general population without established disease, we showed that silent coronary atherosclerosis is common in this population. High CAC scores convey a significant probability of substantial stenosis, and 0 CAC does not exclude atherosclerosis, particularly in those at higher baseline risk.
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| 2. |
- Bergström, Göran, et al.
(author)
-
Prevalence of Subclinical Coronary Artery Atherosclerosis in the General Population
- 2021
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In: Circulation. - : Wolters Kluwer. - 0009-7322 .- 1524-4539. ; 144:12, s. 916-929
-
Journal article (peer-reviewed)abstract
- Background: Early detection of coronary atherosclerosis using coronary computed tomography angiography (CCTA), in addition to coronary artery calcification (CAC) scoring, may help inform prevention strategies. We used CCTA to determine the prevalence, severity, and characteristics of coronary atherosclerosis and its association with CAC scores in a general population.Methods: We recruited 30 154 randomly invited individuals age 50 to 64 years to SCAPIS (the Swedish Cardiopulmonary Bioimage Study). The study includes individuals without known coronary heart disease (ie, no previous myocardial infarctions or cardiac procedures) and with high-quality results from CCTA and CAC imaging performed using dedicated dual-source CT scanners. Noncontrast images were scored for CAC. CCTA images were visually read and scored for coronary atherosclerosis per segment (defined as no atherosclerosis, 1% to 49% stenosis, or ≥50% stenosis). External validity of prevalence estimates was evaluated using inverse probability for participation weighting and Swedish register data.Results: In total, 25 182 individuals without known coronary heart disease were included (50.6% women). Any CCTA-detected atherosclerosis was found in 42.1%; any significant stenosis (≥50%) in 5.2%; left main, proximal left anterior descending artery, or 3-vessel disease in 1.9%; and any noncalcified plaques in 8.3% of this population. Onset of atherosclerosis was delayed on average by 10 years in women. Atherosclerosis was more prevalent in older individuals and predominantly found in the proximal left anterior descending artery. Prevalence of CCTA-detected atherosclerosis increased with increasing CAC scores. Among those with a CAC score >400, all had atherosclerosis and 45.7% had significant stenosis. In those with 0 CAC, 5.5% had atherosclerosis and 0.4% had significant stenosis. In participants with 0 CAC and intermediate 10-year risk of atherosclerotic cardiovascular disease according to the pooled cohort equation, 9.2% had CCTA-verified atherosclerosis. Prevalence estimates had excellent external validity and changed marginally when adjusted to the age-matched Swedish background population.Conclusions: Using CCTA in a large, random sample of the general population without established disease, we showed that silent coronary atherosclerosis is common in this population. High CAC scores convey a significant probability of substantial stenosis, and 0 CAC does not exclude atherosclerosis, particularly in those at higher baseline risk.
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| 3. |
- Abrahamsson, Hasse, 1943, et al.
(author)
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Altered bile acid metabolism in patients with constipation-predominant irritable bowel syndrome and functional constipation
- 2008
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In: Scandinavian Journal of Gastroenterology. - : Informa UK Limited. - 0036-5521 .- 1502-7708. ; 43:12, s. 1483-1488
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Journal article (peer-reviewed)abstract
- Objective. Bile acids are derived from cholesterol and are potent physiological laxatives. The aim of this study was to investigate whether bile acid synthesis is altered in constipation. Material and methods. Female patients with constipation (23 IBS-C, 4 functional constipation (FC)) were studied and compared with non-constipated subjects (16 IBS-D, 20 healthy women). Body mass index (BMI), blood lipids, lanosterol, sitosterol, colonic transit (oro-anal transit time (OATT), reference=4.3 days) and stool frequency were measured. C4 (7--hydroxy-4-cholesten-3-one) levels reflecting bile acid synthesis were measured at 0800 h and 1300 h. Results. When all the groups of constipated and non-constipated subjects were compared, it was found that only stool frequency and OATT differed between groups (p 0.001). When constipated patients were categorized according to OATT, absence of the usual C4 increase at lunchtime was noted in 82% of patients with delayed OATT compared with 17% in subjects with normal OATT (p 0.001). Symptom severity did not differ between groups. A subset of the patients with severely delayed OATT had markedly elevated C4 levels. Conclusions. Patients with IBS-C and FC have marked changes in bile acid synthesis in relation to colonic transit. The diurnal rhythm is altered in the slow transit colon when there is no C4 peak at lunchtime. Alterations in bile acid metabolism may be implicated in the pathophysiology of constipation.
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| 4. |
- Aili, Carola, 1963-, et al.
(author)
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Research on teachers' professional lives : time to build a research network. Paper presented at NERA's 31st Congress, 6-9 March, Copenhagen
- 2003
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Conference paper (peer-reviewed)abstract
- Teachers’ work has during the last ten years gone through great changes. The effects of postmodern society has made the work more and morecomplex and difficult to handle and understand for those involved as well as outsiders. Researchers are trying to keep up with things. The developmentof knowledge of teachers’ work takes place on different levels, in separate disciplines, from various starting-points and with different foci.To be able to describe, understand and explain the »new« work of teachers in a vigorous way there is need of getting these research initiativestogether. Arenas should be established where interchanges and coordination between researchers could take place. In order to make this happen wehave the intention of building a Swedish (our aim is to expand the network to the Nordic countries after the establishment in Sweden) network ofresearch on teachers’ professional lives.Besides presenting the intention and design of our network we also bring along some examples of research projects in line with the network ideas.
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| 5. |
- Aili, Carola, et al.
(author)
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Research on teachers' professional lives : time to build a research network. Paper presented at NERA's 31st Congress, 6-9 March, Copenhagen
- 2003
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Conference paper (other academic/artistic)abstract
- Teachers’ work has during the last ten years gone through great changes. The effects of postmodern society has made the work more and morecomplex and difficult to handle and understand for those involved as well as outsiders. Researchers are trying to keep up with things. The developmentof knowledge of teachers’ work takes place on different levels, in separate disciplines, from various starting-points and with different foci.To be able to describe, understand and explain the »new« work of teachers in a vigorous way there is need of getting these research initiativestogether. Arenas should be established where interchanges and coordination between researchers could take place. In order to make this happen wehave the intention of building a Swedish (our aim is to expand the network to the Nordic countries after the establishment in Sweden) network ofresearch on teachers’ professional lives.Besides presenting the intention and design of our network we also bring along some examples of research projects in line with the network ideas.
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| 6. |
- Alm, L., et al.
(author)
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Differing Properties of Two Ion-Scale Magnetopause Flux Ropes
- 2018
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In: Journal of Geophysical Research - Space Physics. - : AMER GEOPHYSICAL UNION. - 2169-9380 .- 2169-9402. ; 123:1, s. 114-131
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Journal article (peer-reviewed)abstract
- In this paper, we present results from the Magnetospheric Multiscale constellation encountering two ion-scale, magnetopause flux ropes. The two flux ropes exhibit very different properties and internal structure. In the first flux rope, there are large differences in the currents observed by different satellites, indicating variations occurring over sub-d(i) spatial scales, and time scales on the order of the ion gyroperiod. In addition, there is intense wave activity and particle energization. The interface between the two flux ropes exhibits oblique whistler wave activity. In contrast, the second flux rope is mostly quiescent, exhibiting little activity throughout the encounter. Changes in the magnetic topology and field line connectivity suggest that we are observing flux rope coalescence.
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| 7. |
- Alm, L., et al.
(author)
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EDR signatures observed by MMS in the 16 October event presented in a 2-D parametric space
- 2017
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In: Journal of Geophysical Research - Space Physics. - : AMER GEOPHYSICAL UNION. - 2169-9380 .- 2169-9402. ; 122:3, s. 3262-3276
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Journal article (peer-reviewed)abstract
- We present a method for mapping the position of satellites relative to the X line using the measured B-L and B-N components of the magnetic field and apply it to the Magnetospheric multiscale (MMS) encounter with the electron diffusion region (EDR) which occurred on 13:07 UT on 16 October 2015. Mapping the data to our parametric space succeeds in capturing many of the signatures associated with magnetic reconnection and the electron diffusion region. This offers a method for determining where in the reconnection region the satellites were located. In addition, parametric mapping can also be used to present data from numerical simulations. This facilitates comparing data from simulations with data from in situ observations as one can avoid the complicated process using boundary motion analysis to determine the geometry of the reconnection region. In parametric space we can identify the EDR based on the collocation of several reconnection signatures, such as electron nongyrotropy, electron demagnetization, parallel electric fields, and energy dissipation. The EDR extends 2-3km in the normal direction and in excess of 20km in the tangential direction. It is clear that the EDR occurs on the magnetospheric side of the topological X line, which is expected in asymmetric reconnection. Furthermore, we can observe a north-south asymmetry, where the EDR occurs north of the peak in out-of-plane current, which may be due to the small but finite guide field.
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| 8. |
- Andersson, Ingemar, et al.
(author)
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Preservation Services Planning : A Decision Support Framework
- 2014
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Conference paper (peer-reviewed)abstract
- Commercial organizations are experiencing a growing need to access business-criticaldata in the longer term of their operations. Governmental regulations as well as commercial interestsinfluence this need. Organizations are willing to procure cost-effective services to this end - servicesthat are increasingly based as public or private cloud solutions. With the advent of autonomous cloudservices comes the possibility to assemble (mix and match) preservation services in a workflowbasedservice-oriented solution. Following the interaction with information managers in (three)commercial organizations operating in different markets and after a review of current literature, wehave revealed a lack of comprehensive guidelines and decision support in service selection as part ofpreservation planning. Existing models and frameworks used for assessing the quality of preservationservices either manage performance-based features that service provider’s offer or the technicaldetails of the preservation actions themselves. In this paper we present our preservation-planningframework (Preserv-Qual) that addresses the need for decision support in the selection ofpreservation services that explicitly acknowledge the differences among aspects of information usewithin an organization. We describe the outcome from an evaluation of the framework in threecommercial organisations as a service quality assessment and decision support tool. This papershows how our framework supports the use of existing and proven methods, models and principlesfor service assessment, digital preservation and decision support.
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| 9. |
- Andersson, Ingemar, et al.
(author)
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Web archiving using the collaborative archiving services testbed
- 2011
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In: eChallenges e2011 Conference Proceedings. - : IIMC International Information Management Corporation. - 9781905824274
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Conference paper (other academic/artistic)abstract
- Websites constitute one category of official records and as such should be preserved for the long term in compliance with Swedish legislation. Collaborative Archiving Services Testbed (CAST) supports actors involved in the selective web archiving process, from harvesting to the creation of an information package ready for transfer to a long-term archive at National Archives of Sweden. CAST is developed in compliance with the ISO standards Open Archival Information System (OAIS) and Producer-Archive Interface Methodology Abstract Standard (PAIMAS), and do also consider other well-known and established standards and recommendations in digital preservation area. CAST promotes cooperation, knowledge acquisition and sharing among users in an experimental step-by-step workflow, encouraging a proactive approach resulting in authority websites better adapted to digital preservation recommendations. CAST is developed at LDP Centre, a national competence centre in Sweden, within the digital preservation area.
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| 10. |
- André, Mats, et al.
(author)
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Magnetic reconnection and modification of the Hall physics due to cold ions at the magnetopause
- 2016
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In: Geophysical Research Letters. - : Blackwell Publishing. - 0094-8276 .- 1944-8007. ; 43:13, s. 6705-6712
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Journal article (peer-reviewed)abstract
- Observations by the four Magnetospheric Multiscale spacecraft are used to investigate the Hall physics of a magnetopause magnetic reconnection separatrix layer. Inside this layer of currents and strong normal electric fields, cold (eV) ions of ionospheric origin can remain frozen-in together with the electrons. The cold ions reduce the Hall current. Using a generalized Ohm's law, the electric field is balanced by the sum of the terms corresponding to the Hall current, the vxB drifting cold ions, and the divergence of the electron pressure tensor. A mixture of hot and cold ions is common at the subsolar magnetopause. A mixture of length scales caused by a mixture of ion temperatures has significant effects on the Hall physics of magnetic reconnection.
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