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  • Resultat 1-10 av 42
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1.
  • Aune, Karin, et al. (författare)
  • Isolation and edge effects among woodland key habitats in Sweden : making fragmentation into forest policy?
  • 2005
  • Ingår i: Biological Conservation. - : Elsevier BV. - 0006-3207 .- 1873-2917. ; 124:1, s. 89-95
  • Tidskriftsartikel (refereegranskat)abstract
    • Fragmentation of natural forests is a major threat to forest biodiversity. In areas with a long history of forestry, the remaining patches of old forests constitute only a minor part of the landscape. In such situations small stands may be valuable and important for conservation. However, as they may suffer from strong edge effects and isolation, their value may be lower than anticipated. In Sweden a national inventory of woodland key habitats (WKHs) has identified about 1% of the forest landscape as sites where red-listed species occur or may occur. Most are small (national median 1.4 ha) and isolated stands within an intensively managed landscape. The present analyses calculate WKH core area based on a range of depths of edge influence, and isolation based on both distance to nearest WKH and a weighted isolation measure that includes all neighboring WKHs and protected forest. These analyses are done on the WKHs in Norrbotten County in northern Sweden and include almost 5000 stands. The actual core area in the WKHs is about 30% given a 50 m edge influence. The degree of isolation is species dependent but the results indicate that only species with high dispersal abilities may effectively utilize the network of WKHs. For species with effective dispersal distances of less than 2 km the network is probably insufficient. The results emphasize the need to create buffer zones, to increase reserve areas and to manage the matrix so that species dispersal is promoted. This likely includes a necessity to aggregate biodiversity efforts on the landscape scale.
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2.
  • Bahmanyar, Shahram, et al. (författare)
  • Cystic fibrosis gene mutations and gastrointestinal diseases
  • 2010
  • Ingår i: Journal of Cystic Fibrosis. - : Elsevier BV. - 1569-1993 .- 1873-5010. ; 9:4, s. 288-291
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: This study examined if CF mutation heterozygosity is associated with diseases of gastrointestinal epithelial barrier function. Design and methods: Swedish registers identified 865 patients with a diagnosis of CF between 1968 and 2003 and matched with 8101 individuals without CF. Gastrointestinal disease risk was examined among 1534 biological parents and 1396 siblings of CF patients, compared with 15,526 parents and 15,542 siblings of individuals without CF. Results: First-degree relatives of CF patients were not at lower risk of the gastrointestinal diseases, in contrast with a raised risk among CF patients. Conclusion: Heterozygosity for CF gene mutations does not protect against gastrointestinal diseases where impaired barrier function may be relevant. (C) 2010 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
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  • Bresso, F, et al. (författare)
  • The cystic fibrosis F508del mutation in Crohn's disease
  • 2011
  • Ingår i: Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society. - : Elsevier BV. - 1873-5010. ; 10:2, s. 132-132
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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  • Carlsson, Malin, et al. (författare)
  • Pseudomonas aeruginosa in cystic fibrosis: Pyocyanin negative strains are associated with BPI-ANCA and progressive lung disease
  • 2011
  • Ingår i: Journal of Cystic Fibrosis. - : Elsevier Science B.V., Amsterdam.. - 1569-1993 .- 1873-5010. ; 10:4, s. 265-271
  • Tidskriftsartikel (refereegranskat)abstract
    • The clinical consequence of chronic Pseudomonas aeruginosa colonization in cystic fibrosis (CF) varies between individuals for unknown reasons. Auto-antibodies against bactericidal/permeability increasing protein (BPI-ANCA) are associated with poor prognosis in CF. We hypothesize that there is a correlation between the presence of BPI-ANCA, the properties of the colonizing bacteria and the clinical conditions of the host. We compared isolates of P. aeruginosa from BPI-ANCA positive CF patients who have deteriorating lung disease with BPI-ANCA negative CF patients who are in stable clinical conditions. Epithelial cells (A549) and isolated polymorphonuclear granulocytes (PMNs) were stimulated with the isolates and cell death was analyzed with flow cytometry. We found that the ANCA associated strains in most cases showed pyocyanin negative phenotypes. These strains also induced less inflammatory response than the non-ANCA associated strains as shown by apoptosis and necrosis of epithelial cells and neutrophils. Our results suggest that colonization with strains of P. aeruginosa that induce a weak inflammatory response is associated with unfavorable outcome in CF. We speculate that inadequate control of pathogen proliferation through an insufficient inflammatory response results in a slowly increasing number of bacteria and accumulation of dying PMNs in the airways, contributing to progression in CF lung disease.
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9.
  • Carr, S.B., et al. (författare)
  • Factors associated with clinical progression to severe COVID-19 in people with cystic fibrosis: A global observational study
  • 2022
  • Ingår i: Journal of Cystic Fibrosis. - : Elsevier BV. - 1569-1993. ; 21:4, s. E221-E231
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: This international study aimed to characterise the impact of acute SARS-CoV-2 infection in people with cystic fibrosis and investigate factors associated with severe outcomes. Methods Data from 22 countries prior to 13th December 2020 and the introduction of vaccines were included. It was de-identified and included patient demographics, clinical characteristics, treatments, outcomes and sequalae following SARS-CoV-2 infection. Multivariable logistic regression was used to investigate factors associated with clinical progression to severe COVID-19, using the primary outcome of hospitalisation with supplemental oxygen. Results: SARS-CoV-2 was reported in 1555 people with CF, 1452 were included in the analysis. One third were aged <18 years, and 9.4% were solid-organ transplant recipients. 74.5% were symptomatic and 22% were admitted to hospital. In the non-transplanted cohort, 39.5% of patients with ppFEV1<40% were hospitalised with oxygen verses 3.2% with ppFEV >70%: a 17-fold increase in odds. Worse outcomes were independently associated with older age, non-white race, underweight body mass index, and CF-related diabetes. Prescription of highly effective CFTR modulator therapies was associated with a significantly reduced odds of being hospitalised with oxygen (AOR 0.43 95%CI 0.31-0.60 p<0.001). Transplanted patients were hospitalised with supplemental oxygen therapy (21.9%) more often than non-transplanted (8.8%) and was independently associated with the primary outcome (Adjusted OR 2.45 95%CI 1.27-4.71 p=0.007). Conclusions: This is the first study to show that there is a protective effect from the use of CFTR modulator therapy and that people with CF from an ethnic minority are at more risk of severe infection with SARS-CoV-2. © 2022
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10.
  • Castellani, Carlo, et al. (författare)
  • Benchmarks for Cystic Fibrosis carrier screening: A European consensus document
  • 2010
  • Ingår i: Journal of Cystic Fibrosis. - : Elsevier BV. - 1873-5010 .- 1569-1993. ; 9:3, s. 165-178
  • Forskningsöversikt (refereegranskat)abstract
    • This paper presents an overview of the conclusions from an international conference convened to address current issues related to the provision of Cystic Fibrosis carrier screening within Europe. Consensus was not aimed at stating whether such a programme should be implemented. Instead the focus was to provide a framework for countries and agencies who are considering or planning its establishment. The general principles and target population of Cystic Fibrosis carrier screening, advantages and disadvantages, health economics, monitoring and future evaluative and research directions were covered. A range of screening strategies have been assessed and compared: pre-conceptional and prenatal screening; individual and couple screening; sequential and simultaneous sampling or testing. Furthermore, technical issues were examined with respect to the choice of the panel of mutations, its detection rate, sensitivity, management of intermediate 'at-risk' couples, screening approach to different populations and ethnic minorities, and assurance of laboratory quality control. The consensus statement also aims to establish the benchmarks for communicating with health care providers, the general public and potential and actual participants before and after the genetic test. (C) 2010 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
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