| 1. |
- Andreasson, Anna, et al.
(författare)
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An Increasing Incidence of Upper Gastrointestinal Disorders Over 23 Years : A Prospective Population-Based Study in Sweden
- 2021
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Ingår i: American Journal of Gastroenterology. - : Ovid Technologies (Wolters Kluwer Health). - 0002-9270 .- 1572-0241. ; 116:1, s. 210-213
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: We hypothesized that the prevalence of functional dyspepsia and gastroesophageal reflux disease in the community may be increasing.METHODS: Randomly selected adults were surveyed on 4 occasions: 1988 (n = 1,151, 21–79 years, response rate [rr] = 90%), 1989 (n = 1,097, 22–80 years, rr = 87%), 1995 (n = 1,139, 20–85 years, rr = 76%), and 2011 (n = 1,175, 20–93 years, rr = 63%).RESULTS: In functional dyspepsia, the odds of postprandial distress syndrome tripled over 23 years' follow-up (odds ratio [OR]: 3.55; 95% confidence interval [CI]: 2.60–4.84, mixed-effect regression analysis), whereas a small decrease in epigastric pain syndrome was observed (OR: 0.65, 95% CI: 0.42–1.00). The odds of reporting gastroesophageal reflux disease doubled (OR: 2.02; 95% CI: 1.50–2.73).DISCUSSION: The underlying mechanisms behind the increase in postprandial distress syndrome and gastroesophageal reflux disease remain to be determined.
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| 2. |
- Forsberg, Anna, et al.
(författare)
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Colonoscopy findings in high-risk individuals compared to an average-risk control population
- 2015
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Ingår i: Scandinavian Journal of Gastroenterology. - : Informa UK Limited. - 0036-5521 .- 1502-7708. ; 50:7, s. 866-874
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Tidskriftsartikel (refereegranskat)abstract
- Background and aims: There is clear evidence of reduced morbidity and mortality from regular colonoscopy programs in patients with Lynch syndrome (LS). Today, also individuals with empirically increased risks of colorectal cancer (CRC) are offered colonoscopic surveillance. The aim was to compare the findings at the first screening colonoscopy in LS carriers, and individuals with an increased risk of bowel cancer due to family history of CRC with a control population. Methods: Altogether 1397 individuals with an increased risk for CRC were divided in four risk groups: one with LS carriers and three groups with individuals with different family history of CRC. The findings were compared between the different risk groups and a control group consisting of 745 individuals from a control population who took part in a population-based colonoscopy study. Results: In LS, 30% of the individuals had adenomas and 10% advanced adenomas. The corresponding figures in the other risk groups were 14-24% and 4-7%, compared with 10% and 3% in the control group. The relative risk of having adenomas and advanced adenomas was, compared to controls, significantly higher for all risk groups except the group with the lowest risk. Age was a strong predictor for adenomas and advanced adenomas in both risk individuals and controls. Conclusions: Individuals with a family history of CRC have a high prevalence and cumulative risk of adenomas and advanced adenomas, and screening is motivated also in this risk group.
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| 3. |
- Forsberg, Anna M., et al.
(författare)
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Prevalence of colonic neoplasia and advanced lesions in the normal population : a prospective population-based colonoscopy study
- 2012
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Ingår i: Scandinavian journal of gastroenterology. - : Informa UK Limited. - 1502-7708 .- 0036-5521. ; 47:2, s. 184-90
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Tidskriftsartikel (refereegranskat)abstract
- Objective. There are few prospective studies of the prevalence of colonic neoplasia in the normal population. In order to properly evaluate screening-protocols for colorectal cancer in risk groups (e.g., older subjects or those with a family history), it is essential to know the prevalence of adenomas and cancer in the normal population. Methods. A prospective population-based colonoscopy study on 745 individuals born in Sweden aged 19-70 years was conducted (mean age 51.1 years). All polyps seen were retrieved and examined. Results. Out of the 745 individuals 27% had polyps, regardless of kind. Adenomas were found in 10% of the individuals and finding of adenomas was positively correlated to higher age. Men had adenomas in 15% and women in 6% of the cases. Women had a right-sided dominance of adenomas. Hyperplastic polyps were seen in 21% of the individuals. The presence of hyperplastic polyps was significantly positively correlated to the presence of adenomas. Advanced adenomas were seen in 2.8% of the study participants, but no cancers were detected. Conclusion. One in 10 healthy subjects had an adenoma but advanced adenomas were uncommon. Men and women have a different adenoma prevalence and localization. The results provide baseline European data for evaluating colonoscopy screening-protocols for colorectal cancer risk groups, and the findings may have implications for colon cancer screening in the normal, otherwise-healthy population.
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| 4. |
- Gaillard, Marie-José, 1953-, et al.
(författare)
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Holocene land-cover reconstructions for studies on land cover-climate feedbacks
- 2010
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Ingår i: Climate of the Past. - : Copernicus GmbH. - 1814-9324 .- 1814-9332. ; 6, s. 483-499
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Tidskriftsartikel (refereegranskat)abstract
- The major objectives of this paper are: (1) to review the pros and cons of the scenarios of past anthropogenic land cover change (ALCC) developed during the last ten years, (2) to discuss issues related to pollen-based reconstruction of the past land-cover and introduce a new method, REVEALS (Regional Estimates of VEgetation Abundance from Large Sites), to infer long-term records of past land-cover from pollen data, (3) to present a new project (LANDCLIM: LAND cover – CLIMate interactions in NW Europe during the Holocene) currently underway, and show preliminary results of REVEALS reconstructions of the regional land-cover in the Czech Republic for five selected time windows of the Holocene, and (4) to discuss the implications and future directions in climate and vegetation/land-cover modeling, and in the assessment of the effects of human-induced changes in land-cover on the regional climate through altered feedbacks. The existing ALCC scenarios show large discrepancies between them, and few cover time periods older than AD 800. When these scenarios are used to assess the impact of human land-use on climate, contrasting results are obtained. It emphasizes the need for methods such as the REVEALS model-based land-cover reconstructions. They might help to fine-tune descriptions of past land-cover and lead to a better understanding of how long-term changes in ALCC might have influenced climate. The REVEALS model is demonstrated to provide better estimates of the regional vegetation/landcover changes than the traditional use of pollen percentages. This will achieve a robust assessment of land cover at regional- to continental-spatial scale throughout the Holocene. We present maps of REVEALS estimates for the percentage cover of 10 plant functional types (PFTs) at 200 BP and 6000 BP, and of the two open-land PFTs “grassland” and “agricultural land” at five time-windows from 6000 BP to recent time. The LANDCLIM results are expected to provide crucial data to reassess ALCC estimates for a better understanding of the land suface-atmosphere interactions.
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| 5. |
- Grimby-Ekman, Anna, 1967, et al.
(författare)
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Prediction models for planning health care resources. During the first wave of the Covid-19 pandemic 2020
- 2022
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Due to the Covid-19 pandemic, has emphasized a need for planning health care resources based on only a few aggregated data points and little knowledge of the data-generating process. In the first part of the report, we present the process of our work in spring 2020 during the first wave and especially during the first part with the high demands on health care resources. In the second part of the report, we discuss the logistic growth model (LGM), one of our models used to predict the peak height and the peak timing. We present some different approaches to use the LGM, and compare these to a different data set, Belgium data. For the Swedish regional data, the LGM on raw observations gave a good estimate on the peak height. The adjusted LGM, using cumulative new inpatient beds, fitted the Swedish regional data to a satisfying degree. For the Belgium data, the LGM on raw observations gave a good estimate on peak height and timing. The adjusted LGM, using cumulative new inpatient beds, did not work for the Belgium data as it gave a too early peak time and a too low peak height. The experience from our work, in combination with now existing literature, the process in a similar future situation would include better knowledge on how to find and combine data to get as reliable forecasts as possible and to use creativity in combination with theoretical competence.
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| 6. |
- Hedenstierna-Jonson, Charlotte, 1971-, et al.
(författare)
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Viking Mobility in the Baltic Sea Region
- 2020
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Ingår i: Viking Encounters. - Aarhus : Aarhus University Press. - 978 87 7184 265 4 ; , s. 57-66
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Bokkapitel (refereegranskat)abstract
- Tough mobility and migration could be regarded as diagnostic features of the Viking Age, it is not possible to generalize and treat the Viking World as a homogenous society. Patterns of mobility and migration were linked to social structures and contexts. Studying the composition of the material culture within a site or individual context has been the prevailing method within archaeology to approach issues of mobility. Although this approach has acknowledged restrictions, it has been the method at hand. However, migration and mobility are not necessarily reflected in the material culture, meaning other approaches are called for. The first question to ask is: what variations in mobility patterns between urban and rural contexts are there, and are there indications of significant differences between various geographical regions? Even between sites characterized as trading posts (i.e. not rural), with similar material evidence of long-distance trade and advanced crafts, we might have significant differences, relating to the seasonal or permanent character of the site. In the following paper, we present the results from strontium isotope analyses on archaeological materials from a number of Viking-Age sites within present-day Sweden. The results of the analyses conducted within the ATLAS project will be compared to other isotope studies from Scandinavia, and discussed in relation to local, regional and supra-regional contexts. On a more local level, the possible cultural influence of migrants is investigated.
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| 7. |
- Hedenstierna-Jonson, Charlotte, et al.
(författare)
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Viking Mobility in the Baltic Sea Region
- 2020
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Ingår i: Viking encounters. - Aarhus : Aarhus Universitetsforlag. - 9788771842654 ; , s. 61-70
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Bokkapitel (refereegranskat)
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| 8. |
- Hugerth, Luisa W., et al.
(författare)
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No distinct microbiome signature of irritable bowel syndrome found in a Swedish random population
- 2020
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Ingår i: Gut. - : BMJ. - 0017-5749 .- 1468-3288. ; 69:6, s. 1076-1084
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Tidskriftsartikel (refereegranskat)abstract
- Objective The ethiopathogenesis of irritable bowel syndrome (IBS) is unknown. While a link to the gut microbiome is postulated, the heterogeneity of the healthy gut makes it difficult to draw definitive conclusions. We aimed to describe the faecal and mucosa-associated microbiome (MAM) and health correlates on a community cohort of healthy and IBS individuals with no colonoscopic findings.Design The PopCol study recruited a random sample of 3556 adults; 745 underwent colonoscopy. IBS was defined by Rome IV criteria and organic disease excluded. 16S rRNA gene sequencing was conducted on sigmoid biopsy samples from 376 representative individuals (63 IBS cases) and faecal samples from 185 individuals (32 IBS cases).Results While sigmoid MAM was dominated by Lachnospiraceae, faeces presented a higher relative abundance of Ruminococcaceae. Microbial richness in MAM was linearly correlated to that in faeces from the same individual (R-2=0.255, p<3E-11) as was diversity (R-2=0.06, p=0.0022). MAM diversity decreased with increasing body mass index (BMI; Pearson's r=-0.1, p=0.08) and poorer self-rated health (r=-0.15, p=0.007), but no other health correlates. Faecal microbiome diversity was correlated to stool consistency (r=-0.16, p=0.043). Several taxonomic groups were correlated to age, BMI, depression and self-reported health, including Coprococcus catus associated with lower levels of depression (r=-0.003, p=0.00017). The degree of heterogeneity observed between IBS patients is higher than that observed between healthy individuals.Conclusions No distinct microbial signature was observed in IBS. Individuals presenting with low self-rated health or high BMI have lower gut microbiome richness.
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| 9. |
- Ingvarsson, Anne, et al.
(författare)
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Bioarchaeological field analysis of human remains from the mass graves at Phaleron, Greece
- 2019
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Ingår i: Opuscula. - : Editorial Committee of the Swedish Institutes at Athens and Rome (ECSI). - 2000-0898. ; 12, s. 7-158
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Tidskriftsartikel (refereegranskat)abstract
- In 2016, archaeological excavations undertaken by the Ephorate of Antiquities of West Attica, Piraeus and Islands 3.8 km south-west of Athens, Greece, revealed mass burials of 79 skeletons in three rows. The burials are dated to the 7th century BC. The anthropological field documentation was undertaken by The Swedish Institute of Athens, and followed established bioarchaeological protocols regarding taphonomic processes, age, sex, injuries, and pathological changes. The descriptions and interpretations should be regarded as preliminary field observations. A majority of the individuals were young adult or juvenile males, most of them without signs of active disease and with a generally good oral health status, but with corroded iron shackles around their wrists. Cause of death could not be determined although extensive and likely perimortem fractures were observed. The only object related to injury and/or possible cause of death was an arrowhead found in the chest of one of the skeletons. Why and where the individuals were killed is a matter of conjecture; the observations from the field documentation neither validate, nor disprove the hypothesis that these individuals were captives and victims of the socalled "Cylonian conspiracy" in the 7th century BC.
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| 10. |
- Kjellström, Anna, et al.
(författare)
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Dietary patterns and social structures in medieval Sigtuna, Sweden, as reflected in stable isotope values in human skeletal remains
- 2009
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Ingår i: Journal of Archaeological Science. - : Elsevier BV. - 0305-4403 .- 1095-9238. ; 36:12, s. 2689-2699
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Tidskriftsartikel (refereegranskat)abstract
- Stable isotopes (delta C-13, delta N-15) have been studied in human burials from the medieval town Sigtuna in Sweden. Dietary patterns of 80 adult individuals were analyzed on three cemeteries representing the phases of establishment, prosperity and decline of the town. All analyzed individuals were radiocarbon dated. One of the cemeteries, Church 1, represents a population of higher social status than those at the other two cemeteries. The delta C-13 values are homogenous and showed that the protein intake was mainly of terrestrial origin in the whole population. delta N-15 values varies more and they may indicate a higher input of vegetables in the diet at one of the cemeteries, the Nunnan block. Already in the initial phases of Sigtuna a social hierarchy had been established which is reflected in dietary patterns. Apparently more animal protein was consumed among the high status population of the town. Furthermore, differences in dietary patterns between the sexes were noted. In all phases the females show more clustered values indicating a more homogeneous diet than that of the males.
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