| 1. |
- Gurmu, A, et al.
(författare)
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Imaging of parastomal hernia using three-dimensional intrastomal ultrasonography
- 2011
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Ingår i: British Journal of Surgery. - : Oxford University Press (OUP). - 0007-1323 .- 1365-2168. ; 98:7, s. 1026-9
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Parastomal hernia is common in patients with a permanent stoma. At present there is no standard method for imaging a parastomal hernia. The aim of this study was to investigate the value of three-dimensional intrastomal ultrasonography in differentiating between a parastomal hernia and a bulge.METHODS: Twenty patients were divided into four groups according to ultrasonography setting and probe cover. All patients were tested using three different ultrasound probe frequencies (9, 13 and 16 MHz). The intrastomal examination was performed during provocation in both the supine and upright positions, with a protector or water-containing balloon surrounding the probe.RESULTS: The sharpest images were obtained using the rectal setting with a water-containing balloon surrounding the probe at 9 MHz in supine and erect positions, for evaluation of both fascia and muscle; in some instances even implanted mesh was detectable. When switched to render mode, the pictures improved in sharpness and it was easier to identify anatomical landmarks.CONCLUSION: Intrastomal ultrasonography using the rectal setting and a frequency of 9 MHz is a feasible method for imaging a parastomal hernia and differentiating it from an abdominal bulge. The image quality improves when render mode is used.
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| 2. |
- Gurmu, Daniel, et al.
(författare)
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The crystal structure of the protein YhaK from Escherichia coli reveals a new subclass of redox sensitive enterobacterial bicupins
- 2009
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Ingår i: Proteins. - : Wiley. - 0887-3585 .- 1097-0134. ; 74:1, s. 18-31
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Tidskriftsartikel (refereegranskat)abstract
- YhaK is a protein of unknown function found in low abundance in the cytosol of Escherichia coli. DNA array studies have revealed that YhaK is strongly up-regulated by nitroso-glutathione (GSNO) and also displays a 12-fold increase in expression during biofilm growth of E. coli 83972 and VR50 in human urine. We have determined the YhaK crystal structure and demonstrated that in vitro YhaK is a good marker for monitoring oxidative stresses in E. coli. The YhaK protein structure shows a bicupin fold where the two cupin domains are crosslinked with one intramolecular disulfide bond (Cys10 to Cys204). We found that the third cysteine in YhaK, Cys122, is oxidized to a sulfenic acid. Two chloride ions are found in the structure, one close to the reactive Cys122, and the other on a hydrophobic surface close to a symmetry-related molecule. There are major structural differences at the N-terminus of YhaK compared with similar structures that also display the bicupin fold (YhhW and hPirin). YhaK showed no quercetinase and peroxidase activity. However, reduced YhaK was very sensitive to reactive oxygen species (ROS). The complete, functional E. coli glutaredoxin or thioredoxin systems protected YhaK from oxidation. E. coli thioredoxin reductase and NADPH produced ROS and caused oxidation and oligomerization of reduced YhaK. Taken together, we propose that YhaK is the first of a new sub-class of bicupins that lack the canonical cupin metal-binding residues of pirins and may be involved in chloride binding and/or sensing of oxidative stress in enterobacteria.
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| 3. |
- Strigård, Karin, 1958-, et al.
(författare)
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Intrastomal 3D ultrasound : an inter- and intra-observer evaluation
- 2013
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Ingår i: International Journal of Colorectal Disease. - : Springer-Verlag New York. - 0179-1958 .- 1432-1262. ; 28:1, s. 43-47
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to determine intra- and interobserver reliability in 3D intrastomal ultrasound imaging of parastomal hernia and protrusion. A total of 40 patients were investigated. Two or three physicians evaluated the images twice, 1 month apart. Inter-observer agreement was 72 % with a kappa value 0.59. For the last 10 patients there was an agreement of 80 % with a kappa value of 0.70. Intraobserver agreement was 80 % for one observer and 95 % for the other. The learning curve levelled out at around 30 patients. Considering the learning curve of 30 patients, 3D intrastomal ultrasound is a reliable investigation method. 3D intrastomal ultrasonography has the potential to be the investigation of choice to differentiate between a bulge, a hernia, or a protrusion.
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| 4. |
- Uggla, Caroline, et al.
(författare)
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Are wives and daughters disadvantaged in polygynous households? A case study of the Arsi Oromo of Ethiopia
- 2018
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Ingår i: Evolution and human behavior. - : Elsevier BV. - 1090-5138 .- 1879-0607. ; 39:2, s. 160-165
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Tidskriftsartikel (refereegranskat)abstract
- Whether polygyny is harmful for women and their children is a long-standing question in anthropology. Few studies, however, have explored whether the effect of polygyny varies for women of different wife order, and whether there are different outcomes for their sons and daughters. Because males have higher reproductive variance, especially when they are allowed to take multiple wives, parents may have higher fitness returns from investing in sons over daughters in polygynous households. Moreover, previous studies have found that first wives and their children are advantaged over monogamous and second order wives (who marry into unions later). Here we test the predictions that children of first wives will have an advantage over children to monogamous or second wives, and that sex-biased investment will be strongest among first wives. Using data from the Arsi Oromo of Ethiopia (n-6200 children) we test whether associations with mother's wife order extend beyond childhood into adulthood by examining simultaneously child survival, education and age at marriage. We find that polygynous first wives have no child survival disadvantage, first wives' sons benefit in terms of longer education and daughters have an earlier age at marriage than daughters of monogamous women. Second wives have lower child survival than monogamous women, but surviving children experience advantages in later life outcomes, particularly marriage. These findings challenge the view that polygynous women are always doing the 'best of a bad job'. Rather, our results suggest that via their surviving sons and daughters there may be long-term benefits for some polygynous women.
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