| 1. |
- Ketzer, João Marcelo, et al.
(författare)
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Discovery of a major seafloor methane release site in Europe: The Landsort deep, Baltic Sea.
- 2024
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Konferensbidrag (refereegranskat)abstract
- A recently acquired multidisciplinary dataset comprising acoustic surveys (high-resolution sub- bottom profiles, multi-beam bathymetry, and broad band mid-water echo sounder), geochemistry (gas chemical and isotopic composition, porewater chemistry), and sedimentology (core lithology and X-ray CT) in the area of the Landsort deep (450 m of depth), south of Stockholm Archipelago, revealed the existence of an extensive (20 km2) region of the seafloor where massive gas release is occurring in the form of multiple bubble streams. This new discovery represents a major seafloor methane release site in Europe and is comparable in area to other large sites worldwide such as the ones in Svalbard and in the South Atlantic Ocean associated with gas hydrate provinces. The gas is formed mostly by methane of microbial origin. Surprisingly, bubbles rise 100’s of meters above the seafloor and reach surface waters above the halocline/oxycline at around 80 m of depth. Some bubbles appear to reach the sea-air interface and their potential methane contribution to the atmosphere is under investigation. Another surprising observation is the absence of major seafloor features like pockmarks in the gas release area. The reasons for the seafloor methane release in the Landsort deep are still not entirely clear, but our preliminary acoustic and sedimentological data suggest that bottom currents may have acted to facilitate the accumulation of organic-rich sediments in a thick drift deposit during the Holocene and the modern warm period (latest 100 years). Our data further suggest that the high sedimentation rate in the drift deposit continuously supplies fresh organic matter that is quickly buried below a thin sulphate reduction zone, fueling vigorous methanogenesis and abundant methane formation. Similar methane release sites might be discovered in other known large drift deposits in the Baltic Sea.
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| 2. |
- Sayedi, Sayedeh Sara, et al.
(författare)
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Subsea permafrost carbon stocks and climate change sensitivity estimated by expert assessment
- 2020
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Ingår i: Environmental Research Letters. - : IOP Publishing. - 1748-9326. ; 15:12
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Tidskriftsartikel (refereegranskat)abstract
- The continental shelves of the Arctic Ocean and surrounding seas contain large stocks of organic matter (OM) and methane (CH4), representing a potential ecosystem feedback to climate change not included in international climate agreements. We performed a structured expert assessment with 25 permafrost researchers to combine quantitative estimates of the stocks and sensitivity of organic carbon in the subsea permafrost domain (i.e. unglaciated portions of the continental shelves exposed during the last glacial period). Experts estimated that the subsea permafrost domain contains similar to 560 gigatons carbon (GtC; 170-740, 90% confidence interval) in OM and 45 GtC (10-110) in CH4. Current fluxes of CH4 and carbon dioxide (CO2) to the water column were estimated at 18 (2-34) and 38 (13-110) megatons C yr(-1), respectively. Under Representative Concentration Pathway (RCP) RCP8.5, the subsea permafrost domain could release 43 Gt CO2-equivalent (CO(2)e) by 2100 (14-110) and 190 Gt CO(2)e by 2300 (45-590), with similar to 30% fewer emissions under RCP2.6. The range of uncertainty demonstrates a serious knowledge gap but provides initial estimates of the magnitude and timing of the subsea permafrost climate feedback.
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| 3. |
- Anderson, Leif G, 1951, et al.
(författare)
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Shelf-Basin interaction along the East Siberian Sea
- 2017
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Ingår i: Ocean Science. - : Copernicus GmbH. - 1812-0784 .- 1812-0792. ; 13:2, s. 349-363
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Tidskriftsartikel (refereegranskat)abstract
- Extensive biogeochemical transformation of organic matter takes place in the shallow continental shelf seas of Siberia. This, in combination with brine production from sea-ice formation, results in cold bottom waters with relatively high salinity and nutrient concentrations, as well as low oxygen and pH levels. Data from the SWERUS-C3 expedition with icebreaker Oden, from July to September 2014, show the distribution of such nutrient-rich, cold bottom waters along the continental margin from about 140 to 180 degrees E. The water with maximum nutrient concentration, classically named the upper halocline, is absent over the Lomonosov Ridge at 140 degrees E, while it appears in the Makarov Basin at 150 degrees E and intensifies further eastwards. At the intercept between the Mendeleev Ridge and the East Siberian continental shelf slope, the nutrient maximum is still intense, but distributed across a larger depth interval. The nutrient-rich water is found here at salinities of up to similar to 34.5, i.e. in the water classically named lower halocline. East of 170 degrees E transient tracers show significantly less ventilated waters below about 150 m water depth. This likely results from a local isolation of waters over the Chukchi Abyssal Plain as the boundary current from the west is steered away from this area by the bathymetry of the Mendeleev Ridge. The water with salinities of similar to 34.5 has high nutrients and low oxygen concentrations as well as low pH, typically indicating decay of organic matter. A deficit in nitrate relative to phosphate suggests that this process partly occurs under hypoxia. We conclude that the high nutrient water with salinity similar to 34.5 are formed on the shelf slope in the Mendeleev Ridge region from interior basin water that is trapped for enough time to attain its signature through interaction with the sediment.
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| 4. |
- CARLSSON, STEFAN, 1987, et al.
(författare)
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Age at surgery, educational level and long-term urinary incontinence after radical prostatectomy
- 2011
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Ingår i: BJU International. - 1464-4096 .- 1464-410X. ; 108:10, s. 1572-1577
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE To identify predictors for long-term urinary leakage after radical prostatectomy. PATIENTS AND METHODS A consecutive series of 1411 patients who underwent radical prostatectomy (open surgery or robot-assisted laparoscopic surgery) at Karolinska University Hospital between 2002 and 2006 were invited to complete a study-specific questionnaire. Urinary leakage was defined as use of two or more pads per day. RESULTS Questionnaires were received from 1288 (91%) patients with a median follow-up of 2.2 years. Age at surgery predicts in an exponential manner long-term urinary incontinence at follow-up with an estimated relative increase of 6% per year. Among the oldest patients, 19% had urinary incontinence compared with 6% in the youngest age group, translating to a prevalence ratio of 2.4 (95% confidence interval [CI], 1.5-8.1). Low educational level, as compared with high, yielded an increased age-adjusted prevalence ratio of 2.5 (95% CI, 1.7-3.9). Patients who had undergone salvage radiation therapy had an increased prevalence of urinary incontinence (2.5; 95% CI, 1.6-3.8), as did those with respiratory disease (2.4; 95% CI, 1.3-4.4). Body mass index, prostate weight, presence of diabetes or previous transurethral resection did not appear to influence the prevalence of urinary incontinence. CONCLUSIONS In this series, a patient's age at radical prostatectomy influenced, in an exponential manner, his risk of long-term urinary incontinence. Other predictors are low educational level, salvage radiation therapy and respiratory disease. Intervention studies are needed to understand if these data are relevant to the prevalence of urinary leakage if a radical prostatectomy is postponed in an active monitoring programme.
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| 5. |
- Cornford, Philip, et al.
(författare)
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EAU-EANM-ESTRO-ESUR-ISUP-SIOG Guidelines on Prostate Cancer-2024 Update. Part I: Screening, Diagnosis, and Local Treatment with Curative Intent.
- 2024
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Ingår i: European urology. - 1873-7560.
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Tidskriftsartikel (refereegranskat)abstract
- The European Association of Urology (EAU)-European Association of Nuclear Medicine (EANM)-European Society for Radiotherapy and Oncology (ESTRO)-European Society of Urogenital Radiology (ESUR)-International Society of Urological Pathology (ISUP)-International Society of Geriatric Oncology (SIOG) guidelines provide recommendations for the management of clinically localised prostate cancer (PCa). This paper aims to present a summary of the 2024 version of the EAU-EANM-ESTRO-ESUR-ISUP-SIOG guidelines on the screening, diagnosis, and treatment of clinically localised PCa.The panel performed a literature review of all new data published in English, covering the time frame between May 2020 and 2023. The guidelines were updated, and a strength rating for each recommendation was added based on a systematic review of the evidence.A risk-adapted strategy for identifying men who may develop PCa is advised, generally commencing at 50 yr of age and based on individualised life expectancy. The use of multiparametric magnetic resonance imaging in order to avoid unnecessary biopsies is recommended. When a biopsy is considered, a combination of targeted and regional biopsies should be performed. Prostate-specific membrane antigen positron emission tomography imaging is the most sensitive technique for identifying metastatic spread. Active surveillance is the appropriate management for men with low-risk PCa, as well as for selected favourable intermediate-risk patients with International Society of Urological Pathology grade group 2 lesions. Local therapies are addressed, as well as the management of persistent prostate-specific antigen after surgery. A recommendation to consider hypofractionation in intermediate-risk patients is provided. Patients with cN1 PCa should be offered a local treatment combined with long-term intensified hormonal treatment.The evidence in the field of diagnosis, staging, and treatment of localised PCa is evolving rapidly. These PCa guidelines reflect the multidisciplinary nature of PCa management.This article is the summary of the guidelines for "curable" prostate cancer. Prostate cancer is "found" through a multistep risk-based screening process. The objective is to find as many men as possible with a curable cancer. Prostate cancer is curable if it resides in the prostate; it is then classified into low-, intermediary-, and high-risk localised and locally advanced prostate cancer. These risk classes are the basis of the treatments. Low-risk prostate cancer is treated with "active surveillance", a treatment with excellent prognosis. For low-intermediary-risk active surveillance should also be discussed as an option. In other cases, active treatments, surgery, or radiation treatment should be discussed along with the potential side effects to allow shared decision-making.
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| 6. |
- Gustafsson, Erik, et al.
(författare)
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Carbon cycling on the East Siberian Arctic Shelf – a change in air-sea CO2 flux induced by mineralization of terrestrial organic carbon
- 2017
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Ingår i: Biogeosciences. - : Copernicus GmbH. - 1726-4170 .- 1726-4189.
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Tidskriftsartikel (refereegranskat)abstract
- Measurements from the SWERUS-C3 and ISSS-08 Arctic expeditions were used to calibrate and validate a new physical-biogeochemical model developed to quantify key carbon cycling processes on the East Siberian Arctic Shelf (ESAS). The model was used in a series of experimental simulations with the specific aim to investigate the pathways of terrestrial dissolved and particulate organic carbon (DOCter and POCter) supplied to the shelf. Rivers supply on average 8.5 Tg C yr−1 dissolved inorganic carbon (DIC), and further 8.5 and 1.1 Tg C yr−1 DOCter and POCter respectively. Based on observed and simulated DOC concentrations and stable isotope values (δ13CDOC) in shelf waters, we estimate that only some 20 % of the riverine DOCter is labile. According to our model results, an additional supply of approximately 14 Tg C yr−1 eroded labile POCter is however required to describe the observed stable isotope values of DIC (δ13CDIC). Degradation of riverine DOCter and POCter results in a 1.8 Tg C yr−1 reduction in the uptake of atmospheric CO2, while degradation of eroded POCter results in an additional 10 Tg C yr−1 reduction. Our calculations indicate nevertheless that the ESAS is an overall small net sink for atmospheric CO2 (1.7 Tg C yr−1). The external carbon sources are largely compensated by a net export from the shelf to the Arctic Ocean (31 Tg C yr−1), and to a smaller degree by a permanent burial in the sediments (2.7 Tg C yr−1).
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| 7. |
- Humborg, Christoph, et al.
(författare)
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High Emissions of Carbon Dioxide and Methane From the Coastal Baltic Sea at the End of a Summer Heat Wave
- 2019
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Ingår i: Frontiers in Marine Science. - : Frontiers Media SA. - 2296-7745. ; 6
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Tidskriftsartikel (refereegranskat)abstract
- The summer heat wave in 2018 led to the highest recorded water temperatures since 1926 - up to 21 degrees C - in bottom coastal waters of the Baltic Sea, with implications for the respiration patterns in these shallow coastal systems. We applied cavity ring-down spectrometer measurements to continuously monitor carbon dioxide (CO2) and methane (CH4) surface-water concentrations, covering the coastal archipelagos of Sweden and Finland and the open and deeper parts of the Northern Baltic Proper. This allowed us to (i) follow an upwelling event near the Swedish coast leading to elevated CO2 and moderate CH 4 outgassing, and (ii) to estimate CH4 sources and fluxes along the coast by investigating water column inventories and air-sea fluxes during a storm and an associated downwelling event. At the end of the heat wave, before the storm event, we found elevated CO2 (1583 mu atm) and CH4 (70 nmol/L) concentrations. During the storm, a massive CO2 sea-air flux of up to 274 mmol m(-2) d(-1) was observed. While water-column CO2 concentrations were depleted during several hours of the storm, CH4 concentrations remained elevated. Overall, we found a positive relationship between CO2 and CH4 wind-driven sea-air fluxes, however, the highest CH4 fluxes were observed at low winds whereas highest CO2 fluxes were during peak winds, suggesting different sources and processes controlling their fluxes besides wind. We applied a box-model approach to estimate the CH4 supply needed to sustain these elevated CH4 concentrations and the results suggest a large source flux of CH4 to the water column of 2.5 mmol m(-2) d(-1). These results are qualitatively supported by acoustic observations of vigorous and widespread outgassing from the sediments, with flares that could be traced throughout the water column penetrating the pycnocline and reaching the sea surface. The results suggest that the heat wave triggered CO2 and CH4 fluxes in the coastal zones that are comparable with maximum emission rates found in other hot spots, such as boreal and arctic lakes and wetlands. Further, the results suggest that heat waves are as important for CO2 and CH4 sea-air fluxes as the ice break up in spring.
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| 8. |
- Marra, Giancarlo, et al.
(författare)
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Impact of Epithelial Histological Types, Subtypes, and Growth Patterns on Oncological Outcomes for Patients with Nonmetastatic Prostate Cancer Treated with Curative Intent: A Systematic Review.
- 2023
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Ingår i: European urology. - 0302-2838 .- 1873-7560. ; 84:1, s. 65-85
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Tidskriftsartikel (refereegranskat)abstract
- The optimal management for men with prostate cancer (PCa) with unconventional histology (UH) is unknown. The outcome for these cancers might be worse than for conventional PCa and so different approaches may be needed.To compare oncological outcomes for conventional and UH PCa in men with localized disease treated with curative intent.A systematic review adhering to the Referred Reporting Items for Systematic Reviews and Meta-Analyses was prospectively registered on PROSPERO (CRD42022296013) was performed in July 2021.We screened 3651 manuscripts and identified 46 eligible studies (reporting on 1 871 814 men with conventional PCa and 6929 men with 10 different PCa UHs). Extraprostatic extension and lymph node metastases, but not positive margin rates, were more common with UH PCa than with conventional tumors. PCa cases with cribriform pattern, intraductal carcinoma, or ductal adenocarcinoma had higher rates of biochemical recurrence and metastases after radical prostatectomy than for conventional PCa cases. Lower cancer-specific survival rates were observed for mixed cribriform/intraductal and cribriform PCa. By contrast, pathological findings and oncological outcomes for mucinous and prostatic intraepithelial neoplasia (PIN)-like PCa were similar to those for conventional PCa. Limitations of this review include low-quality studies, a risk of reporting bias, and a scarcity of studies that included radiotherapy.Intraductal, cribriform, and ductal UHs may have worse oncological outcomes than for conventional and mucinous or PIN-like PCa. Alternative treatment approaches need to be evaluated in men with these cancers.We reviewed the literature to explore whether prostate cancers with unconventional growth patterns behave differently to conventional prostate cancers. We found that some unconventional growth patterns have worse outcomes, so we need to investigate if they need different treatments. Urologists should be aware of these growth patterns and their clinical impact.
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| 9. |
- Muchowski, Julia C., 1989-
(författare)
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Uncovering Ocean Mixing near Rough Bathymetry : Using Broadband Acoustics
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Ocean mixing related to rough bathymetry is highly dynamic and exhibits large spatial and temporal variability. Therefore, established in-situ methods as well as numerical models often lack the resolution to capture this type of mixing. In this thesis, acoustics are used to observe, map and quantify stratified mixing at unprecedented resolution. Acoustic broadband data from a Simrad EK80 and co-located microstructure data from a Sea & Sun Technology MicroStructure profiler (MSS) were collected during two cruises on R/V Electra in Feb-March 2019 and 2020 in the Southern Quark region in the northern Åland Sea, Baltic Sea. In the first manuscript (M1), an existing acoustic model to quantify turbulent mixing from acoustic backscatter is revisited and applied to the co-located data sets. Possibilities and limitations of applying the acoustic model are investigated in detail. In a following case study (M2), the acoustic model is applied to a subset of the data where rough bathymetry reaches into stratified flow and highly increases mixing across the halocline. The dominant mixing mechanism is revealed to be wake vortices and their impact is estimated using a diffusion model. The final case study (M3) emphasizes the impact of mixing in the Southern Quark on exchange processes between the distinctly different Northern Baltic Proper and the Bothnian Sea. The acoustic observations uncover the detailed structure (M1-M3) and temporal development (M3) of turbulent diapycnal mixing in heterogeneous flow over rough bathymetry. This thesis is a step towards increased applicability and automatized analysis of acoustic broadband data for identifying and quantifying turbulent diapycnal mixing.
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| 10. |
- Nilsson, Hanna, et al.
(författare)
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Risk of hernia formation after radical prostatectomy : a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial
- 2022
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Ingår i: Hernia. - : Springer Science and Business Media LLC. - 1265-4906 .- 1248-9204. ; 26, s. 157-164
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: In addition to incisional hernia, inguinal hernia is a recognized complication to radical retropubic prostatectomy. To compare the risk of developing inguinal and incisional hernias after open radical prostatectomy compared to robot-assisted laparoscopic prostatectomy. Method: Patients planned for prostatectomy were enrolled in the prospective, controlled LAPPRO trial between September 2008 and November 2011 at 14 hospitals in Sweden. Information regarding patient characteristics, operative techniques and occurrence of postoperative inguinal and incisional hernia were retrieved using six clinical record forms and four validated questionnaires. Results: 3447 patients operated with radical prostatectomy were analyzed. Within 24 months, 262 patients developed an inguinal hernia, 189 (7.3%) after robot-assisted laparoscopic prostatectomy and 73 (8.4%) after open radical prostatectomy. The relative risk of having an inguinal hernia after robot-assisted laparoscopic prostatectomy was 18% lower compared to open radical retropubic prostatectomy, a non-significant difference. Risk factors for developing an inguinal hernia after prostatectomy were increased age, low BMI and previous hernia repair. The incidence of incisional hernia was low regardless of surgical technique. Limitations are the non-randomised setting. Conclusions: We found no difference in incidence of inguinal hernia after open retropubic and robot-assisted laparoscopic radical prostatectomy. The low incidence of incisional hernia after both procedures did not allow for statistical analysis. Risk factors for developing an inguinal hernia after prostatectomy were increased age and BMI.
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