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3.
  • Randler, C., et al. (författare)
  • Animal welfare attitudes : Effects of gender and diet in university samples from 22 countries
  • 2021
  • Ingår i: Animals. - : MDPI AG. - 2076-2615. ; 11:7
  • Tidskriftsartikel (refereegranskat)abstract
    • Animal Welfare Attitudes (AWA) are defined as human attitudes towards the welfare of animals in different dimensions and settings. Demographic factors, such as age and gender are associated with AWA. The aim of this study was to assess gender differences among university students in a large convenience sample from twenty-two nations in AWA. A total of 7914 people participated in the study (5155 women, 2711 men, 48 diverse). Participants completed a questionnaire that collected demographic data, typical diet and responses to the Composite Respect for Animals Scale Short version (CRAS-S). In addition, we used a measure of gender empowerment from the Human Development Report. The largest variance in AWA was explained by diet, followed by country and gender. In terms of diet, 6385 participants reported to be omnivores, 296 as pescatarian, 637 ate a vegetarian diet and 434 were vegans (n = 162 without answer). Diet was related with CRAS-S scores; people with a vegan diet scored higher in AWA than omnivores. Women scored significantly higher on AWA than men. Furthermore, gender differences in AWA increased as gender inequality decreased. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
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4.
  • Kemppinen, Julia, et al. (författare)
  • Microclimate, an important part of ecology and biogeography
  • 2024
  • Ingår i: GLOBAL ECOLOGY AND BIOGEOGRAPHY. - 1466-822X .- 1466-8238. ; 33:6
  • Tidskriftsartikel (refereegranskat)abstract
    • Brief introduction: What are microclimates and why are they important?Microclimate science has developed into a global discipline. Microclimate science is increasingly used to understand and mitigate climate and biodiversity shifts. Here, we provide an overview of the current status of microclimate ecology and biogeography in terrestrial ecosystems, and where this field is heading next.Microclimate investigations in ecology and biogeographyWe highlight the latest research on interactions between microclimates and organisms, including how microclimates influence individuals, and through them populations, communities and entire ecosystems and their processes. We also briefly discuss recent research on how organisms shape microclimates from the tropics to the poles.Microclimate applications in ecosystem managementMicroclimates are also important in ecosystem management under climate change. We showcase new research in microclimate management with examples from biodiversity conservation, forestry and urban ecology. We discuss the importance of microrefugia in conservation and how to promote microclimate heterogeneity.Methods for microclimate scienceWe showcase the recent advances in data acquisition, such as novel field sensors and remote sensing methods. We discuss microclimate modelling, mapping and data processing, including accessibility of modelling tools, advantages of mechanistic and statistical modelling and solutions for computational challenges that have pushed the state-of-the-art of the field.What's next?We identify major knowledge gaps that need to be filled for further advancing microclimate investigations, applications and methods. These gaps include spatiotemporal scaling of microclimate data, mismatches between macroclimate and microclimate in predicting responses of organisms to climate change, and the need for more evidence on the outcomes of microclimate management.
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5.
  • Gorasso, Vanessa, et al. (författare)
  • Burden of disease attributable to risk factors in European countries: a scoping literature review
  • 2023
  • Ingår i: Archives of Public Health. - 0778-7367 .- 2049-3258. ; 81:1
  • Forskningsöversikt (refereegranskat)abstract
    • Objectives: Within the framework of the burden of disease (BoD) approach, disease and injury burden estimates attributable to risk factors are a useful guide for policy formulation and priority setting in disease prevention. Considering the important differences in methods, and their impact on burden estimates, we conducted a scoping literature review to: (1) map the BoD assessments including risk factors performed across Europe; and (2) identify the methodological choices in comparative risk assessment (CRA) and risk assessment methods. Methods: We searched multiple literature databases, including grey literature websites and targeted public health agencies websites. Results: A total of 113 studies were included in the synthesis and further divided into independent BoD assessments (54 studies) and studies linked to the Global Burden of Disease (59 papers). Our results showed that the methods used to perform CRA varied substantially across independent European BoD studies. While there were some methodological choices that were more common than others, we did not observe patterns in terms of country, year or risk factor. Each methodological choice can affect the comparability of estimates between and within countries and/or risk factors, since they might significantly influence the quantification of the attributable burden. From our analysis we observed that the use of CRA was less common for some types of risk factors and outcomes. These included environmental and occupational risk factors, which are more likely to use bottom-up approaches for health outcomes where disease envelopes may not be available. Conclusions: Our review also highlighted misreporting, the lack of uncertainty analysis and the under-investigation of causal relationships in BoD studies. Development and use of guidelines for performing and reporting BoD studies will help understand differences, avoid misinterpretations thus improving comparability among estimates.
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6.
  • Sanczuk, Pieter, et al. (författare)
  • Small scale environmental variation modulates plant defence syndromes of understorey plants in deciduous forests of Europe
  • 2021
  • Ingår i: Global Ecology and Biogeography. - : Wiley. - 1466-822X .- 1466-8238. ; 30:1, s. 205-219
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: Variation in plant defence traits has been frequently assessed along large-scale macroclimatic clines. In contrast, local-scale changes in the environment have recently been proposed to also modulate plant defence traits. Yet, the relative importance of drivers at both scales has never been tested. We aimed to quantify the relative importance of environmental drivers inherent to large and small spatial scales on the physical and chemical defence and tolerance to herbivory in understorey plant species of deciduous forests of Europe.Location: Deciduous forests in Europe.Time period: Present.Major taxa studied: Forest understorey plants.Methods: We sampled four typical ancient forest herbs (Anemone nemorosa, Oxalis acetosella, Deschampsia cespitosa, Milium effusum) along small and large spatial scale gradients (those driven by latitude, elevation, forest management and distance to the forest edge), and analysed a suite of nine constitutively expressed traits associated with overall resistance to herbivory, and their multivariate response to environmental clines.Results: Although our study included a large gradient in macroclimate, we found variation in the local environment at small spatial scales (i.e. soil nutrient concentration and forest structural complexity) to be more important in predicting plant resistance to herbivory.Main conclusions: In addition to macroclimatic conditions, subtle differences in forest microclimate and soil characteristics also played a major role in modulating plant defence phenotypes. These findings highlight the importance of the local habitat structure and environmental conditions in modulating plant resistance to herbivory.
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7.
  • De Pauw, Karen, et al. (författare)
  • Forest understorey communities respond strongly to light in interaction with forest structure, but not to microclimate warming
  • 2022
  • Ingår i: New Phytologist. - : Wiley. - 0028-646X .- 1469-8137. ; 233:1, s. 219-235
  • Tidskriftsartikel (refereegranskat)abstract
    • Forests harbour large spatiotemporal heterogeneity in canopy structure. This variation drives the microclimate and light availability at the forest floor. So far, we do not know how light availability and sub-canopy temperature interactively mediate the impact of macroclimate warming on understorey communities.We therefore assessed the functional response of understorey plant communities to warming and light addition in a full factorial experiment installed in temperate deciduous forests across Europe along natural microclimate, light and macroclimate gradients. Furthermore, we related these functional responses to the species’ life-history syndromes and thermal niches.We found no significant community responses to the warming treatment. The light treatment, however, had a stronger impact on communities, mainly due to responses by fast-colonizing generalists and not by slow-colonizing forest specialists. The forest structure strongly mediated the response to light addition and also had a clear impact on functional traits and total plant cover.The effects of short-term experimental warming were small and suggest a time-lag in the response of understorey species to climate change. Canopy disturbance, for instance due to drought, pests or logging, has a strong and immediate impact and particularly favours generalists in the understorey in structurally complex forests.
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8.
  • De Pauw, Karen, et al. (författare)
  • Nutrient-demanding and thermophilous plants dominate urban forest-edge vegetation across temperate Europe
  • 2024
  • Ingår i: Journal of Vegetation Science. - 1100-9233 .- 1654-1103. ; 35:1
  • Tidskriftsartikel (refereegranskat)abstract
    • QuestionsForests are highly fragmented across the globe. For urban forests in particular, fragmentation increases the exposure to local warming caused by the urban heat island (UHI) effect. We here aim to quantify edge effects on herbaceous understorey vegetation in urban forests, and test whether these effects interact with forest structural complexity.LocationWe set up a pan-European study at the continental scale including six urban forests in Zurich, Paris, Katowice, Brussels, Bremen, and Stockholm.MethodsWe recorded understorey plant communities from the edge towards the interior of urban forests. Within each urban forest, we studied edge-to-interior gradients in paired stands with differing forest structural complexity. Community composition was analysed based on species specialism, life form, light, nutrient, acidity and disturbance indicator values and species' thermal niches.ResultsWe found that herbaceous communities at urban forest edges supported more generalists and forbs but fewer ferns than in forests' interiors. A buffered summer microclimate proved crucial for the presence of fern species. The edge communities contained more thermophilous, disturbance-tolerant, nutrient-demanding and basiphilous plant species, a pattern strongly confirmed by corresponding edge-to-interior gradients in microclimate, soil and light conditions in the understorey. Additionally, plots with a lower canopy cover and higher light availability supported higher numbers of both generalists and forest specialists. Even though no significant interactions were found between the edge distance and forest structural complexity, opposing additive effects indicated that a dense canopy can be used to buffer negative edge effects.ConclusionThe urban environment poses a multifaceted filter on understorey plant communities which contributes to significant differences in community composition between urban forest edges and interiors. For urban biodiversity conservation and the buffering of edge effects, it will be key to maintain dense canopies near urban forest edges. The urban environment poses a multifaceted filter on understorey plant communities which contributes to significant differences in community composition between urban forest edges and interiors. For urban biodiversity conservation and the buffering of edge effects, it will be key to maintain dense canopies near urban forest edges.image
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9.
  • De Frenne, Pieter, et al. (författare)
  • Forest microclimates and climate change : Importance, drivers and future research agenda
  • 2021
  • Ingår i: Global Change Biology. - : Wiley. - 1354-1013 .- 1365-2486. ; 27:11, s. 2279-2297
  • Forskningsöversikt (refereegranskat)abstract
    • Forest microclimates contrast strongly with the climate outside forests. To fully understand and better predict how forests' biodiversity and functions relate to climate and climate change, microclimates need to be integrated into ecological research. Despite the potentially broad impact of microclimates on the response of forest ecosystems to global change, our understanding of how microclimates within and below tree canopies modulate biotic responses to global change at the species, community and ecosystem level is still limited. Here, we review how spatial and temporal variation in forest microclimates result from an interplay of forest features, local water balance, topography and landscape composition. We first stress and exemplify the importance of considering forest microclimates to understand variation in biodiversity and ecosystem functions across forest landscapes. Next, we explain how macroclimate warming (of the free atmosphere) can affect microclimates, and vice versa, via interactions with land-use changes across different biomes. Finally, we perform a priority ranking of future research avenues at the interface of microclimate ecology and global change biology, with a specific focus on three key themes: (1) disentangling the abiotic and biotic drivers and feedbacks of forest microclimates; (2) global and regional mapping and predictions of forest microclimates; and (3) the impacts of microclimate on forest biodiversity and ecosystem functioning in the face of climate change. The availability of microclimatic data will significantly increase in the coming decades, characterizing climate variability at unprecedented spatial and temporal scales relevant to biological processes in forests. This will revolutionize our understanding of the dynamics, drivers and implications of forest microclimates on biodiversity and ecological functions, and the impacts of global changes. In order to support the sustainable use of forests and to secure their biodiversity and ecosystem services for future generations, microclimates cannot be ignored.
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10.
  • De Pauw, Karen, et al. (författare)
  • Taxonomic, phylogenetic and functional diversity of understorey plants respond differently to environmental conditions in European forest edges
  • 2021
  • Ingår i: Journal of Ecology. - : Wiley. - 0022-0477 .- 1365-2745. ; 109:7, s. 2629-2648
  • Tidskriftsartikel (refereegranskat)abstract
    • Forest biodiversity world-wide is affected by climate change, habitat loss and fragmentation, and today 20% of the forest area is located within 100 m of a forest edge. Still, forest edges harbour a substantial amount of terrestrial biodiversity, especially in the understorey. The functional and phylogenetic diversity of forest edges have never been studied simultaneously at a continental scale, in spite of their importance for the forests' functioning and for communities' resilience to future change.We assessed nine metrics of taxonomic, phylogenetic and functional diversity of understorey plant communities in 225 plots spread along edge-to-interior gradients in deciduous forests across Europe. We then derived the relative effects and importance of edaphic, stand and landscape conditions on the diversity metrics.Here, we show that taxonomic, phylogenetic and functional diversity metrics respond differently to environmental conditions. We report an increase in functional diversity in plots with stronger microclimatic buffering, in spite of their lower taxonomic species richness. Additionally, we found increased taxonomic species richness at the forest edge, but in forests with intermediate and high openness, these communities had decreased phylogenetic diversity.Functional and phylogenetic diversity revealed complementary and important insights in community assembly mechanisms. Several environmental filters were identified as potential drivers of the patterns, such as a colder macroclimate and less buffered microclimate for functional diversity. For phylogenetic diversity, edaphic conditions were more important. Interestingly, plots with lower soil pH had decreased taxonomic species richness, but led to increased phylogenetic diversity, challenging the phylogenetic niche conservatism concept.Synthesis. Taxonomic, phylogenetic and functional diversity of understorey communities in forest edges respond differently to environmental conditions, providing insight into different community assembly mechanisms and their interactions. Therefore, it is important to look beyond species richness with phylogenetic and functional diversity approaches when focusing on forest understorey biodiversity.
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11.
  • Gasperini, Cristina, et al. (författare)
  • Soil seed bank responses to edge effects in temperate European forests
  • 2022
  • Ingår i: Global Ecology and Biogeography. - Stockholm : Wiley. - 1466-822X .- 1466-8238. ; 31:9, s. 1877-1893
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: The amount of forest edges is increasing globally due to forest fragmentation and land-use changes. However, edge effects on the soil seed bank of temperate forests are still poorly understood. Here, we assessed edge effects at contrasting spatial scales across Europe and quantified the extent to which edges can preserve the seeds of forest specialist plants.Location: Temperate European deciduous forests along a 2,300-km latitudinal gradient.Time period: 2018-2021.Major taxa studied: Vascular plants.Methods: Through a greenhouse germination experiment, we studied how edge effects alter the density, diversity, composition and functionality of forest soil seed banks in 90 plots along different latitudes, elevations and forest management types. We also assessed which environmental conditions drive the seed bank responses at the forest edge versus interior and looked at the relationship between the seed bank and the herb layer species richness.Results: Overall, 10,108 seedlings of 250 species emerged from the soil seed bank. Seed density and species richness of generalists (species not only associated with forests) were higher at edges compared to interiors, with a negative influence of C : N ratio and litter quality. Conversely, forest specialist species richness did not decline from the interior to the edge. Also, edges were compositionally, but not functionally, different from interiors. The correlation between the seed bank and the herb layer species richness was positive and affected by microclimate.Main conclusions: Our results underpin how edge effects shape species diversity and composition of soil seed banks in ancient forests, especially increasing the proportion of generalist species and thus potentially favouring a shift in community composition. However, the presence of many forest specialists suggests that soil seed banks still play a key role in understorey species persistence and could support the resilience of our fragmented forests.
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12.
  • Govaert, Sanne, et al. (författare)
  • Trait–micro-environment relationships of forest herb communities across Europe
  • 2024
  • Ingår i: Global Ecology and Biogeography. - 1466-822X .- 1466-8238. ; 33:2, s. 286-302
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: The microclimate and light conditions on the forest floor are strongly modified by tree canopies. Therefore, we need to better consider the micro-environment when quantifying trait–environment relationships for forest understorey plants. Here, we quantify relationships between micro-environmental conditions and plant functional traits at the community level, including intraspecific trait variation, and their relationship with microclimate air temperature, light and soil properties.Location: Deciduous temperate forests across Europe.Time period: 2018.Major taxa studied: Herbaceous vegetation.Methods: We sampled 225 plots across 15 regions along four complementary gradients capturing both macro- and microclimatic conditions including latitude, elevation, forest management and distance to forest edges. We related the community-weighted mean of five plant functional traits (plant height, specific leaf area [SLA], plant carbon [C], plant nitrogen [N] and plant C:N ratio) across 150 vascular plant species to variation in local microclimate air temperature, light and soil properties. We tested the effect of accounting for intraspecific variation in trait–environment relationships and performed variation partitioning to identify major drivers of trait variation.Results: Microclimate temperature, light availability and soil properties were all important predictors of community-weighted mean functional traits. When light availability and variation in temperature were higher, the herb community often consisted of taller plants with a higher C:N ratio. In more productive environments (e.g. with high soil nitrogen availability), the community was dominated by individuals with resource-acquisitive traits: high SLA and N but low C:N. Including intraspecific trait variation increased the strength of the trait–micro-environment relationship, and increased the importance of light availability.Main conclusions: The trait–environment relationships were much stronger when the micro-environment and intraspecific trait variation were considered. By locally steering light availability and temperature, forest managers can potentially impact the functional signature of the forest herb-layer community.
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13.
  • Meeussen, Ccamille, et al. (författare)
  • Initial oak regeneration responses to experimental warming along microclimatic and macroclimatic gradients
  • 2022
  • Ingår i: Plant Biology. - : Wiley. - 1435-8603 .- 1438-8677. ; 24:5, s. 745-757
  • Tidskriftsartikel (refereegranskat)abstract
    • Quercus spp. are one of the most important tree genera in temperate deciduous forests in terms of biodiversity, economic and cultural perspectives.However, natural regeneration of oaks, depending on specific environmental conditions, is still not sufficiently understood.Oak regeneration dynamics are impacted by climate change, but these climate impacts will depend on local forest management and light and temperature conditions.
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14.
  • Meeussen, Camille, et al. (författare)
  • Microclimatic edge-to-interior gradients of European deciduous forests
  • 2021
  • Ingår i: Agricultural and Forest Meteorology. - : Elsevier BV. - 0168-1923 .- 1873-2240. ; 311
  • Tidskriftsartikel (refereegranskat)abstract
    • Global forest cover is heavily fragmented. Due to high edge-to-surface ratios in small forest patches, a large proportion of forests is affected by edge influences involving steep microclimatic gradients. Although forest edges are important ecotones and account for 20% of the global forested area, it remains unclear how biotic and abiotic drivers affect forest edge microclimates at the continental scale. Here we report soil and air temperatures measured in 225 deciduous forest plots across Europe for two years. Forest stands were situated along a latitudinal gradient and subject to a varying vegetation structure as quantified by terrestrial laser scanning. In summer, the average offset of air and soil temperatures in forest edges compared to temperatures outside the forest amounted to -2.8 degrees C and -2.3 degrees C, respectively. Edge-to-interior summer temperature gradients were affected by the macroclimate and edge structure. From the edge onwards, larger offsets were observed in dense forest edges and in warmer, southern regions. In open forests and northern Europe, altered microclimatic conditions extended deeper into the forest and gradients were steeper. Canopy closure and plant area index were important drivers of summer offsets in edges, whereas in winter also the forest-floor biomass played a key role. Using high-resolution maps, we estimated that approximately 10% of the European broadleaved forests would be affected by altered temperature regimes. Gradual transition zones between forest and adjacent lands are valuable habitat types for edge species. However, if cool and moist forest interiors are desired, then (i) dense and complex forest edges, (ii) an undisturbed forested buffer zone of at least 12.5 m deep and (iii) trees with a high shade casting ability could all contribute to an increased offset. These findings provide important guidelines to mitigate edge influences, to protect typical forest microclimates and to adapt forest management to climate change.
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15.
  • Plue, Jan, et al. (författare)
  • Biological flora of the British Isles:Poa nemoralis
  • 2020
  • Ingår i: Journal of Ecology. - : WILEY. - 0022-0477 .- 1365-2745. ; 108:4, s. 1750-1774
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
    • This account presents information on all aspects of the biology ofPoa nemoralisL. (Wood Meadow-grass) that are relevant to understanding its ecological characteristics and behaviour. The main topics are presented within the standard framework of theBiological Flora of the British Isles: distribution, habitat, communities, responses to biotic factors, responses to environment, structure and physiology, phenology, floral and seed characters, herbivores and disease, history, and conservation. The grassPoa nemoralisis widespread and frequent to locally common across the British Isles, except for western and central Ireland, and northern Scotland. In both its native Eurasian range and introduced ranges in, for example, the Americas, its main habitat comprises temperate (mixed) deciduous woodland. The species finds important secondary habitats in hedgerows, as well as in non-woodland vegetation such as on cliffs, screes and walls or sporadically in grassland and heathland. Although not always taxonomically or morphologically distinct units, the species is suspected to comprise many cytological races and hybrid polyploid populations with variable morphology. Morphological variation amongP. nemoralispopulations may also be a sign of local environmental adaptation or a result of introgressive hybridization with other, morphologically variable members ofPoasectionStenopoasuch asP. glauca,P. compressaorP. pratensis. Poa nemoralisis a small-statured, loosely caespitose grass, with populations ranging from a few individual tufts to those visually defining the aspect of the herbaceous understorey. The species tolerates moderate to deep shade on the forest floor, yet it tends to forage for available light, occurring more and growing taller in canopy gaps, forest edges and hedgerows. The amount of light is central to its survival and reproductive ecology, being important for flower induction, seed production and seed germination. The species produces large quantities of small, light seeds which facilitate spatial and temporal dispersal. The species occupies a wide range of soil pH (3-7) and nutrient conditions (C/N ratio ranges between 10 and 25), though it clearly prefers moderately acid and somewhat drier soils with limited litter thickness, avoiding soils with mor humus types.Poa nemoralisdisplays distinct small-scale acidifuge responses, being absent in areas of low soil pH (<3). Poa nemoralisis a moderately strong indicator of ancient woodland: it can quickly colonize recently established wooded areas adjacent to ancient woodland when it is not hindered by dispersal limitation and elevated nutrient levels. Nonetheless, dispersal limitation impedes rapid colonization of isolated, recently established woodlands, in spite of ample records of zoochorous seed dispersal. While currently frequent to locally common, the species is at risk if ancient woodlands continue to decline in its native Eurasian range. Across N.W. Europe, it is already in moderate decline in temperate deciduous ancient woodlands because of acidification, eutrophication and darkening of the forest understorey. In its introduced ranges, it is considered invasive.
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16.
  • Bilterys, T., et al. (författare)
  • Predictors for physical activity and its change after active physical therapy in people with spinal pain and insomnia: Secondary analysis of a randomized controlled trial
  • 2022
  • Ingår i: Brazilian Journal of Physical Therapy. - : Elsevier BV. - 1413-3555. ; 26:6
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: In healthy people and people with nonspecific chronic spinal pain (nCSP) and/or insomnia, participation in physical activity on a regular basis has several physical and psychological health benefits. However, people with chronic conditions often tend to reduce physical activity participation which can lead to deconditioning over time. Currently, there are no known predictors for an (in)active lifestyle (before and after physical therapy treatment) in people with chronic spinal pain and comorbid insomnia. Objective: To examine predictors of pre-treatment moderate-to-vigorous physical activity (MVPA) and to examine determinants for a change in MVPA in response to 14-weeks of active physical therapy treatment in people with nonspecific chronic spinal pain (nCSP) and comorbid insomnia. Methods: Baseline data and post-treatment data were analyzed for 66 participants. A linear multiple regression analysis was conducted to examine which factors predict MVPA at baseline. Linear mixed-effects modeling was used to identify determinants for change in MVPA in response to an active physical therapy treatment. Results: Physical fatigue (b = -0.9; 95%CI: -1.59, -0.15), less limitations in functioning as a result of emotional problems (b = 0.1; 95%CI: 0.03, 0.10), mental fatigue (b = -1.0; 95%CI: -1.67, -0.43), lower general sleep quality (b= 0.7; 95%CI: 0.22, 1.17), and body mass index (b = -0.5; 95%CI: -0.93, -0.16) were significant predictors of baseline MVPA. The regression model explained 33.3% of the total variance in baseline MVPA. The change of MVPA in response to the treatment ranged from a decrease of 17.5 to an increase of 16.6 hours per week. No determinants for change in MVPA after treatment could be identified. Conclusion: People with nCSP and comorbid insomnia are more likely to engage in MVPA if they report, at baseline, lower sleep quality, fewer limitations in functioning resulting from emotional problems, lower body mass index, as well as less physical and mental fatigue.
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17.
  • Lenoir, D., et al. (författare)
  • Are Reports of Pain, Disability, Quality of Life, Psychological Factors, and Central Sensitization Related to Outcomes of Quantitative Sensory Testing in Patients Suffering From Chronic Whiplash Associated Disorders?
  • 2022
  • Ingår i: Clinical Journal of Pain. - : Ovid Technologies (Wolters Kluwer Health). - 0749-8047 .- 1536-5409. ; 38:3, s. 159-172
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Chronic whiplash associated disorders (CWAD) are characterized by long-lasting symptoms of neck pain occurring after an acceleration-deceleration injury. Central sensitization (CS) has been suggested as the possible underlying mechanism for these symptoms, and is characterized by changes in the central nervous system. Besides CS, psychological factors are believed to play an important role in the experience of (chronic) pain. Objective: Investigating the relationships between self-reported pain, disability, quality of life, psychological factors, and symptoms of CS; and electrical-based quantitative sensory testing (QST) outcomes in CWAD patients. Secondly, to investigate the differences in QST between CWAD patients and pain-free controls. Methods: Seventy-two individuals with CWAD and 55 pain-free controls underwent electrical stimuli-based QST. Detection and pain thresholds (EPT), temporal summation (TS), and conditioned pain modulation were examined. Spearman correlation and linear mixed models analyses were performed to assess, respectively, the hypothesized associations and group differences in QST. Results: The Pain Catastrophizing magnification subscale correlated with the left wrist EPT (r=-0.332; P=0.004), and the Pain Anxiety Symptom Scale-20 with the left wrist (r=-0.325; P=0.005) and ankle (r=-0.330; P=0.005) EPT. TS at the ankle correlated with the CS inventory (r=0.303; P=0.010), Short Form 36 pain subscale (r=-0.325; P=0.005), and Illness Perception Questionnaire revised consequences subscale (r=0.325; P=0.005). EPTs left (P=0.011) and right wrist (P=0.023) were lower in the CWAD group, but conditioned pain modulation and TS did not differ between groups. Conclusion: QST outcomes relate to psychological constructs, rather than to self-reported pain intensity and distribution. Local hyperalgesia was found in individuals with CWAD, but no differences in endogenous pain facilitation nor inhibition.
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18.
  • Pires, SM, et al. (författare)
  • Burden of Disease of COVID-19: Strengthening the Collaboration for National Studies
  • 2022
  • Ingår i: Frontiers in public health. - : Frontiers Media SA. - 2296-2565. ; 10, s. 907012-
  • Tidskriftsartikel (refereegranskat)abstract
    • Quantifying the combined impact of morbidity and mortality is a key enabler to assessing the impact of COVID-19 across countries and within countries relative to other diseases, regions, or demographics. Differences in methods, data sources, and definitions of mortality due to COVID-19 may hamper comparisons. We describe efforts to support countries in estimating the national-level burden of COVID-19 using disability-adjusted life years.MethodsThe European Burden of Disease Network developed a consensus methodology, as well as a range of capacity-building activities to support burden of COVID-19 studies. These activities have supported 11 national studies so far, with study periods between January 2020 and December 2021.ResultsNational studies dealt with various data gaps and different assumptions were made to face knowledge gaps. Still, they delivered broadly comparable results that allow for interpretation of consistencies, as well as differences in the quantified direct health impact of the pandemic.DiscussionHarmonized efforts and methodologies have allowed for comparable estimates and communication of results. Future studies should evaluate the impact of interventions, and unravel the indirect health impact of the COVID-19 crisis.
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19.
  • Yang, Xin, et al. (författare)
  • Cancer risks associated with germline PALB2 pathogenic variants : An international study of 524 families
  • 2020
  • Ingår i: Journal of Clinical Oncology. - 0732-183X. ; 38:7, s. 674-685
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE To estimate age-specific relative and absolute cancer risks of breast cancer and to estimate risks of ovarian, pancreatic, male breast, prostate, and colorectal cancers associated with germline PALB2 pathogenic variants (PVs) because these risks have not been extensively characterized. METHODS We analyzed data from 524 families with PALB2 PVs from 21 countries. Complex segregation analysis was used to estimate relative risks (RRs; relative to country-specific population incidences) and absolute risks of cancers. The models allowed for residual familial aggregation of breast and ovarian cancer and were adjusted for the family-specific ascertainment schemes. RESULTS We found associations between PALB2 PVs and risk of female breast cancer (RR, 7.18; 95% CI, 5.82 to 8.85; P = 6.5 × 10-76), ovarian cancer (RR, 2.91; 95% CI, 1.40 to 6.04; P = 4.1 × 10-3), pancreatic cancer (RR, 2.37; 95% CI, 1.24 to 4.50; P = 8.7 × 10-3), and male breast cancer (RR, 7.34; 95% CI, 1.28 to 42.18; P = 2.6 3 1022). There was no evidence for increased risks of prostate or colorectal cancer. The breast cancer RRs declined with age (P for trend = 2.0 × 10-3). After adjusting for family ascertainment, breast cancer risk estimates on the basis of multiple case families were similar to the estimates from families ascertained through population-based studies (P for difference = .41). On the basis of the combined data, the estimated risks to age 80 years were 53% (95% CI, 44% to 63%) for female breast cancer, 5% (95% CI, 2% to 10%) for ovarian cancer, 2%-3% (95% CI females, 1% to 4%; 95% CI males, 2% to 5%) for pancreatic cancer, and 1% (95% CI, 0.2% to 5%) for male breast cancer. CONCLUSION These results confirm PALB2 as a major breast cancer susceptibility gene and establish substantial associations between germline PALB2 PVs and ovarian, pancreatic, and male breast cancers. These findings will facilitate incorporation of PALB2 into risk prediction models and optimize the clinical cancer risk management of PALB2 PV carriers.
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