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| 2. |
- Hansen, S., et al.
(författare)
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Prevalence and management of severe asthma in the Nordic countries: findings from the NORDSTAR cohort
- 2023
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Ingår i: ERJ Open Research. - : European Respiratory Society (ERS). - 2312-0541. ; 9:2
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Tidskriftsartikel (refereegranskat)abstract
- Background Real-life evidence on prevalence and management of severe asthma is limited. Nationwide population registries across the Nordic countries provide unique opportunities to describe prevalence and management patterns of severe asthma at population level. In nationwide register data from Sweden, Norway and Finland, we examined the prevalence of severe asthma and the proportion of severe asthma patients being managed in specialist care. Methods This is a cross-sectional study based on the Nordic Dataset for Asthma Research (NORDSTAR) research collaboration platform. We identified patients with severe asthma in adults (aged >= 18 years) and in children (aged 6-17 years) in 2018 according to the European Respiratory Society/American Thoracic Society definition. Patients managed in specialist care were those with an asthma-related specialist outpatient contact (only available in Sweden and Finland). Results Overall, we identified 598 242 patients with current asthma in Sweden, Norway and Finland in 2018. Among those, the prevalence of severe asthma was 3.5%, 5.4% and 5.2% in adults and 0.4%, 1.0%, and 0.3% in children in Sweden, Norway and Finland, respectively. In Sweden and Finland, 37% and 40% of adult patients with severe asthma and two or more exacerbations, respectively, were managed in specialist care; in children the numbers were 56% and 41%, respectively. Conclusion In three Nordic countries, population-based nationwide data demonstrated similar prevalence of severe asthma. In children, severe asthma was a rare condition. Notably, a large proportion of patients with severe asthma were not managed by a respiratory specialist, suggesting the need for increased recognition of severe asthma in primary care.
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| 4. |
- von Büllow, A., et al.
(författare)
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Severe asthma trajectories in adults: findings from the NORDSTAR cohort
- 2023
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Ingår i: European Respiratory Journal. - : European Respiratory Society. - 0903-1936 .- 1399-3003. ; 62:3
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Tidskriftsartikel (refereegranskat)abstract
- Background There is limited evidence on the pathways leading to severe asthma and we are presently unable to effectively predict the progression of the disease. We aimed to describe the longitudinal trajectories leading to severe asthma and to describe clinical events preceding disease progression in a nationwide population of patients with severe asthma.Methods We conducted an observational study based on Swedish data from the NORdic Dataset for aSThmA Research (NORDSTAR) research collaboration platform. We identified adult patients with severe asthma in 2018 according to the European Respiratory Society/American Thoracic Society definition and used latent class analysis to identify trajectories of asthma severity over a 10-year retrospective period from 2018.Results Among 169 128 asthma patients, we identified 4543 severe asthma patients. We identified four trajectories of severe asthma that were labelled as: trajectory 1 "consistently severe asthma" (n=389 (8.6%)), trajectory 2 "gradual onset severe asthma" (n=942 (20.7%)), trajectory 3 "intermittent severe asthma" (n=1685 (37.1%)) and trajectory 4 "sudden onset severe asthma" (n=1527 (33.6%)). "Consistently severe asthma" had a higher daily inhaled corticosteroid dose and more prevalent osteoporosis compared with the other trajectories. Patients with "gradual onset severe asthma" and "sudden onset severe asthma" developed type 2-related comorbidities concomitantly with development of severe asthma. In the latter group, this primarily occurred within 1-3 years preceding onset of severe asthma.Conclusions Four distinct trajectories of severe asthma were identified illustrating different patterns of progression of asthma severity. This may eventually enable the development of better preventive management strategies in severe asthma.
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| 5. |
- Ernstsson, O., et al.
(författare)
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Health-related quality of life in patients with lower limb amputation - an assessment of the measurement properties of EQ-5D-3L and EQ-5D-5L using data from the Swedish Amputation and Prosthetics Registry
- 2022
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Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 44:26, s. 8471-8479
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Tidskriftsartikel (refereegranskat)abstract
- Purpose To assess the measurement properties of EQ-5D-3L and EQ-5D-5L in patients with a major lower limb amputation (LLA). Methods This was a retrospective register-based study using data from the Swedish Amputation and Prosthetics Registry (SwedeAmp). Patients with a six-months follow-up (including either EQ-5D-3L or EQ-5D-5L) after a major unilateral LLA were included. The measurement properties of EQ-5D-3L and EQ-5D-5L were compared in terms of feasibility, response patterns, informativity, and convergent and known-group validity. Results The sample included 700 patients with below-knee amputation (76%), above-knee amputation (18%), or knee disarticulation (7%). Responses to EQ-5D-3L and -5L were similar regarding feasibility (98% completion rate) and the proportion reporting no problems (7% and 6%). Compared to EQ-5D-3L, EQ-5D-5L showed higher absolute and relative informativity in all dimensions, with the largest improvement in the mobility dimension. In the analyses of convergent validity, the EQ-5D-5L generally showed stronger correlations with disease-specific measures. Only EQ-5D-5L was able to discriminate between subgroups with different amputation levels. Conclusion The findings support the use of EQ-5D-5L over EQ-5D-3L in patients with an LLA, mainly due to improved informativity and improved convergent and known-group validity.
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| 6. |
- Fardim, P, et al.
(författare)
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Critical comparison of methods for surface coverage by extractives and lignin in pulps by X-ray photoelectron spectroscopy (XPS)
- 2006
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Ingår i: Holzforschung. - 0018-3830 .- 1437-434X. ; 60, s. 149-155
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Tidskriftsartikel (refereegranskat)abstract
- Different methods for estimation of the surface coverage by extractives and lignin were critically compared. For data collection, four state-of-the-art X-ray photoelectron spectroscopy (XPS) instruments located in four different laboratories were used. Hand sheets of one mechanical and two chemical pulp samples were prepared in one laboratory and distributed among the other participants. The XPS results based on O/C ratios and curve fitting of the C 1s peak had very good intra- and interlaboratory variation for extracted and non-extracted pulp samples. The estimations of surface coverage by extractives and lignin also had acceptable intra- and interlaboratory variation. However, significant differences were observed between the results for the various methods. Estimation of surface coverage by extractives based on O/C ratios was much higher than that based on the C1 component analysis in the case of mechanical and unbleached chemical pulp. The surface coverage by lignin of mechanical pulp was reproducibly detected based on O/C ratios, C1 component analysis and by labelling with mercury acetate. The same data were, however, rather scattered if they were collected with these three methods for bleached and unbleached chemical pulp. In spite of the differences, similar trends regarding the pulp type could be observed. We interpret the results as indicating that the surface coverage for both extractives and lignin should not be considered as absolute “true” values, but rather as relative values, which are reliable only for comparison of samples for the same instrument. Even for relative comparisons, we recommend the selection of a strict experimental set-up for spectral acquisition and data treatment when applying any of the instruments and calculation models currently available.
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| 8. |
- Johansson, L-S, et al.
(författare)
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An XPS round robin investigation on analysis of wood pulp fibres and filter paper
- 2005
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Ingår i: Surface Science. - 0039-6028 .- 1879-2758. ; 584:1, s. 126-132
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Tidskriftsartikel (refereegranskat)abstract
- X-ray photoelectron spectroscopy (XPS) has been applied to pulp and paper research for decades. However, there has been no attempt to standardise or even systematically compare experimental and analysis procedures, even though it is known that fibrous, nature-derived and insulating fibre materials pose remarkable challenges to reliable surface analysis. The experimental problems are mainly linked with neutralisation, energy resolution, contamination and X-ray induced degradation. We have tested applicability, reliability and reproducibility of XPS analysis on real pulp samples with varying lignin and extractives contents in a small round robin investigation. We also tested the instrumental set-ups with an acetone-extracted filter paper, used as a reference sample. The data, collected at four different laboratories with state-of-the-art instruments indicate that reproducible results can be obtained, despite minor differences in experimental and analysis procedures. However, we found that a specified sample handling procedure and limited X-ray exposure are crucial for reproducible, reliable data. Based on the round robin data we recommend dose restricted monochromatic measurements, a cellulosic in situ reference and a consistent sample handling procedure. The data confirms that a paper-based reference material and the correlation of high-resolution C 1s data with O/C atomic ratios can be used in testing instruments and experimental set-ups for pulp and paper materials.
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| 9. |
- Vyörykkä, J., et al.
(författare)
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Characterization of paper coatings - Review and future possibilities
- 2006
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Ingår i: 2006 TAPPI Advanced Coating Fundamentals Symposium. ; , s. 32-57
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Konferensbidrag (refereegranskat)abstract
- Paper coating obviously plays an important role in printing and converting performance and thus a thorough knowledge of coating structure and chemistry, its generation from the wet state of the colour layer and its reaction to downstream processing, end-use and recycling, is needed to understand current products as well as to develop new products. Coating characterization methods may be divided into two subcategories; research methods and quality control methods. The latter category typically contains methods based on standards and are fast tools to evaluate the quality of the coatings, on-line, at-line or off-line. The instruments used in paper coating research aim to provide absolute rather than relative information, with the goal of offering greater insight into mechanisms underlying paper performance. These methods are accordingly often more demanding in terms of sample preparation and analysis time, and in some cases are still under development. This paper summarizes the achievements, limitations and future challenges faced by established analysis methods as well as emerging methods which could be used in paper coating characterization.
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