| 21. |
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| 22. |
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| 23. |
- Ahlm, Clas, 1956-, et al.
(författare)
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Nephropathia epidemica (hemorrhagic fever with renal syndrome) in children : clinical characteristics.
- 1994
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Ingår i: The Pediatric Infectious Disease Journal. - 0891-3668 .- 1532-0987. ; 13:1, s. 45-9
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Tidskriftsartikel (refereegranskat)abstract
- The clinical characteristics of serologically verified nephropathia epidemica, the Scandinavian form of hemorrhagic fever with renal syndrome, were studied in Swedish children who were < 15 years of age. In 1990 to 1992, 14 cases were prospectively followed. A retrospective survey during 1984 to 1990 disclosed another 18 cases. Among the 32 cases (20 boys, 12 girls, 3 to 15 years of age; median age, 11 years), the most common symptoms were fever (100%), headache (100%), abdominal pain (93%), vomiting (91%) and back pain (76%). Laboratory findings included elevated serum creatinine concentration (19 of 28) and thrombocytopenia (7 of 22). Urinalysis showed proteinuria (31 of 31 patients) and hematuria (24 of 30). Six children had mild hemorrhagic manifestations (epistaxis, metrorrhagia, and petechiae). No severe complications occurred. The clinical symptoms of children with nephropathia epidemica seem to be similar to those found among adult nephropathia epidemica cases.
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| 24. |
- Ahlm, Clas, 1956-, et al.
(författare)
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Prevalence of antibodies specific to Puumala virus among farmers in Sweden
- 1998
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Ingår i: Scandinavian Journal of Work, Environment and Health. - : Scandinavian Journal of Work, Environment and Health. - 0355-3140 .- 1795-990X. ; 24:2, s. 104-108
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Tidskriftsartikel (refereegranskat)abstract
- Serological evidence confirmed that the exposure of humans to Puumala virus is firmly restricted to the northern and central parts of Sweden. In addition the evidence indicated that, in this region, farming is associated with an increased risk of contracting hantavirus infection.
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| 25. |
- Ahlm, Clas, 1956-, et al.
(författare)
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Prevalence of serum antibodies to hantaviruses in northern Sweden as measured by recombinant nucleocapsid proteins.
- 1997
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Ingår i: Scandinavian Journal of Infectious Diseases. - : Informa UK Limited. - 0036-5548 .- 1651-1980. ; 29:4, s. 349-54
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Tidskriftsartikel (refereegranskat)abstract
- An enzyme-linked immunosorbent assay (ELISA) based on recombinant nucleocapsid protein (rN delta) (aa 1-117) of Hantaan, Seoul, Dobrava, Sin Nombre and Puumala hantaviruses was used to determine the prevalence of antibodies among randomized and stratified individuals from northern Sweden. In total, 137/1533 individuals (8.9%) had specific serum IgG antibodies to Puumala virus, the only hantavirus known to occur in the region. The prevalence of antibodies to Puumala virus (8.9%) was determined to be higher than previously reported (5.4%) in the same serum material, by use of immunofluorescence assay. As expected, sera reactive to Puumala virus rN delta did frequently cross-react with Sin Nombre virus protein. Unexpectedly, 21/1533 (1.4%) individuals recognized the Sin Nombre virus rN delta exclusively. Another 8 subjects showed reactivity in the ELISA to Hantaan, Seoul, or Dobrava virus-derived rN delta but not Puumala virus or Sin Nombre virus rN delta. The present demonstration in some individuals of antibodies specifically recognizing the Sin Nombre, Dobrava, Hantaan and Seoul virus protein justifies an awareness of the possibility that hantaviruses antigenically different from Puumala virus might occur in the region.
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| 26. |
- Ahlm, Clas, 1956-, et al.
(författare)
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Prevalence of serum IgG antibodies to Puumala virus (haemorrhagic fever with renal syndrome) in northern Sweden.
- 1994
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Ingår i: Epidemiology and Infection. - 0950-2688 .- 1469-4409. ; 113:1, s. 129-36
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Tidskriftsartikel (refereegranskat)abstract
- A stratified and randomly-selected population sample was identified in 1990 in order to study the seroprevalence of nephropathia epidemica (haemorrhagic fever with renal syndrome) in Northern Sweden. Sera from 1538 subjects (750 men, 788 women), 25-64 years of age, were analysed for the presence of Puumala virus (PUV) specific-IgG by the indirect immunofluorescence antibody test. Specific IgG was detected in sera from 83 subjects (5.4%). Men and women had similar seroprevalence rates. The highest seroprevalences were found in subjects 55 years or older (8.0%) and among farmers and forestry workers (15.9%). The geographic distribution of seropositive individuals was uneven and there were significantly more seropositive persons in rural than in urban areas (P < 0.05).
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| 27. |
- Ahlqvist, Jan, et al.
(författare)
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A technique for the accurate administration of corticosteroids in the temporomandibular joint.
- 1993
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Ingår i: Dento-Maxillo-Facial Radiology. - 0250-832X .- 1476-542X. ; 22:4, s. 211-3
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Tidskriftsartikel (refereegranskat)abstract
- A new technique for intra-articular injection of a corticosteroid in the temporomandibular joint (TMJ) is presented. The corticosteroid is mixed with contrast medium and the administration visualized and controlled using fluoroscopy. When superior and inferior joint spaces have been filled and the soft tissues of the joint have been identified in the fluoroscopic image, additional corticosteroid can be administered to selected sites within the TMJ.
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| 28. |
- Ahlqvist, Jan, Birger, 1952-, et al.
(författare)
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Osseointegrated implants in edentulous jaws: a 2-year longitudinal study.
- 1990
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Ingår i: International Journal of Oral & Maxillofacial Implants. - 0882-2786 .- 1942-4434. ; 5:2, s. 155-163
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Tidskriftsartikel (refereegranskat)abstract
- Osseointegrated implants in 50 edentulous jaws were studied during a 2-year observation period. The implant survival rate was 89% in the maxillae and 97% in the mandibles. The marginal bone loss averaged 1.7 mm in the maxillae and 1.1 mm in the mandibles. Most of this bone loss occurred during the first year. The bone loss was greater in jaws with a preoperatively minor resorption of the alveolar ridge than in those with moderate or advanced resorption. The bone loss was also greater at the medially positioned implants than at those more posterior.
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| 29. |
- Ahlqvist, Jan, et al.
(författare)
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Bone demarcation of the temporomandibular joint. Validity of clinical assessment of bone thickness by means of CT.
- 1998
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Ingår i: Acta Radiologica. - 0284-1851 .- 1600-0455. ; 39:6, s. 649-55
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To study the CT depiction of bone demarcations in the temporomandibular joint, using conventional window level and window width; and to evaluate observer performance in estimating bone thickness in these images.MATERIAL AND METHODS: Seven joint specimens were imaged by CT and then cryosectioned. The measurements of bone wall thickness in the images were compared to the true bone thickness at each cutting level. In addition, 4 experienced radiologists estimated the thickness of the bone walls in the images.RESULTS: The relative difference between the CT reproduction and the true bone thickness was small for bone walls thicker than 2 mm. This difference increased with the decrease in bone thickness and the increase in the inclination of the bone wall from the perpendicular to the image plane. Bone walls thinner than 1 mm were reproduced as considerably thicker than their true thickness. This resulted in a clinical overestimation of bone thickness.CONCLUSION: Both the CT representation and the interpretation of bone demarcation in the temporomandibular joint may constitute a problem. Partial volume averaging effects can result in an overestimation of bone dimensions amounting to 200% for thin bones. The central white zone in images of thin bone walls obtained with the parameters described here could serve as an indicator that could help to reduce the risk of overestimating bone thickness.
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| 30. |
- Ahlqvist, Jan, et al.
(författare)
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Sources of radiographic distortion in conventional and computed tomography of the temporal bone.
- 1998
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Ingår i: Dento-Maxillo-Facial Radiology. - 0250-832X .- 1476-542X. ; 27:6, s. 351-7
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: To identify those bony regions of the glenoid fossa where, due to the inclination, there is an increased risk of radiographic distortion in conventional and computed tomography (CT).METHODS: The inclination of the roof and posterior wall of the glenoid fossa was determined relative to established imaging planes. Measurements were performed on 50 corrected coronal MR and 50 axial CT images and 200 sagittal cryosections of 50 temporomandibular joints (TMJs). The location of regions with unfavourable bone wall inclination was identified using the condyle as a reference.RESULTS: The inclination of parts of the fossa roof exceeded the limit for reliable depiction in corrected sagittal and coronal planes in 40% and 8% of the joints respectively. The inclination of parts of the posterior wall of the fossa exceeded the limit for reliable depiction in corrected sagittal and in true sagittal planes in 100% and 84% of the joints respectively. In 84% of the joints the inclination exceeded the limit for reliable depiction in the axial plane. For both bone walls the regions with unfavourable inclination were in the medial part of the joint.CONCLUSIONS: The angulation of parts of the roof and posterior wall of the glenoid fossa in relation to established imaging planes makes them highly susceptible to distortion. The oblique coronal projection is well suited for depiction of the roof of the fossa and preferable to a sagittal projection. An oblique axial projection is required for the posterior wall.
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