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Sökning: WFRF:(Hjern F)

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  • Odenstad, A, et al. (författare)
  • Does age at adoption and geographic origin matter? A national cohort study of cognitive test performance in adult inter-country adoptees.
  • 2008
  • Ingår i: Psychol Med. - 0033-2917 .- 1469-8978. ; 38:12, s. 1803-14
  • Tidskriftsartikel (refereegranskat)abstract
    • Does age at adoption and geographic origin matter? A national cohort study of cognitive test performance in adult inter-country adoptees.Odenstad A, Hjern A, Lindblad F, Rasmussen F, Vinnerljung B, Dalen M.Stress Research Institute, Stockholm University, Sweden.BACKGROUND: Inter-country adoptees run risks of developmental and health-related problems. Cognitive ability is one important indicator of adoptees' development, both as an outcome measure itself and as a potential mediator between early adversities and ill-health. The aim of this study was to analyse relations between proxies for adoption-related circumstances and cognitive development.MethodResults from global and verbal scores of cognitive tests at military conscription (mandatory for all Swedish men during these years) were compared between three groups (born 1968-1976): 746 adoptees born in South Korea, 1548 adoptees born in other non-Western countries and 330 986 non-adopted comparisons in the same birth cohort. Information about age at adoption and parental education was collected from Swedish national registers. RESULTS: South Korean adoptees had higher global and verbal test scores compared to adoptees from other non-European donor countries. Adoptees adopted after age 4 years had lower test scores if they were not of Korean ethnicity, while age did not influence test scores in South Koreans or those adopted from other non-European countries before the age of 4 years. Parental education had minor effects on the test performance of the adoptees - statistically significant only for non-Korean adoptees' verbal test scores - but was prominently influential for non-adoptees. CONCLUSIONS: Negative pre-adoption circumstances may have persistent influences on cognitive development. The prognosis from a cognitive perspective may still be good regardless of age at adoption if the quality of care before adoption has been 'good enough' and the adoption selection mechanisms do not reflect an overrepresentation of risk factors - both requirements probably fulfilled in South Korea.
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  • Vinnerljung, Bo, et al. (författare)
  • School performance at age 16 among intercountry adoptees – A Swedish national cohort study.
  • 2010
  • Ingår i: International Social Work. - : SAGE Publications. - 0020-8728 .- 1461-7234. ; 53:4, s. 510-527
  • Tidskriftsartikel (refereegranskat)abstract
    • School performance at age 16 for 6448 intercountry adoptees to Sweden was compared with that of siblings and majority population peers. The school performance of Korean-born adoptees was on a par with nonadopted peers, but non-Korean adoptees’ school performance was lower, as was that of adoptees who were older at the time of adoption.
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  • Abraham-Nordling, M, et al. (författare)
  • The value of preoperative computed tomography combined with ultrasound in the investigation of small indeterminate liver lesions in patients with colorectal cancer
  • 2017
  • Ingår i: Acta radiologica (Stockholm, Sweden : 1987). - : SAGE Publications. - 1600-0455 .- 0284-1851. ; 58:11, s. 1288-1293
  • Tidskriftsartikel (refereegranskat)abstract
    • Computed tomography (CT) is used routinely for the preoperative detection of colorectal cancer (CRC) metastases. When small indeterminate focal liver lesions are detected that are too small to characterize (TSTC) on CT, additional imaging is usually needed, resulting in a potential delay in obtaining a complete diagnostic work-up. Purpose To determine the diagnostic accuracy of ultrasound (US) of the liver performed in direct conjunction to CT in the preoperative investigation among patients with newly diagnosed CRC when indeterminate liver lesions were found on CT. Material and Methods Preoperative investigations with CT and consecutive US where CT had shown at least one focal liver lesion in 74 patients diagnosed with CRC between June 2009 and February 2012 were retrospectively reviewed. Either histopathological findings or a combination of imaging and clinical follow-up one to three years after surgery was used as the reference. Results Liver metastases were diagnosed with CT/US in 13 out of 74 patients (17.6%). In one patient, a liver cyst was preoperatively regarded as liver metastasis by a combined CT/US. The sensitivity and specificity for the CT with consecutive US procedure was 100% (13/13) and 98.4% (60/61). Conclusion US performed in conjunction with CT in patients with indeterminate focal liver lesions on CT is an accurate work-up for detection of liver metastases in patients with newly diagnosed CRC. Although our results are promising, they cannot be considered safely generalizable to all hospitals.
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