| 1. |
- Lundgren, Fredrik, et al.
(författare)
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PTFE bypass to below-knee arteries : distal vein collar or not? A prospective randomised multicentre study
- 2010
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Ingår i: European Journal of Vascular and Endovascular Surgery. - : Elsevier BV. - 1078-5884 .- 1532-2165. ; 39:6, s. 747-754
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundPatency and limb salvage after synthetic bypass to the arteries below-knee are inferior to that which can be achieved with autologous vein. Use of a vein collar at the distal anastomosis has been suggested to improve patency and limb salvage, a problem that is analysed in this randomised clinical study.MethodsPatients with critical limb ischaemia undergoing polytetrafluoroethylene (PTFE) bypass to below-knee arteries were randomly either assigned a vein collar or not in two groups – bypass to the popliteal artery below-knee (femoro-popliteal below-knee (FemPopBK)) and more distal bypass (femoro-distal bypass (FemDist)). Follow-up was scheduled until amputation, death or at most 5 years, whichever event occurred first.ResultsIn the FemPopBK and in the FemDist groups, 115/202 and 72/150 were randomised to have a vein collar, respectively. Information was available for 345 of 352 randomised patients (98%).At 3 years, primary patency was 26% (95% confidence interval (CI) 18–38) with a vein collar and 43 (33–58) without a vein collar for femoro-popliteal bypass and 20 (11–38), and 17 (9–33) for femoro-distal bypass, respectively. The corresponding figures for limb salvage were 64 (54–75) and 61 (50–74) for femoro-popliteal bypass, and 59 (46–76) and 44 (32–61) for femoro-distal bypass with and without a vein collar, respectively. Log-rank-test for the whole Kaplan–Meier life table curve showed no statistically significant differences with or without vein collar primary patency: p = 0.0853, p = 0.228; secondary patency: p = 0.317, p = 0.280; limb salvage: p = 0.757, p = 0.187 for FemPopBK and FemDist, respectively. The use of a vein collar did not influence patency or limb salvage.ConclusionThis study failed to show any benefit for vein collar with PTFE bypass to a below-knee artery.
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| 2. |
- Jonsson, Thomas B., 1971-, et al.
(författare)
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Adverse events during treatment limb ischemia with autologous peripheral blood mononuclear cell implant
- 2012
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Ingår i: International Journal of Angiology. - Turin, Italy : Edizioni Minerva Medica. - 0392-9590 .- 1827-1839. ; 31:1, s. 77-84
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Tidskriftsartikel (refereegranskat)abstract
- Aim: Trials have reported clinical improvement and reduced need for amputation in critical limb ischemia (CLI) patients receiving therapeutic angiogenesis with stem cells. Our objective was to test peripheral stem cell therapy efficacy and safety to gain experiences for further work.Methods: We included nine CLI patients (mean age 76.7 ±9.7). Stem cells were mobilized to the peripheral blood by administration of G-CSF (Filgrastim) for 4 days, and were collected on day five, when 30 mL of a stem cell suspension was injected into 40 points of the limb. The clinical efficacy was evaluated by assessing pain relief, wound healing and changes in ankle-brachial pressure index (ABI). Local metabolic and inflammatory changes were measured with microdialysis, growth factors and cytokine level determination. Patients were followed for 24 weeks.Results: Four patients experienced some degree of improvement with pain relief and/or improved wound healing and ABI increase. One patient was lost to follow up due to chronic psychiatric illness; one was amputated after two weeks. Two patients had a myocardial infarction (MI), one died. One patient died from a massive mesenteric thrombosis after two weeks and one died from heart failure at week 11. Improved patients showed variable effects in cytokine-, growth factor- and local metabolic response.Conclusion: Even with some improvement in four patients, severe complications in four out of nine patients, and two in relation to the bone marrow stimulation, made us terminate the study prematurely. We conclude that with the increased risk and the reduced potential of the treatment, peripheral blood stem cell treatment in the older age group is less appropriate. Metabolic and inflammatory response may be of value to gain insight into mechanisms and possibly to evaluate effects of therapeutic angiogenesis.
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| 3. |
- Arfvidsson, J., et al.
(författare)
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A method for status determination and risk assessment of energy measures in historic buildings
- 2021. - 1
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Ingår i: IOP Conference Series : Earth and Environmental Science - Earth and Environmental Science. - : IOP Publishing. - 1755-1307 .- 1755-1315. ; 863
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Konferensbidrag (refereegranskat)abstract
- Implementing energy efficiency measures in historic buildings is a challenging task and require knowledge in a number of different disciplines. The measures to reduce energy use must create a good indoor environment without jeopardizing the loss of important cultural historical values or entailing damages to building materials or load-bearing structures. Building antiquarian-, building biological- and building physical aspects are central, and must be taken into account in the entire process, from planning to implementation of energy update measures in historic buildings. This paper presents a methodology for status determination and risk assessment of energy measures in historic buildings. The method (KuReRA) has been developed in collaboration between curators, building biologists and building physicists.
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| 4. |
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| 5. |
- Gelin, Johan, 1948, et al.
(författare)
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Treatment efficacy of intermittent claudication by surgical intervention, supervised physical exercise training compared to no treatment in unselected randomised patients I: one year results of functional and physiological improvements.
- 2001
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Ingår i: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. - : Elsevier BV. - 1078-5884. ; 22:2, s. 107-13
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: to compare the effect of surgery, exercise and simple observation on maximum exercise power in claudicants. Design: prospective, randomised study. METHODS: a total of 264 unselected claudicants were randomised to supervised exercise training, invasive treatment (open surgical or endovascular procedures) or observation. One year treatment outcomes were analysed on an intention to-treat basis. RESULTS: invasively treated patients showed a significant improvement in maximum walking power, stopping distance, post-ischaemic blood flow and big toe pressure at one year. Patients randomised to physical exercise training or to the control group did not improve in any outcome measure. CONCLUSION: invasive treatment increased walking capacity, leg blood pressure and flow. Supervised physical exercise training offered no therapeutic advantage compared to untreated controls.
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| 6. |
- Jonsson, Thomas Björn, 1971-, et al.
(författare)
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Cloxacillin concentrations in serum, subcutaneous fat, and muscle in patients with chronic critical limb ischemia
- 2014
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Ingår i: European Journal of Clinical Pharmacology. - : Springer. - 0031-6970 .- 1432-1041. ; 70:8, s. 957-963
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Tidskriftsartikel (refereegranskat)abstract
- Patients suffering from critical limb ischemia (CLI) have poor wound healing in the ankle and foot areas. Secondary wound infections are frequent and often treated with prolonged courses of antibiotics.This study set out to investigate to what extent the unbound fraction of 4 g of cloxacillin i.v. reaches its target organ in poorly vascularized tissues, i.e., the calf and foot of patients suffering from CLI.Cloxacillin concentrations were measured by HPLC in serum and in microdialysis samples from skin and muscle of the lower part of the calf and as reference subcutaneously at the pectoral level in eight patients suffering from CLI (four males, four females, mean age 78 years, range 66-85 years) and in three healthy controls (two females, one male, mean age 67, range 66-68 years).In patients suffering from CLI, the tissue penetration of cloxacillin after a single 4 g dose was comparable to that of healthy controls, despite impaired blood circulation.The reduced blood flow in the peripheral vessels of the CLI patients presented here apparently is not the rate-limiting factor for delivery or tissue penetration of cloxacillin.
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| 7. |
- Rode, C., et al.
(författare)
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Moisture Buffer Value of Building Materials
- 2006
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Konferensbidrag (refereegranskat)abstract
- Building materials and furnishing used in contact with indoor air may have a positive effect to moderate the variations of indoor humidity seen in occupied buildings. Thus, very low humidity can be alleviated in winter, as well as can high indoor humidity in summer and during high occupancy loads. This way, materials can be used as a passive means of establishing indoor climatic conditions, which are comfortable for human occupancy, or for safe storing of artefacts which are sensible to humidity variation. But so far there has been a lack of a standardized figure to characterize the moisture buffering ability of materials. It has been the objective of a recent (ongoing until mid-2005) Nordic project to come up with such a definition, and to declare it in the form of a NORDTEST method. Apart from the definition of the term Moisture Buffer Value, there will also be a declaration of a test protocol which expresses how materials should be tested. Finally as a part of the project, some Round Robin Tests will be carried out on various typical building materials. The paper gives an account on the definition of the Moisture Buffer Value, it will outline the content of the test protocol, and it will give some examples of results from the Round Robin Tests.
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| 8. |
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| 9. |
- Taft, Charles, 1950, et al.
(författare)
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Treatment efficacy of intermittent claudication by invasive therapy, supervised physical exercise training compared to no treatment in unselected randomised patients II: one-year results of health-related quality of life.
- 2001
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Ingår i: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. - : Elsevier BV. - 1078-5884. ; 22:2, s. 114-23
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: to compare the effectiveness of invasive therapy, supervised physical training and no treatment in terms of health-related quality of life (HRQL) in patients with intermittent claudication (IC). DESIGN: a prospective, randomised, controlled study. MATERIALS: a total of 253 unselected patients with stable IC were sequentially randomised into 3 balanced treatment groups. At 1 year follow-up data from a battery of generic and disease specific HRQL questionnaires, and global indices of quality of life and physical condition were available in 171 patients. RESULTS: compared with a non-diseased reference group, claudicants were substantially limited in daily physical functioning, but little affected regarding emotional, cognitive and social functioning, or well-being. Invasive therapy yielded significantly greater improvements in some aspects of physical functioning and walk-related symptoms than training. Training was not superior to invasive therapy on any HRQL dimension and superior to no treatment on only one dimension. Treatment effects, however, were generally small-to-moderate and levels of physical dysfunction in all groups remained higher than reference values. CONCLUSIONS: invasive therapy is more effective than supervised training in alleviating illness-specific symptoms and improving certain aspects of physical functioning - the primary HRQL domains impacted on by IC and the principal goals of its treatment. However, since treatment effect sizes were at most moderate and given that untreated claudicants reported at most small deterioration in HRQL, the level of evidence supporting invasive therapy is modest.
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| 10. |
- Timmerman, P, et al.
(författare)
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Feedback from the EBF - Focus Workshop: bringing assay validation and analysis of biomarkers into practice
- 2017
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Ingår i: Bioanalysis. - : Future Science Ltd. - 1757-6199 .- 1757-6180. ; 9:9, s. 675-681
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- European Bioanalysis Forum Focus Workshop, Lisbon, Portugal, 9–10 June 2016 At the recent European Bioanalysis Forum's Focus Workshop ‘Bringing Assay Validation and Analysis of Biomarkers into Practice’, the discussion on best practice for biomarker assay validation continued. Both the presentations and the adjacent panel discussions yielded valuable food for thought for the broader bioanalytical community. The present conference report summarizes the essence from these discussions and from the proposals or conclusions made by all delegates on how to increase the necessary connectivity of the stakeholders involved in the bioanalysis of biomarkers.
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| 11. |
- Wittgren, B, et al.
(författare)
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Polysaccharide characterization by flow field-flow fractionation-multiangle light scattering: Initial studies of modified starches
- 2002
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Ingår i: International Journal of Polymer Analysis and Characterization. - : Informa UK Limited. - 1563-5341 .- 1023-666X. ; 7:1-2, s. 19-40
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Tidskriftsartikel (refereegranskat)abstract
- Chemically modified starches are commonly used for various purposes. Depending on the type of derivatization, a chemical degradation of the original polymeric structure may occur, resulting in a change of molar mass. It is therefore always of interest to know the molar mass and possibly the conformation of the derivative. Four commercially available hydroxypropyl and hydroxyethyl modified starches were examined by asymmetrical flow field-flow fractionation combined with multiangle laser light scattering. The weight-average molar mass and the molar mass distribution were determined, with emphasis put on the rapid analysis and studies of the suitable experimental conditions regarding flow rates so that accurate data were obtained. The molar mass distribution determinations showed good reproducibility, and repeatability and were fast. Efforts to obtain conformational information are described.
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