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Systemic Glucocorticoid Use and Risk of Colorectal Cancer, Especially Early-Onset Type : A Nationwide Cohort Study

Background: Evidence on the association between systemic glucocorticoid use and colorectal cancer (CRC) risk is limited. This study aimed to determine whether systemic glucocorticoid use is associated with an increased risk of overall CRC (diagnosed at any age) and early-onset CRC (EOCRC; diagnosed before 50 years of age). Methods: A nationwide cohort study (follow-up: 2005–2018) was conducted usi

Machine Learning Acceleration of the DXA2FEM Pipeline for Femoral Bone Strength Prediction

Fragility fractures are a major health concern and accurate estimation of bone strength is important for fracture risk assessment. Finite element (FE) models can provide reliable estimates of femoral bone strength, but traditional approaches typically require three-dimensional imaging and computationally intensive model generation. Previous research has enabled reconstruction of subject-specific F

Bivalirudin versus heparin in non-ST and ST-segment elevation myocardial infarction - A registry-based randomized clinical trial in the SWEDEHEART registry (the VALIDATE-SWEDEHEART trial)

Background The optimal anticoagulant for patients with acute coronary syndrome treated with percutaneous coronary intervention (PCI) has not been validated in current practice of radial approach and pretreatment with potent P2Y12 inhibitors. Several studies have indicated increased bleeding rate and, in some instances, even increased mortality by the routine use of heparin and glycoprotein IIb/III

Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers in Myocardial Infarction Patients With Renal Dysfunction

BACKGROUND: There is no consensus whether angiotensin-converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) should be used for secondary prevention in all or in only high-risk patients after an acute myocardial infarction (AMI).OBJECTIVES: This study sought to investigate whether ACEI/ARB treatment after AMI is associated with better outcomes across different risk profiles, inc

Weak affinity scFvs directed towards carbohydrate structures Lewis x and sialyl-Lewis x

The Lewis (Le) blood group antigens are a set of fucosylated glycan structures. They are present as N- and O-linked structures on glycoproteins and as glycolipid-based structures on cell surfaces. Depending on the exact structure, the Lewis group is divided into four subgroups; Lea, Leb, Lex and Ley. Lex and Lea can further be sialylated and/or sulfonated. Among these, Lex has been found to be imp

Allocation decisions and emergency shipments in multi-echelon inventory control

The control of inventories is a key issue for achieving efficient management of supply chains. This Licentiate Thesis is devoted to inventory control theory, a subdiscipline within the field of operations research and the management sciences. The objective of the research presented is: To develop mathematical models for efficient control of stochastic multi-echelon inventory distribution systems,

Affect School for chronic benign pain patients showed improved alexithymia assessments with TAS-20

Background: Alexithymia is a disturbance associated with psychosomatic disorders, pain syndromes, and a variety of psychiatric disorders. The Affect School (AS) based on Tomkins Affect Theory is a therapy focusing on innate affects and their physiological expressions, feelings, emotions and scripts. In this pilot study we tried the AS-intervention method in patients with chronic benign pain. Metho

Behavioral Spillovers across Prosocial Alternatives

This thesis contributes to the economic literature on prosocial behavior. It includes three papers, all of which relate to the issue of policy-driven spillovers across prosocial alternatives. For example, the common fundraising practice of donation matching could affect contributions through other channels; similarly, recycling policy could affect household efforts on other environmental activitie

All Cause Chronic Widespread Pain is Common in Patients with Symptomatic Peripheral Arterial Disease and is Associated with Reduced Health Related Quality of Life

Objective Invasive treatment of peripheral arterial disease (PAD) does not always lead to improvement, as concomitant diseases might affect walking ability and health related quality of life (HRQoL). Patients with chronic widespread pain (CWP) report worse outcome when treated for cancer and rheumatic diseases. The aim of the present study was to evaluate the prevalence of CWP and its potential as

Mendelian randomization analysis does not support causal associations of birth weight with hypertension risk and blood pressure in adulthood

Epidemiology studies suggested that low birthweight was associated with a higher risk of hypertension in later life. However, little is known about the causality of such associations. In our study, we evaluated the causal association of low birthweight with adulthood hypertension following a standard analytic protocol using the study-level data of 183,433 participants from 60 studies (CHARGE-BIG c

Western Marsh Harriers Circus aeruginosus from nearby breeding areas migrate along comparable loops, but on contrasting schedules in the West African–Eurasian flyway

Much of our knowledge about migratory behaviour comes from single-population tracking studies. Some such studies had a considerable impact on migration research at large. However, it is often unclear how representative such studies are for other populations, even of the same species. We compared migration corridors and schedules of GPS-tracked adult Western Marsh Harriers (Circus aeruginosus) from

Transcript expression-aware annotation improves rare variant interpretation

The acceleration of DNA sequencing in samples from patients and population studies has resulted in extensive catalogues of human genetic variation, but the interpretation of rare genetic variants remains problematic. A notable example of this challenge is the existence of disruptive variants in dosage-sensitive disease genes, even in apparently healthy individuals. Here, by manual curation of puta

Gene Expression in Graves' Ophthalmopathy and Arm Lymphedema: Similarities and Differences.

Background: Graves' ophthalmopathy (GO) and lymphedema share some pathogenetic mechanisms, such as edema, inflammation, and adipogenesis. The aim of this study was to examine similarities and differences between chronic GO and chronic lymphedema. Methods: Intraorbital adipose tissue was collected from patients with active (n = 10) or chronic GO (n = 10) and thyroid-healthy controls (n = 10). Arm s

Identification of shared and unique serum lipid profiles in diabetes mellitus and myocardial infarction

Background-Diabetes mellitus (DM) and cardiovascular disease are associated with dyslipidemia, but the detailed lipid molecular pattern in both diseases remains unknown. Methods and Results-We used shotgun mass spectrometry to determine serum levels of 255 molecular lipids in 316 controls, 171 DM, and 99 myocardial infarction (MI) events from a cohort derived from the Malmö Diet and Cancer study.

Accelerating Biomarker Discovery Through Electronic Health Records, Automated Biobanking, and Proteomics

Background: Circulating biomarkers can facilitate diagnosis and risk stratification for complex conditions such as heart failure (HF). Newer molecular platforms can accelerate biomarker discovery, but they require significant resources for data and sample acquisition. Objectives: The purpose of this study was to test a pragmatic biomarker discovery strategy integrating automated clinical biobanki

Activation of immune responses against the basement membrane component collagen type IV does not affect the development of atherosclerosis in ApoE-deficient mice

Oxidation of low-density lipoprotein (LDL) in the arterial extracellular matrix results in malondialdehyde (MDA)-modifications of surrounding matrix proteins. We have recently demonstrated an association between high levels of autoantibodies against MDA-modified collagen type IV and risk for development of myocardial infarction. Collagen type IV is an important component of the endothelial baseme