| 1. |
- Eberhardson, Michael, et al.
(author)
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Tumour necrosis factor inhibitors in Crohn's disease and the effect on surgery rates
- 2022
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In: Colorectal Disease. - : Wiley. - 1462-8910 .- 1463-1318. ; 24:4, s. 470-483
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Journal article (peer-reviewed)abstract
- Aim: Surgery is an important therapeutic option for Crohn's disease. The need for first bowel surgery seems to have decreased with the introduction of tumour necrosis factor inhibitors (TNFi; adalimumab or infliximab). However, the impact of TNFi on the need for intestinal surgery in Crohn's disease patients irrespective of prior bowel resection is not known. The aim of this work is to compare the incidence of bowel surgery in Crohn's disease patients who remain on TNFi treatment versus those who discontinue it. Method: We performed a nationwide register-based observational cohort study in Sweden of all incident and prevalent cases of Crohn's disease who started first-line TNFi treatment between 2006 and 2017. Patients were categorized according to TNFi treatment retention less than or beyond 1 year. The study cohort was evaluated with regard to incidence of bowel surgery from 12 months after the first ever TNFi dispensation. Results: We identified 5003 Crohn's disease patients with TNFi exposure: 3748 surgery naïve and 1255 with bowel surgery prior to TNFi initiation. Of these patients, 7% (n = 353) were subjected to abdominal surgery during the first 12 months after the start of TNFi and were subsequently excluded from the main analysis. A majority (62%) continued TNFi for 12 months or more. Treatment with TNFi for less than 12 months was associated with a significantly higher surgery rate compared with patients who continued on TNFi for 12 months or more (hazard ratio 1.26, 95% CI 1.09–1.46; p = 0.002). Conclusion: Treatment with TNFi for less than 12 months was associated with a higher risk of bowel surgery in Crohn's disease patients compared with those who continued TNFi for 12 months or more.
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| 2. |
- Kehoe, Laura, et al.
(author)
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Make EU trade with Brazil sustainable
- 2019
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In: Science. - : American Association for the Advancement of Science (AAAS). - 0036-8075 .- 1095-9203. ; 364:6438, s. 341-
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Journal article (other academic/artistic)
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| 3. |
- Mårild, Karl, 1982, et al.
(author)
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Histologic activity in inflammatory bowel disease and risk of serious infections : A nationwide study
- 2024
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In: Clinical Gastroenterology and Hepatology. - : Elsevier. - 1542-3565 .- 1542-7714. ; 22:4, s. 831-846
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Journal article (peer-reviewed)abstract
- BACKGROUND AND AIMS: Individuals with inflammatory bowel disease (IBD) are at increased risk of serious infections, but whether this risk varies by histological disease activity is unclear.METHODS: A national population-based study of 55,626 individuals diagnosed with IBD in 1990-2016 with longitudinal data on ileo-colorectal biopsies followed through 2016. Serious infections were defined as having an inpatient infectious disease diagnosis in the Swedish National Patient Register. We used Cox regression to estimate hazard ratios (HRs) for serious infections in the 12 months following documentation of histologic inflammation (vs. histological remission), adjusting for social and demographic factors, chronic comorbidities, prior IBD-related surgery and hospitalization. We also adjusted for IBD-related medications in sensitivity analyses.RESULTS: With histological inflammation vs. remission, there was 4.62 (95%CI=4.46-4.78) and 2.53 (95%CI=2.36-2.70) serious infections per 100 person-years of follow-up, respectively (adjusted [a]HR=1.59; 95%CI=1.48-1.72). Histological inflammation (vs. remission) were associated with an increased risk of serious infections in ulcerative colitis (UC, aHR=1.68; 95%CI=1.51-1.87) and Crohn's disease (CD, aHR=1.59; 95%CI=1.40-1.80). The aHRs of sepsis and opportunistic infections were 1.66 (95%CI=1.28-2.15) and 1.71 (95%CI=1.22-2.41), respectively. Overall, results were consistent across age groups, sex and education level and remained largely unchanged after adjustment for IBD-related medications (aHR=1.47; 95%CI=1.34-1.61).CONCLUSION: Histological inflammation of IBD was an independent risk factor of serious infections, including sepsis, suggesting that achieving histological remission may reduce infections in IBD.
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| 4. |
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| 5. |
- Khalili, Hamed, et al.
(author)
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Healthcare use, work loss and total costs in incident and prevalent Crohn's disease and ulcerative colitis : results from a nationwide study in Sweden
- 2020
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In: Alimentary Pharmacology and Therapeutics. - : John Wiley & Sons. - 0269-2813 .- 1365-2036. ; 52:4, s. 655-668
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Journal article (peer-reviewed)abstract
- Background: There are limited data on population-wide assessment of cost in Crohn's disease (CD) and ulcerative colitis (UC).Aim: To estimate the societal cost of actively treated CD and UC in Sweden.Methods: We identified 10 117 prevalent CD and 19 762 prevalent UC patients, aged ≥18 years on 1 January 2014 and 4028 adult incident CD cases and 8659 adult incident UC cases (2010-2013) from Swedish Patient Register. Each case was matched to five population comparators. Healthcare costs were calculated from medications, outpatient visits, hospitalisations and surgery. Cost of productivity losses was derived from disability pension and sick leave.Results: The mean annual societal costs per working-age patient (18-64 years) with CD and UC were $22 813 (vs $7533 per comparator) and $14 136 (vs $7351 per comparator) respectively. In patients aged ≥65 years, the mean annual costs of CD and UC were $9726 and $8072 vs $3875 and $4016 per comparator respectively. The majority of cost for both CD (56%) and UC (59%) patients originated from productivity losses. Higher societal cost of working-age CD patients as compared to UC patients was related to greater utilisation of anti-TNF (22.2% vs 7.4%) and increased annual disability pension (44 days vs 25 days). Among incident CD and UC patients, the mean total cost over the first year per patient was over three times higher than comparators.Conclusion: In Sweden, the societal cost of incident and prevalent CD and UC patients was consistently two to three times higher than the general population.
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| 6. |
- Ludvigsson, Jonas F., 1969-, et al.
(author)
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Swedish Inflammatory Bowel Disease Register (SWIBREG) : a nationwide quality register
- 2019
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In: Scandinavian Journal of Gastroenterology. - : Taylor & Francis. - 0036-5521 .- 1502-7708. ; 54:9, s. 1089-1101
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Research review (peer-reviewed)abstract
- Background: Inflammatory bowel disease (IBD) is a chronic, inflammatory relapsing disease with increasing incidence. IBD research and long-term follow-up of patients have, however, been hampered by lack of detailed data on disease phenotype, patient-reported outcome measures, Physician Global Assessment, disease activity, and hospital-administered drugs.Aim: To review the Swedish IBD quality register (SWIBREG).Methods: Review of SWIBREG including questionnaire data from users and patients.Results: SWIBREG was launched in 2005, and as of April 2019, contains 46,400 patients with IBD (Crohn's disease: n = 15,705, ulcerative colitis: n = 21,540, IBD unclassified and other colitis (including e.g., microscopic colitis): n = 9155). Of these IBD patients, 7778 had been diagnosed in childhood (16.8%). Earlier research has shown that combining SWIBREG and the Swedish National Patient Register (NPR) yields a positive predictive value of 100% (95%CI = 95-100%) for having a diagnosis of IBD. Moreover, out of all patients in the NPR with a diagnosis of IBD plus either IBD-related surgery or immunomodulatory/biological treatment during the past 18 months, SWIBREG covers 59.0%. SWIBREG records not only information on conventional therapies but also on biological treatment, surgery, smoking, disease activity, patient-reported outcome measures (PROMs), and patient-experienced measures (PREMs). Data are presented through a graphical decision support system.Conclusion: SWIBREG benefits patients with IBD, and offers an ideal opportunity for healthcare personnel and researchers to examine disease phenotype and activity, PROMs/PREMs, and hospital-administered drugs in patients with IBD.
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| 7. |
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| 8. |
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| 9. |
- Angerås, Oskar, 1976, et al.
(author)
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Impact of Thrombus Aspiration on Mortality, Stent Thrombosis, and Stroke in Patients with ST-Segment-Elevation Myocardial Infarction: A Report From the Swedish Coronary Angiography and Angioplasty Registry
- 2018
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In: Journal of the American Heart Association. - : John Wiley & Sons. - 2047-9980. ; 7:1
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Journal article (peer-reviewed)abstract
- Background-Thrombus aspiration is still being used in a substantial number of patients despite 2 large randomized clinical trials showing no favorable effect of routine thrombus aspiration during primary percutaneous coronary intervention in patients with STsegment- elevation myocardial infarction. The aim of this observational study was to evaluate the impact of thrombus aspiration on mortality, stent thrombosis, and stroke using all available data from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR). Methods and Results--We identified 42 829 consecutive patients registered in SCAAR between January 2005 and September 2014 who underwent percutaneous coronary intervention for ST-segment-elevation myocardial infarction. Thrombus aspiration was used in 25% of the procedures. We used instrumental variable analysis with administrative healthcare region as the treatmentpreference instrumental variable to evaluate the effect of thrombus aspiration on mortality, stent thrombosis, and stroke. Thrombus aspiration was not associated with mortality at 30 days (risk reduction: -1.2; 95% confidence interval [CI] , -5.4 to 3.0; P=0.57) and 1 year (risk reduction: -2.4; 95% CI, -7.6 to 3.0; P=0.37). Thrombus aspiration was associated with a lower risk of stent thrombosis both at 30 days (risk reduction: -2.7; 95% CI, -4.1 to -1.4; P < 0.001) and 1 year (risk reduction: -3.5; 95% CI, -5.3 to -1.7; P < 0.001). In-hospital stroke and neurologic complications did not differ between groups (risk reduction: 0.1; 95% CI, -0.8 to 1.1; P=0.76). Conclusions--Mortality was not different between the groups. Thrombus aspiration was associated with decreased risk of stent thrombosis. Our study provides important evidence for the external validity of previous randomized studies regarding mortality.
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| 10. |
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| 11. |
- Bakhshi, Bamdad, 1970, et al.
(author)
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Experimental observation of soliton robustness to polarisation dispersion pulse broadening
- 1999
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In: Electronics Letters. - : Institution of Engineering and Technology (IET). - 1350-911X .- 0013-5194. ; 35:1, s. 65-66
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Journal article (peer-reviewed)abstract
- Soliton robustness to polarisation dispersion pulse broadening in a 400km installed optical fibre is experimentally demonstrated. With 10ps input pulses and a differential group delay of 7.6ps, the soliton pulsewidth at the receiver is maintained within 10-11ps when the input polarisation is changed, while the corresponding range for dispersion-compensated linear pulses is 10.5-15.5ps.
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| 12. |
- Bakhshi, Bamdad, 1970, et al.
(author)
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Measurement of the differential group delay in installed optical fibers using polarization multiplexed solitons
- 1999
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In: IEEE Photonics Technology Letters. - : Institute of Electrical and Electronics Engineers (IEEE). - 1041-1135 .- 1941-0174. ; 11:5, s. 593-595
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Journal article (peer-reviewed)abstract
- We experimentally demonstrate a new technique for measurement of the differential group delay (DGD) in optical fibers using polarization-division multiplexed (PDM) solitons: the change in the separation of orthogonally polarized solitons propagating along different principal axes in a fiber equals the DGD at the signal wavelength. Based on this principle, we use PDM solitons to measure the accumulated DGD at different distances along a 400-km installed fiber. The measured DGD exhibits the expected square-root-of-length dependence, corresponding to a polarization-mode dispersion of 0.26 ps/km1/2. The results are in excellent agreement with those obtained by a commercial instrument utilizing Jones matrix eigenanalysis.
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| 13. |
- Brentel, Jonas, et al.
(author)
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Single-wavelength 40 Gb/s soliton field transmission experiments over 400 km fibre without in-line control
- 1999
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In: OFC/IOOC 1999 - Optical Fiber Communication Conference and the International Conference on Integrated Optics and Optical Fiber Communication. - 155752582X ; 3, s. 121-124
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Conference paper (peer-reviewed)abstract
- We report single-wavelength 40-Gbit/s soliton transmission over 400-km installed fiber lines in Sweden. Both polarization-division multiplexed and parallel solitons were transmitted. The system performance is dominated by the polarization-mode dispersion.
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| 14. |
- Calles, Olle, 1974-, et al.
(author)
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Ål i Ätran : En fallstudie för svensk ålförvaltning
- 2012
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Reports (other academic/artistic)abstract
- Det europeiska ålbeståndet har minskat drastiskt under de senaste årtiondena och år 2007 antog därför EU en förordning, som innehåller åtgärder för återhämtning av beståndet av europeisk ål och som innebar att alla medlemsländer måste upprätta en nationell ålförvaltningsplan. I Sveriges ålförvaltningsplan anges minskad dödlighet i vattenkraftverk som en viktig åtgärd för att öka mängden blankålar som når havet. För att sådana åtgärder ska få stor effekt, måste man veta var mest ål produceras och vilken skada som orsakas av de kraftverk ålen passerar på sin väg mot havet. Denna kunskap är bristfällig för de flesta vattendrag i Sverige.Ätran har en lång historia som ett ålproducerande vattendrag soch lämpar sig väl för en fallstudie för svensk ålförvaltning för att belysa ålproduktionens omfattning, dess lokalisering och därmed åtgärdsnyttan. Blankålsfångst på sex platser i Ätrans avrinningsområde under 2010-2011 visade att Ätran prducerar minst 950 blankålar/år och den totala produktionen för hela Åtrans avrinningsområde skulle kunna vara >5500 blankålar/år. Vår studie visar att man utöver redan genomförda och beslutade åtgärder endast behöver åtgärda ytterligare ett kraftverk för att merparten av Åtyrans blankålar ska nå havet.
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| 15. |
- Gidhagen, Lars, et al.
(author)
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Towards climate services for European cities : Lessons learnt from the Copernicus project Urban SIS
- 2020
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In: Urban Climate. - Amsterdam, Netherlands : Elsevier. - 2212-0955. ; 31
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Journal article (peer-reviewed)abstract
- The growing share of Europe's population living in cities makes urban climate change impact assessment and adaptation a critical issue. The urban environment is characterized by its sensitivity to small-scale meteorological, hydrological and environmental processes. These are generally not fully described in climate models, largely because of the models' insufficient spatial resolution. The Urban SIS climate service offers historical and future simulated data downscaled to 1 km × 1 km resolution over selected European metropolitan areas. The downscaled data are subsequently used as input to air quality and hydrological impact models, all made available to users as Essential Climate Variables and Sectoral Impact Indicators through a web portal. This paper presents the Urban SIS climate service and demonstrates its functionality in a case study in Stockholm city, Sweden. Good model performance was attained for intra-city temperature gradients and small-scale precipitation extremes. Less positive results were obtained for large-scale precipitation and hydrology, mainly due to an insufficient domain size in the meteorological and climate modelling, in turn related to the substantial computational requirements. An uncertainty classification approach was developed to aid the interpretation and user application of the data. We hope our lessons learnt will support future efforts in this direction.
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| 16. |
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| 17. |
- Hosseini, Seyyed Hasan, et al.
(author)
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Evaluation of a new X-band weather radar for operational use in south Sweden
- 2020
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In: Water Science and Technology. - : IWA Publishing. - 0273-1223 .- 1996-9732. ; 81:8, s. 1623-1635
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Journal article (peer-reviewed)abstract
- The performance of a new type of X-band Weather Radar (WR) for Sweden during a pilot run is studied. Compared to the conventional C-band WRs, the X-band WR covers a smaller area but with a higher spatiotemporal resolution, making it suitable for urban hydrological applications. Rainfall estimations from different elevation angles of the radar (levels) are compared at one-minute and single-event timescales with the observations of several rain gauges at different ranges using hyetographs. In general, the estimations aligned well with observations and the best match appeared for ranges as long as 5–10 km. Seemingly, radar estimations suffered from overshooting of lower lying showers by higher level scans in longer ranges (19–30 km) and from the reflectivity contamination due to moving objects in short ranges (<1 km). Also, the effective range of the radar dropped sharply for the moments when a cloudburst was located over the radar. Although various sources of error could affect the X-band WR rainfall estimates, higher resolution spatiotemporal rainfall monitoring for wider areas will benefit from an integration of data from a network of X-band WRs.
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| 18. |
- Johansson, Håkan, 1972-, et al.
(author)
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Characterization of Campylobacter spp. isolated from wild birds in the Antarctic and Sub-Antarctic
- 2018
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In: PLOS ONE. - : Public Library of Science. - 1932-6203. ; 13:11
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Journal article (peer-reviewed)abstract
- A lack of knowledge of naturally occurring pathogens is limiting our ability to use the Antarctic to study the impact human-mediated introduction of infectious microorganisms have on this relatively uncontaminated environment. As no large-scale coordinated effort to remedy this lack of knowledge has taken place, we rely on smaller targeted efforts to both study present microorganisms and monitor the environment for introductions. In one such effort, we isolated Campylobacter species from fecal samples collected from wild birds in the Antarctic Peninsula and the sub-Antarctic island of South Georgia. Indeed, in South Georgia, we found Campylobacter lari and the closely related Campylobacter peloridis, but also distantly related human-associated multilocus sequence types of Campylobacter jejuni. In contrast, in the Antarctic Peninsula, we found C. tart and two closely related species, Campylobacter subantarcticus and Campylobacter volucris, but no signs of human introduction. In fact, our finding of human-associated sequence types of C. jejuni in South Georgia, but not in the Antarctic Peninsula, suggests that efforts to limit the spread of infectious microorganisms to the Antarctic have so far been successful in preventing the introduction of C. jejuni. However, we do not know how it came to South Georgia and whether the same mode of introduction could spread it from there to the Antarctic Peninsula.
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| 19. |
- Kolltveit, Erling, et al.
(author)
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Single-wavelength 40 Gbit/s soliton field transmission experiment over 400 km of installed fibre
- 1999
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In: Electronics Letters. - : Institution of Engineering and Technology (IET). - 1350-911X .- 0013-5194. ; 35:1, s. 75-76
-
Journal article (peer-reviewed)abstract
- 40Gbit/s soliton transmission over 400km (57km amplifier spacing) of installed lines without in-line control has been achieved. The maximum transmission penalties for parallel polarised and polarisation division multiplexed soliton transmission were ∼4 and 1dB, respectively. The transmission distance is the longest ever reported for a field trial with a single wavelength bit rate > 20Gbit/s for any optical transmission format. The polarisation mode dispersion was numerically found to completely dominate the system performance.
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| 20. |
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| 21. |
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| 22. |
- Nyberg, Lena, 1979, et al.
(author)
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A single-step competitive binding assay for mapping of single DNA molecules
- 2012
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In: Biochemical and Biophysical Research Communications - BBRC. - : Elsevier BV. - 0006-291X .- 1090-2104. ; 417:1, s. 404-408
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Journal article (peer-reviewed)abstract
- Optical mapping of genomic DNA is of relevance for a plethora of applications such as scaffolding for sequencing and detection of structural variations as well as identification cif pathogens like bacteria and viruses. For future clinical applications it is desirable to have a fast and robust mapping method based on as few steps as possible. We here demonstrate a single-step method to obtain a DNA barcode that is directly visualized using nanofluidic devices and fluorescence microscopy. Using a mixture of YOYO-1, a bright DNA dye, and netropsin, a natural antibiotic with very high AT specificity, we obtain a DNA map with a fluorescence intensity profile along the DNA that reflects the underlying sequence. The netropsin binds to AT-tetrads and blocks these binding sites from YOYO-1 binding which results in lower fluorescence intensity from AT-rich regions of the DNA. We thus obtain a DNA barcode that is dark in AT-rich regions and bright in GC-rich regions with kilobasepair resolution. We demonstrate the versatility of the method by obtaining a barcode on DNA from the phage T4 that captures its circular permutation and agrees well with its known sequence.
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| 23. |
- Olén, Ola, et al.
(author)
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Increasing Risk of Lymphoma Over Time in Crohn's Disease but Not in Ulcerative Colitis : A Scandinavian Cohort Study
- 2023
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In: Clinical Gastroenterology and Hepatology. - : Elsevier. - 1542-3565 .- 1542-7714. ; 21:12, s. 3132-3142
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Journal article (peer-reviewed)abstract
- Background & Aims: Earlier studies have provided varying risk estimates for lymphoma in patients with inflammatory bowel disease (IBD), but often have been limited by detection biases (especially during the first year of follow-up evaluation), misclassification, and small sample size; and rarely reflect modern-day management of IBD.Methods: We performed a binational register-based cohort study (Sweden and Denmark) from 1969 to 2019. We compared 164,716 patients with IBD with 1,639,027 matched general population reference individuals. Cox regression estimated hazard ratios (HRs) for incident lymphoma by lymphoma subtype, excluding the first year of follow-up evaluation.Results: From 1969 to 2019, 258 patients with Crohn's disease (CD), 479 patients with ulcerative colitis (UC), and 6675 matched reference individuals developed lymphoma. This corresponded to incidence rates of 35 (CD) and 34 (UC) per 100,000 person-years in IBD patients, compared with 28 and 33 per 100,000 person-years in their matched reference individuals. Although both CD (HR, 1.32; 95% CI, 1.16–1.50) and UC (HR, 1.09; 95% CI, 1.00–1.20) were associated with an increase in lymphoma, the 10-year cumulative incidence difference was low even in CD patients (0.08%; 95% CI, 0.02–0.13). HRs have increased in the past 2 decades, corresponding to increasing use of immunomodulators and biologics during the same time period. HRs were increased for aggressive B-cell non-Hodgkin lymphoma in CD and UC patients, and for T-cell non-Hodgkin lymphoma in CD patients. Although the highest HRs were observed in patients exposed to combination therapy (immunomodulators and biologics) or second-line biologics, we also found increased HRs in patients naïve to such drugs.Conclusions: During the past 20 years, the risk of lymphomas have increased in CD, but not in UC, and were driven mainly by T-cell lymphomas and aggressive B-cell lymphomas.
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| 24. |
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| 25. |
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| 26. |
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| 27. |
- Peterson, Pernilla, et al.
(author)
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Knee dGEMRIC at 7 T : Comparison against 1.5 T and evaluation of T1-mapping methods
- 2018
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In: BMC Musculoskeletal Disorders. - : Springer Science and Business Media LLC. - 1471-2474. ; 19:1
-
Journal article (peer-reviewed)abstract
- Background: dGEMRIC (delayed Gadolinium Enhanced Magnetic Resonance Image of Cartilage) is a well-established technique for cartilage quality assessment in osteoarthritis at clinical field strengths. The method is robust, but requires injection of contrast agent and a cumbersome examination procedure. New non-contrast-agent-based techniques for cartilage quality assessment are currently being developed at 7 T. However, dGEMRIC remains an important reference technique during this development. The aim of this work was to compare T1 mapping for dGEMRIC at 7 T and 1.5 T, and to evaluate three T1-mapping methods at 7 T. Methods: The knee of 10 healthy volunteers and 9 patients with early signs of cartilage degradation were examined at 1.5 T and 7 T after a single (one) contrast agent injection (Gd-(DTPA)2-). Inversion recovery (IR) sequences were acquired at both field strengths, and at 7 T variable flip angle (VFA) and Look-Locker (LL) sequences were additionally acquired. T1 maps were calculated and average T1 values were estimated within superficial and deep regions-of-interest (ROIs) in the lateral and medial condyles, respectively. Results: T1 values were 1.8 (1.4-2.3) times longer at 7 T. A strong correlation was detected between 1.5 T and 7 T T1 values (r = 0.80). For IR, an additional inversion time was required to avoid underestimation (bias±limits of agreement - 127 ± 234 ms) due to the longer T1 values at 7 T. Out of the two 3D sequences tested, LL resulted in more accurate and precise T1 estimation compared to VFA (average bias±limits of agreement LL: 12 ± 202 ms compared to VFA: 25 ± 622 ms). For both, B1 correction improved agreement to IR. Conclusion: With an adapted sampling scheme, dGEMRIC T1 mapping is feasible at 7 T and correlates well to 1.5 T. If 3D is to be used for T1 mapping of the knee at 7 T, LL is preferred and VFA is not recommended. For VFA and LL, B1 correction is necessary for accurate T1 estimation.
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| 28. |
- Rögnvaldsson, Thorsteinn, 1963-, et al.
(author)
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ARC13 – Assessment of Research and Coproduction : Reports from the assessment of all research at Halmstad University 2013
- 2014
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Reports (pop. science, debate, etc.)abstract
- During 2013, an evaluation of all the research conducted at Halmstad University was carried out. The purpose was to assess the quality of the research, coproduction, and collaboration in research, as well as the impact of the research. The evaluation was dubbed the Assessment of Research and Coproduction 2013, or ARC13. (Extract from Executive Summary)
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| 29. |
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| 30. |
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| 31. |
- Shrestha, Sarita, 1991-, et al.
(author)
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The use of ICD codes to identify IBD subtypes and phenotypes of the Montreal classification in the Swedish National Patient Register
- 2020
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In: Scandinavian Journal of Gastroenterology. - : Informa UK Limited. - 0036-5521 .- 1502-7708. ; 55:4, s. 430-435
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Journal article (peer-reviewed)abstract
- Introduction: Whether data on International Classification of Diseases (ICD)-codes from the Swedish National Patient Register (NPR) correctly correspond to subtypes of inflammatory bowel disease (IBD) and phenotypes of the Montreal classification scheme among patients with prevalent disease is unknown. Materials and methods: We obtained information on IBD subtypes and phenotypes from the medical records of 1403 patients with known IBD who underwent biological treatment at ten Swedish hospitals and retrieved information on their IBD-associated diagnostic codes from the NPR. We used previously described algorithms to define IBD subtypes and phenotypes. Finally, we compared these register-generated subtypes and phenotypes with the corresponding information from the medical records and calculated positive predictive values (PPV) with 95% confidence intervals. Results: Among patients with clinically confirmed disease and diagnostic listings of IBD in the NPR (N = 1401), the PPV was 97 (96-99)% for Crohn's disease, 98 (97-100)% for ulcerative colitis, and 8 (4-11)% for IBD-unclassified. The overall accuracy for age at diagnosis was 95% (when defined as A1, A2, or A3). Examining the validity of codes representing disease phenotype, the PPV was 36 (32-40)% for colonic Crohn's disease (L2), 61 (56-65)% for non-stricturing/non-penetrating Crohn's disease behaviour (B1) and 83 (78-87)% for perianal disease. Correspondingly, the PPV was 80 (71-89)% for proctitis (E1)/left-sided colitis (E2) in ulcerative colitis. Conclusions: Among people with known IBD, the NPR is a reliable source of data to classify most subtypes of prevalent IBD, even though misclassification commonly occurred in Crohn's disease location and behaviour and also among IBD-unclassified patients.
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| 32. |
- Simonsson, Bengt, et al.
(author)
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Intensive treatment and stem cell transplantation in chronic myelogenous leukemia : long-term follow-up
- 2005
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In: Acta Haematologica. - : S. Karger AG. - 0001-5792 .- 1421-9662. ; 113:3, s. 155-162
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Journal article (peer-reviewed)abstract
- In the present study we combined interferon (IFN) and hydroxyurea (HU) treatment, intensive chemotherapy and autologous stem cell transplantation (SCT) in newly diagnosed chronic myelogenous leukemia patients aged below 56 years, not eligible for allogeneic SCT. Patients who had an HLA-identical sibling donor and no contraindication went for an allogeneic SCT (related donor, RD). After diagnosis, patients not allotransplanted received HU and IFN to keep WBC and platelet counts low. After 6 months patients with Ph-positive cells still present in the bone marrow received 1–3 courses of intensive chemotherapy. Those who became Ph-negative after IFN + HU or after 1–3 chemotherapy courses underwent autologous SCT. Some patients with poor cytogenetic response were allotransplanted with an unrelated donor (URD). IFN + HU reduced the percentage of Ph-positive metaphases in 56% of patients, and 1 patient became Ph-negative. After one or two intensive cytotherapies 86 and 88% had a Ph reduction, and 34 and 40% became Ph-negative, respectively. In patients receiving a third intensive chemotherapy 92% achieved a Ph reduction and 8% became Ph-negative. The median survival after auto-SCT (n = 46) was 7.5 years. The chance of remaining Ph-negative for up to 10 years after autologous SCT was around 20%. The overall survival for allo-SCT RD (n = 91) and URD (n = 28) was almost the same, i.e. ≈60% at 10 years. The median survival for all 251 patients registered was 8 years (historical controls 3.5 years). The role of the treatment schedule presented in the imatinib era is discussed.
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| 33. |
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| 34. |
- Skoglund, Karin, et al.
(author)
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In vivo CYP3A activity and pharmacokinetics of imatinib in relation to therapeutic outcome in chronic myeloid leukemia patients
- 2016
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In: Therapeutic Drug Monitoring. - 0163-4356 .- 1536-3694. ; 38:2, s. 230-238
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Journal article (peer-reviewed)abstract
- BACKGROUND: CYP3A metabolic activity varies between individuals and is therefore a possible candidate of influence on the therapeutic outcome of the tyrosine kinase inhibitor imatinib in chronic myeloid leukemia (CML) patients. The aim of this study was to investigate the influence of CYP3A metabolic activity on the plasma concentration and outcome of imatinib in CML patients.METHODS: Forty-three CML patients were phenotyped for CYP3A activity using quinine as a probe drug and evaluated for clinical response parameters. Plasma concentrations of imatinib and its main metabolite, CGP74588, were determined using liquid chromatography-mass spectrometry.RESULTS: Patients with optimal response to imatinib after 12 months of therapy did not differ in CYP3A activity compared to non-optimal responders (quinine metabolic ratio of 14.69 and 14.70, respectively; P=0.966). Neither the imatinib plasma concentration nor the CGP74588/imatinib ratio was significantly associated with CYP3A activity.CONCLUSIONS: CYP3A activity does not influence imatinib plasma concentrations or the therapeutic outcome. These results indicate that even though imatinib is metabolized by CYP3A enzymes, this activity is not the rate-limiting step in imatinib metabolism and excretion. Future studies should focus on other pharmacokinetic processes so as to identify the major contributor to patient variability in imatinib plasma concentrations.
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| 35. |
- Skoglund, Karin, et al.
(author)
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In Vivo Cytochrome P450 3A Isoenzyme Activity and Pharmacokinetics of Imatinib in Relation to Therapeutic Outcome in Patients With Chronic Myeloid Leukemia
- 2016
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In: Therapeutic Drug Monitoring. - : LIPPINCOTT WILLIAMS & WILKINS. - 0163-4356 .- 1536-3694. ; 38:2, s. 230-238
-
Journal article (peer-reviewed)abstract
- Background: Cytochrome P450 3A (CYP3A) isoenzyme metabolic activity varies between individuals and is therefore a possible candidate of influence on the therapeutic outcome of the tyrosine kinase inhibitor imatinib in patients with chronic myeloid leukemia (CML). The aim of this study was to investigate the influence of CYP3A metabolic activity on the plasma concentration and outcome of imatinib in patients with CML. Methods: Forty-three patients with CML were phenotyped for CYP3A activity using quinine as a probe drug and evaluated for clinical response parameters. Plasma concentrations of imatinib and its main metabolite, CGP74588, were determined using liquid chromatography-mass spectrometry. Results: Patients with optimal response to imatinib after 12 months of therapy did not differ in CYP3A activity compared to nonoptimal responders (quinine metabolic ratio of 14.69 and 14.70, respectively; P = 0.966). Neither the imatinib plasma concentration nor the CGP74588/imatinib ratio was significantly associated with CYP3A activity. Conclusions: The CYP3A activity does not influence imatinib plasma concentrations or the therapeutic outcome. These results indicate that although imatinib is metabolized by CYP3A enzymes, this activity is not the rate-limiting step in imatinib metabolism and excretion. Future studies should focus on other pharmacokinetic processes so as to identify the major contributor to patient variability in imatinib plasma concentrations.
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| 36. |
- South, Nicholas, et al.
(author)
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Väderradarteknik inom VA-området : Test av metodik
- 2019
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Reports (other academic/artistic)abstract
- The report consists of a literature study of X-band weather radar technology, a comparison of rain data between an X-band radar facility near Lund and rain gauges, an analysis of flow- and sewage overflow data during rain events and implementation ideas of the X-band radar.
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| 37. |
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| 38. |
- Abdeldaim, Guma, 1969-, et al.
(author)
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Multiplex quantitative PCR for detection of lower respiratory tract infection and meningitis caused by Streptococcus pneumoniae, Haemophilus influenzae and Neisseria meningitidis
- 2010
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In: BMC Microbiology. - : Springer Science and Business Media LLC. - 1471-2180. ; 10, s. 310-
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Journal article (peer-reviewed)abstract
- Background. Streptococcus pneumoniae and Haemophilus influenzae cause pneumonia and as Neisseria meningitidis they are important agents of meningitis. Although several PCR methods have been described for these bacteria the specificity is an underestimated problem. Here we present a quantitative multiplex real-time PCR (qmPCR) for detection of S. pneumoniae (9802 gene fragment), H. influenzae (omp P6 gene) and N. meningitidis (ctrA gene). The method was evaluated on bronchoalveolar lavage (BAL) samples from 156 adults with lower respiratory tract infection (LRTI) and 31 controls, and on 87 cerebrospinal fluid (CSF) samples from meningitis patients. Results. The analytical sensitivity was not affected by using a combined mixture of reagents and a combined DNA standard (S. pneumoniae/H. influenzae/N. meningitidis) in single tubes. By blood- and BAL-culture and S. pneumoniae urinary antigen test, S. pneumoniae and H. influenzae were aetiological agents in 21 and 31 of the LTRI patients, respectively. These pathogens were identified by qmPCR in 52 and 72 of the cases, respectively, yielding sensitivities and specificities of 95% and 75% for S. pneumoniae, and 90% and 65% for H. influenzae, respectively. When using a cut-off of 105 genome copies/mL for clinical positivity the sensitivities and specificities were 90% and 80% for S. pneumoniae, and 81% and 85% for H. influenzae, respectively. Of 44 culture negative but qmPCR positive for H. influenzae, 41 were confirmed by fucK PCR as H. influenzae. Of the 103 patients who had taken antibiotics prior to sampling, S. pneumoniae and H. influenzae were identified by culture in 6% and 20% of the cases, respectively, and by the qmPCR in 36% and 53% of the cases, respectively. In 87 CSF samples S. pneumoniae and N. meningitidis were identified by culture and/or 16 S rRNA in 14 and 10 samples and by qmPCR in 14 and 10 samples, respectively, giving a sensitivity of 100% and a specificity of 100% for both bacteria. Conclusions. The PCR provides increased sensitivity and the multiplex format facilitates diagnosis of S. pneumoniae, H. influenzae and N. meningitidis and the assay enable detection after antibiotic treatment has been installed. Quantification increases the specificity of the etiology for pneumonia.
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| 39. |
- Ahlberg, Erik, et al.
(author)
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"Vi klimatforskare stödjer Greta och skolungdomarna"
- 2019
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In: Dagens nyheter (DN debatt). - 1101-2447.
-
Journal article (pop. science, debate, etc.)abstract
- DN DEBATT 15/3. Sedan industrialiseringens början har vi använt omkring fyra femtedelar av den mängd fossilt kol som får förbrännas för att vi ska klara Parisavtalet. Vi har bara en femtedel kvar och det är bråttom att kraftigt reducera utsläppen. Det har Greta Thunberg och de strejkande ungdomarna förstått. Därför stödjer vi deras krav, skriver 270 klimatforskare.
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| 40. |
- Akil, Shahnaz, et al.
(author)
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Appropriate coronary revascularization can be accomplished if myocardial perfusion is quantified by positron emission tomography prior to treatment decision
- 2021
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In: Journal of Nuclear Cardiology. - : Springer Science and Business Media LLC. - 1071-3581 .- 1532-6551. ; 28:4, s. 1664-1672
-
Journal article (peer-reviewed)abstract
- Background: Many patients undergo percutaneous coronary intervention (PCI) without the use of non-invasive stress testing prior to treatment. The aim of this study was to determine the potential added value of guiding revascularization by quantitative assessment of myocardial perfusion prior to intervention. Methods and Results: Thirty-three patients (10 females) with suspected or established CAD who had been referred for a clinical coronary angiography (CA) with possibility for PCI were included. Adenosine stress and rest 13N-NH3 PET, cardiac magnetic resonance (CMR), and cardiopulmonary exercise test were performed 4 ± 3 weeks before and 5 ± 1 months after CA. The angiographer was blinded to the PET and CMR results. Myocardial flow reserve (MFR) < 2.0 by PET was considered abnormal. A PCI was performed in 19/33 patients. In 41% (11/27) of the revascularized vessel territories, a normal regional MFR was found prior to the PCI and no improvement in MFR was found at follow-up (P = 0.9). However, vessel territories with regional MFR < 2.0 at baseline improved significantly after PCI (P = 0.003). Of the 14 patients not undergoing PCI, four had MFR < 2.0 in one or more coronary territories. Conclusion: Assessment of quantitative myocardial perfusion prior to revascularization could lead to more appropriate use of CA when managing patients with stable CAD.
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| 41. |
- Akselsson, Cecilia, et al.
(author)
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Can increased weathering rates due to future warming compensate for base cation losses following whole-tree harvesting in spruce forests?
- 2016
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In: Biogeochemistry. - : Springer Science and Business Media LLC. - 0168-2563 .- 1573-515X. ; 128:1-2, s. 89-105
-
Journal article (peer-reviewed)abstract
- Whole-tree harvesting, i.e. harvesting of stems, branches and tops, has become increasingly common during recent decades due to the increased demand for renewable energy. Whole-tree harvesting leads to an increase in base cation losses from the ecosystem, which can counteract recovery from acidification. An increase in weathering rates due to higher temperatures is sometimes suggested as a process that may counteract the acidifying effect of whole-tree harvesting. In this study the potential effect of increasing temperature on weathering rates was compared with the increase in base cation losses following whole-tree harvesting in spruce forests, along a temperature gradient in Sweden. The mechanistic model PROFILE was used to estimate weathering rates at National Forest Inventory sites at today’s temperature and the temperature in 2050, as estimated by two different climate projections. The same dataset was used to calculate base cation losses following stem-only and whole-tree harvesting. The calculations showed that the increase in temperature until 2050 would result in an increase in the base cation weathering rate of 20–33 %, and that whole-tree harvesting would lead to an increase in base cation losses of 66 % on average, compared to stem-only harvesting. A sensitivity analysis showed that moisture changes are important for future weathering rates, but the effect of the temperature change was dominating even when the most extreme moisture changes were applied. It was concluded that an increase in weathering rates resulting from higher temperatures would not compensate for the increase in base cation losses following whole-tree harvesting, except in the northernmost part of Sweden.
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| 42. |
- Alfredsson, Anders, 1977-, et al.
(author)
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A Comparison of Pointwise and Levelling Assisted Regional Realisations of IHRS with a Case Study over Sweden
- 2023
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In: International Association of Geodesy Symposia. - : Springer Berlin/Heidelberg.
-
Book chapter (peer-reviewed)abstract
- The International Height Reference System (IHRS) was defined by the International Association of Geodesy (IAG) in 2015. The global International Height Reference Frame (IHRF) should provide access to the IHRS in a broad sense. To provide high accuracy local access, regional (or national) realisations will also be needed. This study aims at evaluating different approaches to compute a denser regional realisation of IHRS in case a high accuracy levelling network is available. Using Sweden as a case study region, a GNSS (Global Navigation Satellite System) and geoid based pointwise realisation is compared with three types of levelling assisted realisations. The latter are made by applying least squares adjustments of the precise levelling observations with fixed potential value(s) from either the global IHRF station in Sweden or the pointwise potentials of a larger number of stations. It is concluded that making a minimum constraint adjustment with one station fixed is not the best option. It is favourable to fix a reasonable number of pointwise stations at an internal distance over which the relative uncertainty of levelling is significantly lower than the relative uncertainty of the pointwise solution. The investigation is made using levelling data from the third precise levelling of Sweden, the NKG2015 quasigeoid model and the NKG2016LU postglacial land uplift model.
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| 43. |
- Ali, Mohammad, 1982, et al.
(author)
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Predictive Prevention of Loss of Vehicle Control for Roadway Departure Avoidance
- 2013
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In: IEEE Transactions on Intelligent Transportation Systems. - 1524-9050 .- 1558-0016. ; 14:1, s. 56-68
-
Journal article (peer-reviewed)abstract
- In this paper, we investigate predictive approaches to the problem of roadway departure prevention via automated steering and braking. We assume a sensing infrastructure detecting road geometry and consider a two-layer accident avoidance framework consisting of a threat assessment and an intervention layer. A novel active safety function for prevention of loss of vehicle control is proposed and implemented using the considered accident avoidance framework. Simulation and experimental results are presented, showing that the proposed approach effectively exploits road preview information to prevent the vehicle from operating in regions of the state space where standard electronic stability control systems are normally activated.
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| 44. |
- Ali, Mohammad, 1982, et al.
(author)
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Real-time Implementation of a Novel Safety Function for Prevention of Loss of Vehicle Control
- 2011
-
In: IEEE Conference on Intelligent Transportation Systems, Proceedings, ITSC. - 9781457721984 ; , s. 1427-1432
-
Conference paper (peer-reviewed)abstract
- We present a novel safety function for prevention of vehicle control loss. The safety function overcomes some of the limitations of conventional Electronic Stability Control (ESC) systems. Based on sensor information about the host vehicle's state and the road ahead, a threat assessment algorithm predicts the future evolution of the vehicle's state. If the vehicle motion, predicted over a finite time horizon violates safety constraints, autonomous deceleration is activated in order to prevent vehicle loss of control. The safety function has been implemented in real-time. Experimental results indicate that the safety function relies less on the driver's skills than conventional ESC systems and that a more controllable and comfortable vehicle motion can be acquired when the function is active.
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| 45. |
- Ali, Mohammad, 1982, et al.
(author)
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Towards Predictive Yaw Stability Control
- 2009
-
In: 2009 IEEE Intelligent Vehicles Symposium; Xi'an; China; 3 June 2009 through 5 June 2009. - 9781424435043 ; , s. 852-857
-
Conference paper (peer-reviewed)abstract
- In this paper the possibility to predict vehiclecontrol loss using information about the host vehicles states and the road ahead is investigated. An introduction to conventional yaw stability control is presented and a threat assessment algorithm is proposed that can be used in an active safety system to e.g either issue earlier yaw control interventions or completely autonomous maneuvers in order to keep the vehicle on the road. In addition an experimental assessment in which a vehicle equipped with yaw stability control is driven on a test track is presented. It is shown that it is possible to predictpowerful understeer situations if the future geometrical path of the vehicle is known.
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| 46. |
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| 47. |
- Allhorn, Maria, et al.
(author)
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Processing of the lipocalin alpha(1)-microglobulin by hemoglobin induces heme-binding and heme-degradation properties.
- 2002
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In: Blood. - 1528-0020. ; 99:6, s. 1894-1901
-
Journal article (peer-reviewed)abstract
- alpha(1)-Microglobulin is a 26-kd protein, widespread in plasma and tissues and well-conserved among vertebrates. alpha(1)-Microglobulin belongs to the lipocalins, a protein superfamily with highly conserved 3-dimensional structures, forming an internal ligand binding pocket. The protein, isolated from urine, has a heterogeneous yellow-brown chromophore bound covalently to amino acid side groups around the entrance of the lipocalin pocket. alpha(1)-Microglobulin is found in blood both in free form and complex-bound to immunoglobulin A (IgA) via a half-cystine residue at position 34. It is shown here that an alpha(1)-microglobulin species, which we name t-alpha(1)-microglobulin (t = truncated), with a free Cys34 thiol group, lacking its C-terminal tetrapeptide, LIPR, and with a more polar environment around the entrance of the lipocalin pocket, is released from IgA-alpha(1)-microglobulin as well as from free alpha(1)-microglobulin when exposed to the cytosolic side of erythrocyte membranes or to purified oxyhemoglobin. The processed t-alpha(1)-microglobulin binds heme and the alpha(1)-microglobulin-heme complex shows a time-dependent spectral rearrangement, suggestive of degradation of heme concomitantly with formation of a heterogeneous chromophore associated with the protein. The processed t-alpha(1)-microglobulin is found in normal and pathologic human urine, indicating that the cleavage process occurs in vivo. The results suggest that alpha(1)-microglobulin is involved in extracellular heme catabolism. (Blood. 2002;99:1894-1901)
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| 48. |
- Almemark, Mats, et al.
(author)
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Analysis and Development of the Interpretation process in LCA
- 2000
-
Reports (other academic/artistic)abstract
- The objective of this work is to study interpretation as a procedure to use the quantitative results of a life-cycle inventory to compare process alternatives with the aim to conclude, whether or not significant differences exist with regard to the studied issues (individual emissions or impact categories). As a result of an introductory survey a procedure for quantitative interpretations is suggested, with data-quality scoring, statistical experimental planning, and multivariate data analysis as basic tools. The procedure has been tested on a case study of treatment of paper packaging waste, either by material recycling or by energy recovery (incineration). The inventory of an earlier study has been used. With the aid of what is called a conceptual model five variables, which could be presumed to have an influence on the environmental impact of paper packaging waste treatment, were identified. The choice of technology, material recycling or energy recovery, was one of these variables. Subsequently 36 scenario calculations, organised in an experimental matrix, were performed. The result was interpreted with the multivariate techniques principal component analysis (PCA), partial least-square modelling (PLS), and uncertainty analysis. The multivariate analysis made it possible to isolate the influence of the variable 'choice of technology' on the environmental impact of the system.
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| 49. |
- Alvehus, Malin, et al.
(author)
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Adipose tissue IL-8 is increased in normal weight women after menopause and reduced after gastric bypass surgery in obese women
- 2012
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In: Clinical Endocrinology. - : Wiley-Blackwell. - 0300-0664 .- 1365-2265. ; 77:5, s. 684-690
-
Journal article (peer-reviewed)abstract
- Objective: The menopausal transition is characterized by increased body fat accumulation, including redistribution from peripheral to central fat depots. This distribution is associated with an increased risk of type 2 diabetes and cardiovascular disease which are linked to low-grade inflammation. We determined whether postmenopausal women have higher levels of inflammatory markers, compared to premenopausal women. We also wanted to determine if these markers are reduced by stable weight loss in obese women. Design and methods: Anthropometric data, blood samples, and subcutaneous adipose tissue biopsies were collected from normal weight premenopausal and postmenopausal women and obese women before and 2 years after gastric bypass surgery. Serum protein levels and adipose tissue gene expression of inflammatory markers were investigated. Results: IL-8 expression in adipose tissue and circulating levels were higher in postmenopausal versus premenopausal women. IL-8 expression was associated with waist circumference, independent of menopausal status. IL-6 expression and serum levels of monocyte chemoattractant protein (MCP)-1 were higher in postmenopausal versus premenopausal women. Two years after gastric bypass surgery, adipose expression of IL-8, tumor necrosis factor-α, and MCP-1 decreased significantly. Serum insulin levels were associated with inflammation-related gene expression before gastric bypass surgery, but these associations disappeared after surgery. Conclusion: Postmenopausal women have an increased inflammatory response in the subcutaneous fat and circulation. Inflammatory markers in adipose tissue decreased significantly after surgery-induced weight loss. This effect may be beneficial for metabolic control and reduced cardiovascular risk after weight loss. © 2011 Blackwell Publishing Ltd.
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| 50. |
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