| 1. |
- Leidermark, Erik, 1981, et al.
(författare)
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Estimating the risk for secondary cancer following targeted alpha therapy with astatine-211 intraperitoneal radioimmunotherapy.
- 2022
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Ingår i: Journal of nuclear medicine : official publication, Society of Nuclear Medicine. - : Society of Nuclear Medicine. - 1535-5667. ; 64:1, s. 165-172
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Tidskriftsartikel (refereegranskat)abstract
- Intraperitoneal 211At-based targeted alpha therapy (TAT) may hold most promise as an adjuvant therapy following surgery and chemotherapy in epithelial ovarian cancer to eradicate any remaining undetectable disease. This implies it will also be delivered to patients possibly already cured by the primary treatment. An estimate of long-term risks is therefore sought whether to justify the treatment. Methods: Baseline data for risk estimates of alpha-particle irradiation were collected from published studies on excess cancer induction and mortality for subjects exposed to either 224Ra treatments or Thorotrast contrast agent (25% ThO2 colloid, containing 232Th). Organ dosimetry for 224Ra and Thorotrast irradiation were taken from the literature. These organ-specific risks were then applied for our previously reported dosimetry for intraperitoneal (i.p.) 211At-TAT patients. Results: Risk could be estimated for 10 different organ or organ groups. The calculated excess relative risk per Gray (ERR/Gy) could be sorted into two groups. In the lower ERR/Gy group, up to approx. 5, were: Trachea, bronchus and lung 0.52 (CI 95% 0.21-0.82), Stomach 1.4 (CI 95% -5.0-7.9), Lymphoid and hematopoietic system 2.17 (CI 95% 1.7-2.7), Bone and articular cartilage 2.6 (CI 95% 2.0-3.3), Breast 3.45 (CI 95% -10-17) and Colon 4.5 (CI 95% -3.5-13). In the higher ERR/Gy group, ranging from approx. 10 to 15 were: Urinary bladder 10.1 (CI 95% 1.4-23), Liver 14.2 (CI 95% 13-16), Kidney 14.9 (CI 95% 3.9-26) and Lip, oral cavity and pharynx 15.20 (CI 95% 2.73-27.63). Applying a typical candidate patient (female, age 65 years) and correcting for reference population mortality rate, a total estimated excess mortality of an i.p. 211At-mAb treatment amounted to 1.13 per 100 treated. More than half of this excess originated from urinary bladder and kidney, 0.29 and 0.34 respectively. Depending on various adjustments in calculation and assumptions on competing risks excess mortality could range from 0.11 - 1.84 per 100 treated. Conclusion: Published epidemiological data on life-long detriment following alpha-particle irradiation and its dosimetry allowed calculations to estimate the risk for secondary cancer following 211At-based i.p. TAT. Measures to reduce dose to the urinary organs may further decrease the estimated relative low risk for secondary cancer from 211At-mAb based i.p. TAT.
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| 2. |
- Allard, Christina, et al.
(författare)
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Rasbiologiskt språkbruk i statens rättsprocess mot sameby
- 2015
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Ingår i: Dagens Nyheter. - 1101-2447.
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Statens hantering av forskningsresultat i rättsprocessen med Girjas sameby utgör ett hot mot Sverige som rättsstat och kunskapsnation. Åratal av svensk och internationell forskning underkänns och man använder ett språkbruk som skulle kunna vara hämtat från rasbiologins tid. Nu måste staten ta sitt ansvar och börja agera som en demokratisk rättsstat, skriver 59 forskare.
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| 3. |
- Atalaya, Juan, 1981, et al.
(författare)
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Design and optimization of coreless components using admittance matrix and efficiently calculated sensitivities
- 2007
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Ingår i: IEEE Transactions on Magnetics. ; 43, s. 1621-1624
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Tidskriftsartikel (refereegranskat)abstract
- This paper presents a novel technique for designing coreless components (inductors and transformers) based on the admittance matrix at quasi-static approximation. In addition, an optimization method based on continuum sensitivity is applied. Efficiency of the design method is shown for inductors that have axisymmetry and carry azimuthal currents. In order to avoid coupling between closely located inductors, a shielding structure is proposed and shape-optimized to confine the magnetic energy.
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| 4. |
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| 5. |
- Brantsæter, Anne Lise, et al.
(författare)
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Intake of probiotic food and risk of preeclampsia in primiparous women: the norwegian mother and child cohort study.
- 2011
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Ingår i: American Journal of Epidemiology. - : Oxford University Press (OUP). - 0002-9262 .- 1476-6256. ; 174:7, s. 807-15
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Tidskriftsartikel (refereegranskat)abstract
- Probiotics have been suggested to modify placental trophoblast inflammation, systemic inflammation, and blood pressure, all potentially interesting aspects of preeclampsia. The authors examined the association between consumption of milk-based probiotic products in pregnancy and development of preeclampsia and its subtypes. The study was performed in the Norwegian Mother and Child Cohort Study by using a prospective design in 33,399 primiparous women in the years 2002-2008. The intake of milk-based products containing probiotic lactobacilli was estimated from a self-reported food frequency questionnaire. Preeclampsia diagnoses were obtained from the Norwegian Medical Birth Registry. Intake of probiotic milk products was associated with reduced risk of preeclampsia. The association was most prominent in severe preeclampsia (adjusted odds ratio (OR) = 0.79, 95% confidence interval (CI): 0.66, 0.96). With probiotic intakes divided into categories representing no, monthly, weekly, or daily intake, a lower risk for preeclampsia (all subtypes) was observed for daily probiotic intake (OR = 0.80, 95% CI: 0.66, 0.96). Lower risks for severe preeclampsia were observed for weekly (OR = 0.75, 95% CI: 0.57, 0.98) and daily (OR = 0.61, 95% CI: 0.43, 0.89) intakes. These results suggest that regular consumption of milk-based probiotics could be associated with lower risk of preeclampsia in primiparous women.
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| 6. |
- Ciosek, Katarzyna, et al.
(författare)
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Energy storage activities in the Swedish hybrid vehicle centre
- 2009
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Ingår i: World Electric Vehicle Journal. - : MDPI AG. - 2032-6653. ; 3:4, s. 858-862, s. 2850-2854
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Tidskriftsartikel (refereegranskat)abstract
- Significant efforts are put worldwide on developing new concepts for vehicle propulsion with the hybrid electric vehicle (HEV) being a prominent example. Hybrid technology is clearly a strategic future activity for automotive industries and in response to the rapid development in the area; the Swedish Hybrid Vehicle Centre (SHC) was formed in 2007 to join forces between Swedish industry and academia in the field. The centre emphasizes a holistic view to meet the environmental and societal needs with new technological solutions. The research within SHC is currently divided into three different themes whereof we here describe the Energy Storage theme with emphasis on the activities carried out at the involved universities in the current main project areas: Cell Properties, Electrode Materials and Electrolyte Additives. Examples are given on how these projects attacks the problems at hand separately, but also how we create synergy effects between the projects. As an example cell modelling is performed given a specific chemistry and cycling scheme, the same parameters are used for electrochemical experiments which provide macroscopic data that are connected with molecular level actions in the electrodes, the electrolyte, and the interfaces. All this is done using our base-line chemistry and a subsequent route is to investigate the role of different additives to overcome the limitations that are observed.
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| 7. |
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| 8. |
- Felix, Janine F, et al.
(författare)
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Genome-wide association analysis identifies three new susceptibility loci for childhood body mass index.
- 2016
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Ingår i: Human molecular genetics. - : Oxford University Press (OUP). - 1460-2083 .- 0964-6906. ; 25:2, s. 389-403
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Tidskriftsartikel (refereegranskat)abstract
- A large number of genetic loci are associated with adult body mass index. However, the genetics of childhood body mass index are largely unknown. We performed a meta-analysis of genome-wide association studies of childhood body mass index, using sex- and age-adjusted standard deviation scores. We included 35 668 children from 20 studies in the discovery phase and 11 873 children from 13 studies in the replication phase. In total, 15 loci reached genome-wide significance (P-value < 5 × 10(-8)) in the joint discovery and replication analysis, of which 12 are previously identified loci in or close to ADCY3, GNPDA2, TMEM18, SEC16B, FAIM2, FTO, TFAP2B, TNNI3K, MC4R, GPR61, LMX1B and OLFM4 associated with adult body mass index or childhood obesity. We identified three novel loci: rs13253111 near ELP3, rs8092503 near RAB27B and rs13387838 near ADAM23. Per additional risk allele, body mass index increased 0.04 Standard Deviation Score (SDS) [Standard Error (SE) 0.007], 0.05 SDS (SE 0.008) and 0.14 SDS (SE 0.025), for rs13253111, rs8092503 and rs13387838, respectively. A genetic risk score combining all 15 SNPs showed that each additional average risk allele was associated with a 0.073 SDS (SE 0.011, P-value = 3.12 × 10(-10)) increase in childhood body mass index in a population of 1955 children. This risk score explained 2% of the variance in childhood body mass index. This study highlights the shared genetic background between childhood and adult body mass index and adds three novel loci. These loci likely represent age-related differences in strength of the associations with body mass index.
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| 9. |
- Guan, Jikui, et al.
(författare)
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Clinical response of the novel activating ALK-I1171T mutation in neuroblastoma to the ALK inhibitor ceritinib.
- 2018
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Ingår i: Cold Spring Harbor molecular case studies. - : Cold Spring Harbor Laboratory. - 2373-2873. ; 4:4
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Tidskriftsartikel (refereegranskat)abstract
- Tumors with Anaplastic Lymphoma Kinase (ALK) fusion rearrangements, including non-small cell lung cancer and anaplastic large cell lymphoma, are highly sensitive to ALK tyrosine kinase inhibitors (TKIs), underscoring the notion that such cancers are addicted to ALK activity. While mutations in ALK are heavily implicated in childhood neuroblastoma, response to the ALK TKI crizotinib has been disappointing. Embryonal tumors in patients with DNA repair defects such as Fanconi anemia (FA) often have a poor prognosis, due to lack of therapeutic options. Here we report a child with underlying FA and ALK mutant high-risk neuroblastoma responding strongly to precision therapy with the ALK TKI ceritinib. Conventional chemotherapy treatment caused severe, life-threatening toxicity. Genomic analysis of the initial biopsy identified germ-line FANCA mutations as well as a novel ALK-I1171T variant. ALK-I1171T generates a potent gain-of-function mutant, as measured in PC12 cell neurite outgrowth and NIH3T3 transformation. Pharmacological inhibition profiling of ALK-I1171T in response to various ALK TKIs identified an 11-fold improved inhibition of ALK-I1171T with ceritinib when compared with crizotinib. Immunoaffinity-coupled LC-MS/MS phosphoproteomics analysis indicated a decrease in ALK signaling in response to ceritinib. Ceritinib was therefore selected for treatment in this child. Mono-therapy with ceritinib was well tolerated and resulted in normalized catecholamine markers and tumor shrinkage. After 7.5 months treatment, residual primary tumor was surgically removed and exhibited hallmarks of differentiation together with reduced Ki67 levels. Clinical follow-up after 21 months treatment revealed complete clinical remission including all metastatic sites. Therefore, ceritinib presents a viable therapeutic option for ALK-positive neuroblastoma.
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| 10. |
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| 11. |
- Hallqvist, Andreas, 1973, et al.
(författare)
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Intraperitoneal alpha-Emitting Radioimmunotherapy with At-211 in Relapsed Ovarian Cancer: Long-Term Follow-up with Individual Absorbed Dose Estimations
- 2019
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Ingår i: Journal of Nuclear Medicine. - : Society of Nuclear Medicine. - 0161-5505 .- 2159-662X. ; 60:8, s. 1073-1079
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Tidskriftsartikel (refereegranskat)abstract
- Eliminating microscopic residual disease with alpha-particle radiation is theoretically appealing. After extensive preclinical work with alpha-particle-emitting At-211, we performed a phase I trial with intraperitoneal alpha-particle therapy in epithelial ovarian cancer using At-211 conjugated to MX35, the antigen-binding fragments-F(ab')(2)-of a mouse monoclonal antibody. We now present clinical outcome data and toxicity in a long-term follow-up with individual absorbed dose estimations. Methods: Twelve patients with relapsed epithelial ovarian cancer, achieving a second complete or nearly complete response with chemotherapy, received intraperitoneal treatment with escalating (20-215 MBq/L) activity concentrations of At-211-MX35 F(ab')(2). Results: The activity concentration was escalated to 215 MBq/L without any dose-limiting toxicities. Most toxicities were low-grade and likely related to the treatment procedure, not clearly linked to the alpha-particle irradiation, with no observed hematologic toxicity. One grade 3 fatigue and 1 grade 4 intestinal perforation during catheter implantation were observed. Four patients had a survival of more than 6 y, one of whom did not relapse. At progression, chemotherapy was given without signs of reduced tolerability. Overall median survival was 35 mo, with a 1-, 2-, 5-, and 10-y survival of 100%, 83%, 50%, and 25%, respectively. Calculations of the absorbed doses showed that a lower specific activity is associated with a lower single-cell dose, whereas a high specific activity may result in a lower central dose in microtumors. Individual differences in absorbed dose to possible microtumors were due to variations in administered activity and the specific activity. Conclusion: No apparent signs of radiation-induced toxicity or decreased tolerance to relapse therapy were observed. The dosimetric calculations show that further optimization is advisable to increase the efficacy and reduce possible long-term toxicity.
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| 12. |
- Jacobsson, Jenny, 1962-, et al.
(författare)
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Youth athletes at Swedish sports high schools with an athletics specialism emphasise environmental support for injury risk management : a focus group study.
- 2023
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Ingår i: BMJ Open Sport & Exercise Medicine. - : BMJ Publishing Group Ltd. - 2055-7647. ; 9:2
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Tidskriftsartikel (refereegranskat)abstract
- In this study, we examined knowledge and understanding of sport-related injuries among youth athletics (track and field) athletes and assessed their needs in managing any health problems. Qualitative data were collected via 12 focus groups with youth athletes (16-19 years) studying at Swedish sports high schools with an athletics specialism. All focus group discussions were audiorecorded and transcribed before being analysed using a thematic analysis approach. Four researchers independently reviewed the transcripts, generated codes and developed themes. Three overarching themes related to the athletes' knowledge and understanding of sport-related injury were developed: (1) awareness of injuries, (2) perception of injuries, and (3) factors contributing to injuries. The youth athletes were typically uncertain about how to acknowledge a sport-related injury. They expressed that knowledge about injuries was obtained in part by reflecting on the lived experiences of their peers. It was also demonstrated that there appears to be a 'culture of acceptance' regarding injury occurrence. In contrast, causes of injuries were viewed as dependent on multiple factors (eg, lack of context-specific knowledge about training practices). Regarding athletes' needs in managing injuries, an additional three themes were developed: (1) creating functioning elite sports environments, (2) application of knowledge and (3) fostering athletes. An apparent lack of structure and organisation related to the school environment was identified as an important issue to review to create opportunities for sustainable athletic development. The study identified areas that can be improved in Swedish sports high schools with an athletic specialism and could be applied in other youth sports contexts. The results of this study guide school stakeholders, alongside the sport governing bodies who have the mandate to influence activities in youth sports contexts, whereby special attention should be directed towards improving the social environment for youth athletes.
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| 13. |
- Jacobsson, Per, 1977, et al.
(författare)
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A Finite Element Method Approach to the Finite-Difference Time-Domain Scheme with Cut Cells
- 2010
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Ingår i: Electromagnetics. - : Informa UK Limited. - 0272-6343 .- 1532-527X. ; 30:1--2, s. 82 - 93
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Tidskriftsartikel (refereegranskat)abstract
- In this article, a finite element method approach to the finite-difference time-domain scheme with cut cells for Maxwell's equations in two dimensions is presented and tested. The method is based on a structured Cartesian grid of square elements, where cut cells are introduced for curved or oblique boundaries. The field is approximated by piecewise bilinear basis functions, and it is allowed to be discontinuous at interfaces modeled by cut cells, where continuity is enforced in the weak sense by means of Nitsche's method. Trapezoidal quadrature on the uncut elements recovers the finite-difference approximation that features a diagonal mass matrix. The time-domain formulation of this method is based on a hybrid explicit-implicit time-stepping method, which reduces to the leap-frog scheme for the uncut elements and the unconditionally stable Newmark method for the cut elements. The global time step is bounded by the Courant condition of the finite-difference time-domain scheme. For problems with regular solutions, the method yields a discretization error that is proportional to the square of the cell size. The method is tested on square cavities in two dimensions, where the first test problem involves homogeneous material parameters, and the second problem features a dielectric region in a vacuum cavity.
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| 14. |
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| 15. |
- Jacobsson, Per, 1977, et al.
(författare)
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Gradient-based shape optimisation of conformal array antennas
- 2010
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Ingår i: IET Microwaves, Antennas and Propagation. - : Institution of Engineering and Technology (IET). - 1751-8725 .- 1751-8733. ; 4:2, s. 200-209
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Tidskriftsartikel (refereegranskat)abstract
- We present and test a gradient-based shape optimisation method for the minimisation of the active reflection coefficient for conformal array antennas. The goal function is an average of the active reflection coefficient with respect to all antenna elements, a prespecified frequency interval, and a set of excitation modes. The sensitivity of the goal function with respect to changes of the antenna's shape is based on the continuum form of Maxwell's equations, which provides good flexibility for the choice of field solver. The sensitivity is formulated in terms of the field solution of the original antenna problem and a similar adjoint field problem, which gives the sensitivity for an arbitrary number of design parameters given the solution of Maxwell's equations. We test the optimisation method in two dimensions for array antennas that conform to a circular cylinder, where both uniform arrays and arrays that occupy a part of the cylinder's circumference are considered. For some cases, we find that it is feasible to reduce the active reflection coefficient for arrays that partially cover the circumference of the cylinder by means of end elements that differ from the bulk elements of the array. In general, substantial reductions in the active reflection coefficient can be achieved by relatively small shape changes of the antenna elements. For the test cases considered in this article, the optimisation method typically converges to an optimised design within 5-15 iterations.
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| 16. |
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| 17. |
- Jacobsson, Per, 1977
(författare)
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Shape and material optimization for antenna applications
- 2009
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In this thesis, a gradient-based method for shape and material optimization fortwo antenna applications is presented: minimization of the active reflectioncoefficient for conformal array antennas; and minimization of the totalscattering cross section for cylindrical scatterers. The sensitivity of theobjective function with respect to changes of the shape and material of the geometry isexpressed in terms of the original field problem and an adjoint field problem.This makes the computational cost of calculating the sensitivity independent ofthe number of design variables used to parameterize the geometry of the problem.Moreover, since the sensitivity is based on the continuum form of Maxwell'sequations, the method is flexible with respect to the choice of field solver.The problem of minimizing the active reflection coefficient for conformal arrayantennas is tested in two dimensions for antenna elements that conform to acircular cylinder. Both uniform arrays and arrays where the antenna elementsonly cover part of the cylinder are considered. The minimization problem for thetotal scattering cross section is tested in two dimensions for metal cylindersand metal cylinders coated with a dielectric material. For both applications,the objective function is reduced significantly in a relatively small number ofiterations.A finite element approach to treating curved boundaries in a finite-differencescheme on a Cartesian mesh is presented. It is based on Nitsche's method ofapplying boundary conditions for interfaces that do not conform to the meshand uses explicit time stepping for the elements that are not cut by theinterface and implicit time stepping for the elements that are cut by theinterface. The method is tested for an eigenvalue problem in two dimensions andsecond-order convergence is observed.
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| 18. |
- Jacobsson, Per, 1977
(författare)
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Shape Optimization for Electromagnetic and Quasimagnetostatic Applications
- 2006
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis uses a continuum formulation of sensitivity for shape optimization in two-dimensional microwave scattering and quasimagnetostatic problems. The continuum sensitivity is obtained by solving an appropriate adjoint problem.For microwave scattering problems, the optical theorem is used to obtain the total scattering cross section from the forward scattering. Shape optimization is performed on a 2D cross section of a strut used in antenna design and a FEM-FDTD time-domain solver is used to solve the field problem. The continuum gradient-based optimization algorithm, in conjunction with the optical theorem and the FEM-FDTD solver, yields an efficient algorithm for minimizing the total scattered power caused by the antenna strut.A continuum gradient-based shape optimization algorithm is also applied to the quasimagnetostatic problem of conductors in multi-layer components, where the objective is to increase the inductance or to reduce the magnetic field incertain regions.An efficient FEM solver, based on Nitsche's method, is also developed, which uses basic Cartesian grids in the computational domain, and lets interfaces cut through elements where necessary.
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| 19. |
- Jacobsson, Per, 1977, et al.
(författare)
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Shape Optimization of Conformal Array Antennas
- 2009
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Ingår i: European Conference on Antennas and Propagation. ; , s. 2713-2717, s. 2713-2717
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Konferensbidrag (refereegranskat)abstract
- We present a shape optimization method for the minimization of the activereflection coefficient for conformal array antennas. Our formulation is based onthe continuum form of Maxwell's equations, where the gradient of the goalfunction is expressed in terms of the solution to the original field problem andthe solution to an adjoint field problem. The computational work for the goalfunction and its gradient amounts to the computation of the scattering matrix,which makes our method independent of the number of degrees of freedom used toparameterize the geometry. In addition, the field solver is decoupled from theoptimization process, which offers great freedom in the choice of field solver.The method is tested in two dimensions for an array antenna that conforms to acircular cylinder. An optimum is found in approximately 10 iterations when fourdegrees of freedoms are used to describe the antenna geometry and inapproximately 30 iterations when 40 degrees of freedoms are used.
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| 20. |
- Jacobsson, Per, 1977, et al.
(författare)
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Shape optimization of the total scattering cross section for cylindrical scatterers
- 2009
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Ingår i: Radio Science. - 0048-6604 .- 1944-799X. ; 44:4
-
Tidskriftsartikel (refereegranskat)abstract
- We propose and test a gradient-based shape optimization algorithm for the total scattering cross section of infinitely long cylinders, by means of changing the shape of the cylinder's cross section. On the basis of the optical theorem, we derive sensitivity expressions for both dielectric and metal cylinders given an incident plane wave, where the wave vector is perpendicular to the cylinder axis. Both the transverse electric (TE) case and the transverse magnetic case are considered. The sensitivity expressions are based on the continuum form of Maxwell's equations, and they provide the sensitivity with respect to an arbitrary number of shape parameters in terms of the field solution of the original scattering problem and an adjoint scattering problem. These results are used to construct a gradient-based optimization algorithm that we exploit for the reduction of the total scattering cross section in the TE case for metal cylinders, e.g., struts used in reflector antennas. We present optimized cross sections that are oblong in the direction of the incident wave vector, and some of these designs feature corrugations that are parallel to the cylinder axis. We show designs with asymmetric cross sections that yield a low monostatic scattering cross section for certain directions in combination with a low total scattering cross section, which can be used to reduce the noise temperature contributions from the upper strut in an inverted Y tripod reflector antenna.
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| 21. |
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| 22. |
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| 23. |
- Sengpiel, Verena, 1977, et al.
(författare)
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Folic acid supplementation, dietary folate intake during pregnancy and risk for spontaneous preterm delivery: a prospective observational cohort study
- 2014
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Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 14:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Health authorities in numerous countries recommend periconceptional folic acid supplementation to prevent neural tube defects. The objective of this study was to examine the association of dietary folate intake and folic acid supplementation during different periods of pregnancy with the risk of spontaneous preterm delivery (PTD).MethodsThe Norwegian Mother and Child Cohort Study is a population-based prospective cohort study. A total of 66,014 women with singleton pregnancies resulting in live births in 2002¿2009 were included. Folic acid supplementation was self-reported from 26 weeks before pregnancy until pregnancy week 24. At gestational week 22, the women completed a food frequency questionnaire, which allowed the calculation of their average total folate intake from foods and supplements for the first 4¿5 months of pregnancy. Spontaneous PTD was defined as the spontaneous onset of delivery between weeks 22+0 and 36+6 (n = 1,755).ResultsThe median total folate intake was 313 ¿g/d (interquartile range IQR 167¿558) in the overall population and 530 ¿g/d (IQR 355¿636) in the supplement users. Eighty-five percent reported any folic acid supplementation from <8 weeks before to 24 weeks after conception while only 44% initiated folic acid supplementation before pregnancy. Cox regression analysis showed that the amount of dietary folate intake (hazard ratio HR 1.00; confidence interval 95% CI 0.61-1.65) and supplemental folate intake (HR 1.00; CI 1.00-1.00) was not significantly associated with the risk of PTD. The initiation of folic acid supplementation more than 8 weeks before conception was associated with an increased risk for spontaneous PTD (HR 1.18; CI 1.05-1.32) compared to no folic acid supplementation preconception. There was no significant association with PTD when supplementation was initiated within 8 weeks preconception (HR 0.99; CI 0.87-1.13). All analyses were adjusted for maternal characteristics and socioeconomic, health and dietary variables.ConclusionsOur findings do not support a protective effect of dietary folate intake or folic acid supplementation on spontaneous PTD. Preconceptional folic acid supplementation starting more than 8 weeks before conception was associated with an increased risk of spontaneous PTD. These results require further investigation before discussing an expansion of folic acid supplementation guidelines.
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| 24. |
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| 25. |
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| 26. |
- Söfteland, John M., 1977, et al.
(författare)
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COVID-19 in solid organ transplant recipients : A national cohort study from Sweden
- 2021
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Ingår i: American Journal of Transplantation. - : John Wiley & Sons. - 1600-6135 .- 1600-6143. ; 21:8, s. 2762-2773
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Tidskriftsartikel (refereegranskat)abstract
- Solid organ transplant (SOT) recipients run a high risk for adverse outcomes from COVID-19, with reported mortality around 19%. We retrospectively reviewed all known Swedish SOT recipients with RT-PCR confirmed COVID-19 between March 1 and November 20, 2020 and analyzed patient characteristics, management, and outcome. We identified 230 patients with a median age of 54.0 years (13.2), who were predominantly male (64%). Most patients were hospitalized (64%), but 36% remained outpatients. Age >50 and male sex were among predictors of transition from outpatient to inpatient status. National early warning Score 2 (NEWS2) at presentation was higher in non-survivors. Thirty-day all-cause mortality was 9.6% (15.0% for inpatients), increased with age and BMI, and was higher in men. Renal function decreased during COVID-19 but recovered in most patients. SARS-CoV-2 antibodies were identified in 78% of patients at 1-2 months post-infection. Nucleocapsid-specific antibodies decreased to 38% after 6-7 months, while spike-specific antibody responses were more durable. Seroprevalence in 559 asymptomatic patients was 1.4%. Many patients can be managed on an outpatient basis aided by risk stratification with age, sex, and NEWS2 score. Factors associated with adverse outcomes include older age, male sex, greater BMI, and a higher NEWS2 score.
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| 27. |
- Tyrrell, Jessica, et al.
(författare)
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Genetic variation in the 15q25 nicotinic acetylcholine receptor gene cluster (CHRNA5-CHRNA3-CHRNB4) interacts with maternal self-reported smoking status during pregnancy to influence birth weight.
- 2012
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Ingår i: Human molecular genetics. - : Oxford University Press (OUP). - 1460-2083 .- 0964-6906. ; 21:24, s. 5344-5358
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Tidskriftsartikel (refereegranskat)abstract
- Maternal smoking during pregnancy is associated with low birth weight. Common variation at rs1051730 is robustly associated with smoking quantity and was recently shown to influence smoking cessation during pregnancy, but its influence on birth weight is not clear. We aimed to investigate the association between this variant and birth weight of term, singleton offspring in a well-powered meta-analysis. We stratified 26 241 European origin study participants by smoking status (women who smoked during pregnancy versus women who did not smoke during pregnancy) and, in each stratum, analysed the association between maternal rs1051730 genotype and offspring birth weight. There was evidence of interaction between genotype and smoking (P = 0.007). In women who smoked during pregnancy, each additional smoking-related T-allele was associated with a 20 g [95% confidence interval (95% CI): 4-36 g] lower birth weight (P = 0.014). However, in women who did not smoke during pregnancy, the effect size estimate was 5 g per T-allele (95% CI: -4to 14 g; P = 0.268). To conclude, smoking status during pregnancy modifies the association between maternal rs1051730 genotype and offspring birth weight. This strengthens the evidence that smoking during pregnancy is causally related to lower offspring birth weight and suggests that population interventions that effectively reduce smoking in pregnant women would result in a reduced prevalence of low birth weight.
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| 28. |
- van der Valk, Ralf J P, et al.
(författare)
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A novel common variant in DCST2 is associated with length in early life and height in adulthood.
- 2015
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Ingår i: Human molecular genetics. - : Oxford University Press (OUP). - 1460-2083 .- 0964-6906. ; 24:4, s. 1155-68
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Tidskriftsartikel (refereegranskat)abstract
- Common genetic variants have been identified for adult height, but not much is known about the genetics of skeletal growth in early life. To identify common genetic variants that influence fetal skeletal growth, we meta-analyzed 22 genome-wide association studies (Stage 1; N = 28 459). We identified seven independent top single nucleotide polymorphisms (SNPs) (P < 1 × 10(-6)) for birth length, of which three were novel and four were in or near loci known to be associated with adult height (LCORL, PTCH1, GPR126 and HMGA2). The three novel SNPs were followed-up in nine replication studies (Stage 2; N = 11 995), with rs905938 in DC-STAMP domain containing 2 (DCST2) genome-wide significantly associated with birth length in a joint analysis (Stages 1 + 2; β = 0.046, SE = 0.008, P = 2.46 × 10(-8), explained variance = 0.05%). Rs905938 was also associated with infant length (N = 28 228; P = 5.54 × 10(-4)) and adult height (N = 127 513; P = 1.45 × 10(-5)). DCST2 is a DC-STAMP-like protein family member and DC-STAMP is an osteoclast cell-fusion regulator. Polygenic scores based on 180 SNPs previously associated with human adult stature explained 0.13% of variance in birth length. The same SNPs explained 2.95% of the variance of infant length. Of the 180 known adult height loci, 11 were genome-wide significantly associated with infant length (SF3B4, LCORL, SPAG17, C6orf173, PTCH1, GDF5, ZNFX1, HHIP, ACAN, HLA locus and HMGA2). This study highlights that common variation in DCST2 influences variation in early growth and adult height.
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