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Träfflista för sökning "WFRF:(Andersson Emil) srt2:(2000-2019)"

Sökning: WFRF:(Andersson Emil) > (2000-2019)

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1.
  • Andersson, Erik, et al. (författare)
  • Internet-Based Extinction Therapy for Worry : A Randomized Controlled Trial
  • 2017
  • Ingår i: Behavior Therapy. - : ASSOC ADV BEHAVIOR THERAPY. - 0005-7894 .- 1878-1888. ; 48:3, s. 391-402
  • Tidskriftsartikel (refereegranskat)abstract
    • Worry is a common phenotype in both psychiatric patients and the normal population. Worry can be seen as a covert behavior with primary function to avoid aversive emotional experiences. Our research group has developed a treatment protocol based on an operant model of worry, where we use exposure -based strategies to extinguish the catastrophic worry thoughts. The aim of this study was to test this treatment delivered via the Internet in a large-scale randomized controlled trial. We randomized 140 high-worriers [PSWQ]) to either Internet-based extinction therapy (IbET) or to a waiting-list condition (WL). Results showed that IbET was superior to WL with an overall large between-group effect size of d 1.39 (95% confidence interval [1.04,1.73]) on the PSWQ. In the IbET group, 58% were classified as responders. The corresponding figure for WL participants was 7%. IbET was also superior to the WL on secondary outcome measures of anxiety, depression, meta-cognitions, cognitive avoidance, and quality of life. Overall treatment results were maintained for the IbET group at 4- and 12-month follow-up. The results from this trial are encouraging as they indicate that worry can be targeted with an accessible and novel intervention for worry. Replication trials with active control group are needed.
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2.
  • Ansari, Daniel, et al. (författare)
  • Single-institution experience with solid pseudopapillary neoplasm of the pancreas.
  • 2011
  • Ingår i: Scandinavian Journal of Gastroenterology. - : Informa UK Limited. - 1502-7708 .- 0036-5521. ; 46:12, s. 1492-1497
  • Tidskriftsartikel (refereegranskat)abstract
    • Abstract Objective. Solid pseudopapillary neoplasm (SPN) of the pancreas is a rare clinical entity. The objective of this study was to review a single institution's experience with this uncommon tumor, as well as review the literature. Material and Methods. Consecutive patients, who underwent surgery for a pathologically confirmed SPN between 1991 and 2010, were retrospectively reviewed. A PubMed search (January 1980-June 2011) was conducted to identify risk factors for death among SPN patients. Results. The institutional review identified 16 patients with SPN. Thirteen patients were female and three patients were male (median age 34 years). All patients underwent radical resection. Two patients had metastatic disease at the time of operation as evident by the presence of lymph node metastasis and gallbladder metastasis. One developed liver metastasis 4 months postoperatively and subsequently died. The other patient received adjuvant chemotherapy (gemcitabine and capecitabine), and 23 months after the initial operation, no tumor recurrence was detected and the patient is still alive. All other patients remain disease-free. Analysis of 29 fatalities reported in the English literature (including the present case) revealed several atypical features including male gender, old age, tumor size >5 cm, diffuse growth pattern, cellular or nuclear atypia, high mitotic rate, extensive necrosis, extrapancreatic invasion, metastasis and incomplete resection. Conclusions. SPN is not always indolent. Male patients and those with old age, atypical histopathology (large tumors, diffuse growth, cellular/nuclear atypia, mitotic activity, necrosis, invasion/metastasis) and incomplete resection may have a higher risk of recurrence and death, deserving particular attention.
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3.
  • David, Jennifer, 1987-, et al. (författare)
  • Design and Development of a Hexacopter for the Search and Rescue of a Lost Drone
  • 2019
  • Konferensbidrag (refereegranskat)abstract
    • Search and rescue with an autonomous robot is an attractive and challenging task within the research community. This paper presents the development of an autonomous hexacopter that is designed for retrieving a lost object, like a drone, from a vast-open space, like a desert area. Navigating its path with a proposed coverage path planning strategy, the hexacopter can efficiently search for a lost target and locate it using an image-based object detection algorithm. Moreover, after the target is located, our hexacopter can grasp it with a customised gripper and transport it back to a destined location. It is also capable of avoiding static obstacles and dynamic objects. The proposed system was realised in simulations before implementing it in a real hardware setup, i.e. assembly of the drone, crafting of the gripper, software implementation and testing under real-world scenarios. The designed hexacopter won the best UAV design award at the CPS-VO 2018 Competition held in Arizona, USA.
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4.
  • Wallén-Mackenzie, Åsa, et al. (författare)
  • Restricted cortical and amygdaloid removal of vesicular glutamate transporter 2 in preadolescent mice impacts dopaminergic activity and neuronal circuitry of higher brain function.
  • 2009
  • Ingår i: The Journal of neuroscience : the official journal of the Society for Neuroscience. - 1529-2401 .- 0270-6474. ; 29:7, s. 2238-51
  • Tidskriftsartikel (refereegranskat)abstract
    • A major challenge in neuroscience is to resolve the connection between gene functionality, neuronal circuits, and behavior. Most, if not all, neuronal circuits of the adult brain contain a glutamatergic component, the nature of which has been difficult to assess because of the vast cellular abundance of glutamate. In this study, we wanted to determine the role of a restricted subpopulation of glutamatergic neurons within the forebrain, the Vglut2-expressing neurons, in neuronal circuitry of higher brain function. Vglut2 expression was selectively deleted in the cortex, hippocampus, and amygdala of preadolescent mice, which resulted in increased locomotor activity, altered social dominance and risk assessment, decreased sensorimotor gating, and impaired long-term spatial memory. Presynaptic VGLUT2-positive terminals were lost in the cortex, striatum, nucleus accumbens, and hippocampus, and a downstream effect on dopamine binding site availability in the striatum was evident. A connection between the induced late-onset, chronic reduction of glutamatergic neurotransmission and dopamine signaling within the circuitry was further substantiated by a partial attenuation of the deficits in sensorimotor gating by the dopamine-stabilizing antipsychotic drug aripiprazole and an increased sensitivity to amphetamine. Somewhat surprisingly, given the restricted expression of Vglut2 in regions responsible for higher brain function, our analyses show that VGLUT2-mediated neurotransmission is required for certain aspects of cognitive, emotional, and social behavior. The present study provides support for the existence of a neurocircuitry that connects changes in VGLUT2-mediated neurotransmission to alterations in the dopaminergic system with schizophrenia-like behavioral deficits as a major outcome.
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5.
  • Aggestam, Emil, 1992, et al. (författare)
  • Multi-objective design optimisation of transition zones between different railway track forms
  • 2018
  • Ingår i: Proceedings of the 11th International Conference on Contact Mechanics and Wear of Rail/wheel Systems, CM 2018. - : TU Delft. - 2590-0609. - 9789461869630 ; , s. 1-6
  • Konferensbidrag (refereegranskat)abstract
    • The vertical dynamic interaction between vehicle and railway track is simulated in the time domain using an extended state space vector approach. The track model includes a transition zone between slab track on a bridge and ballasted track on an embankment. By considering a multi-objective optimisation problem, solved using a genetic algorithm, selected vehicle and track responses are simultaneously minimised by optimising the distributions of rail pad stiffness and sleeper spacing in the transition zone. It is shown that the magnitudes of the maximum dynamic loads in the optimised transition zone can be reduced to be similar as the magnitudes far away from the transition zone.
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7.
  • Andersson, Charlotte, et al. (författare)
  • Noncardiac Surgery in Patients With Aortic Stenosis: A Contemporary Study on Outcomes in a Matched Sample From the Danish Health Care System
  • 2014
  • Ingår i: Clinical Cardiology. - : Wiley. - 1932-8737 .- 0160-9289. ; 37:11, s. 680-686
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundPast research has identified aortic stenosis (AS) as a major risk factor for adverse outcomes in noncardiac surgery; however, more contemporary studies have questioned the grave prognosis. To further our understanding of this, the risks of a 30-day major adverse cardiovascular event (MACE) and all-cause mortality were investigated in a contemporary Danish cohort. HypothesisAS is not an independent risk factor for adverse outcomes in noncardiac surgery. MethodsAll patients with and without diagnosed AS who underwent noncardiac surgery in 2005 to 2011 were identified through nationwide administrative registers. AS patients (n=2823; mean age, 75.5years, 53% female) were matched with patients without AS (n=2823) on propensity score for AS and surgery type. ResultsIn elective surgery, MACE (ie, nonfatal myocardial infarction, ischemic stroke, or cardiovascular death) occurred in 66/1772 (3.7%) of patients with AS and 52/1772 (2.9%) of controls (P=0.19), whereas mortality occurred in 67/1772 (3.8%) AS patients and 51/1772 (2.9%) controls (P=0.13). In emergency surgery, 163/1051 (15.5%) AS patients and 120/1051 (11.4%) controls had a MACE (P=0.006), whereas 225/1051 (21.4%) vs 179/1051 (17.0%) AS patients and controls died, respectively (P=0.01). Event rates were higher for those with symptoms (defined as use of nitrates, congestive heart failure, or use of loop diuretics), compared with those without symptoms (P<0.0001). ConclusionsAS is associated with high perioperative rates of MACE and mortality, but perhaps prognosis is, in practice, not much worse for patients with AS than for matched controls. Symptomatic patients and patients undergoing emergency surgery are at considerable risks of a MACE and mortality.
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9.
  • Andersson, Emil (författare)
  • Angiogenetic and hereditary factors in endometrial disease
  • 2019
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The endometrium is a unique tissue in the adult human body because it is the only site where physiological renewal of vessels, angiogenesis, occurs. The regulation of this process under normal conditions is not fully understood. Heavy Menstrual Bleeding of endometrial origin (HMB-E) and Endometrial Cancer (EC) are two diseases which can neither occur nor be sustained without the process of angiogenesis. Clinically, both diseases are also associated with a strong hereditary component where female relatives of affected patients demonstrate a high incidence of the same condition. The aim of this thesis is to further elucidate the angiogenic and hereditary components of these diseases. The first part of this project (studies I and II) explores HMB-E and its relationship to angiogenesis, while the second part (studies III and IV) examines the association between incidence of EC in relation to previously known and unknown hereditary factors. Study I explored the relationship between expression of the pro-angiogenic factor SDF-1 and the number of circulating epithelial progenitor cells (EPCs) in peripheral blood in 10 women with a confirmed diagnosis of HMB-E, and compared these results with those of 10 healthy controls using flow cytometry and cell culture. The results showed a significant decrease of SDF-1 throughout the entire menstrual cycle, a 16% decrease overall, with the most substantial decline noted during the proliferative phase of the menstrual cycle in women with HMB-E, compared with controls. The number of EPCs in peripheral blood was also significantly reduced in HMB-E patients, showing a significant positive correlation between number of EPCs and SDF-1 levels. These findings are consistent with the literature, which has shown that SDF-1 is essential for recruitment of EPCs from bone marrow into the bloodstream, and further suggests that this signaling axis is important for physiological angiogenesis in the endometrium. Study II addressed microvascular morphology within the endometrium among 17 women with HMB-E and compared the results with 10 controls, using immunohistochemistry and electron microscopy. We found a significant decrease in pericyte coverage of microvessels during the mid-proliferative phase, as well as an increase in vessel perimeter among women with HMB-E. We also found a negative correlation between vascular expression of the known pro-angiogenic factor VEGF-A and pericyte coverage. These findings indicate that HMB-E may be caused by altered microvessel maturation and that the overexpression of VEGF-A seen in HMB-E might be the underlying cause. Study III examined the clinical challenge of reducing EC risk in women with Lynch Syndrome (LS), who collectively have a 42-54% lifetime risk of developing this disease. Sweden has no national guidelines regarding surveillance of these women for gynecological cancers. Therefore, we took a retrospective look at the modalities and screening intervals that are currently used in Sweden for known LS carriers. In all, 86 women had a known LS mutation and participated in various screening programs. Of the 41 women who decided to have prophylactic hysterectomy while under screening, EC/complex hyperplasia was found in the uterus of 4 of them postoperatively. The remaining 45 women opted for annual surveillance without prophylactic surgery. In this group, 9 women developed EC, 2 complex endometrial hyperplasia and 2 ovarian cancers, both of which were found at an early stage by ultrasound. Among these 9 EC cases, 5 were detected through endometrial biopsy during regular surveillance at an asymptomatic stage, as were the two hyperplasias. Ultrasonography failed to detect any of these cases. The remaining 4 EC cases were associated with occult bleeding between screening visits. No difference in tumor stage was noted between the ECs found because they were symptomatic and those found through routine surveillance. No mortality resulted from the gynecological cancers found in the study group as a whole. The results did not reveal any clear benefit from conducting annual gynecological screening for women with LS if the endpoint is to reduce mortality. The single most important factor may be knowledge and awareness among doctors and patients of LS and the associated increased risk of cancer, which should trigger prompt investigation if symptoms develop. However, when screening is undertaken, endometrial biopsy seems to be the diagnostic modality of choice to detect asymptomatic ECs or hyperplasia. Study IV investigated additional genetic risk factors that help to explain the twofold increase in relative risk of developing EC among women with a first or second degree relative who have the disease, even when known single gene mutations are excluded. After genotype studies and quality control, a total of 332,906 SNPs among genotypes derived from 1116 EC cases and 5021 controls were compared. The results showed five haplotypes located on chromosomes no. 2, 10, 13, 15 and 20 that were significantly more common among EC patients than controls. The frequency of these haplotypes in the EC population ranged between 1.58-3.69% and the odds ratio for EC ranged between 1.58-3.05 for the five haplotypes. The five haplotypes were found in regions of the genome with no previously known link to EC development and without close proximity to any genes known to be involved with this disease. These findings add to our knowledge about the genetic risk factors associated with EC and may offer one explanation for why the incidence and clinical course of this disease differs among people of different ethnic backgrounds. Nevertheless, other risk factors must be taken into account when interpreting these results, including known environmental risk factors for EC and those that could potentially be inherited, such as obesity. In conclusion, this thesis provides new information concerning the angiogenic and hereditary factors involved in development of both HMB-E and EC. The papers add to our knowledge about how the SDF-1 axis is involved in endometrial vascular regeneration during physiological endometrial angiogenesis and how vascular maturation appears to be inadequate in HMB-E. The thesis also confirms the knowledge about the role of known inherited cancer syndromes in development of EC, and finds that gynecological surveillance per se does not seem to reduce mortality from gynecological cancer; instead, the most important protective factor appears to be knowledge and awareness of the cancer syndrome among both carriers of the syndrome and the care providers. Additionally, this thesis found five haploptypes that are overrepresented in a Swedish cohort of EC cases, which may explain some of the risk of inheriting EC. The future challenge will be to examine the potential link between HMB-E and EC from the perspective of both clinical and basic research.
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10.
  • Andersson, Emil, 1982- (författare)
  • Ian Shapiro The State of Democratic Theory
  • 2010
  • Ingår i: Tidskrift för politisk filosofi. - 1402-2710 .- 2002-3383. ; 14:3, s. 55-63
  • Recension (övrigt vetenskapligt/konstnärligt)
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