| 1. |
- Eranti, Antti, et al.
(författare)
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Orthogonal P-wave morphology, conventional P-wave indices, and the risk of atrial fibrillation in the general population using data from the Finnish Hospital Discharge Register
- 2020
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Ingår i: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. - : Oxford University Press (OUP). - 1532-2092. ; 22:8, s. 1173-1181
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Tidskriftsartikel (refereegranskat)abstract
- AIMS: Identifying subjects at high and low risk of atrial fibrillation (AF) is of interest. This study aims to assess the risk of AF associated with electrocardiographic (ECG) markers linked to atrial fibrosis: P-wave prolongation, 3rd-degree interatrial block, P-terminal force in lead V1, and orthogonal P-wave morphology. METHODS AND RESULTS: P-wave parameters were assessed in a representative Finnish population sample aged ≥30 years (n = 7217, 46.0% male, mean age 51.4 years). Subjects (n = 5489) with a readable ECG including the orthogonal leads, sinus rhythm, and a predefined orthogonal P-wave morphology type [positive in leads X and Y and either negative (Type 1) or ± biphasic (Type 2) in lead Z; Type 3 defined as positive in lead X and ± biphasic in lead Y], were followed 10 years from the baseline examinations (performed 1978-80). Subjects discharged with AF diagnosis after any-cause hospitalization (n = 124) were defined as having developed AF. Third-degree interatrial block was defined as P-wave ≥120 ms and the presence of ≥2 ± biphasic P waves in the inferior leads. Hazard ratios (HRs) and confidence intervals (CIs) were assessed with Cox models. Third-degree interatrial block (n = 103, HR 3.18, 95% CI 1.66-6.13; P = 0.001) and Type 3 morphology (n = 216, HR 3.01, 95% CI 1.66-5.45; P < 0.001) were independently associated with the risk of hospitalization with AF. Subjects with P-wave <110 ms and Type 1 morphology (n = 2074) were at low risk (HR 0.46, 95% CI 0.26-0.83; P = 0.006), compared to the rest of the subjects. CONCLUSION: P-wave parameters associate with the risk of hospitalization with AF.
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| 2. |
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| 3. |
- Lahesmaa, M., et al.
(författare)
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Hyperthyroidism increases brown fat metabolism in humans
- 2014
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Ingår i: Journal of Clinical Endocrinology and Metabolism. - : The Endocrine Society. - 0021-972X .- 1945-7197. ; 99:1
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Tidskriftsartikel (refereegranskat)abstract
- Context: Thyroid hormones are important regulators of brown adipose tissue (BAT) development and function. In rodents, BAT metabolism is up-regulated by thyroid hormones. Objective: The purpose of this article was to investigate the impact of hyperthyroidism on BAT metabolism in humans. Design: This was a follow-up study using positron emission tomography imaging. Main Outcome Measures: Glucose uptake (GU) and perfusion of BAT, white adipose tissue, skeletal muscle, and thyroid gland were measured using [18F]2-fluoro-2-deoxy-D- glucose and [15O]H2Oand positron emission tomography in 10 patients with overt hyperthyroidism and in 8 healthy participants. Five of the hyperthyroid patients were restudied after restoration of euthyroidism. Supraclavicular BAT was quantified with magnetic resonance imaging or computed tomography and energy expenditure (EE) with indirect calorimetry. Results: Compared with healthy participants, hyperthyroid participants had 3-fold higher BAT GU (2.7 ± 2.3 vs 0.9 ± 0.1 ±mol/100 g/min, P = .0013), 90% higher skeletal muscle GU (P < .005), 45% higher EE (P<.005), and a 70% higher lipid oxidation rate (P = .001). These changes were reversible after restoration of euthyroidism. During hyperthyroidism, serum free T4 and free T3 were strongly associated with EE and lipid oxidation rates (P < .001). TSH correlated inversely with BAT and skeletal muscle glucose metabolism (P < .001). Hyperthyroidism had no effect on BAT perfusion, whereas it stimulated skeletal muscle perfusion (P = .04). Thyroid gland GU did not differ between hyperthyroid and euthyroid study subjects. Conclusions: Hyperthyroidism increases GU in BAT independently of BAT perfusion. Hyperthyroid patients are characterized by increased skeletal muscle metabolism and lipid oxidation rates. (J Clin Endocrinol Metab 99: E28-E35, 2014). © Copyright 2014 by The Endocrine Society.
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| 4. |
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| 5. |
- Spets, J.-P, et al.
(författare)
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Direct-Mode Glucose Fuel Cells with Near-Neutral-State Electrolytes : Anode Electrode Studies with Different Catalysts and Electrolytes
- 2009
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Ingår i: The Open Fuels & Energy Science Journal. - : Bentham Open. - 1876-973X. ; 2, s. 82-86
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Tidskriftsartikel (refereegranskat)abstract
- In the present study, a direct-mode glucose fuel cell with a neutral-state and near-neutral-state aqueous electrolytes is studied. The near-neutral state electrolytes are important for two reasons. Firstly, the pH of the electrolytes would be near the pH of liquid in living cells. Secondly, the neutral electrolyte would enable good corrosion resistance of catalyst materials. Three different catalyst materials, i.e. Pt-Pd, Raney-Ni and Ni-porphyrin complex, are tested in an anode half-cell configuration with one neutral-state (battery water) and with two near-neutral-state aqueous electrolytes, i.e. modified Krebs-Ringer (K-R) and phosphate, both buffered to a pH value of 7.4. Pt-Pd catalyst in the aqueous K-R electrolyte maintains the negative voltage of the anode half cell with higher current densities that the nickel catalysts do. To estimate the operation of the direct-mode glucose fuel cell, the K-R electrolyte from the anode half-cell tests is tested also in the cathode half-cell with combined catalyst of cobalt porphyrin complex and of spinel. The open circuit voltages and polarisation curves are measured. Also, preliminary results and oxidation degrees of glucose in the tests are shown. Based on our half cell measurements, there are high development demands for the electro-catalysts, which could work efficiently in the near-neutral-state electrolytes.
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| 6. |
- Birgersson, Erik, et al.
(författare)
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Analysis of a two-phase non-isothermal model for a PEFC
- 2005
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Ingår i: Journal of the Electrochemical Society. - : The Electrochemical Society. - 0013-4651 .- 1945-7111. ; 152:5, s. A1021-A1034
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Tidskriftsartikel (refereegranskat)abstract
- A non-isothermal, two-phase model for a polymer electrolyte fuel cell (PEFC) is presented, analyzed, and solved numerically under three different thermal, and two hydrodynamic, modeling assumptions; the consequences of these are then discussed in terms of thermal and water management and cell performance. The study is motivated by recent experimental results that suggest the presence of previously unreported, and thus unmodeled, thermal contact resistances between the components of PEFCs and the discrepancy in the value for the capillary pressure that is used by different authors when modeling the two-phase flow in PEFCs. For the three different thermal assumptions (assuming effective heat conductivities, isothermal flow, and interfacial and bulk conductivites), liquid saturations of around 10% are obtained at the cathode active layer for 1000 mA cm(-2) and a cell voltage of 0.6 V. When lowering the capillary pressure (hydrodynamic assumption), liquid saturations of almost 30% and locally up to 100% are observed at the active layer of the cathode. At this current density and voltage, temperature differences across the cell of around 9 degrees C are predicted. In addition, the effect of varying clamping pressure within the framework of the model is touched upon. The benefits of the scaling analysis conducted here, to predict correctly, prior to numerical computations, important characteristic cell performance quantities such as current density and temperature drop are also highlighted.
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| 7. |
- Kotilahti, K, et al.
(författare)
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Near-infrared spectroscopic imaging of stimulus-related hemodynamic responses on the neonatal auditory cortices.
- 2005
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Ingår i: Optical tomography and spectroscopy of tissue VI. - : SPIE. - 1996-756X .- 0277-786X. - 9780819456670 ; 5693, s. 388-395
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Konferensbidrag (refereegranskat)abstract
- We have used near-infrared spectroscopy (NIRS) to study hemodynamic auditory evoked responses on 7 full-term neonates. Measurements were done simultaneously above both auditory cortices to study the distribution of speech and music processing between hemispheres using a 16-channel frequency-domain instrument. The stimulation consisted of 5-second samples of music and speech with a 25-second silent interval. In response to stimulation, a significant increase in the concentration of oxygenated hemoglobin ([HbO2]) was detected in 6 out of 7 subjects. The strongest responses in [HbO2] were seen near the measurement location above the ear on both hemispheres. The mean latency of the maximum responses was 9.42±1.51 s. On the left hemisphere (LH), the maximum amplitude of the average [HbO2] response to the music stimuli was 0.76± 0.38 μ M (mean±std.) and to the speech stimuli 1.00± 0.45 μ± μM. On the right hemisphere (RH), the maximum amplitude of the average [HbO2] response was 1.29± 0.85 μM to the music stimuli and 1.23± 0.93 μM to the speech stimuli. The results indicate that auditory information is processed on both auditory cortices, but LH is more concentrated to process speech than music information. No significant differences in the locations and the latencies of the maximum responses relative to the stimulus type were found.
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| 8. |
- Nissila, I, et al.
(författare)
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Auditory hemodynamic studies of newborn infants using near-infrared spectroscopic imaging
- 2004
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Ingår i: IEEE Engineering in Medicine and Biology Society. Conference Proceedings. - 1557-170X. ; 2, s. 1244-1274
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Tidskriftsartikel (refereegranskat)abstract
- The noninvasive study of tissue blood volume and oxygenation using near-infrared light is a new and actively developing technology. We have used near-infrared spectroscopic imaging (NIRSI) to study hemodynamic responses on the auditory cortices evoked by auditory stimulation. Ten healthy newborn infants were studied. The otoacoustic emission hearing test was performed for each infant. Pulse oximetry was used to monitor the heart rate during the measurement, video recording was used to monitor motion artifacts, and the eye movements were noted in order to determine sleep stage. A 16-channel frequency-domain optical imaging system developed in our laboratory was used for NIRSI measurements. The stimuli were presented in trains of seven 1 kHz beeps with 700-ms inter-stimulus intervals. The stimulus trains were separated by 25-s silent periods in order to allow for the hemodynamic delay. In 3/8 cases, we obtained a clear bilateral increase in [HbO/sub 2/], and in two additional cases, a clear response on one hemisphere. The mean change in [HbO/sub 2/] was +0.9+/-0.9muM and the mean change in [Hb] was -0.3+/-0.4muM for those channels producing the largest response for each subject. No statistically significant response was found in 3/8 cases.
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| 9. |
- Noponen, M., et al.
(författare)
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Current distribution measurements in a PEFC with net flow geometry
- 2004
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Ingår i: Journal of Applied Electrochemistry. - 0021-891X .- 1572-8838. ; 34:3, s. 255-262
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Tidskriftsartikel (refereegranskat)abstract
- A measurement system for current distribution mapping for a PEFC has been developed. The segmented anode is constructed so as to have high thermal conductivity in order to prevent the formation of large temperature gradients between the electrodes. The construction is therefore feasible for use at high current densities. Both segmented and unsegmented gas diffusion layers are used. The effect of inlet humidification and gas composition at the cathode side is studied. In addition, two different flow geometries are studied. The results show that the measurement system is able to distinguish between current distribution originating from differences in proton conductivity, species concentration and gas diffusion layer properties.
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| 10. |
- Pakarinen, S, et al.
(författare)
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Home-Applied Dual-Light Photodynamic Therapy in the Treatment of Stable Chronic Periodontitis (HOPE-CP)-Three-Month Interim Results
- 2022
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Ingår i: Dentistry journal. - : MDPI AG. - 2304-6767. ; 10:11
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Tidskriftsartikel (refereegranskat)abstract
- A single-site, randomized clinical trial was designed to determine the efficacy of regular home use of Lumoral® dual-light antibacterial aPDT in periodontitis patients. For the study, 200 patients were randomized to receive non-surgical periodontal treatment (NSPT), including standardized hygiene instructions and electric toothbrush, scaling and root planing, or NSPT with adjunctive Lumoral® treatment. A complete clinical intraoral examination was conducted in the beginning, at three months, and at six months. This report presents the three-month results of the first 59 consecutive randomized subjects. At three months, bleeding on probing (BOP) was lower in the NSPT + Lumoral®-group than in the NSPT group (p = 0.045), and more patients in the NSPT + Lumoral®-group had their BOP below 10% (54% vs. 22%, respectively, p = 0.008). In addition, patients in the NSPT + Lumoral®-group improved their oral hygiene by visible-plaque-index (p = 0.0003), while the NSPT group showed no statistical improvement compared to the baseline. Both groups significantly reduced the number of deep periodontal pockets, but more patients with a reduction in their deep pocket number were found in the NSPT + Lumoral® group (92% vs. 63%, p = 0.02). Patients whose number of deep pockets was reduced by 50% or more were also more frequent in the NSPT + Lumoral®-group (71% vs. 33%, p = 0.01). Patients with initially less than ten deep pockets had fewer deep pockets at the three-month follow-up in the Lumoral® group (p = 0.01). In conclusion, adjunctive use of Lumoral® in NSPT results in improved treatment outcomes at three months post-therapy.
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