| 41. |
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| 42. |
- Rickardsson, Jenny, et al.
(författare)
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Internet-delivered acceptance and commitment therapy (iACT) for chronic pain : feasibility and preliminary effects in clinical and self-referred patients
- 2020
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Ingår i: JMIR mhealth and uhealth. - : AME Publishing Company. - 2291-5222. ; 6
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Tidskriftsartikel (refereegranskat)abstract
- Background: Acceptance and commitment therapy (ACT) is an evidence-based treatment to improve functioning and quality of life (QoL) for chronic pain patients, but outreach of this treatment is unsatisfactory. Internet-delivery has been shown to increase treatment access but there is limited evidence regarding feasibility and effectiveness of web-based ACT for chronic pain. The aim of the study was to evaluate and iterate a novel internet-delivered ACT program, iACT, in a clinical and a self-referred sample of chronic pain patients. The intervention was developed in close collaboration with patients. To enhance learning, content was organized in short episodes to promote daily engagement in treatment. In both the clinical and self-referred samples, three critical domains were evaluated: (I) feasibility (acceptability, practicality and usage); (II) preliminary efficacy on pain interference, psychological inflexibility, value orientation, QoL, pain intensity, anxiety, insomnia and depressive symptoms; and (III) potential treatment mechanisms.Methods: This was an open pilot study with two samples: 15 patients from a tertiary pain clinic and 24 self-referred chronic pain participants, recruited from October 2015 until January 2017. Data were collected via an online platform in free text and self-report measures, as well as through individual oral feedback. Group differences were analyzed with Chi square-, Mann-Whitney U- or t-test. Preliminary efficacy and treatment mechanism data were collected via self-report and analyzed with multilevel linear modeling for repeated measures.Results: Feasibility: patient feedback guided modifications to refine the intervention and indicated that iACT was acceptable in both samples. User insights provided input for both immediate and future actions to improve feasibility. Comprehensiveness, workability and treatment credibility were adequate in both samples. Psychologists spent on average 13.5 minutes per week per clinical patient, and 8 minutes per self-referred patient (P=0.004). Recruitment rate was 24 times faster in the self-referred sample (24 patients in 1 month, compared to 15 patients in 15 months, P<0.001) and the median distance to the clinic was 40 km in the clinical sample, and 426 km in the self-referred sample (P<0.001). Preliminary effects: post-assessments were completed by 26 participants (67%). Significant effects of time were seen from pre- to post-treatment across all outcome variables. Within group effect sizes (Cohen’s d) at post-treatment ranged from small to large: pain interference (d=0.64, P<0.001), psychological inflexibility (d=1.43, P<0.001), value progress (d=0.72, P<0.001), value obstruction (d=0.42, P<0.001), physical QoL (d=0.41, P=0.005), mental QoL (d=0.67, P=0.005), insomnia (d=0.31, P<0.001), depressive symptoms (d=0.47, P<0.001), pain intensity (d=0.78, P=0.001) and anxiety (d=0.46, P<0.001). Improvements were sustained at 1-year follow-up. Psychological inflexibility and value progress were found to be potential treatment mechanisms.Conclusions: The results from the present study suggests that iACT was feasible in both the clinical and the self-referred sample. Together with the positive preliminary results on all outcomes, the findings from this feasibility study pave the way for a subsequent large randomized efficacy trial.
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| 43. |
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| 44. |
- Schäfer, Martina, et al.
(författare)
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Influence of landscape structure on mosquitoes (Diptera : Culicidae) and dytiscids (Coleoptera
- 2006
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Ingår i: Wetlands (Wilmington, N.C.). - 0277-5212 .- 1943-6246. ; 26:1, s. 57-68
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Patterns of species diversity and community structure depend on scales larger than just a single habitat and might be influenced by the surrounding landscape. We studied the response of two insect families, mosquitoes (Diptera: Culicidae) and dytiscids (Coleoptera: Dytiscidae), to landscape variables at five spatial scales. We studied adult mosquito and dytiscid abundance, diversity, and species assemblages in relation to water permanence (area of permanent water bodies versus temporary wetlands) and forest cover (area covered by forest versus open land) within nested circles of 100 to 3000 m around trap sites in four wetlands in southern Sweden and in five wetlands in central Sweden. We found that mosquito abundance was greatest in areas with plentiful forest cover and a high proportion of temporary water, while most dytiscids favored open areas with a high proportion of permanent wetlands. However, diversity of both mosquitoes and dytiscids was positively correlated with high permanence and little forest cover. Mosquito species assemblages were mainly influenced by forest cover at a large spatial scale, whereas permanence was more important at local scales. Dytiscid species assemblages were mainly influenced by water permanence, especially at intermediate spatial scales. These results can be explained by the flight capability and dispersal behavior of mosquito and dytiscid species. The observed landscape associations of mosquitoes and dytiscids could be useful when creating new wetlands. Mosquito colonization could be reduced by creating permanent wetlands in an open landscape, which would favor colonization by dytiscids, a potential predator of mosquito larvae, while also supporting the diversity of both taxa.
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| 45. |
- Schäfer, Martina L., et al.
(författare)
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Influence of landscape structures on mosquitoes (Diptera: Culicidae) and dytiscid (Coleoptera: Dytiscidae) at five spatial scales in Swedish wetlands
- 2006
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Ingår i: Wetlands (Wilmington, N.C.). - 0277-5212 .- 1943-6246. ; 26:1, s. 57-68
-
Tidskriftsartikel (refereegranskat)abstract
- Patterns of species diversity and community structure depend on scales larger than just a single habitat and might be influenced by the surrounding landscape. We studied the response of two insect families, mosquitoes (Diptera: Culicidae) and dytiscids (Coleoptera: Dytiscidae), to landscape variables at five spatial scales. We studied adult mosquito and dytiscid abundance, diversity, and species assemblages in relation to water permanence (area of permanent water bodies versus temporary wetlands) and forest cover (area covered by forest versus open land) within nested circles of 100 to 3000 m around trap sites in four wetlands in southern Sweden and in five wetlands in central Sweden. We found that mosquito abundance was greatest in areas with plentiful forest cover and a high proportion of temporary water, while most dytiscids favored open areas with a high proportion of permanent wetlands. However, diversity of both mosquitoes and dytiscids was positively correlated with high permanence and little forest cover. Mosquito species assemblages were mainly influenced by forest cover at a large spatial scale, whereas permanence was more important at local scales. Dytiscid species assemblages were mainly influenced by water permanence, especially at intermediate spatial scales. These results can be explained by the flight capability and dispersal behavior of mosquito and dytiscid species. The observed landscape associations of mosquitoes and dytiscids could be useful when creating new wetlands. Mosquito colonization could be reduced by creating permanent wetlands in an open landscape, which would favor colonization by dytiscids, a potential predator of mosquito larvae, while also supporting the diversity of both taxa.
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| 46. |
- Spjuth, Ola, 1977-, et al.
(författare)
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Harmonising and linking biomedical and clinical data across disparate data archives to enable integrative cross-biobank research
- 2016
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Ingår i: European Journal of Human Genetics. - : Springer Science and Business Media LLC. - 1018-4813 .- 1476-5438. ; 24:4, s. 521-528
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Tidskriftsartikel (refereegranskat)abstract
- A wealth of biospecimen samples are stored in modern globally distributed biobanks. Biomedical researchers worldwide need to be able to combine the available resources to improve the power of large-scale studies. A prerequisite for this effort is to be able to search and access phenotypic, clinical and other information about samples that are currently stored at biobanks in an integrated manner. However, privacy issues together with heterogeneous information systems and the lack of agreed-upon vocabularies have made specimen searching across multiple biobanks extremely challenging. We describe three case studies where we have linked samples and sample descriptions in order to facilitate global searching of available samples for research. The use cases include the ENGAGE (European Network for Genetic and Genomic Epidemiology) consortium comprising at least 39 cohorts, the SUMMIT (surrogate markers for micro- and macro-vascular hard endpoints for innovative diabetes tools) consortium and a pilot for data integration between a Swedish clinical health registry and a biobank. We used the Sample avAILability (SAIL) method for data linking: first, created harmonised variables and then annotated and made searchable information on the number of specimens available in individual biobanks for various phenotypic categories. By operating on this categorised availability data we sidestep many obstacles related to privacy that arise when handling real values and show that harmonised and annotated records about data availability across disparate biomedical archives provide a key methodological advance in pre-analysis exchange of information between biobanks, that is, during the project planning phase.
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| 47. |
- Sudireddy, B. R., et al.
(författare)
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Development of Robust Metal-Supported SOFCs and Stack Components in EU METSAPP Consortium
- 2017
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Ingår i: Fuel Cells. - : Wiley. - 1615-6846 .- 1615-6854. ; 17:4, s. 508-516
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Tidskriftsartikel (refereegranskat)abstract
- The potential of MS-SOFCs was demonstrated through the previous EU METSOFC project, which concluded that the development of oxidation resistant novel metal-supported solid oxide fule cell (MS-SOFC) design and stack is the requirement to advance this technology to the next level. The following EU METSAPP project has been executed with an overall aim of developing advanced metal-supported cells and stacks based on a robust, reliable and up-scalable technology. During the project, oxidation resistant nanostructured anodes based on modified SrTiO3 were developed and integrated into MS-SOFCs to enhance their robustness. In addition, the manufacturing of metal-supported cells with different geometries, scalability of the manufacturing process was demonstrated and more than 200 cells with an area of approximate to 150 cm(2) were produced. The electrochemical performance of different cell generations was evaluated and best performance and stability combination was observed with doped SrTiO3 based anode designs. Furthermore, numerical models to understand the corrosion behavior of the MS-SOFCs were developed and validated. Finally, the cost effective concept of coated metal interconnects was developed, which resulted in 90% reduction in Cr evaporation, three times lower Cr2O3 scale thickness and increased lifetime. The possibility of assembling these cells into two radically different stack designs was demonstrated.
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| 48. |
- Sundström, Johan, Professor, 1971-, et al.
(författare)
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Weight gain and blood pressure
- 2020
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Ingår i: Journal of Hypertension. - : Lippincott Williams & Wilkins. - 0263-6352 .- 1473-5598. ; 38:3, s. 387-394
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Although the causality of the obesity—hypertension association is established, the potential for prevention is not. We hypothesized that weight gain between early adulthood and mid-life is associated with higher mid-life blood pressure.METHODS: We investigated the hypothesis using a large contemporaneous population-based mid-life cohort of men and women aged 50-64 years. Recalled body weight at age 20 years was self-reported, and mid-life body weight and office blood pressures were measured in accordance with a detailed protocol.RESULTS: On average, men had gained 14.9 (95% CI 14.6-15.2) kg of weight, and women 14.6 (95% CI 14.4-14.9) kg, between age 20 years and the mid-life examination, corresponding to 0.40 (95% CI 0.39-0.41) kg/year for men and women. Both weight at age 20 years and weight at the mid-life examination were associated with mid-life blood pressures. On average, a 10 kg weight increase between age 20 years and mid-life was associated with 2.2 (95% CI 0.9-3.5) mmHg higher systolic and 1.7 (95% CI 0.9-2.5) mmHg higher diastolic mid-life blood pressure in men, and 3.2 (2.5-4.0) mmHg higher systolic and 2.4 (1.9-2.9) mmHg higher diastolic mid-life blood pressure in women. Mid-life weight was more closely associated than weight at age 20 years with mid-life blood pressure. For a given mid-life weight, blood pressure was higher in persons with higher weight gain from age 20 years.CONCLUSION: In sum, weight gain between early adulthood and mid-life was associated with higher mid-life blood pressure. The magnitude of the association indicates a potentially great public health impact of strategies to prevent weight gain throughout adulthood.
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| 49. |
- Söderberg, Stefan, et al.
(författare)
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MEASURES OF WAIST AND HIP MODIFY SEX-SPECIFIC ASSOCIATIONS BETWEEN BODY MASS INDEX AND PREVALENCE OF CORONARY ARTERY CALCIFICATION IN OPPOSITE DIRECTIONS
- 2019
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Ingår i: Journal of the American College of Cardiology. - : ELSEVIER SCIENCE INC. - 0735-1097 .- 1558-3597. ; 73:9, s. 13-13
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Background: Obesity is associated with increased risk of cardiovascular disease. However, there is still a debate whether accumulation of fat in certain depots modifies this risk. Using data from the CArdioPulmonary bioImage Study (SCAPIS), we investigated if anthropometric measurements of obesity (waist and hip) modifies the risk of coronary artery calcification. Methods: In the first 15,810 participants in SCAPIS (mean age 58 years, 52% women), data on coronary artery calcification score (CACS) and anthropometry were recorded and traditional cardiovascular risk factors were measured. Body mass index (BMI) was categorized as; <25, 25-30, 30-35 and >35 kg/m2 , quartiles of waist and hip circumferences were constructed within each BMI category and compared using the lowest quartile as reference. Results were adjusted for site, age, smoking and diabetes status. Results: Obesity (BMI >30 kg/m2 ) was found in 21.9% of men and in 20.5% of women. In both sexes the odds ratio (OR) for CACS >0 increased with increasing BMI categories: comparing <25 and >35 kg/m2 , OR = 2.1 (95% CI: 1.6-2.7) for men and OR = 1.4 (1.2-1.8) for women. In addition, increasing quartiles of waist significantly increased the prevalence of CACS >0 for men [p = 0.05; OR = 1.2 (1.0-1.4) for highest quartile] and women [p = 0.005; OR = 1.3 (1.1-1.5)] while increasing quartiles of hip significantly decreased the prevalence for men [p = 0.005; OR = 0.8 (0.6-0.9)] and women [p = 0.04; OR = 0.8 (0.7-0.9)]. Data on education level and physical activity did not affect the model. Conclusion: Increased BMI is associated with increased prevalence of coronary artery calcification and the distribution of fat modifies this risk. Our results suggest that gluteofemoral adipose tissue (hip) counteracts the negative effects associated with BMI and abdominal adipose tissue (waist).
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| 50. |
- Vinnersten, Thomas Z. Persson, et al.
(författare)
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Diving beetle assemblages of flooded wetlands in relation to time, wetland type and Bti-based mosquito control
- 2009
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Ingår i: Hydrobiologia. - : Springer Science and Business Media LLC. - 0018-8158 .- 1573-5117. ; 635:1, s. 189-203
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Tidskriftsartikel (refereegranskat)abstract
- We investigated the abundance and taxonomic composition of the aquatic predatory insect fauna, with focus on adult diving beetles (Coleoptera: Dytiscidae), in eight temporary flooded wet meadows and two alder swamps in the River Dalalven flood-plains, central Sweden from 2002 to 2006. Diving beetles are generalist predators and often abundant in various waters, including temporary wetlands. In the River Dalalven floodplains, recurrent floods induce massive hatching of flood-water mosquitoes (Diptera: Culicidae), which constitute a superabundant patchy and irregular food resource for aquatic predatory insects. Our aims were (1) to characterize the assemblage of adult diving beetles occurring in the wetlands during floods in relation to time and wetland type and (2) to evaluate the effect on the aquatic predator assemblage of strongly reducing the abundance of a potential prey, flood-water mosquito larvae with Bacillus thuringiensis var. israelensis (Bti) during floods. We found diving beetles to be the dominating aquatic predatory insect taxa in all 10 wetlands. There was a difference in Dytiscidae species richness but not in diversity between wet meadows and alder swamps after rarefaction. The cluster analysis based on dytiscid species and abundances showed very high similarities between the wetlands. The variance component analysis was unable to distinguish any factor that could explain more than 7.4% of the variation in the dytiscid species assemblages. The only effect of Bti-treatment against flood-water mosquito larvae, potential food for the predatory dytiscids, was a slight increase in abundance of the medium-sized dytiscid species. Our results are in accordance with previous studies, suggesting that irregular and recurrent flood dynamic structure the dytiscid fauna more than food limitations and environmental factors.
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