| 1. |
- Block, Mattias, 1968, et al.
(author)
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Neoplasia in the colorectal specimens of patients with ulcerative colitis and ileal pouch-anal anastomosis - need for routine surveillance?
- 2015
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In: Scandinavian journal of gastroenterology. - : Informa UK Limited. - 1502-7708 .- 0036-5521. ; 50:5, s. 528-35
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Journal article (peer-reviewed)abstract
- Patients who undergo ileal pouch-anal anastomosis (IPAA) after colectomy for ulcerative colitis (UC) occasionally have neoplasia in the IPAA. Patients with evidence of dysplasia or carcinoma in the colorectal specimen may have an increased risk of such neoplasia. A surveillance program has been suggested. The aims of this study were to evaluate the outcomes of surveillance of a large patient cohort, and to investigate the prevalences of neoplasia in the ileal pouch mucosa and in the anal transitional zone (ATZ).
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| 2. |
- Buccheri, Sergio, et al.
(author)
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Clinical and angiographic outcomes of bioabsorbable vs. permanent polymer drug-eluting stents in Sweden : a report from the Swedish Coronary and Angioplasty Registry (SCAAR)
- 2019
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In: European Heart Journal. - : Oxford University Press. - 0195-668X .- 1522-9645. ; 40:31, s. 2607-2615
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Journal article (peer-reviewed)abstract
- AIMS: Randomized clinical trials have consistently demonstrated the non-inferiority of bioabsorbable polymer drug-eluting stents (BP-DES) with respect to DES having permanent polymers (PP-DES). To date, the comparative performance of BP- and PP-DES in the real world has not been extensively investigated.METHODS AND RESULTS: From October 2011 to June 2016, we analysed the outcomes associated with newer generation DES use in Sweden. After stratification according to the type of DES received at the index procedure, a total of 16 504 and 79 106 stents were included in the BP- and PP-DES groups, respectively. The Kaplan-Meier estimates for restenosis at 2 years were 1.2% and 1.4% in BP- and PP-DES groups, respectively. Definite stent thrombosis (ST) was low in both groups (0.5% and 0.7% in BP- and PP-DES groups, respectively). The adjusted hazard ratio (HR) for either restenosis or definite ST did not differ between BP- and PP-DES [adjusted HR 0.95, 95% confidence interval (CI) 0.74-1.21; P = 0.670 and adjusted HR 0.79, 95% CI 0.57-1.09; P = 0.151, respectively]. Similarly, there were no differences in the adjusted risk of all-cause death and myocardial infarction (MI) between the two groups (adjusted HR for all-cause death 1.01, 95% CI 0.82-1.25; P = 0.918 and adjusted HR for MI 1.05, 95% CI 0.93-1.19; P = 0.404).CONCLUSION: In a large, nationwide, and unselected cohort of patients, percutaneous coronary intervention with BP-DES implantation was not associated with an incremental clinical benefit over PP-DES use at 2 years follow-up.
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| 3. |
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| 4. |
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| 5. |
- Liuzza, Marco Tullio, et al.
(author)
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Body odor disgust sensitivity independently predicts authoritarian attitudes
- 2016
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Conference paper (other academic/artistic)abstract
- The behavioral immune system (BIS) provides us a set of emotional and behavioral responses to avoid the threat of pathogens. Individual differences in BIS can make some individuals endorse social values that minimize the contact with groups that might be perceived unfamiliar or deviant. Disgust is one of the emotions that is most consistently involved in the BIS and it has been found to be consistently related to socially conservative attitudes. Disgust sensitivity to body odors plays a crucial role in the BIS but it has been largely understated by research linking disgust sensitivity. We the developed a new scale that measures individual differences in body odors disgust sensitivity (BODS) and assessed how this measure related to conservative attitudes. We hypothesized that the BODS should relate to social, but not economic, conservatism, as only the latter should share common motives with the BIS. Furthermore, we hypothesized that the BODS should share more core motives with conservatism and thus it should at least partially mediate the relationship between general disgust sensitivity measures and conservatism. We developed a 30 items measure of BODS where participants had to rate how they would feel disgusted in five different scenarios involving six body odors consistently linked to disease detection. We ran three studies (N = 200, N = 159 and N = 269) through Amazon Mechanical Turk where we collected participants’ differences in: BODS, three domains of disgust (TDD) (studies 1-3), disgust sensitivity (DS, studies 2-3), Perceived Vulnerability to Disease (PVD, studies 2-3) and in social conservatism (Right-Wing Authoritarianism RWA, studies 1-3) and economic conservatism (Social Dominance Orientation, SDO, study 3). We ran zero order correlations to assess the relationship between BODS, other Disgust Sensitivity measures and conservatism measures. Akaike Information Criterion based stepwise model selection procedures were used to identify the variables that mostly accounted for participants’ variance in conservatism. Mediation analyses were ran to test the hypothesis that BODS could mediate, at least partially the relationship between general disgust sensitivity measures and conservatism.Results: Across three studies we found that 1) BODS has good convergent validity with other measures of general disgust sensitivity (Studies 1-3) 2) BODS is consistently and independently related to RWA even when taking into account DS-R and/or TDD (Studies 1-3) 3) BODS relates to social, but not economic conservatism 4) BODS at least partially mediates the relationship between general disgust sensitivity measures and social conservatism (Studies 1-3). Our results show that body odor disgust sensitivity independently predicts socially conservative attitudes, and our findings suggest that the study of the biological basis of social attitudes would benefit from an increased focus on basic sensory-emotional processes. While our approach is broadly congruent with current theoretical frameworks emphasizing the evolutionary roots of disgust in basic chemosensory processes, an increased empirical focus on body odor perception might provide a unique link between pathogen detection and social regulation mechanisms.
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| 6. |
- Liuzza, Marco Tullio, et al.
(author)
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Body Odor Disgust Sensitivity Predicts Moral Harshness Toward Moral Violations of Purity
- 2019
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In: Frontiers in Psychology. - : Frontiers Media SA. - 1664-1078. ; 10
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Journal article (peer-reviewed)abstract
- Detecting pathogen threats and avoiding disease is fundamental to human survival. The behavioral immune system (BIS) framework outlines a set of psychological functions that may have evolved for this purpose. Disgust is a core emotion that plays a pivotal role in the BIS, as it activates the behavioral avoidance motives that prevent people from being in contact with pathogens. To date, there has been little agreement on how disgust sensitivity might underlie moral judgments. Here, we investigated moral violations of “purity” (assumed to elicit disgust) and violations of “harm” (assumed to elicit anger). We hypothesized that individual differences in BIS-related traits would be associated with greater disgust (vs. anger) reactivity to, and greater condemnation of Purity (vs. Harm) violations. The study was pre-registered (https://osf.io/57nm8/). Participants (N = 632) rated scenarios concerning moral wrongness or inappropriateness and regarding disgust and anger. To measure individual differences in the activation of the BIS, we used our recently developed Body Odor Disgust Scale (BODS), a BIS-related trait measure that assesses individual differences in feeling disgusted by body odors. In line with our predictions, we found that scores on the BODS relate more strongly to affective reactions to Purity, as compared to Harm, violations. In addition, BODS relates more strongly to Moral condemnation than to perceived Inappropriateness of an action, and to the condemnation of Purity violations as compared to Harm violations. These results suggest that the BIS is involved in moral judgment, although to some extent this role seems to be specific for violations of “moral purity,” a response that might be rooted in disease avoidance. Data and scripts to analyze the data are available on the Open Science Framework (OSF) repository: https://osf.io/tk4x5/. Planned analyses are available at https://osf.io/x6g3u/.
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| 7. |
- Liuzza, Marco Tullio, et al.
(author)
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Body odour disgust sensitivity predicts authoritarian attitudes
- 2018
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In: Royal Society Open Science. - : The Royal Society. - 2054-5703. ; 5:2
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Journal article (peer-reviewed)abstract
- Authoritarianism has resurfaced as a research topic in political psychology, as it appears relevant to explain current political trends. Authoritarian attitudes have been consistently linked to feelings of disgust, an emotion that is thought to have evolved to protect the organism from contamination. We hypothesized that body odour disgust sensitivity (BODS) might be associated with authoritarianism, as chemo-signalling is a primitive system for regulating interpersonal contact and disease avoidance, which are key features also in authoritarianism. We used well-validated scales for measuring BODS, authoritarianism and related constructs. Across two studies, we found that BODS is positively related to authoritarianism. In a third study, we showed a positive association between BODS scores and support for Donald Trump, who, at the time of data collection, was a presidential candidate with an agenda described as resonating with authoritarian attitudes. Authoritarianism fully explained the positive association between BODS and support for Donald Trump. Our findings highlight body odour disgust as a new and promising domain in political psychology research. Authoritarianism and BODS might be part of the same disease avoidance framework, and our results contribute to the growing evidence that contemporary social attitudes might be rooted in basic sensory functions.
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| 8. |
- Liuzza, Marco Tullio, et al.
(author)
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The Body Odor Disgust Scale (BODS) : Development and Validation of a Novel Olfactory Disgust Assessment
- 2017
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In: Chemical Senses. - : Oxford University Press. - 0379-864X .- 1464-3553. ; 42:6, s. 499-508
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Journal article (peer-reviewed)abstract
- Disgust plays a crucial role in the avoidance of pathogen threats. In many species, body odors provide important information related to health and disease, and body odors are potent elicitors of disgust in humans. With this background, valid assessments of body odor disgust sensitivity are warranted. In the present article, we report the development and psychometric validation of the Body Odor Disgust Scale (BODS), a measure suited to assess individual differences in disgust reaction to a variety of body odors. Collected data from 3 studies (total n = 528) show that the scale can be used either as a unidimensional scale or as a scale that reflects two hypothesized factors: sensitivity to one's own body odors versus those of others. Guided by our results, we reduced the scale to 12 items that capture the essence of these 2 factors. The final version of the BODS shows an excellent internal consistency (Cronbach's alpha s > 0.9). The BODS subscales show convergent validity with other general disgust scales, as well as with other olfactory functions measures and with aspects of personality that are related to pathogen avoidance. A fourth study confirmed the construct validity of the BODS and its measurement invariance to gender. Moreover, we found that, compared with other general disgust scales, the BODS is more strongly related to perceived vulnerability to disease. The BODS is a brief and valid assessment of trait body odor disgust sensitivity.
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| 9. |
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| 10. |
- Olofsson, Jonas, et al.
(author)
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Body odor disgust scale (BODS) : Its validation and association with social biases
- 2019
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In: Chemical Senses. - : Oxford University Press (OUP). - 0379-864X .- 1464-3553. ; 44:3, s. e8-e8
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Journal article (other academic/artistic)abstract
- Body odors provide important social and health-related cues in many species. While human body odor perception often triggers feelings of disgust, few studies have investigated body odor disgust in a systematic way. We have developed the body odor disgust scale (BODS), a brief 12-item scale to assess the extent to which individuals are disgusted by common body odors such as sweat and urine. The scale development included both internal and external validation tests. We used the BODS in conjunction with scales measuring social attitudes and biases, and found consistent associations between high body odor disgust and stronger authoritarian attitudes, as well as more pronounced outgroup biases. Our work is consistent with the “behavioral immune system” framework, wherein social attitudes and political ideologies are shaped by perceived pathogen risk and disease avoidance via feelings of disgust. Body odor perception may thus not only be important for personal interactions, but may also be linked to social attitudes and political ideologies.
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| 11. |
- Woksepp, Hanna, et al.
(author)
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High target attainment for beta-lactam antibiotics in intensive care unit patients when actual minimum inhibitory concentrations are applied
- 2017
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In: European Journal of Clinical Microbiology and Infectious Diseases. - Heidelberg : Springer. - 0934-9723 .- 1435-4373. ; 36:3, s. 553-563
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Journal article (peer-reviewed)abstract
- Patients in the intensive care unit (ICU) are at risk for suboptimal levels of beta-lactam antibiotics, possibly leading to poor efficacy. Our aim was to investigate whether the actual minimum inhibitory concentration (MIC) compared to the more commonly used arbitrary epidemiological cut-off values (ECOFFs) would affect target attainment in ICU patients on empirical treatment with broad-spectrum beta-lactam antibiotics and to identify risk factors for not reaching target. In a prospective, multicenter study, ICU patients ae18 years old and treated with piperacillin/tazobactam, meropenem, or cefotaxime were included. Clinical and laboratory data were recorded. Serum trough antibiotic levels from three consecutive days were analyzed by liquid chromatography-mass spectrometry (LC-MS). The target was defined as the free trough concentration above the MIC (100% fT(> MIC)). MICECOFF was used as the target and, when available, the actual MIC (MICACTUAL) was applied. The median age of the patients was 70 years old, 52% (58/111) were males, and the median estimated glomerular filtration rate (eGFR) was 48.0 mL/min/1.73 m(2). The rate of patients reaching 100% fT > MICACTUAL was higher (89%, 31/35) compared to the same patients using MICECOFF (60%, p = 0.002). In total, 55% (61/111) reached 100% fT > MICECOFF. Increased renal clearance was independently associated to not reaching 100% fT > MICECOFF. On repeated sampling, > 77% of patients had stable serum drug levels around the MICECOFF. Serum concentrations of beta-lactam antibiotics vary extensively between ICU patients. The rate of patients not reaching target was markedly lower for the actual MIC than when the arbitrary MIC based on the ECOFF was used, which is important to consider in future studies.
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| 12. |
- Xu, Hong, et al.
(author)
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Outcomes associated to serum phosphate levels in patients with suspected acute coronary syndrome
- 2017
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In: International Journal of Cardiology. - : Elsevier BV. - 0167-5273 .- 1874-1754. ; 32
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Journal article (peer-reviewed)abstract
- BACKGROUND: We investigated the association between phosphate and the risk of adverse clinical outcomes in patients with manifest cardiovascular disease (CVD).METHODS: Observational study of patients hospitalized during 2006-2011 in Stockholm, Sweden, because of suspected acute coronary syndrome (ACS). The exposure was serum phosphate during the hospitalization. We modeled the association between phosphate and in-hospital death or in-hospital events (composite of myocardial infarction, cardiogenic shock, resuscitated cardiac arrest, atrial fibrillation, or atrioventricular block) as well as the one-year post-discharge risk of death or cardiovascular event (composite of myocardial re-infarction, heart failure and stroke). Confounders included demographics, comorbidities, kidney function, diagnoses, in-hospital procedures and therapies.RESULTS: Included were 2547 patients (68% men, mean age 67±14years) with median phosphate of 1.10 (range 0.14-4.20) mmol/L. During hospitalization, 198 patients died and 328 suffered an adverse event. Within one year post-discharge, further 381 deaths and 632 CVD events occurred. The associations of phosphate with mortality and CVD were J-shaped, with highest risk magnitudes at higher phosphate levels. For instance, compared to patients in the 50th percentile of phosphate distribution, those above the 75th percentile (1.3mmol/L, normal range) had significantly higher odds for in-hospital death [odds ratio 1.36, 95% confidence interval (CI) (1.08-1.71)] and of CVD post-discharge [sub-hazard ratios 1.17 (1.03-1.33)].CONCLUSIONS: In patients with suspected ACS, both higher and lower phosphate levels associated with increased risk of adverse outcomes during the index hospitalization and within one year post-discharge. The risk association was present already within normal-range serum phosphate values.
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| 13. |
- Zakrzewska, Marta, et al.
(author)
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Body odor disgust sensitivity is associated with prejudice towards a fictive group of immigrants
- 2019
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In: Physiology and Behavior. - : Elsevier BV. - 0031-9384 .- 1873-507X. ; 201, s. 221-227
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Journal article (peer-reviewed)abstract
- Why are certain individuals persistent in opposing immigration? The behavioral immune system framework implies that a psychological mechanism, which adapted to detect and avoid pathogen threats, is also reflected in contemporary social attitudes. Moreover, prejudice towards outgroups might be partially driven by implicit pathogen concerns related to the perceived dissimilarity with these groups' hygiene and food preparation practices. Disgust, a universal core emotion supposedly evolved to avoid pathogen threats, as well as olfaction, both play a pivotal role in evoking disgust. In an online study (N = 800), we investigated whether individual differences in body odor disgust sensitivity (BODS) correlate with negative attitudes towards a fictive refugee group. The data analysis plan and hypotheses were preregistered. Results show that body odor disgust sensitivity is associated with xenophobia: BODS was positively associated with negative attitudes towards the fictive group. This relationship was partially mediated by perceived dissimilarities of the group in terms of hygiene and food preparation. Our finding suggests prejudice might be rooted in sensory mechanisms.
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