| 1. |
|
|
| 2. |
- Gavali, Hamid, et al.
(författare)
-
Outcome of Radical Surgical Treatment of Abdominal Aortic Graft and Endograft Infections Comparing Extra-anatomic Bypass with In Situ Reconstruction : A Nationwide Multicentre Study
- 2021
-
Ingår i: European Journal of Vascular and Endovascular Surgery. - : Saunders Elsevier. - 1078-5884 .- 1532-2165. ; 62:6, s. 918-926
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: Abdominal aortic graft and endograft infection (AGI) is primarily treated by resection of the infected graft and restoration of distal perfusion through extra-anatomic bypass (EAB) or in situ reconstruction/repair (ISR). The aim of this study was to compare these surgical strategies in a nationwide multicentre retrospective cohort study.Methods: The Swedish Vascular Registry (Swedvasc) was used to identify surgically treated abdominal AGIs in Sweden between January 1995 and May 2017. The primary aim was to compare short and long term survival, as well as complications for EAB and ISR.Results: Some 126 radically surgically treated AGI patients were identified – 102 graft infections and 24 endograft infections – treated by EAB: 71 and ISR: 55 (23 neo-aorto-iliac systems, NAISs). No differences in early 30 day (EAB 81.7% vs. ISR 76.4%, p =.46), or long term five year survival (48.2% vs. 49.9%, p =.87) were identified. There was no survival difference comparing NAIS to other ISR strategies. The frequency of recurrent graft infection during follow up was similar: EAB 20.3% vs. ISR 17.0% (p =.56). Survival and re-infection rates of the new conduit did not differ between NAIS and other ISR strategies. Age ≥ 75 years (odds ratio [OR] 4.0, confidence interval [CI] 1.1 – 14.8), coronary artery disease (OR 4.2, CI 1.2 – 15.1) and post-operative circulatory complications (OR 5.2, CI 1.2 – 22.5) were associated with early death. Prolonged antimicrobial therapy (> 3 months) was associated with reduced long term mortality (HR 0.3, CI 0.1 – 0.9).Conclusion: In this nationwide multicentre study comparing outcomes of radically treated AGI, no differences in survival or re-infection rate could be identified comparing EAB and ISR.
|
|
| 3. |
- Gavali, Hamid, et al.
(författare)
-
Semi-Conservative Treatment Versus Radical Surgery in Abdominal Aortic Graft and Endograft Infections
- 2023
-
Ingår i: European Journal of Vascular and Endovascular Surgery. - : Elsevier. - 1078-5884 .- 1532-2165. ; 66:3, s. 397-406
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: Abdominal aortic graft and endograft infections (AGIs) are rare complications following aortic surgery. Radical surgery (RS) with resection of the infected graft and reconstruction with extra-anatomical bypass or in situ reconstruction is the preferred therapy. For patients unfit for RS, a semi-conservative (SC), graft preserving strategy is possible. This paper aimed to compare survival and infection outcomes between RS and SC treatment for AGI in a nationwide cohort.Methods: Patients with abdominal AGI related surgery in Sweden between January 1995 and May 2017 were identified. The Management of Aortic Graft Infection Collaboration (MAGIC) criteria were used for the definition of AGI. Multivariable regression was performed to identify factors associated with mortality.Results: One hundred and sixty-nine patients with surgically treated abdominal AGI were identified, comprising 43 SC (14 endografts; 53% with a graft enteric fistula [GEF] in total) and 126 RS (26 endografts; 50% with a GEF in total). The SC cohort was older and had a higher frequency of cardiac comorbidities. There was a non-significant trend towards lower Kaplan -Meier estimated five year survival for SC vs. RS (30.2% vs. 48.4%; p = .066). A non-significant trend was identified towards worse Kaplan -Meier estimated five year survival for SC patients with a GEF vs. without a GEF (21.7% vs. 40.1%; p = .097). There were significantly more recurrent graft infections comparing SC with RS (45.4% vs. 19.3%; p < .001). In a Cox regression model adjusting for confounders, there was no difference in five year survival comparing SC vs. RS (HR 1.0, 95% CI 0.6 -1.5).Conclusion: In this national AGI cohort, there was no mortality difference comparing SC and RS for AGI when adjusting for comorbidities. Presence of GEF probably negatively impacts survival outcomes of SC patients. Rates of recurrent infection remain high for SC treated patients.
|
|
| 4. |
- Olsson, Björn, et al.
(författare)
-
Förutsättningar och styrmedel för ökad elsjöfart
- 2024
-
Ingår i: Sammanställning av referat från Transportforum 2024. - Linköping : Statens väg- och transportforskningsinstitut. ; , s. 43-44
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Det finns potential att öka elektrifieringen i svensk sjöfart. Inom ramen för ett regeringsuppdrag föreslår Trafikanalys nya styrmedel för elsjöfart, bland annat skattereduktion för landström, klimatpremie för elfartyg och stöd till land- och laddinfrastruktur i hamnar. Under 2022 har Trafikanalys haft i uppdrag att dels utreda förutsättningarna för en ökad användning av helt eller delvis eldrivna fartyg i Sverige, dels utreda möjliga incitament för att åstadkomma ökad användning av land- och laddström. Resultaten från båda uppdragen redovisas här gemensamt.Vi har studerat litteraturen och utvecklingen avseende elektrifieringen av sjöfart inom Sverige, Norge och Nederländerna. Marknadspotentialen för elektrifieringen har analyserats genom energiförbrukningen för fartyg som anlöper svenska hamnar. Vi beskriver de tekniska förutsättningarna och vilka problem som är specifika för elektrifiering av sjöfart jämfört med andra trafikslag. Vi har också studerat vilka styrmedel som finns idag för elektrifiering inom sjöfart såväl som andra trafikslag. Baserat på detta har vi pekat på möjliga styrmedel med potential att öka användningen av land- och laddström, samt öka användningen av helt eller delvis eldrivna fartyg i Sverige. Vi har också låtit en referensgrupp med representanter från branschen ha synpunkter och kommentarer på vårt arbete och våra förslag till styrmedel. De förslag till styrmedel vi lyfter fram är:Skattereduktion för elanslutning för mindre fartygKlimatpremie för elfartygStöd till elanslutning för fartygUndantag från kravet på nätkoncession för hamnarTydligare klimatkrav på nationella fartygUnderlätta processen för certifiering av fartyg vid konvertering till eldriftInnovationsupphandling i regionalt upphandlad färjetrafikDet ingick i uppdraget att göra en bedömning av införande av miljözoner i hamnar. Vår uppfattning är att marknaden i Sverige idag inte är mogen för införande av miljözoner. Vi efterlyser en vidare diskussion om miljödifferentierade sjöfartsavgifter för att stimulera introduktionen av elsjöfart.
|
|
| 5. |
- Wamsler, Christine, et al.
(författare)
-
Environmental and climate policy integration: Targeted strategies for overcoming barriers to nature-based solutions and climate change adaptation
- 2020
-
Ingår i: Journal of Cleaner Production. - : Elsevier BV. - 0959-6526. ; 247, s. 119-154
-
Tidskriftsartikel (refereegranskat)abstract
- Nature-based adaptation planning is a challenging endeavor, not least because it requires transdisciplinary approaches to unite different actors' efforts and capacities. However, empirical knowledge on associated governance processes is scarce and fragmented. Against this background, this paper examines the integration of nature-based approaches for climate change adaptation into municipalities’ daily planning practices and associated governance. A city-to-city learning lab was established to systematically analyze selected urban development projects step-by-step, from the initial idea, to comprehensive and detailed planning, procurement, implementation, maintenance and follow-up. The results show the numerous constraints municipal staff face and how they use targeted strategies to overcome them and tap into existing drivers. We identify five, complementary strategies: i) targeted stakeholder collaboration; ii) strategic citizen involvement; iii) outsourcing; iv) the alteration of internal working structures; and v) concealed science–policy integration. Importantly, these strategies reveal an increasing need for relational approaches that, in turn, require individuals to develop the cognitive/emotional capacity to establish trust, communicate inclusively and promote social learning, while at the same time dealing with an increasingly complex and uncertain working environment. We conclude that tapping into the potential of nature-based solutions for climate adaptation governance requires more financial and human resources, and capacity development to support personal development, systematic mainstreaming and, ultimately, more sustainable development.
|
|
| 6. |
- Abdellah, Tebani, et al.
(författare)
-
Integration of molecular profiles in a longitudinal wellness profiling cohort.
- 2020
-
Ingår i: Nature communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 11:1
-
Tidskriftsartikel (refereegranskat)abstract
- An important aspect of precision medicine is to probe the stability in molecular profiles among healthy individuals over time. Here, we sample a longitudinal wellness cohort with 100 healthy individuals and analyze blood molecular profiles including proteomics, transcriptomics, lipidomics, metabolomics, autoantibodies andimmune cell profiling, complementedwith gut microbiota composition and routine clinical chemistry. Overall, our results show high variation between individuals across different molecular readouts, while the intra-individual baseline variation is low. The analyses show that each individual has a unique and stable plasma protein profile throughout the study period and that many individuals also show distinct profiles with regards to the other omics datasets, with strong underlying connections between the blood proteome and the clinical chemistry parameters. In conclusion, the results support an individual-based definition of health and show that comprehensive omics profiling in a longitudinal manner is a path forward for precision medicine.
|
|
| 7. |
|
|
| 8. |
- Baqué, Mickael, et al.
(författare)
-
Biosignature stability in space enables their use for life detection on Mars
- 2022
-
Ingår i: Science Advances. - : NLM (Medline). - 2375-2548. ; 8:36
-
Tidskriftsartikel (refereegranskat)abstract
- Two rover missions to Mars aim to detect biomolecules as a sign of extinct or extant life with, among other instruments, Raman spectrometers. However, there are many unknowns about the stability of Raman-detectable biomolecules in the martian environment, clouding the interpretation of the results. To quantify Raman-detectable biomolecule stability, we exposed seven biomolecules for 469 days to a simulated martian environment outside the International Space Station. Ultraviolet radiation (UVR) strongly changed the Raman spectra signals, but only minor change was observed when samples were shielded from UVR. These findings provide support for Mars mission operations searching for biosignatures in the subsurface. This experiment demonstrates the detectability of biomolecules by Raman spectroscopy in Mars regolith analogs after space exposure and lays the groundwork for a consolidated space-proven database of spectroscopy biosignatures in targeted environments.
|
|
| 9. |
- Benza, Raymond L., et al.
(författare)
-
CS1, a controlled-release formulation of valproic acid, for the treatment of patients with pulmonary arterial hypertension: Rationale and design of a Phase 2 clinical trial
- 2024
-
Ingår i: PULMONARY CIRCULATION. - 2045-8932 .- 2045-8940. ; 14:1
-
Tidskriftsartikel (refereegranskat)abstract
- Although rare, pulmonary arterial hypertension (PAH) is associated with substantial morbidity and a median survival of approximately 7 years, even with treatment. Current medical therapies have a primarily vasodilatory effect and do not modify the underlying pathology of the disease. CS1 is a novel oral, controlled-release formulation of valproic acid, which exhibits a multi-targeted mode of action (pulmonary pressure reduction, reversal of vascular remodeling, anti-inflammatory, anti-fibrotic, and anti-thrombotic) and therefore potential for disease modification and right ventricular modeling in patients with PAH. A Phase 1 study conducted in healthy volunteers indicated favorable safety and tolerability, with no increased risk of bleeding and significant reduction of plasminogen activator inhibitor 1. In an ongoing randomized Phase 2 clinical trial, three doses of open-label CS1 administered for 12 weeks is evaluating the use of multiple outcome measures. The primary endpoint is safety and tolerability, as measured by the occurrence of adverse events. Secondary outcome measures include the use of the CardioMEMS (TM) HF System, which provides a noninvasive method of monitoring pulmonary artery pressure, as well as cardiac magnetic resonance imaging and echocardiography. Other outcomes include changes in risk stratification (using the REVEAL 2.0 and REVEAL Lite 2 tools), patient reported outcomes, functional capacity, 6-min walk distance, actigraphy, and biomarkers. The pharmacokinetic profile of CS1 will also be evaluated. Overall, the novel design and unique, extensive clinical phenotyping of participants in this trial will provide ample evidence to inform the design of any future Phase 3 studies with CS1.
|
|
| 10. |
- Berggren, Peter, et al.
(författare)
-
Coping with large disruptions in the payment system : stakeholder experience from stakeholder workshops and computer based simulation gaming exercises
- 2020
-
Ingår i: Proceedings of the 2020 the 3rd International Conference on Computers in Management and Business (ICCMB 2020) Session - Computer and Mobile Technology. - New York : Association for Computing Machinery (ACM). - 9781450376778 ; , s. 141-145, s. 141-145
-
Konferensbidrag (refereegranskat)abstract
- In this paper, we describe a work in progress where a mixed methods approach is used to increase insight into what kind of consequences a temporal disruption or total breakdown of the payment system creates for a large variety of societal actors and to increase insight in how their collaborative behaviour can be guided to be more resilient. This approach includes data from different types of data collections; workshop with high-level decisionmakers from involved sectors, interviews with citizens, representatives from the fuel, foods, and finance sectors, as well as experiences from 15 simulation game exercises with stakeholders. The triangulated and aggregated outcomes of the different data collections resulted in a set of recommendations on how to cope with disruptions in the card payment system.
|
|
