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Sökning: WFRF:(Lundahl Pia)

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1.
  • Alm, Erika, et al. (författare)
  • Introduction
  • 2020
  • Ingår i: Pluralistic struggles in gender, sexuality and coloniality. - London, New York : Palgrave Macmillan. - 9783030474324 - 9783030474317 ; , s. 1-18
  • Bokkapitel (refereegranskat)abstract
    • The focus of this book is on the many far from predictable transformative political processes on gender, sexuality and coloniality that grow out of the broad range of bodies and actors engaged in politics outside the hegemonic order and in everyday activities. These processes are not conducted by states, governments or transnational nongovernmental organisations; rather, they are examples of politics in-between states, organisations and national imagined communities. In this first chapter we will introduce some of the main themes, regarding these processes we in our joint research programme have worked on over the last couple of years.
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2.
  • Alm, Erika, et al. (författare)
  • Introduction
  • 2021
  • Ingår i: Pluralistic Struggles in Gender, Sexuality and Coloniality. - Cham : Palgrave Macmillan. - 9783030474324 ; , s. 1-18
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
    • The focus of this book is on the many far from predictable transformative political processes on gender, sexuality and coloniality that grow out of the broad range of bodies and actors engaged in politics outside the hegemonic order and in everyday activities. These processes are not conducted by states, governments or transnational nongovernmental organisations; rather, they are examples of politics in-between states, organisations and national imagined communities. In this first chapter we will introduce some of the main themes, regarding these processes we in our joint research programme have worked on over the last couple of years.
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3.
  • Alm, Erika, 1975, et al. (författare)
  • Introduction (Pluralistic Struggles in Gender, Sexuality and Coloniality)
  • 2021
  • Ingår i: Pluralistic Struggles in Gender, Sexuality and Coloniality. Challenging Swedish Exceptionalism. - London, New York : Palgrave. - 9783030474317 ; , s. 1-18
  • Bokkapitel (refereegranskat)abstract
    • The focus of this book is on the many far from predictable transformative political processes on gender, sexuality and coloniality that grow out of the broad range of bodies and actors engaged in politics outside the hegemonic order and in everyday activities. These processes are not conducted by states, governments or transnational nongovernmental organisations; rather, they are examples of politics in-between states, organisations and national imagined communities. In this first chapter we will introduce some of the main themes, regarding these processes we in our joint research programme have worked on over the last couple of years.
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4.
  • Dahlberg, Pia, et al. (författare)
  • Accelerated QT adaptation following atropine-induced heart rate increase in LQT1 patients versus healthy controls: A sign of disturbed hysteresis.
  • 2022
  • Ingår i: Physiological reports. - : Wiley. - 2051-817X. ; 10:21
  • Tidskriftsartikel (refereegranskat)abstract
    • Hysteresis, a ubiquitous regulatory phenomenon, is a salient feature of the adaptation of ventricular repolarization duration to heart rate (HR) change. We therefore compared the QT interval adaptation to rapid HR increase in patients with the long QT syndrome type 1 (LQT1) versus healthy controls because LQT1 is caused by loss-of-function mutations affecting the repolarizing potassium channel current IKs , presumably an important player in QT hysteresis. The study was performed in an outpatient hospital setting. HR was increased in LQT1 patients and controls by administering an intravenous bolus of atropine (0.04mg/kg body weight) for 30s. RR and QT intervals were recorded by continuous Frank vectorcardiography. Atropine induced transient expected side effects but no adverse arrhythmias. There was no difference in HR response (RR intervals) to atropine between the groups. Although atropine-induced ΔQT was 48% greater in 18 LQT1 patients than in 28 controls (p<0.001), QT adaptation was on average 25% faster in LQT1 patients (measured as the time constant τ for the mono-exponential function and the time for 90% of ΔQT; p<0.01); however, there was some overlap between the groups, possibly a beta-blocker effect. The shorter QT adaptation time to atropine-induced HR increase in LQT1 patients on the group level corroborates the importance of IKs in QT adaptation hysteresis in humans and shows that LQT1 patients have a disturbed ultra-rapid cardiac memory. On the individual level, the QT adaptation time possibly reflects the effect-size of the loss-of-function mutation, but its clinical implications need to be shown.
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5.
  • Dahlberg, Pia, et al. (författare)
  • Spatio-temporal repolarization dispersion before and after exercise in patients with long QT syndrome type 1 vs controls - probing into the arrhythmia substrate.
  • 2023
  • Ingår i: American journal of physiology. Heart and circulatory physiology. - 1522-1539. ; 325:6
  • Tidskriftsartikel (refereegranskat)abstract
    • Congenital long QT syndrome (LQTS) carries an increased risk for syncope and sudden death. QT prolongation promotes ventricular extrasystoles which in the presence of an arrhythmia substrate might trigger ventricular tachycardia degenerating into fibrillation. Increased electrical heterogeneity (dispersion) is the suggested arrhythmia substrate in LQTS. In the most common subtype LQT1, physical exercise predisposes for arrhythmia and spatio-temporal dispersion was therefore studied in this context. Thirty-seven patients (57% on beta-blockers) and 37 healthy controls (mean age 31 vs 35, range 6-68 vs 6-72 years) performed an exercise test. Frank vectorcardiography was used to assess spatio-temporal dispersion as Tamplitude, Tarea, the ventricular gradient (VG), and the Tpeak-end interval from 10s-signal averages before and 7±2 min after exercise; during exercise too much signal disturbance excluded analysis. Baseline and maximum heart rates as well as estimated exercise intensity were similar, but heart rate recovery was slower in patients. At baseline QT and heart rate corrected QT (QTcB) were significantly longer in patients (as expected), while dispersion parameters were numerically larger in controls. After exercise QTpeakcB and Tpeak-endcB increased significantly more in patients (18±23 vs 7±10ms and 12±17 vs 2±6ms; p<0.001 and p<0.01). There was, however, no difference in the change in Tamplitude,Tarea and VG between groups. In conclusion, while temporal dispersion of repolarization increased significantly more after exercise in LQT1 patients, there were no signs of exercise-induced increase in global dispersion of action potential duration and morphology. The arrhythmia substrate/mechanism in LQT1 warrants further study.
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6.
  • Dahlberg, Pia, et al. (författare)
  • Spatiotemporal repolarization dispersion before and after exercise in patients with long QT syndrome type 1 versus controls : probing into the arrhythmia substrate
  • 2023
  • Ingår i: American Journal of Physiology. Heart and Circulatory Physiology. - 0363-6135 .- 1522-1539. ; 325:6, s. H1279-H1289
  • Tidskriftsartikel (refereegranskat)abstract
    • Congenital long QT syndrome (LQTS) carries an increased risk for syncope and sudden death. QT prolongation promotes ventricular extrasystoles, which, in the presence of an arrhythmia substrate, might trigger ventricular tachycardia degenerating into fibrillation. Increased electrical heterogeneity (dispersion) is the suggested arrhythmia substrate in LQTS. In the most common subtype LQT1, physical exercise predisposes for arrhythmia and spatiotemporal dispersion was therefore studied in this context. Thirty-seven patients (57% on β-blockers) and 37 healthy controls (mean age, 31 vs. 35; range, 6-68 vs. 6-72 yr) performed an exercise test. Frank vectorcardiography was used to assess spatiotemporal dispersion as Tampl, Tarea, the ventricular gradient (VG), and the Tpeak-end interval from 10-s signal averages before and 7 ± 2 min after exercise; during exercise too much signal disturbance excluded analysis. Baseline and maximum heart rates as well as estimated exercise intensity were similar, but heart rate recovery was slower in patients. At baseline, QT and heart rate-corrected QT (QTcB) were significantly longer in patients (as expected), whereas dispersion parameters were numerically larger in controls. After exercise, QTpeakcB and Tpeak-endcB increased significantly more in patients (18 ± 23 vs. 7 ± 10 ms and 12 ± 17 vs. 2 ± 6 ms; P < 0.001 and P < 0.01). There was, however, no difference in the change in Tampl, Tarea, and VG between groups. In conclusion, although temporal dispersion of repolarization increased significantly more after exercise in patients with LQT1, there were no signs of exercise-induced increase in global dispersion of action potential duration and morphology. The arrhythmia substrate/mechanism in LQT1 warrants further study.NEW & NOTEWORTHY: Physical activity increases the risk for life-threatening arrhythmias in LQTS type 1 (LQT1). The arrhythmia substrate is presumably altered electrical heterogeneity (a.k.a. dispersion). Spatiotemporal dispersion parameters were therefore compared before and after exercise in patients versus healthy controls using Frank vectorcardiography, a novelty. Physical exercise prolonged the time between the earliest and latest complete repolarization in patients versus controls, but did not increase parameters reflecting global dispersion of action potential duration and morphology, another novelty.
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9.
  • Lundahl, Christian, et al. (författare)
  • Skolutveckling för hållbart lärande
  • 2022
  • Bok (övrigt vetenskapligt/konstnärligt)abstract
    • Skolutveckling för hållbart lärande utgår från ett helhetsperspektiv på skolutveckling. Det handlar om att se till elevens hela lärande­situation där både välbefinnande och bildning står i centrum, men också om att engagera hela skolan i ett multiprofessionellt utvecklingsarbete. I boken beaktas såväl betydelsen av styrdokument, lokala förut­sättningar och en utbildning på vetenskaplig grund och utifrån beprövad erfarenhet. Syftet är att medverka till hållbara kunskaper och människor samt bidra till en hälsofrämjande arbetsplats. Boken innehåller både teoretiska och praktiska perspektiv på skol­utveckling integrerat med ett konkret exempel från ett forsknings- och utvecklingsprojekt om hållbart lärande. Den vänder sig till verksamma på alla nivåer som arbetar med skolutveckling och till rektors- och lärarutbildningen.
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