894 research outputs found

    Plasma and cerebrospinal fluid concentrations of neurofilament light protein correlate in patients with idiopathic normal pressure hydrocephalus

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    BACKGROUND: Neurofilament light chain protein (NFL), a marker of neuronal axonal degeneration, is increased in cerebrospinal fluid (CSF) of patients with idiopathic normal pressure hydrocephalus (iNPH). Assays for analysis of NFL in plasma are now widely available but plasma NFL has not been reported in iNPH patients. Our aim was to examine plasma NFL in iNPH patients and to evaluate the correlation between plasma and CSF levels, and whether NFL levels are associated with clinical symptoms and outcome after shunt surgery. METHODS: Fifty iNPH patients with median age 73 who had their symptoms assessed with the iNPH scale and plasma and CSF NFL sampled pre- and median 9 months post-operatively. CSF plasma was compared with 50 healthy controls (HC) matched for age and gender. Concentrations of NFL were determined in plasma using an in-house Simoa method and in CSF using a commercially available ELISA method. RESULTS: Plasma NFL was elevated in patients with iNPH compared to HC (iNPH: 45 (30-64) pg/mL; HC: 33 (26-50) (median; Q1-Q3), p = 0.029). Plasma and CSF NFL concentrations correlated in iNPH patients both pre- and postoperatively (r = 0.67 and 0.72, p < 0.001). We found only weak correlations between plasma or CSF NFL and clinical symptoms and no associations with outcome. A postoperative NFL increase was seen in CSF but not in plasma. CONCLUSIONS: Plasma NFL is increased in iNPH patients and concentrations correlate with CSF NFL implying that plasma NFL can be used to assess evidence of axonal degeneration in iNPH. This finding opens a window for plasma samples to be used in future studies of other biomarkers in iNPH. NFL is probably not a very useful marker of symptomatology or for prediction of outcome in iNPH

    Associations between health-related quality of life, physical function and fear of falling in older fallers receiving home care

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    Falls and injuries in older adults have significant consequences and costs, both personal and to society. Although having a high incidence of falls, high prevalence of fear of falling and a lower quality of life, older adults receiving home care are underrepresented in research on older fallers. The objective of this study is to determine the associations between health-related quality of life (HRQOL), fear of falling and physical function in older fallers receiving home care

    Visual onset expands subjective time

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    We report a distortion of subjective time perception in which the duration of a first interval is perceived to be longer than the succeeding interval of the same duration. The amount of time expansion depends on the onset type defining the first interval. When a stimulus appears abruptly, its duration is perceived to be longer than when it appears following a stationary array. The difference in the processing time for the stimulus onset and motion onset, measured as reaction times, agrees with the difference in time expansion. Our results suggest that initial transient responses for a visual onset serve as a temporal marker for time estimation, and a systematic change in the processing time for onsets affects perceived time

    Laxens nedströmsvandring mot fiskavledare till Stornorrfors fisktrappa i UmeÀlvens nedre del

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    Rapporten sammanfattar vĂ„ra arbeten med mĂ„lsĂ€ttning att skapa en fungerande fiskavledning för nedströmsvandrande fisk i vid Stornorrfors kraftverkskomplex i UmeĂ€lven. Rapporten visar Ă€ven pĂ„ verksamheter som nyttjats vid planering och utvĂ€rdering av gjorda Ă„tgĂ€rder. ÅtgĂ€rder i fisktrappan, fiskavledare och utrustning för registrering av PIT-tags har möjliggjorts genom finansiering av Europeiska Fiskefonden, Havs- och Vattenmyndigheten, UmeĂ„ kommun, Vattenfall och SLU. Arbetena har genomförts som tvĂ„ pilotprojekt (3b Nedströmsvandring Stornorrfors 2009-2010 och 3b2 Nedströmsvandring Stornorrfors 2011-2013). Vilda lax- och öring bestĂ„nd i vĂ„ra Ă€lvar Ă€r viktiga naturresurser för mĂ€nniskan och ekosystemet. VindelĂ€lvens naturliga fiskproduktion av lax- och havsöring ungar Ă€r betydande för Östersjöns laxbestĂ„nd. De senaste Ă„ren har mer Ă€n 10 000 lax Ă„rligen vandrat uppströms för lek i Ă€lven. MĂ„nga förĂ€ldrafiskar (Kelt, vraklax, besa, mm) överlever leken och vill vandra tillbaka till havet. Laxens naturliga avkomma, smolten, strĂ€var ocksĂ„ att ta sig till födoomrĂ„dena i Östersjön. I flödesreglerade vattendrag som UmeĂ€lven med sitt unika laxbestĂ„nd i biflödet VindelĂ€lven finns problem med dödlighet dĂ„ kelt och smolt pĂ„ sin nedströmsvandring ska passera Stornorrfors kraftverk. I UmeĂ€lvens nedre del fĂ€rdigstĂ€lldes en ny fisktrappa i Norrfors 2010 som utrustats med en ”fiskavledare”. Projektets mĂ„l var att bygga och ansluta fiskavledaren till nya fisktrappan och utvĂ€rdera dess funktion/effektivitet. Det mĂ€tbara mĂ„let för den planerade anlĂ€ggningen vid Stornorrfors utskovsdamm sattes till att 75 % av den utvandrande vilda smolten och minst 50 % av den övervintrande kelten skulle avledas till nya fisktrappan för vidare vandring till havet. Detta mĂ„l kunde inte uppnĂ„s. Den nya fisktrappan skulle alltsĂ„ fungera som ett klassiskt "omlöp" förbi kraftverket. Vild smolt har mĂ€rkts med Passiva Integrerade Transpondrar (PIT) eller aktiva RadiomĂ€rken (RT) och senare skannats vid passage i fisktrappsomrĂ„det (PIT + RT-mĂ€rkt fisk) eller vid intaget till Stornorrfors kraftverk (RT-mĂ€rkt fisk). SLU’s utvĂ€rdering av ledarmens funktion och fiskens vandring nedströms har visat att fiskavledarens funktion varit mycket svĂ„r att kontrollera dĂ„ ledarmen inte fungerat som tĂ€nkt i den tuffa strömmiljön ovan fisktrappans omrĂ„de mellan 2010-2012. Avledningseffektiviteten kunde med visst förtroende endast vĂ€rderas vid 2013 Ă„rs försök med PIT-mĂ€rkt fisk (n=1749 fiskar) som slĂ€pptes dagligen efter fĂ„ngst i VindelĂ€lven (INDEX Spöland) nĂ€r flödet var < 800 m3/s i Ă€lven. Den totala avledningseffektiviteten visade sig vara 4,5 %. BegrĂ€nsande för utvĂ€rderingen har varit att stora grupper smolt periodvis inte kunnat fĂ„ngas och mĂ€rkas pĂ„ grund av höga flöden i VindelĂ€lven. Effektiviteten i ledarmen har varierat mellan 0 och 100 % under sĂ€songen. VĂ€ldigt fĂ„ Kelt av lax kunde avledas. Höga turbinflöden tycks haft en positiv inverkan pĂ„ ledarmens funktion. Smoltens passage nedströms i och genom fisktrappan verkar fungera utan större problem. Via PIT-mĂ€rkt fisk och videofilmning i flera delförsök kunde vi visa pĂ„ en lyckad genomfart dĂ€r laxsmolten passerar fisktrappan inom nĂ„gra timmar till 2-3 dagar. FlödesmĂ€tning och modellering av strömningen runt fiskavledarens omrĂ„de mot ingĂ„ngen till nya fisktrappan visar att ledarmen borde ökas till ca 150 meters lĂ€ngd istĂ€llet för dagens 110 meter. Flödesmodelleringar visar dĂ„ att en större del av ytströmmen kan styras in mot fisktrappans ingĂ„ng. Försöken med fĂ„ngst, mĂ€rkning, utsĂ€ttning och Ă„terfĂ„ngst har fungerat bra och PIT-mĂ€rkningstekniken bedöms överlĂ€gsen andra mĂ€rktekniker för detektering av fisk om detekteringsutrustning installerats. Detta kan utvecklas vidare inom ramen för indexĂ€lvsverksamheten (ICES-DCF) som nu bedrivs i VindelĂ€lven. Sverige bör fortsĂ€tta att ta ansvar för den hĂ€r typen av utveckling dĂ„ det finns samordningsvinster mellan indexvattendrag, fiskavledning och utvĂ€rdering av fisktrappan för lekvandrande fisk. Lyckas man avleda den naturligt producerade avkomman av lax och öring i reglerade vattendrag med unika bestĂ„nd finns mycket att vinna för att etablera lĂ„ngsiktigt hĂ„llbara bestĂ„nd av vandringsfisk. Den typ av fiskavledare som nu prövats har tidigare inte prövats i Europa varför detta pilotprojekt Ă€r unikt. Arbetet som nu avslutats har varit ett samverkansprojekt mellan Europeiska Fiskerifonden, Havs- och Vattenmyndigheten, vattenkraftsĂ€gare, lokala och nationella fiskeriadministratörer samt forskare i fiskbiologi och hydraulik

    Isospin dependent multifragmentation of relativistic projectiles

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    The N/Z dependence of projectile fragmentation at relativistic energies has been studied with the ALADIN forward spectrometer at the GSI Schwerionen Synchrotron (SIS). Stable and radioactive Sn and La beams with an incident energy of 600 MeV per nucleon have been used in order to explore a wide range of isotopic compositions. For the interpretation of the data, calculations with the statistical multifragmentation model for a properly chosen ensemble of excited sources were performed. The parameters of the ensemble, representing the variety of excited spectator nuclei expected in a participant-spectator scenario, are determined empirically by searching for an optimum reproduction of the measured fragment-charge distributions and correlations. An overall very good agreement is obtained. The possible modification of the liquid-drop parameters of the fragment description in the hot freeze-out environment is studied, and a significant reduction of the symmetry-term coefficient is found necessary to reproduce the mean neutron-to-proton ratios /Z and the isoscaling parameters of Z<=10 fragments. The calculations are, furthermore, used to address open questions regarding the modification of the surface-term coefficient at freeze-out, the N/Z dependence of the nuclear caloric curve, and the isotopic evolution of the spectator system between its formation during the initial cascade stage of the reaction and its subsequent breakup.Comment: 23 pages, 29 figures, published in Physical Review

    Limited clinical efficacy of azacitidine in transfusion-dependent, growth factor-resistant, low- and Int-1-risk MDS:Results from the nordic NMDSG08A phase II trial

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    This prospective phase II study evaluated the efficacy of azacitidine (Aza) + erythropoietin (Epo) in transfusion-dependent patients with lower-risk myelodysplastic syndrome (MDS). Patients ineligible for or refractory to full-dose Epo + granulocyte colony stimulation factors for 48 weeks and a transfusion need of ≄ 4 units over 8 weeks were included. Aza 75mgm -2 d-1, 5/28 days, was given for six cycles; non-responding patients received another three cycles combined with Epo 60 000 units per week. Primary end point was transfusion independence (TI). All patients underwent targeted mutational screen for 42 candidate genes. Thirty enrolled patients received ≄ one cycle of Aza. Ten patients discontinued the study early, 7 due to adverse events including 2 deaths. Thirty-eight serious adverse events were reported, the most common being infection. Five patients achieved TI after six cycles and one after Aza + Epo, giving a total response rate of 20%. Mutational screening revealed a high frequency of recurrent mutations. Although no single mutation predicted for response, SF3A1 (n = 3) and DNMT3A (n = 4) were only observed in nonresponders. We conclude that Aza can induce TI in severely anemic MDS patients, but efficacy is limited, toxicity substantial and most responses of short duration. This treatment cannot be generally recommended in lower-risk MDS. Mutational screening revealed a high frequency of mutations
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