| 31. |
- Gyawali, S., et al.
(författare)
-
Maternal and paternal tuberculosis is associated with increased asthma and respiratory symptoms in their offspring: a study from Northern Europe
- 2023
-
Ingår i: Frontiers in Allergy. - : Frontiers Media S.A.. - 2673-6101. ; 4
-
Tidskriftsartikel (refereegranskat)abstract
- BackgroundGiven the profound impact of tuberculosis (TB) on immunity and given murine studies suggesting that infections may influence immunity across generations, we hypothesize that parental TB might impact health and disease in future offspring.ObjectiveThis study investigated the impact of maternal and paternal TB on offspring asthma and respiratory symptoms.MethodsWe included data from the third follow-up of the Respiratory Health in Northern Europe study (RHINE). Information on own asthma status, asthma-like symptoms and other respiratory symptoms, as well as information about parental TB and asthma, were collected using standardized questionnaires. The associations between parental TB and RHINE participants' asthma and respiratory symptoms were analyzed using multiple logistic regression, with adjustment for parental education, smoking habits and asthma.ResultsOf 8,323 study participants, 227 (2.7%) reported only paternal TB, 282 (3.4%) only maternal TB, and 33 (0.4%) reported that both parents had TB. We found a higher risk of asthma (aOR: 1.29, 95% CI: 1.05-1.57) in offspring with a history of parental TB as compared to offspring without parental TB., Parental TB was significantly associated with allergic asthma in offspring (aOR: 1.58, 95% CI: 1.29-2.05), while no significant association between parental TB and asthma without allergy (aOR: 1.00, 95% CI: 0.76-1.32) in offspring was observed.ConclusionResults from this study indicate that parental TB might be a risk factor for offspring's asthma and respiratory symptoms. We raise the hypothesis that the immunological impact of infections might be transmitted to influence offspring phenotype in humans.
|
|
| 32. |
- Gyawali, S., et al.
(författare)
-
Previous tuberculosis infection associated with increased frequency of asthma and respiratory symptoms in a Nordic-Baltic multicentre population study
- 2023
-
Ingår i: ERJ Open Research. - : European Respiratory Society (ERS). - 2312-0541. ; 9:3
-
Tidskriftsartikel (refereegranskat)abstract
- Background Tuberculosis (TB) infection induces profound local and systemic, immunological and inflammatory changes that could influence the development of other respiratory diseases; however, the association between TB and asthma is only partly understood. Our objective was to study the association of TB with asthma and respiratory symptoms in a Nordic-Baltic population-based study. Methods We included data from the Respiratory Health in Northern Europe (RHINE) study, in which information on general characteristics, TB infection, asthma and asthma-like symptoms were collected using standardised postal questionnaires. Asthma was defined based on asthma medication usage and/or asthma attacks 12 months prior to the study, and/or by a report of.three out of five respiratory symptoms in the last 12 months. Allergic/nonallergic asthma were defined as asthma with/without nasal allergy. The associations of TB with asthma outcomes were analysed using logistic regressions with adjustments for age, sex, smoking, body mass index and parental education. Results We included 8379 study participants aged 50-75 years, 61 of whom reported having had TB. In adjusted analyses, participants with a history of TB had higher odds of asthma (OR 1.99, 95% CI 1.133.47). The associations were consistent for nonallergic asthma (OR 2.17, 95% CI 1.16-4.07), but not for allergic asthma (OR 1.20, 95% CI 0.53-2.71). Conclusion We found that in a large Northern European population-based cohort, persons with a history of TB infection more frequently had asthma and asthma symptoms. We speculate that this may reflect longterm effects of TB, including direct damage to the airways and lungs, as well as inflammatory responses.
|
|
| 33. |
- Heldin, Johanna, et al.
(författare)
-
Clinical remission of asthma and allergic rhinitis : in a longitudinal population study
- 2022
-
Ingår i: Journal of Asthma and Allergy. - : Dove press. - 1178-6965. ; 15, s. 1569-1578
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Although asthma and allergic rhinitis are chronic diseases, some patients experience periods of remission. Information on prognostic factors associated with the remission of asthma and allergic rhinitis is valuable in resource prioritization. This study investigated factors associated with the clinical remission of asthma and allergic rhinitis.Methods: In the Respiratory Health In Northern Europe (RHINE) study, data was collected with questionnaires in stage one (RHINE I, 1989–1992) and two follow-ups (RHINE II, 1999–2001 and RHINE III, 2010–2012) from Sweden, Norway, Denmark, Iceland and Estonia. Clinical remission was defined as having reported asthma or allergic rhinitis in RHINE I or RHINE II but not in RHINE III.Results: Of 13,052 participants, 975 (7.5%) reported asthma in RHINE I or RHINE II, and 3379 (25.9%) allergic rhinitis. Clinical remission of asthma and allergic rhinitis was found in 46.4% and 31.8%, respectively. Living in Estonia (OR (95% CI) 2.44 (1.22– 4.85)) and living in an apartment (1.45 (1.06–1.98)) were related to remission of asthma, while subjects reporting allergic rhinitis (0.68 (0.51–0.90)), asthma onset ≤ 12 years of age (0.49 (0.35–0.68)), receiving treatment with antibiotics for respiratory illness (0.64 (0.47– 0.87)) were less likely to have asthma remission. Factors related to a higher likelihood of remission of allergic rhinitis were no asthma at baseline, age ≥ 58 years in RHINE III, allergic rhinitis onset after 12 years of age, living in rural areas as a child, having only a primary school education and not being pregnant.Conclusion: Clinical remission was found in almost one-half of those with asthma and one-third of persons with allergic rhinitis. Coexisting allergic symptoms were associated with less clinical asthma remission. Age, asthma symptoms and environmental factors in childhood, such as living in a rural area, were found to influence the clinical remission of allergic rhinitis.
|
|
| 34. |
- Heldin, J., et al.
(författare)
-
Clinical Remission of Asthma and Allergic Rhinitis- in a Longitudinal Population Study
- 2022
-
Ingår i: Journal of Asthma and Allergy. - 1178-6965. ; 15, s. 1569-1578
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Although asthma and allergic rhinitis are chronic diseases, some patients experience periods of remission. Information on prognostic factors associated with the remission of asthma and allergic rhinitis is valuable in resource prioritization. This study investigated factors associated with the clinical remission of asthma and allergic rhinitis.Methods: In the Respiratory Health In Northern Europe (RHINE) study, data was collected with questionnaires in stage one (RHINE I, 1989-1992) and two follow-ups (RHINE II, 1999-2001 and RHINE III, 2010-2012) from Sweden, Norway, Denmark, Iceland and Estonia. Clinical remission was defined as having reported asthma or allergic rhinitis in RHINE I or RHINE II but not in RHINE III.Results: Of 13,052 participants, 975 (7.5%) reported asthma in RHINE I or RHINE II, and 3379 (25.9%) allergic rhinitis. Clinical remission of asthma and allergic rhinitis was found in 46.4% and 31.8%, respectively. Living in Estonia (OR (95% CI) 2.44 (1.22- 4.85)) and living in an apartment (1.45 (1.06-1.98)) were related to remission of asthma, while subjects reporting allergic rhinitis (0.68 (0.51-0.90)), asthma onset <= 12 years of age (0.49 (0.35-0.68)), receiving treatment with antibiotics for respiratory illness (0.64 (0.47- 0.87)) were less likely to have asthma remission. Factors related to a higher likelihood of remission of allergic rhinitis were no asthma at baseline, age >= 58 years in RHINE III, allergic rhinitis onset after 12 years of age, living in rural areas as a child, having only a primary school education and not being pregnant.Conclusion: Clinical remission was found in almost one-half of those with asthma and one-third of persons with allergic rhinitis. Coexisting allergic symptoms were associated with less clinical asthma remission. Age, asthma symptoms and environmental factors in childhood, such as living in a rural area, were found to influence the clinical remission of allergic rhinitis.
|
|
| 35. |
|
|
| 36. |
- Holm, Hannes, et al.
(författare)
-
A Bayesian network model for likelihood estimations of acquirement of critical software vulnerabilities and exploits
- 2015
-
Ingår i: Information and Software Technology. - : Elsevier BV. - 0950-5849 .- 1873-6025. ; 58, s. 304-318
-
Tidskriftsartikel (refereegranskat)abstract
- Context: Software vulnerabilities in general, and software vulnerabilities with publicly available exploits in particular, are important to manage for both developers and users. This is however a difficult matter to address as time is limited and vulnerabilities are frequent. Objective: This paper presents a Bayesian network based model that can be used by enterprise decision makers to estimate the likelihood that a professional penetration tester is able to obtain knowledge of critical vulnerabilities and exploits for these vulnerabilities for software under different circumstances. Method: Data on the activities in the model are gathered from previous empirical studies, vulnerability databases and a survey with 58 individuals who all have been credited for the discovery of critical software vulnerabilities. Results: The proposed model describes 13 states related by 17 activities, and a total of 33 different datasets. Conclusion: Estimates by the model can be used to support decisions regarding what software to acquire, or what measures to invest in during software development projects.
|
|
| 37. |
- Holm, Hannes
(författare)
-
A Framework and Calculation Engine for Modeling and Predicting the Cyber Security of Enterprise Architectures
- 2014
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Information Technology (IT) is a cornerstone of our modern society and essential for governments' management of public services, economic growth and national security. Consequently, it is of importance that IT systems are kept in a dependable and secure state. Unfortunately, as modern IT systems typically are composed of numerous interconnected components, including personnel and processes that use or support it (often referred to as an enterprise architecture), this is not a simple endeavor. To make matters worse, there are malicious actors who seek to exploit vulnerabilities in the enterprise architecture to conduct unauthorized activity within it. Various models have been proposed by academia and industry to identify and mitigate vulnerabilities in enterprise architectures, however, so far none has provided a sufficiently comprehensive scope.The contribution of this thesis is a modeling framework and calculation engine that can be used as support by enterprise decision makers in regard to cyber security matters, e.g., chief information security officers. In summary, the contribution can be used to model and analyze the vulnerability of enterprise architectures, and provide mitigation suggestions based on the resulting estimates. The contribution has been tested in real-world cases and has been validated on both a component level and system level; the results of these studies show that it is adequate in terms of supporting enterprise decision making.This thesis is a composite thesis of eight papers. Paper 1 describes a method and dataset that can be used to validate the contribution described in this thesis and models similar to it. Paper 2 presents what statistical distributions that are best fit for modeling the time required to compromise computer systems. Paper 3 describes estimates on the effort required to discover novel web application vulnerabilities. Paper 4 describes estimates on the possibility of circumventing web application firewalls. Paper 5 describes a study of the time required by an attacker to obtain critical vulnerabilities and exploits for compiled software. Paper 6 presents the effectiveness of seven commonly used automated network vulnerability scanners. Paper 7 describes the ability of the signature-based intrusion detection system Snort at detecting attacks that are more novel, or older than its rule set. Finally, paper 8 describes a tool that can be used to estimate the vulnerability of enterprise architectures; this tool is founded upon the results presented in papers 1-7.
|
|
| 38. |
- Holm, Hannes, et al.
(författare)
-
A Manual for the Cyber Security Modeling Language
- 2013
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The Cyber Security Modeling Language (CySeMoL) is an attack graph toolthat can be used to estimate the cyber security of enterprise architectures. Cy-SeMoL includes theory on how attacks and defenses relate quantitatively; thus,users must only model their assets and how these are connected in order to enablecalculations. This report functions as a manual to facilitate practical usage andunderstanding of CySeMoL.
|
|
| 39. |
- Holm, Hannes, et al.
(författare)
-
A metamodel for web application injection attacks and countermeasures
- 2012
-
Ingår i: Trends in Enterprise Architecture Research and Practice-Driven Research on Enterprise Transformation. - Berlin, Heidelberg : Springer. - 9783642341625 ; , s. 198-217
-
Konferensbidrag (refereegranskat)abstract
- Web application injection attacks such as cross site scripting and SQL injection are common and problematic for enterprises. In order to defend against them, practitioners with large heterogeneous system architectures and limited resources struggle to understand the effectiveness of different countermeasures under various conditions. This paper presents an enterprise architecture metamodel that can be used by enterprise decision makers when deciding between different countermeasures for web application injection attacks. The scope of the model is to provide low-effort guidance on an abstraction level of use for an enterprise decision maker. This metamodel is based on a literature review and revised according to the judgment by six domain experts identified through peer-review.
|
|
| 40. |
- Holm, Hannes, et al.
(författare)
-
Automatic data collection for enterprise architecture models
- 2014
-
Ingår i: Software and Systems Modeling. - : Springer Science and Business Media LLC. - 1619-1366 .- 1619-1374. ; 13:2, s. 825-841
-
Tidskriftsartikel (refereegranskat)abstract
- Enterprise Architecture (EA) is an approach used to provide decision support based on organization-wide models. The creation of such models is, however, cumbersome as multiple aspects of an organization need to be considered, making manual efforts time-consuming, and error prone. Thus, the EA approach would be significantly more promising if the data used when creating the models could be collected automatically-a topic not yet properly addressed by either academia or industry. This paper proposes network scanning for automatic data collection and uses an existing software tool for generating EA models (ArchiMate is employed as an example) based on the IT infrastructure of enterprises. While some manual effort is required to make the models fully useful to many practical scenarios (e.g., to detail the actual services provided by IT components), empirical results show that the methodology is accurate and (in its default state) require little effort to carry out.
|
|
