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- Lumme, Sonja, et al.
(författare)
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Longitudinal biobanks-based study on the joint effects of infections, nutrition and hormones on risk of prostate cancer.
- 2016
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Ingår i: Acta Oncologica. - 0284-186X .- 1651-226X. ; 55:7, s. 839-45
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Tidskriftsartikel (refereegranskat)abstract
- Background To evaluate the individual and combined effects of enterolactone, vitamin D, free testosterone, Chlamydia trachomatis and HPV-18 on the risk of prostate cancer in a large population-based biochemical material that combined three Nordic serum sample banks. Material and methods A joint cohort of 209 000 healthy men was followed using cancer registry linkages. From this cohort altogether 699 incident cases of prostate cancer were identified. Four controls were selected by incidence density sampling and matching for country, age and date of the blood sampling. Complete data for all investigated exposures was available for 483 eligible cases and 1055 eligible controls. Multivariate regression analyses were performed to investigate the solitary and combined effects. Results The solitary effects were small. Significantly increased risk [rate ratio 1.6 (95% CI 1.0-2.5)] was found in those seronegative for C. trachomatis infection. The joint effect in risk levels of enterolactone and vitamin D was antagonistic [observed rate ratio (RR) 1.4 (1.0-2.1), expected RR 2.0 (1.0-4.1)] as well as that of HPV-18 and C. trachomatis [observed RR 1.9 (0.8-4.5), expected RR 9.9 (1.1-87.0)]. Conclusion A large follow-up study combining data from several previously investigated exposures to investigate joint effects found no evidence that exposure to two risk factors would increase the risk of prostate cancer from that expected on basis of exposure to one risk factor. If anything, the results were consistent with antagonistic interactions.
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- Myllyviita, Tanja, et al.
(författare)
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Assessing biodiversity impacts in life cycle assessment framework - Comparing approaches based on species richness and ecosystem indicators in the case of Finnish boreal forests
- 2019
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Ingår i: Journal of Cleaner Production. - : Elsevier BV. - 0959-6526. ; 236
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Tidskriftsartikel (refereegranskat)abstract
- Impacts of bioeconomy on climate have been much discussed, but less attention has been given to biodiversity deterioration. One approach to assess biodiversity impacts is Life Cycle Assessment (LCA). Finland is a forested country with intensive forest industries, but only coarse biodiversity LCA methods are available. The aim of this study was to further develop and apply approaches to assess the biodiversity impacts of wood use in Finland. With the species richness approach (all taxons included), biodiversity impacts were higher in Southern than in Northern Finland but impacts in Southern and Northern Finland were lower when mammals, birds and molluscs were included. With the ecosystem indicators approach, if the reference situation were forest in its natural state, biodiversity impacts were higher than in the case where the initial state of forest before final felling was used to derive biodiversity loss. In both cases, the biodiversity impacts were higher in Northern Finland. These results were not coherent as the model applying species richness data assesses biodiversity loss based on all species, whereas the ecosystem indicators approach considers vulnerable species. One limitation of the species richness approach was that there were no reliable datasets available. In the ecosystem indicators approach, it was noticed that the biodiversity of managed Finnish forests is substantially lower than in natural forests. Biodiversity LCA approaches are highly sensitive to reference states, applied model and data. It is essential to develop approaches capable of comparing biodiversity impacts of forest management practices, or when looking at multiple environmental impacts simultaneously with the LCA framework.
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- Pesonen, Erkki, et al.
(författare)
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Serum chlamydial lipopolysaccharide as a prognostic factor for a new cardiovascular event.
- 2009
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Ingår i: Heart & Lung. - : Elsevier BV. - 1527-3288 .- 0147-9563. ; 38:3, s. 176-181
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Infections caused by Chlamydia pneumoniae are considered to participate in inflammatory processes leading to coronary artery disease. After a primary infection, the bacteria remain dormant intracellularly causing a chronic inflammatory stimulus. MATERIALS AND METHODS: Blood samples were obtained from 235 patients with acute myocardial infarction (AMI) and 108 patients with unstable angina pectoris (UA). We evaluated the prognostic significance of bacterial and viral antibody titers, serum troponin T, C-reactive protein, and chlamydial lipopolysaccharide (cLPS) concentrations during acute coronary syndrome of patients with AMI and UA for cardiovascular death and new UA and AMI that required hospital care during a 6-year follow-up. RESULTS: Serum cLPS levels correlated with C-reactive protein and serum troponin T concentrations during acute coronary events. Patients with AMI had significantly higher serum concentration of cLPS compared with patients with UA. Enterovirus antibody titers and cholesterol-lowering therapy at admission of the index event were negatively correlated with cLPS concentration (r = -.198, P = .0003 and r = -.26, P = .019, respectively). The presence of circulating cLPS was associated with a hazard ratio of 2.04 for a new cardiovascular event during the follow-up period (P = .006). The area under the curve in the receiver operating graph was .572. CONCLUSION: cLPS is evidently liberated from the infected atherosclerotic tissue during an acute coronary event. Our study supports the view that inflammation caused by C. pneumoniae infection is an important but as yet poorly understood factor in the development of atherosclerosis and may play a role in acute vascular events.
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