| 1. |
- Ek, Weronica E., et al.
(författare)
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Tea and coffee consumption in relation to DNA methylation in four European cohorts
- 2017
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Ingår i: Human Molecular Genetics. - : Oxford University Press. - 0964-6906 .- 1460-2083. ; 26:16, s. 3221-3231
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Tidskriftsartikel (refereegranskat)abstract
- Lifestyle factors, such as food choices and exposure to chemicals, can alter DNA methylation and lead to changes in gene activity. Two such exposures with pharmacologically active components are coffee and tea consumption. Both coffee and tea has been suggested to play an important role in modulating disease-risk in humans by suppressing tumour progression, decreasing inflammation and influencing estrogen metabolism. These mechanisms may be mediated by changes in DNA methylation.To investigate if DNA methylation in blood is associated with coffee and tea consumption we performed a genome-wide DNA methylation study for coffee and tea consumption in four European cohorts (N = 3,096). DNA methylation was measured from whole blood at 421,695 CpG sites distributed throughout the genome and analysed in men and women both separately and together in each cohort. Meta-analyses of the results and additional regional-level analyses were performed.After adjusting for multiple testing, the meta-analysis revealed that two individual CpG-sites, mapping to DNAJC16 and TTC17, were differentially methylated in relation to tea consumption in women. No individual sites were associated in men or in the sex-combined analysis for tea or coffee. The regional analysis revealed that 28 regions were differentially methylated in relation to tea consumption in women. These regions contained genes known to interact with estradiol metabolism and cancer. No significant regions were found in the sex-combined and male-only analysis for either tea or coffee consumption.
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| 2. |
- Hermansson, Linus, et al.
(författare)
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Firewalls : A necessary tool to enable social rights for undocumented migrants in social work
- 2022
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Ingår i: International Social Work. - : SAGE PUBLICATIONS LTD. - 0020-8728 .- 1461-7234. ; 65:4, s. 678-692
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Tidskriftsartikel (refereegranskat)abstract
- Firewalls are clear divisions between border policing and the provision of basic social rights. They have a dual character: to ensure that no information collected with the purpose of safeguarding basic social rights should be shared for immigration control purposes; and that migrants should not be subject to immigration control when being present at, or in the vicinity, of religious, private and public institutions upholding and providing social rights. This article suggests a normative argument for firewalls in the context of social work and develops the concept theoretically as a principle practised and negotiated at different scales.
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| 3. |
- Jones, Robert P., et al.
(författare)
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Patterns of Recurrence After Resection of Pancreatic Ductal Adenocarcinoma : A Secondary Analysis of the ESPAC-4 Randomized Adjuvant Chemotherapy Trial
- 2019
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Ingår i: JAMA Surgery. - : AMER MEDICAL ASSOC. - 2168-6254 .- 2168-6262. ; 154:11, s. 1038-1048
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Tidskriftsartikel (refereegranskat)abstract
- Importance: The patterns of disease recurrence after resection of pancreatic ductal adenocarcinoma with adjuvant chemotherapy remain unclear.Objective: To define patterns of recurrence after adjuvant chemotherapy and the association with survival.Design, Setting, and Participants: Prospectively collected data from the phase 3 European Study Group for Pancreatic Cancer 4 adjuvant clinical trial, an international multicenter study. The study included 730 patients who had resection and adjuvant chemotherapy for pancreatic cancer. Data were analyzed between July 2017 and May 2019.Interventions: Randomization to adjuvant gemcitabine or gemcitabine plus capecitabine.Main Outcomes and Measures: Overall survival, recurrence, and sites of recurrence.Results: Of the 730 patients, median age was 65 years (range 37-81 years), 414 were men (57%), and 316 were women (43%). The median follow-up time from randomization was 43.2 months (95% CI, 39.7-45.5 months), with overall survival from time of surgery of 27.9 months (95% CI, 24.8-29.9 months) with gemcitabine and 30.2 months (95% CI, 25.8-33.5 months) with the combination (HR, 0.81; 95% CI, 0.68-0.98; P=.03). The 5-year survival estimates were 17.1% (95% CI, 11.6%-23.5%) and 28.0% (22.0%-34.3%), respectively. Recurrence occurred in 479 patients (65.6%); another 78 patients (10.7%) died without recurrence. Local recurrence occurred at a median of 11.63 months (95% CI, 10.05-12.19 months), significantly different from those with distant recurrence with a median of 9.49 months (95% CI, 8.44-10.71 months) (HR, 1.21; 95% CI, 1.01-1.45; P=.04). Following recurrence, the median survival was 9.36 months (95% CI, 8.08-10.48 months) for local recurrence and 8.94 months (95% CI, 7.82-11.17 months) with distant recurrence (HR, 0.89; 95% CI, 0.73-1.09; P=.27). The median overall survival of patients with distant-only recurrence (23.03 months; 95% CI, 19.55-25.85 months) or local with distant recurrence (23.82 months; 95% CI, 17.48-28.32 months) was not significantly different from those with only local recurrence (24.83 months; 95% CI, 22.96-27.63 months) (P=.85 and P=.35, respectively). Gemcitabine plus capecitabine had a 21% reduction of death following recurrence compared with monotherapy (HR, 0.79; 95% CI, 0.64-0.98; P=.03).Conclusions and Relevance: There were no significant differences between the time to recurrence and subsequent and overall survival between local and distant recurrence. Pancreatic cancer behaves as a systemic disease requiring effective systemic therapy after resection.Trial Registration: ClinicalTrials.gov identifier: NCT00058201, EudraCT 2007-004299-38, and ISRCTN 96397434. This secondary analysis of a randomized clinical trial investigates patterns of recurrence after adjuvant chemotherapy in pancreatic cancer and the association with survival.
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| 4. |
- Lind, Erica, et al.
(författare)
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Automated quantification of reference levels in liver and mediastinum (blood pool) for the Deauville therapy response classification using FDG-PET/CT in lymphoma patients
- 2017
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Ingår i: European Journal of Nuclear Medicine and Molecular Imaging. - 1619-7070 .- 1619-7089. ; 44:supplement 2
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Tidskriftsartikel (refereegranskat)abstract
- Aim : To develop and validate a convolutional neural network (CNN) based method for automated quantification of reference levels in liver and mediastinum (blood pool) for the Deauville therapy response classification using FDG-PET/CT in lymphoma patients. Methods : CNNs were trained to segment the liver and the mediastinum, defined as the thoracic part of the aorta, in CT images from 81 consecutive lymphoma patients, who had undergone FDG-PET/CT examinations. Trained image readers segmented the liver and aorta manually in each of the CT images and these segmentations together with the CT images were used to train the CNN. After the training process, the CNN method was applied to a separate validation group consisting of six consecutive lymphoma patients (17-82 years, 3 female). First, the liver and mediastinum were automatically segmented in the CT images. Second, voxels in the corresponding FDG-PET images, which were localized in the liver and mediastinum, were selected and the median standard uptake value (SUV) was calculated. The CNN based analysis was compared to corresponding manual segmentations by two experienced radiologists. The Dice index was used to analyse the overlap between the segmentations by the CNN and the two radiologists. A Dice index of 1.00 indicates perfect matching. Results : The mean Dice indices for the comparison between CNN based liver segmentations and those of the two radiologists in the validation group were 0.95 and 0.95. A corresponding comparison between the two radiologists also resulted in a Dice index of 0.95. The mean liver volumes were 1,752ml, 1,757ml and 1,768ml for the CNN and two radiologists, respectively. The median SUV for the liver was on average 1.8 and the differences between median SUV based on CNN and manual segmentations were less or equal to 0.1. The mean Dice indices for the mediastinum were 0.80, 0.83 (CNN vs radiologists) and 0.86 (comparing the two radiologists). The mean mediastinum (aorta) volumes were 147ml, 140ml and 125ml for the CNN and two radiologists, respectively. The median SUV for the mediastinum was on average 1.4 and the differences between median SUV based on CNN and manual segmentations were less or equal to 0.14. Conclusion : A CNN based method for automated quantification of reference levels in liver and mediastinum show good agreement with results obtained by experienced radiologists, who manually segmented the CT images. This is a first and promising step towards a completely objective treatment response evaluation in patients with lymphoma based on FDG-PET/CT.
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| 5. |
- Mendelson, Michael M., et al.
(författare)
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Association of Body Mass Index with DNA Methylation and Gene Expression in Blood Cells and Relations to Cardiometabolic Disease : A Mendelian Randomization Approach
- 2017
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Ingår i: PLoS Medicine. - : PUBLIC LIBRARY SCIENCE. - 1549-1277 .- 1549-1676. ; 14:1
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Tidskriftsartikel (refereegranskat)abstract
- Background The link between DNA methylation, obesity, and adiposity-related diseases in the general population remains uncertain. Methods and Findings We conducted an association study of body mass index (BMI) and differential methylation for over 400,000 CpGs assayed by microarray in whole-blood-derived DNA from 3,743 participants in the Framingham Heart Study and the Lothian Birth Cohorts, with independent replication in three external cohorts of 4,055 participants. We examined variations in whole blood gene expression and conducted Mendelian randomization analyses to investigate the functional and clinical relevance of the findings. We identified novel and previously reported BMI-related differential methylation at 83 CpGs that replicated across cohorts; BMI-related differential methylation was associated with concurrent changes in the expression of genes in lipid metabolism pathways. Genetic instrumental variable analysis of alterations in methylation at one of the 83 replicated CpGs, cg11024682 (intronic to sterol regulatory element binding transcription factor 1 [SREBF1]), demonstrated links to BMI, adiposity-related traits, and coronary artery disease. Independent genetic instruments for expression of SREBF1 supported the findings linking methylation to adiposity and cardiometabolic disease. Methylation at a substantial proportion (16 of 83) of the identified loci was found to be secondary to differences in BMI. However, the cross-sectional nature of the data limits definitive causal determination. Conclusions We present robust associations of BMI with differential DNA methylation at numerous loci in blood cells. BMI-related DNA methylation and gene expression provide mechanistic insights into the relationship between DNA methylation, obesity, and adiposity-related diseases.
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| 6. |
- Persdotter, Maria, et al.
(författare)
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Introduction to special issue: Bordering practices in the social service sector : experiences from Norway and Sweden
- 2021
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Ingår i: Nordic Social Work Research. - : Routledge. - 2156-857X .- 2156-8588. ; 11:2, s. 95-102
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Following the 2015-peak of asylum-seeking migrants in Europe, asylumpolicies have become increasingly restrictive. As bordering has become a prioritized issue among many European national governments, including in the Nordic countries, practices of bordering have also become more decentralised, diffuse and dispersed. This special issue set focus on such bordering practices as these are manifest in the social service sector. It draws on research conducted in Norway and Sweden and consists, besides this introduction, of seven original articles.Of particular focus is how social work, in its regulations and practices, are involved in the bordering of both the nation and the welfare state. Connecting insights from border studies – and related critical research – with social work research, the articles present empirical analyses of the dynamics of bordering practices among varying practitioners and in varying organizations, including legislators, courts, municipalities, street-level social workers and civil society organizations. The special issue as a whole also raises questions about the ethical and political challenges that emerge at the nexus of bordering and social service provision. In this introductory article, we provide an overview of the field of border studies and discuss how it relates to social work research. This serves as a conceptual foundation which we hope will enable critical reflections on the relationships between social service
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| 7. |
- Sadik, May, 1970, et al.
(författare)
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Automated quantification of reference levels in liver and mediastinal blood pool for the Deauville therapy response classification using FDG-PET/CT in Hodgkin and non-Hodgkin lymphomas
- 2019
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Ingår i: Clinical Physiology and Functional Imaging. - : Wiley. - 1475-0961 .- 1475-097X. ; 39:1, s. 78-84
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Tidskriftsartikel (refereegranskat)abstract
- Background 18F-FDG-PET/CT has become a standard for assessing treatment response in patients with lymphoma. A subjective interpretation of the scan based on the Deauville 5-point scale has been widely adopted. However, inter-observer variability due to the subjectivity of the interpretation is a limitation. Our main goal is to develop an objective and automated method for evaluating response. The first step is to develop and validate an artificial intelligence (AI)-based method, for the automated quantification of reference levels in the liver and mediastinal blood pool in patients with lymphoma. Methods Results The AI-based method was trained to segment the liver and the mediastinal blood pool in CT images from 80 lymphoma patients, who had undergone 18F-FDG-PET/CT, and apply this to a validation group of six lymphoma patients. CT segmentations were transferred to the PET images to obtain automatic standardized uptake values (SUV). The AI-based analysis was compared to corresponding manual segmentations performed by two radiologists. The mean difference for the comparison between the AI-based liver SUV quantifications and those of the two radiologists in the validation group was 0 center dot 02 and 0 center dot 02, respectively, and 0 center dot 02 and 0 center dot 02 for mediastinal blood pool respectively. Conclusions An AI-based method for the automated quantification of reference levels in the liver and mediastinal blood pool shows good agreement with results obtained by experienced radiologists who had manually segmented the CT images. This is a first, promising step towards objective treatment response evaluation in patients with lymphoma based on 18F-FDG-PET/CT.
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| 8. |
- Sadik, May, 1970, et al.
(författare)
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Variability in reference levels for Deauville classifications applied to lymphoma patients examined with 18F-FDG-PET/CT
- 2017
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Ingår i: European Journal of Nuclear Medicine and Molecular Imaging. - 1619-7070 .- 1619-7089. ; 44
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Tidskriftsartikel (refereegranskat)abstract
- Aim : To develop and validate a convolutional neural network (CNN) based method for automated quantification of reference levels in liver and mediastinum (blood pool) for the Deauville therapy response classification using FDG-PET/CT in lymphoma patients. Methods : CNNs were trained to segment the liver and the mediastinum, defined as the thoracic part of the aorta, in CT images from 81 consecutive lymphoma patients, who had undergone FDG-PET/CT examinations. Trained image readers segmented the liver and aorta manually in each of the CT images and these segmentations together with the CT images were used to train the CNN. After the training process, the CNN method was applied to a separate validation group consisting of six consecutive lymphoma patients (17-82 years, 3 female). First, the liver and mediastinum were automatically segmented in the CT images. Second, voxels in the corresponding FDG-PET images, which were localized in the liver and mediastinum, were selected and the median standard uptake value (SUV) was calculated. The CNN based analysis was compared to corresponding manual segmentations by two experienced radiologists. The Dice index was used to analyse the overlap between the segmentations by the CNN and the two radiologists. A Dice index of 1.00 indicates perfect matching. Results : The mean Dice indices for the comparison between CNN based liver segmentations and those of the two radiologists in the validation group were 0.95 and 0.95. A corresponding comparison between the two radiologists also resulted in a Dice index of 0.95. The mean liver volumes were 1,752ml, 1,757ml and 1,768ml for the CNN and two radiologists, respectively. The median SUV for the liver was on average 1.8 and the differences between median SUV based on CNN and manual segmentations were less or equal to 0.1. The mean Dice indices for the mediastinum were 0.80, 0.83 (CNN vs radiologists) and 0.86 (comparing the two radiologists). The mean mediastinum (aorta) volumes were 147ml, 140ml and 125ml for the CNN and two radiologists, respectively. The median SUV for the mediastinum was on average 1.4 and the differences between median SUV based on CNN and manual segmentations were less or equal to 0.14. Conclusion : A CNN based method for automated quantification of reference levels in liver and mediastinum show good agreement with results obtained by experienced radiologists, who manually segmented the CT images. This is a first and promising step towards a completely objective treatment response evaluation in patients with lymphoma based on FDG-PET/CT.
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