| 1. |
- Larsson, K, et al.
(författare)
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Early menopause, low body mass index, and smoking are independent risk factors for developing giant cell arteritis.
- 2006
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Ingår i: Annals of the rheumatic diseases. - : BMJ. - 0003-4967 .- 1468-2060. ; 65:4, s. 529-32
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To assess female sex hormone related variables in a group of women with biopsy positive giant cell arteritis and a control group. METHODS: 49 women with biopsy positive giant cell arteritis, aged 50 to 69 years at the time of diagnosis, answered a questionnaire on hormonal and reproductive factors. The same questions were answered by a large population of women from the same geographical area in connection with routine mammograms. The results were tested statistically, using logistic regression analysis of each variable adjusted for age, and a multivariate logistic regression analysis including age and the variables which differed significantly between giant cell arteritis and controls. RESULTS: From the multivariate logistic regression analysis, three independent variables were associated with an increased risk of having giant cell arteritis: smoking and being an ex-smoker (odds ratio (OR) = 6.324 (95% confidence interval (CI), 3.503 to 11.418), p<0.0001); body mass index (a reduction of 1.0 kg/m2 increased the risk by 10% (OR = 0.898 (0.846 to 0.952), p = 0.0003); and menopause before the age of 43 (OR = 3.521 (1.717 to 7.220), p = 0.0006). CONCLUSIONS: There was a significant association between hormonal and reproduction related factors and the risk of developing giant cell arteritis in women given the diagnosis before the age of 70. The results suggest a possible role of oestrogen deficiency in the pathogenesis of giant cell arteritis. To confirm the results, an extended study will be needed, including women older than 70.
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| 2. |
- Barbu, M., et al.
(författare)
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Sclerosing Aortic and Coronary Arteritis Due to IgG4-Related Disease
- 2017
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Ingår i: Annals of Thoracic Surgery. - : Elsevier BV. - 0003-4975. ; 103:6
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Tidskriftsartikel (refereegranskat)abstract
- We present the case of a 55-year-old woman admitted for a coronary artery bypass operation because of three-vessel coronary artery disease based on angiographic findings and clinical symptoms. Unexpected intraoperative findings with diffuse tissue thickening of the ascending aorta and coronary arteries indicated an alternate pathogenesis rather than coronary artery atherosclerosis. Histopathologic findings and clinical evaluation could confirm IgG4-related disease (IgG4-RD). IgG4-RD is a newly recognized fibroinflammatory condition that can present in a variety of organs and is characterized by common histopathologic features. Low disease awareness among clinicians makes this condition underdiagnosed. © 2017 The Society of Thoracic Surgeons
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| 3. |
- Belichenko, P, et al.
(författare)
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Dendritic morphology in epileptogenic cortex from TRPE patients, revealed by intracellular Lucifer Yellow microinjection and confocal laser scanning microscopy.
- 1994
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Ingår i: Epilepsy research. - 0920-1211. ; 18:3, s. 233-47
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Tidskriftsartikel (refereegranskat)abstract
- Biopsy material was obtained from cortical epileptogenic zones (eight temporal, one occipital, one parietal and one frontal) of eleven patients aged 1.5-47 years with therapy-resistant partial epilepsy (TRPE) undergoing epilepsy surgery. Control autopsy material (two temporal, two occipital, one parietal and one frontal) was removed from six neurologically healthy cases within 6-10 hours postmortem delay. In each specimen, 100-300 pyramidal and non-pyramidal neurons were visualized by intracellular Lucifer Yellow microinjection. Single neurons were imaged using CLSM generated serial optical sections; 2-D reconstruction of each neuron was made using z-projection of serial optical images, and 3-D reconstructions and rotations were computerized. Neuronal maps from TRPE biopsies, compared to control autopsies, show markedly increased numbers of dendritic abnormalities of single pyramidal and non-pyramidal neurons in layers I, II-III, V-VII, and in the subcortical white matter. The abnormalities include: (1) increased number of non-pyramidal cells in layer I; (2) many pyramidal cells with two or three dendrites originating apically, rather than one single apical dendrite, in layers II-III; (3) atypical orientation of oblique apical and basal dendrites in pyramidal neurons of layers II-VII; (4) increased number of atypical 'dinosaur-like' and fusiform cells in layers V-VII; (5) numerous neurons in the white matter. These abnormalities may be etiological in cases with early onset, and predisposing in cases with late onset.
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| 4. |
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| 5. |
- Kyllerman, Mårten, 1941, et al.
(författare)
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Late cerebral graft versus host reaction in a bone marrow transplanted girl with Hurler (MPS I) disease.
- 2008
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Ingår i: Neuropediatrics. - : Georg Thieme Verlag KG. - 0174-304X .- 1439-1899. ; 39:5, s. 249-51
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Tidskriftsartikel (refereegranskat)abstract
- A girl with Hurler disease (MPS IH) underwent allogeneic stem cell transplantation at 13 months of age with her one HLA-B antigen mismatch mother as donor. The procedure was complicated by cerebral hemorrhage and a ventricular-peritoneal shunt device was inserted. Mild GVH reactions were rapidly reversed. One year after transplantation ventriculitis was suspected and the shunt was replaced by a ventricular drainage catheter. Antibiotics had no effect and graft-versus-host disease (GVHD) was diagnosed. All symptoms were reversed by prednisolone and cyclosporine. Increased albumin and pleocytosis in the cerebrospinal fluid (CSF) normalized concomitantly. Electron microscopy of the CSF sediment showed debris consisting of numerous complex aggregates of thin lamellae and electron dense fragments with a tight lamellar texture. Biochemical analysis of the CSF sediment proved that the debris contained galactosylceramide and sulfatide. The electron microscopic and biochemical findings were interpreted to represent stripping of central myelin as a result of subacute GVHD in the central nervous system and its desquamation from the brain parenchyma into the ventricular CSF through the post-hemorrhage defect. From reversal of the GVHD at 2 years of age until follow-up at 10 years of age the clinical condition remained stable with no recurrence or deterioration.
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| 6. |
- Lundberg, Oskar E., et al.
(författare)
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The influence of surface roughness on the contact stiffness and the contact filter effect in nonlinear wheel-track interaction
- 2016
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Ingår i: Journal of Sound and Vibration. - : Academic Press. - 0022-460X .- 1095-8568. ; 366, s. 429-446
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Tidskriftsartikel (refereegranskat)abstract
- A state-dependent contact model including nonlinear contact stiffness and nonlinear contact filtering is used to calculate contact forces and rail vibrations with a time-domain wheel-track interaction model. In the proposed method, the full three-dimensional contact geometry is reduced to a point contact in order to lower the computational cost and to reduce the amount of required input roughness-data. Green's functions including the linear dynamics of the wheel and the track are coupled with a point contact model, leading to a numerically efficient model for the wheel-track interaction. Nonlinear effects due to the shape and roughness of the wheel and the rail surfaces are included in the point contact model by pre-calculation of functions for the contact stiffness and contact filters. Numerical results are compared to field measurements of rail vibrations for passenger trains running at 200 kph on a ballast track. Moreover, the influence of vehicle pre-load and different degrees of roughness excitation on the resulting wheel-track interaction is studied by means of numerical predictions.
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| 7. |
- Malmgren, Kristina, 1952, et al.
(författare)
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Successful epilepsy surgery in a patient with neurosarcoidosis
- 2010
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Ingår i: Epilepsia. - : Wiley. - 1528-1167 .- 0013-9580. ; 51:6, s. 1101-1103
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Tidskriftsartikel (refereegranskat)abstract
- This case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in remission of the neurosarcoidosis, seizures continued and were shown to originate from the right temporal lobe (TL). The patient underwent a right anterior temporal lobe resection (TLR) and obtained >90% reduction of seizure frequency.
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| 8. |
- Nacer, Deborah F., et al.
(författare)
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Molecular characteristics of breast tumors in patients screened for germline predisposition from a population-based observational study
- 2023
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Ingår i: Genome Medicine. - 1756-994X. ; 15, s. 1-20
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundPathogenic germline variants (PGVs) in certain genes are linked to higher lifetime risk of developing breast cancer and can influence preventive surgery decisions and therapy choices. Public health programs offer genetic screening based on criteria designed to assess personal risk and identify individuals more likely to carry PGVs, dividing patients into screened and non-screened groups. How tumor biology and clinicopathological characteristics differ between these groups is understudied and could guide refinement of screening criteria.MethodsSix thousand six hundred sixty breast cancer patients diagnosed in South Sweden during 2010–2018 were included with available clinicopathological and RNA sequencing data, 900 (13.5%) of which had genes screened for PGVs through routine clinical screening programs. We compared characteristics of screened patients and tumors to non-screened patients, as well as between screened patients with (n = 124) and without (n = 776) PGVs.ResultsBroadly, breast tumors in screened patients showed features of a more aggressive disease. However, few differences related to tumor biology or patient outcome remained significant after stratification by clinical subgroups or PAM50 subtypes. Triple-negative breast cancer (TNBC), the subgroup most enriched for PGVs, showed the most differences between screening subpopulations (e.g., higher tumor proliferation in screened cases). Significant differences in PGV prevalence were found between clinical subgroups/molecular subtypes, e.g., TNBC cases were enriched for BRCA1 PGVs. In general, clinicopathological differences between screened and non-screened patients mimicked those between patients with and without PGVs, e.g., younger age at diagnosis for positive cases. However, differences in tumor biology/microenvironment such as immune cell composition were additionally seen within PGV carriers/non-carriers in ER + /HER2 − cases, but not between screening subpopulations in this subgroup.ConclusionsCharacterization of molecular tumor features in patients clinically screened and not screened for PGVs represents a relevant read-out of guideline criteria. The general lack of molecular differences between screened/non-screened patients after stratification by relevant breast cancer subsets questions the ability to improve the identification of screening candidates based on currently used patient and tumor characteristics, pointing us towards universal screening. Nevertheless, while that is not attained, molecular differences identified between PGV carriers/non-carriers suggest the possibility of further refining patient selection within certain patient subsets using RNA-seq through, e.g., gene signatures.
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| 9. |
- Olsson, Ingrid, 1948, et al.
(författare)
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Epilepsy surgery in children with accompanying impairments.
- 2013
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Ingår i: European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society. - : Elsevier BV. - 1532-2130. ; 17:6, s. 645-650
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to assess seizure outcome 2 years after epilepsy surgery in a consecutive series of paediatric patients, with special focus on children with learning disabilities and other neuroimpairments in addition to the epilepsy. Outcome 2 years after surgery was assessed in 110 of 125 children operated upon for drug resistant epilepsy in Gothenburg 1987-2006. More than half of the children had learning disabilities, 43% motor impairments and 30% a neuropsychiatric diagnosis. Fifty-six per cent of those with an IQ<70 became seizure-free or had a >75% reduction in seizure frequency, and two thirds if the operation was a resection. The corresponding figure in those with more than 100 seizures per month was 15 out of 31, and another seven had a 50-75% reduction in seizure frequency. The message is that learning disability, motor impairment and psychiatric morbidity should not be contraindications for paediatric epilepsy surgery. More than half of the children with learning disabilities had a worthwhile seizure outcome, with even better results after resective surgery. Children with drug resistant epilepsy and additional severe neurological impairments should have the benefit of referral to a tertiary centre for evaluation for epilepsy surgery.
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| 10. |
- Ottermo, Fredric, 1975-, et al.
(författare)
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Location of aerodynamic noise sources from a 200 kW vertical-axis wind turbine
- 2017
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Ingår i: Journal of Sound and Vibration. - London : Elsevier. - 0022-460X .- 1095-8568. ; 400, s. 154-166
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Tidskriftsartikel (refereegranskat)abstract
- Noise levels emitted from a 200 kW H-rotor vertical-axis wind turbine have been measured using a microphone array at four different positions, each at a hub-height distance from the tower. The microphone array, comprising 48 microphones in a spiral pattern, allows for directional mapping of the noise sources in the range of 500 Hz to 4 kHz. The produced images indicate that most of the noise is generated in a narrow azimuth-angle range, compatible with the location where increased turbulence is known to be present in the flow, as a result of the previous passage of a blade and its support arms. It is also shown that a semi-empirical model for inflow-turbulence noise seems to produce noise levels of the correct order of magnitude, based on the amount of turbulence that could be expected from power extraction considerations.
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