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- Ambrosi, Aurelie, et al.
(författare)
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Development of heart block in children of SSA/SSB-autoantibody-positive women is associated with maternal age and displays a season-of-birth pattern
- 2012
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Ingår i: Annals of the Rheumatic Diseases. - London : BMJ Publishing Group. - 0003-4967 .- 1468-2060. ; 71:3, s. 334-340
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Tidskriftsartikel (refereegranskat)abstract
- Objective Congenital heart block may develop in the fetuses of Ro/SSA-positive and La/SSB-positive mothers. Recurrence rates of only 10-20% despite persisting maternal antibodies indicate that additional factors are critical for the establishment of heart block. The authors investigated the influence of other maternal and fetal factors on heart block development in a Swedish population-based cohort. less thanbrgreater than less thanbrgreater thanMethods The influence of fetal gender, maternal age, parity and time of birth on heart block development was analysed in 145 families, including Ro/La-positive (n=190) and Ro/La-negative (n=165) pregnancies. less thanbrgreater than less thanbrgreater thanResults There was a recurrence rate of 12.1% in Ro/La-positive women, and no recurrence in Ro/La-negative women. Fetal gender and parity did not influence the development of heart block in either group. Maternal age in Ro/La-positive pregnancies with a child affected by heart block was, however, significantly higher than in pregnancies resulting in babies without heart block (pandlt;0.05). Seasonal timing of pregnancy influenced the outcome. Gestational susceptibility weeks 18-24 occurring during January-March correlated with a higher proportion of children with heart block and lower vitamin D levels during the same period in a representative sample of Swedish women and a corresponding higher proportion of children with heart block born in the summer (pandlt;0.02). Maternal age or seasonal timing of pregnancy did not affect the outcome in Ro/La-negative pregnancies. less thanbrgreater than less thanbrgreater thanConclusion This study identifies maternal age and seasonal timing of pregnancy as novel risk factors for heart block development in children of Ro/La-positive women. These observations may be useful for counselling when pregnancy is considered.
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- Hermansson, Sven, et al.
(författare)
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Testbädd Mellanskalig Biorbränsleförbränning - en förstudie
- 2014
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Conversion of biomass to heat and power plays an important role in the transition of the Swedish energy system from fossil based to renewables. For manufacturers and users of medium scale combustion plants (0.5 – approx. 15 MWth), a spectrum of challenges are accounted with both today’s and future flexible use of modern biomass fuels. Such challenges are e.g. fuel handling and processing together with combustion instabilities caused by new fuels with resulting ware-and-tear and elevated emission levels. However, the possibilities to test and try out new innovations is very limited, which is why a Test Bed has the potential to significantly contribute to the innovation growth within the sector. The purpose of this feasibility study therefore to investigate the prerequisites for the establishment of a Test Bed for Medium Scale Biomass Combustion. The fundament of the feasibility study is a survey of the existing infrastructure for testing and innovation development of medium scale biomass combustion, which could be further developed and interconnected. Furthermore, a broad inquiry has been performed among market actors, focusing on the present and future need together with existing conditions for taking part in the development of a test bed. These first two steps has then been synthesized into recommendations on how a test bed should be developed and exploited by relevant actors. The major conclusions and recommendations of the feasibility study are: A cost efficient and innovative Test Bed system for medium scale biomass combustion could be developed by enhanced cooperation between passive test-bed like plants and systems, industrial testing plants and research activities, Development of a test bed system is hindered by the fact that there is no clear receiver of such system on the market. Stake holder cooperation is today weak, which makes common investments and financing impossible There is no economic support for the erection of new, dedicated test bed facilities for medium scale biomass combustion, Pre-treatment of biomass raw material with the purpose of enhancing fuel quality simultaneously refining products from the biomass has been found to show good potential for further development of test beds. This study therefore recommends that such investigation should be taken under consideration.
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