| 1. |
- Fernberg, P., et al.
(författare)
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Time Trends in Risk and Risk Determinants of Non-Hodgkin Lymphoma in Solid Organ Transplant Recipients
- 2011
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Ingår i: American Journal of Transplantation. - : Elsevier BV. - 1600-6135 .- 1600-6143. ; 11:11, s. 2472-2482
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Tidskriftsartikel (refereegranskat)abstract
- Organ transplantation increases risk of non-Hodgkin lymphoma (NHL), but long-term risk and time trends have seldom been evaluated. Immunosuppressive drug load is an important risk determinant, but the details are unclear. We studied NHL risk in a nationwide Swedish cohort of 11 081 graft recipients transplanted 1970-2008. Relative risks (RRs) were estimated within the cohort and versus the general population by age, sex, follow-up time and calendar period. NHL risk was also assessed by cumulative and average doses of immunosuppressive treatments in a nested case-control design throughout 1997 using conditional logistic regression. We observed 153 NHL cases during 97 853 years of follow-up. Compared with the general population, NHL risk was eightfold increased (RR 7.9; 95% confidence interval [CI] 6.6-9.4), and increased risks persisted after >= 15 years of follow-up among kidney (6.1; 95% CI 3.5-10) and nonkidney recipients (44; 14-103). Among nonkidney recipients, NHL risk was lower in the 2000s compared with the 1990s (0.5; 95% CI 0.3-1.0; p = 0.04). A high average dose of antithymocyte immunoglobulin (ATG) conferred an eightfold increased risk of NHL (OR 8.5; 95% CI 1.9-38). To conclude, posttransplant NHL risk decreased during the last decade among nonkidney recipients, possibly because of a more careful use of ATG, the introduction of new drugs, or both.
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| 4. |
- Ingvar, A., et al.
(författare)
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No association between infections, HLA type and other transplantrelated factors and risk of cutaneous squamous cell carcinoma in solid organ transplant recipients
- 2012
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Ingår i: Acta Dermato-Venereologica. - : Medical Journals Sweden AB. - 0001-5555 .- 1651-2057. ; 92:6, s. 609-614
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Tidskriftsartikel (refereegranskat)abstract
- Recipients of solid organ transplants are at a markedly increased risk of cutaneous squamous cell carcinoma (SCC). We investigated potential associations between post-transplant infections, HLA type, and other transplant-related factors and risk of SCC, taking immunosuppressive treatment into account. A population-based case-control study was conducted. All patients who developed SCC during follow-up (1970-1997) were eligible as cases (n = 207). Controls (n = 189) were individually matched to the cases on age and calendar period of transplantation. Detailed exposure information was collected through an extensive, blinded review of medical records. Odds ratios were computed with conditional logistic regression. There were no significant associations with any infectious agents, or with number and timing of infections, specific HLA-type, donor characteristics, or other transplant characteristics and risk of post-transplant SCC. These results suggest that risk of post-transplant SCC is neither closely related to specific post-transplant infectious disorders, nor to the infectious load or specific HLA types.
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| 8. |
- Fernberg, S. P., et al.
(författare)
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Bridging law and toughness characterisation of CSM and SMC composites
- 2001
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Ingår i: Composites Science And Technology. - 0266-3538 .- 1879-1050. ; 61:16, s. 2445-2454
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Tidskriftsartikel (refereegranskat)abstract
- This work presents an experimental investigation of the fracture properties of three different short-fiber-reinforced composites [one chopped strand mat (CSM) and two sheet molding compound (SMC) materials]. Fracture tests are performed on double-cantilever beam (DCB) specimens loaded with pure bending moments. In this experimental configuration, the bridging law for the material can be derived directly from measurements. No significant dependency on specimen height was observed in our results. The bridging laws determined can, therefore, be considered as material properties. The coupling between microstructure and fracture behaviour is discussed through the measured bridging laws. The beneficial effect (in terms of fracture energy) of increasing tendency for pull-out is confirmed for one SMC, referred to as Flex-SMC, which shows remarkably high fracture energy, J(c) = 56.0 kJ/ml, compared to a standard SMC, termed Std-SMC, J(c)= 25.9 kJ/m(2). This increasing tendency for pull-out is observed to shift the bridging law towards larger crack openings. On the basis of our observations we find the concept of characterising the failure behaviour in terms of bridging laws attractive since it can be used as a tool for the tailoring of the microstructure towards desired fracture behaviour.
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| 9. |
- Fernberg, S. P., et al.
(författare)
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Effects of glass fiber size composition (film-former type) on transverse cracking in cross-ply laminates
- 2000
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Ingår i: Composites. Part A, Applied science and manufacturing. - 1359-835X .- 1878-5840. ; 31:10, s. 1083-1090
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Tidskriftsartikel (refereegranskat)abstract
- Transverse cracking is an important phenomenon in the context of fluid leakage in pipes and pressure vessels. Multiple transverse cracking in [0/90](S) glass-fiber-reinforced vinylester and epoxy laminates with six different fiber surface treatments (size) is examined. Film-former composition is the variable since this component can be easily changed also in commercial size formulations. The influence of the film-former polymer on transverse cracking is significant in epoxy laminates and very strong in vinylester laminates. Both onset of transverse cracking and slope of crack density vs, strain are influenced. Remarkably low crack densities were observed in some vinylester laminates. Micromechanisms of cracking are interpreted. Correlation is established between transverse cracking behavior and interfacial shear strength measured by single fragmentation tests. The strong film-former effect is proposed to be due to a combination of improved interfacial adhesion and the plasticizing effect from the film-former on the interphase region.
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| 14. |
- Nilsson, G., et al.
(författare)
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Strain field inhomogeneities and stiffness changes in GMT containing voids
- 2002
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Ingår i: Composites. Part A, Applied science and manufacturing. - 1359-835X .- 1878-5840. ; 33:1, s. 75-85
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Tidskriftsartikel (refereegranskat)abstract
- During compression moulding of glass mat thermoplastics (GMT), voids may form. However, it is not clear whether voids are as critical to mechanical performance in GMT as in thermoset composites. The present investigation also considers the general problem of damage mechanisms in GMT. Conventional tensile tests, acoustic emission, a stiffness degradation test and a speckle technique for strain field measurements are used as well as optical microscopy of polished cross-sections. The void content (up to 5%) does not significantly influence the strength or stiffness degradation process. The reason is the large inhomogeneity of the strain fields in GMT. Failure occurs in locally soft regions and void effects are of secondary importance. Details of the failure process are discussed, emphasising the large local strains in matrix-rich regions.
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| 15. |
- Oldenbo, M., et al.
(författare)
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Mechanical behaviour of SMC composites with toughening and low density additives
- 2003
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Ingår i: Composites. Part A, Applied science and manufacturing. - : Elsevier BV. - 1359-835X .- 1878-5840. ; 34:9, s. 875-885
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Tidskriftsartikel (refereegranskat)abstract
- A new type of SMC material (Flex-SMC) developed for automotive exterior body panels has been investigated. Flex-SMC contains hollow glass micro-spheres and thermoplastic toughening additives. A conventional SMC (Std-SMC) was used as a reference material. Materials were tested in monotonic tension and compression. Stiffness degradation with strain as well as fracture toughness was determined. In situ SEM was used to study failure mechanisms. Flex-SMC has a density almost 20% lower than Std-SMC and has higher impact resistance. The damage threshold strain of the Flex-SMCs is higher than for Std-SMC. Flex-SMCs have more than twice the fracture toughness of Std-SMC. The major reason identified is that Flex-SMCs shows extensive fibre pullout.
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| 16. |
- Simard, J. F., et al.
(författare)
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Pediatric Organ Transplantation and Risk of Premalignant and Malignant Tumors in Sweden
- 2011
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Ingår i: American Journal of Transplantation. - : Elsevier BV. - 1600-6135 .- 1600-6143. ; 11:1, s. 146-151
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Tidskriftsartikel (refereegranskat)abstract
- Increased cancer risks are well documented in adult organ transplant recipients. However, the spectrum of malignancies and risk in the pediatric organ transplant population are less well described. We identified all solid organ transplanted patients aged < 18 in Sweden between 1970-2007 (n = 536) in the National Patient Register and linked to the Cancer Register. Nationwide rates were used to calculate standardized incidence rate ratios and 95% CI estimating the association between transplant and cancer during maximum 36 years of follow-up. Nearly 7% of pediatric solid organ transplant recipients developed a premalignant or malignant tumor during follow-up. Transplantation was associated with an increased risk of any cancer (n = 24, SIR = 12.5, 95% CI: 8.0-18.6): non-Hodgkin lymphoma (NHL) (n = 13, SIR = 127, 95% CI: 68-217), renal cell (n = 3, SIR = 105, 95% CI: 22-307), vulva/vagina (n = 3, SIR = 665, 95% CI: 137-1934) and nonmelanoma skin cancers (n = 2, SIR = 64.7, 95% CI: 7.8-233.8). NHL typically appeared during childhood, while other tumors were diagnosed during adulthood. Apart from short-term attention toward the potential occurrence of NHL, our results suggest cancer surveillance into adulthood with special attention to skin, kidneys and the female genitalia.
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| 17. |
- Sohlstrom, A, et al.
(författare)
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Maternal nutrition affects the ability of treatment with IGF-I and IGF-II to increase growth of the placenta and fetus, in guinea pigs
- 2001
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Ingår i: Growth Hormone & IGF Research. - : Elsevier BV. - 1096-6374 .- 1532-2238. ; 11:6, s. 392-398
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate how administration of IGF-I and IGF-II, during early to mid pregnancy, affects maternal growth and body composition as well as fetal and placental growth, in ad libitum fed, and in moderately, chronically food restricted guinea pigs. From day 20 of gestation, mothers (3-4 months old) were infused with IGF-I, IGF-II (565 mug/day) or vehicle for 17 days and then killed on day 40 of gestation. Maternal organ weights, fetal and placental weights were assessed. Treatment with IGFs did not alter body weight gain and had small effects on body composition in the mothers. Both IGF-I and IGF-II increased fetal and placental weights in ad libitum fed dams and IGF-I increased placental weight in food restricted dams. In conclusion, treatment with IGF-I during the first half of pregnancy stimulates placental growth in both ad libitum fed and food restricted guinea pigs without affecting maternal growth while fetal growth is stimulated by IGF treatment only in ad libitum fed animals. (C) 2001 Elsevier Science Ltd.
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