| 1. |
- Holmer, Helene, et al.
(författare)
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Fracture incidence in GH-deficient patients on complete hormone replacement including GH
- 2007
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Ingår i: Journal of Bone and Mineral Research. - : Wiley. - 0884-0431 .- 1523-4681. ; 22:12, s. 1842-1850
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Tidskriftsartikel (refereegranskat)abstract
- Fracture risk in GHD patients is not definitely established. Studying fracture incidence in 832 patients on GH therapy and 2581 matched population controls, we recorded a doubled fracture risk in CO GHD women, but a significantly lower fracture risk in AO GHD men. Introduction: The objective of this study was to evaluate fracture incidence in patients wilh confirmed growth hormone deficiency (GHD) on replacement therapy (including growth hormone [GH]) compared with population controls, while also taking potential confounders and effect modifiers into account. Materials and Methods: Eight hundred thirty-two patients with GHD and 2581 matched population controls answered a questionnaire about fractures and other background information. Incidence rate ratio (IRR) and 95% CI for first fracture were estimated. The median time on GH therapy for childhood onset (CO) GHD men and women was 15 and 12 yr, respectively, and 6 and 5 yr for adult onset (AO) GHD men and women, respectively. Results: A more than doubled risk (IRR, 2.29; 95% CI, 1.23-4.28) for nonosteoporotic fractures was recorded in women with CO GHD, whereas no risk increase was observed among CO GHD men (IRR. 0.61) and AO GHD women (IRR, 1.08). A significantly decreased incidence of fractures (IRR, 0.54; 95% CI 0.34-0.86) was recorded in AO GHD men. Conclusions: Increased fracture risk in CO GHD women can most likely be explained by interaction between oral estrogen and the GH-IGF-I axis. The adequate substitution rate of testosterone (90%) and GH (94%) may have resulted in significantly lower fracture risk in AO GHD men.
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| 2. |
- Holmer, Helene, et al.
(författare)
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Nonfatal stroke, cardiac disease, and diabetes mellitus in hypopituitary patients on hormone replacement including growth hormone
- 2007
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Ingår i: Journal of Clinical Endocrinology and Metabolism. - : The Endocrine Society. - 1945-7197 .- 0021-972X. ; 92:9, s. 3560-3567
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Tidskriftsartikel (refereegranskat)abstract
- Context: The impact of long-term GH replacement on cerebrovascular and cardiovascular diseases and diabetes mellitus in hypopituitary patients is unknown. Objective: The incidence of nonfatal stroke and cardiac events, and prevalence of type 2 diabetes mellitus ( T2D) and cardioprotective medication were compared between cohorts of GH-deficient (GHD) patients and population controls. Design and Participants: The incidence of nonfatal stroke and cardiac events was estimated retrospectively from questionnaires in 750 GHD patients and 2314 matched population controls. A prevalence of T2D and cardioprotective medication was recorded at the distribution of questionnaires. Time since first pituitary deficiency to start of GH therapy was 4 and 2 yr, and time on GH therapy was 6 yr for GHD women and men, respectively. Results: Lifelong incidence of nonfatal stroke was tripled in GHD women and doubled in GHD men, but a decline was seen in both genders during periods after first pituitary hormone deficiency and GHD, during which most patients had GH therapy. The lifelong incidence of nonfatal cardiac events declined in GHD men during first pituitary hormone deficiency and GHD periods. GHD women had a higher prevalence of T2D and lipid-lowering medication, whereas GHD men had a higher prevalence of antihypertensive medication. Conclusions: The declined risks of nonfatal stroke in both genders and of nonfatal cardiac events in GHD men during periods on GH replacement may be caused by prescription of cardioprotective drugs and 6-yr GH replacement. GHD women had an increased prevalence of T2D, partly attributed to higher body mass index and lower physical activity.
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| 3. |
- Holmer, Helene, et al.
(författare)
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Psychosocial health and levels of employment in 851 hypopituitary Swedish patients on long-term GH therapy
- 2013
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Ingår i: Psychoneuroendocrinology. - : Elsevier. - 0306-4530 .- 1873-3360. ; 38:6, s. 842-852
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Tidskriftsartikel (refereegranskat)abstract
- Context: The psychosocial health and working capacity in hypopituitary patients receiving long-term growth hormone (GH) therapy are unknown. less thanbrgreater than less thanbrgreater thanObjective: Psychosocial health and levels of employment were compared between GH deficient (GHD) patients on long-term replacement and the general population. less thanbrgreater than less thanbrgreater thanDesign and participants: In a Swedish nationwide study, 851 GHD patients [101 childhood onset (CO) and 750 adult onset (AO)] and 2622 population controls answered a questionnaire regarding current living, employment and educational level, alcohol consumption and smoking habits. The median time on GH therapy for both men and women with CO GHD was 9 years and for AO GHD 6 years, respectively. less thanbrgreater than less thanbrgreater thanResults: As compared to the controls, the GHD patients were less often working full time, more often on sick leave/disability pension, and to a larger extent alcohol abstainers and never smokers (all; P andlt; 0.05). Predominantly CO GHD women and men, but to some extent also AO GHD women and men, lived less frequently with a partner and more often with their parents. Particularly AO GHD craniopharyngioma women used more antidepressants, while AO GHD men with a craniopharyngioma used more analgesics. less thanbrgreater than less thanbrgreater thanConclusions: A working capacity to the level of the general population was not achieved among hypopituitary patients, although receiving long-term GH therapy. Patients were less likely to use alcohol and tobacco. The CO GHD population lived a less independent life.
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| 4. |
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| 5. |
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| 6. |
- Svensson, Britt-Marie, et al.
(författare)
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Leachability testing of sludge from street gullies
- 2006
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Ingår i: Waste Management & Research. - 1096-3669 .- 0734-242X. ; 24:3, s. 260-268
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Tidskriftsartikel (refereegranskat)abstract
- Sludge from gullies, on two types of streets with different traffic intensity, was investigated using two recommended EU methods for leachability testing of waste: a two-stage batch test and an up-flow percolation test. The main purpose of this investigation was to gain more knowledge about these leaching test methods to be able to make future decisions on the general applicability of the proposed tests. A number of parameters were determined in the sludge as well as in the eluates obtained from the two leaching tests. These include pH, conductivity, dissolved organic carbon and inorganic ions as chloride ions. A number of metals as Cd, Cr, Cu, Hg, Ni and Zn, were determined by inductive coupled plasmamass spectrometry and organic compounds were screened by high performance liquid chromatography-diode array UV detection and gas chromatography-mass spectrometry. It was found that the concentrations of metals and organic compounds in the sludge were several orders of magnitudes higher than the actual eluate concentrations. For all metals the concentrations were well below the proposed limit values for non-hazardous waste included in the Council decision document 2003/33/EC. Generally, concentrations obtained in batch test were equal or higher than from percolation tests. The repeatability of the percolation and the batch test were in average 28 and 17%, respectively.
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| 7. |
- Svensson, Henric, 1984-, et al.
(författare)
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Acute Toxic Effects Caused by Leachate from Five Different Tree Species on Artemia Salina and Vibro Fischeri
- 2012
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Ingår i: Journal of Biobased Materials and Bioenergy. - : American Scientific Publishers. - 1556-6560 .- 1556-6579. ; 6:2, s. 214-220
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Forskningsöversikt (refereegranskat)abstract
- Abstract: In this study, leachates resulting from leaching tests carried out with sawdust from five tree species were investigated. The studied species were: Pedunculate oak (Quercus robur), Scots pine (Pinus sylvestris), European larch (Larix decidua), Norway spruce (Picea abies) and European beech (Fagus sylvatica). The analyses included chemical parameters such as pH, TOC and phenolic compounds (reported as total poly-phenols) and acute toxicity on two different organisms, the crustacean Artemia sauna and the bacteria Vibro fischeri (Microtox (R)). There are very high amounts of different phenolic compounds in the leachate, and large differences between tree species. The leachates produced by sawdust and bark of different tree species presented great variation regarding acute toxicity. V fischeri was more sensitive than A. sauna and leachates from pine sawdust and pine bark produced the highest toxicity response from V fischeri. This study indicates that bark is one component of the tree anatomy that needs to be handled as a potential hazardous material to the aquatic environment. The large variation in toxicity presented by different tree species need to be taken into account when assessing the impacts to surrounding watercourses and constructing wastewater treatment facilities for the wood-based industry such as irrigation water, stormwater runoff from storage areas.
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| 8. |
- Svensson, Henric, et al.
(författare)
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Acute toxic effects caused by leachate from five different tree species on Artemia Salina and Vibro Fischeri
- 2012
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Ingår i: Journal of Biobased Materials and Bioenergy. - : American Scientific Publishers. - 1556-6560 .- 1556-6579. ; 6:2, s. 214-220
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Tidskriftsartikel (refereegranskat)abstract
- In this study, leachates resulting from leaching tests carried out with sawdust from five tree species were investigated. The studied species were: Pedunculate oak (Quercus robur), Scots pine (Pinus sylvestris), European larch (Larix decidua), Norway spruce (Picea abies) and European beech (Fagus sylvatica). The analyses included chemical parameters such as pH, TOC and phenolic compounds (reported as total poly-phenols) and acute toxicity on two different organisms, the crustacean Artemia salina and the bacteria Vibro fischeri (Microtox®). There are very high amounts of different phenolic compounds in the leachate, and large differences between tree species. The leachates produced by sawdust and bark of different tree species presented great variation regarding acute toxicity. V. fischeri was more sensitive than A. salina and leachates from pine sawdust and pine bark produced the highest toxicity response from V. fischeri. This study indicates that bark is one component of the tree anatomy that needs to be handled as a potential hazardous material to the aquatic environment. The large variation in toxicity presented by different tree species need to be taken into account when assessing the impacts to surrounding watercourses and constructing wastewater treatment facilities for the wood-based industry such as irrigation water, stormwater runoff from storage areas.
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| 9. |
- Svensson, Henric, et al.
(författare)
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Corrigendum : Treatment of wood leachate with high polyphenols content by peat and carbon-containing fly ash filters
- 2015
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Ingår i: Desalination and Water Treatment. - : Desalination Publications. - 1944-3994 .- 1944-3986. ; 54:1
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Tidskriftsartikel (refereegranskat)abstract
- In the original online version of the article “Treatment of wood leachate with high polyphenols content by peat and carbon-containing fly ash filters” (DOI: 10.1080/19443994.2013.860883), there were errors in figures 3 and 4. These errors have now been corrected. The correct version has subsequently been published.
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| 10. |
- Svensson, Henric, et al.
(författare)
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Treatment of wood leachate with high polyphenols content by peat and carbon-containing fly ash filters
- 2015
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Ingår i: Desalination and Water Treatment. - 1944-3994 .- 1944-3986. ; 53:8, s. 2041-2048
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Tidskriftsartikel (refereegranskat)abstract
- In the present study, two combinations of filter materials in filter/columns were examined for removal of total organic carbon (TOC) and polyphenols (PP) found in storm water runoff from wood storage areas in a wooden floor industry. One filter/column was packed with peat mixed with carbon-containing fly ash, while another filter/column contained only peat (without ash). The mixture of peat and ash has shown faster and higher removal capacity for TOC and faster removal with the same final removal capacity for PP (in grams of pollutant per kg of sorbent) at the saturation point. The superiority observed for the peat and ash filter is presumably due to the unique characteristics of peat and ash, which enhanced the treatment efficiency when used together in a mixture. Based on the observed results, filters formed by peat and carbon-containing ashes proved to be a potentially low-cost option for the treatment of storm water generated at storage areas of wood materials such as logs, sawdust and wood chips.
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