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- Epstein, Elisabeth, et al.
(författare)
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An algorithm including results of gray-scale and power Doppler ultrasound examination to predict endometrial malignancy in women with postmenopausal bleeding.
- 2002
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Ingår i: Ultrasound in Obstetrics & Gynecology. - : Wiley. - 1469-0705 .- 0960-7692. ; 20:4, s. 370-376
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To determine if power Doppler ultrasound examination of the endometrium can contribute to a correct diagnosis of endometrial malignancy in women with postmenopausal bleeding and endometrium >/= 5 mm. METHODS: Eighty-three women with postmenopausal bleeding and endometrium >/= 5 mm underwent gray-scale and power Doppler ultrasound examination using predetermined, standardized settings. Suspicion of endometrial malignancy at gray-scale ultrasound examination (endometrial morphology) was noted, and the color content of the endometrium at power Doppler examination was estimated subjectively (endometrial color score). Computer analysis of the most vascularized area of the endometrium was done off-line in a standardized manner. Stepwise multivariate logistic regression analysis was carried out to determine which subjective and objective ultrasound and power Doppler variables satisfied the criteria to be included in a model to calculate the probability of endometrial malignancy. RESULTS: Endometrial thickness, vascularity index (vascularized area/endometrial area), and use of hormone replacement therapy (HRT) satisfied the criteria to be included in the model used to calculate the 'objective probability of endometrial malignancy'. Endometrial morphology, endometrial color score and HRT use satisfied the criteria to be included in the model to calculate the 'subjective probability of malignancy'. Endometrial thickness >/= 10.5 mm had a sensitivity with regard to endometrial cancer of 0.88 and a specificity of 0.61. At a fixed sensitivity of 0.88, the specificity of the 'objective probability of malignancy' (0.81) was superior to all other ultrasound and power Doppler variables (P = 0.001-0.02). The 'objective probability of malignancy' detected more malignancies at endometrium 5-15 mm than endometrial morphology (5/7 vs. 1/7, i.e. 0.71 vs. 0.14; P = 0.125) with a similar specificity (49/57 vs. 51/57, i.e. 0.86 vs. 0.89). CONCLUSION: Power Doppler ultrasound can contribute to a correct diagnosis of endometrial malignancy, especially if the endometrium measures 5-15 mm. The use of regression models including power Doppler results to estimate the risk of endometrial cancer deserves further development.
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- Love, A, et al.
(författare)
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TT virus infections among blood donors in Iceland: prevalence, genotypes, and lack of relationship to serum ALT levels
- 2000
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Ingår i: Transfusion. - : Wiley. - 1537-2995 .- 0041-1132. ; 40:3, s. 306-309
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The TT virus (TTV) is a newly identified blood-borne virus. Its association with disease is still unknown, and screening of blood donors has not been implemented. Several genotypes of the TTV have been identified. STUDY DESIGN AND METHODS: Three hundred seventy healthy blood donors were randomly selected and tested for TTV by the PCR method. Sequencing of a part of the genome was performed to identify various genotypes of the virus. ALT levels were determined in both infected and uninfected individuals. RESULTS: The TT virus (TTV), was detected in the sera of 23 (6.2%) of 370 healthy Icelandic blood donors; this prevalence is lower than that reported in Japan but higher than that in Scotland. The virus was found in all groups over the age of 19. Sequencing and phylogenetic analysis of 202 bp from open reading frame 1 demonstrated genotypes 1b and 2b 2c and genotype 4 isolates, with the latter bearing 89-percent nucleotide homology with other genotype 4 sequences deposited at GenBank. One sample showed a mixed genotype 1b/2c infection. Serum ALT levels were within normal limits in all infected individuals. CONCLUSION: The TTV carrier state does not cause significant liver injury.
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- Pagels, Joakim, et al.
(författare)
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Characteristics of aerosol particles formed during grate combustion of moist forest residue
- 2003
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Ingår i: Journal of Aerosol Science. - 0021-8502. ; 34:8, s. 1043-1059
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Tidskriftsartikel (refereegranskat)abstract
- The characteristics of aerosol particles formed during combustion of moist forest residue were studied as a function of load in a I MW moving grate boiler and at almost full load in a similar larger 6 MW boiler. The coarse (1 mum < d(ae) < 10 mum) particle number and mass concentration increased by more than one order of magnitude and the fine particle mean diameter, total volume and mass decreased when the load was increased from 50% to 75%. The combined effects led to an increase in PM10 with increasing load. The number and mass concentration and the size distribution were similar in the two boilers when operated at high load. The dominant elements (Z > 12) were K, S and Cl in the fine mode and Ca, K and S in the coarse mode. The dominant ions in the fine mode were K+, SO42- and CO32-. The fine mode particles had hygroscopic growth factors of around 1.65 at RH=90%, with a deliquescence point at a relative humidity between 30% and 60%. It was assessed that K2CO3 is responsible for the low deliquescence point. Fine mode particles of a given dry diameter had similar chemical composition. (C) 2003 Elsevier Ltd. All rights reserved.
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