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- Kersten, CM, et al.
(författare)
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The Management of Asymptomatic Congenital Pulmonary Airway Malformation: Results of a European Delphi Survey
- 2022
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Ingår i: Children (Basel, Switzerland). - : MDPI AG. - 2227-9067. ; 9:8
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Tidskriftsartikel (refereegranskat)abstract
- Consensus on the optimal management of asymptomatic congenital pulmonary airway malformation (CPAM) is lacking, and comparison between studies remains difficult due to a large variety in outcome measures. We aimed to define a core outcome set (COS) for pediatric patients with an asymptomatic CPAM. An online, three-round Delphi survey was conducted in two stakeholder groups of specialized caregivers (surgeons and non-surgeons) in various European centers. Proposed outcome parameters were scored according to level of importance, and the final COS was established through consensus. A total of 55 participants (33 surgeons, 22 non-surgeons) from 28 centers in 13 European countries completed the three rounds and rated 43 outcome parameters. The final COS comprises seven outcome parameters: respiratory insufficiency, surgical complications, mass effect/mediastinal shift (at three time-points) and multifocal disease (at two time-points). The seven outcome parameters included in the final COS reflect the diversity in priorities among this large group of European participants. However, we recommend the incorporation of these outcome parameters in the design of future studies, as they describe measurable and validated outcomes as well as the accepted age at measurement.
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- Blomdin, Robin, et al.
(författare)
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Timing and dynamics of glaciation in the Ikh Turgen Mountains, Altai region, High Asia
- 2018
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Ingår i: Quaternary Geochronology. - : Elsevier BV. - 1871-1014 .- 1878-0350. ; 47, s. 54-71
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Tidskriftsartikel (refereegranskat)abstract
- Spanning the northern sector of High Asia, the Altai region contains a rich landform record of glaciation. We report the extent, chronologies, and dynamics of two paleoglaciers on opposite flanks of the Ikh Turgen mountains (In Russian: Chikhacheva Range), straddling the border between Russia and Mongolia, using a combination of remote sensing-based glacial geomorphological mapping, 10Be surface exposure dating, and geomorphometric analysis. On the eastern side (Mongolia), the Turgen-Asgat paleoglacier, with its potential for developing a large accumulation area (∼257 km2), expanded 40 km down valley, and mean ages from a latero-frontal moraine indicate deglaciation during marine oxygen isotope stage (MIS) 3 (45.1 ± 1.8 ka, n = 4) and MIS 2 (22.8 ± 3.3 ka, n = 5). These minimum age constraints are consistent with other 10Be glacial chronologies and paleoclimate records from the region, which indicates glacier culmination during cold and wet conditions coinciding with MIS 3 (piedmont-style glaciation; inferred for a few sites across the region) and glacier culmination during cold and dry conditions coinciding with MIS 2 (mainly valley-style glaciation; inferred from several sites across the region). On the western side (Russia), the Boguty paleoglacier had a smaller accumulation area (∼222 km2), and advanced 30 km down valley across a low gradient forefield. Surface exposure ages from two moraine complexes on this side of the mountains exhibit wide scatter (∼14–53 ka, n = 8), making paleoclimate inferences and comparison to other proxies difficult. Ice surface profile reconstructions imply that the two paleoglaciers likely shared an ice divide. © 2018 Elsevier B.V.
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- Blomdin, Robin, et al.
(författare)
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Evaluating the timing of former glacier expansions in the Tian Shan : A key step towards robust spatial correlations
- 2016
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Ingår i: Quaternary Science Reviews. - : Elsevier BV. - 0277-3791 .- 1873-457X. ; 153, s. 78-96
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Tidskriftsartikel (refereegranskat)abstract
- The timing of past glaciation across the Tian Shan provides a proxy for past climate change in this critical area. Correlating glacial stages across the region is difficult but cosmogenic exposure ages have considerable potential. A drawback is the large observed scatter in Be-10 surface exposure data. To quantify the robustness of the dating, we compile, recalculate, and perform statistical analyses on sets of 10Be surface exposure ages from 25 moraines, consisting of 114 new and previously published ages. We assess boulder age scatter by dividing boulder groups into quality classes and rejecting boulder groups of poor quality. This allows us to distinguish and correlate robustly dated glacier limits, resulting in a more conservative chronology than advanced in previous publications. Our analysis shows that only one regional glacial stage can be reliably correlated across the Tian Shan, with glacier expansions occurring between 15 and 281 a during marine oxygen isotope stage (MIS) 2. However, there are examples of older more extensive indicators of glacial stages between MIS 3 and MIS 6. Paleoglacier extent during MIS 2 was mainly restricted to valley glaciation. Local deviations occur: in the central Kyrgyz Tian Shan paleoglaciers were more extensive and we propose that the topographic context explains this pattern. Correlation between glacial stages prior to late MIS 2 is less reliable, because of the low number of samples and/or the poor resolution of the dating. With the current resolution and spatial coverage of robustly-dated glacier limits we advise that paleoclimatic implications for the Tian Shan glacial chronology beyond MIS 2 are speculative and that continued work toward robust glacial chronologies is needed to resolve questions regarding drivers of past glaciation in the Tian Shan and Central Asia.
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- Buentke, E, et al.
(författare)
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Glucocorticoid-induced cell death is mediated through reduced glucose metabolism in lymphoid leukemia cells
- 2011
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Ingår i: Blood Cancer Journal. - : Macmillan Publishers Limited. - 2044-5385. ; 1:e31, s. 9-
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Tidskriftsartikel (refereegranskat)abstract
- Malignant cells are known to have increased glucose uptake and accelerated glucose metabolism. Using liquid chromatography and mass spectrometry, we found that treatment of acute lymphoblastic leukemia (ALL) cells with the glucocorticoid (GC) dexamethasone (Dex) resulted in profound inhibition of glycolysis. We thus demonstrate that Dex reduced glucose consumption, glucose utilization and glucose uptake by leukemic cells. Furthermore, Dex treatment decreased the levels of the plasma membrane-associated glucose transporter GLUT1, thus revealing the mechanism for the inhibition of glucose uptake. Inhibition of glucose uptake correlated with induction of cell death in ALL cell lines and in leukemic blasts from ALL patients cultured ex vivo. Addition of di-methyl succinate could partially overcome cell death induced by Dex in RS4;11 cells, thereby further supporting the notion that inhibition of glycolysis contributes to the induction of apoptosis. Finally, Dex killed RS4;11 cells significantly more efficiently when cultured in lower glucose concentrations suggesting that modulation of glucose levels might influence the effectiveness of GC treatment in ALL. In summary, our data show that GC treatment blocks glucose uptake by leukemic cells leading to inhibition of glycolysis and that these effects play an important role in the induction of cell death by these drugs.
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- Gribenski, Natacha, et al.
(författare)
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Re-evaluation of MIS 3 glaciation using cosmogenic radionuclide and single grain luminescence ages, Kanas Valley, Chinese Altai
- 2018
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Ingår i: Journal of Quaternary Science. - : Wiley. - 0267-8179 .- 1099-1417. ; 33:1, s. 55-67
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Tidskriftsartikel (refereegranskat)abstract
- Previous investigations observed a period of major glacial advances in Central Asia during marine oxygen isotope stage (MIS) 3 (57–29 ka), out of phase with global ice volume records. We have re-examined the Kanas moraine complex in the Altai Mountains of Central Asia, where an MIS 3 glaciation had been previously inferred. New and consistent cosmogenic exposure and single-grain luminescence ages indicate that the Kanas complex was formed during MIS 2 (29–12 ka), which brings its timing in line with the global ice volume record. We also identified a lateral moraine from a more extensive ice extent that dates to late MIS 5/MIS 4. To place our results in a wider contextual framework, we review the chronologies of another 26 proposed major MIS 3 glacial advances in Central Asia. For most of these sites, we find that the chronological data do not provide an unequivocal case for MIS 3 glaciation. Copyright © 2017 John Wiley & Sons, Ltd.
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- Kuchinskaya, E, et al.
(författare)
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Children and adults with acute lymphoblastic leukaemia have similar gene expression profiles
- 2005
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Ingår i: European Journal of Haematology. - Oxford : Blackwell Publishing. - 0902-4441 .- 1600-0609. ; 74:6, s. 466-480
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: To compare the gene expression pattern in children and adults with acute lymphoblastic leukaemia (ALL) in order to improve our understanding of the difference in disease biology and prognosis.METHODS: The gene expression profiles in diagnostic samples from 29 children and 15 adults with ALL were analysed using the oligonucleotide chip Hu95ver2a, produced by Affymetrix.RESULTS: Unsupervised hierarchical cluster analysis revealed that, in spite of differences in outcome, patients clustered irrespective of age, first by T-cell or B-precursor immunophenotype, and second by cytogenetic changes within the B-precursor group. The expression pattern analysis allowed the reclassification of some samples into the proper cytogenetic group. We also showed that separate clustering of samples with the BCR/ABL translocation could be explained by different breakpoint regions in the BCR. No significant difference in gene expression was observed between samples with and without CDKN2A deletion within the B-precursor group. Analysis of different age groups revealed a similarity in expression profiles when infants with the MLL translocation and adults over 40 yr of age were compared irrespective of karyotype.CONCLUSIONS: In spite of the difference in clinical outcome, the gene expression pattern in children and adults with ALL is very similar and is primarily dependent on immunophenotype and cytogenetic aberrations. However, when age groups are compared, the expression patterns of infants and adults over 40 show a remarkable similarity.
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