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Risk factors for su...
Risk factors for subarachnoid haemorrhage : a nationwide cohort of 950 000 adults
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- Sundström, Johan, Professor, 1971- (author)
- Uppsala universitet,Klinisk epidemiologi,George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia.,Uppsala University, Uppsala; University of New South Wales, NSW, Sydney, Australia
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- Söderholm, Martin (author)
- Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups,Department of Clinical Sciences, Lund University , Lund, Sweden
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- Söderberg, Stefan (author)
- Karolinska Institutet,Umeå University,Umeå universitet,Avdelningen för medicin,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden
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- Alfredsson, Lars (author)
- Karolinska Institutet,Karolinska Institute,Institute of Environmental Medicine, Cardiovascular Epidemiology, Karolinska Institutet , Stockholm, Sweden
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- Andersson, Martin (author)
- Uppsala universitet,Umeå University,Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden,Uppsala University, Uppsala,Geriatrik
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- Bellocco, Rino (author)
- Karolinska Institutet,Karolinska Institute,Department of Statistics and Quantitative Methods, University of Milano-Biocca , Milan, Italy; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet , Stockholm, Sweden
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- Björck, Martin (author)
- Uppsala universitet,Kärlkirurgi,Uppsala University, Uppsala
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- Broberg, Per (author)
- Lund University,Lunds universitet,Medicinsk onkologi,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medical oncology,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Clinical Sciences, Cancer Epidemiology, Lund University , Lund, Sweden
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- Eriksson, Marie, Professor (author)
- Umeå University,Umeå universitet,Klinisk neurovetenskap,Statistik,Avdelningen för medicin,Department of Neurosurgery, Umeå University , Umeå, Sweden,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden; Department of Statistics, Umeå University , Umeå, Sweden
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- Eriksson, Marie (author)
- Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden; Department of Statistics, Umeå University , Umeå, Sweden
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- Forsberg, Bertil (author)
- Umeå University,Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden
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- Fransson, Eleonor I., 1971- (author)
- Jönköping University,HHJ, Avdelningen för naturvetenskap och biomedicin,HHJ. ADULT,Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University , Jönköping, Sweden
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- Giedraitis, Vilmantas (author)
- Uppsala universitet,Geriatrik,Uppsala University, Uppsala
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- Theorell-Haglöw, Jenny (author)
- Uppsala universitet,Lung- allergi- och sömnforskning,Uppsala University, Uppsala
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- Hallqvist, Johan, 1950- (author)
- Uppsala universitet,Allmänmedicin och preventivmedicin,Uppsala University, Uppsala
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- Hansson, Per-Olof, 1958 (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Department of Molecular and Clinical Medicine, Sahlgrenska Academy/ Sahlgrenska University Hospital, University of Gothenburg , Gothenburg, Sweden,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Heller, Susanne (author)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Uppsala University, Uppsala
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- Håkansson, Niclas (author)
- Karolinska Institutet,Karolinska Institute,Unit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet , Stockholm, Sweden
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- Ingelsson, Martin (author)
- Uppsala universitet,Geriatrik
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- Janson, Christer (author)
- Uppsala universitet,Lung- allergi- och sömnforskning,Uppsala University, Uppsala
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- Järvholm, Bengt (author)
- Umeå University,Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden
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- Khalili, Payam (author)
- Karolinska Institutet
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- Knutsson, Anders, 1942- (author)
- Mid Sweden University,Mittuniversitetet,Institutionen för hälsovetenskap,Department of Health Sciences, Mid Sweden University , Östersund, Sweden
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- Lager, Anton (author)
- Karolinska Institutet,Stockholm County Council,Centre for Epidemiology and Community Medicine , Stockholm County Council, Stockholm, Sweden; Department of Public Health Sciences , Stockholm, Sweden
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- Lagerros, Ylva Trolle (author)
- Karolinska Institutet,Karolinska Institute,Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet , Stockholm, Sweden; Department of Medicine, Karolinska University Hospital , Huddinge, Stockholm, Sweden
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- Larsson, Susanna C (author)
- Karolinska Institute,Unit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet , Stockholm, Sweden
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- Leander, Karin (author)
- Karolinska Institutet,Karolinska Institute,Institute of Environmental Medicine, Cardiovascular Epidemiology, Karolinska Institutet , Stockholm, Sweden
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- Leppert, Jerzy (author)
- Uppsala University,Uppsala universitet,Centrum för klinisk forskning, Västerås,Centre for Clinical Research Västerås, Västmanland Region, Uppsala University, Västerås,Västmanlands läns landsting / Region Västmanland
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- Lind, Lars (author)
- Karolinska Institutet,Karolinska Institute,Uppsala universitet,Klinisk epidemiologi,Uppsala University, Uppsala,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet , Stockholm, Sweden
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- Lindberg, Eva (author)
- Uppsala universitet,Lung- allergi- och sömnforskning,Uppsala University, Uppsala
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- Magnusson, Cecilia (author)
- Karolinska Institutet,Umeå University,Centre for Epidemiology and Community Medicine , Stockholm County Council, Stockholm, Sweden; Department of Public Health Sciences , Stockholm, Sweden
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- Magnusson, Patrik K E (author)
- Karolinska Institute,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet , Stockholm, Sweden
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- Malfert, Mauricio (author)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Uppsala University, Uppsala,Uppsala University Hospital
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- Michaëlsson, Karl, 1959- (author)
- Uppsala universitet,Medicinsk epidemiologi,Uppsala University, Uppsala
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- Nilsson, Peter (author)
- Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Department of Clinical Sciences, Lund University , Lund, Sweden
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- Olsson, Håkan (author)
- Lund University,Lunds universitet,Lunds Melanomstudiegrupp,Forskargrupper vid Lunds universitet,Lund Melanoma Study Group,Lund University Research Groups,Department of Clinical Sciences, Cancer Epidemiology, Lund University , Lund, Sweden
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- Pedersen, Nancy L (author)
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet , Stockholm, Sweden
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- Pennlert, Johanna (author)
- Umeå University,Umeå universitet,Avdelningen för medicin,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden
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- Rosenblad, Andreas, Fil. dr, 1973- (author)
- Uppsala University,Uppsala universitet,Centrum för klinisk forskning, Västerås,Centre for Clinical Research Västerås, Västmanland Region, Uppsala University, Västerås,Västmanlands läns landsting / Region Västmanland
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- Rosengren, Annika, 1951 (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Department of Molecular and Clinical Medicine, Sahlgrenska Academy/ Sahlgrenska University Hospital, University of Gothenburg , Gothenburg, Sweden,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Torén, Kjell, 1952 (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Sahlgrenska University Hospital,Section of Occupational and Environmental Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg, Sweden,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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- Wanhainen, Anders (author)
- Uppsala universitet,Kärlkirurgi,Uppsala University, Uppsala
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- Wolk, Alicja (author)
- Karolinska Institutet,Karolinska Institute,Unit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet , Stockholm, Sweden
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- Engström, Gunnar (author)
- Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups,Department of Clinical Sciences, Lund University , Lund, Sweden
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- Svennblad, Bodil (author)
- Uppsala universitet,Medicinsk epidemiologi,Uppsala University, Uppsala
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- Wiberg, Bernice, 1956- (author)
- Uppsala universitet,Klinisk epidemiologi,Uppsala University, Uppsala
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(creator_code:org_t)
- 2019-07-30
- 2019
- English.
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In: International Journal of Epidemiology. - : Oxford University Press. - 0300-5771 .- 1464-3685. ; 48:6, s. 2018-2025
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Abstract
Subject headings
Close
- BACKGROUND: Subarachnoid haemorrhage (SAH) is a devastating disease, with high mortality rate and substantial disability among survivors. Its causes are poorly understood. We aimed to investigate risk factors for SAH using a novel nationwide cohort consortium.METHODS: We obtained individual participant data of 949 683 persons (330 334 women) between 25 and 90 years old, with no history of SAH at baseline, from 21 population-based cohorts. Outcomes were obtained from the Swedish Patient and Causes of Death Registries.RESULTS: During 13 704 959 person-years of follow-up, 2659 cases of first-ever fatal or non-fatal SAH occurred, with an age-standardized incidence rate of 9.0 [95% confidence interval (CI) (7.4-10.6)/100 000 person-years] in men and 13.8 [(11.4-16.2)/100 000 person-years] in women. The incidence rate increased exponentially with higher age. In multivariable-adjusted Poisson models, marked sex interactions for current smoking and body mass index (BMI) were observed. Current smoking conferred a rate ratio (RR) of 2.24 (95% CI 1.95-2.57) in women and 1.62 (1.47-1.79) in men. One standard deviation higher BMI was associated with an RR of 0.86 (0.81-0.92) in women and 1.02 (0.96-1.08) in men. Higher blood pressure and lower education level were also associated with higher risk of SAH.CONCLUSIONS: The risk of SAH is 45% higher in women than in men, with substantial sex differences in risk factor strengths. In particular, a markedly stronger adverse effect of smoking in women may motivate targeted public health initiatives.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- Stroke
- cohort study
- epidemiology
- Lungmedicin
- Lung Medicine
- cohort study
- epidemiology
- Stroke
Publication and Content Type
- ref (subject category)
- art (subject category)
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Sundström, Johan ...
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Söderholm, Marti ...
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Alfredsson, Lars
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Andersson, Marti ...
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Bellocco, Rino
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Björck, Martin
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Broberg, Per
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Eriksson, Marie, ...
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Eriksson, Marie
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Forsberg, Bertil
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Fransson, Eleono ...
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Giedraitis, Vilm ...
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Theorell-Haglöw, ...
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Hallqvist, Johan ...
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Hansson, Per-Olo ...
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Heller, Susanne
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Håkansson, Nicla ...
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Ingelsson, Marti ...
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Janson, Christer
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Järvholm, Bengt
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Khalili, Payam
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Knutsson, Anders ...
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Lager, Anton
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Lagerros, Ylva T ...
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Larsson, Susanna ...
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Leander, Karin
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Leppert, Jerzy
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Lind, Lars
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Lindberg, Eva
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Magnusson, Cecil ...
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Magnusson, Patri ...
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Malfert, Maurici ...
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Michaëlsson, Kar ...
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Nilsson, Peter
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Olsson, Håkan
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Pedersen, Nancy ...
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Pennlert, Johann ...
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Rosenblad, Andre ...
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Rosengren, Annik ...
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Torén, Kjell, 19 ...
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Wanhainen, Ander ...
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Wolk, Alicja
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Engström, Gunnar
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Svennblad, Bodil
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Wiberg, Bernice, ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Respiratory Medi ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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Uppsala University
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Umeå University
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Mid Sweden University
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Jönköping University
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Lund University
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Karolinska Institutet
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University of Gothenburg
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