| 1. |
- Bjerg, Anders, et al.
(författare)
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Shorter time to clinical decision in work-related asthma using a digital tool
- 2020
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Ingår i: ERJ open research. - Lausanne, Switzerland : European Respiratory Society (ERS). - 2312-0541. ; 6:3
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- PEF curves are a useful but cumbersome tool in diagnosing work-related asthma. Using a digital spirometer and smartphone app, time to clinical decision could be shortened by 6-7 weeks. Physician's time spent analysing PEF data is also shortened.
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| 2. |
- Hedman, Linnea, 1979-, et al.
(författare)
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Early-life risk factors for development of asthma from 8 to 28 years of age : a prospective cohort study
- 2022
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Ingår i: ERJ Open Research. - : European Respiratory Society. - 2312-0541. ; 8:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: The objective was to estimate the incidence rate of asthma from age 8 to 28 years and evaluate early-life risk factors for asthma onset at different ages.Methods: In 1996, within the Obstructive Lung Disease in Northern Sweden (OLIN) studies, a cohort of 3430 schoolchildren (97% of invited) was recruited at age 8 years to a prospective study about asthma. The cohort was followed annually from age 8 to 19 years and at 28 years by questionnaire surveys (67% of the original cohort participated). Asthma was categorised as never-asthma, onset age ⩽8 years, onset age 9–13 years, onset age 14–19 years or onset age >19 years.Results: Of the 3430 individuals in the cohort, 690 (20.1%) reported asthma in any survey. The average incidence rate was 10.0/1000 per year at ⩽8 years, 11.9/1000 per year at 9–13 years, 13.3/1000 per year at 14–19 years and 6.1/1000 per year at >19 years. The incidence was higher among boys until age 10 years, but from age 15 years, it became higher among girls. Family history of asthma, allergic sensitisation and breastfeeding <3 months were associated with asthma onset throughout the study. Low birthweight, maternal smoking during pregnancy, severe respiratory infection, rhinoconjunctivitis and eczema were associated with asthma onset ⩽8 and 9–13 years.Conclusions: The incidence of asthma was high during childhood and the teenage period, and decreased substantially during young adulthood. Early-life factors were associated with asthma onset throughout childhood but had also a lasting effect on asthma incidence until adulthood.
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| 3. |
- Hedman, Linnea, 1979-, et al.
(författare)
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Is asthma in children still increasing? : 20-year prevalence trends in northern Sweden
- 2024
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Ingår i: Pediatric Allergy and Immunology. - : John Wiley & Sons. - 0905-6157 .- 1399-3038. ; 35:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: In the present study, we describe prevalence trends of asthma and investigate the association with asthma symptoms, use of asthma medication, and asthma severity among 8-year-old children in Norrbotten, Sweden in 1996, 2006, and 2017.Methods: Within the Obstructive Lung Disease in Northern Sweden (OLIN) studies, three pediatric cohorts were recruited in 1996, 2006, and 2017 respectively. Identical methods were used; all children in first and second grade (median age 8 years) in three municipalities were invited to a parental questionnaire survey, completed by n = 3430 in 1996 (97% participation), n = 2585 in 2006 (96%), and n = 2785 in 2017 (91%). The questionnaire included questions about respiratory symptoms and diagnosis, treatment, and severity of asthma.Results: The prevalence of wheezing was stable during the study, 10.1% in 1996; 10.8% in 2006; and 10.3% in 2017, p =.621, while physician-diagnosed asthma increased: 5.7%, 7.4%, and 12.2%, p <.001. The use of asthma medication in the last 12 months increased: 7.1%, 8.7%, and 11.5%, p <.001. Among children diagnosed with asthma, the prevalence of asthma symptoms, the impact on daily life, and severe asthma decreased, while the use of inhaled corticosteroids increased from 1996 until 2017.Conclusion: The prevalence of wheezing was stable among 8-year-old in this area from 1996 to 2017, while the prevalence of physician-diagnosed asthma doubled but without an increase in asthma morbidity. The increase of physician-diagnosed asthma without a coincident increase in asthma morbidity can partly be explained by more and earlier diagnosis among those with mild asthma.
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| 4. |
- Rönmark, Eva, et al.
(författare)
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Prevalence and risk factors for allergic sensitization : 3 cross-sectional studies among schoolchildren from 1996 to 2017
- 2023
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Ingår i: Journal of Allergy and Clinical Immunology: Global. - : Elsevier. - 2772-8293. ; 2:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: The prevalence of allergic sensitization and allergic diseases has increased for decades in Northern Europe, but recent studies are lacking.Objective: We sought to study the prevalence trends of allergic sensitization, associated risk factors, and the association with asthma and allergic rhinitis (AR) among children in Northern Sweden.Methods: Three cohorts of children aged 7 to 8 years participated in a skin prick test (SPT) with 10 airborne allergens in 1996, 2006, and 2017, with 2148, 1693, and 1762 participants tested, respectively, representing 87% to 90% of schoolchildren in the catchment communities. Adjusted Poisson regression was used to identify risk factors for allergic sensitization and the association with asthma and AR.Results: The prevalence of any positive SPT response increased from 21% in 1996 to 30% in 2006 and remained at 30% in 2017 (P <.001). Sensitization to cat was the most common for all the years. The risk factor pattern for a positive SPT response was similar in all examinations, with positive and significant associations with a family history of allergy (risk ratio, 1.4-1.5) and negative and significant associations with having a cat at home (risk ratio, 0.7-0.8). The prevalence of physician-diagnosed asthma increased, but the association with allergic sensitization weakened. The opposite trends were found for AR—decreasing prevalence and strengthened association with allergic sensitization.Conclusions: The prevalence of allergic sensitization increased from 1996 to 2006 but plateaued in the next decade, whereas the risk factor pattern remained stable. The diverging trends of associations between allergic sensitization and asthma and AR suggest secular trends in the clinical management of allergic diseases.
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| 5. |
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| 6. |
- Thalund-Hansen, Rasmus, et al.
(författare)
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Assessing Contaminant Mass Discharge Uncertainty With Application of Hydraulic Conductivities Derived From Geoelectrical Cross-Borehole Induced Polarization and Other Methods
- 2023
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Ingår i: Water Resources Research. - 0043-1397. ; 59:8
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Tidskriftsartikel (refereegranskat)abstract
- A new methodology was developed to support contaminant mass discharge (CMD)-based risk assessment of groundwater contamination downgradient of point source zones. Geoelectrical cross-borehole induced polarization (IP) data were collected at a site undergoing in situ remediation of chlorinated solvents for determining 2D hydraulic conductivity (K) distributions with an inversion model resolution of 0.15 m (vertically) x 0.50 m (horizontally) in three control planes from 10 to 20 m depth. Additionally, 18 slug tests and 31 grain size distribution analyses (GSA) from the control planes, were used for K-estimation. The geometric means and variance of the IP, slug test, and GSA derived K-estimates were consistent with previously studied sandy aquifers. Furthermore, the vertical variation in K between two geological settings, a sandy till and a meltwater sand formation, was clearly identified by the IP K-estimates. The vertical variation was backed up by hydraulic profiling tool (HPT) measurements. Random realizations of CMD were simulated based on the cross-borehole IP derived K-values. For comparison, the CMD was also estimated with a geostatistical conditional simulation approach, using the data from slug tests and GSAs. The high IP resolution captured the small scale variations in K across the transects and led to CMD predictions with a narrow uncertainty interval, whereas slug test and GSA either under- or overestimated the magnitude of the areas with the highest CMD. Applying the geophysical cross-borehole method for estimating K-distributions in addition to traditional methods would improve CMD-based risk assessment and evaluation of remediation performance at contaminated sites.
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