| 1. |
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| 2. |
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| 3. |
- Davies, J. I., et al.
(författare)
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Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report
- 2021
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Ingår i: Plos Medicine. - : Public Library of Science (PLoS). - 1549-1277 .- 1549-1676. ; 18:8
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Tidskriftsartikel (refereegranskat)abstract
- Background Indicators to evaluate progress towards timely access to safe surgical, anaesthesia, and obstetric (SAO) care were proposed in 2015 by the Lancet Commission on Global Surgery. These aimed to capture access to surgery, surgical workforce, surgical volume, perioperative mortality rate, and catastrophic and impoverishing financial consequences of surgery. Despite being rapidly taken up by practitioners, data points from which to derive the indicators were not defined, limiting comparability across time or settings. We convened global experts to evaluate and explicitly define-for the first time-the indicators to improve comparability and support achievement of 2030 goals to improve access to safe affordable surgical and anaesthesia care globally. Methods and findings The Utstein process for developing and reporting guidelines through a consensus building process was followed. In-person discussions at a 2-day meeting were followed by an iterative process conducted by email and virtual group meetings until consensus was reached. The meeting was held between June 16 to 18, 2019; discussions continued until August 2020. Participants consisted of experts in surgery, anaesthesia, and obstetric care, data science, and health indicators from high-, middle-, and low-income countries. Considering each of the 6 indicators in turn, we refined overarching descriptions and agreed upon data points needed for construction of each indicator at current time (basic data points), and as each evolves over 2 to 5 (intermediate) and >5 year (full) time frames. We removed one of the original 6 indicators (one of 2 financial risk protection indicators was eliminated) and refined descriptions and defined data points required to construct the 5 remaining indicators: geospatial access, workforce, surgical volume, perioperative mortality, and catastrophic expenditure. A strength of the process was the number of people from global institutes and multilateral agencies involved in the collection and reporting of global health metrics; a limitation was the limited number of participants from low- or middle-income countries-who only made up 21% of the total attendees. Conclusions To track global progress towards timely access to quality SAO care, these indicators-at the basic level-should be implemented universally as soon as possible. Intermediate and full indicator sets should be achieved by all countries over time. Meanwhile, these evolutions can assist in the short term in developing national surgical plans and collecting more detailed data for research studies.
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| 4. |
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| 5. |
- Holmer, A, et al.
(författare)
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Acceptance of Nordic snack bars in children aged 8-11 years
- 2012
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Ingår i: Food & Nutrition Research. - 1654-6628 .- 1654-661X. ; 56:10484
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Tidskriftsartikel (refereegranskat)abstract
- Background: A health promoting diet is suggested to be tailored to regional circumstances to preserve the cultural diversity in eating habits, as well as contribute to more environmentally friendly eating. It may influence consumer acceptance, however, if the components of the diet differs considerably from their habitual food. Objective: This study aimed to investigate whether snack bars composed of Nordic ingredients were accepted by 8-11 year-old Danish (n=134) and Swedish (n=109) children. Design: A seven-point hedonic scale was used to measure the children’s acceptance of five snack bars that varied in their composition of whole grains, berries and nuts. A preference rank ordering of the five bars was also performed. Results: The results showed that samples that were rated highest in liking and were most preferred in both countries were a kamut/pumpkin bar and an oat/cranberry bar. The sample with the lowest rating that was also least preferred was a pumpernickel/sea buckthorn bar. Flavour was the most important determinant of overall liking followed by texture, odour and appearance. Conclusions: Children’s acceptances and preferences were highly influenced by the sensory characteristics of the bars, mainly flavour. In agreement with earlier studies, the novel food ingredients seemed to influence children’s preferences. The Nordic snack bars may have a potential to be a snack option for Danish and Swedish school children, but repeated exposures to the products are recommended to increase children’s acceptance.
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| 6. |
- Holmer, H., et al.
(författare)
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Evaluating the collection, comparability and findings of six global surgery indicators
- 2019
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Ingår i: British Journal of Surgery. - : Oxford University Press (OUP). - 0007-1323 .- 1365-2168. ; 106:2, s. 138-150
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Tidskriftsartikel (refereegranskat)abstract
- Background: In 2015, six indicators were proposed to evaluate global progress towards access to safe, affordable and timely surgical and anaesthesia care. Although some have been adopted as core global health indicators, none has been evaluated systematically. The aims of this study were to assess the availability, comparability and utility of the indicators, and to present available data and updated estimates. Methods: Nationally representative data were compiled for all WHO member states from 2010 to 2016 through contacts with official bodies and review of the published and grey literature, and available databases. Availability, comparability and utility were assessed for each indicator: access to timely essential surgery, specialist surgical workforce density, surgical volume, perioperative mortality, and protection against impoverishing and catastrophic expenditure. Where feasible, imputation models were developed to generate global estimates. Results: Of all WHO member states, 19 had data on the proportion of the population within 2h of a surgical facility, 154 had data on workforce density, 72 reported number of procedures, and nine had perioperative mortality data, but none could report data on catastrophic or impoverishing expenditure. Comparability and utility were variable, and largely dependent on different definitions used. There were sufficient data to estimate that worldwide, in 2015, there were 2 038 947 (i.q.r. 1 884 916–2 281 776) surgeons, obstetricians and anaesthetists, and 266·1 (95 per cent c.i. 220·1 to 344·4) million operations performed. Conclusion: Surgical and anaesthesia indicators are increasingly being adopted by the global health community, but data availability remains low. Comparability and utility for all indicators require further resolution.
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| 7. |
- Holmer, M., et al.
(författare)
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Nonalcoholic fatty liver disease is an increasing indication for liver transplantation in the Nordic countries
- 2018
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Ingår i: Liver International. - : Wiley. - 1478-3223. ; 38:11, s. 2082-2090
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Tidskriftsartikel (refereegranskat)abstract
- Background & Aims Nonalcoholic fatty liver disease(NAFLD) is the second most common cause of liver transplantation in the US. Data on NAFLD as a liver transplantation indication from countries with lower prevalences of obesity are lacking. We studied the temporal trends of NAFLD as an indication for liver transplantation in the Nordic countries, and compared outcomes for patients with NAFLD to patients with other indications for liver transplantation. MethodResultsPopulation-based cohort study using data from the Nordic Liver Transplant Registry on adults listed for liver transplantation between 1994 and 2015. NAFLD as the underlying indication for liver transplantation was defined as a listing diagnosis of NAFLD/nonalcoholic steatohepatitis, or cryptogenic cirrhosis with a body mass index 25kg/m(2) and absence of other liver diseases. Waiting time for liver transplantation, mortality and withdrawal from the transplant waiting list were registered. Survival after liver transplantation was calculated using multivariable Cox regression, adjusted for age, sex, body mass index and model for end-stage liver disease. A total of 4609 patients listed for liver transplantation were included. NAFLD as the underlying indication for liver transplantation increased from 2.0% in 1994-1995 to 6.2% in 2011-2015 (P=.01) and was the second most rapidly increasing indication. NAFLD patients had higher age, model for end-stage liver disease and body mass index when listed for liver transplantation, but overall survival after liver transplantation was comparable to non--NAFLD patients (aHR 1.03, 95% CI 0.70-1.53 P=.87). ConclusionNAFLD is an increasing indication for liver transplantation in the Nordic countries. Despite more advanced liver disease, NAFLD patients have a comparable survival to other patients listed for liver transplantation.
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| 8. |
- Agbaje, Oluwatoosin B. A., et al.
(författare)
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Biomacromolecules in recent phosphate-shelled brachiopods : identification and characterization of chitin matrix
- 2021
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Ingår i: Journal of Materials Science. - : Springer Nature. - 0022-2461 .- 1573-4803. ; 56:36, s. 19884-19898
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Tidskriftsartikel (refereegranskat)abstract
- Phosphate-shelled brachiopods differ in filter-feeding lifestyle, with Lingula anatina an active infaunal burrower, and Discinisca tenuis a shallow marine epibenthic animal. The shells of these animals are built of organophosphatic constituents, the organic fibres/sheets reinforced with calcium phosphate to provide a sophisticated ultrastructural robustness. This investigation examined the nature of the organic fibres in order to improve understanding of how living organisms produce hierarchically structured biomaterials. Unlike powdered samples commonly used in previous studies, organic fibres were isolated for the first time and the shell fractions were purified, in order to study the content and nature of the biopolymer fibres. Biochemical methods including Calcofluor staining revealed a chitin matrix. Ultrastructural analysis, thermal gravimetric analysis, and spectroscopic analyses show that the core polysaccharide framework is composed of layers of β-chitin sheets and/or fibrils that are coated with a fibrous organic matrix. There is more chitin matrix in the L. anatina shells (26.6 wt.%) compared to the D. tenuis shells (12.9 wt.%). Taken together, the data show that the chitin matrix contributes to increased skeletal strength, making L. anatina highly adapted for life as an active burrower. In comparison, D. tenuis contains less chitin and lives as attached epibenthos in a shallow marine environment.
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| 9. |
- Agbaje, Oluwatoosin B. A., et al.
(författare)
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Characterization of organophosphatic brachiopod shells : spectroscopic assessment of collagen matrix and biomineral components
- 2020
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Ingår i: RSC Advances. - 2046-2069. ; 10, s. 38456-38467
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Tidskriftsartikel (refereegranskat)abstract
- The shells of linguloid brachiopods such as Lingula and Discinisca are inorganic–organic nanocomposites with a mineral phase of calcium phosphate (Ca-phosphate). Collagen, the main extracellular matrix in Ca-phosphatic vertebrate skeletons, has not previously been clearly resolved at the molecular level in organophosphatic brachiopods. Here, modern and recently-alive linguliform brachiopod shells of Lingula and Discinisca have been studied by microRaman spectroscopy, Fourier transform infrared spectroscopy, field emission gun scanning electron microscopy, and thermal gravimetric analysis. For the first time, biomineralized collagen matrix and Ca-phosphate components were simultaneously identified, showing that the collagen matrix is an important moiety in organophosphatic brachiopod shells, in addition to prevalent chitin. Stabilized nanosized apatitic biominerals (up to ∼50 nm) permeate the framework of organic fibrils. There is a ∼2.5-fold higher wt% of carbonate (CO32−) in Lingula versus Discinisca shells. Both microRaman spectroscopy and infrared spectra show transient amorphous Ca-phosphate and octacalcium phosphate components. For the first time, trivalent moieties at ∼1660 cm−1 and divalent moieties at ∼1690 cm−1 in the amide I spectral region were identified. These are related to collagen cross-links that are abundant in mineralized tissues, and could be important features in the biostructural and mechanical properties of Ca-phosphate shell biominerals. This work provides a critical new understanding of organophosphatic brachiopod shells, which are some of the earliest examples of biomineralization in still-living animals that appeared in the Cambrian radiation.
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| 10. |
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| 11. |
- Betts, Marissa J., et al.
(författare)
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First multi-proxy chronostratigraphy of the lower Cambrian Byrd Group, Transantarctic Mountains and correlation within East Gondwana
- 2024
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Ingår i: Gondwana Research. - : Elsevier. - 1342-937X .- 1878-0571.
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Tidskriftsartikel (refereegranskat)abstract
- Antarctica and Australia were sutured together at the equator during the major pulse of animal biodiversification associated with the Cambrian radiation. However, the lack of detailed systematic chemostratigraphic and biostratigraphic sampling of lower Cambrian sedimentary successions from Antarctica has significantly impeded precise age determination and correlation with Cambrian strata on other palaeocontinents. This study is the first to present integrated, simultaneously sampled biostratigraphic and chemostratigraphic (δ13C isotopes) data from the same measured stratigraphic sections through the lower Cambrian Byrd Group in the Transantarctic Mountains. Shelly fossil assemblages (brachiopods, tommotiids, molluscs, bradoriids, trilobites) from the Holyoake Range and Churchill Mountains facilitate direct correlation with the Dailyatia odyssei Zone of South Australia (Cambrian Stages 3–4), and trilobites provide strong correlation between the Starshot Formation and the Cymbric Vale Formation in western New South Wales. A new ID-TIMS radiometric date of 514.96 ± 0.16 Ma from a tuff in the lower Cymbric Vale Formation is similar to dates from tuff beds in the Third Plain Creek Member of the Mernmerna Formation in the Flinders Ranges, providing an important absolute-age tie point between these lower Cambrian successions. Chemostratigraphic data from the upper Shackleton Limestone in the Holyoake Range capture a negative δ13C excursion that correlates closely with the global Sinsk event. This excursion occurs between positive δ13C values that likely represent lower parts of the MICE (cycles V–VIII in Siberia). Integrated faunal and chemostratigraphic data indicate a Cambrian Stages 3–4 age, giving robust chronostratigraphic context for the upper Shackleton Limestone–Holyoake Formation–Starshot Formation succession for the first time, permitting reconstruction of the depositional history of the lower Cambrian of Antarctica and global correlation of Byrd Group strata.
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| 12. |
- Burman, Pia, et al.
(författare)
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Deaths Among Adult Patients With Hypopituitarism: Hypocortisolism During Acute Stress, and De Novo Malignant Brain Tumors Contribute to an Increased Mortality
- 2013
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Ingår i: Journal of Clinical Endocrinology & Metabolism. - : The Endocrine Society. - 0021-972X .- 1945-7197. ; 98:4, s. 1466-1475
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Tidskriftsartikel (refereegranskat)abstract
- Context: Patients with hypopituitarism have an increased standardized mortality rate. The basis for Objective: To investigate in detail the cause of death in a large cohort of patients with hypopituitarism Design and Methods: All-cause and cause-specific mortality in 1286 Swedish patients with Main Outcome Measures: Standardized mortality ratios (SMR) were calculated, with stratification for Results: An excess mortality was found, 120 deaths vs 84.3 expected, SMR 1.42 (95% confidence Conclusion: Two important causes of excess mortality were identified: first, adrenal crisis in response
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| 13. |
- Geng, Q., et al.
(författare)
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Temperature limit values for touching cold surfaces with the fingertip
- 2006
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Ingår i: Annals of Occupational Hygiene. - : Oxford University Press (OUP). - 1475-3162 .- 0003-4878. ; 50:8, s. 851-862
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: At the request of the European Commission and in the framework of the European Machinery Directive, research was performed in five different laboratories to develop specifications for surface temperature limit values for the short-term accidental touching of the fingertip with cold surfaces. Methods: Data were collected in four laboratories with a total of 20 males and 20 females performing a grand total of 1655 exposures. Each touched polished blocks of aluminium, stainless steel, nylon-6 and wood using the distal phalanx of the index finger with a contact force of 1.0, 2.9 and 9.8 N, at surface temperatures from +2 to -40 degrees C for a maximum duration of 120 s. Conditions were selected in order to elicit varying rates of skin cooling upon contact. Contact temperature (T-C) of the fingertip was measured over time using a T-type thermocouple. Results: A database obtained from the experiments was collated and analysed to characterize fingertip contact cooling across a range of materials and surface temperatures. The database was subsequently used to develop a predictive model to describe the contact duration required for skin contact temperature to reach the physiological criteria of onset of pain (15 degrees C), onset of numbness (7 degrees C) and onset of frostbite risk (0 degrees C). Conclusions: The data reflect the strong link between the risk of skin damage and the thermal properties of the material touched. For aluminium and steel, skin temperatures of 0 degrees C occurs within 2-6 s at surface temperatures of -15 degrees C. For non-metallic surfaces, onset of numbness occurs within 15-65 s of contact at -35 degrees C and onset of cold pain occurs within 5 s of contact at -20 degrees C. The predictive model subsequently developed was a non-linear exponential expression also reflecting the effects of material thermal properties and initial temperature. This model provides information for the protection of workers against the risk of cold injury by establishing the temperature limits of cold touchable surfaces for a broad range of materials, and it is now proposed as guidance values in a new international standard.
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| 14. |
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| 15. |
- Holmer, Lars Erik, et al.
(författare)
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The Early Cambrian tommotiid Micrina, a sessile bivalved stem group brachiopod
- 2008
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Ingår i: Biology Letters. - : The Royal Society. - 1744-9561 .- 1744-957X. ; 4:6, s. 724-728
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Tidskriftsartikel (refereegranskat)abstract
- The tannuolinid Micrina belongs to the tommotiids—a common and widely distributed, but poorly understood, group of Early Cambrian fossil metazoans with multiple external organophosphatic sclerites. Recent findings of sessile articulated tommotiid scleritomes indicate that previous reconstructions of tommotiids as slug-like bilaterians with a dorsal cover of sclerites require detailed re-evaluation. Comparative ultrastructural work has already indicated that the tommotiids might be a sister group to the Brachiopoda, with Micrina representing the most derived and brachiopod-like bimembrate tommotiid. Here we further develop and strengthen this controversial phylogenetic model with a new reconstruction of Micrina, where the two types of sclerites—mitral and sellate—belong to a near bilaterally symmetrical bivalved sessile organism. This new scleritome configuration was tested by recreating an articulated bivalved Micrina from isolated mitral and sellate sclerites; both sclerites have muscles that would have enabled movement of the sclerites. The mitral and sellate sclerites of Micrina are considered to be homologous with the ventral and dorsal valves, respectively, of organophosphatic linguliform brachiopods, indicating that a simple type of filter-feeding within an enclosed bivalved shell had started to evolve in derived tannuolinids. The new reconstruction also indicates that the phylogenetic range of ‘bivalved’, sessile lophophorates is larger than previously suspected.
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| 16. |
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| 17. |
- Röhr, Maria Emilia, et al.
(författare)
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Blue Carbon Storage Capacity of Temperate Eelgrass (Zostera marina) Meadows
- 2018
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Ingår i: Global Biogeochemical Cycles. - 0886-6236 .- 1944-9224. ; 32:10, s. 1457-1475
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Tidskriftsartikel (refereegranskat)abstract
- Despite the importance of coastal ecosystems for the global carbon budgets, knowledge of their carbon storage capacity and the factors driving variability in storage capacity is still limited. Here we provide an estimate on the magnitude and variability of carbon stocks within a widely distributed marine foundation species throughout its distribution area in temperate Northern Hemisphere. We sampled 54 eelgrass (Zostera marina) meadows, spread across eight ocean margins and 36° of latitude, to determine abiotic and biotic factors influencing organic carbon (Corg) stocks in Zostera marina sediments. The Corg stocks (integrated over 25-cm depth) showed a large variability and ranged from 318 to 26,523gC/m2 with an average of 2,721gC/m2. The projected Corg stocks obtained by extrapolating over the top 1m of sediment ranged between 23.1 and 351.7MgC/ha, which is in line with estimates for other seagrasses and other blue carbon ecosystems. Most of the variation in Corg stocks was explained by five environmental variables (sediment mud content, dry density and degree of sorting, and salinity and water depth), while plant attributes such as biomass and shoot density were less important to Corg stocks. Carbon isotopic signatures indicated that at most sites <50% of the sediment carbon is derived from seagrass, which is lower than reported previously for seagrass meadows. The high spatial carbon storage variability urges caution in extrapolating carbon storage capacity between geographical areas as well as within and between seagrass species.
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| 18. |
- Topper, Timothy P, et al.
(författare)
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The oldest brachiopods from the lower Cambrian of South Australia
- 2013
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Ingår i: Acta Palaeontologica Polonica. - : Polska Akademia Nauk Instytut Paleobiologii (Institute of Paleobiology, Polish Academy of Sciences). - 0567-7920 .- 1732-2421. ; 58:1, s. 93-109
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Tidskriftsartikel (refereegranskat)abstract
- The morphology and organophosphatic shell structure of the paterinate brachiopod Askepasma is documented using new and previously collected specimens from the lower Cambrian of South Australia. Lack of adequately preserved material has seen the majority of paterinate specimens previously reported from South Australia referred to the genus Askepasma and treated under open nomenclature. Large collections of paterinates from the lower Cambrian Wilkawillina, Ajax, and Wirrapowie limestones in the Arrowie Basin, South Australia have prompted redescription of the type species Askepasma toddense and the erection of a new species, Askepasma saproconcha sp. nov. Askepasma saproconcha sp. nov. currently represents the oldest known brachiopod from the lower Cambrian successions in South Australia with a FAD in pre−trilobitic (Terreneuvian, Cambrian Stage 2, lower Atdabanian) strata in the basal part of the Wilkawillina and Wirrapowie limestones. Askepasma toddense predominantly occurs in Abadiella huoi Zone equivalent strata (Unnamed Cambrian Series 2, Stage 3, middle–upper Atdabanian) in the upper part of the lower Wilkawillina, Wirrapowie, and Ajax limestones. The shell microstructure of Askepasma suggests a proximal stem group position within the Brachiopoda and similarities with tommotiid taxa provides further evidence that the ancestry of crown group brachiopods is firmly entrenched within the Tommotiida.
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| 19. |
- Vallurupalli, M., et al.
(författare)
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Students for global oncology: Building a movement for student education and engagement in an emerging field
- 2015
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Ingår i: Annals of Global Health. - : Ubiquity Press, Ltd.. - 2214-9996. ; 81:1, s. 56-56
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Program/Project Purpose: Increased recognition of the global cancer burden and inequalities in care and outcomes have led to the growing field of global oncology, focused on strengthening health systems to improve cancer prevention and care. Motivated students and trainees are in need of pathways to approach these challenges. In 2012, Harvard Medical students formed Students for Global Oncology (S4GO), an adjunct to the larger inter-professional organization Global Oncology. The group had three aims: 1) connect students with mentors in the field, 2) develop novel approaches in global oncology, and 3) disseminate global oncology knowledge. Structure/Method/Design: S4GO has created content and organized events to increase awareness about the global cancer burden, while promoting trainee opportunities in research and practical hands-on projects. Engagement was enhanced by mentorship from more senior students and faculty, to interface with existing global oncology projects. Outcomes & Evaluation: Since 2012, S4GO has grown from two to 68 students. Currently, new chapters at seven other institutions in the US and Canada are being developed. As of October 2014, S4GO has developed a case-based cancer care delivery curriculum with six case-based seminars, along with numerous blog entries and interviews of leading researchers in the field of global oncology, all available on the S4GO website. Students have completed projects in over nine countries and are actively involved in technological and on-the-ground efforts to develop creative solutions and collaborations aimed at easing the global cancer burden. Held in February 2014, the inaugural student-led global oncology symposium involved 200 individuals from across the world, including leaders in global health, pharmaceutical industry, public policy and cancer care. This symposium has been viewed by hundreds online and has fostered novel collaborations and projects focused on enhancing cancer care delivery. Going Forward: In the coming years, S4GO will continue efforts to build awareness and catalyze creative solutions for cancer care in resource-limited settings. These efforts will increase exposure for novel and successful student efforts as well as intra-institutional and intra-professional activity.
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| 20. |
- Van Duinen, Alex J., et al.
(författare)
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Travel time and perinatal mortality after emergency caesarean sections : An evaluation of the 2-hour proximity indicator in Sierra Leone
- 2020
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Ingår i: BMJ Global Health. - : BMJ. - 2059-7908. ; 5:12
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Tidskriftsartikel (refereegranskat)abstract
- Introduction Longer travel times are associated with increased adverse maternal and perinatal outcomes. Geospatial modelling has been increasingly used to estimate geographic proximity in emergency obstetric care. In this study, we aimed to assess the correlation between modelled and patient-reported travel times and to evaluate its clinical relevance. Methods Women who delivered by caesarean section in nine hospitals were followed up with home visits at 1 month and 1 year. Travel times between the location before the delivery and the facility where caesarean section was performed were estimated, based on two models (model I Ouma et al; model II Munoz et al). Patient-reported and modelled travel times were compared applying a univariable linear regression analysis, and the relation between travel time and perinatal mortality was assessed. Results The median reported travel time was 60 min, compared with 13 and 34 min estimated by the two models, respectively. The 2-hour access threshold correlated with a patient-reported travel time of 5.7 hours for model I and 1.8 hours for model II. Longer travel times were associated with transport by boat and ambulance, visiting one or two facilities before reaching the final facility, lower education and poverty. Lower perinatal mortality was found both in the group with a reported travel time of 2 hours or less (193 vs 308 per 1000 births, p<0.001) and a modelled travel time of 2 hours or less (model I: 209 vs 344 per 1000 births, p=0.003; model II: 181 vs 319 per 1000 births, p<0.001). Conclusion The standard model, used to estimate geographical proximity, consistently underestimated the travel time. However, the conservative travel time model corresponded better to patient-reported travel times. The 2-hour threshold as determined by the Lancet Commission on Global Surgery, is clinically relevant with respect to reducing perinatal death, not a clear cut-off.
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| 21. |
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| 22. |
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| 23. |
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| 24. |
- Anderson, Geoffrey A., et al.
(författare)
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Development of a Novel Global Surgery Course for Medical Schools
- 2019
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Ingår i: Journal of Surgical Education. - : Elsevier BV. - 1931-7204. ; 76:2, s. 469-479
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Tidskriftsartikel (refereegranskat)abstract
- Objective: We endeavored to create a comprehensive course in global surgery involving multinational exchange. Design: The course involved 2 weeks of didactics, 2 weeks of clinical rotations in a low-resource setting and 1 week for a capstone project. We evaluated our success through knowledge tests, surveys of the students, and surveys of our Zimbabwean hosts. Setting: The didactic portions were held in Sweden, and the clinical portion was primarily in Harare with hospitals affiliated with the University of Zimbabwe. Participants: Final year medical students from Lund University in Sweden, Harvard Medical School in the USA and the University of Zimbabwe all participated in didactics in Sweden. The Swedish and American students then traveled to Zimbabwe for clinical work. The Zimbabwean students remained in Sweden for a clinical experience. Results: The course has been taught for 3 consecutive years and is an established part of the curriculum at Lund University, with regular participation from Harvard Medical School and the University of Zimbabwe. Participants report significant improvements in their physical exam skills and their appreciation of the needs of underserved populations, as well as confidence with global surgical concepts. Our Zimbabwean hosts thought the visitors integrated well into the clinical teams, added value to their own students’ experience and believe that the exchange should continue despite the burden associated with hosting visiting students. Conclusions: Here we detail the development of a course in global surgery for medical students that integrates didactic as well as clinical experiences in a low-resource setting. The course includes a true multilateral exchange with students from Sweden, the United States and Zimbabwe participating regularly. We hope that this course might serve as a model for other medical schools looking to establish courses in this burgeoning field.
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| 25. |
- Balinski, A., et al.
(författare)
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The Late Devonian trematid lingulate brachiopod Schizobolus from Poland
- 1999
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Ingår i: Acta Paleontologica Polonica. - 0567-7920. ; 44:3, s. 335-346
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Tidskriftsartikel (refereegranskat)abstract
- A new species of the poorly known lingulate brachiopod Schizobolus is described from the Famennian (Upper Devonian) of Poland. S. polonicus sp. n. has a triangular pedicle notch and a small listrium, indicating that it belongs to the Trematidae within the superfamily Discinoidea. S. polonicus retains some linguloid features, such as a linguloid-like 'pedicle groove' and a V-shaped imprint of the pedicle nerve. The disturbance band, which occurs in the apical part of the larval shell, probably delimits two stages of growth, namely pre-larval (embryonic?) and larval, or, early-larval and late-larval. S. polonicus is the youngest member of the genus, and of the family Trematidae. Five incompletely preserved discinids from the Famennian of Łagów are described as Trematidae gen. et sp. indet
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| 26. |
- Balthasar, Uwe, et al.
(författare)
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Homologous skeletal secretion in tommotiids and brachiopods
- 2009
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Ingår i: Geology. - 0091-7613 .- 1943-2682. ; 37:12, s. 1143-1146
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Tidskriftsartikel (refereegranskat)abstract
- Tommotiids are distinctive components of the early Cambrian small shelly fauna, almost invariably represented by isolated phosphatic sclerites derived from a multielement protective cover (scleritome). The unusual range of tommotiid sclerite morphologies and unknown construction of the scleritome have severely hampered our understanding of their phylogenetic affinities. However, recent description of rare, articulated scleritome material belonging to the tommotiid genera Eccentrotheca and Paterimitra support the hypothesis that some tommotiids fall within the stem group of the lophophorate phyla Phoronida and Brachiopoda and that at least some tommotiid sclerites are homologous precursors of the shells of organophosphatic brachiopods. Here we show that the shell microstructure of Eccentrotheca and Paterimitra share substantial similarities with paterinid brachiopods. While paterinids possess an overall brachiopod morphology, their microstructure appears more similar to Eccentrotheca and Paterimitra than to nonpaterinate lingulids. These findings strongly support the existence of a brachiopod total group that is solidly rooted within tommotiids, and identify the organophosphatic skeletal composition as plesiomorphic with calcareous shells as derived. The microstructural changes of the proposed tommotiid-brachiopod transition probably reflect an adaptation to fluctuating food and phosphorous intake that came with the switch to a sessile life style at the base of the tommotiid clade.
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| 27. |
- Betts, Marissa J, et al.
(författare)
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Integrated chronostratigraphy of the lower Cambrian Byrd Group, Transantarctic Mountains
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Antarctica and Australia were sutured together straddling the equator during the major pulse of animal biodiversification associated with the Cambrian radiation. However, lack of detailed systematic sampling of lower Cambrian sedimentary packages from Antarctica has significantly impeded precise age determination and correlation with other Cambrian paleocontinents, especially with other parts of East Gondwana. Here were present new, integrated biostratigraphic and chemostratigraphic (δ13C isotopes) data from three stratigraphic sections measured through autochthonous shallow water carbonates (including archaeocyath-microbial bioherms) from the lower Cambrian Byrd Group in the Transantarctic Mountains. Recovered shelly fossil assemblages (brachiopods, tommotiids, molluscs, trilobites) from the Holyoake and Churchill Ranges include conspecific taxa previously described from Hawker Group rocks in the Arrowie Basin of South Australia facilitating direct correlation with the upper Dailyatia odyssei biozone. Synchronous chemostratigraphic data capture a distinctive positive ?13C excursion in the Churchill Range interpreted as the global Mingxinsi Carbon Isotope Excursion (MICE) peak. A succeeding gradual negative ?13C excursion captured in the Churchill and Holyoake sections is interpreted as the global Archaeocyathid Extinction Carbon Isotope Excursion (AECE) event. There is no chemostratigraphic evidence for the large Redlichiid-Olenellid Extinction Carbon Isotope Excursion (ROECE) negative event that straddles and defines the Cambrian Stage 4 – Miaolingian boundary. Hence, the integrated faunal and new chemostratigraphic data presented herein strongly support a Cambrian Stage 4 age for the upper Shackleton Limestone – Holyoake Formation – Starshot Formation succession of the Byrd Group.
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| 28. |
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| 29. |
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| 30. |
- Bolkan, Håkon A, et al.
(författare)
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Kirurgi for alle
- 2014
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Ingår i: Tidsskrift for Den Norske Lægeforening. - : Norwegian Medical Association. - 0029-2001. ; 134:5, s. 503-503
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 31. |
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| 32. |
- Brock, Glenn A., et al.
(författare)
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Early Ordovician brachiopods from the Emanuel Formation, Canning Basin, Western Australia
- 2004
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Ingår i: Memoirs of the Association of Australasian Palaeontologists. - : Association of Australasian Palaeontologists. - 0810-8889. ; :30, s. 113-132
-
Tidskriftsartikel (refereegranskat)abstract
- The lingulate brachiopods from the type section of the Emanuel Fonnation, Canning Basin, Western Australia are described. The fauna consists on new obolid taxa, Libecoviella divaricata n. sp., Wahwahlingula? emanuelensis n. sp., and Zhanatellidae n. gen? A, and two acrotretoids, Semitreta lauriei n. sp., and Ottenbyella shidertensis (Popov & Holmer, 1994). Contemporaneous trilobite and conodont faunas indicate a late Lancefieldian (La3) to mid Bendigonian (Be2) (=earliest Arenigian) age for the Emanuel Fonnation. The lingulate fauna is largely endemic at the species level, with minor faunal links to Kazakhstan and Bohemia.
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| 33. |
- Bröde, Peter, et al.
(författare)
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Non-evaporative effects of a wet mid layer on heat transfer through protective clothing
- 2008
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Ingår i: European Journal of Applied Physiology. - : Springer Science and Business Media LLC. - 1439-6327 .- 1439-6319. ; 104:2, s. 341-349
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Tidskriftsartikel (refereegranskat)abstract
- In order to assess the non-evaporative components of the reduced thermal insulation of wet clothing, experiments were performed with a manikin and with human subjects in which two layers of underwear separated by an impermeable barrier were worn under an impermeable overgarment at 20 °C, 80% RH and 0.5 ms-1 air velocity. By comparing manikin measurements with dry and wetted mid underwear layer, the increase in heat loss caused by a wet layer kept away from the skin was determined, which turned out to be small (5-6 Wm-2), irrespective of the inner underwear layer being dry or wetted, and was only one third of the evaporative heat loss calculated from weight change, i.e. evaporative cooling efficiency was far below unity. In the experiments with 8 males, each subject participated in two sessions with the mid underwear layer either dry or wetted, where they stood still for the first 30 minutes and then performed treadmill work for 60 minutes. Reduced heat strain due to lower insulation with the wetted mid layer was observed with decreased microclimate and skin temperatures, lowered sweat loss and cardiac strain. Accordingly, total clothing insulation calculated over the walking period from heat balance equations was reduced by 0.02 m2 °C W-1 (16%), while for the standing period the same decrease in insulation, representing 9% reduction only showed up after allowing for the lower evaporative cooling efficiency in the calculations. As evaporation to the environment and inside the clothing was restricted, the observed small alterations may be attributed to the wet mid layer’s increased conductivity, which, however, appears to be of minor importance compared to the evaporative effects in the assessment of the thermal properties of wet clothing.
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| 34. |
- Claybourn, Thomas M., 1989-
(författare)
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Biostratigraphy and Systematics of Cambrian Small Shelly Fossils from East Antarctica and South Australia
- 2021
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The remote lower Cambrian Byrd group of sedimentary rocks from East Antarctica has been studied intermittently since its discovery over a century ago. Previous insights into the trilobites and archaeocyaths indicated a close correlation to the sedimentary sequences of South Australia. The lowest unit of the Byrd Group is the fossiliferous Shackleton Limestone which overlies the Neoproterozoic metamorphic rocks of the Beardmore Group and is representative of a long period of carbonate shelf formation on a passive margin with the palaeo-Pacific. This was truncated by marine transgression and the deposition of the deeper-water calcareous siltstones of the fossiliferous Holyoake Formation. This is overlain by the Starshot Formation and all three units are cross-cut by the Douglas Conglomerate, marking the start of a collisional tectonic regime between the East Gondwana and palaeo-Pacific plates. The first systematically sampled and analysed sections through the carbonate Shackleton Limestone and argillaceous Holyoake Formation has yielded a new fauna of small primarily phosphatic and secondarily phosphatised shelly fossils. The abundant molluscs, brachiopods and tommotiids are reported here. These findings are ideal for correlating this section to the fossil biozones of South Australia, including the Dailyatia odyssei small shelly fossil Zone and the Pararaia janeae trilobite Zone. Chemostratigraphic data from three sections preserve the profiles of two major stable carbon isotope excursions: the Mingxinsi Carbon Isotope Excursion and the Archaeocyathid Extinction Carbon isotope Excursion. The combination of these two lines of evidence are a strong indicator for Cambrian Series 2, early-mid Stage 4. This is corroborated by newly described D. odyssei-P. janeae Zone small shelly fossils from the carbonate clasts from the Cambrian Stage 4 White Point Conglomerate of South Australia which bear strong similarity to the fauna of the Shackleton Limestone. Palaeobiogeographically the fauna recovered from the Byrd Group is similar to the East Gondwanan region of South Australia, with similar brachiopod assemblages to those recovered from the Xinji Formation of North China and similar molluscan assemblages to the Bastion Formation of North-East Greenland.
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| 35. |
- Claybourn, Thomas M., 1989-, et al.
(författare)
-
BRACHIOPODS FROM THE BYRD GROUP (CAMBRIAN SERIES 2, STAGE 4) CENTRAL TRANSANTARCTIC MOUNTAINS, EAST ANTARCTICA: BIOSTRATIGRAPHY, PHYLOGENY AND SYSTEMATICS
- 2020
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Ingår i: Papers in Palaeontology. - : Wiley. - 2056-2799 .- 2056-2802. ; 6:3, s. 349-383
-
Tidskriftsartikel (refereegranskat)abstract
- Brachiopods from Cambrian Series 2, Stage 4 carbonate strata of the Byrd Group in the Central Transantarctic Mountains, East Antarctica, are described for the first time. These include six lingulate, one paterinate, and one rhynchonelliform taxa, including the new lingulate brachiopod Plicarmus wildi gen. et sp. nov. The biostratigraphy correlates closely to the brachiopods recently reported from the Xinji Formation (Shuiyu section) in North China, as well as brachiopods recovered from the Dailyatia odyssei Zone across the Arrowie Basin of South Australia. These findings also support the previously identified close palaeobiogeography of these regions. The first unambiguous example of the acrotretid brachiopod Eohadrotreta zhenbaensis Li and Holmer outside South China is also identified in the context of its ontogenetic stages. Well preserved specimens of the acrotheloid Schizopholis yorkensis (Holmer and Ushatinskaya in Gravestock et al.) facilitates a new reconstruction of its musculature and visceral region. This data is synthesised into a new cladistic analysis that resolves Acrotheloidea as a well-supported monophyletic clade and supports previous hypotheses of a morphocline in acrotheloid evolution.
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| 36. |
- Claybourn, Thomas M, et al.
(författare)
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Cambrian Series 2, Stage 3–4 micromolluscs from the Shackleton Limestone, Central Transantarctic Mountains, East Antarctica
-
Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- An assemblage of lower Cambrian (Series 2, Stages 3–4) molluscan fossils from the Shackleton Limestone, Transantarctic Mountains, East Antarctica is formally described and illustrated. The assemblage is composed of one bivalve and ten helcionelloid molluscs, including the first discovery of the genus Xinjispira outside North China. The new fauna shows some similarity to previously described micromollusc assemblages from lower Cambrian glacial erratics from the Antarctic Peninsula. The fauna of the Shackleton Limestone is mainly composed of steinkerns, and of relatively low diversity, but the presence of key taxa, including the molluscs Mackinnonia rostrata and Pojetaia runnegari and the tommotiid Dailyatia odyssei strengthens correlation to the newly defined Dailyatia oddysei Zone of South Australia
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| 37. |
- Claybourn, Thomas M., 1989-
(författare)
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Mollusks from the upper Shackleton Limestone (Cambrian Series 2), Central Transantarctic Mountains, East Antarctica
- 2019
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Ingår i: Journal of Paleontology. - USA : Cambridge University Press. - 0022-3360 .- 1937-2337. ; 93:3, s. 437-459
-
Tidskriftsartikel (refereegranskat)abstract
- An assemblage of Cambrian Series 2, Stages 3–4, conchiferan mollusks from the Shackleton Limestone, Transantarctic Mountains, East Antarctica, is formally described and illustrated. The fauna includes one bivalve, one macromollusk, and 10 micromollusks, including the first description of the species Xinjispira simplex Zhou and Xiao, 1984 outside North China. The new fauna shows some similarity to previously described micromollusks from lower Cambrian glacial erratics from the Antarctic Peninsula. The fauna, mainly composed of steinkerns, is relatively low diversity, but the presence of diagnostic taxa, including helcionelloid Davidonia rostrata (Zhou and Xiao, 1984), bivalve Pojetaia runnegari Jell, 1980, cambroclavid Cambroclavus absonus Conway Morris in Bengtson et al., 1990, and bradoriid Spinospitella coronata Skovsted et al., 2006, as well as the botsfordiid brachiopod Schizopholis yorkensis (Ushatinskaya and Holmer in Gravestock et al., 2001), in the overlying Holyoake Formation correlates the succession to the Dailyatia odyssei Zone (Cambrian Stages 3–4) in South Australia
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| 38. |
- Delfani, Payam, et al.
(författare)
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Technical advances of the recombinant antibody microarray technology platform for clinical immunoproteomics
- 2016
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Ingår i: PLoS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 11:7
-
Tidskriftsartikel (refereegranskat)abstract
- In the quest for deciphering disease-associated biomarkers, high-performing tools for multiplexed protein expression profiling of crude clinical samples will be crucial. Affinity proteomics, mainly represented by antibody-based microarrays, have during recent years been established as a proteomic tool providing unique opportunities for parallelized protein expression profiling. But despite the progress, several main technical features and assay procedures remains to be (fully) resolved. Among these issues, the handling of protein microarray data, i.e. the biostatistics parts, is one of the key features to solve. In this study, we have therefore further optimized, validated, and standardized our in-house designed recombinant antibody microarray technology platform. To this end, we addressed the main remaining technical issues (e.g. antibody quality, array production, sample labelling, and selected assay conditions) and most importantly key biostatistics subjects (e.g. array data pre-processing and biomarker panel condensation). This represents one of the first antibody array studies in which these key biostatistics subjects have been studied in detail. Here, we thus present the next generation of the recombinant antibody microarray technology platform designed for clinical immunoproteomics.
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| 39. |
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| 40. |
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| 41. |
- Dronov, A. V., et al.
(författare)
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Ordovician Eustacy
- 2004
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 42. |
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| 43. |
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| 44. |
- Ghobadi Pour, M., et al.
(författare)
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Early Ordovician (Tremadocian) faunas and biostratigraphy of the Gerd-Kuh section, eastern Alborz, Iran
- 2015
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Ingår i: Stratigraphy. - 1547-139X .- 2331-656X. ; 12:2, s. 55-61
-
Tidskriftsartikel (refereegranskat)abstract
- The Tremadocian of the East Alborz Region is dominated by condensed fine clasticsediments. These beds have yielded low to medium diversity trilobite associations, which belong to theolenid, nileid and raphiophorid biofacies, characteristic of an outer shelf environment. Five successivetrilobite biozones can be recognised in the Tremadocian succession of Alborz. The lower TremadocianAsaphellus inflatus–Dactylocephalus and Psilocephalina lubrica zones are characterised by mediumdiversity trilobite associations with strong links to contemporaneous faunas of South China. Three upperzones are documented in the section at Gerd-Kuh, the successive Vachikaspis insueta and Kayseraspiszones represent a low diversity interval during a time of rapid changes in the sea level changes; themedium diversity fauna of the Asaphellus fecundus–Taihungshania miqueli zone shows strong links tothe faunas of Mediterranean segment of Gondwana. Brachiopods in Gerd-Kuh are represented by themonotaxic Tarfaya Association and the low diversity Paralenorthis–Xinanorthis Association. Therecurrent oligotaxic Protambonites Association invaded the area in the late Tremadocian during shortterm regressive episodes.
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| 45. |
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| 46. |
- Harper, David A.T., et al.
(författare)
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Brachiopods : origin and early history
- 2017
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Ingår i: Palaeontology. - : Wiley. - 0031-0239 .- 1475-4983. ; 60:5, s. 609-631
-
Tidskriftsartikel (refereegranskat)abstract
- Despite many major advances in recent years, three key challenges remain in bringing clarity to the early history of the phylum: (1) identifying the origin, morphology and life modes of the first brachiopods; (2) understanding the relationships of the major groups to each other and higher sister taxa; and (3) unravelling the roles of the Cambrian and Ordovician radiations that set the agenda for much of subsequent brachiopod evolution. Since some 95% of all brachiopod taxa are extinct, the fossil record is the primary source of data to frame and test models for the evolution of the phylum. The acquisition of new, and the redescription of existing faunas, in precise spatial and temporal frameworks, using new and well-established analytical and investigative techniques, are as important as ever.
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| 47. |
- Hoel, Ole Andreas, 1968-
(författare)
-
Diversity and Life Habits of Silurian Strophomenide Brachiopods of Gotland
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The Superfamily Strophomenoidea is a very diverse group of brachiopods in the Early Palaeozoic. In the Silurian succession on Gotland, they are among the most easily identifiable, and commonly found fossils. However, there are few detailed studies of this group from Gotland, and no new strophomenide taxa have been described from this area since 1869. The life habits of strophomenides are also poorly understood, partly because their morphology differs greatly from that of living brachiopods. The succession on Gotland yielded 27 species belonging to the Strophomenoidea, of which two species and two subspecies are new. The remaining species have been described earlier from Gotland or Great Britain. The most important group is the Leptaeninae, which occurs commonly throughout the entire succession on Gotland. Five species (one new), two new subspecies and two taxa treated under open nomenclature were found. Leptaena rhomboidalis and Lepidoleptaena poulseni were specialized for life in shallow water environments, retaining a large apical pedicle; the remaining leptaenines were ambitopic. The Furcitellininae is represented by three genera comprising six species, of which only one persisted into the Ludlow. All were ambitopic, except Pentlandina loveni, which was specialized for high-energy environments. Six species of “strophodontids” from Gotland, belonging to the Leptostrophidae, the Strophodontidae and the Shaleriidae, share a shallow-bodied, variably concavo-convex shell with costellate ornament. Mesoleptostrophia and Brachyprion (Brachyprion) were long-ranged and ecologically tolerant, while B. (Erinostrophia), Strophodonta and Shaleria had short ranges and were ecologically specialized. The two earliest known cementing strophomenides occur on Gotland, and their hitherto unknown dorsal valves have been identified: Liljevallia was found to belong to the Douvillinidae. The cementing Leptaenoidea silurica was found to be conspecific with the ambitopic Scamnomena rugata; it was able to live ambitopically if removed from the substrate. The thickened dorsal valves allow reconstruction of its lophophore.
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| 48. |
- Holmer, A., et al.
(författare)
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Acceptance of Nordic snack bars in children aged 8-11 years
- 2012
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Ingår i: Food & Nutrition Research. - : SNF Swedish Nutrition Foundation. - 1654-6628 .- 1654-661X. ; 56
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Tidskriftsartikel (refereegranskat)abstract
- Background: A health promoting diet is suggested to be tailored to regional circumstances to preserve the cultural diversity in eating habits, as well as contribute to more environmentally friendly eating. It may influence consumer acceptance, however, if the components of the diet differs considerably from their habitual food. Objective: This study aimed to investigate whether snack bars composed of Nordic ingredients were accepted by 8-11 year-old Danish (n = 134) and Swedish (n = 109) children. Design: A seven-point hedonic scale was used to measure the children's acceptance of five snack bars that varied in their composition of whole grains, berries and nuts. A preference rank ordering of the five bars was also performed. Results: The results showed that samples that were rated highest in liking and were most preferred in both countries were a kamut/pumpkin bar and an oat/cranberry bar. The sample with the lowest rating that was also least preferred was a pumpernickel/sea buckthorn bar. Flavour was the most important determinant of overall liking followed by texture, odour and appearance. Conclusions: Children's acceptances and preferences were highly influenced by the sensory characteristics of the bars, mainly flavour. In agreement with earlier studies, the novel food ingredients seemed to influence children's preferences. The Nordic snack bars may have a potential to be a snack option for Danish and Swedish school children, but repeated exposures to the products are recommended to increase children's acceptance. © 2012 Anna Holmer et al.
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| 49. |
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| 50. |
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