| 1. |
- Graham, Jinko, et al.
(författare)
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Negative association between type 1 diabetes and HLA DQB1*0602-DQA1*0102 is attenuated with age at onset
- 1999
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Ingår i: European Journal of Immunogenetics. - : Wiley. - 0960-7420 .- 1365-2370. ; 26, s. 117-
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Tidskriftsartikel (refereegranskat)abstract
- HLA-associated relative risks of type 1 (insulin-dependent) diabetes mellitus were analysed in population-based Swedish patients and controls aged 0-34 years. The age dependence of HLA-associated relative risks was assessed by likelihood ratio tests of regression parameters in separate logistic regression models for each HLA category. The analyses demonstrated an attenuation with increasing age at onset in the relative risk for the positively associated DQB1*0201-A1*0502/B1*0302-A1*0301 (DQ2/8) genotype (P = 0.02) and the negatively associated DQB1*0602-A1*0102 (DQ6.2) haplotype (P = 0.004). At birth, DQ6.2-positive individuals had an estimated relative risk of 0.03, but this increased to 1.1 at age 35 years. Relative risks for individuals with DQ genotype 8/8 or 8/X or DQ genotype 2/2 or 2/X, where X is any DQ haplotype ether than 2, 8 or 6.2, were not significantly age-dependent. An exploratory analysis of DQ haplotypes other than 2, 8 and 6.2 suggested that the risk of type 1 diabetes increases with age for DQB1*0604-A1*0102 (DQ6.4) and that the peak risk for the negatively associated DQB1*0301-A1*0501 haplotype is at age 18 years. There was also weak evidence that the risk for DQB1*0303-A1*0301 (DQ9), which has a positive association in the Japanese population, may decrease with age. We speculate that HLA-DQ alleles have a significant effect on the rate of beta cell destruction, which is accelerated in DQ2/8-positive individuals and inhibited, but not completely blocked, in DQ6.2-positive individuals.
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| 2. |
- Landin-Olsson, Mona, et al.
(författare)
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Appearance of islet cell autoantibodies after clinical diagnosis of diabetes mellitus
- 1999
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Ingår i: Autoimmunity. - : Informa UK Limited. - 0891-6934 .- 1607-842X. ; 29:1, s. 57-63
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Tidskriftsartikel (refereegranskat)abstract
- Islet cell antibodies (ICA) and glutamic acid decarboxylase antibodies (GAD65Ab) are often present at diagnosis of insulin dependent diabetes mellitus (type I diabetes) and are supposed to decline in level and frequency during the first years of disease. We have analysed ICA and GAD65Ab at onset and after one gear in 395 population based randomly selected 15-34 year old patients newly diagnosed with diabetes mellitus, to study how these autoantibodies persist, disappear and appear and their relation to C-peptide levels. Of the 395 samples 212 (54%) were positive for ICA, 250 (63%) were positive for GAD65Ab and 170 (43%) were positive for both. At follow up after one year, 27/183 (15%) of the ICA negative patients and 25/145 (17%) of the GAD65Ab negative patients had converted to positivity. Among the 103 patients negative for both ICA and GAD65Ab, 16 turned positive for one or both antibodies after one year. Patients converting to positivity for one or the other antibody after one year, had lower C-peptide levels after one year than patients who initially were and remained negative, supporting the hypothesis that these patients have a genuine type I diabetes. In conclusion, newly diagnosed patients may be negative for autoantibodies at diagnosis but develop these antibodies later on during the disease.
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| 3. |
- Holtz, A, et al.
(författare)
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Effect of methylprednisolone on motor function and spinal cord blood flow after spinal cord compression in rats.
- 1990
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Ingår i: Acta Neurologica Scandinavica. - 0001-6314 .- 1600-0404. ; 82:1, s. 68-73
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Tidskriftsartikel (refereegranskat)abstract
- The effect of methylprednisolone (MP) on neurologic recovery and spinal cord blood flow (SCBF) was investigated up to 4 days after a spinal cord compression injury in rats. The injury was produced at midthoracic level by applying a load of 35 g on a 2.2 x 5.0 mm compression plate for 5 min, which resulted in transient paraparesis. MP was given as a bolus dose of 30 mg/kg i.v. 60 min after injury (n = 20) and controls were given saline (n = 10). The motor performance was assessed daily as the capacity angle on the inclined plane and SCBF was measured by 14C-iodoantipyrine autoradiography on Days 1 or 4. On Day 1 the capacity angle was reduced from about 63 degrees preoperatively to 33 +/- 2 degrees (mean +/- SEM) in the control group and to 50 +/- 1 degrees in the group treated with MP (p less than 0.05). Thereafter there was a slight improvement in both groups, but the difference persisted throughout the observation period. On Day 4 both gray and white matter SCBF was better preserved in MP-treated animals than in the control group (59 +/- 4 versus 49 +/- 3 ml/min/100 g tissue for gray matter and 13.6 +/- 0.6 versus 10.7 +/- 0.8 ml/min/100 g tissue for white matter). Posttraumatic treatment with MP, thus, improved both the neurologic recovery during the first 4 days and SCBF as measured on Day 4. It is speculated that the effect of MP is at least partly exerted on the vascular bed.
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| 4. |
- Holtz, A, et al.
(författare)
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Neuropathological changes and neurological function after spinal cord compression in the rat.
- 1990
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Ingår i: Journal of Neurotrauma. - : Mary Ann Liebert Inc. - 0897-7151 .- 1557-9042. ; 7:3, s. 155-67
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Tidskriftsartikel (refereegranskat)abstract
- As part of a series of experimental investigations of the effects of various pharmacological agents on the outcome of compressive spinal cord trauma in the rat, the time course of the cell changes in the cord at the site of and distal to the compression was studied at the light microscopic level. The degree of compression used with the present model results in a transient paraparesis that recovers almost completely over a period of 3 weeks as judged by the inclined plane technique. The most significant morphological findings were as follows. Initially (1 and 24 h after the impact) there was pronounced swelling and hemorrhage at the compression site, chiefly in the gray matter of the cord. On day 4 there was severe necrosis in the same region, with numerous macrophages and leukocytes. Rats killed after 21 days showed either minor residual signs of necrosis or essentially normal tissue architecture. Surprisingly, necrosis with delayed onset also developed in the dorsal columns, involving the pyramidal tracts. This necrosis was detected in animals killed after 9 and 21 days but not in those observed after 4 days or earlier. The longitudinal tracts of the white matter showed reduced staining in paraffin sections of the compression site. Epon sections revealed splits in the myelin sheaths and enlarged periaxonal spaces as early as 1 h after the impact. The alterations in the longitudinal tracts persisted throughout the 21-day observation period and extended down to L2-L4. There was gradual functional recovery, documented by the inclined plane test. Preinjury values were almost reached on day 21, although the cord still showed some morphological damage. In individual animals, no relation was found between degree of function as tested by inclined plane and extent of morphologic injury. Additional functional and morphological methods obviously are needed in future investigations of the effects of treatments on the outcome of compressive spinal cord injury.
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| 5. |
- Holtz, A, et al.
(författare)
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Relation between spinal cord blood flow and functional recovery after blocking weight-induced spinal cord injury in rats.
- 1990
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Ingår i: Neurosurgery. - 0148-396X .- 1524-4040. ; 26:6, s. 952-7
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Tidskriftsartikel (refereegranskat)abstract
- Spinal cord blood flow (SCBF) and motor performance on the inclined plane were measured up to 9 days after a reversible spinal cord compression injury in 49 Sprague-Dawley rats. A load of 35 g on 11 mm2 of the thoracic spinal cord for 5 minutes caused transient paraparesis with a decrease in the capacity angle on the inclined plane from 62 +/- 1 degree (mean +/- SEM) before injury to 33 +/- 1 degree on Day 1, 45 +/- 2 degrees on Day 4, d and 54 +/- 3 degrees on Day 9. SCBF was measured by the [14C]iodoantipyrine method, and in gray matter there was a decrease from 78.4 +/- 2.3 ml/min/100 g of tissue in uninjured animals to 33.7 +/- 1.5 ml/min/100 g of tissue on Day 1 after injury, increasing to 50.1 +/- 2.0 on Day 4 and to 70.5 +/- 2.7 ml/min/100 g of tissue on Day 9. At the corresponding times, the SCBF values in white matter were 14.5 +/- 0.5, 6.7 +/- 0.5, 10.2 +/- 0.6, and 13.4 +/- 0.6 ml/min/100 g of tissue, respectively. The animals in another group were loaded with 25 g for 5 minutes and on Day 1 exhibited a capacity angle of 43 +/- 2 degrees while the SCBF values for gray and white matter were 55.1 +/- 2.0 and 11.1 +/- 0.4 ml/min/100 g of tissue, respectively; thus, the results in this group were similar to the values on Day 4 in the animals loaded with 35 g.(ABSTRACT TRUNCATED AT 250 WORDS)
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| 6. |
- Lindstedt, Göran, 1937, et al.
(författare)
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[How reliable is the laboratory? Increased needs of patient-related quality assurance]. : Kan man lita på laboratoriet? Okat behov av patientrelaterad kvalitetssäkring. Expertgruppen för endokrinologi inom EQUALIS.
- 1999
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Ingår i: Läkartidningen. - 0023-7205. ; 96:38, s. 4028-31
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Tidskriftsartikel (refereegranskat)abstract
- Recent developments in medical care and research involve the increased use of immunochemical assays for hormones, tumour markers, vitamins and drugs. External quality assurance programmes using pooled human sera usually fail to detect analytical interference due to substances (e.g. anti-immunoglobulin or anti-ligand antibodies) present in individual serum specimens. The article reports on experience gained during a three-year period when specimens from individual patients attending a thyroid unit were distributed to hospital laboratories in Sweden for analysis. Specimen selection criteria were based on contradictory findings at the initial clinical or laboratory evaluation. The programme has given rise to the formation of a network of the laboratories involved, under the co-ordination of EQUALIS (External quality assurance in laboratory medicine in Sweden).
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| 7. |
- Nyström, Fredrik H., et al.
(författare)
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Population-based reference values for IGF-I and IGF-binding protein-1 : Relations with metabolic and anthropometric variables
- 1997
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Ingår i: European Journal of Endocrinology. - : Oxford University Press (OUP). - 0804-4643 .- 1479-683X. ; 136:2, s. 165-172
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Tidskriftsartikel (refereegranskat)abstract
- Population-based reference values for IGF-I and IGF-binding protein-1 (IGFBP-1) have been established. One hundred and one women and the same number of men, 20–70 years old, were randomly selected from the population registry in the community of Linköping. Participation rate was 67%. Venous blood was drawn in the fasting state. Serum IGF-I was measured by RIA after acid-ethanol extraction and IGFBP-1 was determined by ELISA. IGF-I levels did not differ between genders and the decline with age was similar in men and women (men: Y=366–3·28×age (years), r =−0·61, P<0·0001; women: Y=386–3·49×age, r =−0·57, P<0·0001, P=0·4 for difference in slope). There were negative correlations between IGF-I and plasma lipids and blood pressure in both genders, but none was independent of age. Serum angiotensin-converting enzyme activity correlated positively with IGF-I in men independently from age (r =0·21, P=0·01). The distribution of IGFBP-1 was positively skewed and it was higher in women than in men (5·9±4·8 μg/l and 4·0±3·3 μg/l respectively; Mann–Whitney, P=0·002). In men and in the women not taking oestrogen, IGFBP-1 correlated positively with age (Spearman rank correlation (Spearman): men: r=0·32, P=0·002; women: r=0·24, P=0·03). C-peptide correlated negatively (Spearman: men: r =−0·38, P=0·002; women: r =−0·49, P<0·000) and sex hormone binding globulin positively with IGFBP-1 (Spearman: men: r=0·50, P<0·0001; women: r =0·55, P<0·0001).
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| 8. |
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| 9. |
- Nyström, Siv, 1950-
(författare)
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Socialt förändringsarbete : en fråga om att omförhandla mening
- 1999
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- There is limited amount of knowledge about the effects of rehabilitation and treatment programmes for young offenders in the Swedish context. The aim of this dissertation is to contribute to the knowledge base of how social change is mediated by programmes of social rehabilitation. The task is to understand how program components are related to successful social change of the clients.The dissertation is based on prospective empirical studies. Participants of two specific types of social programs, KrAmi and Knuff, have been followed for a one year period and both groups are compared with a comparison group of clients in probational care. A total of 136 people are included in the sample; 62 KrAmi-participants, 21 Knuff-participants and 55 probation clients. KrAmi and Knuff both have in common that they address to young unemployed people with social problems. Both programs have a social learning approach, and the aim is to prepare the participants for labour market. Two empirical studies have been carried out.One of the studies is an effects study, using the Addiction Severity Index, ASI as instrument. This study deals with the question of to what extent the clients have been changed after one year in respect of five problem areas; employment, criminality, family/relationships, alcohol abuse, use of drugs. As far as KrAmi is concerned a majority of the participants show considerable positive change. A smaller part of the Knuff-group also changed while for probation-group the change is much less and goes in both directions. It is obvious that KrAmi-group has succeeded to a higher extent than the other groups.The aim of the second study is to explain and understand the nature and causes of client effects. Alterations are focussed from the perspective of participants' as well as programme counsellors' assessments of the change and possible causes. The participants who had corrected their behaviour, according to the effect study, also had changed their ways of attributing meaning. Their language was changed as well. The positive change seemed to start from the contradiction between the life situation as addicts or delinquents and the wish to live another life. This conflict pushed them to ask for help and to find new solutions. When the process is successful the participants become involved in the programme activities and in social life. Contributions of the programmes to participants' lives include the opportunity to experience positive ways of living, practical and moral support. Thus, the participants achieved a feeling of success. Counsellors on their part pushed the participants to handle and reflect on previous as well as new experiences as basis of positive explanations of life situations.The last part of the dissertation assesses the interaction between clients and programme counsellors from a theoretical point of view. The interplay is discussed in terms of four aspects. The first aspect takes Schutz' concepts, "meaning" and "provinces of meaning" as starting point, and suggests that social change has its origin from differences between provinces of social meaning. It is in such differences that "elements of change" could be identified. The second aspect focussing the time before programme, suggest that to be trustworthy the program should communicate a projection, of both the aim of change and steps taken to that goal, that is recognisable and relevant to the participants. The third aspekt uses Engeströms "levels of learning" to understand how participants development interacts with methods used. Succesful clients achievements could be described on three levels. One conlusion that tools should be adjusted to the level of development. The last aspect takes Lave&Wengler models of "Legitimate peripheral participation" in use to illuminate the clients active part in the change process arguing that clients examines the programme relevance in relation to their own insecurity.
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