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| 8. |
- Hariz, Marwan I, et al.
(författare)
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Multicentre European study of thalamic stimulation for parkinsonian tremor : a 6 year follow-up
- 2008
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Ingår i: Journal of neurology, neurosurgery and psychiatry. - : BMJ Group. - 1468-330X .- 0022-3050. ; 79:6, s. 694-699
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To evaluate the results of ventral intermediate (Vim) thalamic deep brain stimulation (DBS) in patients with tremor predominant Parkinson's disease (PD) at 6 years post surgery.METHODS: This was a prolonged follow-up study of 38 patients from eight centres who participated in a multicentre study, the 1 year results of which have been published previously. Total scores as well as scores for individual items of the motor part and the disability part of the Unified Parkinson's Disease Rating Scale were used for evaluation.RESULTS: Tremor was still effectively controlled by DBS and appendicular rigidity and akinesia remained stable compared with baseline. Axial scores (speech, gait and postural instability), however, worsened, and in parallel the initial improvement in activities of daily living scores at the 1 year follow-up had disappeared at 6 years, despite sustained improvement of tremor. Remarkably, neither daily doses of dopaminergic medication nor fluctuations and dyskinesias had changed at 6 years compared with baseline in this particular patient group.CONCLUSION: This study confirms that patients with tremor dominant PD who do not present with fluctuations and dyskinesias may have a relatively benign progression of the disease. Vim DBS, although having no effect on akinesia and rigidity, is a relatively lenient surgical procedure and may still have a place for long term symptomatic control of PD tremor in selected patients.
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| 9. |
- Kirchner, Nina, et al.
(författare)
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Shallow ice approximation, second order shallow ice approximation, and full Stokes models : A discussion of their roles in palaeo-ice sheet modelling and development
- 2016
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Ingår i: Quaternary Science Reviews. - : Elsevier BV. - 0277-3791 .- 1873-457X. ; 147, s. 136-147
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Tidskriftsartikel (refereegranskat)abstract
- Full Stokes ice sheet models provide the most accurate description of ice sheet flow, and can therefore be used to reduce existing uncertainties in predicting the contribution of ice sheets to future sea level rise on centennial time-scales. The level of accuracy at which millennial time-scale palaeo-ice sheet simulations resolve ice sheet flow lags the standards set by Full Stokes models, especially, when Shallow Ice Approximation (SIA) models are used. Most models used in paleo-ice sheet modeling were developed at a time when computer power was very limited, and rely on several assumptions. At the time there was no means of verifying the assumptions by other than mathematical arguments. However, with the computer power and refined Full Stokes models available today, it is possible to test these assumptions numerically. In this paper, we review (Ahlkrona et al., 2013a) where such tests were performed and inaccuracies in commonly used arguments were found. We also summarize (Ahlkrona et al., 2013b) where the implications of the inaccurate assumptions are analyzed for two paleo-models - the SIA and the SOSIA. We review these works without resorting to mathematical detail, in order to make them accessible to a wider audience with a general interest in palaeo-ice sheet modelling. Specifically, we discuss two implications of relevance for palaeo-ice sheet modelling. First, classical SIA models are less accurate than assumed in their original derivation. Secondly, and contrary to previous recommendations, the SOSIA model is ruled out as a practicable tool for palaeo-ice sheet simulations. We conclude with an outlook concerning the new Ice Sheet Coupled Approximation Level (ISCAL) method presented in Ahlkrona et al. (2016), that has the potential to match the accuracy standards of full Stokes model on palaeo-timescales of tens of thousands of years, and to become an alternative to hybrid models currently used in palaeo-ice sheet modelling. The method is applied to an ice sheet covering Svalbard.
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| 10. |
- Kirchner, Nina, et al.
(författare)
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Shallow ice approximation, second order shallow ice approximation, and full Stokes models : A discussion of their roles in palaeo-ice sheet modelling and development
- 2016
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Ingår i: Quaternary Science Reviews. - : Elsevier BV. - 0277-3791 .- 1873-457X. ; 135, s. 103-114
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Forskningsöversikt (refereegranskat)abstract
- Full Stokes ice sheet models provide the most accurate description of ice sheet flow, and can therefore be used to reduce existing uncertainties in predicting the contribution of ice sheets to future sea level rise on centennial time-scales. The level of accuracy at which millennial time-scale palaeo-ice sheet simulations resolve ice sheet flow lags the standards set by Full Stokes models, especially, when Shallow Ice Approximation (SIA) models are used. Most models used in paleo-ice sheet modeling were developed at a time when computer power was very limited, and rely on several assumptions. At the time there was no means of verifying the assumptions by other than mathematical arguments. However, with the computer power and refined Full Stokes models available today, it is possible to test these assumptions numerically. In this paper, we review (Ahlkrona et al., 2013a) where such tests were performed and inaccuracies in commonly used arguments were found. We also summarize (Ahlkrona et al., 2013b) where the implications of the inaccurate assumptions are analyzed for two paleo-models - the SIA and the SOSIA. We review these works without resorting to mathematical detail, in order to make them accessible to a wider audience with a general interest in palaeo-ice sheet modelling. Specifically, we discuss two implications of relevance for palaeo-ice sheet modelling. First, classical SIA models are less accurate than assumed in their original derivation. Secondly, and contrary to previous recommendations, the SOSIA model is ruled out as a practicable tool for palaeo-ice sheet simulations. We conclude with an outlook concerning the new Ice Sheet Coupled Approximation Level (ISCAL) method presented in Ahlkrona et al. (2016), that has the potential to match the accuracy standards of full Stokes model on palaeo-timescales of tens of thousands of years, and to become an alternative to hybrid models currently used in palaeo-ice sheet modelling. The method is applied to an ice sheet covering Svalbard.
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| 12. |
- Malm, Kerstin, 1960-, et al.
(författare)
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Performance of three automated fourth-generation combined HIV antigen/antibody assays in large-scale screening of blood donors and clinical samples
- 2009
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Ingår i: Transfusion Medicine. - : Wiley. - 0958-7578 .- 1365-3148. ; 19:2, s. 78-88
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Tidskriftsartikel (refereegranskat)abstract
- Since the introduction in the mid-1980s, HIV testing has gradually improved both in terms of sensitivity and specificity. The so-called fourth generation of tests, combined HIV antigen/antibody assays, has now been introduced. This study compares three automated combined assays with older third-generation antibody assays in large-scale screening. Serum samples from routine screening of blood and plasma donors and clinical samples were investigated for specificity evaluation. Three fourth-generation combination assays from one manufacturer were compared with three older third-generation antibody assays from the same manufacturer. More than 40 000 samples per assay were included. For sensitivity, selected panels of confirmed HIV-1- and HIV-2-positive samples as well as seroconversion samples (HIV-1) from commercial panels and also from patients who appeared during the evaluation were used. The specificities of the fourth-generation tests were 99.91% (AxSYM), 99.95% (ARCHITECT) and 99.97% (PRISM) after repeated testing. Some specificity variation between reagent batches was observed. All HIV-1-positive samples were reactive by the three fourth-generation systems. HIV-1 seroconversion samples and panels were reactive earlier than by antibody-only tests. As for HIV-2 samples, AxSYM failed to detect one (n = 40), whereas PRISM and ARCHITECT detected all (n = 16 for PRISM and n = 52 for ARCHITECT). The new HIV antigen/antibody combination assay systems were found to have high sensitivity and specificity. The instruments provided a rational and easy way of testing at large scale.
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| 13. |
- Najafinobar, Neda, 1985, et al.
(författare)
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ToF-SIMS mediated analysis of human lung tissue reveals increased iron deposition in COPD (GOLD IV) patients
- 2019
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Ingår i: Scientific Reports. - : Springer Science and Business Media LLC. - 2045-2322 .- 2045-2322. ; 9:1
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Tidskriftsartikel (refereegranskat)abstract
- Chronic obstructive pulmonary disease (COPD) is a debilitating lung disease that is currently the third leading cause of death worldwide. Recent reports have indicated that dysfunctional iron handling in the lungs of COPD patients may be one contributing factor. However, a number of these studies have been limited to the qualitative assessment of iron levels through histochemical staining or to the expression levels of iron-carrier proteins in cells or bronchoalveolar lavage fluid. In this study, we have used time of flight secondary ion mass spectrometry (ToF-SIMS) to visualize and relatively quantify iron accumulation in lung tissue sections of healthy donors versus severe COPD patients. An IONTOF 5 instrument was used to perform the analysis, and further multivariate analysis was used to analyze the data. An orthogonal partial least squares discriminant analysis (OPLS-DA) score plot revealed good separation between the two groups. This separation was primarily attributed to differences in iron content, as well as differences in other chemical signals possibly associated with lipid species. Further, relative quantitative analysis revealed twelve times higher iron levels in lung tissue sections of COPD patients when compared to healthy donors. In addition, iron accumulation observed within the cells was heterogeneously distributed, indicating cellular compartmentalization.
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| 16. |
- Shev, S, et al.
(författare)
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Second-generation hepatitis C Elisa antibody tests confirmed by the four-antigen recombinant immunoblot assay correlate well with hepatitis C viremia and chronic liver disease in Swedish blood donors
- 1993
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Ingår i: Vox Sanguinis. - 1423-0410. ; 65:1, s. 32-37
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Tidskriftsartikel (refereegranskat)abstract
- Seventy-three Swedish blood donors (52 men, 21 women; median age 36 years) repeatedly reactive for hepatitis C antibodies (anti-HCV C-100-3) were tested with a second-generation (2nd-gen) anti-HCV Elisa and a 4-band recombinant immunoblot assay (RIBA 2). These results were correlated to serum alanine aminotransferase (S-ALAT), liver morphology and viremia as detected by 'nested' polymerase chain reaction (PCR) based on primers from a 5'-noncoding sequence of the HCV genome. Thirty-five of 46 (76%) donors with positive 2nd-gen Elisa tests confirmed by RIBA 2 were PCR positive whereof 27 had histological findings compatible with chronic persistent hepatitis (CPH) and 7 had chronic active hepatitis (CAH). Ten of 56 (18%) 2nd-gen Elisa-positive donors were RIBA 2 negative (or indeterminate) and none of these had chronic hepatitis nor were PCR positive. Seventeen of 73 (23%) donors were 1st-gen Elisa positive but 2nd-gen Elisa negative. All of these were PCR negative and only 1 (6%) had chronic hepatitis (CPH). An elevated S-ALAT level (reference < 0.7 mu kat/l) was found in 26 2nd-gen Elisa and RIBA 2-positive donors of which 18 had CPH and 7 had CAH and all 25 were PCR positive. A normal S-ALAT level was found in 9 of 34 (26%) donors with chronic hepatitis (all had CPH) and positive PCR. We have found that blood donors with positive 2nd-gen anti-HCV Elisa tests confirmed by RIBA-2 and especially with a concomitant elevated S-ALAT are highly likely to be viremic as demonstrated by PCR and to have chronic hepatitis.
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| 17. |
- Stenkvist, J, et al.
(författare)
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Hepatitis B seroprevalence in persons attending youth clinics in Stockholm, Sweden in 2008
- 2012
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Ingår i: International journal of STD & AIDS. - : SAGE Publications. - 1758-1052 .- 0956-4624. ; 23:11, s. 767-771
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Tidskriftsartikel (refereegranskat)abstract
- Sweden is a low endemicity country for hepatitis B virus (HBV). The previously reported prevalence of chronic HBV is <1% and of overall markers <5%. HBV is not included in the universal childhood vaccination programme. Instead, selected high-risk groups are targeted. Our aim was to examine the HBV seroprevalence in youth clinic clients in Stockholm and identify if this population might be a new target group for vaccination. In total, 515 clients aged 18–22 years were recruited. They completed a risk-assessment questionnaire and 464 (90%) had a serum specimen tested for HBV serology. Chronic HBV was found in 0.6% and 0.9% had previously been infected with HBV. A seroprevalence of 1.8% HBV markers was found among non-vaccinated persons. This is lower than reported from other countries and not different from the general population in Sweden. However, in persons originating from HBV endemic countries ( n = 123), the prevalence was higher, 6.5%. Only 14% were vaccinated and the majority hence susceptible to HBV. The target groups are not reached by the present vaccination strategy. Youth clinics are ideal settings for catch-up vaccination.
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| 18. |
- Stenqvist, Karin, 1947, et al.
(författare)
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Influenza work on the regional level in Sweden: An integrated program for vaccination of risk groups, surveillance and pandemic planning which focuses on the role of the health care worker
- 2006
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Ingår i: Vaccine. - : Elsevier BV. - 0264-410X. ; 24:44-46, s. 6712-6716
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to increase the vaccination rates of influenza among the risk groups in Region Västra Götaland, Sweden. The main interventions performed were education of doctors and nurses, information on the Internet and advice on administrative routines and organisation for the task. There was no campaign towards the risk group and no reimbursement. The vaccination rate increased from 33.6 to 54.6% in the Göteborg area between 1999 and 2004 and from 44.1 to 51.9% in the whole region. Vaccination rates increased with age and chronic disease in the elderly population, among person's 20-64 years of age with chronic disease only 23.8-34.0% were vaccinated. In order to increase the vaccination coverage in persons with chronic disease the program intensified the education of hospital staff. It was then evident that the awareness and knowledge about influenza and vaccination was limited among hospital doctors. The study demonstrates the key role of health care workers in a vaccination program and points at the importance of preparing the personnel for a pandemic situation. Co-ordination of the vaccination program with the surveillance and pandemic planning are effective means of strengthening the preventive work against influenza. © 2006 Elsevier Ltd. All rights reserved.
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| 19. |
- Von, Sydow L.M., et al.
(författare)
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Chloro- and bromoacetates in natural archives of firn from Antarctica
- 2000
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Ingår i: Environmental Science and Technology. - : American Chemical Society (ACS). - 0013-936X .- 1520-5851. ; 34:2, s. 239-245
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Tidskriftsartikel (refereegranskat)abstract
- A firn core was drilled in Dronning Maud Land, Antarctica, to investigate the presence of haloacetates in snow that had accumulated over the past 200 years. By employing GC-MS detection of methyl esters of haloacetic acids, we were able to measure haloacetate concentrations down to one or a few nanograms per liter. Trichloroacetate (TCA) and dibromoacetate (DBA) were found in firn at concentrations that clearly exceeded the blank level of the applied analytical procedure, with mean concentrations estimated to 12 and 6 ng/L, respectively. There were also indications that mono- and dichloroacetate (MCA and DCA) were present in firn, whereas monobromoacetate (MBA) was found only in samples of surficial snow. We concluded that there is a significant natural background level of TCA and DBA in precipitation based on the following: (i) several of samples represented snow accumulated in the 19th century, (ii) haloacetates can be expected to be immobile in Antarctic firn, (iii) extensive measures were taken to prevent sample contamination, and (iv) blank levels of the analytical procedure used were low and stable. In addition, our results suggested that MCA and DCA also occur naturally in precipitation.
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| 20. |
- Von, Sydow L.M., et al.
(författare)
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Natural background levels of trifluoroacetate in rain and snow
- 2000
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Ingår i: Environmental Science and Technology. - : American Chemical Society (ACS). - 0013-936X .- 1520-5851. ; 34:15, s. 3115-3118
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Tidskriftsartikel (refereegranskat)abstract
- It has been shown that some of the fluorinated ethane derivatives being introduced as CFC-replacements can be transformed to TFA (trifluoroacetate) in the atmosphere. Moreover, TFA is extremely stable in the environment, and this has raised questions regarding how widespread TFA is in the environment. We found that TFA is ubiquitous in precipitation: samples of rain from Ireland and Poland and snow from Canada, Sweden, New Zealand, and East Antarctica contained 1-1100 ng/L, and, studying a firn core drilled in Antarctica, concentrations of 3-56 ng/L were measured in layers formed during the 19th century. We have confirmed the preindustrial presence of significant background concentrations of trifluoroacetate in historic precipitation samples from the analysis of firn. Extensive procedures were enforced to prevent sample contamination.It has been shown that some of the fluorinated ethane derivatives being introduced as CFC-replacements can be transformed to TFA (trifluoroacetate) in the atmosphere. Moreover, TFA is extremely stable in the environment, and this has raised questions regarding how widespread TFA is in the environment. We found that TFA is ubiquitous in precipitation: samples of rain from Ireland and Poland and snow from Canada, Sweden, New Zealand, and East Antarctica contained 1-1100 ng/L, and, studying a firn core drilled in Antarctica, concentrations of 3-56 ng/L were measured in layers formed during the 19th century. We have confirmed the preindustrial presence of significant background concentrations of trifluoroacetate in historic precipitation samples from the analysis of firn. Extensive procedures were enforced to prevent sample contamination.
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| 22. |
- Wagner, Raik, et al.
(författare)
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Deletion of FtsH11 protease has impact on chloroplast structure and function in Arabidopsis thaliana when grown under continuous light
- 2016
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Ingår i: Plant Cell and Environment. - : Wiley. - 0140-7791 .- 1365-3040. ; 39:11, s. 2530-2544
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Tidskriftsartikel (refereegranskat)abstract
- The membrane-integrated metalloprotease FtsH11 of Arabidopsis thaliana is proposed to be dual-targeted to mitochondria and chloroplasts. A bleached phenotype was observed in ftsh11 grown at long days or continuous light, pointing to disturbances in the chloroplast. Within the chloroplast, FtsH11 was found to be located exclusively in the envelope. Two chloroplast-located proteins of unknown function (Tic22-like protein and YGGT-A) showed significantly higher abundance in envelope membranes and intact chloroplasts of ftsh11 and therefore qualify as potential substrates for the FtsH11 protease. No proteomic changes were observed in the mitochondria of 6-week-old ftsh11 compared with wild type, and FtsH11 was not immunodetected in these organelles. The abundance of plastidic proteins, especially of photosynthetic proteins, was altered even during standard growth conditions in total leaves of ftsh11. At continuous light, the amount of photosystem I decreased relative to photosystem II, accompanied by a drastic change of the chloroplast morphology and a drop of non-photochemical quenching. FtsH11 is crucial for chloroplast structure and function during growth in prolonged photoperiod. The membrane-integrated metalloprotease FtsH11 of Arabidopsis thaliana was found to be located exclusively in the chloroplast envelope and to be crucial for chloroplast structure and function during growth in prolonged photoperiod. Two chloroplast-located proteins of unknown function (Tic22-like protein and YGGT-A) showed significantly higher abundance in envelope membranes and intact chloroplasts of ftsH11 and therefore qualify as potential substrates for the FtsH11 protease.
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