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Biomedical subjects

H Møller

Publications and source records attributed to H Møller.

At least 73 records · Page 4Linked to original sources

[Pernicious anemia and risk of cancer in Denmark].

The cancer pattern was investigated among 5072 patients with a discharge diagnosis of pernicious anaemia during 1977-1989, using data from the Danish Hospital Discharge, Central Population and Cancer registries. During 1-15 years of follow-up we found, in line with earlier reports, two to three-fold increases in the risk of cancer of the stomach, buccal cavity and pharynx, which were unchanged when the analysis was stratified according to sex and duration of follow-up. A previously reported positive association with haematological cancers could only be found for short term follow-up to indicate that no real association exists. Our cohort of patients with pernicious anaemia experienced significantly reduced risks of cervix and non-melanoma skin cancer.

Aged↗

Continuous cultivation start-up control--an experimental investigation.

A control strategy to avoid development of synchronous growth in carbohydrate limited Saccharomyces cerevisiae cultivations is proposed and experimentally investigated. The basic idea is to control the metabolic flux through the pathways by manipulating the substrate feed rate to keep the ethanol concentration at a low level. An adaptive and a fixed parameter controller were investigated experimentally. Both controllers were initialized at the target conditions for the continuous cultivation, where the uncontrolled process is known to be marginally stable. The latter fact renders it unfeasible to attempt open loop operation at the critical dilution rate. The adaptive controller turned out to be superior to the fixed parameter controller. The superiority of the adaptive controller is ascribed to its ability to identify the process under varying cell activity. The obtained experimental results demonstrate that the desired operating point is reproducibly obtainable. However, after prolonged operation under different types of disturbances the yeast seemed to adapt towards an increased respiratory activity for the same low level of ethanol in the medium.

Algorithms↗

Testicular cancer and cryptorchidism in relation to prenatal factors: case-control studies in Denmark.

To explore prenatal risk factors that are common to testicular cancer and cryptorchidism, two parallel case-control studies were conducted in Denmark. Information about characteristics of the mother, the pregnancy, and the birth were obtained from the mothers of cases and controls, using a mailed self-administered questionnaire. A maternal age above 30 years was associated with odds ratios (OR) of 1.9 (95 percent confidence interval [CI] = 1.2-3.0) for cryptorchidism and 2.0 (CI = 1.2-3.6) for testicular seminoma; the latter effect was particularly high when the boy was the first child of the mother (OR = 4.1, CI = 1.1-14.6). Birthweights below 3,000 g or above 4,000 g were associated with increased risks of testicular cancer, with ORs up to 2.6 (CI = 1.1-5.9) for birthweight below 2,500 g. For cryptorchidism, there was a monotonous trend in the OR from 0.4 in birthweights above 4,500 g to 2.3 in birthweights below 2,500 g. The association between cryptorchidism and testicular cancer was not attenuated by adjustment for maternal age and birthweight, indicating that all three variables are independent risk factors for testicular cancer. With the exception of high maternal age, which consistently is associated more strongly with seminoma than with non-seminoma, it remains most likely that seminoma and non-seminoma have similar causes.

Adolescent↗

Work in agriculture, childhood residence, nitrate exposure, and testicular cancer risk: a case-control study in Denmark.

A population-based case-control study in Denmark investigated the hypothesis that parental occupation in agriculture increases the risk of testicular cancer in the offspring. Other factors investigated were: childhood residence on a farm, in the country, or in an area with high nitrate concentration in ground water, and the subjects' own occupation in agriculture. The only association that emerged was with childhood residence in the high-nitrate area. The excess risk was, however, confined entirely to men who did not grow up on a farm or in the country. This makes it very unlikely that nitrate exposure per se should be responsible. Further analyses revealed that the excess risk was confined largely to men who grew up in nonrural areas within Arhus County, where Denmark's second largest city is located, and an excess risk was also seen among men who grew up in Copenhagen Municipality, which is the center of the most urban area in Denmark. The geographic pattern of incidence is stronger for the area of childhood residence than for the area of residence at the time of diagnosis. This supports indirectly the idea that testicular cancer is caused by unidentified factors early in life.

Agriculture↗

Alcohol drinking, social class and cancer.

This chapter reviews the data on occurrence of cancers that are potentially caused by alcohol drinking (cancers of the upper gastrointestinal and respiratory tracts, and liver cancer) in relation to social class. In order to assess the role of alcohol drinking in the observed social class gradients of these cancers, we have particularly looked for consistency in the gradients of different alcohol-related cancers, and used lung cancer occurrence to judge the role of tobacco smoking, which is the major other determinant of these diseases. Additional data on levels of alcohol drinking and on the occurrence of other alcohol-related morbidity are brought into the discussion where available. A role of alcohol drinking in the observed negative social class gradients for alcohol-related cancers is very likely in men in France, Italy and New Zealand. Evidence that is less strong, but is suggestive of a role of alcohol drinking, is seen for men in Brazil, Switzerland, the United Kingdom and Denmark. Although a role of alcohol drinking is likely or possible in certain populations, other factors may contribute as well, most notably tobacco smoking and dietary habits. Additional data on the frequency of complications after surgical procedures in alcohol drinkers are reviewed briefly.

Alcohol Drinking↗

Avoidable cancers in the Nordic countries. Biological agents.

Although several biological agents have been linked convincingly with increased risks for cancer in humans, only infection of the lower female genital tract with human papillomavirus (HPV) and colonization of the gastrointestinal tract with Helicobacter pylori are of importance for cancer occurrence in the Nordic countries. HPV types 16 and 18, and probably types 31 and 33, are causally linked with cervical cancer and H. pylori, a Gram-negative bacteria, with gastric cancer. The estimated prevalence of genital infections with oncogenic types of HPV among Nordic women and the associated risk estimates indicate that approximately 45% of all cervical cancers arising in the Nordic countries are caused by such infections. This will be equivalent to about 550 cases in these countries each year around 2000, or 1% of all cancers arising in these populations. Similarly, the 35% prevalence of persistent gastric infection with H. pylori in the adult Nordic population and the associated risk estimates indicate that some 58% of all gastric cancers in the Nordic countries are due to this bacteria. This will correspond to about 2,350 new cases annually around the year 2000, with 1,350 among men and 1,000 among women, or approximately 2% of all cancers arising in the Nordic population.

Adult↗

Risks of testicular cancer and cryptorchidism in relation to socio-economic status and related factors: case-control studies in Denmark.

To explore risk factors for testicular cancer and cryptorchidism, 2 parallel case-control studies were conducted in Denmark. The testicular-cancer study was population-based and included 514 cases and 720 controls. The cryptorchidism study included 387 cases and 416 controls and was based on 2 hospital series of men treated for cryptorchidism and a control group sampled among residents in the Copenhagen area. The 2037 men were interviewed by telephone, and self-administered questionnaires were sent to their mothers. A strong association was seen between low social class and cryptorchidism, with sons of unskilled workers having a 3-fold higher risk of cryptorchidism than sons of self-employed men. Testicular cancer was only moderately associated with high-social-class indicators, and only with such indicators pertaining to the mother. Both testicular cancer and cryptorchidism tended to occur more frequently in first-born men and in sons of older women but these associations were not statistically significant. Late puberty was associated with reduced risk of testicular cancer. The effect of age at puberty may be due both to advanced age at diagnosis and to the existence of common determinants of age at puberty and testicular cancer. Men who had been treated for cryptorchidism entered puberty later than other men, possibly because of impaired hormonal function of the testes. There was no indication of increased risk of testicular cancer or cryptorchidism in sons of mothers who smoked around the time of conception or during the pregnancy.

Adult↗

Testicular cancer, cryptorchidism, inguinal hernia, testicular atrophy, and genital malformations: case-control studies in Denmark.

To explore risk factors for testicular cancer and cryptorchidism, two parallel case-control studies were conducted in Denmark. The testicular cancer study was population-based and included 514 cases and 720 controls. The cryptorchidism study included 387 cases and 416 controls and was based on two hospital series of men treated for cryptorchidism and a control group sampled among residents in the Copenhagen area. The 2,037 men were interviewed by telephone. The relative risk (RR) of testicular cancer in men with treated or persisting cryptorchidism was 3.6 (95 percent confidence interval = 1.8-6.9), but no increase in risk was seen in the six to seven percent of the men who reported a history of undescended testes that descended spontaneously. The RR in men who were treated for cryptorchidism increased with age at treatment. This effect may be due wholly or in part to increased treatment of boys with testes that would have descended spontaneously if they had not been treated. Cryptorchidism and inguinal hernia may be confused and reported interchangeably. In the absence of cryptorchidism or testicular atrophy, clinical inguinal hernia was not associated with testicular cancer. Testicular atrophy was associated with both testicular cancer and cryptorchidism. Associations with other congenital malformations were few and based on small numbers.

Adolescent↗

Rheumatoid arthritis and cancer risk.

The aim of this study was to examine the cancer pattern in a large group of patients with rheumatoid arthritis (RA). A follow-up study of cancer incidence in RA was conducted within a cohort of 20,699 patients recorded in the Danish Hospital Discharge Register during 1977-1987 by linkage with the Danish Cancer Registry through 1991. There were consistent excesses of non-Hodgkin's lymphoma and Hodgkin's disease in both sexes and during both early and late periods of follow-up. Risks for lung cancer and non-melanoma skin cancer were also increased, with no predilection for any specific histological subtype, while risks for colorectal cancer and female breast cancer were reduced. The cancer pattern seen among Danish RA patients largely supports findings from two earlier Nordic investigations. Thus, there seem to be consistent positive associations between RA and non-Hodgkin's lymphoma, Hodgkin's disease and lung cancer and a consistent negative association with colorectal cancer.

Adolescent↗

Pernicious anaemia and cancer risk in Denmark.

A cohort of 5072 patients with pernicious anaemia was identified in the Danish Hospital Discharge Register from 1977 to 1989 and, through linkage to the Danish Cancer Registry, the occurrence of cancer in the cohort was determined up to 1991. Observed numbers of cancer cases during 1-15 years of follow-up were compared with expected numbers based on national incidence rates. Besides the well-established increased risk for stomach cancer, the analysis also revealed a 2-fold increase in the relative risk for cancer of the buccal cavity and pharynx among pernicious anaemia patients in accordance with previous studies; previously reported elevated risks for other digestive tract cancers were not confirmed. There was a non-significantly increased risk for lymphatic and haematological malignancy but the risk tended to disappear after 5 years of follow-up, indicating a possible selection bias. Decreased risks for cervical cancer and non-melanoma skin cancer were also seen.

Aged↗

Sound transmission to and within the human ear canal.

Sound transmission to the eardrum from various points in the external ear was measured by means of probe microphone technique. Twelve human subjects participated, and three directions of sound incidence were included. For the major part of the audio frequency range the transmission to the eardrum proved independent of direction from points at the centerline of the ear canal, including the entrance (open or blocked). The results further suggested that the region with independent transmission extends some millimeters outside the entrance plane. The transmission from the free field to the eardrum was divided into a directional-dependent part and two directional-independent parts: (1) the transmission from the free field to the blocked entrance, (2) a pressure division between the radiation impedance and the ear-canal input impedance, and (3) the transmission along the ear canal. All parts of the transmission were seen to be highly individual. The first part was shown to be uncorrelated with any of the other parts, whereas mutual dependence of parts (2) and (3) resulted in a smaller variation in the combined transmission than for the parts in separate. The standard deviation between subjects for head-related transfer functions (HRTFs) measured at the eardrum, the open entrance, and the blocked entrance was studied, and the lowest values were found for the blocked-entrance HRTFs. It is concluded, that the blocked entrance is the most suitable point for measurements of HRTFs and for binaural recordings, since sound at this point includes the complete spatial information, and in addition to that the minimum amount of individual information.

Adult↗

Visual acuity in unilateral cataract.

BACKGROUND: Patching the fellow eye in infancy is a well recognised therapy to encourage visual development in the lensectomised eye in cases of unilateral congenital cataract. The possibility of iatrogenic deficits of the fellow eye was investigated by comparing the vision of these patients with untreated unilateral patients and binocularly normal controls. METHODS: Sweep visual evoked potentials (VEPs) offer a rapid and objective method for estimating grating acuity. Sweep VEPs were used to estimate acuity in 12 children aged between 4 and 16 years who had had a congenital cataract removed in the first 13 weeks of life. The acuities of aphakic and fellow phakic eye were compared with the monocular acuities of similarly aged children who have good binocular vision, and with children with severe untreated uniocular visual impairment. Recognition linear acuities were measured with a linear Bailey-Lovie logMAR chart and compared with the sweep VEP estimates. RESULTS: A significant difference was found between Bailey-Lovie acuity of the fellow eye of the patient group and the right eye of binocular controls, and the good eye of uniocular impaired patients (one way ANOVA, p < 0.01). However, this was not evident for a similar comparison with sweep VEP estimates. There was no significant difference between the right and left eye acuities in binocular controls measured by the two techniques (paired t test). CONCLUSION: A loss of recognition acuity in the fellow phakic eye of patients treated for unilateral congenital cataract has been demonstrated with a logMAR chart. This loss was not apparent in children who have severe untreated uniocular visual impairment and may therefore be an iatrogenic effect of occlusion. An acuity loss was not apparent in the patient group using the sweep VEP method. Sweep VEP techniques have a place for objectively studying acuity in infants and in those whose communication difficulties preclude other forms of behavioural test. The mean sweep VEP acuity for the control groups is 20 cpd--that is, about 6/9. When acuities higher than this are under investigation--for example, in older children, slower transient VEP recording may be more appropriate, because higher spatial frequency patterns are not as visible at higher temporal rates (for example, 8 Hz used in sweep VEP recordings).

Adolescent↗

Trends in incidence of testicular cancer in boys and adolescent men.

Several epidemiological studies have described increasing trends over time in the incidence of testicular cancer in adult men. Less attention has been given to the trends in young boys, adolescents and old men. This paper describes the incidence of testicular cancer in young boys (0-4 years) and adolescents (15-19 years) in Denmark, Norway and Sweden, and compares these trends with the corresponding data on adults. Although only small numbers were available, the data suggest that the incidence of testicular cancer in young boys has been constant, at a level around 0.5 per 100,000. This observation lends support to the idea that testicular cancer in young boys is aetiologically distinct from testicular cancer in adults. In all three populations we found a particularly high average annual increase in the incidence of testicular cancer in adolescents (around 6% per year). It is proposed that this increase is mainly caused by a secular trend towards earlier age at puberty.

Adolescent↗

[Cancer morbidity among alcoholics].

Data on the association between alcohol abuse and cancer morbidity are scarce in large cohorts of non-hospitalized alcoholic men an women. Of 18,368 alcohol abusers who entered an out-patient clinic in Copenhagen between 1954-1987, 18,307 were followed. Their cancer incidence was compared to that of the total Danish population. The overall morbidity of cancer was significantly increased among alcohol abusers. The men developed 1441 cancer cases (RR = 1.6), and the women 182 cases (RR = 1.5). Significantly increased incidences were found for cancer of the tongue, mouth, pharynx, oesophagus, liver, larynx, lung, pleura, and secondary cancer. The women had a significantly increased risk of cervical cancer (RR = 2.0). The men developed prostatic cancer significantly more frequently than expected (RR = 1.4). The relative risks of cancer of the stomach, pancreas, kidney and endocrine system were only slightly increased. The risk of breast cancer in women was not significantly increased (RR = 1.3).

Alcoholism↗