| 1. |
- Mårtensson, Thomas, et al.
(författare)
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Choice of Endoscopic Procedure in Children With Clinically Suspected Gastrointestinal Graft-Versus-Host Disease.
- 2018
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Ingår i: Journal of Pediatric Gastroenterology and Nutrition - JPGN. - 0277-2116 .- 1536-4801. ; 66:5, s. 744-750
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Gastrointestinal graft-versus-host disease (GI-GVHD) is a potentially life-threatening complication after hematopoietic stem cell transplantation. Symptoms indicating GI-GVHD motivates endoscopy with biopsy sampling and histopathological confirmation. Optimal extent of endoscopy in children is, however, presently unknown. Therefore, we aimed to evaluate whether biopsies from the rectosigmoid area versus the rest of the colon/ileocolon with or without biopsies from simultaneous upper endoscopy, were equally reliable for detection of GI-GVHD and relevant differential diagnoses.Methods: Retrospective multicenter study based on histopathological re-evaluation of biopsies and hospital record data, collected from children with suspected GI-GVHD.Results: Forty-four children with 51 endoscopic occasions (81 procedures) were included. Thirty-nine of 51 (76.5%) were diagnosed as GI-GVHD, 14 (27.4%) received a differential diagnosis and 7 (13.7%) had normal histology findings. Comorbidity, that is, simultaneous detection of a differential diagnosis and GI-GVHD, was observed in 9 (23.1%) cases. Cytomegalovirus infection was the most frequent differential diagnosis, 6 of 7 were detected in biopsies from rectosigmoid and esophagogastroduodenal areas. Sensitivity for detection of GI-GVHD in biopsies collected from rectosigmoid-ileocolonic-, rectosigmoid-, or esophagogastroduodenal areas were 97.4%, 84.6%, 83.3%, respectively, and 97.4% when the latter 2 were merged. The difference, nondetected GI-GVHD in the rectosigmoid area versus detected elsewhere in the GI tract, was statistically significant (P = 0.03).Conclusions: Biopsies collected from the rectosigmoid area solely were not optimal for detection of pediatric GI-GVHD. When biopsy sampling from rectosigmoid and upper GI tract areas was combined, the sensitivity for GI-GVHD was, however, equally high as for ileocolonoscopy or full upper and lower endoscopy.
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| 2. |
- Almqvist, Nina, 1974, et al.
(författare)
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Autoantibodies: Focus on anti-DNA antibodies
- 2011
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Ingår i: Self/Nonself. - : Informa UK Limited. - 1938-2030 .- 1938-2049. ; 2:1, s. 11-18
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Forskningsöversikt (refereegranskat)abstract
- Ever since the days of Ehrlich and the birth of humoral immunity, self-reactivity or ‘horror autotoxicus’ as referred to by Paul Ehrlich, has been of great concern. For instance, in patients with the autoimmune disease systemic lupus erythematosus (SLE), anti-nuclear and anti-DNA antibodies have been recognized for many years. Despite this, the exact mechanism as to how the immune system fails to protect the individual and allows these autoantibodies to develop in this and other systemic autoimmune diseases remains uncertain. So how can we explain their presence? Evidence suggests that B cells expressing autoreactive antibodies do not normally arise but rather undergo negative selection as they develop. In light of this, it might seem contradictory that not all autoreactive B cell clones are eliminated, although this may not even be the intention since autoantibodies are also found in healthy individuals and may even protect from autoimmunity. Here, we will discuss autoantibodies, in particular those recognizing DNA, with regard to their reactivity and their potentially pathogenic or protective properties.
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| 3. |
- Babaahmadi, Arezou, 1985, et al.
(författare)
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Development of an electro-chemical accelerated ageing method for leaching of calcium from cementitious materials
- 2016
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Ingår i: Materials and Structures. - : Springer Science and Business Media LLC. - 1359-5997 .- 1871-6873. ; 49:1-2, s. 705-718
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Tidskriftsartikel (refereegranskat)abstract
- To facilitate the long term durability predictions of nuclear waste repositories, acceleration methods enhancing calcium leaching process from cementitious materials are needed, even though mechanisms not necessarily comparable to those predominant in a natural leaching process may be developed. In the previously published acceleration methods the samples are very small, which limits further physical or mechanical tests. In this paper, a new acceleration method based on electro-chemical migration is presented. The method although not driven with the same kinetics as in natural leaching, was designed in such a way that unnecessarily destructive by-effects could be minimized while promoting a higher leaching rate for a sample size suitable for further testing the mechanical and physical properties. It is shown that approximately 1x10^6 C of electrical charge per paste specimen of size Ø50 x 75 mm (approximately 230 g) is required to leach out the total amount of Portlandite. The chemical and mineralogical properties of leached samples are characterized by various techniques. It is concluded that aged samples are comparable to those leached in a natural leaching process as both are characterized by a layered system comprising an unaltered core delineated by total dissolution of Portlandite followed by a progressive decalcification of the calcium silicate hydrate gel.
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| 4. |
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| 5. |
- Persson, Thomas, 1969-, et al.
(författare)
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Drivers of parliamentary opposition in European Union politics: institutional factors or party characteristics?
- 2023
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Ingår i: Journal of European Public Policy. - : Informa UK Limited. - 1350-1763 .- 1466-4429.
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Tidskriftsartikel (refereegranskat)abstract
- A vital political opposition is one of the cornerstones of democracy, yet we know surprisingly little about the conditions that shape it. In this paper, we offer a comprehensive assessment of the drivers of parliamentary opposition in European Union (EU) politics in five countries: Denmark; Germany; Ireland; Sweden; and the United Kingdom. Based on an extensive hand-coded data set of 7,520 statements made by members of parliament (MPs) during both plenary sessions and deliberations during European Affairs Committee (EAC) meetings, we examine how institutions and party characteristics shape two types of oppositional behaviour: the expression of critique and the presentation of alternatives. We find that both factors are important for understanding to what extent, and how, opposition is voiced in national parliaments. Oversight institutions’ strength and a party’s degree of Euroscepticism jointly function as significant determinants of the likelihood that MPs will express opposition in the form of critique. However, when it comes to the likelihood of offering alternatives, oversight institutions’ strength fails to explain variations in the share of alternatives, while degree of Euroscepticism remains a significant predictor.
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| 6. |
- Scherstén, Henrik, 1956, et al.
(författare)
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Increased levels of endothelin-1 in bronchoalveolar lavage fluid of patients with lung allografts
- 1996
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Ingår i: J Thorac Cardiovasc Surg. - 0022-5223. ; 111:1, s. 253-8
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to determine levels of endothelin-1 in bronchoalveolar lavage fluid and in plasma in patients with lung and heart-lung allografts. The aim was based on the hypothesis that levels of endothelin-1 are elevated in the bronchoalveolar lavage fluid of patients with lung allografts. Patients (n = 23) undergoing heart-lung (n = 8), single-lung (n = 10), or bilateral lung (n = 5) transplantation were included in the study. In patients with single-lung allografts, endothelin-1 levels were analyzed in bronchoalveolar lavage fluid from both the transplanted and the nontransplanted, native lung. The level of endothelin-1 was also analyzed in bronchoalveolar lavage fluid from 12 patients who did not undergo transplantation. Transbronchial biopsies and bronchoalveolar lavage were done routinely or when clinically indicated on 64 different occasions, between 2 and 104 weeks after transplantation. The level of endothelin-1 was measured in bronchoalveolar lavage fluid and plasma by radioimmunoassay. Immunoreactive endothelin-1 was detectable in bronchoalveolar lavage fluid from all patients. The concentration of endothelin-1 in bronchoalveolar lavage fluid from transplanted lungs (2.94 +/- 0.30 pg/ml, n = 64) was significantly higher compared with that in bronchoalveolar lavage fluid from patients without allografts (0.86 +/- 0.20 pg/ml, n = 12, p < 0.01). In patients who received single-lung transplantation because of emphysema, the level of endothelin-1 in bronchoalveolar lavage fluid from the transplanted lung was significantly greater than that from the native lung (5.61 +/- 1.9 versus 0.39 +/- 0.05 pg/ml, p < 0.05). Concentrations of endothelin-1 in bronchoalveolar lavage fluid did not correlate with grade of rejection, infection, or time after transplant. Plasma levels of endothelin-1 were unchanged with pulmonary rejection. These results indicate that endothelin-1 is released into bronchi of transplanted human lungs. The release is not associated with rejection or infection. Because of its potent mitogenic properties, endothelin-1 may have a potential impact in the development of posttransplant complications such as bronchiolitis obliterans.
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