| 1. |
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| 2. |
- Kehoe, Laura, et al.
(författare)
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Make EU trade with Brazil sustainable
- 2019
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Ingår i: Science. - : American Association for the Advancement of Science (AAAS). - 0036-8075 .- 1095-9203. ; 364:6438, s. 341-
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 3. |
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| 5. |
- Johnston, B. C., et al.
(författare)
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Microbial Preparations (Probiotics) for the Prevention of Clostridium difficile Infection in Adults and Children: An Individual Patient Data Meta-analysis of 6,851 Participants
- 2018
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Ingår i: Infection Control and Hospital Epidemiology. - : Cambridge University Press (CUP). - 0899-823X .- 1559-6834. ; 39:7, s. 771-781
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE. To determine whether probiotic prophylaxes reduce the odds of Clostridium difficile infection (CDI) in adults and children. DESIGN. Individual participant data (IPD) meta-analysis of randomized controlled trials (RCTs), adjusting for risk factors. METHODS. We searched 6 databases and 11 grey literature sources from inception to April 2016. We identified 32 RCTs (n=8,713); among them, 18 RCTs provided IPD (n=6,851 participants) comparing probiotic prophylaxis to placebo or no treatment (standard care). One reviewer prepared the IPD, and 2 reviewers extracted data, rated study quality, and graded evidence quality. RESULTS. Probiotics reduced CDI odds in the unadjusted model (n=6,645; odds ratio [OR] 0.37; 95% confidence interval [CI], 0.25-0.55) and the adjusted model (n=5,074; OR, 0.35; 95% CI, 0.23-0.55). Using 2 or more antibiotics increased the odds of CDI (OR, 2.20; 95% CI, 1.11-4.37), whereas age, sex, hospitalization status, and high-risk antibiotic exposure did not. Adjusted subgroup analyses suggested that, compared to no probiotics, multispecies probiotics were more beneficial than single-species probiotics, as was using probiotics in clinical settings where the CDI risk is 5%. Of 18 studies, 14 reported adverse events. In 11 of these 14 studies, the adverse events were retained in the adjusted model. Odds for serious adverse events were similar for both groups in the unadjusted analyses (n=4,990; OR, 1.06; 95% CI, 0.89-1.26) and adjusted analyses (n=4,718; OR, 1.06; 95% CI, 0.89-1.28). Missing outcome data for CDI ranged from 0% to 25.8%. Our analyses were robust to a sensitivity analysis for missingness. CONCLUSIONS. Moderate quality (ie, certainty) evidence suggests that probiotic prophylaxis may be a useful and safe CDI prevention strategy, particularly among participants taking 2 or more antibiotics and in hospital settings where the risk of CDI is >= 5%.
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| 6. |
- Sartelli, Massimo, et al.
(författare)
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Ten golden rules for optimal antibiotic use in hospital settings: the WARNING call to action
- 2023
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Ingår i: WORLD JOURNAL OF EMERGENCY SURGERY. - 1749-7922. ; 18:1
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Forskningsöversikt (refereegranskat)abstract
- Antibiotics are recognized widely for their benefits when used appropriately. However, they are often used inappropriately despite the importance of responsible use within good clinical practice. Effective antibiotic treatment is an essential component of universal healthcare, and it is a global responsibility to ensure appropriate use. Currently, pharmaceutical companies have little incentive to develop new antibiotics due to scientific, regulatory, and financial barriers, further emphasizing the importance of appropriate antibiotic use. To address this issue, the Global Alliance for Infections in Surgery established an international multidisciplinary task force of 295 experts from 115 countries with different backgrounds. The task force developed a position statement called WARNING (Worldwide Antimicrobial Resistance National/International Network Group) aimed at raising awareness of antimicrobial resistance and improving antibiotic prescribing practices worldwide. The statement outlined is 10 axioms, or "golden rules," for the appropriate use of antibiotics that all healthcare workers should consistently adhere in clinical practice.
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| 7. |
- Damgaard, P. D., et al.
(författare)
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137 ancient human genomes from across the Eurasian steppes
- 2018
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Ingår i: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 557:7705, s. 369-374
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Tidskriftsartikel (refereegranskat)abstract
- For thousands of years the Eurasian steppes have been a centre of human migrations and cultural change. Here we sequence the genomes of 137 ancient humans (about 1x average coverage), covering a period of 4,000 years, to understand the population history of the Eurasian steppes after the Bronze Age migrations. We find that the genetics of the Scythian groups that dominated the Eurasian steppes throughout the Iron Age were highly structured, with diverse origins comprising Late Bronze Age herders, European farmers and southern Siberian hunter-gatherers. Later, Scythians admixed with the eastern steppe nomads who formed the Xiongnu confederations, and moved westward in about the second or third century bc, forming the Hun traditions in the fourthfifth century ad, and carrying with them plague that was basal to the Justinian plague. These nomads were further admixed with East Asian groups during several short-term khanates in the Medieval period. These historical events transformed the Eurasian steppes from being inhabited by Indo-European speakers of largely West Eurasian ancestry to the mostly Turkic-speaking groups of the present day, who are primarily of East Asian ancestry.
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| 8. |
- Fritschle, Tobias, et al.
(författare)
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Peri-Gondwanan Ordovician arc magmatism in southeastern Ireland and the Isle of Man : Constraints on the timing of Caledonian deformation in Ganderia
- 2018
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Ingår i: GSA Bulletin. ; 130:11-12
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Tidskriftsartikel (refereegranskat)abstract
- The timing of and tectonic controls on Ordovician magmatism and deformation within accreted terranes are key elements in reconstructing the generation of the Caledonian-Appalachian orogen. This paper addresses the topic through integrated geochronological, structural, and multi-isotope geochemical investigation of magmatic arc–related peri-Gondwanan rocks of Ganderian affinity in the Leinster-Lakesman terrane in SE Ireland and the Isle of Man.A basaltic andesite from a previously unrecognized volcaniclastic sequence in the Manx Group at Port-e-Vullen on the Isle of Man yielded an age of 472.7 ± 2.8 Ma (secondary ion mass spectrometry [SIMS] zircon U-Pb), and an arc-related rhyolite from the Avoca volcanic sequence in SE Ireland was dated at 463.6 ± 2.6 Ma. Two granitoids from Graiguenamanagh (SE Ireland) yielded ages of 462.0 ± 2.7 Ma (augen gneiss) and 460.5 ± 3.2 Ma (equigranular granite), whereas the Dhoon granite (Isle of Man) was dated at 457.2 ± 1.2 Ma. Each of the granitic rocks from Graiguenamanagh and Dhoon was previously considered to be of Silurian–Devonian age. In addition, two sheets of the Croghan Kinshelagh granite (SE Ireland) yielded indistinguishable ages of 456.9 ± 2.4 Ma and 455.4 ± 2.8 Ma.Multi-isotopic analyses (SIMS zircon oxygen, laser ablation–multi-collector–inductively coupled plasma–mass spectrometry [LA-MC-ICP-MS] zircon Lu-Hf, whole-rock Sm-Nd) on the rocks of the Leinster-Lakesman terrane suggest a significant source contribution from the Ganderian microcontinent, represented by the Early Ordovician metasedimentary Ribband and Manx Groups.Structural relationships at Graiguenamanagh demonstrate a late Middle Ordovician deformation event at ca. 460 Ma. This deformation appears to be equivalent to the widespread D1 event that affected Early Ordovician rocks in SE Ireland and corresponds to the early structures within the East Carlow deformation zone, previously interpreted as an exclusively Devonian structure. Along strike, the early deformation is spatially associated with serpentinite emplacement. The East Carlow deformation zone is interpreted as an intra-Ganderian suture along which separate fragments of a peri-Gondwanan magmatic arc were juxtaposed at ca. 460 Ma. This deformation represents a Caledonian tectonic event that has not been recognized within Ganderia in the Appalachian sector of the orogen.
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| 14. |
- Mertz, Gregory J., et al.
(författare)
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Bunyaviridae: Orthobunyaviruses, phleboviruses, nairoviruses, and hantaviruses
- 2016
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Ingår i: Clinical Virology. - Washington, DC, USA : John Wiley & Sons. - 9781683670674 - 9781555819422 ; , s. 1059-1087
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Bokkapitel (refereegranskat)abstract
- The family Bunyaviridae is the largest family of viruses and includes many known human, animal, and plant pathogens. The clinical diseases produced in humans range from acute febrile illnesses, such as sandfly fever, to more distinct clinical syndromes such as California encephalitis (CE), Rift Valley fever (RVF), Crimean-Congo hemorrhagic fever (CCHF), hemorrhagic fever with renal syndrome (HFRS), and hantavirus cardiopulmonary syndrome (HCPS), which is also referred to in the literature as hantavirus pulmonary syndrome (HPS). Sandfly fever, RVF, and HFRS are common. Although most of the remaining diseases probably cause no more than a few hundred cases each year, some are associated with a high mortality rate (particularly CCHF and HCPS), and two (CE and HCPS) are endemic in North America.
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| 15. |
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| 16. |
- Rasmuson, Johan
(författare)
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Cardiopulmonary involvement in Puumala hantavirus infection
- 2015
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Puumala hantavirus (PUUV) causes hemorrhagic fever with renal syndrome in Europe. After inhalation of virus shed by bank voles, the virus systemically targets the vascular endothelium leading to vascular dysfunction and leakage. Many patients with PUUV infection experience cardiopulmonary manifestations but the underlying mechanisms have not been determined.The aims of the studies presented were to describe cardiopulmonary manifestations, investigate pathogenetic mechanisms including presence of virus in the lungs and the local immune response in PUUV infection.The results showed cardiopulmonary involvement of varying severity in almost all studied patients. High-resolution computed tomography frequently revealed vascular leakage into the lungs or pleural cavities. Pulmonary function tests generally showed reduced gas diffusing capacity, evidenced in patients as dyspnea, poor oxygenation and frequent need of oxygen treatment. Among patients who were not fully recovered at 3 months follow-up, remaining decreased gas diffusing capacity was highly common.Echocardiography revealed mainly right heart dysfunction which was related to manifestations within the lungs, in terms of increased estimated pulmonary vascular resistance, mild to moderate pulmonary hypertension, and reduced right ventricular systolic function in patients with more pronounced lung involvement, as indicated by need of oxygen treatment.Analyses on bronchoalveolar lavage (BAL) and bronchial biopsies revealed a highly activated cytotoxic T cell (CTL) response in the lungs. The CTL response was not balanced by the expansion of regulatory T cells and high numbers of CTLs were associated with more severe disease. PUUV RNA was detected in almost all patients’ BAL samples and the viral load was inversely correlated to the number of CTLs.Three patients presenting with severe and fatal cardiopulmonary distress were also described. Autopsies revealed PUUV protein in vascular endothelium in all investigated organs, including the heart and lungs, along with a massive CTL response mainly in the lungs.In conclusion, cardiopulmonary involvement of varying severity was present in almost all patients with PUUV infection. Cytotoxic immune responses could contribute to disease development but also help in clearing the infection. Long lasting fatigue after hantavirus infection may be explained by remaining manifestations within the lungs.
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| 17. |
- Setlur, Sunita R., et al.
(författare)
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Estrogen-dependent signaling in a molecularly distinct subclass of aggressive prostate cancer
- 2008
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Ingår i: Journal of the National Cancer Institute. - Oxford : Oxford University Press. - 0027-8874 .- 1460-2105. ; 100:11, s. 815-825
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The majority of prostate cancers harbor gene fusions of the 5'-untranslated region of the androgen-regulated transmembrane protease serine 2 (TMPRSS2) promoter with erythroblast transformation-specific transcription factor family members. The common fusion between TMPRESS2 and v-ets erythroblastosis virus E26 oncogene homolog (avian) (ERG) is associated with a more aggressive clinical phenotype, implying the existence of a distinct subclass of prostate cancer defined by this fusion. METHODS: We used complementary DNA-mediated annealing, selection, ligation, and extension to determine the expression profiles of 6144 transcriptionally informative genes in archived biopsy samples from 455 prostate cancer patients in the Swedish Watchful Waiting cohort (1987-1999) and the United States-based Physicians(') Health Study cohort (1983-2003). A gene expression signature for prostate cancers with the TMPRSS2-ERG fusion was determined using partitioning and classification models and used in computational functional analysis. Cell proliferation and TMPRSS2-ERG expression in androgen receptor-negative (NCI-H660) prostate cancer cells after treatment with vehicle or estrogenic compounds were assessed by viability assays and quantitative polymerase chain reaction, respectively. All statistical tests were two-sided. RESULTS: We identified an 87-gene expression signature that distinguishes TMPRSS2-ERG fusion prostate cancer as a discrete molecular entity (area under the curve = 0.80, 95% confidence interval [CI] = 0.792 to 0.81; P < .001). Computational analysis suggested that this fusion signature was associated with estrogen receptor (ER) signaling. Viability of NCI-H660 cells decreased after treatment with estrogen (viability normalized to day 0, estrogen vs vehicle at day 8, mean = 2.04 vs 3.40, difference = 1.36, 95% CI = 1.12 to 1.62) or ERbeta agonist (ERbeta agonist vs vehicle at day 8, mean = 1.86 vs 3.40, difference = 1.54, 95% CI = 1.39 to 1.69) but increased after ERalpha agonist treatment (ERalpha agonist vs vehicle at day 8, mean = 4.36 vs 3.40, difference = 0.96, 95% CI = 0.68 to 1.23). Similarly, expression of TMPRSS2-ERG decreased after ERbeta agonist treatment (fold change over internal control, ERbeta agonist vs vehicle at 24 hours, NCI-H660, mean = 0.57- vs 1.0-fold, difference = 0.43-fold, 95% CI = 0.29- to 0.57-fold) and increased after ERalpha agonist treatment (ERalpha agonist vs vehicle at 24 hours, mean = 5.63- vs 1.0-fold, difference = 4.63-fold, 95% CI = 4.34- to 4.92-fold). CONCLUSIONS: TMPRSS2-ERG fusion prostate cancer is a distinct molecular subclass. TMPRSS2-ERG expression is regulated by a novel ER-dependent mechanism.
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| 18. |
- Soares, C. J., et al.
(författare)
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Characterisation of Apatites as Potential Uranium Reference Materials for Fission-track Dating by LA-ICP-MS
- 2015
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Ingår i: Geostandards and Geoanalytical Research. - 1639-4488. ; 39:3, s. 305-313
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Tidskriftsartikel (refereegranskat)abstract
- k crystal (6.9gg(-1)U). The relative standard deviation (1 RSD) of the U concentration determined by ID-ICP-MS of both apatite crystals was 1.5%, whereas 1 RSD for the We report homogeneity tests on large natural apatite crystals to evaluate their potential as U reference materials for apatite fission-track (AFT) thermochronology by laser ablation-inductively coupled plasma-mass spectrometry (LA-ICP-MS). The homogeneity tests include the measurements of major element concentrations by electron probe microanalysis (EPMA), whereas for U concentration, isotope dilution (ID) ICP-MS and laser ablation (LA) ICP-MS were employed. Two apatite crystals are potential reference materials for LA-ICP-MS analysis: a 1cm(3) fraction of a Durango crystal (7.5gg(-1)U) and a 1cm(3) Mud TanLA-ICP-MS results was better than 4%, providing sufficient homogeneity for fission-track dating. The results on the U homogeneity for two different apatite samples are an important step towards establishing in situ dating routines for AFT analysis by LA-ICP-MS. Nous restituons des tests d'homogeneite sur des grands cristaux d'apatite naturelle afin d'evaluer leur potentiel en tant que materiaux de reference pour l'U en vue d'une application dans le domaine de la thermochronologie par traces de fission sur apatite (AFT) par spectrometrie de masse a plasma induit couplee a l'ablation laser (LA-ICP-MS). Les tests d'homogeneite incluent des mesures des concentrations en elements majeurs par microsonde electronique (EPMA), alors que pour la concentration en U, la dilution isotopique (ID) ainsi que l'ablation laser (LA) ICP-MS ont ete employees. Deux cristaux d'apatite sont des materiaux de reference possibles pour les analyses LA-ICP-MS: une fraction d'1 cm(3) d'un cristal de Durango (7,5 mu gg(-1)U) et un cristal d'1cm(3) de Mud Tank (6,9 mu gg(-1)U). L'ecart type relatif (1RSD) de la concentration en U determinee par ID-ICP-MS des deux cristaux d'apatite est 1,5%, tandis que celui pour les resultats LA-ICP-MS est inferieur a 4%, offrant ainsi une homogeneite suffisante pour les datations par la methode des traces de fission sur apatite. Les resultats concernant l'homogeneite de l'U pour deux echantillons differents d'apatite sont une etape importante vers la possibilite d'envisager des datations AFT in situ en routine par LA-ICP-MS.
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| 19. |
- Vial, Pablo A., et al.
(författare)
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Hantavirus in humans : a review of clinical aspects and management
- 2023
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Ingår i: The Lancet - Infectious diseases. - : Elsevier. - 1473-3099 .- 1474-4457. ; 23:9, s. e371-e382
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Forskningsöversikt (refereegranskat)abstract
- Hantavirus infections are part of the broad group of viral haemorrhagic fevers. They are also recognised as a distinct model of an emergent zoonotic infection with a global distribution. Many factors influence their epidemiology and transmission, such as climate, environment, social development, ecology of rodent hosts, and human behaviour in endemic regions. Transmission to humans occurs by exposure to infected rodents in endemic areas; however, Andes hantavirus is unique in that it can be transmitted from person to person. As hantaviruses target endothelial cells, they can affect diverse organ systems; increased vascular permeability is central to pathogenesis. The main clinical syndromes associated with hantaviruses are haemorrhagic fever with renal syndrome (HFRS), which is endemic in Europe and Asia, and hantavirus cardiopulmonary syndrome (HCPS), which is endemic in the Americas. HCPS and HFRS are separate clinical entities, but they share several features and have many overlapping symptoms, signs, and pathogenic alterations. For HCPS in particular, clinical outcomes are highly associated with early clinical suspicion, access to rapid diagnostic testing or algorithms for presumptive diagnosis, and prompt transfer to a facility with critical care units. No specific effective antiviral treatment is available.
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| 20. |
- Vial, Pablo A, et al.
(författare)
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Hantavirus in humans: a review of clinical aspects and management
- 2023
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Ingår i: The Lancet - Infectious diseases. - : Elsevier. - 1473-3099 .- 1474-4457. ; 23:9, s. e371-e382
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Forskningsöversikt (refereegranskat)abstract
- Hantavirus infections are part of the broad group of viral haemorrhagic fevers. They are also recognised as a distinct model of an emergent zoonotic infection with a global distribution. Many factors influence their epidemiology and transmission, such as climate, environment, social development, ecology of rodent hosts, and human behaviour in endemic regions. Transmission to humans occurs by exposure to infected rodents in endemic areas; however, Andes hantavirus is unique in that it can be transmitted from person to person. As hantaviruses target endothelial cells, they can affect diverse organ systems; increased vascular permeability is central to pathogenesis. The main clinical syndromes associated with hantaviruses are haemorrhagic fever with renal syndrome (HFRS), which is endemic in Europe and Asia, and hantavirus cardiopulmonary syndrome (HCPS), which is endemic in the Americas. HCPS and HFRS are separate clinical entities, but they share several features and have many overlapping symptoms, signs, and pathogenic alterations. For HCPS in particular, clinical outcomes are highly associated with early clinical suspicion, access to rapid diagnostic testing or algorithms for presumptive diagnosis, and prompt transfer to a facility with critical care units. No specific effective antiviral treatment is available.
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