| 31. |
- Fietze, I, et al.
(författare)
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Management of obstructive sleep apnea in Europe
- 2011
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Ingår i: Sleep Medicine. - : Elsevier. - 1389-9457 .- 1878-5506. ; 12:2, s. 190-197
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: In Europe, the services provided for the investigation and management of obstructive sleep apnoea (OSA) varies from country to country. The aim of this questionnaire-based study was to investigate the current status of diagnostic pathways and therapeutic approaches applied in the treatment of OSA in Europe, qualification requirements of physicians involved in diagnosis and treatment of OSA, and reimbursement of these services. Methods: Two questionnaires were sent to 39 physicians in 22 countries in Europe. In order to standardize the responses, the questionnaire was accompanied by an example. Results: Sleep centers from 21 countries (38 physicians) participated. A broad consistency among countries with respect to the following was found: pathways included referral to sleep physicians/sleep laboratories, necessity for objective diagnosis (primarily by polysomnography), use of polygraphic methods, analysis of polysomnography (PSG), indications for positive airway pressure (PAP) therapy, application of standard continuous PAP (CPAP) therapy (100% with an CPAP/APAP ratio of 2.24:1), and the need (90.5%) and management of follow-up. Differences were apparent in reimbursement of the diagnostic procedures and follow-up, in the procedures for PAP titration from home APAP titration with portable sleep apnea monitoring (38.1%) up to hospital monitoring with PSG and APAP (85.7%), and in the qualification requirements of sleep physicians. Conclusions: Management of OSA in different European countries is similar except for reimbursement rules, qualification of sleep specialists and procedures for titration of the CPAP treatment. A European network (such as the one accomplished by the European Cooperation in Science and Technology [COST] B26 Action) could be helpful for implementing these findings into health-service research in order to standardize management in a cost effective perspective.
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| 32. |
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| 33. |
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| 34. |
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| 35. |
- Caron, M. M., et al.
(författare)
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Impacts of warming and changes in precipitation frequency on the regeneration of two Acer species
- 2015
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Ingår i: Flora. - : Elsevier BV. - 0367-2530 .- 1618-0585. ; 214, s. 24-33
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Tidskriftsartikel (refereegranskat)abstract
- Climate projections indicate that temperatures will increase by up to 4.5 degrees C in Europe by the end of this century, and that more extreme rainfall events and longer intervening dry periods will take place. Climate change will likely affect all phases of the life cycle of plants, but plant reproduction has been suggested to be especially sensitive. Here, using a combination of approaches (soil heaters and different provenances along a latitudinal gradient), we analyzed the regeneration from seeds of Acer platanoides and A. pseudoplatanus, two tree species considered, from a management point of view, of secondary relevance. We studied germination, seedling survival and growth in a full-factorial experiment including warming and changes in watering frequency. Both species responded to warming, watering frequency and seed provenance, with stronger (negative) effects of warming and provenance than of watering frequency. In general, the central provenances performed better than the northernmost and southern-most provenances. We also detected interactive effects between warming, watering frequency and/or seed provenance. Based on these results, both species are expected to show dissimilar responses to the changes in the studied climatic factors, but also the impacts of climate change on the different phases of plant regeneration may differ in direction and magnitude. In general increases in the precipitation, frequency will stimulate germination while warming will reduce survival and growth. Moreover, the frequent divergent responses of seedlings along the latitudinal gradient suggest that climate change will likely have heterogeneous impacts across Europe, with stronger impacts in the northern and southern parts of the species' distribution ranges.
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| 36. |
- Caron, M. M., et al.
(författare)
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Interacting effects of warming and drought on regeneration and early growth of Acer pseudoplatanus and A. platanoides
- 2015
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Ingår i: Plant Biology. - : Wiley. - 1435-8603 .- 1438-8677. ; 17:1, s. 52-62
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Tidskriftsartikel (refereegranskat)abstract
- Climate change is acting on several aspects of plant life cycles, including the sexual reproductive stage, which is considered amongst the most sensitive life-cycle phases. In temperate forests, it is expected that climate change will lead to a compositional change in community structure due to changes in the dominance of currently more abundant forest tree species. Increasing our understanding of the effects of climate change on currently secondary tree species recruitment is therefore important to better understand and forecast population and community dynamics in forests. Here, we analyse the interactive effects of rising temperatures and soil moisture reduction on germination, seedling survival and early growth of two important secondary European tree species, Acer pseudoplatanus and A.platanoides. Additionally, we analyse the effect of the temperature experienced by the mother tree during seed production by collecting seeds of both species along a 2200-km long latitudinal gradient. For most of the responses, A.platanoides showed higher sensitivity to the treatments applied, and especially to its joint manipulation, which for some variables resulted in additive effects while for others only partial compensation. In both species, germination and survival decreased with rising temperatures and/or soil moisture reduction while early growth decreased with declining soil moisture content. We conclude that although A.platanoides germination and survival were more affected after the applied treatments, its initial higher germination and larger seedlings might allow this species to be relatively more successful than A.pseudoplatanus in the face of climate change.
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| 37. |
- Caron, M. M., et al.
(författare)
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Latitudinal variation in seeds characteristics of Acer platanoides and A. pseudoplatanus
- 2014
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Ingår i: Plant Ecology. - : Springer Science and Business Media LLC. - 1385-0237 .- 1573-5052. ; 215:8, s. 911-925
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Tidskriftsartikel (refereegranskat)abstract
- Climate change will likely affect population dynamics of numerous plant species by modifying several aspects of the life cycle. Because plant regeneration from seeds may be particularly vulnerable, here we assess the possible effects of climate change on seed characteristics and present an integrated analysis of seven seed traits (nutrient concentrations, samara mass, seed mass, wing length, seed viability, germination percentage, and seedling biomass) of Acer platanoides and A. pseudoplatanus seeds collected along a wide latitudinal gradient from Italy to Norway. Seed traits were analyzed in relation to the environmental conditions experienced by the mother trees along the latitudinal gradient. We found that seed traits of A. platanoides were more influenced by the climatic conditions than those of A. pseudoplatanus. Additionally, seed viability, germination percentage, and seedling biomass of A. platanoides were strongly related to the seed mass and nutrient concentration. While A. platanoides seeds were more influenced by the environmental conditions (generally negatively affected by rising temperatures), compared to A. pseudoplatanus, A. platanoides still showed higher germination percentage and seedling biomass than A. pseudoplatanus. Thus, further research on subsequent life-history stages of both species is needed. The variation in seed quality observed along the climatic gradient highlights the importance of studying the possible impact of climate change on seed production and species demography.
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| 38. |
- Cooney, M T, et al.
(författare)
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HDL cholesterol protects against cardiovascular disease in both genders, at all ages and at all levels of risk.
- 2009
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Ingår i: Atherosclerosis. - : Elsevier BV. - 1879-1484 .- 0021-9150. ; 206:2, s. 611-6
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: We aimed to clarify some previous inconsistencies regarding the role of high density lipoprotein cholesterol (HDL-C) as a CVD protective factor. METHODS: The SCORE dataset contained data on HDL-C for 104,961 individuals (45% women) without pre-existing coronary heart disease (CHD). These were from 7 pooled European prospective studies. The effect of HDL-C, both in quintiles and as a continuous variable, on risk of CVD and CHD mortality was examined, using Cox proportional hazards model, adjusted for age, total cholesterol, systolic blood pressure, smoking, diabetes and body mass index and stratified by gender, age group, country and category of SCORE CVD risk. RESULTS: A strong, graded, independent, inverse relationship between HDL-C and both CVD and CHD mortality was demonstrated. Adjusted hazard ratios per 0.5mmol/l increase in HDL-C were 0.60 (0.51, 0.69) and 0.76 (0.70, 0.83) in women and men, respectively for the CVD mortality endpoint. The corresponding hazard ratios were 0.53 (0.42, 0.68) and 0.79 (0.64, 0.98) in elderly women and men, respectively. The relationship was significant in all SCORE CVD risk strata and age groups. CONCLUSIONS: This multivariable analysis, the largest of its kind to date, has confirmed the inverse, independent, strong and graded relationship between HDL-C and both CVD and CHD mortality. We have clarified previous suggestions that the relationship is stronger in women and that it applies in all age groups. This is the first prospective study to demonstrate the independent relationship specifically in healthy elderly women and to show that the relationship holds at all levels of total CVD risk.
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