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Sökning: db:Swepub > (2010-2011) > Karlsson Magnus

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1.
  • Abul-Kasim, Kasim, et al. (författare)
  • Increased rod stiffness improves the degree of deformity correction by segmental pedicle screw fixation in adolescent idiopathic scoliosis.
  • 2011
  • Ingår i: Scoliosis. - : Springer Science and Business Media LLC. - 1748-7161. ; 6
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: There are limited reports in literature studying the impact of rod diameter and stiffness on the degree of deformity correction in patients with AIS. AIMS: The aims of this study were to evaluate the 3-dimentional deformity correction achieved by segmental pedicle screw fixation in patients with adolescent idiopathic scoliosis, and to find out if learning or the change to stiffer rods had any positive impact on deformity correction. STUDY DESIGN: Retrospective study. METHODS: Plain radiographs and low-dose spine CTs of 116 consecutive patients (aged 15.9 ± 2.8 years) operated during the period 2005-2009 (group 1: patients operated autumn 2005-2006; group 2: 2007; group 3: 2008; group 4: 2009) were retrospectively evaluated. RESULTS: There was no statistically significant difference between the correction of the Cobb angle (P = 0.425) or lower end vertebra tilt (P = 0.298) in patients operated during the first versus the remaining periods of the study. No restoration of the sagittal kyphosis was reported in the first period compared with 5.9° in the last study period (P < 0.001). The correction of vertebral rotation was also improved from 4.2° to 7.8° (P < 0.001) for the same periods. For the whole study population, there was statistically significant correlation between the order of the operation (patient number) and the restoration of sagittal kyphosis (r = -0.344, P = 0.001), and the correction of vertebral rotation (r = 0.370, P < 0.001), but not for the Cobb angle or LEVT. However, there was no significant difference in restoration of sagittal kyphosis and the vertebral rotation in the first 17 patients compared with the last 17 patients operated with rods of 5.5 mm diameter (P = 0.621, and 0.941, respectively), indicating that rod stiffness had more impact on the deformity correction than did learning. CONCLUSIONS: This study showed that rod stiffness had more impact on the deformity correction than did learning.
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2.
  • Abul-Kasim, Kasim, et al. (författare)
  • Measurement of vertebral rotation in adolescent idiopathic scoliosis with low-dose CT in prone position - method description and reliability analysis
  • 2010
  • Ingår i: Scoliosis. - : Springer Science and Business Media LLC. - 1748-7161. ; 5, s. 1-8
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: To our knowledge there is no report in the literature on measurements of vertebral rotation with low-dose computed tomography (CT) in prone position.Aims: To describe and test the reliability of this new method, compare it with other methods in use and evaluate the influence of body position on the degree of vertebral rotation measured by different radiological methods.Study design: Retrospective study.Methods: 25 consecutive patients with adolescent idiopathic scoliosis scheduled for surgery (17 girls, 8 boys) aged 15 ± 2 years (mean ± SD) were included in the analysis of this study. The degree of the vertebral rotation was in all patients measured according to the method of Perdriolle on standing plain radiographs and on supine CT scanogram, and according to the method of Aaro and Dahlborn on axial CT images in prone position and on magnetic resonance imaging (MRI) in supine position. The measurements were done by one neuroradiologist at two different occasions. Bland and Altman statistical approach was used in the reliability assessment.Results: The reliability of measuring vertebral rotation by axial CT images in prone position was almost perfect with an intraclass correlation coefficient of 0.95, a random error of the intraobserver differences of 2.3°, a repeatability coefficient of 3.2° and a coefficient of variation of 18.4%. Corresponding values for measurements on CT scanogram were 0.83, 5.1°, 7.2°, and 32.8%, respectively, indicating lower reliability of the latter modality and method. The degree of vertebral rotation measured on standing plain radiographs, prone CT scanogram, axial images on CT in prone position and on MRI in supine position were 25.7 ± 9.8°, 21.9 ± 8.3°, 17.4 ± 7.1°, and 16.1 ± 6.5°, respectively. The vertebral rotation measured on axial CT images in prone position was in average 7.5% larger than that measured on axial MRI in supine position.Conclusions: This study has shown that measurements of vertebral rotation in prone position were more reliable on axial CT images than on CT scanogram. The measurement of vertebral rotation on CT (corrected to the pelvic tilt) in prone position imposes lower impact of the recumbent position on the vertebral rotation than did MRI in supine position. However, the magnitude of differences is of doubtful clinical significance.
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3.
  • Agrell, Erik, 1965, et al. (författare)
  • On the symbol error probability of regular polytopes
  • 2011
  • Ingår i: IEEE Transactions on Information Theory. - 0018-9448 .- 1557-9654. ; 57:6, s. 3411-3415
  • Tidskriftsartikel (refereegranskat)abstract
    • An exact expression is derived for the symbol error probability when the vertices of the four-dimensional 24-cell are used for digital transmission in Gaussian noise. Corresponding expressions for other regular convex polytopes are summarized. Numerically stable versions of these error probabilities are also obtained. © 2011 IEEE.
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4.
  • Ahlborg, Henrik, et al. (författare)
  • Prevalence of osteoporosis and incidence of hip fracture in women--secular trends over 30 years.
  • 2010
  • Ingår i: BMC Musculoskeletal Disorders. - : Springer Science and Business Media LLC. - 1471-2474. ; 11
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: The number of hip fractures during recent decades has been reported to be increasing, partly because of an increasing proportion of elderly women in the society. However, whether changes in hip fracture annual incidence in women are attributable to secular changes in the prevalence of osteoporosis is unclear. METHODS: Bone mineral density was evaluated by single-photon absorptiometry at the distal radius in 456 women aged 50 years or above and living in the same city. The measurements were obtained by the same densitometer during three separate time periods: 1970-74 (n = 106), 1987-93 (n = 175) and 1998-1999 (n = 178), and the age-adjusted prevalence of osteoporosis in these three cohorts was calculated. Additionally, all hip fractures sustained in the target population of women aged 50 years or above between 1967 and 2001 were registered, whereupon the crude and the age-adjusted annual incidence of hip fractures were calculated. RESULTS: There was no significant difference in the age-adjusted prevalence of osteoporosis when the three cohorts were compared (P = 1.00). The crude annual incidence (per 10,000 women) of hip fracture in the target population increased by 110% from 40 in 1967 to 84 in 2001. The overall trend in the crude incidence between 1967 and 2001 was increasing (1.58 per 10,000 women per year; 95 percent confidence interval, 1.17 to 1.99), whereas the age-adjusted incidence was stable over the same period (0.22 per 10,000 women per year; 95 percent confidence interval, -0.16 to 0.60). CONCLUSIONS: The increased number of hip fracture in elderly women is more likely to be attributable to demographic changes in the population than to secular increase in the prevalence of osteoporosis.
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5.
  • Alic, N., et al. (författare)
  • Joint Statistics and MLSD in Filtered Incoherent High-Speed Fiber-Optic Communications
  • 2010
  • Ingår i: Journal of Lightwave Technology. - 0733-8724 .- 1558-2213. ; 28:10, s. 1564-1572
  • Tidskriftsartikel (refereegranskat)abstract
    • In this paper, signal statistics and their utilization for detection in narrowly filtered equalized high-speed fiber-optic communications are investigated experimentally. Tradeoffs between log-likelihood metric applications and oversampling are covered in detail. It is, for the first time, demonstrated that performance loss in bandwidth-limited systems can be nearly fully recovered (to within 0.5 dB) by taking advantage of band-width-limitation-induced noise correlations and oversampling.
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6.
  • Alwis, Gayani, et al. (författare)
  • Normative Calcaneal Quantitative Ultrasound Data as an Estimation of Skeletal Development in Swedish Children and Adolescents.
  • 2010
  • Ingår i: Calcified Tissue International. - : Springer Science and Business Media LLC. - 1432-0827 .- 0171-967X. ; 87, s. 493-506
  • Tidskriftsartikel (refereegranskat)abstract
    • We present age- and gender-specific normative bone status data evaluated by quantitative ultrasound (QUS) in the calcaneus with the Lunar Achilles device and compare these estimates with bone mineral content (BMC) and bone mineral density (BMD) estimated by dual X-ray absorptiometry (DXA). Included were a sample of 518 population-based collected Swedish girls and 558 boys aged 6-19 years. QUS measurements included speed of sound (SOS), broadband ultrasound attenuation (BUA), and stiffness index (SI) in the calcaneus. DXA measurements included BMC and BMD in the femoral neck (FN), lumbar spine (L2-L4), and total body (TB). Height and weight were measured with standard equipment. Age, height, and weight were significantly associated with SOS, BUA, and SI. Compared to SOS, in both girls and boys there was a higher correlation between BUA and FN BMC (r = 0.71 and r = 0.73, respectively), FN BMD (r = 0.68 and r = 0.67, respectively), L2-L4 BMC (r = 0.70 and r = 0.64, respectively), L2-L4 BMD (r = 0.69 and r = 0.64, respectively), TB BMC (r = 0.76 and r = 0.75, respectively), and TB BMD (r = 0.74 and r = 0.74, respectively). The correlations between SOS and FN BMC (r = 0.38 and r = 0.52, respectively), FN BMD (r = 0.41 and r = 0.52, respectively), L2-L4 BMC (r = 0.31 and r = 0.40, respectively), L2-L4 BMD (r = 0.32 and r = 0.41, respectively), TB BMC (r = 0.42 and r = 0.49, respectively), and TB BMD (r = 0.48 and r = 0.54, respectively) were lower, although still significant (all P < 0.001). BUA seems to be the QUS parameter that best resembles the changes in BMC during growth.
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7.
  • Alwis, Gayani, et al. (författare)
  • Normative dual energy X-ray absorptiometry data in Swedish children and adolescents.
  • 2010
  • Ingår i: Acta paediatrica. - : Wiley. - 1651-2227 .- 0803-5253. ; 99, s. 1091-1099
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: To present normative dual energy X-ray absorptiometry data in healthy young Swedes. Methods: Included were 710 girls and 759 boys aged 6-30 years from southern Sweden. Bone mineral content, bone mineral density, bone size, lean body and fat mass were measured by dual energy X-ray absorptiometry in total body, lumbar spine, hip, arms and legs. Results: Swedish children had similar bone mass to children in the Netherlands but higher than children in Canada and Korea. Height, weight, bone mass, bone size and lean mass increased at a constant rate from age 6 until the rapid increase in all traits at puberty. The pubertal growth spurt started earlier in girls than in boys, while the spurt in boys was larger in magnitude and occurred for a longer period. Around one-quarter of the adult total body and lumbar spine peak bone mineral content was gained during the 2 years with the fastest gain in both genders. Conclusion: This study presents normative bone mass data in Swedish children, data that are similar to that in Dutch children but higher than in Canadian and Korean children. The gain in Swedish children seems to mimic the gain seen in children in other settings.
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8.
  • Andersson, Niklas, 1970, et al. (författare)
  • A variant near the interleukin-6 gene is associated with fat mass in Caucasian men
  • 2010
  • Ingår i: International Journal of Obesity. - : Springer Science and Business Media LLC. - 0307-0565 .- 1476-5497. ; 34:6, s. 1011-9
  • Tidskriftsartikel (refereegranskat)abstract
    • CONTEXT: Regulation of fat mass appears to be associated with immune functions. Studies of knockout mice show that endogenous interleukin (IL)-6 can suppress mature-onset obesity. OBJECTIVE: To systematically investigate associations of single nucleotide polymorphisms (SNPs) near the IL-6 (IL6) and IL-6 receptor (IL6R) genes with body fat mass, in support for our hypothesis that variants of these genes can be associated with obesity. DESIGN AND STUDY SUBJECTS: The Gothenburg Osteoporosis and Obesity Determinants (GOOD) study is a population-based cross-sectional study of 18- to 20-year-old men (n=1049), from the Gothenburg area (Sweden). Major findings were confirmed in two additional cohorts consisting of elderly men from the Osteoporotic Fractures in Men (MrOS) Sweden (n=2851) and MrOS US (n=5611) multicenter population-based studies. MAIN OUTCOME: The genotype distributions and their association with fat mass in different compartments, measured with dual-energy X-ray absorptiometry. RESULTS: Out of 18 evaluated tag SNPs near the IL6 and IL6R genes, a recently identified SNP rs10242595 G/A (minor allele frequency=29%) 3' of the IL6 gene was negatively associated with the primary outcome total body fat mass (effect size -0.11 standard deviation (s.d.) units per A allele, P=0.02). This negative association with fat mass was also confirmed in the combined MrOS Sweden and MrOS US cohorts (effect size -0.05 s.d. units per A allele, P=0.002). When all three cohorts were combined (n=8927, Caucasian subjects), rs10242595(*)A showed a negative association with total body fat mass (effect size -0.05 s.d. units per A allele, P<0.0002). Furthermore, the rs10242595(*)A was associated with low body mass index (effect size -0.03, P<0.001) and smaller regional fat masses. None of the other SNPs investigated in the GOOD study were reproducibly associated with body fat. CONCLUSIONS: The IL6 gene polymorphism rs10242595(*)A is associated with decreased fat mass in three combined cohorts of 8927 Caucasian men.
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9.
  • Beygi, Lotfollah, 1977, et al. (författare)
  • A novel multilevel coded modulation scheme for fiber optical channel with nonlinear phase noise
  • 2010
  • Ingår i: Proc. Global Communications Conference, Miami, FL. - 9781424456383
  • Konferensbidrag (refereegranskat)abstract
    • A multilevel coded modulation (MLCM) system in the presence of nonlinear phase noise for fiber optical communication is introduced. The proposed scheme exploits a 16-point ring constellation with nonlinear post compensation of the self phase modulation produced via the Kerr effect. A new set partitioning based on the Ungerboeck approach is introduced to maintain unequal error protection in amplitude and phase direction. The rate allocation for the MLCM component codes for different fiber lengths and transmit powers are done numerically. Simulation results show that the proposed MLCM system provides up to 2 dB gain over a forward error correcting scheme for a block error rates around 10-9, with the same overhead (7%) and complexity. ©2010 IEEE.
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10.
  • Beygi, Lotfollah, 1977, et al. (författare)
  • A novel rate allocation method for multilevel coded modulation
  • 2010
  • Ingår i: IEEE International Symposium on Information Theory - Proceedings. - 2157-8095. - 9781424469604 ; , s. 1983-1987
  • Konferensbidrag (refereegranskat)abstract
    • We present a new rate allocation scheme for multilevelcoded modulation based on the minimization of the totalblock error rate (BLER). The proposed method uses affine codecomponents and hard decision multistage decoding. Exhaustivesearch for the rate allocation which minimizes the total BLERjustifies the near-optimum performance of the introduced methodin moderate to high SNRs. Compared to previous approaches thisnew rate allocation scheme can improve the performance of thesystem by 1 dB at BLER = 10−6 for 16-QAM with Ungerboeck setpartitioning. Interestingly, our results indicate that the optimumrate allocation is a function of the SNR. Finally, the performanceof some specific codes are evaluated by simulation and unionbounds to verify the theoretical results.
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