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1.
L. Bennet A. Halling J. Berglund 《European journal of clinical microbiology & infectious diseases》2006,25(7):426-432
The aim of the present study was to investigate the long-term incidence rate of Lyme borreliosis and, additionally, to determine whether a correlation exists between climatic factors and summer-season variations in the incidence of Lyme borreliosis. Climatic variability acts directly on tick population dynamics and indirectly on human exposure to Lyme borreliosis spirochetes. In this study, conducted in primary healthcare clinics in southeastern Sweden, electronic patient records from 1997–2003 were searched for those that fulfilled the criteria for erythema migrans. Using a multilevel Poisson regression model, the influence of various climatic factors on the summer-season variations in the incidence of erythema migrans were studied. The mean annual incidence rate was 464 cases of erythema migrans per 100,000 inhabitants. The incidence was significantly higher in women than in men, 505 and 423 cases per 100,000 inhabitants, respectively (p<0.001). The summer-season variations in the erythema migrans incidence rate correlated with the monthly mean summer temperatures (incidence rate ratio 1.12; p<0.001), the number of winter days with temperatures below 0°C (incidence rate ratio 0.97; p<0.001), the monthly mean summer precipitation (incidence rate ratio 0.92; p<0.05), and the number of summer days with relative humidity above 86% (incidence rate ratio 1.04; p<0.05). In conclusion, Lyme borreliosis is highly endemic in southeastern Sweden. The climate in this area, which is favourable not only for human tick exposure but also for the abundance of host-seeking ticks, influences the summer-season variations in the incidence of Lyme borreliosis. 相似文献
2.
3.
Long-term results of above knee femoro-popliteal bypass depend on indication for surgery and graft-material. 总被引:3,自引:0,他引:3
J Berglund M Bj?rck J Elfstr?m 《European journal of vascular and endovascular surgery》2005,29(4):412-418
OBJECTIVE To determine the long-term results of above-knee femoro-popliteal bypass with autologous saphenous vein (SV) or expanded polytetrafluoroethylene (ePTFE) in routine surgical practice. METHODS: Data from the Swedish vascular registry, Swedvasc, was reviewed retrospectively. Patients with bypass surgery in 1996 and 1997 were assessed 5-7 years later. Data were gathered from the case-records and from clinical follow-up. The composite endpoint of graft failure included death within 30 days, occlusion, major amputation, extension of the graft to below-knee position and removal of an infected graft. Kaplan-Meier curves and Cox' proportional hazard ratios were calculated. RESULTS: Four hundred and ninety-nine patients undergoing bypass for critical limb ischemia (CLI) (56%) or claudication (44%), SV (28%) or ePTFE (72%), were included. There were no significant differences in patient characteristics between patients with SV or ePTFE. CLI and ePTFE were risk factors for graft failure. For patients with both claudication and CLI SV grafts yielded better long-term results than ePTFE grafts ( p <0.03) and ( p <0.003), respectively. Symptom aggravation after graft occlusion was almost exclusively restricted to ePTFE grafts. CONCLUSIONS: Femoro-popliteal bypass above-knee with SV gives good long-term results, especially for claudication. ePTFE grafts cannot be recommended in claudicants, since occlusion occurs often and frequently leads to CLI. 相似文献
4.
Influence of age on faecal carriage of P-fimbriated Escherichia coli and other gram-negative bacteria in hospitalized neonates 总被引:3,自引:0,他引:3
K. Tullus B. Fryklund B. Berglund G. Kllenius L. G. Burman 《The Journal of hospital infection》1988,11(4):349-356
The aerobic faecal flora of 953 infants aged over 5 days was studied on discharge from 22 neonatal wards in Swedish hospitals. Klebsiella/enterobacter was isolated from 74% of infants and dominated the aerobic gram-negative flora in 19 wards. Escherichia coli was carried by 42% and showed a slight dominance in two wards. Initially klebsiella/enterobacter dominated the flora but became increasingly mixed with and taken over by E. coli, carriage increasing from 21% in infants discharged after 5-7 days to 57% after 3 weeks or later. Among infants with E. coli, P-fimbriated strains were demonstrated in 23% (range 0-67) and were independent of age. Occasional clustering of such strains was observed in 3/22 wards during the study period. It is postulated that the general and local colonization patterns observed reflect differences between individual strains of E. coli and klebsiella in both their capacity for transmission and their persistence in the newborn gut. The role of P-fimbriae in intestinal colonization of neonates by E. coli was, however, not supported. 相似文献
5.
Bo-Lennart Johansson Ulla Berg Ulla Freyschuss Kerstin Hall Staffan Troell 《Pediatric nephrology (Berlin, Germany)》1990,4(6):589-592
The influence of metabolic control (HbA1c), noradrenaline (NA) and insulin-like growth factors (IGF-I and IGF-II) on renal function and size was investigated in 11 insulin-dependent diabetes mellitus patients aged 11–17 years. Renal function was evaluated in terms of glomerular filtration rate (GFR) and effective renal plasma flow (ERPF). Renal size was determined as renal parenchymal volume (RPV) by ultrasonography. The patients' HbA1c values ranged from 8.2% to 12.9% (normal range 5.5–8.5%) and their GFR and ERPF were higher than normal. Their IGF-II values were higher, and NA and IGF-I levels were lower than those of healthy controls. Inverse correlations between NA and GFR (r=–0.66) and NA and ERPF (r=–0.63) were found. No correlation was found between serum IGF-I and renal functional parameters. The IGF-II values correlated with GFR and HbA1c (r=0.63,r=0.70 respectively). There were linear correlations between RPV and GFR, RPV and ERPF, HbA1c and GFR, and ERPF and RPV. Decreased NA concentrations and increased IGF-II values appear to be factors contributing to renal hyperfunction in these patients. 相似文献
6.
7.
Bo Sikström M.D. Dan Hellberg M.D. Ph.D. Staffan Nilsson M.D. Ph.D. Christina Brihmer M.D. Ph.D. Per-Anders Mårdh M.D. Ph.D. 《Archives of sexual behavior》1996,25(4):361-372
In a study of 972 women, sexual characteristics of 66 women with a cervical human papillomavirus infection (CHPI) were compared
to the remaining study population. Among a number of sexual variables that were significantly correlated with CHPI were number
of lifetime sexual partners, short partnerships, many recent partners, infidelity, casual travel sex, sexual début abroad,
oral and anal sex, and sexual abuse. In multifactorial analyses four variables remained significantly correlated with CHPI,
i.e., number of lifetime sexual partners, casual travel sex, sexual début abroad, and infidelity. It is concluded that CHPI
shows most of the epidemiological characteristics of a sexually transmitted disease. 相似文献
8.
Peter Wallstr?m Krystyna Frenkel Elisabet Wirf?lt Bo Gullberg Jerzy Karkoszka Janeric Seideg?rd Lars Janzon G?ran Berglund 《Cancer epidemiology, biomarkers & prevention》2003,12(5):444-451
Plasma autoantibodies (aAbs) against the oxidized DNA base derivative 5-hydroxymethyl-2'-deoxyuridine (5-HMdU) are potential biomarkers of cancer risk and oxidative stress. We examined their association with a number of cancer risk factors: smoking, alcohol habits, body fatness, and absence of the glutathione S-transferases M1 and T1 (GSTM1 and GSTT1) in a sample from the population-based Malm? Diet and Cancer cohort (Sweden). This was a cross-sectional study of 264 men and 280 women, 46-67 years of age. Anti-5-HMdU aAb concentration was determined by an ELISA. Data on tobacco exposure were collected through a questionnaire. Alcohol consumption was estimated by a modified diet history method. Body fatness was assessed by a bioimpedance method. The absence or presence of genes coding for GSTM1 and GSTT1 was determined in granulocyte DNA by a multiplex PCR technique. aAb titers were significantly greater in those with high alcohol consumption. Current smokers lacking GSTM1, particularly men, had greater aAb titers compared with nonsmokers or persons expressing GSTM1. Body fatness was inversely associated with antibody titers in men. GSTT1 genotype was not associated with aAb titers. Overall, women had higher aAb titers than men. Adjustment for potential confounders (history of chronic diseases, anti-inflammatory medication, and season of blood sampling) did not change the results. Our study shows that a high alcohol consumption, smoking in combination with lack of GSTM1, and low body fatness (in men) is associated with high titers of anti-5-HMdU aAbs in this population. 相似文献
9.
Influence of variation at the apolipoprotein E locus on lipid and lipoprotein levels in CAPD patients 总被引:2,自引:0,他引:2
Eggertsen G; Heimburger O; Stenvinkel P; Berglund L 《Nephrology, dialysis, transplantation》1997,12(1):141-144
Background. Variation at the apolipoprotein E (apo E)
locus influence lipid and lipoprotein levels in the normal population, and
is associated with premature coronary artery disease. Patients with
end-stage kidney disease or undergoing dialysis treatment are particularly
prone to develop accelerated atherosclerosis. Methods.
To evaluate the influence of genetic variation at the apo E locus, apo E
genotypes and serum lipid and lipoprotein levels were measured in 51
subjects undergoing continuous ambulatory peritoneal dialysis (CAPD).
Results. The distribution of apo E phenotypes and apo
E allelic frequency among the CAPD subjects (&egr;2 0.049; &egr;3
0.745; &egr;4 0.206) corresponded to the healthy Swedish population. In
the CAPD subjects, total serum and LDL cholesterol levels were high
(6.7±1.5 mmol/l and 4.2±1.3 mmol/l respectively) and
HDL cholesterol levels were low (1.2±0.5 mmol/l). When directly
comparing the two major apo E groups, E 3/3 subjects (n=30) and E4/3 and
4/4 subjects, &egr;4-carriers, (n=16), LDL cholesterol levels were
significantly higher among &egr;4-carriers (4,8±1.1 vs
4.0±1.2 mmol/l, P<0.03), but total serum cholesterol
levels was not higher among the &egr;4-carriers (7.3±1.3 vs
6.5±1.5 mmol/l, P<0.08). Serum triglycerides or HDL
cholesterol levels did not differ significantly between
&agr;3-homozygotes and &egr;4-carriers.
Conclusions. The results demonstrate a strong effect
of variation of the apo E locus on LDL cholesterol levels in CAPD subjects,
suggesting that &egr;4-carriers may be more susceptible to accelerated
development of atherosclerosis in this condition. 相似文献
10.
Trichloroethylene and halothane inhibit uptake and metabolism of 5-hydroxytryptamine in rat lung slices 总被引:1,自引:0,他引:1
The effect of exposure to organic solvents on uptake and metabolism of 5-HT was studied in rat lung slices. It was found that under control conditions 5-HT was both taken up and metabolized to 5-HIAA. When halothane (35,000 ppm) or trichloroethylene (18,000 ppm) were equilibrated with the incubation medium the uptake of 5-HT decreased by approximately 50% after 30 min of incubation, and the production of 5-HIAA was inhibited by approximately 70% and 80%, respectively. The results are consistent with earlier studies using a much more elaborate technique, in which halothane and trichloroethylene were found to depress 5-HT uptake in isolated perfused rat lungs. Our results demonstrate that the simpler technique employing lung slices can also be used, to investigate factors affecting pulmonary uptake of endogenous amines, and, potentially, the uptake of other compounds as well. 相似文献