| 1. |
- 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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| 2. |
- Bäckström, Daniel, 1985, et al.
(författare)
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Particle composition and size distribution in coal flames - The influence on radiative heat transfer
- 2015
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Ingår i: Experimental Thermal and Fluid Science. - : Elsevier BV. - 0894-1777 .- 1879-2286. ; 64, s. 70-80
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Tidskriftsartikel (refereegranskat)abstract
- Radiative heat transfer in a 77 kWth swirling lignite flame has been studied. The aim is to characterize different particle types present in a coal flame and to determine their influence on the radiative heat transfer. The study combines extractive particle measurements, radiative intensity measurements and detailed radiation modelling. The size distribution of the extracted particles was measured with a low pressure impactor and some of the size fractions were analysed with SEM–EDX. The measured total radiative intensity is compared with the modelled intensity based on the particle measurements in the same cross-section of the flame. The particle properties were calculated with Mie theory and the gas properties with a statistical narrow-band model. The results show that the contribution of coal/char particles dominates the radiative heat transfer in the investigated cross-section of the flame. The methodology applied in this work shows promising results for characterization of particle radiation in flames of practical size.
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| 3. |
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| 4. |
- Askne, Jan, 1936, et al.
(författare)
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Biomass growth from multi-temporal TanDEM-X interferometric synthetic aperture radar observations of a boreal forest site
- 2018
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Ingår i: Remote Sensing. - : MDPI AG. - 2072-4292. ; 10:4
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Tidskriftsartikel (refereegranskat)abstract
- Forest growth estimation is important in forest research and forest management, but complex to analyze in diverse forest stands. Twelve summertime TanDEM-X acquisitions from the boreal test site, Krycklan, in Sweden, with a known digital terrain model, DTM, have been used to study phase height and aboveground biomass change over 3.2 years based on the Interferometric Water Cloud Model, IWCM. The maximum phase height rate was determined to 0.29 m/yr, while the mean phase height rate was 0.16 m/yr. The corresponding maximum growth rate of the aboveground dry biomass, AGB, was 4.0 Mg/ha/yr with a mean rate of 1.9 Mg/ha/yr for 27 stands, varying from 23 to 183 Mg/ha. The highest relative AGB growth was found for young stands and high growth rates up to an age of 150 years. Growth rate differences relative a simplified model assuming AGB to be proportional to the phase height were studied, and the possibility to avoid a DTM was discussed. Effects of tree species, thinning, and clear cutting were evaluated. Verifications using in situ data from 2008 and a different in situ dataset combined with airborne laser scanning data from 2015 have been discussed. It was concluded that the use of multi-temporal TanDEM-X interferometric synthetic aperture radar observations with AGB estimates of each individual observation can be an important method to derive growth rates in boreal forests.
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| 5. |
- Askne, Jan, 1936, et al.
(författare)
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On the Sensitivity of TanDEM-X-Observations to Boreal Forest Structure
- 2019
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Ingår i: Remote Sensing. - : MDPI AG. - 2072-4292. ; 11:14
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Tidskriftsartikel (refereegranskat)abstract
- The structure of forests is important to observe for understanding coupling to global dynamics of ecosystems, biodiversity, and management aspects. In this paper, the sensitivity of X-band to boreal forest stem volume and to vertical and horizontal structure in the form of forest height and horizontal vegetation density is studied using TanDEM-X satellite observations from two study sites in Sweden: Remningstorp and Krycklan. The forest was analyzed with the Interferometric Water Cloud Model (IWCM), without the use of local data for model training, and compared with measurements by Airborne Lidar Scanning (ALS). On one hand, a large number of stands were studied, and in addition, plots with different types of changes between 2010 and 2014 were also studied. It is shown that the TanDEM-X phase height is, under certain conditions, equal to the product of the ALS quantities for height and density. Therefore, the sensitivity of phase height to relative changes in height and density is the same. For stands with a phase height >5 m we obtained an root-mean-square error, RMSE, of 8% and 10% for tree height in Remningstorp and Krycklan, respectively, and for vegetation density an RMSE of 13% for both. Furthermore, we obtained an RMSE of 17% for estimation of above ground biomass at stand level in Remningstorp and in Krycklan. The forest changes estimated with TanDEM-X/IWCM and ALS are small for all plots except clear cuts but show similar trends. Plots without forest management changes show a mean estimated height growth of 2.7% with TanDEM-X/IWCM versus 2.1% with ALS and a biomass growth of 4.3% versus 4.2% per year. The agreement between the estimates from TanDEM-X/IWCM and ALS is in general good, except for stands with low phase height.
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| 6. |
- Bratlie, Svein-Olav, et al.
(författare)
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Resectable, borderline, and locally advanced pancreatic cancer-"the good, the bad, and the ugly" candidates for surgery?
- 2021
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Ingår i: Journal of Gastrointestinal Oncology. - : AME Publishing Company. - 2078-6891 .- 2219-679X. ; 12:5, s. 2450-2460
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Tidskriftsartikel (refereegranskat)abstract
- The possibility of surgical resection strongly overrules medical oncologic treatment and is the only modality, causa sine qua non, long-term survival can be achieved in patients with pancreatic cancer. For this reason, the clinical classification of local resectability, subdividing tumors into resectable, borderline resectable, and locally advanced cancer, that is very technical in nature, is the one most widely used and accepted. As multimodality treatment with potent agents, particularly in the neoadjuvant setting, seems to be stepping forward as the new standard of treatment of pancreatic cancer, the established technical surgical landmarks tend to get challenged. This review aims to highlight the grey zones in the current classifications for local tumor involvement with respect to the observed patient outcome in the current multimodality treatment era. It summarizes the latest reported series on the outcome of resected primary resectable, borderline and locally advanced pancreatic cancer, and particularly vascular resections during pancreatectomy, in the background of different types of neoadjuvant therapy. It also hints what the new horizons of cancer biology tend to reveal whenever the technical hinders start being pushed aside. The current calls for the necessity of re-classification of the clinical categories of pancreatic cancer, from technically oriented to biology-focused individualized approach, are being elucidated.
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| 7. |
- Brinkmalm, Gunnar, et al.
(författare)
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An online nano-LC-ESI-FTICR-MS method for comprehensive characterization of endogenous fragments from amyloid β and amyloid precursor protein in human and cat cerebrospinal fluid.
- 2012
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Ingår i: Journal of mass spectrometry : JMS. - : Wiley. - 1096-9888 .- 1076-5174. ; 47:5, s. 591-603
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Tidskriftsartikel (refereegranskat)abstract
- Amyloid precursor protein (APP) is the precursor protein to amyloid β (Aβ), the main constituent of senile plaques in Alzheimer's disease (AD). Endogenous Aβ peptides reflect the APP processing, and greater knowledge of different APP degradation pathways is important to understand the mechanism underlying AD pathology. When one analyzes longer Aβ peptides by low-energy collision-induced dissociation tandem mass spectrometry (MS/MS), mainly long b-fragments are observed, limiting the possibility to determine variations such as amino acid variants or post-translational modifications (PTMs) within the N-terminal half of the peptide. However, by using electron capture dissociation (ECD), we obtained a more comprehensive sequence coverage for several APP/Aβ peptide species, thus enabling a deeper characterization of possible variants and PTMs. Abnormal APP/Aβ processing has also been described in the lysosomal storage disease Niemann-Pick type C and the major large animal used for studying this disease is cat. By ECD MS/MS, a substitution of Asp7 → Glu in cat Aβ was identified. Further, sialylated core 1 like O-glycans at Tyr10, recently discovered in human Aβ (a previously unknown glycosylation type), were identified also in cat cerebrospinal fluid (CSF). It is therefore likely that this unusual type of glycosylation is common for (at least) species belonging to the magnorder Boreoeutheria. We here describe a detailed characterization of endogenous APP/Aβ peptide species in CSF by using an online top-down MS-based method.
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| 8. |
- Brynhildsen, Jan, 1962-, et al.
(författare)
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Follow-Up of Patients With Low Back Pain During Pregnancy
- 1998
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Ingår i: Obstetrics and Gynecology. - : American College of Obstetricians and Gynecologists (ACOG). - 0029-7844 .- 1873-233X. ; 91:2, s. 182-186
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To identify the long-term risk for low back pain among women with previous severe low back pain during pregnancy.Methods: In a previous prospective study, 79 pregnant women developed low back pain severe enough to require sick leave. Twelve years later a questionnaire was sent to 62 of these women and 84 controls who did not develop severe low back pain during pregnancy. The questionnaire asked about occupation, low back pain in general and during later pregnancies, and sick leave due to low back pain. There were also questions regarding use of oral contraceptives and its possible relation to low back pain.Results: The response rate was 84% in the back pain group and 80% among controls. The two groups were similar according to the percentage of women having had another pregnancy (33 of 52 [63%] versus 39 of 67 [58%]) but ten (19%) of the women with previous low back pain stated they had refrained from another pregnancy because of their fear of low back pain compared with only one control. Almost all women (31 of 33) with previous severe low back pain experienced the same symptoms in a subsequent pregnancy, compared with 17 of 39 (44%) controls. Even when they were not pregnant, women with previous low back pain suffered more often and used more sick leave due to low back pain (44 of 52 versus 43 of 67, chi(2) = 5.68, P < .05). The location (sacroiliac joint or lumbar affection) of the previous low back pain did not affect the long-term prognosis. In a logistic regression model, previous low back pain during pregnancy was the only independent risk factor for low back pain during a subsequent pregnancy, whereas an occupation involving physical demand did not affect the results. However, together with previous low back pain during pregnancy, heavy occupation increased the risk for current nonpregnant low back pain.Conclusion: Women with severe low back pain during pregnancy have an extremely high risk for experiencing a new episode of severe low back pain during another pregnancy and when not pregnant.
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| 9. |
- Frisk, J., et al.
(författare)
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Exercise and smoking habits among Swedish postmenopausal women
- 1997
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Ingår i: British Journal of Sports Medicine. - : BMJ Publishing Group Ltd. - 0306-3674 .- 1473-0480. ; 31:3, s. 217-223
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To assess exercise habits and their relation to smoking habits and social and medical factors in postmenopausal women.Methods: A cross-sectional study with a questionnaire to all 1324 55-56 year old women in Linkoping, Sweden.Results: Response rate was 85%. About a third of the women took part in some kind of quite strenuous exercise for at least one hour a week. About a quarter worked out once a week; fewer did swimming and jogging. One in four women smoked. Women who used hormone replacement therapy, who were not smoking and who had a physically light occupation more often took part in strenuous sports. Women who had been treated for malignancies or with back problems exercised to the same extent as women in the general population.Conclusion: About a third of the post-menopausal women exercised on a regular basis, if exercise involved in getting to and ti om work was not counted. Since regular physical exercise has many health benefits, more women should be encouraged to take part in regular physical exercise. Factors probably associated with level of education and general awareness of the importance of a healthy Lifestyle positively influenced the likelihood of these women to be physically active on a regular basis. A previous malignant disease or current back problems did not prevent women from taking part in exercise on a regular basis.
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| 10. |
- Gaines, Hans, et al.
(författare)
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Six-week follow-up after HIV-1 exposure: a position statement from the Public Health Agency of Sweden and the Swedish Reference Group for Antiviral Therapy
- 2016
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Ingår i: Infectious Diseases. - : Informa UK Limited. - 2374-4235 .- 2374-4243. ; 48:2, s. 93-98
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Forskningsöversikt (refereegranskat)abstract
- In 2014 the Public Health Agency of Sweden and the Swedish Reference Group for Antiviral Therapy (RAV) conducted a review and analysis of the state of knowledge on the duration of follow-up after exposure to human immunodeficiency virus (HIV). Up until then a follow-up of 12 weeks after exposure had been recommended, but improved tests and new information on early diagnosis motivated a re-evaluation of the national recommendations by experts representing infectious diseases and microbiology, county medical officers, the RAV, the Public Health Agency, and other national authorities. Based on the current state of knowledge the Public Health Agency of Sweden and the RAV recommend, starting in April 2015, a follow-up period of 6 weeks after possible HIV-1 exposure, if HIV testing is performed using laboratory-based combination tests detecting both HIV antibody and antigen. If point-of-care rapid HIV tests are used, a follow-up period of 8 weeks is recommended, because currently available rapid tests have insufficient sensitivity for detection of HIV-1 antigen. A follow-up period of 12 weeks is recommended after a possible exposure for HIV-2, since presently used assays do not include HIV-2 antigens and only limited information is available on the development of HIV antibodies during early HIV-2 infection. If pre- or post-exposure prophylaxis is administered, the follow-up period is recommended to begin after completion of prophylaxis. Even if infection cannot be reliably excluded before the end of the recommended follow-up period, HIV testing should be performed at first contact for persons who seek such testing.
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