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- Bolmstrand, B, et al.
(författare)
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Vaginal reconstruction using a gluteal transposition flap after abdominoperineal excision for anorectal malignancy
- 2022
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Ingår i: Updates in surgery. - : Springer Science and Business Media LLC. - 2038-3312 .- 2038-131X. ; 74:2, s. 467-478
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study is to present and evaluate a surgical method using gluteal flap for combined perineal and vaginal reconstruction after abdominoperineal excision (APE) with partial vaginectomy for anorectal malignancy. The method is a two-centre study of consecutive patients undergoing APE including partial vaginectomy for anorectal tumours, with immediate combined perineal and vaginal reconstruction using gluteal flaps. Follow-up data were retrieved via retrospective review of medical records, questionnaires and gynaecological examinations. Some 34 patients fulfilled the inclusion criteria. At the time of follow-up, 14 (78%) of the 18 patients alive responded to questionnaires. Seven (50%) of the survey responders agreed to undergo gynaecological examination. Major flap-specific complications (Clavien–Dindo > 2) were observed in 3 (9%) patients. Among survey responders, 11 (79%) had been sexually active preoperatively of which five (45%) resumed sexual activity postoperatively and three (27%) resumed vaginal intercourse. These three patients had all implemented an active vaginal health promotion strategy postoperatively. Perineo-vaginal reconstruction using gluteal flap after extended APE for anorectal malignancy is feasible. Although comparable to other methods of reconstruction, the rate of perineo-vaginal complications is high and post-operative sexual dysfunction is substantial. Postoperative strategies for vaginal health promotion may improve sexual function after vaginal reconstruction.
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| 6. |
- Osterwalder, S., et al.
(författare)
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Critical Observations of Gaseous Elemental Mercury Air-Sea Exchange
- 2021
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Ingår i: Global Biogeochemical Cycles. - : American Geophysical Union (AGU). - 0886-6236 .- 1944-9224. ; 35:8
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Tidskriftsartikel (refereegranskat)abstract
- Air-sea exchange of gaseous elemental mercury (Hg-0) is not well constrained, even though it is a major component of the global Hg cycle. Lack of Hg-0 flux measurements to validate parameterizations of the Hg-0 transfer velocity contributes to this uncertainty. We measured the Hg-0 flux on the Baltic Sea coast using micrometeorological methods (gradient-based and relaxed eddy accumulation [REA]) and also simulated the flux with a gas exchange model. The coastal waters were typically supersaturated with Hg-0 (mean +/- 1 sigma = 13.5 +/- 3.5 ng m(-3); ca. 10% of total Hg) compared to the atmosphere (1.3 +/- 0.2 ng m(-3)). The Hg-0 flux calculated using the gas exchange model ranged from 0.1-1.3 ng m(-2) h(-1) (10th and 90th percentile) over the course of the campaign (May 10-June 20, 2017) and showed a distinct diel fluctuation. The mean coastal Hg-0 fluxes determined with the two gradient-based approaches and REA were 0.3, 0.5, and 0.6 ng m(-2) h(-1), respectively. In contrast, the mean open sea Hg-0 flux measured with REA was larger (6.3 ng m(-2) h(-1)). The open sea Hg-0 flux indicated a stronger wind speed dependence for the Hg-0 transfer velocity compared to commonly used parameterizations. Although based on a limited data set, we suggest that the wind speed dependence of the Hg-0 transfer velocity is more consistent with gases that have less water solubility than CO2 (e.g., O-2). These pioneering flux measurements using micrometeorological techniques show that more such measurements would improve our understanding of air-sea Hg exchange.
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- Zhang, LT, et al.
(författare)
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Human skin specific long noncoding RNA HOXC13-AS regulates epidermal differentiation by interfering with Golgi-ER retrograde transport
- 2023
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Ingår i: Cell death and differentiation. - : Springer Science and Business Media LLC. - 1476-5403 .- 1350-9047. ; 30:5, s. 1334-1348
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Tidskriftsartikel (refereegranskat)abstract
- After a skin injury, keratinocytes switch from a state of homeostasis to one of regeneration leading to the reconstruction of the epidermal barrier. The regulatory mechanism of gene expression underpinning this key switch during human skin wound healing is enigmatic. Long noncoding RNAs (lncRNAs) constitute a new horizon in the understanding of the regulatory programs encoded in the mammalian genome. By comparing the transcriptome of an acute human wound and skin from the same donor as well as keratinocytes isolated from these paired tissue samples, we generated a list of lncRNAs showing changed expression in keratinocytes during wound repair. Our study focused onHOXC13-AS, a recently evolved human lncRNA specifically expressed in epidermal keratinocytes, and we found that its expression was temporally downregulated during wound healing. In line with its enrichment in suprabasal keratinocytes,HOXC13-ASwas found to be increasingly expressed during keratinocyte differentiation, but its expression was reduced by EGFR signaling. AfterHOXC13-ASknockdown or overexpression in human primary keratinocytes undergoing differentiation induced by cell suspension or calcium treatment and in organotypic epidermis, we found thatHOXC13-ASpromoted keratinocyte differentiation. Moreover, RNA pull-down assays followed by mass spectrometry and RNA immunoprecipitation analysis revealed that mechanisticallyHOXC13-ASsequestered the coat complex subunit alpha (COPA) protein and interfered with Golgi-to-endoplasmic reticulum (ER) molecular transport, resulting in ER stress and enhanced keratinocyte differentiation. In summary, we identifiedHOXC13-ASas a crucial regulator of human epidermal differentiation.
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