| 1. |
- Engström, Gunnar, et al.
(författare)
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Pulmonary function and atherosclerosis in the general population : causal associations and clinical implications
- 2024
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Ingår i: European Journal of Epidemiology. - : Springer Nature. - 0393-2990 .- 1573-7284. ; 39:1, s. 35-49
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Tidskriftsartikel (refereegranskat)abstract
- Reduced lung function is associated with cardiovascular mortality, but the relationships with atherosclerosis are unclear. The population-based Swedish CArdioPulmonary BioImage study measured lung function, emphysema, coronary CT angiography, coronary calcium, carotid plaques and ankle-brachial index in 29,593 men and women aged 50–64 years. The results were confirmed using 2-sample Mendelian randomization. Lower lung function and emphysema were associated with more atherosclerosis, but these relationships were attenuated after adjustment for cardiovascular risk factors. Lung function was not associated with coronary atherosclerosis in 14,524 never-smokers. No potentially causal effect of lung function on atherosclerosis, or vice versa, was found in the 2-sample Mendelian randomization analysis. Here we show that reduced lung function and atherosclerosis are correlated in the population, but probably not causally related. Assessing lung function in addition to conventional cardiovascular risk factors to gauge risk of subclinical atherosclerosis is probably not meaningful, but low lung function found by chance should alert for atherosclerosis.
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| 2. |
- Aili, Carola, 1963-, et al.
(författare)
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Mentorskap : att organisera skolans möte med nya lärare
- 2003
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Författarna tar i denna bok ställning för lärarkårens möjligheter att vara expert på det egna arbetsområdet. De menar att ett mentorsystem inte bara är ett stöd för nyanställda utan också kan bidra till enskilda skolors utveckling. Bra mentorsystem kan bidra till att nyanställda anpassar sig till goda traditioner och arbetssätt men också till att lärarkollegiet anpassar sig till ny bra kunskap som nyanställda har med sig. Författarna utgår från att såväl anpassning och stabilitet som utveckling och förändring behövs i skolan. Boken tar avstamp i frågor som rör lärarkårens professionalisering. Att bygga upp ett mer genomgripande system för mottagande av nyanställda innebär att många av skolans anställda blir delaktiga i principiella diskussioner kring lärararbete och skolorganisation. Detta kan bidra till kunskapsutvecklingen inom hela kåren och en färdighet i att behandla kvalitets- och utvecklingsfrågor. Stort utrymme ges åt att beskriva lärararbetets karaktär och den nyanställdes situation. Författarna har själva arbetat med mentorsutbildning och mentorsystem och försökt göra detta med teoretisk medvetenhet. Utifrån dessa erfarenheter ges läsaren verktyg från interaktionistisk socialpsykologi och handlingsteori för att kunna handskas med lärararbete och mentorsystem. Rent praktiska frågor behandlas också i boken, t.ex. kommunikation i handledningssituationen, grupprocesser när nya medarbetare tillkommer, mentorsutbildning, mentorsbank, mentorshandledning och upplägg av introduktionsprogram. Boken är avsedd för lärare med uppdrag att vara mentorer, för nyanställda lärare samt för utvecklingsansvariga som arbetar med att bygga upp mentorsystem eller bedriver annat utvecklingsarbete. Boken är också tänkt att användas som kurslitteratur i utbildningar av mentorer.
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| 3. |
- Aili, Carola, et al.
(författare)
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Mentorskap : att organisera skolans möte med nya lärare
- 2003
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Författarna tar i denna bok ställning för lärarkårens möjligheter att vara expert på det egna arbetsområdet. De menar att ett mentorsystem inte bara är ett stöd för nyanställda utan också kan bidra till enskilda skolors utveckling. Bra mentorsystem kan bidra till att nyanställda anpassar sig till goda traditioner och arbetssätt men också till att lärarkollegiet anpassar sig till ny bra kunskap som nyanställda har med sig. Författarna utgår från att såväl anpassning och stabilitet som utveckling och förändring behövs i skolan. Boken tar avstamp i frågor som rör lärarkårens professionalisering. Att bygga upp ett mer genomgripande system för mottagande av nyanställda innebär att många av skolans anställda blir delaktiga i principiella diskussioner kring lärararbete och skolorganisation. Detta kan bidra till kunskapsutvecklingen inom hela kåren och en färdighet i att behandla kvalitets- och utvecklingsfrågor. Stort utrymme ges åt att beskriva lärararbetets karaktär och den nyanställdes situation. Författarna har själva arbetat med mentorsutbildning och mentorsystem och försökt göra detta med teoretisk medvetenhet. Utifrån dessa erfarenheter ges läsaren verktyg från interaktionistisk socialpsykologi och handlingsteori för att kunna handskas med lärararbete och mentorsystem. Rent praktiska frågor behandlas också i boken, t.ex. kommunikation i handledningssituationen, grupprocesser när nya medarbetare tillkommer, mentorsutbildning, mentorsbank, mentorshandledning och upplägg av introduktionsprogram. Boken är avsedd för lärare med uppdrag att vara mentorer, för nyanställda lärare samt för utvecklingsansvariga som arbetar med att bygga upp mentorsystem eller bedriver annat utvecklingsarbete. Boken är också tänkt att användas som kurslitteratur i utbildningar av mentorer.
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| 4. |
- Bergström, Göran, 1964, et al.
(författare)
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Prevalence of Subclinical Coronary Artery Atherosclerosis in the General Population
- 2021
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Ingår i: Circulation. - Philadelphia : American Heart Association. - 0009-7322 .- 1524-4539. ; 144:12, s. 916-929
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Tidskriftsartikel (refereegranskat)abstract
- Background: Early detection of coronary atherosclerosis using coronary computed tomography angiography (CCTA), in addition to coronary artery calcification (CAC) scoring, may help inform prevention strategies. We used CCTA to determine the prevalence, severity, and characteristics of coronary atherosclerosis and its association with CAC scores in a general population.Methods: We recruited 30 154 randomly invited individuals age 50 to 64 years to SCAPIS (the Swedish Cardiopulmonary Bioimage Study). The study includes individuals without known coronary heart disease (ie, no previous myocardial infarctions or cardiac procedures) and with high-quality results from CCTA and CAC imaging performed using dedicated dual-source CT scanners. Noncontrast images were scored for CAC. CCTA images were visually read and scored for coronary atherosclerosis per segment (defined as no atherosclerosis, 1% to 49% stenosis, or ≥50% stenosis). External validity of prevalence estimates was evaluated using inverse probability for participation weighting and Swedish register data.Results: In total, 25 182 individuals without known coronary heart disease were included (50.6% women). Any CCTA-detected atherosclerosis was found in 42.1%; any significant stenosis (≥50%) in 5.2%; left main, proximal left anterior descending artery, or 3-vessel disease in 1.9%; and any noncalcified plaques in 8.3% of this population. Onset of atherosclerosis was delayed on average by 10 years in women. Atherosclerosis was more prevalent in older individuals and predominantly found in the proximal left anterior descending artery. Prevalence of CCTA-detected atherosclerosis increased with increasing CAC scores. Among those with a CAC score >400, all had atherosclerosis and 45.7% had significant stenosis. In those with 0 CAC, 5.5% had atherosclerosis and 0.4% had significant stenosis. In participants with 0 CAC and intermediate 10-year risk of atherosclerotic cardiovascular disease according to the pooled cohort equation, 9.2% had CCTA-verified atherosclerosis. Prevalence estimates had excellent external validity and changed marginally when adjusted to the age-matched Swedish background population.Conclusions: Using CCTA in a large, random sample of the general population without established disease, we showed that silent coronary atherosclerosis is common in this population. High CAC scores convey a significant probability of substantial stenosis, and 0 CAC does not exclude atherosclerosis, particularly in those at higher baseline risk.
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| 5. |
- Bergström, Göran, et al.
(författare)
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Prevalence of Subclinical Coronary Artery Atherosclerosis in the General Population
- 2021
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Ingår i: Circulation. - : Wolters Kluwer. - 0009-7322 .- 1524-4539. ; 144:12, s. 916-929
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Tidskriftsartikel (refereegranskat)abstract
- Background: Early detection of coronary atherosclerosis using coronary computed tomography angiography (CCTA), in addition to coronary artery calcification (CAC) scoring, may help inform prevention strategies. We used CCTA to determine the prevalence, severity, and characteristics of coronary atherosclerosis and its association with CAC scores in a general population.Methods: We recruited 30 154 randomly invited individuals age 50 to 64 years to SCAPIS (the Swedish Cardiopulmonary Bioimage Study). The study includes individuals without known coronary heart disease (ie, no previous myocardial infarctions or cardiac procedures) and with high-quality results from CCTA and CAC imaging performed using dedicated dual-source CT scanners. Noncontrast images were scored for CAC. CCTA images were visually read and scored for coronary atherosclerosis per segment (defined as no atherosclerosis, 1% to 49% stenosis, or ≥50% stenosis). External validity of prevalence estimates was evaluated using inverse probability for participation weighting and Swedish register data.Results: In total, 25 182 individuals without known coronary heart disease were included (50.6% women). Any CCTA-detected atherosclerosis was found in 42.1%; any significant stenosis (≥50%) in 5.2%; left main, proximal left anterior descending artery, or 3-vessel disease in 1.9%; and any noncalcified plaques in 8.3% of this population. Onset of atherosclerosis was delayed on average by 10 years in women. Atherosclerosis was more prevalent in older individuals and predominantly found in the proximal left anterior descending artery. Prevalence of CCTA-detected atherosclerosis increased with increasing CAC scores. Among those with a CAC score >400, all had atherosclerosis and 45.7% had significant stenosis. In those with 0 CAC, 5.5% had atherosclerosis and 0.4% had significant stenosis. In participants with 0 CAC and intermediate 10-year risk of atherosclerotic cardiovascular disease according to the pooled cohort equation, 9.2% had CCTA-verified atherosclerosis. Prevalence estimates had excellent external validity and changed marginally when adjusted to the age-matched Swedish background population.Conclusions: Using CCTA in a large, random sample of the general population without established disease, we showed that silent coronary atherosclerosis is common in this population. High CAC scores convey a significant probability of substantial stenosis, and 0 CAC does not exclude atherosclerosis, particularly in those at higher baseline risk.
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| 6. |
- Bryhn, Andreas, et al.
(författare)
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Fisk- och skaldjursbestånd i hav och sötvatten 2019 : Resursöversikt
- 2020
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Fisken i havet är en resurs som rör sig fritt över nationella gränser. EU har därför en gemensam fiskeripolitik (GFP). Många arter som är viktiga för Sverige regleras inte i GFP och förvaltas därför nationellt.Denna rapport syftar till att:beskriva utvecklingen av fiskeripolitikenförklara den nuvarande politikens mål och regelverk och dess relation till mål och regler på miljöområdetförklara politikens nationella genomförande och det nationella handlingsutrymmetexemplifiera hur Havs- och vattenmyndigheten arbetat med att reglera fisket.
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| 7. |
- Carlsson, Håkan, et al.
(författare)
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Competition Between Monovalent and Divalent Counterions in a Surfactant / Water System
- 1996
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Ingår i: Journal of Colloid and Interface Science. - : Elsevier BV. - 0021-9797 .- 1095-7103. ; 180:2, s. 598-604
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Tidskriftsartikel (refereegranskat)abstract
- Competition between mono- and divalent ions in the association of counterions to the headgroups of amphiphiles was studied in one surfactant system with organic counterions (piperidine+/piperazine2+octanesulfonate) and one with inorganic counterions (Na+/Ca2+octyl sulfate). By conductivity and13C NMR chemical shift measurements the critical micelle concentration (CMC) was found to decrease drastically when small amounts of divalent counterions were present in the system. Self-diffusion coefficients of surfactant ions and organic counterions were measured in the micellar phase by the Fourier transform pulsed-gradient spin-echo (FT-PGSE) NMR method. The degree of counterion binding in the micellar system with piperidine+/piperazine2+counterions was obtained from FT-PGSE NMR measurements. It was observed that the divalent counterions were more strongly bound than the monovalent counterions. The experimental results were compared with theoretical Poisson–Boltzmann calculations. The cell model was used to study the electrostatic effects. Good agreement between electrostatic theory and experiment was observed; however, an attractive force exists between the monovalent piperidine counterions and the micelle, probably because of hydrophobic interactions.
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| 8. |
- Matan, Dmitri, et al.
(författare)
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Extracellular vesicles in heart failure : A study in patients with heart failure with preserved ejection fraction or heart failure with reduced ejection fraction characteristics undergoing elective coronary artery bypass grafting
- 2022
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Ingår i: Frontiers in Cardiovascular Medicine. - : Frontiers Media S.A.. - 2297-055X. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- AimsExtracellular vesicles (EVs) were investigated as potential biomarkers associated with heart failure (HF) pathophysiology in patients undergoing elective coronary artery bypass surgery characterized by HF phenotype. Materials and methodsPatients with preoperative proxy-diagnoses of HF types i.e., preserved (HFpEF; n = 19) or reduced ejection fraction (HFrEF; n = 20) were studied and compared to patients with normal left ventricular function (n = 42). EVs in plasma samples collected from the coronary sinus, an arterial line, and from the right atrium were analyzed by flow cytometry. We studied EVs of presumed cardiomyocyte origin [EVs exposing Connexin-43 + Caveolin-3 (Con43 + Cav3) and Connexin-43 + Troponin T (Con43 + TnT)], of endothelial origin [EVs exposing VE-Cadherin (VE-Cad)] and EVs exposing inflammatory markers [myeloperoxidase (MPO) or pentraxin3 (PTX3)]. ResultsMedian concentrations of EVs exposing Con43 + TnT and Con43 + Cav3 were approximately five to six times higher in coronary sinus compared to radial artery indicative of cardiac release. Patients with HFrEF had high trans-coronary gradients of both Con43 + TnT and Con43 + Cav3 EVs, whereas HFpEF had elevated gradients of Con43 + Cav3 EVs but lower gradients of Con43 + TnT. Coronary sinus concentrations of both Con43 + TnT and Con43 + Cav3 correlated significantly with echocardiographic and laboratory measures of HF. MPO-EV concentrations were around two times higher in the right atrium compared to the coronary sinus, and slightly higher in HFpEF than in HFrEF. EV concentrations of endothelial origin (VE-Cad) were similar in all three patient groups. ConclusionCon43 + TnT and Con43 + Cav3 EVs are released over the heart indicating cardiomyocyte origin. In HFrEF the EV release profile is indicative of myocardial injury and myocardial stress with elevated trans-coronary gradients of both Con43 + TnT and Con43 + Cav3 EVs, whereas in HFpEF the profile indicates myocardial stress with less myocardial injury.
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| 9. |
- Persson, Johan, et al.
(författare)
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Stiffness and strength of cranioplastic implant systems in comparison to cranial bone
- 2018
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Ingår i: Journal of Cranio-Maxillofacial Surgery. - : Elsevier BV. - 1010-5182 .- 1878-4119. ; 46:3, s. 418-423
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of this study was to evaluate skull replacement options after decompressive craniectomy by systematically investigating which combination of geometrical properties and material selection would result in a mechanical response comparable in stiffness to that of native skull bone and a strength as high or higher than the same. Materials and methods: The study was conducted using a Finite Element Model of the top part of a human skull. Native skull bone, autografts and commercial implants made of PEEK, solid titanium, two titanium meshes and a titanium-ceramic composite were modeled under a set load to evaluate deformation and maximum stress. Results: The computational result showed a large variation of the strength and effective stiffness of the autografts and implants. The stiffness of native bone varied by a factor of 20 and the strength by a factor of eight. The implants span the entire span of the native skull, both in stiffness and strength. Conclusion: All the investigated implant materials had a potential for having the same effective stiffness as the native skull bone. All the materials also had the potential to be as strong as the native bone. To match inherent properties, the best choice of material and thickness is thus patient specific, depending on the quality of the patient's native bone.
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| 10. |
- Persson, Ninni, et al.
(författare)
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Effects of DARPP-32 Genetic Variation on Prefrontal Cortex Volume and Episodic Memory Performance
- 2017
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Ingår i: Frontiers in Neuroscience. - : Frontiers Media S.A.. - 1662-4548 .- 1662-453X. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Despite evidence of a fundamental role of DARPP-32 in integrating dopamine and glutamate signaling, studies examining gene coding for DARPP-32 in relation to neural and behavioral cor-relates in humans are scarce. Post mortem findings evidence genotype specific expressions of DARPP-32 in the dorsal frontal lobes. We therefore investigated the effects of genomic variation in DARPP-32 coding on frontal lobe volumes and episodic memory. Volumetric data from the dorsolateral (DLPFC), and visual cortices (VC) were obtained from 61 younger and older adults (♀54%). The major homozygote G, T or A genotypes in single nucleotide polymorphisms (SNPs: rs879606; rs907094; rs3764352), at the DARPP-32 regulating PPP1R1B gene influenced frontal gray matter volume and episodic memory (EM). Homozygous carriers of allelic variants with lower DARPP-32 expression had overall larger prefrontal volumes, in addition to greater EM recall accuracy. The SNPs did not influence VC volume. The genetic effects on DLPFC were greater in younger adults, and selective to this group for EM. Our findings suggest that genomic variation maps on to individual differences in frontal brain volumes, and cognitive functions. Larger DLPFC volumes were also related to better EM performance, suggesting that gene-related differences in frontal gray matter may contribute to individual differences in EM. These results need further replication from experimental and longitudinal reports to determine directions of causality.
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