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- van Bragt, JJMH, et al.
(författare)
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Characteristics and treatment regimens across ERS SHARP severe asthma registries
- 2020
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Ingår i: The European respiratory journal. - : European Respiratory Society (ERS). - 1399-3003 .- 0903-1936. ; 55:1
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Tidskriftsartikel (refereegranskat)abstract
- Little is known about the characteristics and treatments of patients with severe asthma across Europe, but both are likely to vary. This is the first study in the European Respiratory Society Severe Heterogeneous Asthma Research collaboration, Patient-centred (SHARP) Clinical Research Collaboration and it is designed to explore these variations. Therefore, we aimed to compare characteristics of patients in European severe asthma registries and treatments before starting biologicals.This was a cross-sectional retrospective analysis of aggregated data from 11 national severe asthma registries that joined SHARP with established patient databases.Analysis of data from 3236 patients showed many differences in characteristics and lifestyle factors. Current smokers ranged from 0% (Poland and Sweden) to 9.5% (Belgium), mean body mass index ranged from 26.2 (Italy) to 30.6 kg·m−2 (the UK) and the largest difference in mean pre-bronchodilator forced expiratory volume in 1 s % predicted was 20.9% (the Netherlands versus Hungary). Before starting biologicals patients were treated differently between countries: mean inhaled corticosteroid dose ranged from 700 to 1335 µg·day−1 between those from Slovenia versus Poland when starting anti-interleukin (IL)-5 antibody and from 772 to 1344 µg·day−1 in those starting anti-IgE (Slovenia versus Spain). Maintenance oral corticosteroid use ranged from 21.0% (Belgium) to 63.0% (Sweden) and from 9.1% (Denmark) to 56.1% (the UK) in patients starting anti-IL-5 and anti-IgE, respectively.The severe asthmatic population in Europe is heterogeneous and differs in both clinical characteristics and treatment, often appearing not to comply with the current European Respiratory Society/American Thoracic Society guidelines definition of severe asthma. Treatment regimens before starting biologicals were different from inclusion criteria in clinical trials and varied between countries.
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| 3. |
- Thorell, Lars-Håkan, et al.
(författare)
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Electrodermal hyporeactivity as a trait marker for suicidal propensity in uni- and bipolar depression
- 2013
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Ingår i: Journal of Psychiatric Research. - : Elsevier. - 0022-3956 .- 1879-1379. ; 47:12, s. 1925-1931
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Tidskriftsartikel (refereegranskat)abstract
- Background: A meta-analysis of studies investigating electrodermal activity in depressed patients, suggested that electrodermal hyporeactivity is sensitive and specific for suicide. less thanbrgreater than less thanbrgreater thanAims: To confirm this finding and to study electrodermal hyporeactivity relative to type and severity of depression, trait anxiety, its stability and independence of depressive state. Method: Depressed inpatients (n = 783) were tested for habituation of electrodermal responses and clinically assessed using the Beck Depression Inventory (BDI) and the STAI-Trait scale for trait anxiety. less thanbrgreater than less thanbrgreater thanResults: The high sensitivity and raw specificity of electrodermal hyporeactivity for suicide were confirmed. Its prevalence was highest in bipolar disorders and was independent of severity of depression, trait anxiety, gender and age. Hyporeactivity was stable, while reactivity changed into hyporeactivity in a later depressive episode. less thanbrgreater than less thanbrgreater thanConclusions: The findings support the hypothesis that electrodermal hyporeactivity is a trait marker for suicidal propensity in depression.
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| 5. |
- Palosuo, T., et al.
(författare)
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A multi-model comparison of soil carbon assessment of a coniferous forest stand
- 2012
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Ingår i: Environmental Modelling & Software. - : Elsevier. - 1364-8152 .- 1873-6726. ; 35, s. 38-49
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Tidskriftsartikel (refereegranskat)abstract
- We simulated soil carbon stock dynamics of an Austrian coniferous forest stand with five soil-only models (Q, ROMUL, RothC, SoilCO2/RothC and Yasso07) and three plant-soil models (CENTURY, CoupModel and Forest-DNDC) for an 18-year period and the decomposition of a litter pulse over a 100-year period. The objectives of the study were to assess the consistency in soil carbon estimates applying a multi-model comparison and to present and discuss the sources of uncertainties that create the differences in model results. Additionally, we discuss the applicability of different modelling approaches from the view point of large-scale carbon assessments. Our simulation results showed a wide range in soil carbon stocks and stock change estimates reflecting substantial uncertainties in model estimates. The measured stock change estimate decreased much more than the model predictions. Model results varied not only due to the model structure and applied parameters, but also due to different input information and assumptions applied during the modelling processes. Initialization procedures applied with the models induced large differences among the modelled soil carbon stocks and stock change estimates. Decomposition estimates of the litter pulse driven by model structures and parameters also varied considerably. Our results support the use of relatively simple soil-only models with low data requirements in inventory type of large-scale carbon assessments. It is important that the modelling processes within the national inventories are transparently reported and special emphasis is put on how the models are used, which assumptions are applied and what is the quality of data used both as input and to calibrate the models.
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