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- Bollerslev, J., et al.
(author)
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Medical observation, compared with parathyroidectomy, for asymptomatic primary hyperparathyroidism: a prospective, randomized trial
- 2007
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In: The Journal of clinical endocrinology and metabolism. - : The Endocrine Society. - 0021-972X .- 1945-7197. ; 92:5, s. 1687-92
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Journal article (peer-reviewed)abstract
- CONTEXT: The clinical presentation of primary hyperparathyroidism (pHPT) has changed during the last half century, and the diagnosis is now more often made by chance in patients with no specific symptoms. OBJECTIVE: The present study is a randomized, controlled trial that investigates the effects of parathyroidectomy or medical observation in mild asymptomatic pHPT on morbidity and quality of life (QoL). DESIGN/SETTING/PATIENTS: A total of 191 patients (26 men) with asymptomatic pHPT [mean age 64.2 +/- 7.4 (sd) yr] were recruited in the study and randomized to medical observation (serum calcium level 2.69 +/- 0.08 mmol/liter) or surgery (2.70 +/- 0.08 mmol/liter). We here report baseline and 1 (n = 119) and 2 yr data (n = 99) on those who had completed the follow-up visits by the end of the inclusion period. RESULTS: At baseline, the patients had significantly lower QoL (SF-36) and more psychological symptoms, compared with age- and sex-matched healthy subjects. The two groups were similar at baseline, and no clinically significant changes in these parameters were seen during the observation time. Calcium and PTH normalized after surgery. The areal bone mineral density increased in the group randomized to operation, whereas the bone mineral density remained stable in the medical observation group. No change in kidney function (creatinine) or blood pressure was observed longitudinally or between the groups. CONCLUSIONS: Asymptomatic patients with mild pHPT have decreased QoL and more psychological symptoms than normal controls. No benefit of operative treatment, compared with medical observation, was found on these measures so far.
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- Mårtensson, Ulrika, et al.
(author)
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Deletion of the G protein-coupled receptor 30 impairs glucose tolerance, reduces bone growth, increases blood pressure, and eliminates estradiol-stimulated insulin release in female mice.
- 2009
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In: Endocrinology. - : The Endocrine Society. - 1945-7170 .- 0013-7227. ; 150:2, s. 687-98
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Journal article (peer-reviewed)abstract
- In vitro studies suggest that the G protein-coupled receptor (GPR) 30 is a functional estrogen receptor. However, the physiological role of GPR30 in vivo is unknown, and it remains to be determined whether GPR30 is an estrogen receptor also in vivo. To this end, we studied the effects of disrupting the GPR30 gene in female and male mice. Female GPR30((-/-)) mice had hyperglycemia and impaired glucose tolerance, reduced body growth, increased blood pressure, and reduced serum IGF-I levels. The reduced growth correlated with a proportional decrease in skeletal development. The elevated blood pressure was associated with an increased vascular resistance manifested as an increased media to lumen ratio of the resistance arteries. The hyperglycemia and impaired glucose tolerance in vivo were associated with decreased insulin expression and release in vivo and in vitro in isolated pancreatic islets. GPR30 is expressed in islets, and GPR30 deletion abolished estradiol-stimulated insulin release both in vivo in ovariectomized adult mice and in vitro in isolated islets. Our findings show that GPR30 is important for several metabolic functions in female mice, including estradiol-stimulated insulin release.
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- Rosen, P., et al.
(author)
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Effects of climate on organic carbon and the ratio of planktonic to benthic primary producers in a subarctic lake during the past 45 years
- 2009
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In: Limnology and Oceanography. - 0024-3590 .- 1939-5590. ; 54:5, s. 1723-1732
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Journal article (peer-reviewed)abstract
- The effects of climatic variables on lake-water total organic carbon (TOC) concentrations and benthic and pelagic primary producers during the past 45 yr were assessed using the sediment records of two subarctic lakes, one with mires and one without mires connected to the lake. The lake with a mire showed large and synchronous changes in the planktonic to benthic (P : B) ratio of diatoms and concentrations of TOC inferred from near-infrared spectroscopy. During periods of warm temperatures, high precipitation, and long ice-free conditions, we inferred high TOC in the lake, and the diatom community was dominated by planktonic species. The stable carbon isotopic (delta C-13) values of sediment organic matter were negatively correlated with inferred TOC concentration and P : B ratio. We suggest that the changes in TOC and P : B ratio were a result of changing climate, permafrost degradation, and related changes in the catchment. Terrestrial organic matter, by its strong effect on the penetration of light through the lake water, possibly affected the habitats available for benthic photosynthesis and thus the delta C-13 of the sediment organic matter. The large changes in recent times may also be because of unusually long ice-free periods, warmer temperatures, and other associated limnological changes. The lake with no mire next to the lake showed only minor changes in lake-water TOC during the same period and P : B ratio remained almost constant until the past 5 yr, when the P : B ratio increased rapidly. The observed changes in P : B ratio within this lake may be because of complex interactions of several climate-related variables
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