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- Brandsaeter, B., et al.
(författare)
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Liver transplantation for primary sclerosing cholangitis; predictors and consequences of hepatobiliary malignancy
- 2004
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Ingår i: Journal of hepatology. - : Elsevier BV. - 0168-8278. ; 40:5, s. 815-22
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND/AIMS: Hepatobiliary malignancies are frequently seen in primary sclerosing cholangitis (PSC) and they complicate the evaluation of patients and timing of liver transplantation. METHODS: Data from all Nordic PSC patients listed for liver transplantation during 1990-2001 were recorded prospectively. Predictors of hepatobiliary malignancy and patient survival rates have been analysed. RESULTS: Hepatobiliary malignancy was found in 52/255 (20%) patients accepted to the waiting list. Recent diagnosis of PSC, no ursodeoxycholic acid (UDCA) treatment, clinical suspicion and previous colorectal-cancer were predictors of malignancy. Among 89 patients with a strong suspicion of malignancy prior to acceptance, 35 (39%) had confirmed malignancy. A clinical suspicion had been raised in 35/52 (67%) patients with malignancy. Malignancy was found in 31/223 patients who received a liver allograft. The 1-, 3- and 5-year patient survival rates following transplantation for patients with PSC and cholangiocarcinoma were 65, 35 and 35%, respectively. CONCLUSIONS: Hepatobiliary malignancy is suspected in 1/3 of the PSC patients and found in 1/5. Although cholangiocarcinoma is regarded as a contraindication to liver transplantation (LTX), PSC patients with cholangiocarcinoma had a 35% 5-year survival following transplantation.
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- Kolberg, D., et al.
(författare)
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Effect of Rhizome Fragmentation, Clover Competition, Shoot-Cutting Frequency, and Cutting Height on Quackgrass (Elymus repens)
- 2018
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Ingår i: Weed science. - : Cambridge University Press. - 0043-1745 .- 1550-2759. ; 66:2, s. 215-225
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Tidskriftsartikel (refereegranskat)abstract
- Quackgrass is a problematic agricultural weed in the temperate zones of the world and is difficult to control without herbicides or intensive tillage. However, it may be possible to control quackgrass with less environmental impact by combining multiple low-intensity control methods. A pot experiment was conducted in July to October 2012 and repeated in June to September 2013 to investigate the effect of rhizome fragmentation, competition from white clover, shoot-cutting frequency, and cutting height on quackgrass. Rhizome fragmentation was expected to result in more, but weaker, quackgrass shoots that would be more vulnerable to shoot cutting and competition. However, by 20 d past planting, rhizome fragmentation did not change the total number of quackgrass shoots per pot, because an increase in main shoots was offset by a decrease in tiller numbers. Rhizome fragmentation did not reduce quackgrass biomass acquisition during the experimental period. Although rhizome fragmentation did reduce total fructan content, it did not enhance the effect of clover competition, shoot-cutting frequency, or shoot-cutting height. Clover competition by itself reduced quackgrass shoot numbers by 72%, rhizome biomass by 81%, and belowground fructan concentration by 10 percentage points, compared with no competition. The more frequently quackgrass shoots were cut, the less biomass quackgrass acquired, and a high shoot-cutting frequency (each time quackgrass reached 2 leaves) resulted in a lower belowground fructan concentration than a low shoot-cutting frequency (at 8 leaves). However, in pots without competition, a higher shoot-cutting frequency resulted in more quackgrass shoots. A lower shoot-cutting height (25 mm) had more impact when shoot cutting was more frequent. In conclusion, rhizome fragmentation did not reduce the number of quackgrass shoots or rhizome biomass, but competition from white clover, a high shoot-cutting frequency, and a low shoot-cutting height strongly suppressed quackgrass biomass and fructan acquisition.
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