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- Glimskär, A., et al.
(author)
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Uppföljning av kvalitetsförändringar i ängs- och betesmark via NILS år 2006
- 2007
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Reports (other academic/artistic)abstract
- Denna rapport presenterar resultat för ett antal indikatorer på kvalitet och skötsel i ett stickprov av ängs- och betesmarker i hela Sverige. Inventeringen och analyserna görs varje år från 2006 på uppdrag av Jordbruksverket, som underlag för bl.a. utvärderingen av miljökvalitetsmålet Ett rikt odlingslandskap. Som indikatorer har i första hand valts ett antal organismgrupper (fjärilar, humlor, kärlväxter, grova lövträd och epifytlavar), och dessutom beskrivs vegetationens struktur och sammansättning i provytor, som underlag för att ta fram strukturella indikatorer (t.ex. påverkan av gödsling och hävdintensitet/igenväxning). Urvalet bygger på förslag som tagits fram av Naturcentrum AB. De resultat som presenteras i denna rapport kommer från första årets inventering, vilket innefattar en femtedel av det totala stickprovet. Efter fem år får man alltså de mest tillförlitliga mängdskattningarna. Därefter återkommer man till samma objekt med samma intervall, vilket gör att man på ett tillförlitligt sätt kan analysera förändringar baserat på jämförelser mellan femårsperioder.Arbetet har utförts vid institutionen för skoglig resurshushållning, Sveriges lantbruksuniversitet, Umeå, i samarbete med inst. för ekologi, SLU och avd. för biologi, IFM, Linköpings universitet. Uppdraget att inventera ängs- och betesmarker samordnas med fältarbetet i NILS (Nationell Inventering av Landskapet i Sverige), och metodiken är till stor del likartad, med en del tilläggsmoment. NILS är ett rikstäckande miljöövervakningsprogram som följer tillstånd och förändringar i det svenska landskapet och hur dessa påverkar förutsättningarna för den biologiska mångfalden. NILS finansieras av Naturvårdsverket, där NILS ingår i programområde Landskap. Ett viktigt syfte med NILS är att följa upp de nationella miljökvalitetsmålen för olika naturtyper och fungera som underlag för att till exempel visa om genomförda miljövårdsåtgärder leder till önskade förbättringar på nationell nivå eller landsdelsnivå.
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- Glimskär, A., et al.
(author)
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Uppföljning av kvalitetsförändringar i ängs- och betesmark via NILS år 2008
- 2008
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Reports (other academic/artistic)abstract
- Detta uppdrag är ett led i arbetet med att få fram tillförlitliga data om tillstånd och förändringar i kvalitet och hävd hos ängs- och betesmarker i det svenska odlingslandskapet. Ett av de kvantitativa delmålen för det nationella miljökvalitetsmålet ”Ett rikt odlingslandskap” lyder: ”Senast år 2010 ska samtliga ängs- och betesmarker bevaras och skötas på ett sätt som bevarar deras värden. Arealen hävdad ängsmark ska utökas med minst 5 000 hektar, och arealen hävdad betesmark av de mest hotade typerna ska utökas med minst 13 000 hektar till år 2010” (Miljödepartementet 2001). Detta projekt fokuserar således på naturvärdena, men kan också fungera som ett komplement till miljöstödsstatistiken vad gäller arealer av olika ängs- och betesmarkstyper.Som ett underlag används resultat från Ängs- och betesmarksinventeringen (Ä&B; Jordbruksverket 2005a, b) som genomfördes av Jordbruksverket i samarbete med länsstyrelserna under perioden 2002-2004 och har resulterat i en databas med avgränsning och beskrivning för huvuddelen av Sveriges skyddsvärda slåtter- och betesmarker, den så kallade TUVA-databasen.
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- Gudnason, T., et al.
(author)
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Comparison of interventional cardiology in two European countries : A nationwide internet based registry study
- 2013
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In: International Journal of Cardiology. - : Elsevier BV. - 0167-5273 .- 1874-1754. ; 168:2, s. 1237-1242
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Journal article (peer-reviewed)abstract
- Background: The practice of interventional cardiology differs between countries and regions. In this study we report the results of the first nation-wide long-term comparison of interventional cardiology in two countries using a common web-based registry. Methods: The Swedish Coronary Angiography and Angioplasty Registry (SCAAR) was used to prospectively and continuously collect background-, quality-, and outcome parameters for all coronary angiographies (CA) and percutaneous coronary interventions (PCI) performed in Iceland and Sweden during one year. Results: The rate of CA per million inhabitants was higher in Iceland than in Sweden. A higher proportion of patients had CA for stable angina in Iceland than in Sweden, while the opposite was true for ST elevation myocardial infarction. Left main stem stenosis was more commonly found in Iceland than in Sweden. The PCI rate was similar in the two countries as was the general success rate of PCI, achievement of complete revascularisation and the overall stent use. Drug eluting stents were more commonly used in Iceland (23% vs. 19%). The use of fractional flow reserve (0.2% vs. 10%) and the radial approach (0.6% vs. 33%) was more frequent in Sweden than in Iceland. Serious complications and death were very rare in both countries. Conclusion: By prospectively comparing interventional cardiology in two countries, using a common web based registry online, we have discovered important differences in technique and indications. A discovery such as this can lead to a change in clinical practice and inspire prospective multinational randomised registry trials in unselected, real world populations.
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- Hober, Sophia, Professor, 1965-, et al.
(author)
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Systematic evaluation of SARS-CoV-2 antigens enables a highly specific and sensitive multiplex serological COVID-19 assay
- 2021
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In: Clinical & Translational Immunology. - : Wiley. - 2050-0068. ; 10:7
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Journal article (peer-reviewed)abstract
- Objective. The COVID-19 pandemic poses an immense need for accurate, sensitive and high-throughput clinical tests, and serological assays are needed for both overarching epidemiological studies and evaluating vaccines. Here, we present the development and validation of a high-throughput multiplex bead-based serological assay. Methods. More than 100 representations of SARS-CoV-2 proteins were included for initial evaluation, including antigens produced in bacterial and mammalian hosts as well as synthetic peptides. The five best-performing antigens, three representing the spike glycoprotein and two representing the nucleocapsid protein, were further evaluated for detection of IgG antibodies in samples from 331 COVID-19 patients and convalescents, and in 2090 negative controls sampled before 2020. Results. Three antigens were finally selected, represented by a soluble trimeric form and the S1-domain of the spike glycoprotein as well as by the C-terminal domain of the nucleocapsid. The sensitivity for these three antigens individually was found to be 99.7%, 99.1% and 99.7%, and the specificity was found to be 98.1%, 98.7% and 95.7%. The best assay performance was although achieved when utilising two antigens in combination, enabling a sensitivity of up to 99.7% combined with a specificity of 100%. Requiring any two of the three antigens resulted in a sensitivity of 99.7% and a specificity of 99.4%. Conclusion. These observations demonstrate that a serological test based on a combination of several SARS-CoV-2 antigens enables a highly specific and sensitive multiplex serological COVID-19 assay.
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- Mahmoud, Karim D., et al.
(author)
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Clinical impact of direct stenting and interaction with thrombus aspiration in patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention : Thrombectomy Trialists Collaboration
- 2018
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In: European Heart Journal. - : Oxford University Press. - 0195-668X .- 1522-9645. ; 39:26, s. 2472-2479
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Journal article (peer-reviewed)abstract
- Aims: Preliminary studies suggest that direct stenting (DS) during percutaneous coronary intervention (PCI) may reduce microvascular obstruction and improve clinical outcome. Thrombus aspiration may facilitate DS. We assessed the impact of DS on clinical outcome and myocardial reperfusion and its interaction with thrombus aspiration among ST-segment elevation myocardial infarction (STEMI) patients undergoing PCI.Methods and results: Patient-level data from the three largest randomized trials on routine manual thrombus aspiration vs. PCI only were merged. A 1:1 propensity matched population was created to compare DS and conventional stenting. Synergy between DS and thrombus aspiration was assessed with interaction P-values in the final models. In the unmatched population (n= 17329), 32% underwent DS and 68% underwent conventional stenting. Direct stenting rates were higher in patients randomized to thrombus aspiration as compared with PCI only (41% vs. 22%; P < 0.001). Patients undergoing DS required less contrast (162 mL vs. 172 mL; P < 0.001) and had shorter fluoroscopy time (11.1 min vs. 13.3 min; P < 0.001). After propensity matching (n = 10944), no significant differences were seen between DS and conventional stenting with respect to 30-day cardiovascular death [1.7% vs. 1.9%; hazard ratio 0.88, 95% confidence interval (CI) 0.55-1.41; P=0.60; P-interaction = 0.96) and 30-day stroke or transient ischaemic attack (0.6% vs. 0.4%; odds ratio 1.02; 95% CI 0.14-7.54; P= 0.99; P-interaction = 0.81). One-year results were similar. No significant differences were seen in electrocardiographic and angiographic myocardial reperfusion measures.Conclusion: Direct stenting rates were higher in patients randomized to thrombus aspiration. Clinical outcomes and myocardial reperfusion measures did not differ significantly between DS and conventional stenting and there was no interaction with thrombus aspiration.
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- Olivecrona, Göran K, et al.
(author)
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Impact of thrombus aspiration during ST-Elevation Myocardial Infarction : a six month composite endpoint and risk of stroke analyses of the TASTE trial
- 2016
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In: BMC Cardiovascular Disorders. - : Springer Science and Business Media LLC. - 1471-2261 .- 1471-2261. ; 16
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Journal article (peer-reviewed)abstract
- Background: Routine thrombus aspiration during primary percutaneous coronary intervention (PCI) in ST-elevation myocardial infarction (STEMI) did not reduce the primary composite endpoint in the "A Randomised Trial of Routine Aspiration ThrOmbecTomy With PCI Versus PCI ALone in Patients With STEMI Undergoing Primary PCI" (TOTAL) trial. We aimed to analyse a similar endpoint in "The Thrombus Aspiration in ST-Elevation myocardial infarction in Scandinavia" (TASTE) trial up to 180 days. Methods: In TASTE, 7244 patients with STEMI were randomised to thrombus aspiration followed by PCI or to PCI alone. We analysed the quadruple composite endpoint of cardiovascular death, cardiogenic shock, rehospitalisation for myocardial infarction, or new hospitalisation for heart failure. Furthermore, an extended net-benefit composite endpoint including stent thrombosis, target vessel revascularization or stroke within 180 days was analysed. Results: The primary quadruple composite endpoint occurred in 8.7 % (316 of 3621) in the thrombus aspiration group compared to 9.3 % (338 of 3623) in the PCI alone group (hazard ratio (HR), 0.93; 95 % confidence interval (CI); 0.80 -1.09, P = 0.36) and the extended net-benefit composite endpoint in 12.0 % (436) vs. 13.2 % (479) (HR, 0.90; 95 % CI; 0.79 -1.03, P = 0.12). Stroke within 30 days occurred in 0.7 % (27) vs. 0.7 % (24) (HR, 0.89; 95 % CI; 0.51-1.54, P = 0.68). Conclusions: A large and an extended composite endpoint analysis from the TASTE trial did not demonstrate any clinical benefit of routine thrombus aspiration during PCI in patients with STEMI. There was no evidence of an increased risk of stroke with thrombus aspiration.
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