Search PubMed⌕ Search

Biomedical subjects

S P Nielsen

Publications and source records attributed to S P Nielsen.

At least 19 recordsLinked to original sources
PubMed2003

Iodine-129 and caesium-137 in Chernobyl contaminated soil and their chemical fractionation.

Soil samples from areas in Belarus, Russia and Sweden contaminated by the Chernobyl accident were analysed for (129)I by radiochemical neutron activation analysis, as well as for 137Cs by gamma-spectrometry. The atomic ratio of (129)I/137Cs in the upper layer of the examined soil cores ranged from 0.10 to 0.30, with an average of 0.18, and no correlation between (129)I/137Cs ratio and the distance from Chernobyl reactor to sampling location was observed. It seems feasible to use the (129)I/137Cs ratio to reconstruct the deposition pattern of 131I in these areas. The association of (129)I and 137Cs in the Chernobyl soil and Irish Sea sediment was investigated by a sequential extraction method. Similar speciation of (129)I in the Chernobyl soil and Irish Sea sediment was found. Approximately 70% of (129)I is bound to oxides and organic matter, and 10-20% is in the readily available phase, while most of the 137Cs (73%) in Chernobyl soil remains in the extraction residue.

Cesium Radioisotopes↗
PubMed2003

Iodine-129 in thyroid and urine in Ukraine and Denmark.

Human thyroids collected from Gomel in Belarus, sheep thyroid from Jutland and human urine from Zealand in Denmark were analysed for 129I and 127I concentrations. The ratios of 129I/127I in human thyroid in Gomel are 2.65-11.0 x 10(-9) with an average of 7.21 x 10(-9), which is one order of magnitude higher than those from Asia and South America (10(-10)), but significantly lower than those observed in west Europe (10(-8)). A weak negative correlation (P < 0.05) between 129I/127I ratio in human thyroid and the age of the subjects was observed in Gomel. The average ratio of 129I/127I in sheep thyroids from Jutland of Denmark is 1.81 x 10(-7), which is two orders of magnitude higher than those in south hemisphere, and Asia. It is also significantly higher than those observed in other west European countries before 1984 and that in human thyroid in Gomel. The high thyroid 129I level in Jutland is attributed to the release of reprocessing plants in France and UK. The 129I/127I ratios in human urine in Zealand of Denmark are 0.86-2.86 x 10(-8). The possibility of using urine 129I to evaluate the thyroid exposure to 129I is investigated.

Adolescent↗
PubMed2002

Level and origin of iodine-129 in the Baltic Sea.

Environmental samples, such as seawater, seaweed, lake water, lake sediment and grass collected from the Baltic Sea area were analyzed for 129I and 127I by radiochemical neutron activation analysis. In 2000, the concentration of 129I in the seawater from Borholm and Møen in the Baltic Sea has reached 6.0 x 10(-13) and 16 x 10(-13) g/l, respectively, these are more than two orders of magnitude higher than the global fallout level. The highest value of 270 x 10(-13) g/l being found in the seawater from the Kattegat. By comparison of the level of 129I in the lake water and precipitation in this region, it is estimated that more than 95% of 129I in the Baltic Sea originates from reprocessing emissions, especially from the French nuclear fuel reprocessing plant at La Hague. More than 30% of 129I in the south Baltic and 93% in the Kattegat directly originates from the marine discharges of the European reprocessing plants.

Baltic States↗
PubMed2001

[Hormone replacement therapy reduces the risk of forearm fracture in postmenopausal women. Results of the Danish Osteoporosis Prevention Study].

In a prospective, controlled, comprehensive cohort trial of 2,016 healthy early postmenopausal women aged 45-58 years we studied fracture prevention through the use of oestrogen. There were two main study arms: a randomised arm (randomised to HRT [n = 502] or not [n = 504]) and a non-randomised arm (on HRT [n = 221] or not [n = 789] by own choice). After five years, an intention-to-treat analysis (n = 2,016) showed a reduction in the overall fracture risk (RR = 0.73, 95% CI: 0.50-1.05) and in the forearm fracture risk (RR = 0.45, 95% CI: 0.22-0.90) with oestrogen. Restriction of the analysis to women who had adhered to their initial allocation of either oestrogen (n = 395) or no oestrogen (n = 977) showed a significant reduction in both the overall fracture risk (RR = 0.61, 95% CI: 0.39-0.97) and the risk of forearm fractures (RR = 0.24, 95% CI: 0.09-0.69). We conclude that it is possible to reduce the number of forearm fractures in early postmenopausal women by the use of oestrogen as primary prevention.

Aged↗
PubMed2001

Discordance between changes in bone mineral density measured at different skeletal sites in perimenopausal women--implications for assessment of bone loss and response to therapy: The Danish Osteoporosis Prevention Study.

Assessing bone loss and gain is important in clinical decision-making, both in evaluating treatment and in following untreated patients. The aim of this study was to correlate changes in bone mineral density (BMD) at different skeletal sites during the first 5 years after menopause and determine if forearm measurements can substitute for dual-energy X-ray absorptiometry (DXA) of the spine and hip. BMD was measured at 0, 1, 2, 3, and 5 years using Hologic 1000/W and 2000 densitometers in 2,016 perimenopausal women participating in a national cohort study. This analysis comprises 1,422 women remaining in the study after 5 years without changes to their initial treatment (hormone-replacement therapy [HRT], n = 497, or none, n = 925). Despite correlated rates of change between forearm and spine (r2 = 0.11; p < 0.01), one-half of those who experienced a significant decrease in spine BMD at 5 years showed no significant fall in forearm BMD (sensitivity, 50%; specificity, 85%; kappa = 0.25). The total hip had significant better agreement with spine (sensitivity, 63%; specificity, 85%; kappa = 0.37; p < 0.01). Analysis of quartiles of change also showed significant better agreement with spine and whole body for the total hip than for the femoral neck or ultradistal (UD) forearm. In a logistic regression analysis for identification of group (HRT or control), the prediction was best for whole body (82.6%) and spine (80.9%), followed by total hip (78.5%) and forearm (74.7%). In conclusion, changes at the commonly measured sites are discordant, and DXA of the forearm is less useful than DXA of the hip or spine in determining the overall skeletal response to therapy or assessing bone loss in untreated women.

Absorptiometry, Photon↗
PubMed2001

Comparison of quantitative ultrasound and dual X-ray absorptiometry in estrogen-treated early postmenopausal women.

Identifying individuals at risk of developing osteoporosis is important in order to initiate early treatment. Many new techniques have been proposed as alternatives for DXA-scanning. Some of these alternatives certainly have advantages, but none have so far been demonstrated to predict fractures better, or even to identify individuals at risk of osteoporosis as well as with the standard method. In this study, comprising a group of women from the Danish Osteoporosis Prevention Study, we wished to investigate whether a technique based on quantitative ultrasound (QUS) could identify individuals with low BMC/BMD as measured by dual X-ray absorptiometry (DXA). Furthermore, we wished to test whether the method could detect differences between untreated individuals and those treated with hormone replacement therapy. We found that QUS could detect differences between the treated and untreated groups, but it was unable to identify women with low BMD, although it might be able to identify persons not at risk of osteoporosis. Low QUS values should be followed by a regular DXA measurement to confirm the presence of osteoporosis.

Absorptiometry, Photon↗
PubMed2001

The metacarpal index revisited: a brief overview.

Metacarpal index (MCI) is combined cortical thickness (both sides)) normalized with regard to outer bone diameter of the measuring site, the midshaft of the second metacarpal, or the three midmetacarpals of both hands. MCI is reduced with age, particularly in postmenopausal women. It correlates with axial bone mass in group studies. Measurement of the MCI in its modern version, digital X-ray radiogrammetry (DXR), requires only a plain analog radiograph, a PC, a film scanner, and reliable software. MCI can be used diagnostically and longitudinally for monitoring changes. MCI measured with DXR has few problems regarding accuracy and precision errors, and MCI is presently regaining lost territories among tests for quantification of bone mass and bone strength. It can be measured inexpensively and swiftly. MCI and other geometrical variables of bone can be measured on old radiographs, thus enabling estimation of cortical bone loss from the time of earlier recordings.

Absorptiometry, Photon↗
PubMed2001

Geometric properties of distal radius and pathogenesis of Colles fracture: a peripheral quantitative computed tomography study.

It is well known among clinicians that Colles fracture patients may have normal projected axial bone mineral density and that bone mass is not synonymous with bone strength. The aim of this work was to investigate whether cross-sectional properties of the distal radius in female patients with recent Colles fracture differ from those of a younger group of normal women without fracture. It was hypothesized that patients with Colles fracture had petite distal radii and that cortical thinning and reduced cortical and trabecular volumetric density are dominant features of this fracture type. We used a multilayer high-precision peripheral quantitative computed tomography (pQCT) device with a long-term precision error of 0.1% for a dedicated phantom during the measurement period (152 d). Clinical measurements were made at an ultradistal site rich in trabecular bone and a less ultradistal site rich in cortical bone. The results show that the following pQCT variables were significantly reduced in the nonfractured radius of the Colles fracture cases: mean ultradistal trabecular volumetric density, mean ultradistal and distal cortical volumetric density, mean ultradistal and distal cortical thickness (p < 0.001 for all differences). The outer cortical diameter, cross-sectional bone area, and cortical bending moment of inertia were not statistically different in the two groups. Thus, it would appear that Colles fracture cases did not have petite distal radii. The results suggest that the deforming force of Colles fracture has a transaxial direction (fall on outstretched arm), resulting in a crush fracture, and that it is not a bending force. We suggest that Colles fracture occurs as a result of the combined effect of a fall on the out-stretched arm, low trabecular and cortical volumetric bone density, and reduced cortical thickness.

Adult↗
PubMed2001

Metacarpal index by digital X-ray radiogrammetry: normative reference values and comparison with dual X-ray absorptiometry.

Metacarpal index (MCI), the combined cortical midmetacarpal thickness divided by the outer mid-metacarpal diameter, fell into oblivion when dual photon absorptiometry was introduced a quarter of a century ago. Modern PC-based digital X-ray diameter measurements offers a unique opportunity for precise and accurate measurements of MCI (DXR-MCI). We hypothesized that DXR-MCI in contrast to projected areal bone mineral density (BMD) (DXA-BMD) is independent of bone size and studied 384 normal women by measuring DXR-MCI and DXA-BMD of the lumbar spine, hip, and distal radius. A normative MCI database for women is presented. It has its maximum in the third decade, and a moderate biologic variation that seems to decline with age. It was found that DXR-MCI was independent of body weight and body surface area, whereas all DXA-BMD values were significantly dependent on them. Body height was significantly correlated with DXA-BMD at all sites, but less so with DXR-MCI. The latter was correlated with metacarpal bone length. It is suggested that the moderate correlation between MCI and body height would be abolished if the region of interest used for calculation of MCI be adjusted according to individual metacarpal bone length. DXR-MCI correlated significantly with DXA-BMD at the sites measured, and particularly well with that of the distal radius (r = 0.67; p < 0.0001).

Absorptiometry, Photon↗
PubMed2000

Hormonal replacement therapy reduces forearm fracture incidence in recent postmenopausal women - results of the Danish Osteoporosis Prevention Study.

OBJECTIVES: To study the fracture reducing potential of hormonal replacement therapy (HRT) in recent postmenopausal women in a primary preventive scenario. METHODS: Prospective controlled comprehensive cohort trial: 2016 healthy women aged 45-58 years, from three to 24 months past last menstrual bleeding were recruited from a random sample of the background population. Mean age was 50. 8+/-2.8 years, and the number of person years followed was 9335.3. There were two main study arms: a randomised arm (randomised to HRT; n=502, or not; n=504) and a non-randomised arm (on HRT; n=221, or not; n=789 by own choice). First line HRT was oral sequential oestradiol/norethisterone in women with intact uterus and oral continuous oestradiol in hysterectomised women. RESULTS: After five years, a total of 156 fractures were sustained by 140 women. There were 51 forearm fractures in 51 women. By intention-to-treat analysis (n=2016), overall fracture risk was borderline statistically significantly reduced (RR=0.73, 95% CI: 0.50-1.05), and forearm fracture risk was significantly reduced (RR=0.45, 95% CI: 0.22-0.90) with HRT. Restricting the analysis to women who had adhered to their initial allocation of either HRT (n=395) or no HRT (n=977) showed a significant reduction in both the overall fracture risk (RR=0.61, 95% CI: 0.39-0.97) and the risk of forearm fractures (RR=0.24, 95% CI: 0.09-0.69). Compliance with HRT was 65% after five years. CONCLUSIONS: It is possible to reduce the number of forearm fractures and possibly the total number of fractures in recent postmenopausal women by use of HRT as primary prevention.

Age Factors↗
PubMed2000

Iodine-129 in human thyroids and seaweed in China.

The concentrations of 129I and the ratios of 129I/127I in normal human thyroids collected in Tianjin, China, and some seaweed samples from the Chinese coast were determined by neutron activation analysis. The mean 129I/127I ratio in these thyroids was found to be 1.13 x 10(-9), which is two orders of magnitude higher than the level of the pre-nuclear era, but one order of magnitude lower than the level in Europe in the post-nuclear era. There is no significant difference between the ratio of 129I/127I in the thyroids for the post-nuclear era from China and other areas, which are considered not to have been directly exposed to 129I emission from a nuclear source, such as Chile, Taiwan and Tokyo. The mean 129I/127I ratio in seaweed from the Chinese coast is 2.35 x 10(-10), approximately two orders of magnitude higher than in seaweed collected in the pre-nuclear age, and similar to that from locations without direct exposure to the emission from nuclear installations, influenced only by global fallout. This indicates that the 129I level in China is within the global fallout background level.

Adult↗
PubMed2000

Mercury in dated Greenland marine sediments.

Twenty marine sediment cores from Greenland were analyzed for mercury, and dated by the lead-210 method. In general the cores exhibit a mercury profile with higher mercury concentrations in the upper centimetres of the core. The cores were studied by linear regression of in Hg vs. age of the sediment for the youngest 100 years. As a rule the mercury decreased with depth in the sediment with various degrees of significance. The increase of the mercury flux during the last 100 years is roughly a doubling. The increase may be of anthropogenic origin as it is restricted to the last 100 years. In four cores the concentration of manganese was found also to increase in the top layers indicating diagenesis. In the other cases the higher concentrations were not accompanied by higher manganese concentrations. The mercury flux to the sediment surface was generally proportional to the Pb-210 flux indicating that the mercury mainly originates from atmospheric washout. But the large variability indicates that other processes also influence the mercury flux to Arctic marine sediments.

Environmental Monitoring↗
PubMed2000

Environmental radioactive contamination in Greenland: a 35 years retrospect.

Environmental studies of anthropogenic radionuclides in Greenland over four decades are reported. The studies have comprised the marine as well as the terrestrial environments and emphasis has been laid on measurements of 90Sr and 137Cs. The temporal and the spatial trends of these radionuclides are described. The radiation exposure from consumption of locally produced diets has been calculated from consumption rates and the infinite time integrated levels of 90Sr and 137Cs concentrations in the various food products. Compared with most other Arctic people, the Greenlanders have received relatively low doses from anthropogenic radionuclides. There are several reasons for this, first of all, because of the relatively high consumption of marine products compared with terrestrial products. Secondly, because winter slaughtering of reindeer is less frequent in Greenland than in other Arctic countries and Greenland reindeer consume, in general, less lichen than most other Arctic reinder, and thirdly, because the transfer from deposition to lichen in Greenland seems lower than in other Arctic areas.

Animals↗
PubMed2000

The fallacy of BMD: a critical review of the diagnostic use of dual X-ray absorptiometry.

The diagnostic use of BMD should be cautious as BMD is not an ideal measure of true bone density; it is not an ideal measure of bone strength; it does not predict fractures well; and it has inherent problems of accuracy and linearity. The limitations of BMD, based on the physical deficiencies of DXA, are further obscured by the introduction of T-scores. It is suggested that BMD and BMC, when used diagnostically and for fracture risk classification, be used after correction for body size and/or bone size, age and sex, and that measured values be evaluated in the light of established mean fracture incidence data. BMD is not a parameter of sufficient validity to be the sole indicator of present and future fracture risk. A low BMD should be regarded one of several fracture risk factors. It seems that there is a need to redefine the T-score based definition of osteoporosis.

Absorptiometry, Photon↗
PubMed1999

The radiological exposure of man from radioactivity in the Baltic Sea.

A radiological assessment has been carried out considering discharges of radioactivity to the Baltic Sea marine environment since 1950. The sources of radioactivity that have been evaluated are atmospheric nuclear-weapons fallout, fallout from the Chernobyl accident in 1986, discharges of radionuclides from Sellafield and La Hague transported into the Baltic Sea, and discharges of radionuclides from nuclear installations located in the Baltic Sea area. Dose rates from man-made radioactivity to individual members of the public (critical groups) have been calculated based on annual intake of seafood and beach occupancy time. The dose rates to individuals from the regions of the Bothnian Sea and Gulf of Finland are predicted to be larger than from any other area in the Baltic Sea due to the pattern of Chernobyl fallout. The dose rates are predicted to have peaked in 1986 at a value of 0.2 mSv year-1. Collective committed doses to members of the public have been calculated based on fishery statistics and predicted concentrations of radionuclides in biota and coastal sediments. The total collective dose from man-made radioactivity in the Baltic Sea is estimated at 2600 manSv, of which approximately two-thirds originate from Chernobyl fallout, approximately one-quarter from atmospheric nuclear-weapons fallout, approximately 8% from European reprocessing facilities, and approximately 0.04% from nuclear installations bordering the Baltic Sea area. An assessment of small-scale dumping of low-level radioactive waste in the Baltic Sea in the 1960s by Sweden and the Soviet Union has showed that doses to man from these activities are negligible. Dose rates and doses from natural radioactivity dominate except for the year 1986 where dose rates to individuals from Chernobyl fallout in some regions of the Baltic Sea approached those from natural radioactivity.

Baltic States↗