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Lower Limb Amputation in Patients with Vascular Disease

Popular Abstract in Swedish Antalet personer som är amputerade ovanför tålederna i Sverige kan uppskattas till mellan 5000 och 5500. (ca 0.06 % av befolkningen). Största delen av dessa är amputerade pg.a. av kärlsjukdom (≈ 80 %). Antalet årligen nytillkomna benamputerade i Sverige kan uppskattas till mellan 1000-1100 och mindre än 5 % av dessa fall är relaterade till andra orsaker, t.ex. trauma elThe current prevalence of persons amputated at transmetatarsal level or higher in Sweden can be estimated to be between 5000 and 5500 persons (approx. 0.06 % of the population). The majority of these are patients with vascular disease (≈ 80%). In Sweden between 1000 and1100 new amputees can be expect every year. Less than 5% of all amputations will be related to causes other than vascular disease.

Narration and reading comprehension in Swedish children and adolescents with hearing impairment

Popular Abstract in Swedish Barn och ungdomar med hörselnedsättning har, i högre grad än jämnåriga kamrater utan hörselnedsättning, språkliga problem. Dessa problem märks när barnen gått några år i skolan och större krav ställs på deras läsförmåga och på deras förmåga att uttrycka sig i tal och skrift. Problemen kan yttra sig tidigt och på olika sätt, som svårigheter med att uttala och särskilja sThe aim of the present thesis was to explore reading comprehension and narration in children and adolescents with different degrees of hearing impairment (HI). In Study I, reading comprehension was investigated in 16 children with cochlear implants (CI), aged 7-13 years. Over 60% of the investigated children performed at the level of their hearing peers. Reading comprehension was better than expec

Tissue transglutaminase autoantibodies in childhood celiac disease

Popular Abstract in Swedish Bakgrund - Glutenintolerans (celiaki) är en vanlig kronisk tunntarmssjukdom som drabbar 1% av befolkningen och beror på att man inte tål ämnet gluten som förekommer i vete, korn och råg. Celiaki är delvis ärftligt och förekommer i alla åldrar, men upptäcks framför allt hos barn. Intoleransen mot gluten orsakas av en immunologisk reaktion mot tunntarmens slemhinna som efCeliac disease is a prevalent small bowel disease in children caused by permanent intolerance against gliadin, which is the alcohol-soluble fraction of the cereal protein gluten in wheat, rye and barley. Celiac disease is characterized by an inflammatory infiltrate of CD4+ T lymphocytes in the intestinal mucosa leading to damage of villous structure and loss of absorptive surface. As a consequence

Urinary Biomarkers and Patient Outcome in Chronic Kidney Disease and Atherosclerotic Heart Disease: The value of IgM-uria and IgG-uria

Risk stratification of patients with chronic kidney disease and atherosclerotic heart disease is crucial. Microalbuminuria (MA) is associated with an increased risk of kidney and cardiovascular (CV) death, especially in patients with diabetes. However, MA in many instances is not sensitive for disease outcome; for instance, not all diabetic patients with albuminuria progress to kidney failure, and

Utvärdering av cykelfälts effekter på cyklisters säkerhet och cykelns konkurrenskraft mot bil

Popular Abstract in Swedish Cykeln som transportmedel har många fördelar för individ och samhälle. Det är ett mycket energisnålt transportmedel, det förorenar inte, bullrar inte, tar liten plats och ger dem som cyklar välbefinnande och motion. Om fler cyklade istället för att åka bil skulle detta medföra trevligare stadsmiljöer. Ökad cykling hade också kunnat bidra till en ökad folkhälsa. För närThis work presents an evaluation of bicycle lane effects on cyclist safety and the ability of bicycles to compete with car traffic. Thirteen Swedish urban streets were studied before and after bicycle lanes were introduced. Data was collected using video recordings, speed studies, road side questionnaires/interviews with cyclists/car drivers, conflict studies and accident analysis. Results showed

Clinical and experimental studies on wear and osteolysis in total joint replacement

Popular Abstract in Swedish Total höftledsplastik är en vanlig och mycket framgångsrik behandling av smärttillstånd i höftleden. Enligt svenska höftplastikregistret opererades 12651 patienter år 2002 men 1056 patienter fick samma år genomgå ett utbyte av sin höftledsprotes (revision). Att höftleden vrids ur led (luxation) upprepade gånger eller infektion kan vara orsaken till revision men det vanlTotal hip arthroplasty is a very successful procedure. Despite this fact, however, a certain portion of patients has to be revised. One major reason for revision is the wear of the polyethylene leading to loosening and osteolysis. The overall aim of this thesis was to evaluate linear wear and migration of cemented, all - polyethylene sockets and polyethylene liners in total hip arthroplasty. The a

Molecular and morphological studies on non-healing venous leg ulcers.

Popular Abstract in Swedish Den övergripande målsättningen med denna avhandling har varit att undersöka molekylära förändringar i icke läkande venösa bensår. Framförallt har fokus lagts på faktorer som underhåller den ständigt pågående inflammationen i venösa sår. Med tanke på att alla venösa sår alltid koloniseras av olika bakterier, har vi undersökt hur bakterier kan påverka sårläkning och inflaChronic skin ulcers are a major health problem and an increasing burden on health care providers. These ulcers have various underlying causes, such as venous or arterial insufficiency, diabetes, or vasculitis. Non-healing venous leg ulcers represent a condition characterized by excessive inflammation and presence of bacteria. The overall aim of this thesis has been to explore the pathogenesis of t

L68Q cystatin C: Expression, cellular transport and turnover of the cystatin C variant forming amyloid in patients with Hereditary Cystatin C Amyloid Angiopaty (HCCAA)

Hereditary cystatin C amyloid angiopathy (HCCAA) is a disorder characterised by multiple strokes in young adults, resulting in paralysis and dementia. The disease is caused by a mutation in the gene coding for the peptidase inhibitor cystatin C. The mutation causes an amino acid substitution Leu68 -> Gln in cystatin C (L68Q cystatin C) which results in deposition of the protein in the blood vessel

Walking Along, Wandering Off and Going Astray A Critical Normativity Approach to Walking as a Situated Architectural Experience

Popular Abstract in Swedish Gående som mellanmänsklig handling Traska, spatsera, flanera, power-gå, ila, dra fötterna efter sig, ta en stärkande promenad eller bara vandra bort i tankarna för en kort stund. Att gå är en komplex handling som omfattar allt från upplevelsen av marken som vi går på till människorna vi möter. Både när vi är ute och går själva eller tillsammans med andra så förhåller vThere is a lack of attention toward the diversity in experiences of architecture that are expressed through walking. Through the application of autoethnography and critical perspectives of queer and feminist theory, this dissertation develops a method for investigating experiences of architecture in regard to the activity of walking. In addition, this thesis addresses the influence of form, materi

Health-related quality of life in persons with Parkinson's disease. Aspects of symptoms, caregiving and sense of coherence.

Abstract Aims: The aim of this thesis was to investigate how the impact of Parkinson’s disease, a chronic neurodegenerative disorder, influences the person’s health-related quality of life. The aim was also to investigate nursing assessment and management of Parkinson’s in elderly persons. Methods: The study started in1998, one year later a follow-up was conducted. The sample contained in the fir

Phenotypic plasticity and the evolution of an inducible morphological defence in crucian carp

In this thesis, I have investigated factors (cues, benefits, and costs) affecting the evolution of an inducible morphological defence in crucian carp (Carassius carassius). Inducible defences are favoured over permanent defences when prey have reliable cues to detect predators, when defences are effective but costly, and when predation pressure is variable and unpredictable, but sometimes s

The Defense of Superior Orders - Article 33 of the ICC statute: a departure from customary international law?

Inom internationell straffrätt har det länge debatterats huruvida försvaret att en soldat begått ett internationellt brott efter befallning av förman ska innebära ansvarsfrihet för den åtalade. Om en soldat blir beordrad av sin befälhavare att begå ett brott så står han inför ett dilemma. Han kan antingen vägra, och riskera repressalier från nationellt håll, eller begå brottet, och riskera att bliThe defence of superior orders is the answer to what is called the soldier’s dilemma. This is so called since on the one hand, a soldier is bound by national legislation, military practice, and often psychological pressure to unquestioningly follow the orders of his superior. On the other hand, when this order is illegal, he is bound by international law to refuse to follow the order. There are th

HIV-1, HIV-2 and other Sexually Transmitted Infections in Guinea-Bissau, West Africa

Popular Abstract in Swedish Humant immunbristvirus (HIV) orsakar förvärvat immunbristtillstånd (AIDS). HIV/AIDS-epidemin har hittills innefattat över 60 miljoner människor som har infekterats och över 30 miljoner av dessa har avlidit i AIDS. HIV-infektion smittar via blod, sexuellt och från mor till barn vid graviditet eller via bröstmjölk. Vid infektion infogas virusets arvsmassa i den infekteradHIV-1 is dominating the global HIV pandemic, while HIV-2 is mainly confined to West Africa. The highest HIV-2 prevalence figures have been reported from Guinea-Bissau. While HIV-1 infection almost invariably leads to progressive immune dysfunction and AIDS, HIV-2 infection is characterised by a smaller proportion of individuals with disease progression to AIDS. In order to monitor the long-term e

Investigating practice variation in a changing primary care. A multilevel perspective on The Skaraborg Primary Care Database

Popular Abstract in Swedish ”Practice variation” I den kliniska vardagen ser man ofta slående variationer i handläggningsrutiner mellan läkare och vårdcentraler utan att detta kan förklaras av skillnader i sjuklighet hos patienterna. Dessa oförklarade skillnader benämns ”practice variation” och beror på lokalt förankrade rutiner ofta etablerade sedan länge. De är sällan vetenskapligt underbyggda uBackground and Aims: Differences in the clinical care of patients have been explained through the concept of practice variation, that is, the occurrence of established local medical procedures that varies between geographic areas. The primary measures introduced to eliminate undesirable differences in medical care are the introduction of medical guidelines and economical incentives that rewards th

Luftledning eller markkabel -Hur ska framtidens regionnät byggas?

In my thesis I have chosen to immerse myself in the regional power line network and how it will be built. I have chosen this topic because it is a significant question today and in the future. The investments and technical choices made today, will affect the outcome on the society of tomorrow. When the local power line network was rebuilt, after the hurricane Gudrun in the year 2005, it implied a

Bracing of steel bridges during construction; theory, full-scale tests and simulations

Popular Abstract in English Bracings are structural components that assure the stability of the load bearing structures is maintained so as a desired level of load-carrying capacity of them is achieved. The present study as a whole involves investigations of either the temporary or permanent bracings that are often required during the construction phase of steel bridges. Current knowledge concerniA number of steel bridges have suffered lateral-torsional failure during their construction due to their lacking adequate lateral and/or rotational stiffness. In most cases, slight bracing can be of great benefit to the main girders involved through their controlling out-of-plane deformations and enabling the resistance that is needed to be achieved. The present research concerned the performance

Samexistens, konflikt och dialog mellan islam och kristendom : i det moderna Egypten

Kristna och muslimer har levt sida vid sida i knappt ett och ett halvt årtusende i Egypten. Under de islamiska väldena betraktades de kristna som ahl al-Kitab. De kristnas status under denna period var en del av islamisk shari’a. I det moderna Egypten har två kulturer mötts, den västerländska och den islamisk-arabiska. Den västerländska kulturen var överlägsen, ekonomiskt, vetenskapligt och militäDialogue between Islam and Christianity is of great importance today. Some people consider Islam as the enemy of the World. At the same time the Muslim fundamentalist groups consider themselves as the only true Islam struggling against injustice and the western capitalist world order. The encounter between Islam and Christianity in Egypt is of great importance because these religions have coexiste

Cardiovascular mortality and morbidity in hypopituitary patients and metabolic effects of growth hormone treatment

Popular Abstract in Swedish Sammanfattning på svenska ___________________________________________________________ I hypofysen bildas och frisätts hormoner vilka dels har en direkt verkan och dels styr andra körlars insöndring av hormon i kroppen. Den vanligaste orsaken till bristande hypofysfunktion (hypofysinsufficiens) hos vuxna patienter är tumörer belägna i hypofysen eller i hypofysens närhetPremature atherosclerosis, cardiovascular risk factors and increased cardiovascular mortality have been shown in patients with hypopituitarism on conventional hormone treatment, but without growth hormone (GH) replacement. The aims of paper I-III were to investigate separately the risks for cerebrovascular and cardiac mortality as well as the incidence of cardiovascular disease in patients with hy

Clinical and Biochemical Aspects of the Emergency Management of Traumatic Brain Injury

Populärvetenskaplig sammanfattning(Summary in Swedish)Hjärnskada som orsakas av olyckor är en vanlig orsak till både handikapp och död bland vuxna. För 30 år sedan var majoriteten av de som drabbades yngre eller väldigt gamla. Ålderssammansättningen av de som drabbas har skiftat under de senaste 20 åren och nu är det ungefär lika vanligt i alla åldrar. Dessutom är den vanligaste olycksorsaken inte

Interaction between cyclists and right turning motor vehicles at signalised intersections : Field observations and interviews with cyclists

The aim of the study presented in this report was to investigate what cues cyclists use to interpret the intention of motor vehicles (MVs) they interact with. This was done with help of on-site observations of cyclists’ interactions with motor vehicles (MV) at signalised intersections with different bicycle infrastructure facilities: A) no dedicated cycle facility, B) cycle lane and C) cycle path.The aim of the study presented in this report was to investigate what cues cyclists use to interpret the intention of motor vehicles (MVs) they interact with. This was done with help of on-site observations of cyclists’ interactions with motor vehicles (MV) at signalised intersections with different bicycle infrastructure facilities: A) no dedicated cycle facility, B) cycle lane and C) cycle path.