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- Damm, S., et al.
(författare)
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Wall motion abnormalities in male elite orienteers are aggravated by exercise
- 1999
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Ingår i: Clinical Physiology. - : Wiley. - 0144-5979 .- 1365-2281. ; 19:2, s. 121-126
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Tidskriftsartikel (refereegranskat)abstract
- During the period 1979-92, 16 (15 men and one woman) sudden unexpected cardiac deaths occurred among young Swedish orienteers. This finding indicated a sharp increase in the death rate of orienteers, and necropsy demonstrated that myocarditis was a common histopathological finding. Therefore, an extensive non-invasive cardiac investigation was performed. A total of 59 male élite orienteers (mean age 23 years) and 36 cross-country skiers and middle-distance runners (mean age 22 years), serving as controls, were examined by both echocardiography at rest and radionuclide ventriculography at rest and during exercise. Wall motion abnormalities were found in eight orienteers using echocardiography. The purpose of this study was to examine whether the group of orienteers with wall motion abnormalities found using echocardiography had a smaller increase in ejection fraction from rest to exercise using radionuclide ventriculography than the rest of the orienteers and the controls, indicating an aggravation of the wall motion abnormalities during exercise. There were no significant differences in the ejection fraction at rest between the groups. In the orienteers with wall motion abnormalities (group 1), 62% (five out of eight) had less than a 0.05 unit increase in left ventricular ejection fraction compared with 27% (14 out of 51) of the remaining orienteers (group 2) and 19% (7 out of 36) of the controls (group 3). A comparison of athletes in group 1 with those in groups 2 and 3 combined revealed a statistically significant difference (P < 0.05). The divergent response in left ventricular ejection fraction during exercise suggests an aggravation of the wall motion abnormalities with exercise. Both the echocardiographic and the radionuclide ventriculographic findings indicate that the orienteers in group 1 had concealed left ventricular damage.
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| 8. |
- Hogevik, Harriet, et al.
(författare)
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Virulence factors of Staphylococcus aureus strains causing infective endocarditis--a comparison with strains from skin infections.
- 1998
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Ingår i: APMIS : acta pathologica, microbiologica, et immunologica Scandinavica. - : Wiley. - 0903-4641 .- 0903-465X .- 1600-5503 .- 1600-0463. ; 106:9, s. 901-8
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Tidskriftsartikel (refereegranskat)abstract
- The objective was to study potential bacterial virulence factors in S. aureus endocarditis. S. aureus strains isolated from patients with well-classified episodes of infective endocarditis (IE) (n=26) were compared with control S. aureus strains from consecutive patients with skin infections (n=30). The potential virulence factors studied were Staphylococcal enterotoxin A-D (SEA, SEB, SEC, SED) and toxic shock syndrome toxin-1 (TSST-1) production and binding capacity to the extracellular matrix proteins: fibronectin, collagen type I, collagen type II and bone sialoprotein (BSP). None of the potential virulence factors studied was more prevalent among the IE strains. BSP binding was more often found in the control group with skin infections. Endocarditis patients with previous damage of the heart valves were more often infected by strains not producing any enterotoxin. No correlation was found between the potential bacterial virulence factors studied and IE. Concerning the toxins known to act as superantigens (SEA-E and TSST-1), the tendencies in this and other studies indicate that a larger study group might identify them as pathogenic factors in a subgroup of staphylococcal endocarditis.
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| 9. |
- Lindgren, Arne, et al.
(författare)
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Plasma homocysteine in the acute and convalescent phases after stroke
- 1995
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Ingår i: Stroke: a journal of cerebral circulation. - 1524-4628. ; 26:5, s. 795-800
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND PURPOSE: Stroke patients frequently manifest moderate hyperhomocysteinemia. In most published studies, plasma homocysteine was measured at least 1 month after stroke (or the interval was not reported). To determine whether plasma homocysteine concentrations change in the acute phase, we compared acute-phase values with both convalescent-phase and control values. METHODS: Plasma homocysteine concentrations were measured in the acute phase (mean, 2 days after stroke onset) in 162 first-ever stroke patients aged 50 years or more (median, 75 years) and again at a median interval of 583 days (range, 460 to 645 days) after stroke onset in a subgroup of 17 patients, with values for 60 age-matched subjects serving as controls. Twenty of the control subjects were reexamined 2 to 3 years after their initial examination. RESULTS: The median plasma homocysteine concentration was 13.4 mumol/L in the patient group compared with 13.8 mumol/L for control subjects (NS, Mann-Whitney U test) and increased from 11.4 mumol/L in the acute phase to 14.5 mumol/L in the convalescent phase in the subgroup of patients examined twice (P < .01, Wilcoxon signed rank test). In the 20 reexamined control subjects, no significant change over time in plasma homocysteine concentration was found. CONCLUSIONS: The post-acute-phase increase in plasma homocysteine may explain why higher values were obtained for stroke patients than for control subjects in previous studies. Possible reasons for the variation in plasma homocysteine concentrations over time are (1) an acute-phase reduction secondary to a decrease in plasma albumin and (2) an increase in plasma homocysteine during the convalescent phase due to modified vitamin intake and/or lifestyle. The timing of plasma homocysteine measurements relative to stroke onset is a factor to be considered in the interpretation of results.
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| 10. |
- Marklund, Göran, et al.
(författare)
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Observations of the electric field fine structure associated with the westward traveling surge and large-scale auroral spirals
- 1998
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Ingår i: Journal of Geophysical Research. - 0148-0227 .- 2156-2202. ; 103:A3, s. 4125-4144
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Tidskriftsartikel (refereegranskat)abstract
- The characteristics of the fine scale electric field associated with the westward traveling surge and large-scale auroral spirals and surges are investigated using high-resolution electric field, magnetic field, particle and UV imager observations from four eveningside auroral oval crossings by the Freja satellite. Three of the crossings were associated with signatures of auroral substorms and one crossing went directly through the head of a surge close in time and space to substorm onset. Three passes were adjacent to auroral spiral formations, one poleward of and one equatorward of such forms and one through the multiple arc region near the front of an extended region of auroral activity. The ambient electric field was found to intensify in the direction toward the spiral head (or the center of the auroral activity region) over a region comparable to the size of the visible auroral forms. These results confirm previous findings that the spiral or surge head is associated with negative space charge and an intense upward field-aligned current. The fourth pass, directly through the surge head reveals a very complicated structure of the surge region. Narrowly structured, intense (up to 700 mV/m) and mostly converging electric fields associated with intense electron precipitation (of both high and medium energies) and balanced field-aligned currents (up to 30 μA/m2) are seen near the edge of the surge head and adjacent to auroral structures in the wake. These narrow regions are embedded within more extended regions of intense high-energy electron precipitation but very weak electric fields and field-aligned currents. According to some existing models of the surge, a pronounced westward electric field component and a southward polarisation electric field is expected within the entire high-conductivity region but evidence in support of this was not found in the data. Rather, these suggest that a significant part of the upward surge current is closed by distributed downward field-aligned currents from the near surroundings. The Freja electric field is typically seen to intensify at the edges of or in-between bright auroral structures and to decrease within the arcs similar to what is observed in the ionosphere. The surge electric field is, however, much more intense than previously observed or anticipated at these altitudes with characteristics rather similar to those observed in the auroral acceleration region. Since the particle data indicate that most of the acceleration takes place above Freja altitudes, it seems as if Freja traversed the lower part of the auroral acceleration region associated with the surge.
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