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Background: Outdoor Alternaria and Cladosporium spores are ubiquitous. Few studies have assessed their impact on asthma hospitalizations providing conflicting results, mainly focused on vulnerable paediatric populations. We aimed to study the impact of outdoor Alternaria and Cladosporium concentrations on acute hospitalizations in the Capital Region of Denmark. Methods: This is a bi‐directional case‐crossover study with 26 years of national registry data at individual level on acute asthma hospitalizations and daily average data on Alternaria and Cladosporium, pollen (Artemisia, Poaceae), maximal temperature, and air pollution. Conditional logistic regression models were applied to assess the associations. Concentration quartiles at lag 0 were used for categorizing the exposure. Results: For lags 0–2, the odds of hospitalization were significantly higher for both Alternaria and Cladosporium at concentration quartile 2–4 compared with quartile 1. When stratified for age and sex, odds of hospitalization at Alternaria quartiles 2–4 were significantly higher in males below 40 years at lag 0–2, and at lag 0 in females (18–30 years), while quartiles 2–4 of Cladosporium concentrations were associated with significantly higher odds in boys (0–17 years) at lag 1–3, males (18–39 years) at lag 0–1, females (18–39 years) at lag 1–2, males (40–64 years) at lag 0–2, females (40–64 years) at lag 0 and 2, in seniors (65+ years) male at lag 1–2 and female at lag 0–1. The effect of Alternaria varied significantly depending on the level of Cladosporium (p <.0001). Conclusion: Ambient Alternaria and Cladosporium spores can induce asthma hospitalizations. Males are more susceptible to both genera. Males and females under age 40 years are more susceptible to Alternaria. [ABSTRACT FROM AUTHOR]

Introduction: Due to diagnostic challenges, normalization of symptoms and an overall lack of awareness among both patients and physicians, endometriosis is an underdiagnosed disease. This can result in delayed treatment and potentially worsening of the disease. Despite initiatives, such as patients' support organizations and specialized endometriosis referral centers, differences in awareness, socioeconomic factors and lifestyle, combined with varying distances to specialized referral centers, could result in regional differences in the degree of underdiagnosing. This study aims to explore temporal and regional variations in the incidence of endometriosis based on the Danish hospital discharge register, and shed light on the degree of underdiagnosing of endometriosis in Denmark. Material and methods: This registry‐based cohort study included all women aged 15–55 living in Denmark from 1990–2017. Participants were identified through the Danish Civil Registration system and endometriosis diagnoses received at a hospital were obtained from the Danish National Patient Registry. Incidence rates of diagnosed endometriosis were calculated for each year of the study period and for each municipality in Denmark. A Cox regression analysis, stratified by calendar time and adjusted for ethnic origin, household composition, highest educational level and family socioeconomic status, was performed to estimate the association between residence and likelihood of receiving a hospital‐based diagnosis of endometriosis. Results: The nationwide incidence rate of hospital‐diagnosed endometriosis was 7.89 (95% confidence interval [CI] 7.80–7.99) per 10 000 person‐years and the prevalence in 2017 was 1.63%. The results showed an overall increase in the incidence of diagnosed endometriosis of 46.8% (95% CI 32.9–62.2) during the study period and also displayed significant regional differences. After adjustments, women living in northern Jutland had the highest probability of receiving a hospital‐based diagnosis of endometriosis (hazard ratio 1.13, 95% CI 1.09–1.18), whereas women living in northern Zealand had the lowest probability (hazard ratio 0.63, 95% CI 0.60–0.67) compared with eastern Jutland. These regional differences have become more evident over time. Conclusions: Our results reveal significant regional differences in the incidence of hospital‐diagnosed endometriosis, suggesting that a significant number of women may be left behind without a diagnosis. Further studies are needed to assess the underlying reasons for the significant regional differences. [ABSTRACT FROM AUTHOR]

Various assumptions on a right‐censoring mechanism to ensure consistency of the Kaplan–Meier and Aalen–Johansen estimators in a competing risks setting are studied. Specifically, eight different assumptions are seen to fall in two categories: a weaker identifiability assumption, which is the weakest possible assumption in a precise sense, and a stronger representativity assumption which ensures the existence of an independent censoring time. When a given censoring time is considered, similar assumptions can be made on the censoring time. This allows for a characterization of so‐called pointwise independence as well as full independence of censoring time and event time and type. Examples illustrate how the various assumptions differ. [ABSTRACT FROM AUTHOR]

It is biologically plausible that risk of autism spectrum disorder (ASD) is elevated by both short and long interpregnancy intervals (IPI). We conducted a retrospective cohort study of singleton, non‐nulliparous live births, 1998–2007 in Denmark, Finland, and Sweden (N = 925,523 births). Optimal IPI was defined as the IPI at which minimum risk was observed. Generalized additive models were used to estimate relative risks (RR) of ASD and 95% Confidence Intervals (CI). Population impact fractions (PIF) for ASD were estimated under scenarios for shifts in the IPI distribution. We observed that the association between ASD (N = 9302) and IPI was U‐shaped for all countries. ASD risk was lowest (optimal IPI) at 35 months for all countries combined, and at 30, 33, and 39 months in Denmark, Finland, and Sweden, respectively. Fully adjusted RRs at IPIs of 6, 12, and 60 months were 1.41 (95% CI: 1.08, 1.85), 1.26 (95% CI: 1.02, 1.56), and 1.24 (95% CI: 0.98, 1.58) compared to an IPI of 35 months. Under the most conservative scenario PIFs ranged from 5% (95% CI: 1%–8%) in Denmark to 9% (95% CI: 6%–12%) in Sweden. The minimum ASD risk followed IPIs of 30–39 months across three countries. These results reflect both direct IPI effects and other, closely related social and biological pathways. If our results reflect biologically causal effects, increasing optimal IPIs and reducing their indications, such as unintended pregnancy and delayed age at first pregnancy has the potential to prevent a salient proportion of ASD cases. Lay Summary: Waiting 35 months to conceive again after giving birth resulted in the least risk of autism. Shorter and longer intervals resulted in risks that were up to 50% and 85% higher, respectively. About 5% to 9% of autism cases might be avoided by optimizing birth spacing. [ABSTRACT FROM AUTHOR]

There is a dearth of long‐term follow‐up studies of adults diagnosed with ADHD. Here, the aim was to evaluate long‐term outcomes in a group of ADHD patients diagnosed in adulthood and receiving routine psychiatric health care. Adults diagnosed with any type of ADHD (n = 52) and healthy controls (n = 73) were assessed at baseline and at a 5‐year follow‐up, using Global Assessment of Functioning (GAF), Clinical Global Impression (CGI), Brown ADD Scale (BADDS) and Adult ADHD Self‐Report Scale (ASRS). A multivariate regression method was used to identify factors predicting 5‐year outcomes, including baseline ratings, medication intensity, comorbidity, intelligence quotient (IQ), age, and sex. After 5 years, ADHD patients reported fewer and/or less severe symptoms compared to baseline, but remained at clinically significant symptom levels and with functional deficits. Baseline self‐reports of ADHD symptoms predicted their own 5‐year outcome and low baseline functioning level predicted improved global functioning at follow‐up. Factors previously reported to predict short‐term outcomes (i.e., medication, comorbidity, IQ, age, and sex) did not anticipate long‐term outcomes in present study. [ABSTRACT FROM AUTHOR]

SUMMARY Phalacroma currently comprises 69 species of mostly marine heterotrophic dinophysoids. With a round cell body and short sulcal and cingular lists, Phalacroma spp. have a simple morphology compared to other dinophysoid genera. Therefore, species identification is not always a trivial matter. A few Arctic species have been described and, with the exception of Ph. rotundatum, they are not only infrequently recorded but also occur in low cell abundances. Here, we studied a Lugol fixed sample from Denmark Strait. From this sample 13 cells with a Phalacroma‐like morphology were isolated under a stereo microscope, photo documented, and used for single‐cell PCR determination of nuclear‐encoded LSU rDNA sequences. The sequences fell in three groups defined by their ribotype. A single ribotype sequence representing each group was added to an alignment containing a diverse assemblage of dinophysoids and analyzed using Bayesian analysis and maximum likelihood. Based on comparative light microscopy one of the ribotypes (ribotype 1) was similar but not identical to Ph. ruudi and ribotype 2 could not be matched to a known species of Phalacroma. In the phylogeny both clustered with other species of Phalacroma including the type species. The morphology of ribotype 3 was similar but not identical to Ph. braarudii. In the phylogeny ribotype 3 clustered outside the core group of Phalacroma species. Hence, ribotype 3 was designated 'Phalacroma' sp. 3 and has to be described as a new genus pending additional data. This study has revealed the existence of cryptic species diversity within the Phalacroma morphotype boundary. Two additional Phalacroma species (Ph. apicatum and Ph. cf. argus) also clustered outside Phalacroma sensu stricto further emphasizing the presence of cryptic species within the genus. Future studies with a polyphasic approach are needed to better address the taxonomy of Phalacroma and Phalacroma‐like dinophysoids. [ABSTRACT FROM AUTHOR]

von Horn, A., Bäckman, L., Davidsson, T. & Hansen, S. (2010). Empathizing, systemizing and finger length ratio in a Swedish sample. Scandinavian Journal of Psychology, 51, 31–37. The Empathy- and Systemizing Quotients (EQ and SQ, respectively; Baron-Cohen, 2003 ) were determined in a Swedish sample consisting mainly of university undergraduates. Females had significantly higher EQ than males, who in turn scored higher on the SQ inventory. Gender explained 12–14% of the variation. Males were strikingly overrepresented in the group defined by a high SQ/low EQ profile or by a large SQ – EQ difference; females dominated among people with a low SQ/high EQ profile or by a large EQ – SQ difference. Students majoring in the natural sciences had higher SQs than psychology majors, but in both groups the gender difference in SQ and EQ was strong. For each participant a weighted composite score was generated by multivariate processing of the EQ and SQ data (Partial Least Square Discriminant Analysis). These scores were associated in a sex-linked fashion to a biometric measure reflecting prenatal testosterone exposure, i.e. the ratio between index (2D)- and ring (4D) finger lengths. In males a high (female-typical) 2D:4D ratio predicted an enhanced tendency to empathize and a reduced tendency to systemize; in women, by contrast, the 2D:4D ratio was unrelated to these traits. The present research confirms earlier work of a gender difference in EQ and SQ. The difference appears robust as it appears as large in Sweden (a country with high cultural gender-equality) as in countries with considerably lower gender-equality. [ABSTRACT FROM AUTHOR]

The purpose of this study was to construct a Swedish version of the National Adult Reading Test (NART-SWE), a test for assessment of premorbid IQ, and to investigate its validity and reliability on healthy controls and patients with mild Alzheimer's disease. As Swedish pronunciation rules are fixed, NART-SWE was constructed using loan words. NART-SWE has satisfactory psychometric properties: Inter-rater and retest reliability as well as internal consistency are very high. The NART-SWE demonstrates face validity. In addition, high correlation with IQ was obtained. A significant model emerged when using NART-SWE to predict IQ. Furthermore, no significant differences were observed when comparing performance for healthy controls’ with that of patients with Alzheimer's disease on NART-SWE. It does appear that reading of irregular words is intact in mild Alzheimer's disease. [ABSTRACT FROM AUTHOR]

Behavioral continuity and change was studied in 32 (16 male) Wistar rats observed in the hole board and canopy tests, considered to measure exploration and anxiety, respectively. Subjects were tested at 6, 11, 16, 21, 37, and 52 weeks of age. In comparison to 16-week-old rats (the standard age of rats in many experiments), juveniles seemed more anxious and exploratory, whereas mature rats were more anxious and less exploratory. There was substantial behavioral consistency between week 6 and 52, the correlations being especially high between weeks 11 and 52. Principal components analyses revealed one temperamental dimension reflecting harm avoidance in juvenile and mature rats, whereas adult rats were characterized by a further dimension, reflecting novelty seeking. © 2005 Wiley Periodicals, Inc. Dev Psychobiol 47: 136–144, 2005. [ABSTRACT FROM AUTHOR]

Rats were subjected to pre- and postnatal undernutrition by restricting the food intake of their mothers (U); another group of rats was normally fed (N). Each nutrition group was divided into 3 subgroups by varying the degree of environmental stimulation: animals in the Max group were stimulated by handling and enriched rearing conditions; the Min group rats were subjected to social isolation; rats in the control condition (C) were raised under ordinary laboratory conditions. The onset of sexual activity was not affected in the U-C male rats, but was delayed in both U-Min and N-Min rats. Although no difference existed in the age of puberty between the N-Max and N-C animals, the U-Max rats displayed an advancement of puberty by 7 days in comparison to the U-C rats. Undernutrition did not affect female sexual maturation; however the Max condition delayed this process in both nutrition groups. [ABSTRACT FROM AUTHOR]

Objective/hypothesis: Implantable hearing devices such as cochlear implants and auditory brainstem implants deliver auditory information through electrical stimulation of auditory neurons. The combination of microelectronic electrodes with auditory nerve cells may lead to further improvement of the hearing quality with these devices. Whereas several kinds of neurons are known to grow on semiconductor substrates, interactions of cochlear nucleus (CN) neurons with such materials have yet to be described., Materials and Methods: To investigate survival and growth behavior of CN neurons on different semiconductor materials. CN explants from postnatal day 10 Sprague-Dawley rats were cultured for 96 hours in Neurobasal medium on polished and unpolished silicon wafers (p-type Si [100] and p-type Si3N4[100]) as well as plastic surface. These surfaces had been coated with poly-L-lysine and laminin. Neuronal outgrowth was examined using image analysis software after immunohistologic staining for neurofilament. Neurite length and directional changes were quantified. Additionally, neurite morphology and adhesion to the semiconductor material was evaluated by scanning electron microscopy., Results: Although proper adhesion of CN explants was seen, no neurite growth could be detected on unpolished silicon wafers (Si and Si3N4). Compared with the other test conditions, polished, laminin-coated Si3N4 wafers showed best biocompatibility regarding neurite length and number per explant. CN explants developed a mean of eight neurons with an average length of 236 mum in 96 hours of culture on these wafers., Conclusion: The results of this study demonstrate the general possibility of CN neuron growth in culture on semiconductors in vitro. The differences in neuron length and number per explant indicate that the growth of CN neurons is influenced by the semiconductor substrate as well as extracellular matrix proteins, with laminin-coated p-type Si3N4[100] being a preferable material for future hybrid experiments on auditory-neuron semiconductor chips.