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1.	Holm, Lennart, et al. (författare) Studies in the Lophiostomataceae with emphasis on the Swedish species 1988 Bok (övrigt vetenskapligt/konstnärligt)
2.	Ovidiu, Constantinescu, et al. (författare) Teleomorph-anamorph connections in Ascomycetes. The anamorphs in three species of Chaetosphaeria 1995 Ingår i: Mycological Research. - 0953-7562. ; 99, s. 585-592 Tidskriftsartikel (refereegranskat)abstract Merispora glauca and Phialophora sp, were experimentally proved to be the anamorphs of Chaetosphaeria ovoidea comb. nov. Chaetosphaeria glauca is regarded as conspecific with C. ovoidea, and the latter is also neotypified. Ascospore cultures of C. pygmaea
3.	Svensson, Britt-Marie, 1956- (författare) Methodology for evaluation of hazards from solid waste and landfill-generated leachate 2008 Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract A methodology based on an analytical protocol for evaluation of hazards from landfill leachate and solid waste is described. A dynamic analytical protocol, the LAQUA protocol, including measurements of inorganic and water-quality parameters, polar and non-polar organic marker compounds, and toxicity, was constructed. An acute toxicity test, using the brackish water crustacean Artemia salina as test organism, was developed. The methodology was applied to authentic problems such as investigation of different treatment techniques for landfill leachate, evaluation of leaching tests and characterization of solid wastes, and an investigation of a filter material aimed for leachate treatment. Investigated treatment methods comprised in all cases pre-treatment by aeration combined with sedimentation, followed by one of: bioremediation, ozonation, chemical oxidation by Fenton’s reagent, or geo-bed filters. Evaluated filter materials were mixtures of natural or residual waste products. A combination of pre-treatment followed by a geo-bed filter containing a mixture of peat and carbon-containing ash gave an efficient simultaneous removal of metals and organic pollutants. The performance of two leaching tests for characterization of solid waste, the up-flow percolation test (SIS-CEN/TS 14405:2004) and the batch test (SS-EN 12457 -3), was investigated. Solid waste materials (sludge from street gutters and fragmented metallic waste) were characterized using leaching tests and the hazards of the materials were evaluated in the eluate, obtained at specific liquid-to-solid ratios (L/S). The L/S 2 and L/S 10 values were compared with limit values included in the waste acceptance criteria (WAC). The analyses were extended towards specific organic compounds, such as individual phenolic compounds and polychlorinated biphenyls (PCB). Organic compounds were found in eluates from both types of tests, showing the possibility to use these methods to evaluate the leaching of such compounds from waste materials. The use of authentic leachate as leachant, leads to increased concentrations of heavy metals in the eluate, compared to the prescribed use of demineralised water as leachant. Generally good agreement was found between the results of the two leaching methods. A strategy based on batch tests is described for investigation of a filter material for leachate treatment. Batch tests gave suitable information about the leaching from new and used material, and showed high removal efficiencies of metals and non-polar organic compounds. However, for investigation of removal of polar organic markers (e.g. phenolic compounds) a batch test is not sufficient and should be supplemented by a column test.
4.	Svensson, Britt-Marie (författare) Methodology for evaluation of hazards from solid waste and landfill-generated leachate 2008 Doktorsavhandling (populärvet., debatt m.m.)abstract Avfall har alltid uppkommit i alla samhällen i alla tider. Det vanligaste sättet att hand om det har varit att samla avfallet i soptippar (deponier) på mark som ansetts obrukbar, t.ex. i sankmarker utanför bebyggelsen. I takt med ökad konsumtion och produktion har också mängderna avfall ökat. Anledningen till att avfall och avfallshantering kommit alltmer i fokus i miljödebatter under de senaste decennierna, är inte bara de stora mängderna avfall på de många och stora sopbergen runt om i världen. Deponierna släpper också ifrån sig miljöfarliga ämnen från de alltmer komplexa produkter som blivit lagda i deponin. Dessa kommer att fortsätta att läcka ut länge efter det att deponeringen på soptippen slutat, och skapa problem för människor och miljö i flera generationer. Som en konsekvens av internationella beslut bl.a. Agenda 21 (FNs miljökonferens i Rio) och EUs lagstiftning om avfallshantering som Sverige har tagit in i sin lagstiftning, kommer bl.a. antalet soptippar att minska. Efter den 31 december 2008 beräknas endast ett 90-tal deponier för kommunalt avfall att vara i drift i Sverige. Lagstiftningen beskriver en avfalls hierarki där deponering är den sämsta och absolut sista åtgärden som får göras bara när inget av de andra alternativen kan uppfyllas. Det ställs stora krav på de soptippar som är godkända enligt den nuvarande lagstiftningen. Olika typer av deponier ska finnas för olika slag av avfall. En deponi för farligt avfall har bättre skydd mot läckage både under och över tippen än en tipp för icke-farligt avfall. För att ha kontroll på vilket avfall som läggs på deponin och därmed kunna behandla det på korrekt sätt, måste avfallet beskrivas och klassas innan det skickas för deponering. Karakteriseringen görs bl.a. med hjälp av lakningstester. Syftet med denna avhandling har varit att utarbeta en metodik för at utvärdera miljöfarliga ämnen som kommer från avfall och lakvatten från soptippar. Den inledande forskningen utgjordes av ett projekt kallat Laqua, finansierat av EU-kommissionens program för samarbete inom Östersjöregionen, SweBaltcop. Projektets uppgift var att främja utveckling av ekologiskt och ekonomiskt hållbara reningsmetoder för lakvatten. Lakvattnet bildas främst av nederbörd som faller över deponin. Det vatten som kommer in i soptippen tar med sig många av de ämnen som finns i tippen när det rinner ut. Dessa ämnen kan komma från sådant som har deponerats eller bildas när avfallet bryts ner. Lakvattnet samlas upp och renas på något sätt innan det släpps ut till ett naturligt vattendrag. En vanlig metod att behandla lakvatten är att pumpa det till det kommunala avloppsreningsverket och rena det tillsammans med avloppsvatten. Men detta är ingen optimal lösning eftersom lakvatten innehåller andra föroreningar än avloppsvatten, t ex salter, tungmetaller och svårnedbrytbara organiska föreningar. Avloppsreningsverken är konstruerade för att rena avloppsvatten och lakvattnets föroreningar kan störa reningsprocessen. Framför allt kan de känsliga mikroorganismerna i det biologiska reningssteget påverkasnegativt. Slammet som bildas vid reningsprocessen kommer att koncentrera många av de oönskade föroreningarna som härstammar från deponin. Slammet är egentligen ett utmärkt gödselmedel för jordbruket, men på grund av att slammet är förorenat av tungmetaller och svårnedbrytbara organiska ämnen kan inte slammet användas. Slammet blir då ett avfall som kommunen inte kan bli av med utan stora kostnader. Många kommuner har därför valt en separat rening av lakvattnet. Val av reningsteknik är beroende av flera faktorer, som volymerna lakvatten som uppkommer, innehållet av de olika miljöfarliga ämnena, vart det renande vattnet ska släppas ut och utrymme för att bygga en reningsanläggning. För att utvärdera olika tekniker för rening av lakvatten, byggdes en försöksanläggning på soptippen i Kristianstad. För att kunna utvärdera en reningsmetod måste bestämningar av koncentrationer av olika ämnen (analyser) göras. På grund av den ökande oron för organiska miljögifter som PCB och fenoler, skulle reningsteknikerna utvärderas med fokus sådana eller liknande ämnen. Analyser av organiska ämnen är komplicerade och tidskrävande, och det är inte möjligt att analysera alla ämnen. I många undersökningar används endast generella parametrar för att uppskatta innehållet av organiska ämnen, men dessa metoder ger ofta inte tillräcklig information om det egentliga innehållet i lakvattnet. Därför utarbetades ett utvärderings protokoll, LAQUA protokollet (artikel I) för bestämning av organiska miljögifter i olika förorenade vatten. Detta protokoll innehåller förutom analyser för organiska miljögifter som PCB och fenoler och en akut toxicitetstest, även standardiserade rutinanalyser av metaller och vattenkemiska parametrar. Eftersom separat analys av alla organiska ämnen inte nödvändig för att bedöma olika reningsmetoder för lakvatten, innehåller protokollet ett antal markörer för polära, respektive opolära organiska föreningar. Den biologiska giftighetstesten som utvecklades (artikel III) och ingår i protokollet är ett s.k. akut toxicitetstest, dvs. organismen påverkas direkt av höga halter av föroreningar. I testen används det lilla saltvattentåliga kräftdjuret Artemia salina, som säljs som föda åt akvariefiskar. En bestämd volym med ett antal Artemia larver läggs i små brunnar med olika koncentrationer av lakvatten under 24 timmar. Sedan jämförs vid vilken inblandning av lakvatten som hälften av kräftdjuren har fått rörelsestörningar. Resultaten på tester med obehandlat lakvatten, respektive behandlat med olika reningstekniker jämförs, och på det viset kan effektiviteten på reningsmetoder bedömas gentemot en vattenlevande organism. Utvärderingen av försöksanläggningen (artikel II) visade att vid förbehandlingen, bestående av luftning och sedimentering, togs mycket av föroreningarna bort, och det rekommenderas att ett sådan reningssteg alltid bör finnas vid en reningsanläggning för lakvatten. De kemiska behandlingsmetoderna med ozon och Fentons reagens (tvåvärt järn och väteperoxid) var effektiva på att ta bort de organiska miljögifterna, men även de mer kostnadseffektiva filterbäddarna visade sig fungera bra. Den goda erfarenheten från försöksanläggningen av filterbäddar ledde till att effektiviteten hos fler filter material undersöktes. I artikel VI beskrivs ett försök, gjord i laboratorium, där lakvatten från en soptipp som tar hand om industri avfall (metallavfall från bl.a. bilar och kylskåp) fick rinna genom kolonner med olika filtermaterial. Mixen av torv och aska med kolinnehåll visade sig vara bra på att ta bort både metaller och organiska ämnen från lakvattnet. Kunskapen från bl.a. dessa undersökningar har bidragit till att en fullskaleanläggning för lokal rening av lakvatten har kunnat byggas i anslutning till Stena metalls soptipp i Halmstad. Den andra delen i avhandlingsarbetet riktade in sig mot lakningstester. För att undersöka vilka ämnen som kan lakas ut från ett avfall rekommenderas två olika standardiserade lakningstests metoder. Vid den ena metoden pumpas en vätska genom en kolonn med en uppvägd mängd avfall tills ett visst vätske/fast fas förhållande (L/S halt) har uppnåtts. Vid den andra snabbare metoden, skakas en bestämd mängd avfall tillsammans med en bestämd volym vätska under 24 timmar. Den vätska som man får efter testerna kan jämföras med ett lakvatten och ska simulera den urlakning som avfallet ger ifrån sig under sin tid på deponin. Denna urlakningsvätska analyseras och de uppmätta halterna av olika ämnen jämförs med en gränsvärdes tabell och avfallet kan hänföras till en avfalls klass. De två lakningstesterna användes för att karakterisera olika avfallsslag, sönderdelat metall skrot (artikel IV) och slam från gatubrunnar (artikel V). För att få mer kunskap om metoderna och kunna vidareutveckla dem, utökades undersökningarna och analyserna. De urlakade vätskorna analyserades därför enligt Laqua protokollet, dvs med markörer för organiska miljögifter. Dessutom gjordes undersökningar där lakvatten användes som lakningsvätska istället för avjonat vatten som testmetoderna föreskriver. Dessa visade att den mer jonstarka vätskan (lakvattnet) ökade urlakningen av metaller från avfallet. En jämförelse av de två metoderna visade att den snabbare skaktesten oftast gav likvärdiga eller högre halter av de analyserade ämnena i urlakningsvätskan, och därmed kan den i många fall användas i första hand. För att bedöma ett filtermaterial ur ett livstidsperspektiv, utvecklades en strategi baserad på skaktester (artikel VII). Ett filtermaterial, en mix av torv och aska med kolinnehåll, undersökes före och efter att det använts i en filterbädd för rening av lakvatten. För att vara säker på att filtermaterialet i sig själv inte släppte ifrån sig några föroreningar gjordes en lakningstest. För att se hur effektivt materialet var på att ta bort metaller, PCB och fenolföreningar, gjordes skaktester med vätskor med kända halter av dessa föroreningar. När filtermaterialet är förbrukat och skall bytas ut anses det som ett avfall, och det karakteriserades med lakningstest för att hur det skulle tas om hand. Metodiken med skaktester ger bra information om utlakning från ett material, och skaktester är också bra instrument för att utvärdera ett filtermaterials effektivitet på att ta hand om metaller och opolära organiska ämnen som PCB. Men för att utvärdera effektiviteten av borttagandet av polära organiska ämnen (t ex. fenoler), är inte en korttids skak test något bra instrument. Reduceringen av dessa ämnen sker genom nedbrytning med hjälp av mikroorganismer, oc
5.	Abelev, Betty, et al. (författare) Measurement of prompt J/psi and beauty hadron production cross sections at mid-rapidity in pp collisions at root s=7 TeV 2012 Ingår i: Journal of High Energy Physics. - 1029-8479. ; :11 Tidskriftsartikel (refereegranskat)abstract The ALICE experiment at the LHC has studied J/psi production at mid-rapidity in pp collisions at root s = 7 TeV through its electron pair decay on a data sample corresponding to an integrated luminosity L-int = 5.6 nb(-1). The fraction of J/psi from the decay of long-lived beauty hadrons was determined for J/psi candidates with transverse momentum p(t) > 1,3 GeV/c and rapidity vertical bar y vertical bar < 0.9. The cross section for prompt J/psi mesons, i.e. directly produced J/psi and prompt decays of heavier charmonium states such as the psi(2S) and chi(c) resonances, is sigma(prompt J/psi) (p(t) > 1.3 GeV/c, vertical bar y vertical bar < 0.9) = 8.3 +/- 0.8(stat.) +/- 1.1 (syst.)(-1.4)(+1.5) (syst. pol.) mu b. The cross section for the production of b-hadrons decaying to J/psi with p(t) > 1.3 GeV/c and vertical bar y vertical bar < 0.9 is a sigma(J/psi <- hB) (p(t) > 1.3 GeV/c, vertical bar y vertical bar < 0.9) = 1.46 +/- 0.38 (stat.)(-0.32)(+0.26) (syst.) mu b. The results are compared to QCD model predictions. The shape of the p(t) and y distributions of b-quarks predicted by perturbative QCD model calculations are used to extrapolate the measured cross section to derive the b (b) over bar pair total cross section and d sigma/dy at mid-rapidity.
6.	Abelev, Betty, et al. (författare) Underlying Event measurements in pp collisions at root s=0.9 and 7 TeV with the ALICE experiment at the LHC 2012 Ingår i: Journal of High Energy Physics. - 1029-8479. ; :7 Tidskriftsartikel (refereegranskat)abstract We present measurements of Underlying Event observables in pp collisions at root s = 0 : 9 and 7 TeV. The analysis is performed as a function of the highest charged-particle transverse momentum p(T),L-T in the event. Different regions are defined with respect to the azimuthal direction of the leading (highest transverse momentum) track: Toward, Transverse and Away. The Toward and Away regions collect the fragmentation products of the hardest partonic interaction. The Transverse region is expected to be most sensitive to the Underlying Event activity. The study is performed with charged particles above three different p(T) thresholds: 0.15, 0.5 and 1.0 GeV/c. In the Transverse region we observe an increase in the multiplicity of a factor 2-3 between the lower and higher collision energies, depending on the track p(T) threshold considered. Data are compared to PYTHIA 6.4, PYTHIA 8.1 and PHOJET. On average, all models considered underestimate the multiplicity and summed p(T) in the Transverse region by about 10-30%.
7.	Accordini, S., et al. (författare) A three-generation study on the association of tobacco smoking with asthma 2018 Ingår i: International Journal of Epidemiology. - : Oxford University Press (OUP). - 0300-5771 .- 1464-3685. ; 47:4, s. 1106-1117 Tidskriftsartikel (refereegranskat)abstract Background: Mothers' smoking during pregnancy increases asthma risk in their offspring. There is some evidence that grandmothers' smoking may have a similar effect, and biological plausibility that fathers' smoking during adolescence may influence offspring's health through transmittable epigenetic changes in sperm precursor cells. We evaluated the three-generation associations of tobacco smoking with asthma. Methods: Between 2010 and 2013, at the European Community Respiratory Health Survey III clinical interview, 2233 mothers and 1964 fathers from 26 centres reported whether their offspring (aged <= 51 years) had ever had asthma and whether it had coexisted with nasal allergies or not. Mothers and fathers also provided information on their parents' (grandparents) and their own asthma, education and smoking history. Multilevel mediation models within a multicentre three-generation framework were fitted separately within the maternal (4666 offspring) and paternal (4192 offspring) lines. Results: Fathers' smoking before they were 15 [relative risk ratio (RRR) = 1.43, 95% confidence interval (CI): 1.01-2.01] and mothers' smoking during pregnancy (RRR = 1.27, 95% CI: 1.01-1.59) were associated with asthma without nasal allergies in their offspring. Grandmothers' smoking during pregnancy was associated with asthma in their daughters [odds ratio (OR) = 1.55, 95% CI: 1.17-2.06] and with asthma with nasal allergies in their grandchildren within the maternal line (RRR = 1.25, 95% CI: 1.02-1.55). Conclusions: Fathers' smoking during early adolescence and grandmothers' and mothers' smoking during pregnancy may independently increase asthma risk in offspring. Thus, risk factors for asthma should be sought in both parents and before conception.
8.	Accordini, S., et al. (författare) Prenatal and prepubertal exposures to tobacco smoke in men may cause lower lung function in future offspring: a three-generation study using a causal modelling approach 2021 Ingår i: European Respiratory Journal. - : European Respiratory Society (ERS). - 0903-1936 .- 1399-3003. ; 58:4 Tidskriftsartikel (refereegranskat)abstract Mechanistic research suggests that lifestyle and environmental factors impact respiratory health across generations by epigenetic changes transmitted through male germ cells. Evidence from studies on humans is very limited. We investigated multigeneration causal associations to estimate the causal effects of tobacco smoking on lung function within the paternal line. We analysed data from 383 adult offspring (age 18-47 years; 52.0% female) and their 274 fathers, who had participated in the European Community Respiratory Health Survey (ECRHS)/Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study and had provided valid measures of pre-bronchodilator lung function. Two counterfactual-based, multilevel mediation models were developed with: paternal grandmothers' smoking in pregnancy and fathers' smoking initiation in prepuberty as exposures; fathers' forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC), or FEV1/FVC z-scores as potential mediators (proxies of unobserved biological mechanisms that are true mediators); and offspring's FEV1 and FVC, or FEV1/FVC z-scores as outcomes. All effects were summarised as differences (Delta) in expected z-scores related to fathers' and grandmothers' smoking history. Fathers' smoking initiation in prepuberty had a negative direct effect on both offspring's FEV1 (Delta z-score -0.36, 95% CI -0.63--0.10) and FVC (-0.50, 95% CI -0.80--0.20) compared with fathers' never smoking. Paternal grandmothers' smoking in pregnancy had a negative direct effect on fathers' FEV1/FVC -0.57, 95% CI -1.09--0.05) and a negative indirect effect on offspring's FEV1/FVC (-0.12, 95% CI -0.21--0.03) compared with grandmothers' not smoking before fathers' birth nor during fathers' childhood. Fathers' smoking in prepuberty and paternal grandmothers' smoking in pregnancy may cause lower lung function in offspring. Our results support the concept that lifestyle-related exposures during these susceptibility periods influence the health of future generations.
9.	Auråen, Henrik, et al. (författare) Urgent lung allocation system in the Scandiatransplant countries 2018 Ingår i: Journal of Heart and Lung Transplantation. - : Elsevier BV. - 1053-2498. ; 37:12, s. 1403-1409 Tidskriftsartikel (refereegranskat)abstract BACKGROUND: Throughout the world, the scarcity of donor organs makes optimal allocation systems necessary. In the Scandiatransplant countries, organs for lung transplantation are allocated nationally. To ensure shorter wait time for critically ill patients, the Scandiatransplant urgent lung allocation system (ScULAS) was introduced in 2009, giving supranational priority to patients considered urgent. There were no pre-defined criteria for listing a patient as urgent, but each center was granted only 3 urgent calls per year. This study aims to explore the characteristics and outcome of patients listed as urgent, assess changes associated with the implementation of ScULAS, and describe how the system was utilized by the member centers. METHODS: All patients listed for lung transplantation at the 5 Scandiatransplant centers 5 years before and after implementation of ScULAS were included. RESULTS: After implementation, 8.3% of all listed patients received urgent status, of whom 81% were transplanted within 4 weeks. Patients listed as urgent were younger, more commonly had suppurative lung disease, and were more often on life support compared with patients without urgent status. For patients listed as urgent, post-transplant graft survival was inferior at 30 and 90 days. Although there were no pre-defined criteria for urgent listing, the system was not utilized at its maximum. CONCLUSIONS: ScULAS rapidly allocated organs to patients considered urgent. These patients were younger and more often had suppurative lung disease. Patients with urgent status had inferior short-term outcome, plausibly due to the higher proportion on life support before transplantation.
10.	Bignert, Anders, et al. (författare) Comments concerning the national Swedish contaminant monitoring programme in marine biota, 2015 2015 Rapport (övrigt vetenskapligt/konstnärligt)
11.	Bignert, Anders, et al. (författare) Comments Concerning the National Swedish Contaminant Monitoring Programme in Marine Biota, 2015 2015 Rapport (övrigt vetenskapligt/konstnärligt)abstract The environmental toxicants examined in this report can be classified into five groups – heavy metals, chlorinated compounds, brominated flame retardants, polyaromatic hydrocarbons and perfluorinated compounds. Each of these contaminants have been examined from various sites for up to six different fish species, in blue mussels, and in guillemot eggs, for varying lengths of time. The following summary examines overall trends, spatial and temporal, for the five groups.Condition and Fat ContentCondition and fat content in different species tended to follow the same pattern at the same sites, with a few exceptions. Most of the fish species generally displayed a decreasing trend in both condition and fat content at most sites examined. Exceptions to this were increases in condition factor seen in cod liver at Fladen, perch muscle at Kvädöfjärden, and for herring at Ängskärsklubb in spring. Also, an increase in fat content was seen during the most recent ten years for herring at Ängskärsklubb in spring. There were also some sites where no log linear trends were seen.Heavy MetalsDue to a change in methods for metal analysis (not mercury) in 2004, values between 2003 and 2007 should be interpreted with care. From 2009 metals are analyzed at ACES, Stockholm University.Generally, higher mercury concentrations are found in the Bothnian Bay, but also from one station in the Northern parts of Baltic Proper, compared to other parts of the Swedish coastline. The time series show varying concentrations over the study period. The longer time series in guillemot egg and spring-caught herring from the southern Bothnian Sea and southern Baltic Proper show significant decreases of mercury. On the other hand, increasing concentrations are seen in e.g., cod muscle, but the concentrations are fairly low compared to measured concentrations in perch from fresh water and coastal sites. In most cases, the mercury concentrations are above the EQSbiota of 20 ng/g wet weight.Lead is generally decreasing over the study period (in time series of sufficient length), supposedly due to the elimination of lead in gasoline. The highest concentrations are seen in the southern part of the Baltic Sea. Elevated lead concentrations between 2003 and 2007 (e.g. Harufjärden) should be viewed with caution (see above regarding change in analysis methods). Lead concentrations are below the suggested target level at all stations.Cadmium concentrations show varying non-linear trends over the monitored period. It is worth noting that despite several measures taken to reduce discharges of cadmium, generally the most recent concentrations are similar to concentrations measured 30 yearsago in the longer time series. Cadmium concentrations in herring and perch are all below the suggested target level of 160 μg/kg wet weight.The reported nickel concentrations show no consistent decreasing trends. Some series begin with two elevated values that exert a strong leverage effect on the regression line and may give a false impression of decreasing trends. Chromium generally shows decreasing concentrations, possibly explained by a shift in analytical method. The essential trace metals, copper and zinc, show no consistent trends during the monitored period.Generally higher concentrations of arsenic and silver are found along the west coast compared to other parts of the Sweadish coast line. However for silver a few stations in the Bothnian Sea and Bothnian Bay show comparable concentrations to the west coast stations.Chlorinated CompoundsGenerally, a decreasing concentrations were observed for all compounds (DDT’s, PCB’s, HCH’s, HCB) in all species examined, with a few exceptions, such as no change in TCDD-equivalents being seen in herring muscle (except at Änskärsklubb where very high concentrations at the beginning of the sampling period were seen and also at the west coast station Fladen). The longer time-series in guillemot also show a marked decrease in TCDD-equivalents from the start in the late 1960s until about 1985 from where no change occurred for many years, however, during the most recent ten years a decrease in the concentration is seen. Concentrations of DDE and CB-118 are for some species and sites still above their respective target levels.The chlorinated compounds generally show higher concentrations in the Bothnian Sea and/or Baltic Proper when compared to the Bothnian Bay and the Swedish west coast.Brominated Flame RetardantsElevated levels of HBCDD are seen in sites from the Baltic Proper, while the investigated PBDEs show higher concentrations in the Bothnian Bay. In addition, lower concentrations of all investigated PBDEs and HBCDD are seen on the Swedish west coast compared to the east coast. Temporally, significant increases in BDE-47, -99 and -100 have been seen in guillemot eggs since the late 1960s until the early 1990s, where concentrations then began to show decreases. Also, the concentration of HBCDD in guillemot eggs shows a decrease during the most recent ten years. For fish and blue mussels, BDE-47, -99, and -153 decreased at some sites and showed no trend at other sites. The concentration of HBCDD in fish and blue mussels showed inconsistent trends. The concentration of HBCDD is below the EQSbiota of 167 μg/kg wet weight for all fish species from all areas, while the concentration of BDE-47 alone is above the EQSbiota for sumPBDE of 0.0085 ng/g wet weight.PAHsOnly blue mussels have been examined for spatial differences in PAH concentrations. Concentration of ΣPAH was found to be higher from Kvädöfjärden in the Baltic Proper compared to stations at the West coast, but individual PAHs showed varying spatial patterns. Over time, acenaphthalene was rarely found above the detection limit. Significant decreasing trends were observed for ΣPAH, chrysene, fluoranthene and pyrene at Fjällbacka; for naphthalene at Kvädöfjärden; and for pyrene at Fladen.All time series where concentrations of various PAHs were compared with the target value based on OSPAR Ecological Assessment Criteria, or EC Environmental Quality Standards were below the target value.PFASsPFHxS and PFOS show a similar spatial pattern, but PFOS concentrations were approximately 25 times higher than PFHxS levels. The distribution of PFOS is quite homogenous along the Swedish coast but with somewhat higher concentrations in the Baltic Proper. PFOS concentrations in guillemot eggs are about 100-200 times higher than in herring liver. An overall increasing concentration of PFOS in guillemot eggs has been observed throughout the whole time period, however, during the most recent ten years, a change of direction is detected. The longer herring time series from Harufjärden, Landsort, and Utlängan show increasing concentrations for PFOS and most carboxylates. For FOSA, on the other hand, decreasing concentrations are seen during the most recent ten years.Organotin compoundsThe majority of the analysed tinorganic compounds showed concentrations below LOQ. However TBT and DPhT showed concentrations above LOQ at all stations with highest reported concentrations in fish from Örefjärden in the northern part of Bothnian Sea.
12.	Casas, Joan Ramon, et al. (författare) Guideline for Load and Resistance Assessment of Existing European Railway Bridges : Advices on the use of advanced methods 2007 Rapport (refereegranskat)abstract The bridge assessment in many aspects is very similar to the bridge design. The same basic principles lie at the heart of the process. Nevertheless, an important difference lies in the fact that when a bridge is being designed, an element of conservatism is generally a good thing that can be achieved with very little additional costs. When a bridge is being assessed, it is important to avoid unnecessarily conservative measures because of the financial implications that may follow the decision of ratingthe bridge as deficient. Therefore, the design codes (e.g. EC codes) may not always be appropriate for assessment of existing bridges and some additional recommendations or guidelines are required that will lead to less conservative assessment of theirs load carrying capacity. Such guidelines have been already proposed for assessment of highway bridges in Europe. However, there is a lack of this type of documents that can be applied for the assessment of railway bridges.The present "Guideline for Load and Resistance Assessment of Existing European Railway Bridges - advices on the use of advanced methods" is providing guidance and recommendations for applying the most advanced and beneficial methods, models and tools for assessing the load carrying capacity of existing railway bridges. This includes systematized step-level assessment methodology, advanced safety formats (e.g. probabilistic or simplified probabilistic) refined structural analysis (e.g. non-linear or plastic, dynamic considering train-bridge interaction), better models of loads and resistance parameters (e.g. probabilistic and/or based on the results of measurements) and methods for incorporation of the results form monitoring and on-site testing (e.g. Bayesian updating).Basis for the "Guideline for Load and Resistance Assessment of Existing EuropeanRailway Bridges - advices on the use of advanced methods" is the research work carried out in the work package WP4 of the Sustainable Bridges project combined with the best practical experience and know-how of all the partners involved.The research activities within the work package WP4 have been carried out in the following five groups:− Loads and dynamic effects, with focus on train loads and dynamics (Deliverables D4.3, also referred as SB 4.3 Dynamic (2007), or just SB4.3 (2007));− Safety and probabilistic modelling (Deliverables D4.4, also referred as SB4.4Safety (2007), or just SB4.4 (2007));− Concrete bridges, with focus on non-linear analysis (Deliverables D4.5, also referred as SB4.5 Concrete (2007), or just SB4.5 (2007));− Metal bridges, with focus on riveted bridges (Deliverables D4.6, also referredas SB4.6 Metal (2007), or just SB4.6 (2007));− Masonry arch bridges including soil/structure interaction (Deliverables D4.7,also referred as SB4.7 Masonry (2007), or just SB4.7 (2007)).The results of these activities are reported in corresponding Background Documents (Deliverables) listed above within parenthesis.The main results from the research activities performed and the know-how of all the partners in the specific areas of bridge assessment are tried to be presented in this Sustainable Bridges SB-LRA 2007-11-30 6 (428) Guideline in such a way that the target reader of the Guideline, a structural engineer experienced in assessment of railway bridges, is able to apply them in the everyday practice, without necessity of searching for several specific scientific publications. Nevertheless, in some cases it has been necessary to refer to public available literature and Background Documents prepared in the Sustainable Bridges project.The present Guideline has been prepared aiming to follow somehow the structure of the EC codes and it is divided into 10 chapters and 12 Annexes concerning:− Assessment procedure (Chapter 2);− Requirements, safety formats and limit states (Chapter 3, Annexes 3.1-3.7);− Basic information for bridge assessment (Chapter 4);− Load and dynamic effects (Chapter 5, Annex 5.1);− Concrete bridges (Chapter 6);− Metal bridges (Chapter 7, Annex 7.1);− Masonry arch bridges (Chapter 8, Annexes 8.1 and 8.2);− Foundations and transition zones (Chapter 9);− Improvement of assessment using information from testing and monitoring (Chapter 10, Annex 10.1).In most of the topics related to railway bridges assessment the Guideline uses the current state-of-the-art knowledge and the presently best practice. Nevertheless, in many subjects it propose the use of original methods and models that have been developed, obtained or systematized due to research performed within one of the five groups of work package WP4.
13.	Claesson, Åsa, et al. (författare) Novel design for diode-pumped miniature lasers using microstructured silicon carriers 2000 Ingår i: Advanced Solid State Lasers. - : Optica Publishing Group. Konferensbidrag (refereegranskat)abstract A new design concept for compact diode-pumped solid-state lasers is presented. The design is based on a microstructured silicon carrier with etched v-grooves. This silicon microbench provides efficient thermal management at 10W pumping level, as well as compact integration and alignment of all active and passive optical components of compact diode-pumped solid-state lasers. In initial experiments, a Nd:YAG laser built on the microbench delivered a continuous-wave output of 3W.
14.	Danielsson, Oscar, 1982- (författare) Augmented reality smart glasses as assembly operator support : Towards a framework for enabling industrial integration 2020 Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract Operators are likely to continue to play an integral part in industrial assembly for the foreseeable future. This is in part because increasingly shorter life-cycles and increased variety of products makes automation harder to achieve. As technological advancements enables greater digitalization, the demands for increased individual designs of products increases. These changes, combined with a global competition, does put an increasing strain on operators to handle large quantities of information in a short timeframe. Augmented reality (AR) has been identified as a technology that can present assembly information to operators in an efficient manner. AR smart glasses (ARSG) is an implementation of AR suitable for operators since they are hands-free and can provide individual instructions in the correct context directly in their real work environment. There are currently early adopters of ARSG in production within industry and there are many predictions that ARSG usage will continue to grow. However, to fully integrate ARSG as a tool among others in a modern and complex factory there are several perspectives that a company need to take into consideration. This thesis investigates both the operator perspective and the manufacturing engineering perspective to support industry in how to make the correct investment decisions as regards to ARSG.The aim of this licentiate thesis is to provide a basis for a framework to enable industry to choose and integrate ARSG in production as a value adding operator support. This is achieved by investigating the theoretical basis of ARSG related technology and its maturity as well as the needs operators have in ARSG for their usage in assembly. The philosophical paradigm that is followed is that of pragmatism. The methodology used is design science, set in the research paradigm of mixed methods. Data has been collected through experiments with demonstrators, interviews, observations, and literature reviews. This thesis provides partial answers to the overall research aim.The thesis shows that the topic is feasible, relevant to industry, and a novel scientific contribution. Observations, interviews, and a literature review gave an overview of the operator perspective. Some highlights from the results are that operators are willing to work with ARSG, that operators need help in unlearning old tasks as well as learning new ones, and that optimal weight distribution of ARSG is dependent on the operators’ head-positioning. Highlights from the preliminary findings for the manufacturing engineering perspective include a general lack of standards for AR as regards vertical industrial application, improved tools for faster instruction generation, and large variations in specifications of available ARSG.Future work includes a complete answer to the manufacturing engineering perspective as well as combining all the results to create a framework for ARSG integration in industry.
15.	D'Souza, Nigel, et al. (författare) Definition of the Rectum An International, Expert-based Delphi Consensus 2019 Ingår i: Annals of Surgery. - : LIPPINCOTT WILLIAMS & WILKINS. - 0003-4932 .- 1528-1140. ; 270:6, s. 955-959 Tidskriftsartikel (refereegranskat)abstract Background: The wide global variation in the definition of the rectum has led to significant inconsistencies in trial recruitment, clinical management, and outcomes. Surgical technique and use of preoperative treatment for a cancer of the rectum and sigmoid colon are radically different and dependent on the local definitions employed by the clinical team. A consensus definition of the rectum is needed to standardise treatment. Methods: The consensus was conducted using the Delphi technique with multidisciplinary colorectal experts from October, 2017 to April, 2018. Results: Eleven different definitions for the rectum were used by participants in the consensus. Magnetic resonance imaging (MRI) was the most frequent modality used to define the rectum (67%), and the preferred modality for 72% of participants. The most agreed consensus landmark (56%) was "the sigmoid take-off,'' an anatomic, image-based definition of the junction of the mesorectum and mesocolon. In the second round, 81% of participants agreed that the sigmoid take-off as seen on computed tomography or MRI achieved consensus, and that it could be implemented in their institution. Also, 87% were satisfied with the sigmoid take-off as the consensus landmark. Conclusion: An international consensus definition for the rectumis the point of the sigmoid take-off as visualized on imaging. The sigmoid take-off can be identified as the mesocolon elongates as the ventral and horizontal course of the sigmoid on axial and sagittal views respectively on cross-sectional imaging. Routine application of this landmark during multidisciplinary team discussion for all patients will enable greater consistency in tumour localisation.
16.	Elfgren, Lennart, et al. (författare) Long time load-carrying capacity of bonded anchors 2001 Ingår i: Connections between steel and concete. - Cachan (Val-de-Marne) : Rilem publications. - 291214325X ; , s. 391-401 Konferensbidrag (refereegranskat)
17.	Fall, Tove, et al. (författare) The Role of Adiposity in Cardiometabolic Traits : A Mendelian Randomization Analysis 2013 Ingår i: PLoS Medicine. - : Public Library of Science (PLoS). - 1549-1277 .- 1549-1676. ; 10:6, s. e1001474- Tidskriftsartikel (refereegranskat)abstract Background: The association between adiposity and cardiometabolic traits is well known from epidemiological studies. Whilst the causal relationship is clear for some of these traits, for others it is not. We aimed to determine whether adiposity is causally related to various cardiometabolic traits using the Mendelian randomization approach. Methods and Findings: We used the adiposity-associated variant rs9939609 at the FTO locus as an instrumental variable (IV) for body mass index (BMI) in a Mendelian randomization design. Thirty-six population-based studies of individuals of European descent contributed to the analyses. Age-and sex-adjusted regression models were fitted to test for association between (i) rs9939609 and BMI (n = 198,502), (ii) rs9939609 and 24 traits, and (iii) BMI and 24 traits. The causal effect of BMI on the outcome measures was quantified by IV estimators. The estimators were compared to the BMI-trait associations derived from the same individuals. In the IV analysis, we demonstrated novel evidence for a causal relationship between adiposity and incident heart failure (hazard ratio, 1.19 per BMI-unit increase; 95% CI, 1.03-1.39) and replicated earlier reports of a causal association with type 2 diabetes, metabolic syndrome, dyslipidemia, and hypertension (odds ratio for IV estimator, 1.1-1.4; all p<0.05). For quantitative traits, our results provide novel evidence for a causal effect of adiposity on the liver enzymes alanine aminotransferase and gamma-glutamyl transferase and confirm previous reports of a causal effect of adiposity on systolic and diastolic blood pressure, fasting insulin, 2-h post-load glucose from the oral glucose tolerance test, C-reactive protein, triglycerides, and high-density lipoprotein cholesterol levels (all p<0.05). The estimated causal effects were in agreement with traditional observational measures in all instances except for type 2 diabetes, where the causal estimate was larger than the observational estimate (p = 0.001). Conclusions: We provide novel evidence for a causal relationship between adiposity and heart failure as well as between adiposity and increased liver enzymes.
18.	Feltelius, Nils, et al. (författare) Utility of registries for post-marketing evaluation of medicines. A survey of Swedish health care quality registries from a regulatory perspective. 2017 Ingår i: Upsala Journal of Medical Sciences. - : Uppsala Medical Society. - 0300-9734 .- 2000-1967. ; 122:2, s. 136-147 Tidskriftsartikel (refereegranskat)abstract AIM: The aim of this study was to describe content and procedures in some selected Swedish health care quality registries (QRs) of relevance to regulatory decision-making.METHODS: A workshop was organized with participation of seven Swedish QRs which subsequently answered a questionnaire regarding registry content on drug treatments and outcomes. Patient populations, coverage, data handling and quality control, as well as legal and ethical aspects are presented. Scientific publications from the QRs are used as a complementary measure of quality and scientific relevance.RESULTS: The registries under study collect clinical data of high relevance to regulatory and health technology agencies. Five out of seven registries provide information on the drug of interest. When applying external quality criteria, we found a high degree of fulfillment, although information on medication was not sufficient to answer all questions of regulatory interest. A notable strength is the option for linkage to the Prescribed Drug Registry and to information on education and socioeconomic status. Data on drugs used during hospitalization were also collected to some extent. Outcome measures collected resemble those used in relevant clinical trials. All registries collected patient-reported outcome measures. The number of publications from the registries was substantial, with studies of appropriate design, including randomized registry trials.CONCLUSIONS: Quality registries may provide a valuable source of post-marketing data on drug effectiveness, safety, and cost-effectiveness. Closer collaboration between registries and regulators to improve quality and usefulness of registry data could benefit both regulatory utility and value for health care providers.
19.	Fransson, Lennart, et al. (författare) Fältmätningar av isens expansionstryck vid Vittjärvs kraftstation i Lule älv 1985 Rapport (övrigt vetenskapligt/konstnärligt)
20.	Fransson, Lennart, et al. (författare) Istryck mot en bropelare i Lule älv, vintern 1981/82 1982 Rapport (övrigt vetenskapligt/konstnärligt)
21.	Gedeborg, Rolf, et al. (författare) Increased availability of paracetamol in Sweden and incidence of paracetamol poisoning : using laboratory data to increase validity of a population-based registry study 2017 Ingår i: Pharmacoepidemiology and Drug Safety. - : WILEY. - 1053-8569 .- 1099-1557. ; 26:5, s. 518-527 Tidskriftsartikel (refereegranskat)abstract Purpose: To estimate the incidence trend and outcome of paracetamol poisoning, in relation to increased availability of paracetamol from non-pharmacy outlets in 2009.Method: Patients' serum paracetamol results over 14years (2000-2013) from 20 (out of 21) regions in Sweden were linked to national registers of hospital care, cause of death, and prescriptions. Paracetamol poisonings were defined by serum paracetamol levels, hospital diagnoses, or cause of death. The change in incidence of poisonings following increased availability of paracetamol was analysed by using segmental regression of time series.Results: Of the 12068 paracetamol poisonings, 85% were classified as intentional self-harm. Following increased availability from non-pharmacy outlets, there was a 40.5% increase in the incidence of paracetamol poisoning, from 11.5/100000 in 2009 to 16.2/100000 in 2013. Regression analyses indicated a change in the trend (p<0.0001) but not an immediate jump in the incidence (p=0.5991) following the increased availability. Adjusting for trends in hospital episodes for self-harm, suicides, and the sales volume of paracetamol did not influence the result. All-cause mortality at 30days (3.2%) did not change over time.Conclusions: The incidence of paracetamol poisoning in Sweden has increased since 2009, contrasting the decreased incidence in the period of 2007-2009. The change in trend was temporally associated with the introduction of availability of paracetamol from non-pharmacy outlets but did not appear to be related to sales volume of paracetamol or general trends in self-harm or suicides.
22.	Gedeborg, Rolf, et al. (författare) Validation of myocarditis diagnoses in the Swedish patient register for analyses of potential adverse reactions to COVID-19 vaccines 2023 Ingår i: Upsala Journal of Medical Sciences. - : Upsala Medical Society. - 0300-9734 .- 2000-1967. ; 128:1 Tidskriftsartikel (refereegranskat)abstract Background: Coronavirus disease 2019 (COVID-19) mRNA vaccines are associated with an increased risk of myocarditis using hospital discharge diagnoses as an outcome. The validity of these register-based diagnoses is uncertain.Methods: Patient records for subjects < 40 years of age and a diagnosis of myocarditis in the Swedish National Patient Register were manually reviewed. Brighton Collaboration diagnosis criteria for myocarditis were applied based on patient history, clinical examination, laboratory data, electrocardiograms, echocardiography, magnetic resonance imaging and myocardial biopsy. Poisson regression was used to estimate incidence rate ratios, comparing the register-based outcome variable to validated outcomes. Interrater reliability was assessed by a blinded re-evaluation.Results: Overall, 95.6% (327/342) of cases registered as myocarditis were confirmed (definite, probable or possible myocarditis according to Brighton Collaboration diagnosis criteria, positive predictive value 0.96 [95% CI 0.93–0.98]). Of the 4.4% (15/342) cases reclassified as no myocarditis or as insufficient information, two cases had been exposed to the COVID-19 vaccine no more than 28 days before the myocarditis diagnosis, two cases were exposed >28 days before admission and 11 cases were unexposed to the vaccine. The reclassification had only minor impact on incidence rate ratios for myocarditis following COVID-19 vaccination. In total, 51 cases were sampled for a blinded re-evaluation. Of the 30 randomly sampled cases initially classified as either definite or probably myocarditis, none were re-classified after re-evaluation. Of the in all 15 cases initially classified as no myocarditis or insufficient information, 7 were after re-evaluation re-classified as probable or possible myocarditis. This re-classification was mostly due to substantial variability in electrocardiogram interpretation.Conclusion: This validation of register-based diagnoses of myocarditis by manual patient record review confirmed the register diagnosis in 96% of cases and had high interrater reliability. Reclassification had only a minor impact on the incidence rate ratios for myocarditis following COVID-19 vaccination.
23.	Greer, Mark, et al. (författare) Dichotomy in pulmonary graft-versus-host disease evident among allogeneic stem-cell transplant recipients undergoing lung transplantation 2016 Ingår i: European Respiratory Journal. - : European Respiratory Society (ERS). - 0903-1936 .- 1399-3003. ; 48:6, s. 1807-1810 Tidskriftsartikel (refereegranskat)
24.	Hadi, Seyed Ehsan, 1993-, et al. (författare) Hierarchical Incorporation of Reduced Graphene Oxide into Anisotropic Cellulose Nanofiber Foams reduces their Radial Thermal Conductivity Annan publikation (populärvet., debatt m.m.)
25.	Hallin, Bo, et al. (författare) Kliniska beslutsstödssystem - Clinical Decision Support Systems - CDSS 2011 Rapport (övrigt vetenskapligt/konstnärligt)
26.	Hammaréus, Filip, 1998-, et al. (författare) Plasma type I collagen α1 chain in relation to coronary artery disease : findings from a prospective population-based cohort and an acute myocardial infarction prospective cohort in Sweden. 2023 Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 13:9 Tidskriftsartikel (refereegranskat)abstract OBJECTIVES: To investigate the association between type I collagen α1 chain (COL1α1) levels and coronary artery disease (CAD) by using absolute quantification in plasma. Also, to investigate the correlates of COL1α1 to clinical characteristics and circulating markers of collagen metabolism.DESIGN: Life conditions, Stress and Health (LSH) study: prospective cohort study, here with a nested case-control design.Assessing Platelet Activity in Coronary Heart Disease (APACHE) study: prospective cohort study.SETTING: LSH: primary care setting, southeast Sweden.APACHE: cardiology department, university hospital, southeast Sweden.PARTICIPANTS: LSH: 1007 randomly recruited individuals aged 45-69 (50% women). Exclusion criteria was serious disease. After 13 years of follow-up, 86 cases with primary endpoint were identified and sex-matched/age-matched to 184 controls.APACHE: 125 patients with myocardial infarction (MI), 73 with ST-elevation MI and 52 with non-ST-elevation MI.EXCLUSION CRITERIA: Intervention study participation, warfarin treatment and short life expectancy.PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was the association between baseline COL1α1 and first-time major event of CAD, defined as fatal/non-fatal MI or coronary revascularisation after 13 years. Secondary outcomes were the association between the collagen biomarkers PRO-C1 (N-terminal pro-peptide of type I collagen)/C1M (matrix metalloproteinase-mediated degradation of type I collagen) and CAD; temporal change of COL1α1 after acute MI up to 6 months and lastly, correlates between COL1α1 and patient characteristics along with circulating markers of collagen metabolism.RESULTS: COL1α1 levels were associated with CAD, both unadjusted (HR=0.69, 95% CI=0.56 to 0.87) and adjusted (HR=0.55, 95% CI=0.41 to 0.75). PRO-C1 was associated with CAD, unadjusted (HR=0.62, 95% CI=0.47 to 0.82) and adjusted (HR=0.61, 95% CI=0.43 to 0.86), while C1M was not. In patients with MI, COL1α1 remained unchanged up to 6 months. COL1α1 was correlated to PRO-C1, but not to C1M.CONCLUSIONS: Plasma COL1α1 was independently and inversely associated with CAD. Furthermore, COL1α1 appeared to reflect collagen synthesis but not degradation. Future studies are needed to confirm whether COL1α1 is a clinically useful biomarker of CAD.
27.	Holm, A. M., et al. (författare) Lung transplantation for bronchiolitis obliterans syndrome after allo-SCT 2013 Ingår i: Bone Marrow Transplantation. - : Springer Science and Business Media LLC. - 1476-5365 .- 0268-3369. ; 48:5, s. 703-707 Tidskriftsartikel (refereegranskat)abstract Chronic GVHD (cGVHD) associated bronchiolitis obliterans syndrome (BOS) is a serious complication after allo-SCT, and lung transplantation (LTx) may be the ultimate treatment option. To evaluate this treatment, data on all patients with LTx after allo-SCT ever performed in Sweden, Norway, Denmark and Finland were recorded and compared with survival data from the Scandiatransplant registry. In total, LTx after allo-SCT had been performed in 13 patients. Allo-SCT was done because of AML (n = 6), CML (n = 3), ALL (n = 2), immunodeficiency (n = 1) and aplastic anemia (n = 1). All developed clinical cGVHD, with median interval from allo-SCT to LTx of 8.2 (0.7-16) years. Median age at LTx was 34 (16-55) years, and the median postoperative observation time was 4.2 (0.1-15) years. Two patients died, one due to septicemia, the other of relapsing leukemia, after 2 and 14 months, respectively. Four developed BOS, one of these was retransplanted. The survival did not significantly differ from the survival in matched LTx controls, being 90% 1 year and 75% 5 years after LTx compared with 85% and 68% in the controls. We therefore suggest that LTx may be considered in carefully selected patients with BOS due to cGVHD after allo-SCT.
28.	Holm, Caroline, et al. (författare) Latrin i kretslopp. : Teknik och resursanvändning vid hantering i ett våtkomposteringssystem 2009 Rapport (refereegranskat)
29.	Holm, Göran, et al. (författare) Stabilized sediments in port constructions – important considerations and key experiences 2015 Ingår i: Geotechnical Engineering for Infrastructure and Development. - London : Research Publishing Services. - 9780727760678 ; , s. 1291-1296 Konferensbidrag (refereegranskat)abstract Sea transport is increasing due to its environmental and economic benefits. The related expansion of ports and the development towards longer, wider and more deep-draught ships cause a huge need for dredging of sediments in fairways and ports. A large volume of these sediments are contaminated with heavy metals and organic contaminants. Millions of m3 of these sediments have to be dredged and handled in the coming years according to studies performed by the SMOCS/PortInfra network. The SMOCS project (Sustainable Management of Contaminated Sediments) within the Baltic Sea Region Programme 2007-2013 has developed a guideline on management of contaminated sediments based on a sustainability approach. This paper deals with important considerations and key experiences in the different phases in a project from characterisation of sediments to be dredged, basic risk assessment, feasibility study and selection of handling options, planning and permitting, execution incl. detailed design considerations and field test and serviceability stage incl. monitoring. The stabilization/solidification technology has been applied implying the beneficial use of such treated dredged contaminated sediments in port constructions reducing the use of natural resources.
30.	Holm, Hannes, et al. (författare) Cognitive test results are associated with mortality and rehospitalization in heart failure: Swedish prospective cohort study 2020 Ingår i: ESC Heart Failure. - : WILEY PERIODICALS, INC. - 2055-5822. ; 7:5, s. 2948-2955 Tidskriftsartikel (refereegranskat)abstract Aims We aimed to search for associations between cognitive test results with mortality and rehospitalization in a Swedish prospective heart failure (HF) patient cohort. Methods and results Two hundred and eighty-one patients hospitalized for HF (mean age, 74 years; 32% women) were assessed using cognitive tests: Montreal Cognitive Assessment (MoCA), A Quick Test of Cognitive speed, Trail Making Test A, and Symbol Digit Modalities Test. The mean follow-up time censored at rehospitalization or death was 13 months (interquartile range, 14) and 28 months (interquartile range, 29), respectively. Relations between cognitive test results, mortality, and rehospitalization risk were analysed using multivariable Cox regression model adjusted for age, sex, body mass index, systolic blood pressure, atrial fibrillation, diabetes, smoking, educational level, New York Heart Association class, and prior cardiovascular disease. A total of 80 patients (29%) had signs of cognitive impairment (MoCA score < 23 points). In the fully adjusted Cox regression model using standardized values per 1 SD change of each cognitive test, lower score on MoCA [hazard ratio (HR), 0.75; confidence interval (CI), 0.60-0.95;P = 0.016] and Symbol Digit Modalities Test (HR, 0.66; CI, 0.48-0.90;P = 0.008) yielded significant associations with increased mortality. Rehospitalization risk (n = 173; 62%) was significantly associated with lower MoCA score (HR, 0.84; CI, 0.71-0.99;P = 0.033). Conclusions Two included cognitive tests were associated with mortality in hospitalized HF patients, independently of traditional risk factors. In addition, worse cognitive test scores on MoCA heralded increased risk of rehospitalization.
31.	Holm, Hannes, et al. (författare) Longitudinal and postural changes of blood pressure predict dementia : the Malmö Preventive Project 2017 Ingår i: European Journal of Epidemiology. - : Springer Science and Business Media LLC. - 0393-2990 .- 1573-7284. ; 32:4, s. 327-336 Tidskriftsartikel (refereegranskat)abstract The role of blood pressure (BP) changes in dementia is debatable. We aimed to analyse how resting and postural BP changes relate to incident dementia over a long-term follow-up. In the prospective population-based Malmö Preventive Project, 18,240 study participants (mean age: 45 ± 7 years, 63% male) were examined between 1974 and 1992 with resting and standing BP measurement, and re-examined between 2002 and 2006 at mean age of 68 ± 6 years with resting BP. A total of 428 participants (2.3%) were diagnosed with dementia through Dec 31, 2009. The association of resting and postural BP changes with risk of dementia was studied using multivariable-adjusted Cox regression models controlling for traditional risk factors. Diastolic BP (DBP) decrease on standing indicated higher risk of dementia [Hazard ratio (HR) per 10 mmHg: 1.22; 95% confidence interval (CI) 1.01–1.44, p = 0.036], which was mainly driven by increased risk in normotensive individuals. Higher systolic (SBP) and diastolic BP at re-examination was associated with lower risk of dementia (HR per 10 mmHg: 0.94; 95% CI 0.89–0.99, p = 0.011; and 0.87; 0.78–0.96, p = 0.006, respectively). Extreme decrease in SBP/DBP between baseline and re-examination (4th quartile; −7 ± 12/−15 ± 7 mmHg, respectively) indicated higher risk of dementia (HR 1.46; 95% CI 1.11–1.93, p = 0.008, and 1.54; 95% CI 1.14–2.08, p = 0.005; respectively) compared with reference group characterised by pronounced BP increase over the same period (1st quartile; +44 ± 13/+15 ± 7 mmHg). Diastolic BP decrease on standing in the middle age, decline in BP between middle-and advanced age, and lower BP in advanced age are independent risk factors of developing dementia.
32.	Holm, Lennart, et al. (författare) Effects of Age and Sex on Adverse Drug Reaction Reporting in Relation to Drug Utilization in Sweden 2011 Ingår i: Pharmacoepidemiology and Drug Safety. - : Wiley. - 1053-8569 .- 1099-1557. ; 20, s. S117-S117 Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
33.	Holm, Lennart (författare) Études taxonomiques sur les pléosporacées 1957 Doktorsavhandling (övrigt vetenskapligt/konstnärligt)
34.	Holm, Lennart, et al. (författare) Inledning 2002 Ingår i: Nationalstadsparken – ett experiment i hållbar utveckling. - Stockholm : Forskningsrådet Formas. - 9154058929 ; , s. 9-20 Bokkapitel (övrigt vetenskapligt/konstnärligt)
35.	Holm, Lennart (författare) Slutord 2002 Ingår i: Nationalstadsparken – ett experiment i hållbar utveckling.. - Stockholm : Forskningsrådet Formas. - 9154058929 ; , s. 239-246 Bokkapitel (övrigt vetenskapligt/konstnärligt)
36.	Holm, Lennart, 1926- (författare) Tre slag för den Gustavianska parken 1996 Ingår i: Landskap Utblick. - Stockholm. - 0281-7462. ; :1, s. 1-6 Tidskriftsartikel (populärvet., debatt m.m.)abstract Artikeln redogör för främst Sture Koinbergs skisser för ett utvecklat parklandskap vid Haga - Brunnsviken - Ulriksdal i Kungl. Nationalstadsparken, och inom ramen för Kommitténs för Gustavianska Parken medborgarplanering åren 1992-1996, med tre utställningar på Konstakademien i Stockholm (Kring Brunnsvikens stränder I-III).
37.	Holm, Magnus, et al. (författare) Non-Invasive Assessment of the Atrial Cycle Length during Atrial Fibrillation in Man: Introducing, Validating and Illustrating a New ECG Method 1998 Ingår i: Cardiovascular Research. - 1755-3245. ; 38:1, s. 69-81 Tidskriftsartikel (refereegranskat)abstract OBJECTIVES: Atrial fibrillation (AF) in man has previously been shown to include a wide variety of atrial activity. Assessment of the characteristics of this arrhythmia with a commonly applicable tool may therefore be important in the choice and evaluation of different therapeutic strategies. As the AF cycle length has been shown to correlate locally with atrial refractoriness and globally with the degree of atrial organization, with, in general, shorter cycle length during apparently random AF compared to more organized AF, we have developed a new method for non-invasive assessment of the AF cycle length using the surface and the esophagus (ESO) ECG. METHODS AND RESULTS: From the frequency spectrum of the residual ECG, created by suppression of the QRST complexes, the dominant atrial cycle length (DACL) was derived. By comparison with multiple intracardiac simultaneously acquired right and left AF cycle lengths in patients with paroxysmal AF, we found that the DACL in lead V1, ranging from 130 to 185 ms, well represented a spatial average of the right AF cycle lengths, whereas the DACL in the ESO ECG, ranging from 140 to 185 ms, reflected both the right and the left AF cycle length, where the influence from each structure depended on the atrial anatomy of the individual, as determined by MRI. In patients with chronic AF, the method was capable of following changes in the AF cycle length due to administration of D,L-sotalol and 5 min of ECG recording was sufficient for the DACL to be reproducible. CONCLUSIONS: We conclude that this new non-invasive method, named 'Frequency Analysis of Fibrillatory ECG' (FAF-ECG), is capable of assessing both the magnitude and the dynamics of the atrial fibrillation cycle length in man.
38.	Holm, Sture, 1936, et al. (författare) Prediction of fatigue life based on level crossings and a state variable 1995 Ingår i: Fatigue and fracture of engineering materials and structures. Tidskriftsartikel (refereegranskat)
39.	Johannessen, A., et al. (författare) Being overweight in childhood, puberty, or early adulthood: Changing asthma risk in the next generation? 2020 Ingår i: Journal of Allergy and Clinical Immunology. - : Elsevier BV. - 0091-6749 .- 1097-6825. ; 145:3 Tidskriftsartikel (refereegranskat)abstract Background: Overweight status and asthma have increased during the last decades. Being overweight is a known risk factor for asthma, but it is not known whether it might also increase asthma risk in the next generation. Objective: We aimed to examine whether parents being overweight in childhood, adolescence, or adulthood is associated with asthma in their offspring. Methods: We included 6347 adult offspring (age, 18-52 years) investigated in the Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) multigeneration study of 2044 fathers and 2549 mothers (age, 37-66 years) investigated in the European Community Respiratory Health Survey (ECRHS) study. Associations of parental overweight status at age 8 years, puberty, and age 30 years with offspring's childhood overweight status (potential mediator) and offspring's asthma with or without nasal allergies (outcomes) was analyzed by using 2-level logistic regression and 2-level multinomial logistic regression, respectively. Counterfactual-based mediation analysis was performed to establish whether observed associations were direct or indirect effects mediated through the offspring's own overweight status. Results: We found statistically significant associations between both fathers' and mothers' childhood overweight status and offspring's childhood overweight status (odds ratio, 2.23 [95% CI, 1.45-3.42] and 2.45 [95% CI, 1.86-3.22], respectively). We also found a statistically significant effect of fathers' onset of being overweight in puberty on offspring's asthma without nasal allergies (relative risk ratio, 2.31 [95% CI, 1.23-4.33]). This effect was direct and not mediated through the offspring's own overweight status. No effect on offspring's asthma with nasal allergies was found. Conclusion: Our findings suggest that metabolic factors long before conception can increase asthma risk and that male puberty is a time window of particular importance for offspring's health. © 2019 The Authors
40.	Koplin, J., et al. (författare) Father's smoking and welding prior to conception and asthma risk in his children : a multi-generational analysis of the respiratory health in northern Europe study 2015 Ingår i: Respirology (Carlton South. Print). - 1323-7799 .- 1440-1843. ; 20, s. 42-42 Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
41.	Korduner, Johan, et al. (författare) Galectin-4 levels in hospitalized versus non-hospitalized subjects with obesity: the Malmo Preventive Project 2022 Ingår i: Cardiovascular Diabetology. - : Springer Science and Business Media LLC. - 1475-2840. ; 21:1 Tidskriftsartikel (refereegranskat)abstract Background Obesity is strongly associated with the development of cardiovascular disease (CVD). However, the heterogenous nature of obesity in CVD-risk is still poorly understood. We aimed to explore novel CVD biomarkers and their possible association with presumed unhealthy obesity, defined as hospitalized subjects with obesity (HO). Methods Ninety-two proteins associated with CVD were analyzed in 517 (mean age 67 +/- 6 years; 33.7% women) individuals with obesity (BMI >= 30 kg/m(2)) from the Malmo Preventive Project cohort, using a proximity extension array technique from the Olink CVD III panel. Individuals with at least one recorded hospitalization for somatic disease prior to study baseline were defined as HO phenotypes. Associations between proteins and HO (n = 407) versus non-hospitalized subjects with obesity (NHO, n = 110), were analyzed using multivariable binary logistic regression, adjusted for traditional risk factors. Results Of 92 analyzed unadjusted associations between biomarkers and HO, increased levels of two proteins were significant at a false discovery rate < 0.05: Galectin-4 (Gal-4) and insulin-like growth factor-binding protein 1 (IGFBP-1). When these two proteins were included in logistic regression analyses adjusted for age and sex, Gal-4 remained significant. Gal-4 was independently associated with the HO phenotype in multivariable logistic regression analysis (OR 1.72; CI95% 1.16-2.54). Post-hoc analysis revealed that this association was only present in the subpopulation with diabetes (OR 2.26; CI95% 1.25-4.07). However, an interaction analysis was performed, showing no significant interaction between Gal-4 and prevalent diabetes (p = 0.16). Conclusions In middle-aged and older individuals with obesity, increased Gal-4 levels were associated with a higher probability of HO. This association was only significant in subjects with diabetes only, further implying a role for Gal-4 in diabetes and its complications.
42.	Kuiper, I. N., et al. (författare) Agreement in reporting of asthma by parents or offspring - the RHINESSA generation study 2018 Ingår i: Bmc Pulmonary Medicine. - : Springer Science and Business Media LLC. - 1471-2466. ; 18:122 Tidskriftsartikel (refereegranskat)abstract Background: Self-report questionnaires are commonly used in epidemiology, but may be susceptible to misclassification, especially if answers are given on behalf of others, e.g. children or parents. The aim was to determine agreement and analyse predictors of disagreement in parents' reports of offspring asthma, and in offspring reports of parents' asthma. Methods: In the Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study, 6752 offspring (age range 18-51 years) and their parents (age range 39-66 years) reported their own and each other's asthma status. Agreement between asthma reports from offspring and parents was determined by calculating sensitivity, specificity, positive and negative predictive value and Cohen's kappa. The participants' own answers regarding themselves were defined as the gold standard. To investigate predictors for disagreement logistic regression analyses were performed to obtain odds ratios (OR) with 95% confidence intervals (CI) for sex, smoking status, education, comorbidity and severity of asthma. Results: Agreement was good for parental report of offspring early onset asthma (< 10 years, Cohen's kappa 0.72) and moderate for offspring later onset asthma (Cohen's kappa 0.46). Specificity was 0.99 for both, and sensitivity was 0.68 and 0.36, respectively. For offspring report of maternal and paternal asthma the agreement was good (Cohen's kappa 0.69 and 0.68), specificity was 0.96 and 0.97, and sensitivity was 0.72 and 0.68, respectively. The positive predictive value (PPV) was lowest for offspring report of maternal asthma (0.75), and highest for parents' report of early onset asthma in the offspring (0.83). The negative predictive value (NPV) was high for all four groups (0.94-0.97). In multivariate analyses current smokers (OR = 1.46 [95% CI 1.05, 2.02]) and fathers (OR = 1.31 [95% CI 1. 08, 1.59]) were more likely to report offspring asthma incorrectly. Offspring wheeze was associated with reporting parental asthma incorrectly (OR = 1.60 [95% CI 1.21, 2.11]), both under- and over reporting. Conclusions: Asthma reports across generations show moderate to good agreement, making information from other generations a useful tool in the absence of direct reports.
43.	Kuiper, I. N., et al. (författare) Associations of Preconception Exposure to Air Pollution and Greenness with Offspring Asthma and Hay Fever 2020 Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1660-4601 .- 1661-7827. ; 17:16 Tidskriftsartikel (refereegranskat)abstract We investigated if greenness and air pollution exposure in parents' childhood affect offspring asthma and hay fever, and if effects were mediated through parental asthma, pregnancy greenness/pollution exposure, and offspring exposure. We analysed 1106 parents with 1949 offspring (mean age 35 and 6) from the Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study. Mean particulate matter (PM(2.5)and PM10), nitrogen dioxide (NO2), black carbon (BC), ozone (O-3) (mu g/m(3)) and greenness (normalized difference vegetation index (NDVI)) were calculated for parents 0-18 years old and offspring 0-10 years old, and were categorised in tertiles. We performed logistic regression and mediation analyses for two-pollutant models (clustered by family and centre, stratified by parental lines, and adjusted for grandparental asthma and education). Maternal medium PM(2.5)and PM(10)exposure was associated with higher offspring asthma risk (odds ratio (OR) 2.23, 95%CI 1.32-3.78, OR 2.27, 95%CI 1.36-3.80), and paternal high BC exposure with lower asthma risk (OR 0.31, 95%CI 0.11-0.87). Hay fever risk increased for offspring of fathers with medium O(3)exposure (OR 4.15, 95%CI 1.28-13.50) and mothers with high PM(10)exposure (OR 2.66, 95%CI 1.19-5.91). The effect of maternal PM(10)exposure on offspring asthma was direct, while for hay fever, it was mediated through exposures in pregnancy and offspring's own exposures. Paternal O(3)exposure had a direct effect on offspring hay fever. To conclude, parental exposure to air pollution appears to influence the risk of asthma and allergies in future offspring.
44.	Kuiper, Ingrid Nordeide, et al. (författare) Preconception air pollution exposure and early onset asthma and hay fever in the offspring 2019 Ingår i: European Respiratory Journal. - Sheffield : European Respiratory Society Journals. - 0903-1936 .- 1399-3003. ; 54 Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
45.	Lindh, Jonatan D, et al. (författare) Incidence and predictors of severe bleeding during warfarin treatment 2008 Ingår i: Journal of Thrombosis and Thrombolysis. - : Springer Science and Business Media LLC. - 0929-5305 .- 1573-742X. ; 25:2, s. 151-159 Tidskriftsartikel (refereegranskat)abstract Background Optimal warfarin prescription requires correct, individualized assessment of the warfarin-related bleeding risk, which randomised controlled trials may underestimate . Observational studies have reported a range of bleeding risks that differ 40-fold. This variation may be caused by time trends, variation in bleeding definition and study subject selection. We investigated the incidence of, and risk factors for severe bleeding in un-selected warfarin-treated patients from Sweden. Methods Between 2001 and 2005, 40 centres recruited warfarin-naive patients commencing warfarin therapy and followed them prospectively with continuous registration of clinical data. The primary outcome was severe bleeding, according to the WHO universal definition of severe adverse drug reactions. The influence of potential risk factors was investigated by means of a Cox proportional-hazards model. Result A total of 1523 patients contributed 1276 warfarin-exposed patient-years. The incidence of first-time severe bleeding was 2.3 per 100 patient-years (95% confidence interval 1.4 to 3.1). Male sex and use of drugs potentially interacting with warfarin were the only independent risk factors of severe bleeding, with hazard ratios of 2.8 and 2.3, respectively. Age, target International Normalized Ratio (INR), time spent outside target INR range, and warfarin dose requirement were not significantly associated with bleeding risk. Conclusions The risk of severe bleeding in a large naturalistic, prospective cohort of first-time warfarin users was lower than reported in some previous reports. Male gender was an independent predictor of severe bleeding as was the receipt of warfarin-interacting medications at the onset of anticoagulation therapy. Further studies are required to evaluate the effect these findings may have on the quality of current risk-benefit analysis involved in warfarin prescription.
46.	Lonnebotn, M., et al. (författare) Parental Prepuberty Overweight and Offspring Lung Function 2022 Ingår i: Nutrients. - : MDPI AG. - 2072-6643. ; 14:7 Tidskriftsartikel (refereegranskat)abstract In a recent study we found that fathers' but not mothers' onset of overweight in puberty was associated with asthma in adult offspring. The potential impact on offspring's adult lung function, a key marker of general and respiratory health, has not been studied. We investigated the potential causal effects of parents' overweight on adult offspring's lung function within the paternal and maternal lines. We included 929 offspring (aged 18-54, 54% daughters) of 308 fathers and 388 mothers (aged 40-66). Counterfactual-based multi-group mediation analyses by offspring's sex (potential moderator) were used, with offspring's prepubertal overweight and/or adult height as potential mediators. Unknown confounding was addressed by simulation analyses. Fathers' overweight before puberty had a negative indirect effect, mediated through sons' height, on sons' forced expiratory volume in one second (FEV1) (beta (95% CI): -144 (-272, -23) mL) and forced vital capacity (FVC) (beta (95% CI): -210 (-380, -34) mL), and a negative direct effect on sons' FVC (beta (95% CI): -262 (-501, -9) mL); statistically significant effects on FEV1/FVC were not observed. Mothers' overweight before puberty had neither direct nor indirect effects on offspring's lung function. Fathers' overweight starting before puberty appears to cause lower FEV1 and FVC in their future sons. The effects were partly mediated through sons' adult height but not through sons' prepubertal overweight.
47.	Malinovschi, Andrei, et al. (författare) Basal and induced NO formation in the pharyngo-oral tract influences estimates of alveolar NO levels 2009 Ingår i: Journal of applied physiology. - : American Physiological Society. - 8750-7587 .- 1522-1601. ; 106:2, s. 513-519 Tidskriftsartikel (refereegranskat)abstract The present study analyzed how models currently used to distinguish alveolar from bronchial contribution to exhaled nitric oxide (NO) are affected by manipulation of NO formation in the pharyngo-oral tract. Exhaled NO was measured at multiple flow rates in 15 healthy subjects in two experiments: 1) measurements at baseline and 5 min after chlorhexidine (CHX) mouthwash and 2) measurements at baseline, 60 min after ingestion of 10 mg NaNO3/kg body wt, and 5 min after CHX mouthwash. Alveolar NO concentration (CalvNO) and bronchial flux (J′awNO) were calculated by using the slope-intercept model with or without adjustment for trumpet shape of airways and axial diffusion (TMAD). Salivary nitrate and nitrite were measured in the second experiment. CalvNO [median (range)] was reduced from 1.16 ppb (0.77, 1.96) at baseline to 0.84 ppb (0.57, 1.48) 5 min after CHX mouthwash (P < 0.001). The TMAD-adjusted CalvNO value after CHX mouthwash was 0.50 ppb (0, 0.85). The nitrate load increased J′awNO from 32.2 nl/min (12.2, 60.3) to 57.1 nl/min (22.0, 119) in all subjects and CalvNO from 1.47 ppb (0.73, 1.95) to 1.87 ppb (10.85, 7.20) in subjects with high nitrate turnover (>10-fold increase of salivary nitrite after nitrate load). CHX mouthwash reduced CalvNO levels to 1.15 ppb (0.72, 2.07) in these subjects with high nitrate turnover. All these results remained consistent after TMAD adjustment. We conclude that estimated alveolar NO concentration is affected by pharyngo-oral tract production of NO in healthy subjects, with a decrease after CHX mouthwash. Moreover, unknown ingestion of dietary nitrate could significantly increase estimated alveolar NO in subjects with high nitrate turnover, and this might be falsely interpreted as a sign of peripheral inflammation. These findings were robust for TMAD.
48.	Nationalstadsparken : ett experiment i hållbar utveckling: studier av värdefrågor, lagtillämpning och utvecklingslinjer 2002 Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract Det historiska landskapet Ulriksdal-Haga-Brunnsviken-Djurgården är Sveriges äldsta och mest besökta tätortsnära frilufts- och rekreationsområde. Det ligger mitt i Stor-Stockholm vid gränsen mellan skärgården och Mälardalen, är rikt på kulturella minnen och har en intressant biologisk mångfald.Närheten till storstaden gör detta landskap lätt tillgängligt för allmänheten. Men närheten gör det också attraktivt för olika slag av exploateringar. 1995 fick området därför skydd som Sveriges första nationalstadspark genom ett enhälligt beslut i riksdagen.Syftet med lagstiftningen är att förstärka områdets natur-, kultur- och rekreationsvärden samt att värna den biologiska mångfalden. Och regeringen menade att dess förslag kunde förväntas "medföra en stor samhällsekonomisk vinst för Stockholmsregionen genom att främja en uthållig samhällsutveckling och en god livsmiljö för boende och företag i regionen".I denna bok belyses hur lagstiftningen har tillämpats och vilka lärdomar som kan dras efter nationalstadsparkens första sju år. Här diskuteras också frågor kring natur- och kulturvärden och behov av utvecklingslinjer vad gäller såväl förvaltning, rättstillämpning som lagstiftning.Nationalstadsparken har liknats vid ett experiment i hållbar utveckling och är på så sätt av intresse för alla dem som intresserar sig för och brottas med frågor om hur en hållbar samhällsutveckling ska kunna uppnås. Boken vänder sig därför till såväl allmänheten, tjänstemän och politiker som till studerande och forskare i alla ämnen.(Baksidestext)
49.	Nordeide Kuiper, I., et al. (författare) Lifelong exposure to air pollution and greenness in relation to asthma, rhinitis and lung function in adulthood 2021 Ingår i: Environmental International. - : Elsevier BV. - 0160-4120 .- 1873-6750. ; 146 Tidskriftsartikel (refereegranskat)abstract Objectives: To investigate if air pollution and greenness exposure from birth till adulthood affects adult asthma, rhinitis and lung function. Methods: We analysed data from 3428 participants (mean age 28) in the RHINESSA study in Norway and Sweden. Individual mean annual residential exposures to nitrogen dioxide (NO2), particulate matter (PM10 and PM2.5), black carbon (BC), ozone (O3) and greenness (normalized difference vegetation index (NDVI)) were averaged across susceptibility windows (0–10 years, 10–18 years, lifetime, adulthood (year before study participation)) and analysed in relation to physician diagnosed asthma (ever/allergic/non-allergic), asthma attack last 12 months, current rhinitis and low lung function (lower limit of normal (LLN), z-scores of forced expiratory volume in one second (FEV1), forced vital capacity (FVC) and FEV1/FVC below 1.64). We performed logistic regression for asthma attack, rhinitis and LLN lung function (clustered with family and study centre), and conditional logistic regression with a matched case-control design for ever/allergic/non-allergic asthma. Multivariable models were adjusted for parental asthma and education. Results: Childhood, adolescence and adult exposure to NO2, PM10 and O3 were associated with an increased risk of asthma attacks (ORs between 1.29 and 2.25), but not with physician diagnosed asthma. For rhinitis, adulthood exposures seemed to be most important. Childhood and adolescence exposures to PM2.5 and O3 were associated with lower lung function, in particular FEV1 (range ORs 2.65 to 4.21). No associations between NDVI and asthma or rhinitis were revealed, but increased NDVI was associated with lower FEV1 and FVC in all susceptibility windows (range ORs 1.39 to 1.74). Conclusions: Air pollution exposures in childhood, adolescence and adulthood were associated with increased risk of asthma attacks, rhinitis and low lung function in adulthood. Greenness was not associated with asthma or rhinitis, but was a risk factor for low lung function. © 2020 The Authors
50.	Pape, Kathrine, et al. (författare) Agreement of offspring-reported parental smoking status : the RHINESSA generation study 2019 Ingår i: BMC Public Health. - : BMC. - 1471-2458. ; 19 Tidskriftsartikel (refereegranskat)abstract Background: With increasing interest in exposure effects across generations, it is crucial to assess the validity of information given on behalf of others.Aims: To compare adult's report of their parent’s smoking status against parent's own report and examine predictors for discrepant answers.Methods: We studied 7185 offspring (18-51 years) and one of their parents, n = 5307 (27-67 years) participating in the Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study. Information about parent's smoking status during offspring's childhood and mother's smoking status during pregnancy was obtained by questionnaires from parents and their offspring. We calculated sensitivity, specificity and Cohen's Kappa [κ] for agreement using parent's own report as the gold standard. We performed logistic regression to examine if offspring's sex, age, educational level, asthma status, own smoking status or parental status, as well as the parent's sex and amount of smoking during childhood predicted disagreement.Results: The sensitivity for offspring's correct report of parent's smoking status during childhood (0-10 years) was 0.82 (95% CI 0.81–0.84), specificity was 0.95 (95% CI 0.95–0.96) and a good agreement was observed, κ = 0.79 (95% CI 0.78–0.80). Offspring's report of mothers' smoking status during pregnancy showed a lower sensitivity, 0.66 (95% CI 0.60–0.71), a slightly lower specificity, 0.92 (95% CI 0.90–0.95) and a good agreement, κ = 0.61 (95% CI 0.55–0.67). In multivariate logistic regression analysis, offspring not having children was a predictor for discrepant answers (odds ratio [OR] 2.11 [95% CI 1.21–3.69]). Low amount of parents' tobacco consumption, < 10 cigarettes/day (OR 2.72 [95% CI 1.71–4.31]) also predicted disagreement compared to ≥10 cigarettes per day, and so did offspring's reports of fathers' smoking status (OR 1.73 [95% CI 1.09–2.74]) compared to mothers' smoking status. Offspring's sex, asthma status, educational level, smoking status or age was not related to discrepant answers.Conclusions: Adults report their parent's smoking status during their childhood, as well as their mothers' smoking status when pregnant with them, quite accurately. In the absence of parents' direct report, offspring's reports could be valuable.

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