167 results on '"Larsson PA"'
Search Results
2. Toward a model for quality assessment in heart transplantation
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Larsson Pa, Shapiro Pa, Möller A, Stolz-Löfgren M, William-Olsson Eb, Ingela Karlsson, and Gösta Pettersson
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Biopsychosocial model ,Heart transplantation ,Gerontology ,Sweden ,Coping (psychology) ,business.industry ,Quality assessment ,Health Policy ,medicine.medical_treatment ,Social Support ,Coronary Disease ,Psychology, Social ,Transplantation ,Interviews as Topic ,Outcome and Process Assessment, Health Care ,Nursing ,Surveys and Questionnaires ,Health care ,Nursing Interventions Classification ,Medicine ,Heart Transplantation ,Humans ,Models, Nursing ,Coping capacity ,business - Abstract
A model for quality assessment of heart transplantation that combines a scientific method for studying the recipients' quality of life and a basis for a method of clinical work by nurses and other health care professionals is discussed. Besides its use as a research method, this model also may serve as an instrument for documenting patients' biopsychosocial status, including coping capacity, and for evaluating nursing interventions.
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- 1994
3. Prevalence of Epstein-Barr virus in oral squamous cell carcinoma, orallichen planus, and normal oral mucosa.
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Sand, LP, Jalouli, J, Larsson, PA, Hirsch, JM, Sand, LP, Jalouli, J, Larsson, PA, and Hirsch, JM
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- 2002
4. Effects of long-term administration of cancer-promoting substances on oralsubepithelial mast cells in the rat.
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Sand, L, Hilliges, M, Larsson, PA, Wallstrom, M, Hirsch, JM, Sand, L, Hilliges, M, Larsson, PA, Wallstrom, M, and Hirsch, JM
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- 2002
5. A pharmacokinetic study of 5-FU/leucovorin and alpha-interferon inadvanced cancer.
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Larsson, PA, Glimelius, B, Jeppsson, B, Jonsson, PE, Malmberg, M, Gustavsson, B, Carlsson, G, Svedberg, M, Larsson, PA, Glimelius, B, Jeppsson, B, Jonsson, PE, Malmberg, M, Gustavsson, B, Carlsson, G, and Svedberg, M
- Published
- 2000
6. Human papilloma viruses in oral lesions.
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Sand, L, Jalouli, J, Larsson, PA, Hirsch, JM, Sand, L, Jalouli, J, Larsson, PA, and Hirsch, JM
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- 2000
7. Reactivity against herpes simplex virus in patients with head and neck cancer
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Nordkvist A, Staffan Edström, Larsson Pa, Westin T, Jan M. Hirsch, and Vahlne A
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Male ,Cancer Research ,Herpesvirus 3, Human ,Blotting, Western ,Cytomegalovirus ,medicine.disease_cause ,Antibodies, Viral ,Virus ,Herpesviridae ,Viral Proteins ,Western blot ,Antibody Specificity ,Risk Factors ,medicine ,Humans ,Simplexvirus ,Antigens, Viral ,biology ,medicine.diagnostic_test ,business.industry ,Head and neck cancer ,Carcinoma ,Smoking ,Antibody titer ,Cancer ,Middle Aged ,medicine.disease ,Molecular Weight ,Herpes simplex virus ,Oncology ,Head and Neck Neoplasms ,Immunology ,biology.protein ,Female ,Antibody ,business - Abstract
The relation between herpes simplex virus (HSV) and head and neck cancer was examined. A total of ninety patients were analyzed for IgG antibodies against HSV. Antibody titers were established with an enzyme-linked immunosorbent assay and antibodies against specific HSV-antigens were analyzed by Western blot. These patients' seroreactivity was compared to that of an age-matched control group of patients with arteriosclerotic disease in their lower limbs, a disease also closely related to heavy tobacco consumption. Prevalence of antibodies against HSV was around 90% and did not differ significantly between cancer patients and controls, but antibody titers against HSV were significantly higher in the cancer patients. The cancer patients also reacted more constantly (80%) in Western blot analysis against the early immediate protein, ICP-4, than controls (50%). This suggests a different course of an earlier herpetic infection in these patients with a prolonged exposure to early immediate HSV-proteins which may be related to an increased risk of developing head and neck cancer. We propose that heavy smoking may contribute to this phenomenon.
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- 1991
8. High-throughput DNA extraction from old paraffin-embedded biopsies.
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Jalouli, J, Sand, L, Gustavsson, B, Hirsch, JM, Larsson, PA, Jalouli, J, Sand, L, Gustavsson, B, Hirsch, JM, and Larsson, PA
- Published
- 1999
9. Administrationsteknik påverkar farmaeffekt.
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Larsson, PA, Carlsson, G, Gustavsson, B, Glimelius, Bengt, Graf, W, Larsson, PA, Carlsson, G, Gustavsson, B, Glimelius, Bengt, and Graf, W
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- 1995
10. [Possible effect of administration methods on pharmacological action.Study of cytostatic therapy in advanced cancer]
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Larsson, PA, Carlsson, G, Gustavsson, B, Glimelius, B, Graf, W, Larsson, PA, Carlsson, G, Gustavsson, B, Glimelius, B, and Graf, W
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- 1995
11. Aspects of life stress after myocardial infarction : implications for a multifactorial rehabilitation
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Larsson, PA, Fridlund, Bengt, Larsson, PA, and Fridlund, Bengt
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- 1991
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12. Recovery after myocardial infarction : effects of a caring rehabilitation programme
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Fridlund, Bengt, Högstedt, B, Lidell, E, Larsson, PA, Fridlund, Bengt, Högstedt, B, Lidell, E, and Larsson, PA
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- 1991
13. Personals attitudes towards robot assisted health care - a pilot study in 111 respondents.
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Göransson O, Pettersson K, Larsson PA, and Lennernäs B
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- 2008
14. Sense of coherence: quality of life before and after coronary artery bypass surgery -- a longitudinal study.
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Karlsson I, Berglin E, and Larsson PA
- Abstract
The attention to patient outcome has nowadays extended from morbidity and mortality to an aspect of patients' benefits in terms of quality of life. One factor crucial for quality of life is coping capacity, in this study represented by the sense of coherence concept. Physical status and emotional state (often measured by comprehensive instruments not always suitable for clinical use) are also additionally used to reflect quality of life. The purpose was therefore to study sense of coherence and emotional state as indirect measures of quality of life in relation to coronary artery bypass grafting surgery. One hundred and eleven patients were studied by a developed questionnaire on five occasions in relation to the surgery: the week before the angiography, the day before surgery and then at 3, 6, and 12 months post-operatively. The main findings were: (1) The sense of coherence was changed (more than +/-10%) from before to 1 year after surgery in 41% of the patients, which is contrary to the theory of sense of coherence as a stable personality characteristic in adults. (2) Experience of depressed mood, stress, and anxiety decreased significantly from before to after surgery. (3) Beneficial outcome with regard to sense of coherence was significantly related to less experience of loneliness, depressed mood, stress and anxiety, and to less experience of chest pain 1 year after surgery. In conclusion, sense of coherence and emotional state variables, are suggested to be valuable as measurements of quality of life in relation to coronary artery bypass grafting surgery. [ABSTRACT FROM AUTHOR]
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- 2000
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15. Genome-Wide DNA Microarray Analysis of Francisella tularensisStrains Demonstrates Extensive Genetic Conservation within the Species but Identifies Regions That Are Unique to the Highly Virulent F. tularensissubsp. tularensis
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Broekhuijsen, Martien, Larsson, Pa¨r, Johansson, Anders, Bystro¨m, Mona, Eriksson, Ulla, Larsson, Eva, Prior, Richard G., Sjo¨stedt, Anders, Titball, Richard W., and Forsman, Mats
- Abstract
ABSTRACTFrancisella tularensisis a potent pathogen and a possible bioterrorism agent. Little is known, however, to explain the molecular basis for its virulence and the distinct differences in virulence found between the four recognized subspecies, F. tularensissubsp. tularensis, F. tularensissubsp. mediasiatica, F. tularensissubsp. holarctica, and F. tularensissubsp. novicida. We developed a DNA microarray based on 1,832 clones from a shotgun library used for sequencing of the highly virulent strain F. tularensissubsp. tularensisSchu S4. This allowed a genome-wide analysis of 27 strains representing all four subspecies. Overall, the microarray analysis confirmed a limited genetic variation within the species F. tularensis, and when the strains were compared, at most 3.7% of the probes showed differential hybridization. Cluster analysis of the hybridization data revealed that the causative agents of type A and type B tularemia, i.e., F. tularensissubsp. tularensisand F. tularensissubsp. holarctica, respectively, formed distinct clusters. Despite marked differences in their virulence and geographical origin, a high degree of genomic similarity between strains of F. tularensissubsp. tularensisand F. tularensissubsp. mediasiaticawas apparent. Strains from Japan clustered separately, as did strains of F. tularensissubsp. novicida. Eight regions of difference (RD) 0.6 to 11.5 kb in size, altogether comprising 21 open reading frames, were identified that distinguished strains of the moderately virulent subspecies F. tularensissubsp. holarcticaand the highly virulent subspecies F. tularensissubsp. tularensis. One of these regions, RD1, allowed for the first time the development of an F. tularensis-specific PCR assay that discriminates each of the four subspecies.
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- 2003
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16. The Northern Halland Project: On the Need for Support of Patients with Myocardial Infarction in Northern Halland, Sweden
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J Jonsson, B Spångberg, Larsson Pa, Fridlund B, and CE Thors
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Male ,Sweden ,medicine.medical_specialty ,Rehabilitation ,Sick role ,business.industry ,medicine.medical_treatment ,Myocardial Infarction ,Social Support ,General Medicine ,Middle Aged ,Social Environment ,medicine.disease ,Life Change Events ,Self-Help Groups ,Emergency medicine ,medicine ,Humans ,Female ,Myocardial infarction ,business ,Life Style ,Psychosocial ,Stress, Psychological - Published
- 1988
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17. The influence of supraspinal impulse activity on the intra-axonal transport of transmitter-related substances in rat motor neurons
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Dahllöf Ag, A Dahlström, Larsson Pa, O Svensson, and Bööj S
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Motor Neurons ,Neurotransmitter Agents ,Chemistry ,Rehabilitation ,Motor neuron ,Axonal Transport ,Sciatic Nerve ,Lower motor neuron ,Acetylcholine ,Axons ,Choline O-Acetyltransferase ,Rats ,Monoamine neurotransmitter ,medicine.anatomical_structure ,nervous system ,Monoaminergic ,Acetylcholinesterase ,medicine ,Axoplasmic transport ,Animals ,Cholinergic ,Sciatic nerve ,Neuroscience ,medicine.drug - Abstract
The content and intra-axonal transport of acetylcholine (ACh) and the ACh-metabolizing enzymes choline-acetyl-transferase (CAT) and ACh-esterase (AChE) in the rat sciatic nerve were studied after various experimental procedures. The procedures involved: (1) spinal cord transection (SCT) at the thoracic level 1 day to 3 weeks prior to experiments, to abolish nerve activity of the lower motor neurons (in the lumbar intumescence-sciatic nerve) from supraspinal centres; (2) physical training for 2 h daily during 2 weeks in a rodent treadmill, to increase nerve activity from supraspinal levels; and (3) the use of selective neurotoxins to cause degeneration of descending bulbospinal monoaminergic (MA) neurons. The results of these studies demonstrate that supraspinal nerve influence can modify the axonal transport of ACh and cholinergic enzymes in the rat sciatic nerve, and that descending monoamine (MA) pathways may, at least to some extent, participate in this modulation of intraneuronal dynamics in the motor neuron. Since it has been shown by many investigators that factors which have a trophic influence on skeletal muscle cells both in vitro and in vivo are present in motor nerves and transported along the axons in a distal direction, we suggest that the synthesis and axonal transport of such factors may also be under control of supraspinal nerve activity. Therefore, it is possible that metabolic changes and dystrophy of muscles occurring in patients with lesions of the 'upper motor neuron-type' may also, in addition to other factors, be dependent on changes in intra-axonal transport of various substances in the lower motor neuron.
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- 1981
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18. The intra-axonal transport of acetylcholine and cholinergic enzymes in rat sciatic nerve during regeneration after various types of axonal trauma
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Larsson Pa, S. Bööj, Annica Dahlström, and P.‐O. Heiwall
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General Neuroscience ,medicine.medical_treatment ,Connective tissue ,Anatomy ,Biology ,Choline acetyltransferase ,Acetylcholinesterase ,Cellular and Molecular Neuroscience ,chemistry.chemical_compound ,medicine.anatomical_structure ,nervous system ,chemistry ,medicine ,Axoplasmic transport ,Cholinergic ,Sciatic nerve ,Ligature ,Acetylcholine ,medicine.drug - Abstract
The proximo-distal intra-axonal transport of acetylcholine (ACh) and cholinergic enzymes (choline acetyltransferase, CAT, and ACh-esterase, AChE) in rat regenerating sciatic nerve was studied by accumulation technique. Four types of axonal trauma were performed: freezing with solid CO2, crushing, ligating the nerve with remaining tight silk ligature, and cutting the nerve. Normal and sham-operated rats were used as controls. One to twenty-nine days later, the nerves were crushed about 15 mm proximal to the trauma. The nerve segment proximal to this crush was dissected out 12 hr later and assayed for ACh-content and enzyme activities. The increase in this segment 12 hr after crushing was taken as an indication of proximo-distal transport in the regenerating nerves. ACh transport did not seem to vary during regeneration as compared to controls. In contrast, the transport of both CAT and AChE was initially markedly depressed. Towards the end of the observation period (29 days), a recovery of CAT-transport occurred in all groups. Recovery of AChE-transport was marked in the freeze and crush groups. In the cut group no recovery was seen and in the ligated group only a small recovery occurred. Thus, in the nerves where regeneration was facilitated by the presence of intact connective tissue sheaths (freezing and crushing) recovery of transport occurred earlier than in cut or ligated nerves.
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- 1979
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19. Comparison between the effect of colchicine and lumicolchicine on axonal transport in rat motor neurons
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Dahlstöm A, Heiwall Po, and Larsson Pa
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Male ,macromolecular substances ,Axonal Transport ,Microtubules ,Choline O-Acetyltransferase ,chemistry.chemical_compound ,Acetyltransferases ,In vivo ,Microtubule ,medicine ,Animals ,Colchicine ,Biological Psychiatry ,Motor Neurons ,Stereoisomerism ,biochemical phenomena, metabolism, and nutrition ,equipment and supplies ,Sciatic Nerve ,Acetylcholinesterase ,Acetylcholine ,Rats ,Mitotic inhibitor ,Psychiatry and Mental health ,Neurology ,chemistry ,Biophysics ,Axoplasmic transport ,Neurology (clinical) ,Sciatic nerve ,Neuroscience ,medicine.drug - Abstract
The mitotic inhibitor colchicine (COL) and its isomer lumi-colchicine (lumi-COL) were tested on the axonal transport of acetylcholine (ACh), cholineacetyltransferase (CAT) and ACh-esterase (AChE) in rat motor nerves in vivo. COL was found to be far more effective in blocking axonal transport of all 3 substances than was an equimolar concentration (0.1 M) of lumi-COL, when injected into the sciatic nerve. Since COL and lumi-COL have similar properties as regards binding to cellular membranes, but differ markedly in their binding capacity to microtubule protein, the results give strong support for the theory that microtubules are essential for intra-axonal transport in mammalian nerves.
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- 1975
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20. Extensive Allelic Variation among Francisella tularensisStrains in a Short-Sequence Tandem Repeat Region
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Johansson, Anders, Go¨ransson, Ingela, Larsson, Pa¨r, and Sjo¨stedt, Anders
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ABSTRACTMembers of the genus Francisellaand the speciesF. tularensisappear to be genetically very similar despite pronounced differences in virulence and geographic localization, and currently used typing methods do not allow discrimination of individual strains. Here we show that a number of short-sequence tandem repeat (SSTR) loci are present in F. tularensisgenomes and that two of these loci, SSTR9 and SSTR16, are together highly discriminatory. Labeled PCR amplification products from the loci were identified by an automated DNA sequencer for size determination, and each allelic variant was sequenced. Simpson's index of diversity was 0.97 based on an analysis of 39 nonrelated F. tularensisisolates. The locus showing the highest discrimination, SSTR9, gave an index of diversity of 0.95. Thirty-two strains isolated from humans during five outbreaks of tularemia showed much less variation. For example, 11 of 12 strains isolated in the Ljusdal area, Sweden in 1995 and 1998 had identical allelic variants. Phenotypic variants of strains and extensively cultured replicates within strains did not differ, and, for example, the same allelic combination was present in 55 isolates of the live-vaccine strain of F. tularensisand another one was present in all 13 isolates of a strain passaged in animals. The analysis of short-sequence repeats of F. tularensisstrains appears to be a powerful tool for discrimination of individual strains and may be useful for a detailed analysis of the epidemiology of this potent pathogen.
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- 2001
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21. Influence of descending bulbospinal monoamine neurons on axonal transport of acetylcholine and cholinergic enzymes
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Larsson Pa, Dahllöf Ag, S. Bööj, and Annica Dahlström
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Male ,medicine.medical_specialty ,Axonal Transport ,Choline O-Acetyltransferase ,chemistry.chemical_compound ,Internal medicine ,medicine ,Neurotoxin ,Animals ,Biological Psychiatry ,Neurons ,Rats, Inbred Strains ,Acetylcholinesterase ,Sciatic Nerve ,Acetylcholine ,Rats ,Psychiatry and Mental health ,Endocrinology ,Monoamine neurotransmitter ,nervous system ,Neurology ,chemistry ,Microscopy, Fluorescence ,Spinal Cord ,Catecholamine ,Axoplasmic transport ,Cholinergic ,Neurology (clinical) ,Sciatic nerve ,Neuroscience ,medicine.drug - Abstract
The influence of descending bulbospinal monoamine (MA) neurons on the intra-axonal transport of acetylcholine (ACh) and related enzymes (cholineacetyltransferase, CAT, and ACh-esterase, AChE) in rat sciatic nerve was studied in crush experiments following intracisternal injections of specific neurotoxins. The injection of 6-hydroxydopamine (6-OH-DA) and 5,6-dihydroxytryptamine (5,6-diOH-TA) (50 micrograms X 2) caused a degeneration of catecholamine (CA) and 5-hydroxytryptamine (5-HT) nerve terminals, respectively, and a combination of the two neurotoxins caused a loss of virtually all MA terminals in the lumbar spinal cord. The results of the neurotoxin injections were controlled by the Falck-Hillarp fluorescence method. The effect of neurotoxin treatment on the enzyme activities in the sciatic nerve was very small. The ACh levels of uncrushed nerves and in nerves proximal to a crush performed 12 hours before dissection decreased following either 6-OH-DA or 5,6-diOH-TA. However, the combination treatment with both 6-OH-DA and 5,6-diOH-TA had no influence on ACh accumulation and transport, as compared to the control group. In a previous study we have shown that mid-thoracic spinal cord transection increased AChE-transport while ACh-transport was decreased. The results of this study indicate that the bulbospinal MA neurons may be involved (perhaps indirectly) i the regulation of ACh levels and transport in motor neurons, but less important for the modulation of the cholinergic enzymes.
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- 1981
22. A caring perspective on rehabilitation after myocardial infarction : a theoretical framework and a suggestion for a rehabilitation programme
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Fridlund, Bengt, Lidell, E, Larsson, PA, Fridlund, Bengt, Lidell, E, and Larsson, PA
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- 1989
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23. The effect of a caring rehabilitation programme on diet habits, blood lipids and body weight after myocardial infarction
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Fridlund, Bengt, Falk, B, Ladeborn, B, Landin, K, Larsson, PA, Fridlund, Bengt, Falk, B, Ladeborn, B, Landin, K, and Larsson, PA
- Published
- 1988
24. On the need for support of patients with myocardial infarction in Northern Halland, Sweden
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Fridlund, Bengt, Jonsson, J, Spångberg, B, Thors, CE, Larsson, PA, Fridlund, Bengt, Jonsson, J, Spångberg, B, Thors, CE, and Larsson, PA
- Published
- 1988
25. Do physically active people cope better with Biopsychosocial stress after a myocardial infarction
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Karlsson, I, Fridlund, Bengt, Hellström, L, Eliasson, A, Ekerving, C, Andersson, L, Larsson, PA, Karlsson, I, Fridlund, Bengt, Hellström, L, Eliasson, A, Ekerving, C, Andersson, L, and Larsson, PA
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- 1988
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26. Hjärtinfarkt : resultatet av biopsykosocial stress sett ur ett vårdvetenskapligt perspektiv
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Fridlund, Bengt, Larsson, PA, Fridlund, Bengt, and Larsson, PA
- Published
- 1989
27. Prevalence of skin diseases among adolescents 12--16 years of age
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Larsson, PA., primary and Lidén, S., additional
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- 1980
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28. Increased knowledge of Francisella genus diversity highlights the benefits of optimised DNA-based assays
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Ahlinder Jon, Öhrman Caroline, Svensson Kerstin, Lindgren Petter, Johansson Anders, Forsman Mats, Larsson Pär, and Sjödin Andreas
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Bacterial-typing techniques ,Optimisation ,Francisella ,Metagenomics ,Phylogeny ,Assay ,Diversity ,NGS ,PCR ,Microbiology ,QR1-502 - Abstract
Abstract Background Recent advances in sequencing technologies offer promising tools for generating large numbers of genomes, larger typing databases and improved mapping of environmental bacterial diversity. However, DNA-based methods for the detection of Francisella were developed with limited knowledge about genetic diversity. This, together with the high sequence identity between several Francisella species, means there is a high risk of false identification and detection of the highly virulent pathogen Francisella tularensis. Moreover, phylogenetic reconstructions using single or limited numbers of marker sequences often result in incorrect tree topologies and inferred evolutionary distances. The recent growth in publicly accessible whole-genome sequences now allows evaluation of published genetic markers to determine optimal combinations of markers that minimise both time and laboratory costs. Results In the present study, we evaluated 38 previously published DNA markers and the corresponding PCR primers against 42 genomes representing the currently known diversity of the genus Francisella. The results highlight that PCR assays for Francisella tularensis are often complicated by low specificity, resulting in a high probability of false positives. A method to select a set of one to seven markers for obtaining optimal phylogenetic resolution or diagnostic accuracy is presented. Conclusions Current multiple-locus sequence-typing systems and detection assays of Francisella, could be improved by redesigning some of the primers and reselecting typing markers. The use of only a few optimally selected sequence-typing markers allows construction of phylogenetic topologies with almost the same accuracy as topologies based on whole-genome sequences.
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- 2012
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29. Genome characterisation of the genus Francisella reveals insight into similar evolutionary paths in pathogens of mammals and fish
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Sjödin Andreas, Svensson Kerstin, Öhrman Caroline, Ahlinder Jon, Lindgren Petter, Duodu Samuel, Johansson Anders, Colquhoun Duncan J, Larsson Pär, and Forsman Mats
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Francisella ,Next-generation sequencing ,Recombination ,Fish ,Genetics ,Evolution ,Biotechnology ,TP248.13-248.65 ,QH426-470 - Abstract
Abstract Background Prior to this study, relatively few strains of Francisella had been genome-sequenced. Previously published Francisella genome sequences were largely restricted to the zoonotic agent F. tularensis. Only limited data were available for other members of the Francisella genus, including F. philomiragia, an opportunistic pathogen of humans, F. noatunensis, a serious pathogen of farmed fish, and other less well described endosymbiotic species. Results We determined the phylogenetic relationships of all known Francisella species, including some for which the phylogenetic positions were previously uncertain. The genus Francisella could be divided into two main genetic clades: one included F. tularensis, F. novicida, F. hispaniensis and Wolbachia persica, and another included F. philomiragia and F. noatunensis. Some Francisella species were found to have significant recombination frequencies. However, the fish pathogen F. noatunensis subsp. noatunensis was an exception due to it exhibiting a highly clonal population structure similar to the human pathogen F. tularensis. Conclusions The genus Francisella can be divided into two main genetic clades occupying both terrestrial and marine habitats. However, our analyses suggest that the ancestral Francisella species originated in a marine habitat. The observed genome to genome variation in gene content and IS elements of different species supports the view that similar evolutionary paths of host adaptation developed independently in F. tularensis (infecting mammals) and F. noatunensis subsp. noatunensis (infecting fish).
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- 2012
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30. Health-related quality of life in a trial of acupuncture, sham acupuncture and conventional treatment for chronic sinusitis
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Røssberg Edna, Stavem Knut, and Larsson Pål G
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Medicine ,Biology (General) ,QH301-705.5 ,Science (General) ,Q1-390 - Abstract
Abstract Background Acupuncture is commonly used to treat chronic sinusitis, though there is little documentation on the effect. This study presents the health-related quality of life (HRQoL) outcomes in a trial comparing traditional Chinese acupuncture, sham acupuncture, and conventional treatment for chronic sinusitis. Findings In a three-armed single blind randomized controlled study, we recruited 65 patients with symptoms of sinusitis >3 months and signs of sinusitis on computed tomography (CT). Patients were randomized to one of three study arms: (1) 2–4 weeks of medication with antibiotics, corticosteroids, 0.9% sodium chloride solution, and local decongestants (n = 21), (2) ten treatments with traditional Chinese acupuncture (n = 25), or (3) ten treatments with minimal acupuncture at non-acupoints (n = 19). Change in HRQoL was assessed over 12 weeks using the Chronic Sinusitis Survey (CSS) and Short form 36 (SF-36) questionnaires. In the study, we found only a non-significant difference on the CSS symptom scale between conventional medical therapy and traditional Chinese acupuncture. On the SF-36 scale role-physical the change was larger in the conventional group than in the sham group (p = 0.02), and on the mental health scale the change in the conventional therapy arm was larger than in the traditional Chinese acupuncture group (p = 0.03). There was no difference in effect on HRQoL on any scale between the sham and traditional Chinese acupuncture groups. Conclusion There was no clear evidence of the superiority of one treatment over another on short-term HRQoL outcomes, although there was a statistically non-significant advantage of conventional therapy in a few dimensions.
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- 2008
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31. How much resources are reasonable to spend on radiological protection?
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Engström A, Isaksson M, Javid R, Larsson PA, Lundh C, Wikström J, and Båth M
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In short terms, a society's available resources are finite and must be prioritised. The more resources that are spent on radiological protection, the lesser resources are available for other needs. The ALARA principle states that exposure of ionizing radiation should be kept as low as reasonably achievable, taking into account economic and societal factors. In practice, one of several approaches to determine what is considered as reasonably achievable is cost-benefit analysis. A demanding part of cost-benefit analysis is to decide on an α value, which stipulates the value of radiological protection. There are different conversion methods on how to convert societal costs into an α value. However, with the assistance of recent developments within both health economics and radiological protection room for improvements was found. Therefore, the aims of the present study were to develop a new conversion method (on how to convert societal costs into an α value) and to provide recommendations of α values for each member country of The Organisation for Economic Co-operation and Development (OECD). With the help of systematic reviews of societal costs (the value of a statistical life, productivity losses and healthcare costs) and discount rates, as well as Monte Carlo simulations of the number of years between exposure and cancer diagnosis, a new conversion method and recommendations of α values could be presented. The new conversion method was expressed as a discounted nominal risk of exposure with a median (interquartile range) of 175 (136-222) per 10 000 persons per Sv for the public and 169 (134-207) per 10 000 persons per Sv for workers. For OECD in general, recommendations of α values were determined to be $56-170 per man.mSv for the public and $61-162 per man.mSv for workers (2023-USD)., (Creative Commons Attribution license.)
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- 2024
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32. Effects of Ring Opening and Chemical Modification on the Properties of Dry and Moist Cellulose─Predictions with Molecular Dynamics Simulations.
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Elf P, Larsson PA, Larsson A, Wågberg L, Hedenqvist MS, and Nilsson F
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- Hydrogen Bonding, Tensile Strength, Water chemistry, Temperature, Cellulose chemistry, Molecular Dynamics Simulation
- Abstract
Thermoplastic properties in cellulosic materials can be achieved by opening the glucose rings in cellulose and introducing new functional groups. Using molecular dynamics, we simulated amorphous cellulose and eight modified versions under dry and moist conditions. Modifications included ring openings and functionalization with hydroxy, aldehyde, hydroxylamine, and carboxyl groups. These modifications were analyzed for density, glass transition temperature, thermal expansivity, hydrogen bond features, changes in energy term contributions during deformation, diffusivity, free volume, and tensile properties. All ring-opened systems exhibited higher molecular mobility, which, consequently, improved thermoplasticity (processability) compared to that of the unmodified amorphous cellulose. Dialcohol cellulose and hydroxylamine-functionalized cellulose were identified as particularly interesting due to their combination of high molecular mobility at processing temperatures (425 K) and high stiffness and strength at room temperature (300 K). Water and smaller side groups improved processability, indicating that both steric effects and electrostatics have a key role in determining the processability of polymers.
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- 2024
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33. Melt processing of chemically modified cellulosic fibres with only water as plasticiser: Effects of moisture content and processing temperature.
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Engel ER, Lo Re G, and Larsson PA
- Abstract
To replace petroleum-derived polymers with cellulose fibres, it is desirable to have the option of melt processing. However, upon heating, cellulose degradation typically starts before the material reaches its softening temperature. Alternatives to plastics should also, ideally, be recyclable via existing recycling streams. Here, we address the problem of melt processing cellulose as fibres while preserving recyclability. Native cellulose fibres were partially modified to dialcohol cellulose to impart thermoplastic characteristics. We demonstrate melt processing of these modified fibres with only water as plasticiser. Processability was investigated at selected processing temperatures and initial moisture content by monitoring the axial force of the extruder screws as a rheological indicator. The effects on molecular structure, fibre morphology and material properties were characterised by NMR spectroscopy, microscopy, tensile testing, fibre morphology analysis and X-ray diffraction. When comparing the melt-processed extrudate with handsheets, the already exceptional ductility was further increased. Moderate losses in tensile strength and stiffness were observed and are attributable to a loss of crystallinity and fibre shortening. This is the first report of strong and durable extrudates using cellulosic fibres as the only feedstock. Finally, the potential for recycling the processed material with unmodified fibres by paper recycling procedures was demonstrated., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier Ltd.)
- Published
- 2025
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34. On the determination of charge and nitrogen content in cellulose fibres modified to contain quaternary amine functionality.
- Author
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Sjölund J, Westman G, Wågberg L, and Larsson PA
- Abstract
Research interest in quaternization of cellulose fibres has increased considerably over the past decades. However, there is little or no consensus regarding how to characterize the material in terms of degree of substitution (DS), and the literature suggests a range of different methods focusing on charge determination as well as nitrogen content quantification. This work aims to fill the knowledge gap regarding how the different methods perform in relation to each other, and for what cellulosic systems each method has advantages, disadvantages and even potential pitfalls. FT-IR and NMR measurements are used to establish successful modification and determine the relative number of substituent groups. Another six methods are compared for the determination of the DS of cellulosic fibres and nanofibrils. The methods include Kjeldahl measurements, nitrogen determination by chemiluminescence, determination of molecular nitrogen by the Dumas method, colloidal titration, conductometric titration and polyelectrolyte adsorption. It can be concluded that most techniques investigated are reliable within certain ranges of DS and/or when using appropriate post-treatment of the quaternized material and suitable sample preparation techniques. The results from the present work hence provide recommendations to make an educated choice of method, and experimental protocol, based on the technique at hand., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2025
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35. Patients' Experiences of Health After Surgical Treatment for Paraesophageal Hernia Grades III and IV: An Interview Based Study.
- Author
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Wennström B, Lindberg S, Svensson J, Larsson E, Stensby H, and Larsson PA
- Abstract
Surgery is the only available treatment for the longstanding chronic symptoms associated with large paraesophageal hernias except for reflux disease. The aim of this study was to illuminate how patients who previously suffered from grade III-IV hiatal hernia experience their life and health 2-6 months after surgery. The study is based on semi-structured interviews with 17 patients who received elective laparoscopic hernia repair for a large paraesophageal hernia. The data were analyzed using qualitative content analysis, resulting in three main themes: "Experiences of health," "Being unable to leave the disease behind," and "Still feeling unwell" and seven subthemes: "Escaping suffering"; "Learning to interpret bodily signals"; "Looking to the future with confidence"; "Finding oneself in a vicious circle of worry"; "The fear of relapse as a constant companion"; "Lingering disabling symptoms," and "New and frightening symptoms." Our study demonstrates large individual variations in the way patients experience their life and health after laparoscopic hernia repair. Central to the patients' descriptions is that simply feeling physically healthy is insufficient for achieving overall health. Health care personnel can benefit from learning about patients' experiences of health and suffering after surgery., (Copyright © 2024 Society of Gastroenterology Nurses and Associates.)
- Published
- 2024
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36. An Estimation of the Monetary Value of the Person-Sievert Useful for Occupational Radiological Protection within the Healthcare System of Sweden.
- Author
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Engström A, Isaksson M, Javid R, Larsson PA, Lundh C, and Båth M
- Abstract
Abstract: The As Low As Reasonably Achievable (ALARA) principle includes taking into account economic and societal factors. To consider these factors, decision-aiding techniques such as cost-benefit analysis were introduced by the International Commission on Radiological Protection (ICRP) 50 y ago. Over the years, developments in health economics have led to new ways of deriving the concept of a value of a statistical life (VSL), which now is influencing the monetary value assigned to a unit of collective dose for radiological protection purposes (the α value) used in cost-benefit analyses. The aim of the present study was to estimate an α value useful for occupational radiological protection within the healthcare system of Sweden. A survey based on the stated preference approach was developed and sent to staff who are exposed to ionizing radiation at their work in Region Västra Götaland (Sweden). The survey essentially contained two scenarios: the respondents' willingness to pay for measures against radon exposure at home and their willingness to accept compensation for x-ray exposure at work. Answers from 718 respondents were collected. In the sensitivity analysis of the survey, the overall median VSL based on the two scenarios was calculated to be $50 million (IQR $10 to 363 million). The corresponding α value was established to $1,600 person-mSv -1 ($2,100 person-mSv -1 if excess burden of taxes is excluded). The recommended α value is in the high end compared to other studies but within the interval of values being used by nuclear utilities today. The α value should be seen in the light of ICRP's recommendation about stakeholder involvement as an important part of the optimization process., (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Health Physics Society.)
- Published
- 2024
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37. Ultra-thin parylene-aluminium hybrid coatings on nanocellulose films to resist water sensitivity.
- Author
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Sethi J, Glowacki E, Reid MS, Larsson PA, and Wågberg L
- Abstract
Non-sustainable single-use plastics used for food packaging needs to be phased out. Films made from cellulose nanofibrils (CNFs) are suitable candidates for biodegradable and recyclable packaging materials as they exhibit good mechanical properties, excellent oxygen barrier properties and high transparency. Yet, their poor water vapour barrier properties have been a major hindrance in their commercialisation. Here, we describe the preparation of 25 μm thick CNF films with significantly improved water vapour barrier properties after deposition of ultrathin polymeric and metallic coatings, parylene C and aluminium, respectively. When first adding a 40 nm aluminium layer followed by an 80 nm parylene layer, i.e. with a combined thickness of less than one percent of the CNF film, a water vapour transmission rate of 2.8 g m
-2 d-1 was achieved at 38 °C and 90 % RH, surpassing a 25 μm polypropylene film (4-12 g m-2 d-1 ). This is an improvement of more than 700 times compared to uncoated CNF films, under some of the harshest possible conditions a packaging material will need to endure in commercial use. The layers showed a good and even coverage, as assessed by atomic force microscopy, and the parylene-coated surfaces were hydrophobic with a contact angle of 110°, providing good water repellency., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)- Published
- 2024
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38. Being Caught in a Vicious Circle: An Interview Study of Individuals Suffering From Grade II-IV Hiatal Hernia.
- Author
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Wennström B, Lindberg S, Svensson J, Larsson E, Stensby H, and Larsson PA
- Abstract
Large paraesophageal hernias are related to life-threatening complications that warrant immediate surgery. Whether the long-standing chronic symptoms related to the disease in individuals without hernia incarceration motivate surgical treatment is still a subject for discussion. The aim of this study was to explore how individuals suffering from Grade II-IV hiatal hernia describe their symptoms and health, as well as how the disease affects their life. Semistructured interviews were performed with 22 individuals planning to undergo surgery for a large paraesophageal hernia. The data were analyzed using qualitative content analysis and resulted in one main theme "Being caught in a vicious circle" and six subthemes "Distressing and uncertain times," "The symptoms have seized control over my health," "Loss of energy and strength," "Strategies for managing daily life," "Loss of social life," and "Moments of hope despite failing health." Central to the participants' descriptions is their commitment to strategies for managing the ever-present and unpredictable symptoms that have seized control over their health. They were trapped in a hopeless and isolated existence, that is, a vicious circle, from which they were unable to escape. Despite the low incidence of volvulus and incarceration, the symptom burden and effect on general health motivate treatment in these individuals., (Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Gastroenterology Nurses and Associates.)
- Published
- 2023
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39. Lead aprons and thyroid collars: to be, or not to be?
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Engström A, Isaksson M, Larsson PA, Lundh C, and Båth M
- Subjects
- Humans, Thyroid Gland, Decision Making, Hospitals, Radiation Injuries, Neoplasms
- Abstract
Wearing lead aprons and thyroid collars for long periods of time has a subjective component: to balance the effective dose reduction with the effort of carrying a heavy load. Occupational radiation exposure has decreased dramatically in the last century within the health care system. During the same period the use of lead aprons and thyroid collars has also gone up. Therefore, a question that may be raised is: how safe is safe enough? In order to promote stakeholder involvement, the aim of the present study was to investigate staff's experience of discomforts associated with wearing lead aprons and thyroid collars for long periods of time, and also to investigate staff's willingness to tolerate personal dose equivalent (expressed as radiation dose) and the corresponding increase in future cancer risk to avoid wearing these protective tools. A questionnaire was developed and given to staff working in operating or angiography rooms at Skaraborg Hospital in Sweden. The results from the 245 respondents showed that 51% experienced bothersome warmth, 36% experienced fatigue and 26% experienced ache or pain that they believed was associated with wearing lead aprons. One third of the respondents would tolerate a personal dose equivalent of 1 mSv per year to avoid wearing lead aprons, but only a fifth would tolerate the corresponding increase in future cancer risk (from 43% to 43.2%). In conclusion, discomforts associated with wearing lead aprons and thyroid collars for long periods of time are common for the staff using them. At the same time, only a minority of the staff would tolerate a small increase in future cancer risk to avoid wearing them. The present study gives an example of stakeholder involvement and points at the difficulties in making reasonable decisions about the use of these protective tools., (Creative Commons Attribution license.)
- Published
- 2023
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40. Molecular Dynamics Simulations of Cellulose and Dialcohol Cellulose under Dry and Moist Conditions.
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Elf P, Özeren HD, Larsson PA, Larsson A, Wågberg L, Nilsson R, Chaiyupatham PT, Hedenqvist MS, and Nilsson F
- Subjects
- Plastics chemistry, Transition Temperature, Water chemistry, Cellulose chemistry, Molecular Dynamics Simulation
- Abstract
The development of wood-based thermoplastic polymers that can replace synthetic plastics is of high environmental importance, and previous studies have indicated that cellulose-rich fiber containing dialcohol cellulose (ring-opened cellulose) is a very promising candidate material. In this study, molecular dynamics simulations, complemented with experiments, were used to investigate how and why the degree of ring opening influences the properties of dialcohol cellulose, and how temperature and presence of water affect the material properties. Mechanical tensile properties, diffusion/mobility-related properties, densities, glass-transition temperatures, potential energies, hydrogen bonds, and free volumes were simulated for amorphous cellulosic materials with 0-100% ring opening, at ambient and high (150 °C) temperatures, with and without water. The simulations showed that the impact of ring openings, with respect to providing molecular mobility, was higher at high temperatures. This was also observed experimentally. Hence, the ring opening had the strongest beneficial effect on "processability" (reduced stiffness and strength) above the glass-transition temperature and in wet conditions. It also had the effect of lowering the glass-transition temperature. The results here showed that molecular dynamics is a valuable tool in the development of wood-based materials with optimal thermoplastic properties.
- Published
- 2023
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41. Elucidating the fine-scale structural morphology of nanocellulose by nano infrared spectroscopy.
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Kotov N, Larsson PA, Jain K, Abitbol T, Cernescu A, Wågberg L, and Johnson CM
- Subjects
- Cellulose chemistry, Spectrophotometry, Infrared, Microscopy, Atomic Force, Wood, Nanoparticles chemistry
- Abstract
Nanoscale infrared (IR) spectroscopy and microscopy, enabling the acquisition of IR spectra and images with a lateral resolution of 20 nm, is employed to chemically characterize individual cellulose nanocrystals (CNCs) and cellulose nanofibrils (CNFs) to elucidate if the CNCs and CNFs consist of alternating crystalline and amorphous domains along the CNF/CNC. The high lateral resolution enables studies of the nanoscale morphology at different domains of the CNFs/CNCs: flat segments, kinks, twisted areas, and end points. The types of nanocellulose investigated are CNFs from tunicate, CNCs from cotton, and anionic and cationic wood-derived CNFs. All nano-FTIR spectra acquired from the different samples and different domains of the individual nanocellulose particles resemble a spectrum of crystalline cellulose, suggesting that the non-crystalline cellulose signal observed in macroscopic measurements of nanocellulose most likely originate from cellulose chains present at the surface of the nanocellulose particles., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Adrian Cernescu is employed at Attocube Systems AG that manufactures nano-FTIR spectroscopy instruments., (Copyright © 2022. Published by Elsevier Ltd.)
- Published
- 2023
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42. The epidemiology of and management of pediatric patients with head trauma: a hospital-based study from Southern Sweden.
- Author
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Al Mukhtar A, Bergenfeldt H, Edelhamre M, Vedin T, Larsson PA, and Öberg S
- Subjects
- Child, Humans, Male, Child, Preschool, Female, Retrospective Studies, Emergency Service, Hospital, Hospitals, Craniocerebral Trauma epidemiology, Craniocerebral Trauma therapy, Brain Injuries, Traumatic
- Abstract
Background: Traumatic brain injury (TBI) is a common cause of morbidity and mortality in children worldwide. In Scandinavia, the epidemiology of pediatric head trauma is poorly documented. This study aimed to investigate and compare the epidemiology and management of pediatric patients with isolated head trauma (IHT) and head trauma in connection with multitrauma (MHT)., Methods: We conducted a retrospective review of medical records of patients < 18 years of age who attended any of the five emergency departments (ED) in Scania County in Sweden in 2016 due to head trauma. Clinical data of patients with IHT were analyzed and compared with those of patients with MHT., Results: We identified 5046 pediatric patients with head trauma, 4874 with IHT and 186 with MHT, yielding an incidence of ED visits due to head trauma of 1815/100,000 children/year. There was male predominance, and the median age was four years. Falls were the dominating trauma mechanism in IHT patients, while motor vehicle accidents dominated in MHT patients. The frequencies of CT head-scans, ward admissions and intracranial injuries (ICI) were 5.4%, 11.1% and 0.7%, respectively. Four patients (0.08%) required neurosurgical intervention. The relative risks for CT-scans and admissions to a hospital ward and ICI were 10, 4.5 and 19 times higher for MHT compared with IHT patients., Conclusion: Head trauma is a common cause of ED visits in our study. Head-CTs and ICIs were less frequent than in previous studies. MHT patients had higher rates of CT-scans, admissions, and ICIs than IHT patients, suggesting that they are separate entities that should ideally be managed using different guidelines to optimize the use of CT-scans of the head., (© 2022. The Author(s).)
- Published
- 2022
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43. The structure of cellulose nanofibril networks at low concentrations and their stabilizing action on colloidal particles.
- Author
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Nordenström M, Benselfelt T, Hollertz R, Wennmalm S, Larsson PA, Mehandzhiyski A, Rolland N, Zozoulenko I, Söderberg D, and Wågberg L
- Subjects
- Silicon Dioxide, Viscosity, Water, Cellulose chemistry, Nanofibers chemistry
- Abstract
The structure and dynamics of networks formed by rod-shaped particles can be indirectly investigated by measuring the diffusion of spherical tracer particles. This method was used to characterize cellulose nanofibril (CNF) networks in both dispersed and arrested states, the results of which were compared with coarse-grained Brownian dynamics simulations. At a CNF concentration of 0.2 wt% a transition was observed where, below this concentration tracer diffusion is governed by the increasing macroscopic viscosity of the dispersion. Above 0.2 wt%, the diffusion of small particles (20-40 nm) remains viscosity controlled, while particles (100-500 nm) become trapped in the CNF network. Sedimentation of silica microparticles (1-5 μm) in CNF dispersions was also determined, showing that sedimentation of larger particles is significantly affected by the presence of CNF. At concentrations of 0.2 wt%, the sedimentation velocity of 5 μm particles was reduced by 99 % compared to pure water., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022. Published by Elsevier Ltd.)
- Published
- 2022
- Full Text
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44. Comparison of the predictive value of two international guidelines for safe discharge of patients with mild traumatic brain injuries and associated intracranial pathology.
- Author
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Vestlund S, Tryggmo S, Vedin T, Larsson PA, and Edelhamre M
- Subjects
- Adult, Humans, Patient Discharge, Glasgow Coma Scale, Retrospective Studies, Brain Concussion complications, Brain Injuries, Brain Injuries, Traumatic diagnosis, Brain Injuries, Traumatic therapy, Brain Injuries, Traumatic complications
- Abstract
Purpose: To determine and compare the sensitivity, specificity, and proportion of patients eligible for discharge by the Brain Injury Guidelines and the Mild TBI Risk Score in patients with mild traumatic brain injury and concomitant intracranial injury., Methods: Retrospective review of the medical records of adult patients with traumatic intracranial injuries and an initial Glasgow Coma Scale score of 14-15, who sought care at Helsingborg Hospital between 2014/01/01 and 2019/12/31. Both guidelines were theoretically applied. The sensitivity, specificity, and percentage of the cohort that theoretically could have been discharged by either guideline were calculated. The outcome was defined as death, in-hospital intervention, admission to the intensive care unit, requiring emergency intubation due to intracranial injury, decreased consciousness, or seizure within 30 days of presentation., Results: Of the 538 patients included, 8 (1.5%) and 10 (1.9%) were eligible for discharge according to the Brain Injury Guidelines and the Mild TBI Risk Score, respectively. Both guidelines had a sensitivity of 100%. The Brain Injury Guidelines had a specificity of 2.3% and the Mild TBI Risk Score had a specificity of 2.9%., Conclusion: There was no difference between the two guidelines in sensitivity, specificity, or proportion of the cohort eligible for discharge. Specificity and proportion of cohort eligible for discharge were lower than each guideline's original study. At present, neither guideline can be recommended for implementation in the current or similar settings., (© 2021. The Author(s).)
- Published
- 2022
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45. Ways to improve guideline adherence in the emergency department: an interview study on the management of traumatic brain injuries.
- Author
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Vestlund S, Vedin T, Edelhamre M, Lindén M, and Larsson PA
- Subjects
- Humans, Guideline Adherence, Emergency Service, Hospital, Qualitative Research, Brain Injuries, Traumatic therapy, Physicians
- Abstract
Purpose: The aim was to explore factors affecting guideline adherence among doctors in the emergency department and to explore the general perception about local guidelines for traumatic brain injuries., Methods: Thirty semi-structured interviews were conducted with doctors with experience working in the emergency department regarding different aspects of guideline use, with emphasis on the management of traumatic brain injuries. Twenty-eight interviews were included for analysis. The interviews were recorded, transcribed, and analysed iteratively. Emergent codes were identified and organised into themes and subthemes., Results: Eight themes were identified. Barriers were centred on low availability of local guidelines and guideline document design. Facilitating factors included a concise document, appropriate visual aids, high accessibility, and encouragement by management and senior peers. The local guidelines on traumatic brain injuries were regarded as distinct, but it was occasionally difficult to determine when they were applicable. Mandatory admission of patients on anticoagulants was sometimes perceived as excessive. Biomarker S100b was believed to sometimes lead to delayed care., Conclusion: The participants believed that guideline adherence would increase by facilitating guideline availability, by providing concise, easy-to-understand, and well-illustrated guidelines available in printed form, as well as establishing a culture that promotes guideline use. The local guidelines for traumatic brain injuries were appreciated, but could be improved., (© 2022. The Author(s).)
- Published
- 2022
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46. Green Ambient-Dried Aerogels with a Facile pH-Tunable Surface Charge for Adsorption of Cationic and Anionic Contaminants with High Selectivity.
- Author
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Atoufi Z, Cinar Ciftci G, Reid MS, Larsson PA, and Wågberg L
- Subjects
- Adsorption, Kinetics, Magnesium, Calcium, Lead, Anions, Cations, Hydrogen-Ion Concentration, Methylene Blue chemistry, Water Pollutants, Chemical analysis, Water Pollutants, Chemical chemistry
- Abstract
The fabrication of reusable, sustainable adsorbents from low-cost, renewable resources via energy efficient methods is challenging. This paper presents wet-stable, carboxymethylated cellulose nanofibril (CNF) and amyloid nanofibril (ANF) based aerogel-like adsorbents prepared through efficient and green processes for the removal of metal ions and dyes from water. The aerogels exhibit tunable densities (18-28 kg m
-3 ), wet resilience, and an interconnected porous structure (99% porosity), with a pH controllable surface charge for adsorption of both cationic (methylene blue and Pb(II)) and anionic (brilliant blue, congo red, and Cr(VI)) model contaminants. The Langmuir saturation adsorption capacity of the aerogel was calculated to be 68, 79, and 42 mg g-1 for brilliant blue, Pb(II), and Cr(VI), respectively. Adsorption kinetic studies for the adsorption of brilliant blue as a model contaminant demonstrated that a pseudo-second-order model best fitted the experimental data and that an intraparticle diffusion model suggests that there are three adsorption stages in the adsorption of brilliant blue on the aerogel. Following three cycles of adsorption and regeneration, the aerogels maintained nearly 97 and 96% of their adsorption capacity for methylene blue and Pb(II) as cationic contaminants and 89 and 80% for brilliant blue and Cr(VI) as anionic contaminants. Moreover, the aerogels showed remarkable selectivity for Pb(II) in the presence of calcium and magnesium as background ions, with a selectivity coefficient more than 2 orders of magnitude higher than calcium and magnesium. Overall, the energy-efficient and sustainable fabrication procedure, along with good structural stability, reusability, and selectivity, makes these aerogels very promising for water purification applications.- Published
- 2022
- Full Text
- View/download PDF
47. Water-resistant hybrid cellulose nanofibril films prepared by charge reversal on gibbsite nanoclays.
- Author
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Sethi J, Wågberg L, and Larsson PA
- Subjects
- Cellulose chemistry, Steam, Tensile Strength, Nanocomposites chemistry, Nanofibers chemistry
- Abstract
A novel method is reported for the preparation of a hybrid gibbsite-cellulose nanofibril (CNF) nanocomposite film with improved wet and dry mechanical properties and barrier properties. A gibbsite and cationic CNF dispersion was dewatered at pH 7 to prepare well-ordered films. Thereafter, the charge on gibbsite was reversed by dipping the film in pH 12 water to induce an ionic interaction between CNFs and gibbsite, enhancing the film properties; modulus improved from 9 GPa to 12 GPa, with a maintained strain-at-break of 6 % and tensile strength of 190 MPa. Additionally, the charge-reversed film swelled a factor of 24 less than a film without any gibbsite. At 23 °C and 80 % RH, the oxygen barrier properties were improved by a factor of 28, to a value of 18 ml·μm·m
-2 ·kPa-1 ·24 h-1 and the water vapour barrier properties were improved by a factor of 12, to a value of 105 g·μm·m-2 ·kPa-1 ·24 h-1 ., (Copyright © 2022. Published by Elsevier Ltd.)- Published
- 2022
- Full Text
- View/download PDF
48. Microscopic Insight into the Structure-Processing-Property Relationships of Core-Shell Structured Dialcohol Cellulose Nanoparticles.
- Author
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Mehandzhiyski AY, Engel E, Larsson PA, Re GL, and Zozoulenko IV
- Abstract
In the quest to develop sustainable and environmentally friendly materials, cellulose is a promising alternative to synthetic polymers. However, native cellulose, in contrast to many synthetic polymers, cannot be melt-processed with traditional techniques because, upon heating, it degrades before it melts. One way to improve the thermoplasticity of cellulose, in the form of cellulose fibers, is through chemical modification, for example, to dialcohol cellulose fibers. To better understand the importance of molecular interactions during melt processing of such modified fibers, we undertook a molecular dynamics study of dialcohol cellulose nanocrystals with different degrees of modification. We investigated the structure of the nanocrystals as well as their interactions with a neighboring nanocrystal during mechanical shearing, Our simulations showed that the stress, interfacial stiffness, hydrogen-bond network, and cellulose conformations during shearing are highly dependent on the degree of modification, water layers between the crystals, and temperature. The melt processing of dialcohol cellulose with different degrees of modification and/or water content in the samples was investigated experimentally by fiber extrusion with water used as a plasticizer. The melt processing was easier when increasing the degree of modification and/or water content in the samples, which was in agreement with the conclusions derived from the molecular modeling. The measured friction between the two crystals after the modification of native cellulose to dialcohol cellulose, in some cases, halved (compared to native cellulose) and is also reduced with increasing temperature. Our results demonstrate that molecular modeling of modified nanocellulose fibers can provide fundamental information on the structure-property relationships of these materials and thus is valuable for the development of new cellulose-based biomaterials.
- Published
- 2022
- Full Text
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49. The Outcome of Laparoscopy-Assisted Transgastric Rendezvous ERCP During Cholecystectomy After Roux-en-Y Gastric Bypass Compared to Normal Controls.
- Author
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Liljegard S, Fredriksson Å, Manke T, Kylebäck A, Larsson PA, and Haraldsson E
- Subjects
- Anastomosis, Roux-en-Y, Cholangiopancreatography, Endoscopic Retrograde, Cholecystectomy, Humans, Gastric Bypass adverse effects, Laparoscopy, Obesity, Morbid surgery
- Published
- 2022
- Full Text
- View/download PDF
50. Correction to: The Outcome of Laparoscopy-Assisted Transgastric Rendezvous ERCP During Cholecystectomy After Roux-en-Y Gastric Bypass Compared to Normal Controls.
- Author
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Liljegard S, Fredriksson Å, Manke T, Kylebäck A, Larsson PA, and Haraldsson E
- Published
- 2022
- Full Text
- View/download PDF
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