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Sökning: WFRF:(Sundelin Per)

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1.
  • Fryk, Emanuel, et al. (författare)
  • Microdialysis and proteomics of subcutaneous interstitial fluid reveals increased galectin-1 in type 2 diabetes patients
  • 2016
  • Ingår i: Metabolism-Clinical and Experimental. - : Elsevier BV. - 0026-0495 .- 1532-8600. ; 65:7, s. 998-1006
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective. To identify a potential therapeutic target for type 2 diabetes by comparing the subcutaneous interstitial fluid from type 2 diabetes patients and healthy men. Methods. Proteomics was performed on the interstitial fluid of subcutaneous adipose tissue obtained by microdialysis from 7 type 2 diabetes patients and 8 healthy participants. 851 proteins were detected, of which 36 (including galectin-1) showed significantly altered expression in type 2 diabetes. We also measured galectin-1 expression in: (1) adipocytes isolated from adipose tissue biopsies from these participants; (2) subcutaneous adipose tissue of 24 obese participants before, during and after 16 weeks on a very low calorie diet (VLCD); and (3) adipocytes isolated from 6 healthy young participants after 4 weeks on a diet and lifestyle intervention to promote weight gain. We also determined the effect of galectin-1 on glucose uptake in human adipose tissue. Results. Galectin-1 protein levels were elevated in subcutaneous dialysates from type 2 diabetes compared with healthy controls (p < 0.05). In agreement, galectin-1 mRNA expression was increased in adipocytes from the type 2 diabetes patients (p < 0.05). Furthermore, galectin-1 mRNA expression was decreased in adipose tissue after VLCD (p < 0.05) and increased by overfeeding (p < 0.05). Co-incubation of isolated human adipocytes with galectin-1 reduced glucose uptake (p < 0.05) but this was independent of the insulin signal. Conclusion. Proteomics of the interstitial fluid in subcutaneous adipose tissue in vivo identified a novel adipokine, galectin-1, with a potential role in the pathophysiology of type 2 diabetes. (C) 2016 Elsevier Inc. All rights reserved.
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3.
  • Behrens, Jane W., et al. (författare)
  • Personality- and size-related metabolic performance in invasive round goby (Neogobius melanostomus)
  • 2020
  • Ingår i: Physiology and Behavior. - : Elsevier. - 0031-9384 .- 1873-507X. ; 215, s. 1-6
  • Tidskriftsartikel (refereegranskat)abstract
    • Differences between individuals in behavioral type (i.e. animal personality) are ecologically and evolutionarily important because they can have significant effects on fitness components such as growth and predation risk. In the present study we are used the invasive round goby (Neogobius melanostomus) from an established population in controlled experiments to examine the relationships among personality, metabolic performance, and growth rate (inferred as size-at-age). Boldness was measured as the time to return to normal behavior after a simulated predator attack, where fish with shorter freezing times were categorized as "bold" and fish with longer times were categorized as "shy." We show that bold fish have significantly higher standard metabolic rate (SMR) than their shy conspecifics, whereas there was no difference between personality types in their maximum metabolic rate (MMR) or aerobic scope (AS). Bold fish furthermore had a smaller size-at-age as compared to shy fish. Together this provides evidence of a metabolic underpinning of personality where the high-SMR bold fish require more resources to sustain basic life functions than their low-SMR shy conspecifics, indicating that bold round goby from established populations with high densities (and high competition for food) pay a price of reduced growth rate.
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4.
  • Ekeroth, Nils (författare)
  • On benthic fluxes of phosphorus in the Baltic Sea proper – drivers and estimates
  • 2012
  • Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • This Thesis focuses on the exchange of phosphorus (P) across the sediment–water interface in the Baltic Sea proper, with particular attention to the influence of bioturbating macrofauna and benthic redox conditions. Benthic P fluxes have major influence on P availability in the water column, which in turn regulates growth conditions for dinitrogen fixating cyanobacteria in the Baltic proper. Presently, a very large area of bottom sediment is overlain by oxygen depleted bottom water and is therefore devoid of aerobic organisms.In paper I, anoxic sediment from the Western Gotland Basin was oxygenated and exposed to bioturbation by three macrofauna species in a laboratory experiment. The experimental design allowed for detailed studies of how bioturbating animals influence the P fluxes on a species-specific level. All species (Monoporeia affinis, Mysis mixta, and Macoma balthica) mobilised dissolved organic P from the bottom sediment to the supernatant water. Also, particulate P was released by the two former species. None of these P fractions showed any mobility in control sections of the aquarium system. These animal-dependent P fluxes are a previously largely overlooked but potentially significant source of bioavailable P in coastal marine areas, such as the Baltic Sea.In paper II, we estimate a contemporary reflux of 146 kton dissolved inorganic P (DIP) from bottom sediments in the Baltic proper. This estimate is based on data from a large number of in situ benthic flux measurements using benthic chamber landers along a depth gradient in the Eastern Gotland Basin. DIP effluxes increased with increasing water depth, and decreasing bottom water oxygen concentrations. Bottom water anoxia was identified as a major driver for the mobilisation of DIP from bottom sediments. During such conditions, the DIP efflux was well correlated to carbon oxidation rate, while on oxic bottoms DIP fluxes were low irrespectively of the carbon oxidation rate. Our data support the hypothesis of a positive feedback loop of self-amplifying eutrophication in the Baltic Sea. Thus, both nutrient emission cuts and active mitigation actions to strengthen sedimentary P sinks are warranted for effective remediation of eutrophication in the Baltic Sea.
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5.
  • Ekstrand, Matias, et al. (författare)
  • Imaging of Intracellular and Extracellular ROS Levels in Atherosclerotic Mouse Aortas Ex Vivo: Effects of Lipid Lowering by Diet or Atorvastatin
  • 2015
  • Ingår i: Plos One. - : Public Library of Science (PLoS). - 1932-6203. ; 10:6
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective The first objective was to investigate if intracellular and extracellular levels of reactive oxygen species (ROS) within the mouse aorta increase before or after diet-induced lesion formation. The second objective was to investigate if intracellular and extracellular ROS correlates to cell composition in atherosclerotic lesions. The third objective was to investigate if intracellular and extracellular ROS levels within established atherosclerotic lesions can be reduced by lipid lowering by diet or atorvastatin. To address our objectives, we established a new imaging technique to visualize and quantify intracellular and extracellular ROS levels within intact mouse aortas ex vivo. Using this technique, we found that intracellular, but not extracellular, ROS levels increased prior to lesion formation in mouse aortas. Both intracellular and extracellular ROS levels were increased in advanced lesions. Intracellular ROS correlated with lesion content of macrophages. Extracellular ROS correlated with lesion content of smooth muscle cells. The high levels of ROS in advanced lesions were reduced by 5 days high dose atorvastatin treatment but not by lipid lowering by diet. Atorvastatin treatment did not affect lesion inflammation (aortic arch mRNA levels of CXCL 1, ICAM-1, MCP-1, TNF-alpha, VCAM, IL-6, and IL-1 beta) or cellular composition (smooth muscle cell, macrophage, and T-cell content). Aortic levels of intracellular ROS increase prior to lesion formation and may be important in initiation of atherosclerosis. Our results suggest that within lesions, macrophages produce mainly intracellular ROS whereas smooth muscle cells produce extracellular ROS. Short term atorvastatin treatment, but not lipid lowering by diet, decreases ROS levels within established advanced lesions; this may help explain the lesion stabilizing and anti-inflammatory effects of long term statin treatment.
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6.
  • Emmoth, Birger, et al. (författare)
  • In-situ measurements of carbon and deuterium deposition using the fast reciprocating probe in TEXTOR
  • 2009
  • Ingår i: Journal of Nuclear Materials. - : Elsevier BV. - 0022-3115 .- 1873-4820. ; 390-91, s. 179-182
  • Tidskriftsartikel (refereegranskat)abstract
    • Silicon samples were exposed in the scrape-off layer of the TEXTOR plasma using a fast reciprocating probe, with the aim of studying carbon deposition and deuterium retention during Dynamic Ergodic Divertor (DED) operation. Separate samples were exposed for 300 ms at the flat-top phase of neutral beam heated discharges. The exposure conditions were varied on a shot-to-shot basis by external magnetic perturbations generated by the DED in the m/n = 3/1, DC regime, base configuration. Nuclear Reaction Analysis (NRA) was used to characterise collector sample surfaces after their exposure. Enhanced concentrations of both carbon and deuterium (C 3-10 x 10(16) at./cm(2), D 8-60 x 10(15) at./cm(2)) were found. The D/C ratio was less than unity which indicates that most of the carbon and deuterium were co-deposited. Carbon e-folding lengths of about 2 cm were found on both toroidal sides of the probe independent of DED perturbations.
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7.
  • Ericsson, Philip, et al. (författare)
  • Personality-dependent inter- and intraspecific foraging competition in the invasive round goby, Neogobius melanostomus
  • 2021
  • Ingår i: Journal of Fish Biology. - : Wiley-Blackwell. - 0022-1112 .- 1095-8649. ; 98:5, s. 1234-1241
  • Tidskriftsartikel (refereegranskat)abstract
    • This study examines the impact of boldness on foraging competition of the highly invasive round goby Neogobius melanostomus Pallas 1815. Individual risk tolerance, or boldness, was measured as the time to resume movement after a simulated predation strike. Fish that resumed movement faster were categorized as "bold," fish that took more time to resume movement were categorized as "shy" and those that fell in between these two categories were determined to have "intermediate" boldness. Competitive impacts of boldness in N. melanostomus were determined in a laboratory foraging experiment in which interspecific (juvenile Atlantic cod Gadus morhua Linnaeus 1758) and intraspecific (intermediate N. melanostomus) individuals were exposed to either bold or shy N. melanostomus competitors. G. morhua consumed fewer prey when competing with bold N. melanostomus than when competing with shy N. melanostomus, whereas intermediately bold N. melanostomus foraging was not affected by competitor boldness. Bold and shy N. melanostomus consumed similar amounts of prey, and the number of interactions between paired fish did not vary depending on the personality of N. melanostomus individuals. Therefore, intraspecific foraging competition was not found to be personality dependent. This study provides evidence that individual differences in boldness can mediate competitive interactions in N. melanostomus; nonetheless, results also show that competition is also governed by other mechanisms that require further study.
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8.
  • Fagerholm, Per, 1948-, et al. (författare)
  • Epithelial ingrowth after LASIK treatment with scraping and phototherapeutic keratectomy
  • 2004
  • Ingår i: Acta Ophthalmologica Scandinavica. - : Wiley. - 1395-3907 .- 1600-0420. ; 82:6, s. 707-713
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: To evaluate the effect of phototherapeutic keratectomy (PTK) in combination with manual scraping when removing epithelial ingrowth under a LASIK flap.Material and Methods: Three patients, who had undergone several surgeries following LASIK in order to remove epithelial ingrowth that was threatening vision, were treated with a flap lift, manual abrasion and PTK. The PTK was performed on both the stromal and the flap side with the aim of eliminating the threat and improving vision. Two patients underwent primary surgery to remove epithelial ingrowth with manual abrasion and PTK. The influence on vision, topography and cell recurrences was evaluated.Results: Uncorrected visual acuity (UCVA) and best spectacle-corrected visual acuity (BSCVA) improved in four cases and remained good in the fifth case. The refraction did not change significantly. Topography disclosed changes in the irregular astigmatism, explaining the improved BSCVA. Central epithelial ingrowth did not recur, whereas peripheral ingrowth did. The peripheral ingrowth did not progress, except in case 1, where a cyst formed that required surgery.Conclusions: It is our belief that adding PTK to manual scraping improves the prognosis for eyes with epithelial ingrowth. It is mainly the central ingrowth that is positively affected. Improved adhesion between the stroma and the flap is one possible explanation.
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9.
  • Gasior, P., et al. (författare)
  • Laser-induced removal of co-deposits from graphitic plasma-facing components : Characterization of irradiated surfaces and dust particles
  • 2009
  • Ingår i: Journal of Nuclear Materials. - : Elsevier BV. - 0022-3115 .- 1873-4820. ; 390-91, s. 585-588
  • Tidskriftsartikel (refereegranskat)abstract
    • Laser-induced fuel desorption and ablation of co-deposited layers on limiter plates from the TEXTOR tokamak have been studied. Gas phase composition was monitored in situ, whereas the ex situ studies have been focused on the examination of irradiated surfaces and broad analysis of dust generated by ablation of co-deposits. The size of the dust grains is in the range of few nanometers to hundreds of micrometers. These are fuel-rich dust particles, as determined by nuclear reaction analysis. The presence of deuterium in dust indicates that not all fuel species are transferred to the gas phase during irradiation. This also suggests that photonic removal of fuel and the ablation of co-deposit from plasma-facing components may lead to the redistribution of fuel-containing dust to surrounding areas.
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10.
  • Hellström, Per M., et al. (författare)
  • Slow-release L-cysteine capsule prevents gastric mucosa exposure to carcinogenic acetaldehyde : results of a randomised single-blinded, cross-over study of Helicobacter-associated atrophic gastritis
  • 2017
  • Ingår i: Scandinavian Journal of Gastroenterology. - : Informa UK Limited. - 0036-5521 .- 1502-7708. ; 52:2, s. 230-237
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: Helicobacter-induced atrophic gastritis with a hypochlorhydric milieu is a risk factor for gastric cancer. Microbes colonising acid-free stomach oxidise ethanol to acetaldehyde, a recognised group 1 carcinogen. Objective: To assess gastric production of acetaldehyde and its inert condensation product, non-toxic 2-methyl-1,3-thiazolidine-4-carboxylic acid (MTCA), after alcohol intake under treatment with slow-release L-cysteine or placebo. Methods: Seven patients with biopsy-confirmed atrophic gastritis, low serum pepsinogen and high gastrin-17 were studied in a cross-over single-blinded design. On separate days, patients randomly received 200 mg slow-release L-cysteine or placebo with intragastric instillation of 15% (0.3 g/kg) ethanol. After intake, gastric concentrations of ethanol, acetaldehyde, L-cysteine and MTCA were analysed. Results: Administration of L-cysteine increased MTCA (p < .0004) and decreased gastric acetaldehyde concentrations by 68% (p < .0001). The peak L-cysteine level was 7552 +/- 2687 mu mol/L at 40 min and peak MTCA level 196 +/- 98 mu mol/L at 80 min after intake. Gastric L-cysteine and MTCA concentrations were maintained for 3 h. The AUC for MTCA was 11-fold higher than acetaldehyde, indicating gastric first-pass metabolism of ethanol. With placebo, acetaldehyde remained elevated also at low ethanol concentrations representing 'non-alcoholic' beverages and food items. Conclusions: After gastric ethanol instillation, slow-release L-cysteine eliminates acetaldehyde to form inactive MTCA, which remains in gastric juice for up to 3 h. High acetaldehyde levels indicate a marked gastric first-pass metabolism of ethanol resulting in gastric accumulation of carcinogenic acetaldehyde. Local exposure of the gastric mucosa to acetaldehyde can be mitigated by slow-release L-cysteine capsules.
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11.
  • Hirai, T., et al. (författare)
  • Characterization and heat flux testing of beryllium coatings on Inconel for JET ITER-like wall project
  • 2007
  • Ingår i: Physica Scripta. - 0031-8949 .- 1402-4896. ; T128, s. 166-170
  • Tidskriftsartikel (refereegranskat)abstract
    • In order to perform a fully integrated material test, JET has launched the ITER-like wall project with the aim of installing a full metal wall during the next major shutdown. The material foreseen for the main chamber wall is bulk Be at the limiters and Be coatings on inconel tiles elsewhere. R&D process comprises global characterization ( structure, purity etc) of the evaporated films and testing of their performance under heat loads. The major results are (i) the layers have survived energy loads of 20 MJ m(-2) which is significantly above the required level of 5 - 10 MJ m(-2), (ii) melting limit of beryllium coating would be at the energy level of 30 MJ m(-2), (iii) cyclic thermal load of 10 MJ m(-2) for up to 50 cycles have not induced any noticeable damage such as flaking or detachment.
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12.
  • Håversen, Liliana, 1963, et al. (författare)
  • Vimentin deficiency in macrophages induces increased oxidative stress and vascular inflammation but attenuates atherosclerosis in mice
  • 2018
  • Ingår i: Scientific Reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 8
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to clarify the role of vimentin, an intermediate filament protein abundantly expressed in activated macrophages and foam cells, in macrophages during atherogenesis. Global gene expression, lipid uptake, ROS, and inflammation were analyzed in bone-marrow derived macrophages from vimentin-deficient (Vim(-/-)) and wild-type (Vim(-/-)) mice. Atherosclerosis was induced in Ldlr(-/-) mice transplanted with a PCSK9 gain-of-function virus. The mice were fed an atherogenic diet for 12-15 weeks. We observed impaired uptake of native LDL but increased uptake of oxLDL in Vim(-/-) macrophages. FACS analysis revealed increased surface expression of the scavenger receptor CD36 on Vim(-/-) macrophages. Vim(-/-) macrophages also displayed increased markers of oxidative stress, activity of the transcription factor NF-kappa B, secretion of proinflammatory cytokines and GLUT1-mediated glucose uptake. Vim(-/- )mice displayed decreased atherogenesis despite increased vascular inflammation and increased CD36 expression on macrophages in two mouse models of atherosclerosis. We demonstrate that vimentin has a strong suppressive effect on oxidative stress and that Vim(-/-) mice display increased vascular inflammation with increased CD36 expression on macrophages despite decreased subendothelial lipid accumulation. Thus, vimentin has a key role in regulating inflammation in macrophages during atherogenesis.
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13.
  • Ivanova, Darya, et al. (författare)
  • Survey of dust formed in the TEXTOR tokamak : structure and fuel retention
  • 2009
  • Ingår i: Physica scripta. T. - : Institute of Physics Publishing (IOPP). - 0281-1847. ; T138, s. 014025-
  • Tidskriftsartikel (refereegranskat)abstract
    • A detailed survey of erosion and deposition on plasma-facing components was performed in the TEXTOR tokamak. Co-deposits and dust particles were collected from graphite limiters and from several locations on the Inconel liner. The total amount of dust (loose material), originating mainly from carbon-rich co-deposits detached from the limiters and the liner, was around 2 g, with sizes from 0.1 mu m to 1 mm. The morphology and fuel retention was determined using microscopy methods, ion beam analysis and thermal desorption spectrometry. The study revealed differences in structure and fuel content between deposits from the toroidal and main poloidal limiters. There were also splashes, up to 1 mm in diameter, of molten metal (mainly nickel) on the toroidal limiters. Issues of the dust conversion factor (erosion-to-dust) are addressed and a comparison with results of previous dust surveys at TEXTOR is also briefly presented.
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15.
  • Kreter, A., et al. (författare)
  • Deuterium retention in different carbon materials exposed in TEXTOR :
  • 2008
  • Ingår i: PROCEEDINGS OF THE 17TH INTERNATIONAL VACUUM CONGRESS/13TH INTERNATIONAL CONFERENCE ON SURFACE SCIENCE/INTERNATIONAL CONFERENCE ON NANOSCIENCE AND TECHNOLOGY. - Bristol : IOP PUBLISHING LTD. ; , s. 062024-
  • Konferensbidrag (refereegranskat)abstract
    • CFC NB31, CFC DMS780 and fine-grain graphite EK98 were simultaneously exposed in the SOL of TEXTOR in order to measure the retention of deuterium in the material bulk. After exposure, the samples were analysed by thermal desorption spectrometry and nuclear reaction analysis with a conventional beam as well as with a microbeam. The deuterium retention amounts (2-4).10(21) D/m(2) for the incident fluence of similar to 2.10(25) D/m(2). The retention values are similar for both CFC materials and lower by similar to 20-40% for EK98. The retention in all three materials scales roughly with a square root of incident fluence without saturation for the range of fluences obtained. The majority of deuterium is stored in a surface layer of <8 mu m. However, in NB31 deuterium is detectable as deep as 80 mu m. The in-bulk retention estimated for a TEXTOR experimental campaign of approximate to 7500 s of plasma has a contribution of approximate to 10% to the total retention, which is dominated by deuterium-carbon co-deposition.
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16.
  • Krieger, K., et al. (författare)
  • Be wall sources and migration in L-mode discharges after Be evaporation in the JET tokamak
  • 2009
  • Ingår i: Journal of Nuclear Materials. - : Elsevier BV. - 0022-3115 .- 1873-4820. ; 390-91, s. 110-114
  • Tidskriftsartikel (refereegranskat)abstract
    • First wall material erosion and migration after fresh Be evaporation in the JET tokamak were studied in a series of consecutive identical L-mode discharges. The evolution of Be and C wall and divertor sources towards steady state conditions after deposition of a finite amount of Be at the carbon first wall of JET by the beryllium evaporation procedure provides a data set for benchmarking impurity transport simulations. Furthermore the experiment serves as a reference case for comparison of Be erosion to that of the planned ITER-like wall experiment with mainly Be plasma facing components (PFCs) in the main chamber. The experimental results confirm the migration pattern obtained by campaign integrated accounting of impurity sources and sinks, which is characterised by the main chamber wall and outer divertor as erosion dominated zones and migration of eroded material predominantly to the inner divertor where the material is finally deposited at the target plates.
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18.
  • Lundahl, Lisbeth, 1951-, et al. (författare)
  • Locality and the Prevention of Early School Leaving : Supporting Youth Transitions to Upper Secondary School in a Highly Decentralised Education System
  • 2020
  • Ingår i: Nordic Journal of Transitions, Careers and Guidance. - Stockholm : Stockholm University. - 2003-8046. ; 1:1, s. 38-52
  • Tidskriftsartikel (refereegranskat)abstract
    • The introduction programme (IP) intends to facilitate transition to upper secondary education among Swedish youth with incomplete compulsory education. This article aims to explore and understand how local preconditions interact with schools’ support for the IP students. It looks at the local structural and institutional preconditions, and the strategies and work of head teachers, programme officers, teachers, and career counsellors, working in the IP in 90 municipalities of three categories: commuter municipalities close to big cities, rural municipalities, and small cities. The analysis builds on the responses from 139 school actors to a questionnaire, and on public statistics. On average, the commuter municipalities enjoy the most favourable structural and educational conditions, while the rural municipalities are the least resourceful, e.g. in terms of formal professional competence. Surprisingly however, the rural contexts on average perform better than the other municipalities regarding the level of graduation four years after starting the IP. There are few systematic local differences in the work with IP students. However, the IP in the rural municipalities on average enjoy higher support from school leaders, have a clearer division of responsibilities, and separate the students spatially to a lower degree compared to the commuter municipalities. Systematic handover between compulsory schools and the IP is less common in the commuter municipalities than in the other two groups. Whether these factors are relevant for explaining the higher success level in the rural schools and the lower success level in the schools in the commuter municipalities requires further investigation.
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19.
  • Nilsson, Magnus H. L., et al. (författare)
  • Isolation and characterization of a cDNA clone corresponding to bovine cellular retinoic-acid-binding protein and chromosomal localization of the corresponding human gene
  • 1988
  • Ingår i: European Journal of Biochemistry. - : Wiley. - 0014-2956 .- 1432-1033. ; 173:1, s. 45-51
  • Tidskriftsartikel (refereegranskat)abstract
    • A bovine adrenal cDNA library was constructed and a clone corresponding to cellular retinoic-acid-binding protein (CRABP) mRNA was isolated and sequenced. The insert of the clone corresponds to 75 bp of the 5′ untranslated portion, the whole translated and the complete 3′ untranslated portion of the bovine CRABP mRNA. A genomic Southern blot, probed with CRABP cDNA, indicated that only one copy of the gene is present in the human genome. Hybridizing bands in restricted chicken and fish DNA were also observed. Using the CRABP cDNA as probe we have located the human CRABP gene to chromosome 3 in hybridizations to mouse-human, hamster-human and rat-human cell hybrids. In situ hybridizations on rat testis cells probed with CRABP and cellular retinol-binding protein antisense mRNA indicate that both proteins are expressed in tubuli cells.
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20.
  • Nyberg, Andre, et al. (författare)
  • Limited scientific evidence supports the use of conservative treatment interventions for pain and function in patients with subacromial impingement syndrome : randomized control trials
  • 2010
  • Ingår i: Physical Therapy Reviews. - 1083-3196 .- 1743-288X. ; 15:6, s. 436-452
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Different conservative treatment interventions are often used to decrease pain and improve function in patients with subacromial impingement syndrome (SAIS). However, the current evidence to support the use of these interventions has not been established. Objectives: To determine the evidence for conservative treatment interventions regarding pain and function compared to any intervention for SAIS patients. Methods: A systematic review of randomized controlled trials, published in English between 1 January 1999 and 31 May 2010, was performed using PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library and manual searching. The methodological quality (PEDro scale) and evidence grade (SBU) were rated. Eight studies were of high quality, four were medium quality, and eight were low quality. Various conservative treatment interventions were evaluated: acupuncture, electrotherapy modalities, exercises, mixed modalities, changing posture, and use of a functional brace. Results: Limited scientific evidence (LSE) indicates positive effects of exercise and mixed modalities regarding pain and function and high-intensity laser therapy (HILT) regarding pain in SAIS patients. LSE also indicate no effect of electrotherapy modalities, apart from HILT, as treatment for SAIS. Conclusions: The lack of high quality interventions limits the ability to draw conclusions regarding efficacy from several of the included studies. However, exercise may be as efficient as surgery, manual therapy in combination with exercise seems to be more effective than exercise alone and high-dose exercises seem to be more effective than low-dose exercises. Furthermore, there is contradictory evidence to support the use of acupuncture.
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21.
  • Psoda, M., et al. (författare)
  • Material mixing on plasma-facing components : Compound formation
  • 2009
  • Ingår i: Journal of Nuclear Materials. - : Elsevier. - 0022-3115 .- 1873-4820. ; 386-388, s. 740-743
  • Tidskriftsartikel (refereegranskat)abstract
    • Two different tungsten limiters (castellated bulk metal block and W-coated graphite), subjected to high power loads in the TEXTOR tokamak, were examined in order to determine chemical composition of deposits inside the castellated grooves and on side surfaces of the coated limiter. Comprehensive analyses carried out by X-ray diffraction, ion beam analysis and other methods revealed: (i) the formation of tungsten oxide (WO2) inside the castellated grooves: (ii) the formation of tungsten carbides (WC main phase and traces of W2C) on side surfaces of the coated limiter. Elemental tungsten was found in deposits on side surfaces only in trace quantities thus indicating that tungsten eroded from the limiter top and transported to the scrape-off layer reacted with carbon. Based on thermodynamic data, the pathways leading to the formation of compounds are discussed.
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22.
  • Rondung, Elisabet, 1980-, et al. (författare)
  • Reducing stress and anxiety in patients with myocardial infarction with non-obstructive coronary arteries or Takotsubo syndrome : A non-randomized feasibility study
  • 2022
  • Ingår i: Internet Interventions. - : Elsevier. - 2214-7829. ; 29
  • Tidskriftsartikel (refereegranskat)abstract
    • Background and aim: In the aftermath of a myocardial infarction with non-obstructive coronary arteries (MINOCA) or Takotsubo syndrome (TS), patients commonly express high levels of stress and anxiety. Current treatment alternatives rarely address these issues. The planned E-health Treatment of Stress and Anxiety in Stockholm Myocardial Infarction With Non-obstructive Coronaries Study (e-SMINC) aims to evaluate the effects of an internet-based intervention, building on cognitive behavioral therapy (CBT) by comparison with treatment as usual using an RCT approach. This was a small-scale single arm study designed to test the feasibility of the RCT, addressing uncertainties regarding recruitment, data collection, and intervention delivery.Methods: Participant recruitment and screening took place before discharge from the coronary care unit at a large Swedish hospital. Eligible patients were invited to a nine-step psychologist guided, internet-based CBT intervention. The sample size was set in advance to 10 participants completing the intervention. The recruitment and flow of participants were documented and evaluated in relation to seven pre-defined progression criteria. Self-reports of anxiety (HADS-A), stress (PSS-14), cardiac anxiety (CAQ), posttraumatic stress (IES-6) and quality of life (Rand-36), collected at screening, pre-intervention and post-intervention, were analysed descriptively and by effect sizes (Cohen's d). Individual interviews targeting participant experiences were conducted.Results: Six out of seven progression criteria yielded no concerns. Out of 49 patients with a working diagnosis of MINOCA or TS, 31 were eligible for screening, 26 consented to participate, and 14 were eligible with regard to symptoms of stress and/or anxiety. Eleven completed the pre-assessment and were given access the intervention, and 9 completed the intervention. Only the number of patients screened prior to eligibility assessment was slightly lower than expected, indicating possible concerns. Self-reports of anxiety, stress, cardiac anxiety, posttraumatic stress, and quality of life all indicated symptom reduction from pre- to post-intervention, generally showing large effect sizes (d = 0.6–2.6). The general consensus among participants was that the programme was helpful and relevant, and that the personal contact with the psychologist was highly valued. Setting aside time to complete assignments was found critical.Conclusion: Conducting a full scale RCT was found feasible. Inclusion of more study sites and minor amendments to the protocol and intervention were decided to improve feasibility further.
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24.
  • Rubel, Marek, et al. (författare)
  • Comprehensive First Mirror Test for ITER at JET with Carbon Walls
  • 2010
  • Ingår i: Proceedings of the23rd IAEA Fusion Energy Conference.
  • Konferensbidrag (refereegranskat)abstract
    • Metallic mirrors will be essential components of all optical spectroscopy and imaging systems forplasma diagnosis that will be used on the next-step magnetic fusion experiment, ITER. Any change of the mirrorperformance, in particular reflectivity, will influence the quality and reliability of detected signals. On therequest of the ITER Design Team, a First Mirror Test (FMT) has been carried out at JET during campaigns in2005-2007 and 2008-2009. To date, it has been the most comprehensive test performed with a large number oftest mirrors exposed in an environment containing both carbon and beryllium; the total plasma time (in 2005-2007 period) over 35 h including 27 h of X-point operation. 32 stainless steel and polycrystalline molybdenumflat-front and 45oangled mirrors were installed in separate channels of cassettes on the outer wall and in the MkII HD divertor: inner leg, outer leg and base plate under the load bearing tile. Post exposure studies comprisedreflectivity measurements and surface analyses with microscopy, secondary ion mass spectrometry, ion beamanalysis and energy dispersive X-ray spectroscopy.. The essential results are: (i) on the outer wall highreflectivity (~90%) is maintained for mirrors close to the channel entrance but it is degraded by 30-40 % deeperin the channel (ii) reflectivity loss by 70-90% is measured for mirrors placed in the divertor: outer, inner andbase; (iii) deuterium and carbon are the main elements detected on all mirror surfaces and the presence ofberyllium is also found; (iv) thick deposits show rough columnar structure and thickness is 1-20 μm; (v) bubblelike structures are detected in deposits; (vi) the deposition in channels in the divertor cassettes is pronounced atthe very entrance; (vii) photonic cleaning with laser removes deposits but the surface is damaged by laser pulses.In summary, reflectivity of all tested mirrors is degraded either by erosion with CX neutrals or by the formationof thick deposits. The implications of results obtained for first mirrors in next-step device are discussed andcritical assessment of various methods for in-situ cleaning of mirrors is presented. The conclusion is thatengineering solutions should be developed in order to install shutters or to implement a cassette with mirrors toreplace periodically the degraded ones
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