| 1. |
- Andersson, Sofia Lovisa, et al.
(författare)
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Långtidsförsök med membranbioreaktor för förbättrad avloppsvattenrening i kombination med kompakt slambehandling
- 2023
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Henriksdals reningsverk i Stockholm byggs nu ut och om för ökad kapacitet (från 0,8 till 1,6 miljoner PE) och för förbättrad reningsgrad (6 mg TN/l, 0,20 mg TP/L, 5 mg BOD7/l). Projektet inkluderar uppgradering av den befintliga konventionella aktivslamprocessen till en ny membranbioreaktorprocess (MBR) med mer än 1,6 m2 installerad membranyta.Det inkluderar även utökad förbehandling och ett nytt steg för primärslamförtjockning. Termofil rötning av tjockt slam (~6 % TS) vid hög organisk belastning och relativt låg uppehållstid kommer ersätta dagens mesofila rötning.För att öka kunskapen om MBR-teknik i nordiskt klimat har Stockholm Vatten och Avfall (SVOA) och IVL Svenska Miljöinstitutet genomfört långtidsstudier på en membranprocess i pilotskala på FoU-anläggningen Hammarby Sjöstadsverk, som ligger i anslutning till Henriksdals reningsverk. MBR-piloten togs i drift 2013 och byggdes om till sin nuvarande utformning under 2016. År 2017 kompletterades MBR-piloten med en slamlinje för att kunna studera olika aspekter av slamrötning.Under 2021 kördes MBR-piloten med ett fast inflöde på 4,1 m3/h, vilket är 37 % högre än det designade medelflödet, med externt tillförskaffad glycerol och internt producerad VFA-kolkälla för efterdenitrifikation.Aluminium (PAX) användes i stället för trevärt järn (PIX) som komplement till tvåvärt järn (FeSO4) för fosforutfällning. Detta gjordes för att testa driftstrategin för den första MBR-linjen i Henriksdals reningsverk. Medelhalter av kväve och fosfor i utgående vatten var 3,9 mg TN/L respektive 0,07 mg TP/L, vilket innebär att utsläppsvärden uppfylldes även i år. För att uppnå detta krävdes 8,6 g Fe2+/m3 och 0,9 g Al3+/m3.Under försök med fluxförhöjare tillsattes totalt 17,8 g järn (Fe2++ Fe3+)/m3. Glyceroldosen motsvarade 17,3 g COD/m3, och för användning av internt producerad VFA motsvarande dosen 15,5 g COD/m3. Den något högre förbrukningen av fosforfällningskemikalier jämfört med 2020, 1,29 mol metall per mol avlägsnad fosfor, berodde främst på en lägre bio-P aktivitet under 2021. År 2021 var fosforsläppshastigheten mycket låg under våren, ex. < 1 g PO4-P/kg VSS,h i juni men återhämtade sig under sommaren med t.ex. 5,5 g PO4-P/kg VSS,h i juli, efter att doseringen av skumdämpare stoppades.Järn- och aluminiumhalten i det aktiva slammet var 6,2 respektive 0,7 %. Genomsnittlig total slamålder under 2021 var 17,2 dagar och luftad medelslamålder var 7 dagar. Nitrifikation var alltid komplett med utgående ammoniumkoncentrationer under 2 mg/L, förutom vecka 25.Tester med användning av internt producerad VFA som kolkälla visade att den specifika COD-förbrukningen var nästan densamma som för glycerol när man jämförde årsgenomsnittet från 2021 och 2020. Utgående nitrat och total kvävereduktion var liknande under försöket med VFA som resten av året, då glycerol användes.Liksom tidigare år rengjordes membranen i membrantank 1 (MT1) med oxalsyra och membranen i MT2 med citronsyra. Båda membranen rengjordes också med natriumhypoklorit. Membranen kördes med ett genomsnittligt flux på 21 till 25 L/(m2·h), men med startvecka 25 testades fullskaledesignens maximala nettoflux på 30 L/(m2·h) i piloten under 25 veckor. Netto-TMP varierade mellan 49 och 218 mbar för MT1 och mellan 51 och 146 mbar för MT2. TMP reducerades efter varje återhämtningsrengöring (RC) med hypoklorit, men effekten varade inte länge. Permeabiliteten var generellt över 200 L/(m2·h·bar) under hela 2021–2022 för båda membranen. Återhämtningsrengöringar gjordes två gånger med hypoklorit och en gång med syror under 2021. Under 2022 genomfördes en slutlig RC, först med hypoklorit sedan med syror. Den första RC för MT1 resulterade i en tydlig ökning av permeabiliteten efter rengöring. För MT2 var den största ökningen av permeabiliteten resultatet av en citronsyra-MC (en vecka efter hypoklorit-RC).Följande RC i slutet av 2021 och i mars 2022 hade tydliga men mindre positiva inverkan på permeabiliteten. Före den första RC var permeabiliteten högre för MT1 (rengöras med oxalsyra) jämfört med MT2 (rengöras med citronsyra). Efter de första RC hade båda membranen liknande permeabilitet. Som ett resultat av den tuffa driftstrategin från vecka 25 2021 minskade permeabiliteten ganska snabbt efter RC. MT2 nådde en stabil nivå runt 250-300 L/(m2·h·bar) medan MT1 sjönk ytterligare till som lägst 200 L/(m2·h·bar).Utsläpp av klorerade föreningar mättes under den slutliga återställningsrengöringen med natriumhypoklorit. Utsläppsprocessen var långsammare än förväntat och generellt sett observerades inga tydliga tecken på dämpning av utsläppen under provtagningens 21 timmar. Även om sammansatta prover på flera timmar under natten inte ger tillräckligt med detaljer, drogs slutsatsen att utsläppen kan vara skadliga under hela RC-processen ur ett exponeringsperspektiv. Exempelvis nådde trikloramin sin topp vid 36 gånger den rekommenderade gränsen, klorgas vid 73 % av korttidsexponeringsgränsen (15 min exponering) och kloroform vid 9 % av den yrkesmässiga exponeringsgränsen (genomsnittlig arbetsdag på 8 timmar).För att följa upp tidigare mätningar av växthusgaserna lustgas (N2O) och metan (CH4) genomfördes en ny mätkampanj under flera månader i 2021. Generellt sett var utsläppen som observerades 2021 betydligt högre än i tidigare kampanjer och särskilt höga N2O-utsläpp från membrantanken kunde observeras. Någon tydlig orsak kunde inte identifieras men den högre inkommande belastningen med bibehållna reningskrav och ett "bättre" provtagningsupplägg kan delvis vara en förklaring.I samarbete med Kemira genomfördes tester med en fluxförhöjande produkt (flux enhancer). Ingen uppenbar positiv eller negativ förändring i permeabiliteten på grund av dosering av fluxförhöjare kunde dock identifieras utifrån de kontinuerliga processparametrar som övervakades och vanliga variationer i permeabilitet samt effekten av membranrengöring.Eftersom skumbildning är ett vanligt fenomen i MBR-anläggningar genomfördes tester med ett skumdämpande medel som doserades i pulser och kontinuerligt till den biologiska behandlingen under perioden med kraftig skumbildning (mars-juni). Även om skumning inte upphörde helt så kunde en god minskning och kontroll av skumning uppnås. En optimal effekt konstaterades vid en kontinuerlig dos på > 10 ppm. Men även om produkten har visat sig ha en positiv effekt på skumning i MBR-piloten, framstår inte en permanent användning i fullskala som ekonomiskt genomförbar på grund av den höga förbrukningen.Tester med reducerat RAS-flöde från 4×Qin enligt design till 2×Qin syftade till att minska energiförbrukningen. Ett minskat RAS-flöde skulle dock innebära en ökad slamkoncentration i membrantankarna, vilket kan ha negativa effekter på membranets prestanda med mer igensättning, vilket i sin tur kan leda till ökad luftning för membranrengöring och behov av tätare membrantvättar. Projektgruppen kunde dock inte observera några negativa effekter av det minskade RAS-flödet på membranets prestanda.Under 2021 genomfördes tester med övergång från mesofil till termofil rötning, avvattning av rötslam efter mesofil och termofil rötning, samt termofil rötning vid hög organisk belastning (OLR) och låg hydraulisk uppehållstid (HRT) i slampiloten. Resultat visar att övergången från mesofil till termofil rötning kan ske utan större problem om den organiska belastningen minskades lite vid den mest kritiska temperaturen och att stabil drift uppnåddes efter 10-12 dagar. Att utvärdera avvattningen av mesofilt och termofilt rötat slam var svårare och inga tydliga skillnader kunde observeras. En slutsats var dock att de metoder som användes för att bestämma avvattningsbarhet eller optimal polymerdos inte framstår som tillförlitliga. Försök med hög organisk belastning vid termofil rötning visade att rötkammarens prestanda kunde bibehållas upp till en OLR på cirka 4 kg VS/m3, d och en HRT på 12 d. När belastningen ökades ytterligare och HRT minskade, minskade prestandan vad gäller utrötningsgrad och biogas-/metanproduktion, även om själva reaktordriften fortfarande var stabil.Den totala resursåtgången i piloten visade att konsumtionen av glycerol var densamma som för den framtida Henriksdalsdesignen, även om kvävebelastningen i piloten var 21 % högre och den genomsnittliga totala kvävekoncentrationen i utgående vatten var med 3,9 mg TN/L lägre än design på 6 mg TN/L. Järn-/metallförbrukningen var också 73 % av den framtida Henriksdalsdesignen, även om fosforbelastningen till piloten var cirka 50 % högre jämfört med designvärden och utgående fosfatkoncentrationerna låg under målkoncentrationen. Detta förklaras främst av EBPR-aktiviteten i pilotprojektet. Dessutom var förbrukningen av rengöringskemikalier lägre än den framtida Henriksdalsdesignen även om inflödet till piloten var 30 % högre än designen.
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| 2. |
- Björk, Göran, 1956, et al.
(författare)
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Flow of Canadian Basin Deep Water in the Western Eurasian Basin of the Arctic Ocean
- 2010
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Ingår i: Deep Sea Research. - : Elsevier BV. - 0967-0637 .- 1879-0119. ; 57:4, s. 577-586
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Tidskriftsartikel (refereegranskat)abstract
- The LOMROG 2007 expedition targeted the previously unexplored southern part of the Lomonosov Ridge north of Greenland together with a section from the Morris Jesup Rise to Gakkel Ridge. The oceanographic data shows that Canadian Basin Deep Water (CBDW) passes the Lomonosov Ridge in the area of the Intra Basin close to the North Pole and then continues along the ridge towards Greenland and further along its northernmost continental slope. The CBDW is clearly evident as a salinity maximum and oxygen minimum at a depth of about 2000 m. The cross slope sections at the Amundsen Basin side of the Lomonosov Ridge and further south at the Morris Jesup Rise show a sharp frontal structure higher up in the water column between Makarov Basin water and Amundsen Basin water. The frontal structure continues upward into the Atlantic Water up to a depth of about 300 m. The observed water mass division at levels well above the ridge crest indicates a strong topographic steering of the flow and that different water masses tend to pass the ridge guided by ridge-crossing isobaths at local topographic heights and depressions. A rough scaling analysis shows that the extremely steep and sharply turning bathymetry of the Morris Jesup Rise may force the boundary current to separate and generate deep eddies.
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| 3. |
- Gustafsson, Sofia, et al.
(författare)
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Combined PET and microdialysis for in vivo estimation of drug blood-brain barrier transport and brain unbound concentrations
- 2017
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Ingår i: NeuroImage. - : Elsevier BV. - 1053-8119 .- 1095-9572. ; 155, s. 177-186
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Tidskriftsartikel (refereegranskat)abstract
- Methods to investigate blood-brain barrier transport and pharmacologically active drug concentrations in the human brain are limited and data translation between species is challenging. Hence, there is a need to further develop the read-out of techniques like positron emission tomography ( PET) for studying neuropharmacokinetics. PET has a high translational applicability from rodents to man and measures total drug concentrations in vivo. The aim of the present study was to investigate the possibility of translating total drug concentrations, acquired through PET, to unbound concentrations, resembling those measured in the interstitial fluid by microdialysis sampling. Simultaneous PET scanning and brain microdialysis sampling were performed in rats throughout a 60 min infusion of [N-methyl-C-11] oxycodone in combination with a therapeutic dose of oxycodone and during a 60 min follow up period after the end of infusion. The oxycodone concentrations acquired with PET were converted into unbound concentrations by compensating for brain tissue binding and brain intracellular distribution, using the unbound volume of distribution in brain (Vu, brain), and were compared to microdialysis measurements of unbound concentrations. A good congruence between the methods was observed throughout the infusion. However, an accumulating divergence in the acquired PET and microdialysis data was apparent and became more pronounced during the elimination phase, most likely due to the passage of radioactive metabolites into the brain. In conclusion, the study showed that PET can be used to translate non-invasively measured total drug concentrations into unbound concentrations as long as the contribution of radiolabelled metabolites is minor or can be compensated for.
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| 4. |
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| 5. |
- Näsman, Mattias, 1989-, et al.
(författare)
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A promised land? : First summary of the research program
- 2023
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- This document lays out the background for the research program “A promised land? Drivers, challenges and opportunities related to the (green) industrialization of Northern Sweden,” (nr. M22-0029) awarded by the Swedish Riksbankens Jubileumsfond’s in 2022. The document summarizes work in progress and may therefore be updated and republished in different versions according to the requirements of the program. This interdisciplinary program aims to understand the economic, social, and political challenges and opportunities of the ongoing industrial transformation in northern Sweden. A key element of the program is to identify drivers, obstacles, and preconditions in a historical, present, and forward-looking process-perspective.
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| 6. |
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| 7. |
- Venge, Per, et al.
(författare)
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HNL (Human Neutrophil Lipocalin) and a multimarker approach to the distinction between bacterial and viral infections
- 2019
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Ingår i: JIM - Journal of Immunological Methods. - : Elsevier. - 0022-1759 .- 1872-7905. ; 474
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: The distinction between bacterial and viral causes of acute infections is a major clinical challenge. In this report we investigate the diagnostic performance in this regard of nine candidate biomarkers together with HNL (Human Neutrophil Lipocalin).METHODS: Blood was obtained from patients with symptoms of infectious (n = 581). HNL was measured in whole blood (B-HNL) after pre-activation with the neutrophil activator fMLP or in plasma (P-HNL). Azurocidin also known as heparin-binding protein (HBP), Calprotectin, PMN-CD64, CRP (C-reactive protein), IP-10 (Interferon γ-induced Protein 10 kDa), PCT (Procalcitonin), TK1 (Thymidine kinase 1), TRAIL (TNF-related apoptosis-inducing ligand) were measured in plasma/serum. Area under the ROC (receiver operating characteristics) curve (AuROC) was used for the evaluation of the clinical performance of the biomarkers.RESULTS: Side-by-side comparisons of the ten biomarkers showed large difference in the AuROC with B-HNL being the superior biomarker (0.91, 95% CI 0.86-0.95) and with the other nine biomarkers varying from AuROC of 0.63-0.79. The combination of B-HNL with IP-10 and/or TRAIL increased the diagnostic performance further to AuROCs of 0.94-0.97. The AuROCs of the combination of CRP with IP-10 and/or TRAIL were significantly lower than combinations with B-HNL 0.87 (95% CI 0.83-0.91).CONCLUSION: The diagnostic performance of whole blood activated HNL was superior in the distinction between bacterial or viral infections. The addition of IP-10 and/or TRAIL to the diagnostic algorithm increased the performance of B-HNL further. The rapid analysis of HNL, reflecting bacterial infections, together with biomarkers reflecting viral infections may be the ideal combination of diagnostic biomarkers of acute infections.
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| 8. |
- Ablondi, Michela, et al.
(författare)
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Performance of Swedish Warmblood fragile foal syndrome carriers and breeding prospects
- 2022
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Ingår i: Genetics Selection Evolution. - : Springer Science and Business Media LLC. - 0999-193X .- 1297-9686. ; 54
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Tidskriftsartikel (refereegranskat)abstract
- Background Warmblood fragile foal syndrome (WFFS) is a monogenetic defect caused by a recessive lethal missense point mutation in the procollagen-lysine, 2-oxoglutarate 5-dioxygenase 1 gene (PLOD1, c.2032G>A). The majority of homozygous WFFS horses are aborted during gestation. Clinical signs of affected horses include fragile skin, skin and mucosa lacerations, hyperextension of the articulations, and hematomas. In spite of its harmful effect, a relatively high frequency of WFFS carriers has been found in Warmblood horses, suggesting a heterozygote advantage. Thus, in this study our aims were to: (1) estimate the frequency of WFFS carriers in the Swedish Warmblood breed (SWB), (2) estimate the effect of WFFS carrier genotype on performance traits in two SWB subpopulations bred for different disciplines, and (3) simulate the potential effects of balancing selection and different selection strategies on the frequency of carriers. Methods In total, 2288 SWB sport horses born between 1971 and 2020 were tested for the WFFS mutation and had estimated breeding values (EBV) for ten traditional evaluating and 50 linear descriptive traits. Results The frequency of WFFS carriers calculated from a pool of 511 randomly selected SWB horses born in 2017 was equal to 7.4% and ranged from 0.0 to 12.0% among the whole set of tested SWB horses, starting from 1971 till 2020. The effect of the WFFS carrier genotype was significant for several EBV mainly related to movements and dressage traits and especially for horses not bred for the show jumping discipline. Using simulation, we showed that balancing selection can maintain a recessive lethal allele in populations such as the SWB breed over generations and that the frequency is expected to slowly decrease in absence of balancing selection. Finally, we showed that selection against carrier sires can result in a more rapid decrease of the frequency of the mutant allele over time. Conclusion Further research is needed to confirm the apparent association between equine performance and the WFFS carrier genotype. Identification of such associations or new causative mutations for horse performance traits can serve as new tools in horse breeding to select for healthy, sustainable, and better performing horses.
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| 9. |
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| 10. |
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| 11. |
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| 12. |
- Ablondi, Michela, et al.
(författare)
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Signatures of selection in the genome of Swedish warmblood horses selected for sport performance
- 2019
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Ingår i: BMC Genomics. - : Springer Science and Business Media LLC. - 1471-2164. ; 20
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Tidskriftsartikel (refereegranskat)abstract
- Background A growing demand for improved physical skills and mental attitude in modern sport horses has led to strong selection for performance in many warmblood studbooks. The aim of this study was to detect genomic regions with low diversity, and therefore potentially under selection, in Swedish Warmblood horses (SWB) by analysing high-density SNP data. To investigate if such signatures could be the result of selection for equestrian sport performance, we compared our SWB SNP data with those from Exmoor ponies, a horse breed not selected for sport performance traits. Results The genomic scan for homozygous regions identified long runs of homozygosity (ROH) shared by more than 85% of the genotyped SWB individuals. Such ROH were located on ECA4, ECA6, ECA7, ECA10 and ECA17. Long ROH were instead distributed evenly across the genome of Exmoor ponies in 77% of the chromosomes. Two population differentiation tests (F-ST and XP-EHH) revealed signatures of selection on ECA1, ECA4, and ECA6 in SWB horses. Conclusions Genes related to behaviour, physical abilities and fertility, appear to be targets of selection in the SWB breed. This study provides a genome-wide map of selection signatures in SWB horses, and ground for further functional studies to unravel the biological mechanisms behind complex traits in horses.
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| 13. |
- Adén, Daniel, et al.
(författare)
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An abundance study of red-giant-branch stars in the Hercules dwarf spheroidal galaxy
- 2011
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Ingår i: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 525, s. A153-
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Tidskriftsartikel (refereegranskat)abstract
- Context. Dwarf spheroidal galaxies are some of the most metal-poor, and least luminous objects known. Detailed elemental abundance analysis of stars in these faint objects is key to our understanding of star formation and chemical enrichment in the early universe, and may provide useful information on how larger galaxies form. Aims. Our aim is to provide a determination of [Fe/H] and [Ca/H] for confirmed red-giant branch member stars of the Hercules dwarf spheroidal galaxy. Based on this we explore the ages of the prevailing stellar populations in Hercules, and the enrichment history from supernovae. Additionally, we aim to provide a new simple metallicity calibration for Stromgren photometry for metal-poor, red giant branch stars. Methods. High-resolution, multi-fibre spectroscopy and Stromgren photometry are combined to provide as much information on the stars as possible. From this we derive abundances by solving the radiative transfer equations through marcs model atmospheres. Results. We find that the red-giant branch stars of the Hercules dSph galaxy are more metal-poor than estimated in our previous study that was based on photometry alone. From this, we derive a new metallicity calibration for the Stromgren photometry. Additionally, we find an abundance trend such that [Ca/Fe] is higher for more metal-poor stars, and lower for more metal-rich stars, with a spread of about 0.8 dex. The [Ca/Fe] trend suggests an early rapid chemical enrichment through supernovae of type II, followed by a phase of slow star formation dominated by enrichment through supernovae of type Ia. A comparison with isochrones indicates that the red giants in Hercules are older than 10 Gyr.
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| 14. |
- Almby, Kristina E., et al.
(författare)
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Effects of Gastric Bypass Surgery on the Brain : Simultaneous Assessment of Glucose Uptake, Blood Flow, Neural Activity, and Cognitive Function During Normo- and Hypoglycemia
- 2021
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Ingår i: Diabetes. - : American Diabetes Association. - 0012-1797 .- 1939-327X. ; 70:6, s. 1265-1277
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Tidskriftsartikel (refereegranskat)abstract
- While Roux-en-Y gastric bypass (RYGB) surgery in obese individuals typically improves glycemic control and prevents diabetes, it also frequently causes asymptomatic hypoglycemia. Previous work showed attenuated counterregulatory responses following RYGB. The underlying mechanisms as well as the clinical consequences are unclear. In this study, 11 subjects without diabetes with severe obesity were investigated pre- and post-RYGB during hyperinsulinemic normo-hypoglycemic clamps. Assessments were made of hormones, cognitive function, cerebral blood flow by arterial spin labeling, brain glucose metabolism by F-18-fluorodeoxyglucose (FDG) positron emission tomography, and activation of brain networks by functional MRI. Post- versus presurgery, we found a general increase of cerebral blood flow but a decrease of total brain FDG uptake during normoglycemia. During hypoglycemia, there was a marked increase in total brain FDG uptake, and this was similar for post- and presurgery, whereas hypothalamic FDG uptake was reduced during hypoglycemia. During hypoglycemia, attenuated responses of counterregulatory hormones and improvements in cognitive function were seen postsurgery. In early hypoglycemia, there was increased activation post- versus presurgery of neural networks in brain regions implicated in glucose regulation, such as the thalamus and hypothalamus. The results suggest adaptive responses of the brain that contribute to lowering of glycemia following RYGB, and the underlying mechanisms should be further elucidated.
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| 15. |
- Altgärde, Noomi, 1983, et al.
(författare)
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Mucin-like region of herpes simplex virus type 1 attachment protein gC modulates the virus-glycosaminoglycan interaction.
- 2015
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Ingår i: Journal of Biological Chemistry. - 0021-9258 .- 1083-351X. ; 290:35, s. 21473-21485
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Tidskriftsartikel (refereegranskat)abstract
- Glycoprotein C (gC) mediates the attachment of herpes simplex virus type 1 (HSV-1) to susceptible host cells by interacting with glycosaminoglycans (GAGs) on the cell surface. gC contains a mucin-like region located near the GAG-binding site, which may affect the binding activity. Here, we address this issue by studying an HSV-1 mutant lacking the mucin- like domain in gC and the corresponding purified mutant protein (gCΔmuc), in cell culture and GAG-binding assays, respectively. The mutant virus exhibited two functional alterations as compared to native HSV-1, i.e. decreased sensitivity to GAG-based inhibitors of virus attachment to cells, and reduced release of viral particles from the surface of infected cells. Kinetic and equilibrium binding characteristics of purified gC were assessed using surface plasmon resonance-based sensing together with a surface platform consisting of end-on immobilized GAGs. Both native gC and gCΔmuc bound via the expected binding region to chondroitin sulfate and sulfated hyaluronan but not to the non-sulfated hyaluronan, confirming binding specificity. In contrast to native gC, gCΔmuc exhibited a decreased affinity for GAGs and a slower dissociation, indicating that once formed, the gCΔmuc-GAG complex is more stable. It was also found that a larger number of gCΔmuc bound to a single GAG chain, compared to native gC. Taken together, our data suggest that the mucin-like region of HSV-1 gC is involved in the modulation of the GAG-binding activity, a feature of importance both for unrestricted virus entry into the cells and release of newly produced viral particles from infected cells.
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| 16. |
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| 17. |
- Andersson, Lisbet
(författare)
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Med dig vid min sida : -det vårdande mötets betydelse när barn genomgår anestesi i en högteknologisk operationsmiljö
- 2022
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Aim: The overall aim of this thesis was to contribute with knowledge of and gain a greater understanding of the encounter between children, parents, and anesthesia staff in a high-technological surgical environment.Methods: This thesis is based on four studies with descriptive, interpretive and cross-sectional designs. Study I includes 28 children with a focus on the meaning of being anesthetized. Data were collected with non-participant video observations, field notes, and interviews. Data were analyzed using a lifeworld hermeneutical approach according to Dahlberg et al. Study II includes six parents with a focus on the meaning of being a parent at one’s child’s first anesthesia in day surgery. The data analysis was carried out with a phenomenological perspective according to Giorgi’s human science method. Study III includes 809 questionnaires completed by nurse anesthetists about the importance of Families’ in Nursing Care (FINC-NA). Data were analyzed with descriptive statistics and multiple linear regression analysis. Finally, study IV includes 27 non-participant observations when children are being anesthetised. The data analysis was carried out with an observational design with a hermeneutic approach grounded in the philosophy of Gadamer and further described by Ericsson et al.Results: The children’s experiences of being anesthetized are: like being powerless, striving for control, experiencing ambiguous comprehensibility, and they are seeking security. They struggle with anxiety as a result of their inability to protect themselves. Their parents experience ambivalence between worry and relief, and a feeling of losing control. They need to be prepared, be present, and have emotional support. The nurse anesthetists generally had a positive attitude towards the importance of parental presence. Working in a district hospital, working only with children, having routines, being a woman, and allowing both parents to be present and greather experience of children’s anesthesia were associated with a more positive attitude. However, the operating room is not designed for children or the parent’s comfort during the child’s anesthesia induction, and there is a need to be inviting and to be invited, a need for varying compliance, there is a need for mutual dependence, and a need to give and receive emotional support.Conclusions: The reasons children experience anxiety are multifaceted. It is thus essential to listen to the voice of each child and each parent, support them, strive to create an individually adopted caring with so much protection as possible, and see parents as a resource and a conversational partner. The caring encounter is essential when children undergo anesthesia in a high-technical surgical environment. The anesthesia staff can be a powerful resource depending on their demeanour.
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| 18. |
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| 19. |
- Andersson, Lisa, et al.
(författare)
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The same ELA class II risk factors confer equine insect bite hypersensitivity in two distinct populations
- 2012
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Ingår i: Immunogenetics. - : Springer Science and Business Media LLC. - 0093-7711 .- 1432-1211. ; 64:3, s. 201-208
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Tidskriftsartikel (refereegranskat)abstract
- Insect bite hypersensitivity (IBH) is a chronic allergic dermatitis common in horses. Affected horses mainly react against antigens present in the saliva from the biting midges, Culicoides ssp, and occasionally black flies, Simulium ssp. Because of this insect dependency, the disease is clearly seasonal and prevalence varies between geographical locations. For two distinct horse breeds, we genotyped four microsatellite markers positioned within the MHC class II region and sequenced the highly polymorphic exons two from DRA and DRB3, respectively. Initially, 94 IBH-affected and 93 unaffected Swedish born Icelandic horses were tested for genetic association. These horses had previously been genotyped on the Illumina Equine SNP50 BeadChip, which made it possible to ensure that our study did not suffer from the effects of stratification. The second population consisted of 106 unaffected and 80 IBH-affected Exmoor ponies. We show that variants in the MHC class II region are associated with disease susceptibility (p(raw)=2.34x10(-5)), with the same allele (COR112:274) associated in two separate populations. In addition, we combined microsatellite and sequencing data in order to investigate the pattern of homozygosity and show that homozygosity across the entire MHC class II region is associated with a higher risk of developing IBH (p=0.0013). To our knowledge this is the first time in any atopic dermatitis suffering species, including man, where the same risk allele has been identified in two distinct populations.
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| 20. |
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| 21. |
- Andersson, Peter, Universitetslektor, 1959-, et al.
(författare)
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The Danish Problem: Soon Everybody’s? : A Comparative Analysis of Digitalization Effects on Letter Volumes
- 2019
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Ingår i: New Business and Regulatory Strategies in the Postal Sector. - Cham : Springer London. - 9783030029364 - 9783030029371 ; , s. 285-297
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Bokkapitel (refereegranskat)abstract
- Letter volumes in Denmark dropped with 75 percent between 2000 and 2016, whereas Sweden’s declined with 34 percent. We make a comparative analysis of Denmark and Sweden by analyzing the effects of digitalization and the strategies from the common USO-provider Postnord. Denmark had a national digitalization strategy already from 2001 and a law in 2012 required everybody to have a digital mailbox. In response to falling demand, prices were increased sharply and service reduced. Sweden has a fragmented market for digital messages and with large postal volumes, competitive prices, a well-functioning market for second class mail and better ability to adjust costs, digital substitution was limited.
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| 22. |
- Andersson, Urban, 1965, et al.
(författare)
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Projektet Forskningsdata inom humaniora och konstnärliga vetenskaper – open access? : slutrapport
- 2011
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Projektet syftar till att öka tillgängligheten av forskningsdata inom humaniora och konstnärliga vetenskaper. Efter en inledande kartläggning av vilka forskningsdata som finns vid våra respektive lärosäten kommer vi att försöka besvara nedanstående frågeställningar: Var och hur ska forskningsdata lagras? Vilka delar kan publiceras som open access? Hur bör koppling ske mellan öppna arkiv och Svensk Nationell datatjänst? Hur bör koppling ske mellan publikation och tillhörande forskningsdata?
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| 23. |
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| 24. |
- Arvidsson, Alf, et al.
(författare)
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För Sverige i tiden?
- 2009
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Ingår i: Kulturella perspektiv - Svensk etnologisk tidskrift. - Umeå. - 1102-7908. ; 18:2, s. 2-8
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Tidskriftsartikel (refereegranskat)
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| 25. |
- Aspán, Anna, et al.
(författare)
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Microarray-based detection of virulence genes in verotoxigenic Escherichia coli O157:H7 strains from Swedish cattle
- 2011
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Ingår i: Epidemiology and Infection. - 0950-2688 .- 1469-4409. ; 139, s. 1088-1096
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Tidskriftsartikel (refereegranskat)abstract
- Verotoxigenic Escherichia coli (VTEC) serotype O157:H7 strains from a Swedish cattle prevalence study (n=32), and livestock-derived strains linked to human disease (n=13), were characterized by microarray and PCR detection of virulence genes. The overall aim of the study was to investigate the distribution of known virulence determinants and determine which genes are linked to increased pathogenicity in humans. A core set of 18 genes or gene variants were found in all strains, while seven genes were variably present. This suggests that the majority of VTEC O157:H7 found in Swedish cattle carry a broad repertoire of virulence genes and should be considered potentially harmful to humans. A single virulence gene type was significantly associated with strains linked to human disease cases (P=0.012), but no genetic trait to explain the increased virulence of this genotype could be found.
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| 26. |
- Attelind, Sofia, et al.
(författare)
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Genetic determinants of apixaban plasma levels and their relationship to bleeding and thromboembolic events
- 2022
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Ingår i: Frontiers in Genetics. - : Frontiers Media S.A.. - 1664-8021. ; 13
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Tidskriftsartikel (refereegranskat)abstract
- Apixaban is a direct oral anticoagulant, a factor Xa inhibitor, used for the prevention of ischemic stroke in patients with atrial fibrillation. Despite using recommended dosing a few patients might still experience bleeding or lack of efficacy that might be related to inappropriate drug exposure. We conducted a genome-wide association study using data from 1,325 participants in the pivotal phase three trial of apixaban with the aim to identify genetic factors affecting the pharmacokinetics of apixaban. A candidate gene analysis was also performed for pre-specified variants in ABCB1, ABCG2, CYP3A4, CYP3A5, and SULT1A1, with a subsequent analysis of all available polymorphisms within the candidate genes. Significant findings were further evaluated to assess a potential association with clinical outcome such as bleeding or thromboembolic events. No variant was consistently associated with an altered apixaban exposure on a genome-wide level. The candidate gene analyses showed a statistically significant association with a well-known variant in the drug transporter gene ABCG2 (c.421G > T, rs2231142). Patients carrying this variant had a higher exposure to apixaban [area under the curve (AUC), beta = 151 (95% CI 59-243), p = 0.001]. On average, heterozygotes displayed a 5% increase of AUC and homozygotes a 17% increase of AUC, compared with homozygotes for the wild-type allele. Bleeding or thromboembolic events were not significantly associated with ABCG2 rs2231142. This large genome-wide study demonstrates that genetic variation in the drug transporter gene ABCG2 is associated with the pharmacokinetics of apixaban. However, the influence of this finding on drug exposure was small, and further studies are needed to better understand whether it is of relevance for ischemic and bleeding events.
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| 27. |
- Attelind, Sofia, et al.
(författare)
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Identification of risk factors for adverse drug reactions in a pharmacovigilance database
- 2023
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Ingår i: Pharmacoepidemiology and Drug Safety. - : John Wiley & Sons. - 1053-8569 .- 1099-1557. ; 32:12, s. 1431-1438
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Tidskriftsartikel (refereegranskat)abstract
- Introduction In addition to identifying new safety signals, pharmacovigilance databases could be used to identify potential risk factors for adverse drug reactions (ADRs).Objective To evaluate whether data mining in a pharmacovigilance database can be used to identify known and possible novel risk factors for ADRs, for use in pharmacovigilance practice.Method Exploratory data mining was performed within the Swedish national database of spontaneously reported ADRs. Bleeding associated with direct oral anticoagulants (DOACs)-rivaroxaban, apixaban, edoxaban, and dabigatran-was used as a test model. We compared demographics, drug treatment, and clinical features between cases with bleeding (N = 965) and controls who had experienced other serious ADRs to DOACs (N = 511). Statistical analysis was performed by unadjusted and age adjusted logistic regression models, and the random forest based machine-learning method Boruta.Results In the logistic regression, 13 factors were significantly more common among cases of bleeding compared with controls. Eleven were labelled or previously proposed risk factors. Cardiac arrhythmia (e.g., atrial fibrillation), hypertension, mental impairment disorders (e.g., dementia), renal and urinary tract procedures, gastrointestinal ulceration and perforation, and interacting drugs remained significant after adjustment for age. In the Boruta analysis, high age, arrhythmia, hypertension, cardiac failure, thromboembolism, and pharmacodynamically interacting drugs had a larger than random association with the outcome. High age, cardiac arrhythmia, hypertension, cardiac failure, and pharmacodynamically interacting drugs had odds ratios for bleeding above one, while thromboembolism had an odds ratio below one.Conclusions We demonstrated that data mining within a pharmacovigilance database identifies known risk factors for DOAC bleeding, and potential risk factors such as dementia and atrial fibrillation. We propose that the method could be used in pharmacovigilance for identification of potential ADR risk factors that merit further evaluation.
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| 28. |
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| 29. |
- Augustsson Ryman, Sofia, 1975, et al.
(författare)
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Performance Enhancement Following a Strength and Injury Prevention Program: A 26-Week Individualized and Supervised Intervention in Adolescent Female Volleyball Players
- 2011
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Ingår i: INTERNATIONAL JOURNAL OF SPORTS SCIENCE & COACHING. - : SAGE Publications. - 1747-9541 .- 2048-397X. ; 6:3, s. 399-417
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Tidskriftsartikel (refereegranskat)abstract
- Abstract: The aim of this study was to evaluate the effects of a 26-week individualized and supervised strength and injury prevention program on performance enhancement in young female volleyball players who completed resistance training with either a supervised and individualized training program (experimental group, n=10) or an unsupervised non-individualized training program (control group, n=17). Exposure and injury data were collected during the 2006-2007 season (baseline season) and the 26-week program was conducted during the 2007-2008 season (intervention season). All players were tested for physical performance. At post-test, the players in the experimental group had improved significantly more than the players in the control group for squat (p<0.0001), bench press (p=0.048), push-ups (p=0.02) and sit-ups (p<0.0001) but not for the vertical jump test. Thirty-five percent (6/17) of the players from the control group and 80% (8/10) of the players in the experimental group completed the resistance training with compliance of no less than 50%. The present study shows the importance of individualization and supervision for resistance training in young female athletes when it comes to compliance, strength gains and performance.
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| 30. |
- Backåberg, Sofia, 1979-, et al.
(författare)
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Sustainable human movements - a threshold concept with potential to open up new perspectives in physiotherapy
- 2024
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Ingår i: European Journal of Physiotherapy. - : Taylor & Francis Group. - 2167-9169 .- 2167-9177.
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Tidskriftsartikel (refereegranskat)abstract
- There is a call to action for physiotherapists worldwide to contribute to the transition towards 'sustainable health'. In this paper, we build upon the current definition of 'sustainable health' and also on 'sustainable physical activity' to introduce and theoretically substantiate the concept of sustainable human movements, and suggest a definition thereof. Sustainable human movements will be described as a threshold concept with three aligned critical concepts; (i) movement control, including forces as causes of emerging movements, (ii) movement quality, referring to how movements are performed in terms of optimisation, and (iii) physical literacy, including motivation, confidence and physical competence. A deep understanding of these concepts, combined with a collaboration and learning approach applied together with the patient, is proposed to enable a sustainable human movement approach to permeate physiotherapy theory and practice. To facilitate this, a generic and easily accessible tool has recently been developed. It combines support for structured observational movement analysis and pedagogical support for creating a mutual and extended understanding of a patient's lived experience. This encourages the patient to become actively involved and take responsibility for promoting his/her 'sustainable health'. The aims of this paper are to a) suggest a theoretical framework for and definition of the concept sustainable human movements, and b) introduce a clinical tool that ultimately aims at promoting sustainable movements and health.
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| 31. |
- Bamia, Christina, et al.
(författare)
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Self-rated health and all-cause and cause-specific mortality of older adults : Individual data meta-analysis of prospective cohort studies in the CHANCES Consortium
- 2017
-
Ingår i: Maturitas. - : Elsevier BV. - 0378-5122 .- 1873-4111. ; 103, s. 37-44
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To evaluate, among the elderly, the association of self-rated health (SRH) with mortality, and to identify determinants of self-rating health as “at-least-good”.Study design: Individual data on SRH and important covariates were obtained for 424,791 European and United States residents, ≥60 years at recruitment (1982–2008), in eight prospective studies in the Consortium on Health and Ageing: Network of Cohorts in Europe and the United States (CHANCES). In each study, adjusted mortality ratios (hazard ratios, HRs) in relation to SRH were calculated and subsequently combined with random-effect meta-analyses.Main outcome measures: All-cause, cardiovascular and cancer mortality.Results: Within the median 12.5 years of follow-up, 93,014 (22%) deaths occurred. SRH “fair” or “poor” vs. “at-least-good” was associated with increased mortality: HRs 1.46 (95% CI 1·23–1.74) and 2.31 (1.79–2.99), respectively. These associations were evident: for cardiovascular and, to a lesser extent, cancer mortality, and within-study, within-subgroup analyses. Accounting for lifestyle, sociodemographic, somatometric factors and, subsequently, for medical history explained only a modest amount of the unadjusted associations. Factors favourably associated with SRH were: sex (males), age (younger-old), education (high), marital status (married/cohabiting), physical activity (active), body mass index (non-obese), alcohol consumption (low to moderate) and previous morbidity (absence).Conclusion: SRH provides a quick and simple tool for assessing health and identifying groups of elders at risk of early mortality that may be useful also in clinical settings. Modifying determinants of favourably rating health, e.g. by increasing physical activity and/or by eliminating obesity, may be important for older adults to “feel healthy” and “be healthy”.
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| 32. |
- Bergman, Sofia, 1991-, et al.
(författare)
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Flow directions of low-energy ions in and around the diamagnetic cavity of comet 67P
- 2021
-
Ingår i: Monthly notices of the Royal Astronomical Society. - : Oxford University Press. - 0035-8711 .- 1365-2966. ; 507:4, s. 4900-4913
-
Tidskriftsartikel (refereegranskat)abstract
- The flow direction of low-energy ions around comet 67P/Churyumov–Gerasimenko has previously been difficult to constrain due to the influence of the spacecraft potential. The Ion Composition Analyzer of the Rosetta Plasma Consortium (RPC-ICA) on Rosetta measured the distribution function of positive ions with energies down to just a few eV/q throughout the escort phase ofthe mission. Unfortunately, the substantial negative spacecraft potential distorted the directional information of the low-energy data. In this work, we present the flow directions of low-energy ions around comet 67P, corrected for the spacecraft potential using Particle-In-Cell simulation results. We focus on the region in and around the diamagnetic cavity, where low-energy ions are especially important for the dynamics. We separate between slightly accelerated ‘burst’ features and a more constant ‘band’ of low-energy ions visible in the data. The ‘bursts’ are flowing radially outwards from the nucleus with an antisunward component while the ‘band’ is predominantly streaming back towards the comet. This provides evidence of counter-streaming ions, which has implications for the overall expansion velocity of the ions. The backstreaming ions are present also at times when the diamagnetic cavity was not detected, indicating that the process accelerating the ions back towards the comet is not connected to the cavity boundary.
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| 33. |
- Bergman, Sofia, 1991-, et al.
(författare)
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Ion bulk speeds and temperatures in the diamagnetic cavity of comet 67P from RPC-ICA measurements
- 2021
-
Ingår i: Monthly notices of the Royal Astronomical Society. - : Oxford University Press. - 0035-8711 .- 1365-2966. ; 503:2, s. 2733-2745
-
Tidskriftsartikel (refereegranskat)abstract
- Y Comets are constantly interacting with the solar wind. When the comet activity is high enough, this leads to the creation of a magnetic field free region around the nucleus known as the diamagnetic cavity. It has been suggested that the ion-neutral drag force is balancing the magnetic pressure at the cavity boundary, but after the visit of Rosetta to comet 67P/Churyumov-Gerasimenko the coupling between ions and neutrals inside the cavity has been debated, at least for moderately active comets. In this study, we use data from the ion composition analyser to determine the bulk speeds and temperatures of the low-energy ions in the diamagnetic cavity of comet 67P. The low-energy ions are affected by the negative spacecraft potential, and we use the Spacecraft Plasma Interaction Software to model the resulting influence on the detected energy spectra. We find bulk speeds of 5-10 km s(-1) with a most probable speed of 7 km s(-1), significantly above the velocity of the neutral particles. This indicates that the collisional coupling between ions and neutrals is not strong enough to keep the ions at the same speed as the neutrals inside the cavity. The temperatures are in the range 0.7-1.6 eV, with a peak probability at 1.0 eV. We attribute the major part of the temperature to the fact that ions are born at different locations in the coma, and hence are accelerated over different distances before reaching the spacecraft.
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| 34. |
- Bergman, Sofia, 1991-, et al.
(författare)
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The Influence of Spacecraft Charging on Low‐Energy Ion Measurements Made by RPC‐ICA on Rosetta
- 2020
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Ingår i: Journal of Geophysical Research - Space Physics. - : John Wiley & Sons. - 2169-9380 .- 2169-9402. ; 125:1
-
Tidskriftsartikel (refereegranskat)abstract
- Spacecraft charging is problematic for low‐energy plasma measurements. The charged particles are attracted to or repelled from the charged spacecraft, affecting both the energy and direction of travel of the particles. The Ion Composition Analyzer (RPC‐ICA) on board the Rosetta spacecraft is suffering from this effect. RPC‐ICA was measuring positive ions in the vicinity of comet 67P/Churyumov‐Gerasimenko, covering an energy range of a few eV/q to 40 keV/q. The low‐energy part of the data is, however, heavily distorted by the negatively charged spacecraft. In this study we use the Spacecraft Plasma Interaction Software to model the influence of the spacecraft potential on the ion trajectories and the corresponding distortion of the field of view (FOV) of the instrument. The results show that the measurements are not significantly distorted when the ion energy corresponds to at least twice the spacecraft potential. Below this energy the FOV is often heavily distorted, but the distortion differs between different viewing directions. Generally, ions entering the instrument close to the aperture plane are less affected than those entering with extreme elevation angles.
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| 35. |
- Bergman, Sofia, 1991-, et al.
(författare)
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The Influence of Varying Spacecraft Potentials and Debye Lengths on In Situ Low-Energy Ion Measurements
- 2020
-
Ingår i: Journal of Geophysical Research - Space Physics. - : American Geophysical Union (AGU). - 2169-9380 .- 2169-9402. ; 125:4
-
Tidskriftsartikel (refereegranskat)abstract
- Low‐energy ions are difficult to measure, mainly due to spacecraft charging. The ions areattracted to or repelled from the charged surface prior to detection, which changes both the energy andtravel direction of the ions. This results in distortions of the data, and the changed travel directions distort the effective field of view (FOV) of the instrument performing the measurements. The ion composition analyzer (RPC‐ICA) was measuring positive ions down to an energy of a few eV around comet67P/Churyumov‐Gerasimenko. Low‐energy ions play important parts in processes in the cometary environment, but the FOV of RPC‐ICA has been shown to get severely distorted at low ion energies. Several factors are believed to affect the distortion level. In this study we use the Spacecraft Plasma Interaction Software (SPIS) to investigate the influence of varying spacecraft potentials and Debye lengths on the FOV distortion of RPC‐ICA. We show that the distortion level is dependent on the Debye length of the surrounding plasma, but the sensitivity varies substantially between different viewing directions of the instrument. We also show that a small nonlinearity exists in the relation between FOV distortion, ion energy, and spacecraft potential, mainly caused by the photoemission and bulk flow of the cometary plasma.
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| 36. |
- Björk, Göran, 1956, et al.
(författare)
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The Passage of Canadian Basin Deep Water Over the Lomonosov Ridge and Through the Eurasian Basin of the Arctic Ocean: Results From the LOMROG-2007 Icebreaker Expedition
- 2008
-
Ingår i: American Geophysical Union. ; 88(52)
-
Konferensbidrag (refereegranskat)abstract
- During the LOMROG-2007 icebreaker expedition to the area where the Lomonosov Ridge attaches to the Greenland shelf, we observed a well defined signal in water mass properties of clear CBDW origin. The major part of CBDW passes the Lomonosov Ridge at the 1870 m deep channel near the North Pole (88 25' N, 150 E) as was discovered during the Beringia/Hotrax 2005 exploration of the sill area. During the LOMROG expedition we observed the signal of CBDW along the Amundsen Basin side of the Lomonosov Ridge slope north of Greenland and further along the Greenland shelf towards east and south. The signal with Canadian Basin properties is clearly seen in the TS structure as well as in the oxygen, silicate and CFC signals around 2000 m depth. No indication of a deep overflow across the Lomonosov Ridge at the channel just north of Greenland was seen.
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| 37. |
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| 38. |
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| 39. |
- Borgmästars, Emmy, et al.
(författare)
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Comparison of Skimmed Milk and Lanthanum Flocculation for Concentration of Pathogenic Viruses in Water
- 2021
-
Ingår i: Food and Environmnetal Virology. - : Springer. - 1867-0334 .- 1867-0342. ; 13:3, s. 380-389
-
Tidskriftsartikel (refereegranskat)abstract
- Concentration of viruses in water is necessary for detection and quantification of the viruses present, in order to evaluate microbiological barriers in water treatment plants and detect pathogenic viruses during waterborne outbreaks, but there is currently no standardised procedure. In this study, we implemented a previously described fast and simple lanthanum-based protocol for concentration of norovirus genogroup I (GI), genogroup II (GII) and hepatitis A virus (HAV) in drinking and surface water. We compared the results with those of a widely used skimmed milk flocculation method, followed by nucleic acid extraction and RT-qPCR detection. Three seeding levels, with intended concentrations 5 × 103, 5 × 104 and 5 × 105 genome copies/10 L, were added to drinking water or surface water. All seed levels were detected with both flocculation methods. Samples extracted with skimmed milk flocculation had on average 1.82, 1.86 and 1.38 times higher measured concentration of norovirus GI, GII and HAV, respectively, than those extracted with lanthanum flocculation, across all seeding levels and water types tested. Mengovirus was used as a positive process control. Mengovirus recovery was higher for skimmed milk (40.7% in drinking water, 26.0% in surface water) than for lanthanum flocculation (24.4% in drinking water, 9.7% in surface water). Together, this indicates that skimmed milk flocculation provides higher viral recovery than lanthanum flocculation. However, lanthanum-based flocculation can be performed much faster than skimmed milk flocculation (1.5 h versus 16 h flocculation time) and thus could be a good alternative for rapid monitoring of viruses in water.
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| 40. |
- Borgmästars, Emmy, et al.
(författare)
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Improved Detection of Norovirus and Hepatitis A Virus in Surface Water by Applying Pre-PCR Processing
- 2017
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Ingår i: Food and Environmental Virology. - : Springer Science and Business Media LLC. - 1867-0334 .- 1867-0342. ; 9:4, s. 395-405
-
Tidskriftsartikel (refereegranskat)abstract
- Quantitative reverse transcriptase polymerase chain reaction (RT-qPCR) detection of waterborne RNA viruses generally requires concentration of large water volumes due to low virus levels. A common approach is to use dead-end ultrafiltration followed by precipitation with polyethylene glycol. However, this procedure often leads to the co-concentration of PCR inhibitors that impairs the limit of detection and causes false-negative results. Here, we applied the concept of pre-PCR processing to optimize RT-qPCR detection of norovirus genogroup I (GI), genogroup II (GII), and hepatitis A virus (HAV) in challenging water matrices. The RT-qPCR assay was improved by screening for an inhibitor-tolerant master mix and modifying the primers with twisted intercalating nucleic acid molecules. Additionally, a modified protocol based on chaotropic lysis buffer and magnetic silica bead nucleic acid extraction was developed for complex water matrices. A validation of the modified extraction protocol on surface and drinking waters was performed. At least a 26-fold improvement was seen in the most complex surface water studied. The modified protocol resulted in average recoveries of 33, 13, 8, and 4% for mengovirus, norovirus GI, GII, and HAV, respectively. The modified protocol also improved the limit of detection for norovirus GI and HAV. RT-qPCR inhibition with Cq shifts of 1.6, 2.8, and 3.5 for norovirus GI, GII, and HAV, respectively, obtained for the standard nucleic acid extraction were completely eliminated by the modified protocol. The standard nucleic acid extraction method worked well on drinking water with no RT-qPCR inhibition observed and average recoveries of 80, 124, 89, and 32% for mengovirus, norovirus GI, GII, and HAV, respectively.
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| 41. |
- Brederlau, Anke, 1968, et al.
(författare)
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Transplantation of human embryonic stem cell-derived cells to a rat model of Parkinson's disease: effect of in vitro differentiation on graft survival and teratoma formation.
- 2006
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Ingår i: Stem cells (Dayton, Ohio). - : Oxford University Press (OUP). - 1066-5099 .- 1549-4918. ; 24:6, s. 1433-40
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Tidskriftsartikel (refereegranskat)abstract
- Human embryonic stem cells (hESCs) have been proposed as a source of dopamine (DA) neurons for transplantation in Parkinson's disease (PD). We have investigated the effect of in vitro predifferentiation on in vivo survival and differentiation of hESCs implanted into the 6-OHDA (6-hydroxydopamine)-lesion rat model of PD. The hESCs were cocultured with PA6 cells for 16, 20, or 23 days, leading to the in vitro differentiation into DA neurons. Grafted hESC-derived cells survived well and expressed neuronal markers. However, very few exhibited a DA neuron phenotype. Reversal of lesion-induced motor deficits was not observed. Rats grafted with hESCs predifferentiated in vitro for 16 days developed severe teratomas, whereas most rats grafted with hESCs predifferentiated for 20 and 23 days remained healthy until the end of the experiment. This indicates that prolonged in vitro differentiation of hESCs is essential for preventing formation of teratomas.
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| 42. |
- Bäckström, David, et al.
(författare)
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PITX3 genotype and risk of dementia in Parkinson's disease : A population-based study
- 2017
-
Ingår i: Journal of the Neurological Sciences. - : ELSEVIER SCIENCE BV. - 0022-510X .- 1878-5883. ; 381, s. 278-284
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Tidskriftsartikel (refereegranskat)abstract
- Dementia is a devastating manifestation of Parkinson's disease (PD). This study investigates whether a common polymorphism in the PITX3 gene (rs2281983), which is of importance for the function of dopaminergic neurons, affects the risk of developing dementia in PD and whether it affects dopamine transporter (DAT) uptake. We PITX3 genotyped 133 patients with new-onset, idiopathic PD, participating in a population-based study in Sweden. Patients were followed prospectively during 6-11 years with extensive investigations, including neuropsychology and DAT-imaging with I-123 FP-CIT. The primary outcome was the incidence of PD dementia (PDD), diagnosed according to published criteria, studied by the Kaplan-Meier method and Cox proportional hazards. Performance in individual cognitive domains, the incidence of visual hallucinations, disease progression and striatal DAT uptake on imaging was also investigated. PD patients carrying the PITX3 C allele had an increased risk of developing PDD (hazard ratio: 2.87, 95% CI: 1.42-5.81, p = 0.003), compared to the PD patients homozygous for the T-allele. Furthermore, the PITX3 C allele carriers with PD had a poorer cognitive performance in the visuospatial domain (p < 0.001) and a higher incidence of visual hallucinations. A trend towards a lower striatal DAT uptake in the PITX3 C allele carriers was suggested, but could not be confirmed. Our results show that a common polymorphism in the PITX3 gene affects the risk of developing PDD and visuospatial dysfunction in idiopathic PD. If validated, these findings can provide new insights into the neurobiology and genetics of non-motor symptoms in PD.
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| 43. |
- Bäckström, David, et al.
(författare)
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Polymorphisms in dopamine-associated genes and cognitive decline in Parkinson's disease
- 2018
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Ingår i: Acta Neurologica Scandinavica. - : Hindawi Limited. - 0001-6314 .- 1600-0404. ; 137:1, s. 91-98
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Tidskriftsartikel (refereegranskat)abstract
- ObjectivesCognitive decline is common in Parkinson's disease (PD), but the underlying mechanisms for this complication are incompletely understood. Genotypes affecting dopamine transmission may be of importance. This study investigates whether genotypes associated with reduced prefrontal dopaminergic tone and/or reduced dopamine D2-receptor availability (Catechol-O-methyltransferase [COMT] Val(158)Met genotype and DRD2 (CT)-T-957 genotype) affect the development of cognitive deficits in PD. Materials and methodsOne hundred and 34 patients with idiopathic PD, participating in a regional, population-based study of incident parkinsonism, underwent genotyping. After extensive baseline investigations (including imaging and biomarker analyses), the patients were followed prospectively during 6-10 years with neuropsychological evaluations, covering six cognitive domains. Cognitive decline (defined as the incidence of either Parkinson's disease mild cognitive impairment [PD-MCI] or dementia [PDD], diagnosed according to published criteria and blinded to genotype) was studied as the primary outcome. ResultsBoth genotypes affected cognition, as shown by Cox proportional hazards models. While the COMT(158)Val/Val genotype conferred an increased risk of mild cognitive impairment in patients with normal cognition at baseline (hazard ratio: 2.13, P=.023), the DRD2(957)T/T genotype conferred an overall increased risk of PD dementia (hazard ratio: 3.22, P<.001). The poorer cognitive performance in DRD2(957)T/T carriers with PD occurred mainly in episodic memory and attention. ConclusionsThe results favor the hypothesis that dopamine deficiency in PD not only relate to mild cognitive deficits in frontostriatal functions, but also to a decline in memory and attention. This could indicate that dopamine deficiency impairs a wide network of brain areas.
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| 44. |
- Carlsen Misic, Martina, 1986-, et al.
(författare)
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Nurses' perception, knowledge, and use of neonatal pain assessment
- 2021
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Ingår i: Paediatric and Neonatal Pain. - : John Wiley & Sons. - 2379-5824 .- 2637-3807. ; 3:2, s. 68-74
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Tidskriftsartikel (refereegranskat)abstract
- Preterm and sick newborn infants undergo several painful procedures during their hospital stay, potentially leading to short‐ and long‐term negative consequences. Pain assessment should be performed regularly to provide optimal pain management. Nurses' knowledge of and attitude toward neonatal pain assessment affect how pain is assessed and managed in the clinical situation. The aim of this study was to explore Swedish nurses' perception, knowledge, and use of neonatal pain assessment. This descriptive, cross‐sectional questionnaire study was conducted across all Swedish neonatal units (n = 38). Respondents were chosen through convenience sampling by the head nurses at each unit. Ten nurses from each unit were asked to complete the survey, which contained both closed and open questions. A majority of the units (30/38; 79%) participated and 232 surveys were returned, a response rate of 61%. Of the nurses, 91% thought that neonatal pain assessment was important. Many nurses mentioned various difficulties with pain assessment and concerns that the scales used might not assess pain correctly. About half of the nurses considered themselves to have enough knowledge of neonatal pain assessment. Those who reported having enough knowledge of pain assessment viewed the pain scales used at their units more positively. Of the nurses, 74% reported using a pain assessment scale several times per work shift. Pain management guidelines were available according to 75% of nurses, but only 53% reported that the guidelines were followed. Although nurses in general expressed a positive attitude toward pain assessment scales, this was not necessarily evident in their clinical practice. Lack of knowledge, available or accessible guidelines, or concerns regarding the validity of available pain scales seemed to limit their use.
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| 46. |
- Crisci, Elisa, et al.
(författare)
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Complement opsonization promotes HSV-2 infection of human dendritic cells
- 2016
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Ingår i: Journal of Virology. - : American society of microbiology. - 0022-538X .- 1098-5514. ; 90:10, s. 4939-4950
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Tidskriftsartikel (refereegranskat)abstract
- Herpes virus type 2 (HSV2) is one of the most common sexually transmitted infections globally with a very high prevalence in many countries. During HSV2 infection viral particles become coated with complement proteins and antibodies, both existent in the genital fluids, which could influence the activation of the immune responses. In genital mucosa, the primary target cells for HSV2 infection are epithelial cells, but resident immune cells such as dendritic cells (DCs) are also infected. The DCs are the activators of the ensuing immune responses directed against HSV2, and the aim of this study was to examine the effects opsonization of HSV2, either with complement alone or with complement and antibodies, had on the infection of immature DCs and their ability to mount inflammatory and antiviral responses. Complement opsonization of HSV2 enhanced both the direct infection of immature DCs and their production of new infectious viral particles. The enhanced infection required activation of the complement cascade and functional complement receptor 3. Furthermore, HSV2 infection of DCs required endocytosis of viral particles and their delivery into an acid endosomal compartment. The presence of complement in combination with HSV1 or HSV2 specific antibodies more or less abolished the HSV2 infection of DCs.Our results clearly demonstrate the importance of studying HSV2 infection under conditions that ensue in vivo, i.e. when the virions are covered in complement fragments and complement fragments and antibodies, as this will shape the infection and the subsequent immune response and needs to be further elucidated.IMPORTANCE: During HSV2 infection viral particles should become coated with complement proteins and antibodies, both existent in the genital fluids, which could influence the activation of the immune responses. The dendritic cells are the activators of the immune responses directed against HSV2, and the aim of this study was to examine the effects of complement alone or complement and antibodies, on the HSV2 infection of dendritic cells and their ability to mount inflammatory and antiviral responses.Our results demonstrate that the presence of antibodies and complement in the genital environment can influence HSV2 infection under in vitro conditions that reflect the in vivo situation. We believe that our findings are highly relevant for the understanding of HSV2 pathogenesis.
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| 47. |
- Crisci, Elisa, et al.
(författare)
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HSV-2 Cellular Programming Enables Productive HIV Infection in Dendritic Cells
- 2019
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Ingår i: Frontiers in Immunology. - : Frontiers Media SA. - 1664-3224. ; 10
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Tidskriftsartikel (refereegranskat)abstract
- Genital herpes is a common sexually transmitted infection caused by herpes simplex virus type 2 (HSV-2). Genital herpes significantly enhances the acquisition and transmission of HIV-1 by creating a microenvironment that supports HIV infection in the host. Dendritic cells (DCs) represent one of the first innate cell types that encounter HIV-1 and HSV-2 in the genital mucosa. HSV-2 infection has been shown to modulate DCs, rendering them more receptive to HIV infection. Here, we investigated the potential mechanisms underlying HSV-2-mediated augmentation of HIV-1 infection. We demonstrated that the presence of HSV-2 enhanced productive HIV-1 infection of DCs and boosted inflammatory and antiviral responses. The HSV-2 augmented HIV-1 infection required intact HSV-2 DNA, but not active HSV-2 DNA replication. Furthermore, the augmented HIV infection of DCs involved the cGAS-STING pathway. Interestingly, we could not see any involvement of TLR2 or TLR3 nor suppression of infection by IFN-beta production. The conditioning by HSV-2 in dual exposed DCs decreased protein expression of IFI16, cGAS, STING, and TBK1, which is associated with signaling through the STING pathway. Dual exposure to HSV-2 and HIV-1 gave decreased levels of several HIV-1 restriction factors, especially SAMHD1, TREX1, and APOBEC3G. Activation of the STING pathway in DCs by exposure to both HSV-2 and HIV-1 most likely led to the proteolytic degradation of the HIV-1 restriction factors SAMHD1, TREX1, and APOBEC3G, which should release their normal restriction of HIV infection in DCs. This released their normal restriction of HIV infection in DCs. We showed that HSV-2 reprogramming of cellular signaling pathways and protein expression levels in the DCs provided a setting where HIV-1 can establish a higher productive infection in the DCs. In conclusion, HSV-2 reprogramming opens up DCs for HIV-1 infection and creates a microenvironment favoring HIV-1 transmission.
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- Ekerstad, Niklas, et al.
(författare)
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Frailty as an instrument for evaluation of elderly patients with non-ST-segment elevation myocardial infarction: A follow-up after more than 5 years
- 2018
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Ingår i: European Journal of Preventive Cardiology. - : SAGE PUBLICATIONS LTD. - 2047-4873 .- 2047-4881. ; 25:17, s. 1813-1821
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Tidskriftsartikel (refereegranskat)abstract
- Background There is a growing body of evidence on the relevance of using frailty measures also in a cardiovascular context. The estimated time to death is crucial in clinical decision-making in cardiology. However, data on the importance of frailty in long-term mortality are very scarce. The aim of the study was to assess the prognostic value of frailty on mortality at long-term follow-up of more than 5 years in patients 75 years or older hospitalised for non-ST-segment elevation myocardial infarction. We hypothesised that frailty is independently associated with long-term mortality. Design This was a prospective, observational study conducted at three centres. Methods and results Frailty was assessed according to the Canadian Study of Health and Aging clinical frailty scale (CFS). Of 307 patients, 149 (48.5%) were considered frail according to the study instrument (degree 5-7 on the scale). The long-term all-cause mortality of more than 5 years (median 6.7 years) was significantly higher among frail patients (128, 85.9%) than non-frail patients (85, 53.8%), (P amp;lt; 0.001). In Cox regression analysis, frailty was independently associated with mortality from the index hospital admission to the end of follow-up (hazard ratio 2.06, 95% confidence interval 1.51-2.81; P amp;lt; 0.001) together with age (P amp;lt; 0.001), ejection fraction (P = 0.012) and Charlson comorbidity index (P = 0.018). Conclusions In elderly non-ST-segment elevation myocardial infarction patients, frailty was independently associated with all-cause mortality at long-term follow-up of more than 6 years. The combined use of frailty and comorbidity may be the ultimate risk prediction concept in the context of cardiovascular patients with complex needs.
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