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En historisk blick på hur neuronet blodförsörjs (uppfattning från 1920-talet)

Blodomloppet i en nervcell. Enligt undersökningar av den polske forskaren

Adamkiewicz försörjes varje nervcell av en artär (röd), som träder till cellen vinkelrätt mot densamma (till vänster på bilden). Denna vidgar sig sedan så att cellen på alla sidor ligger kringfluten av blodströmmen, som en ö i en flod. Mittemot artärens inträdesställe flyter blodet från cellen in i en ven, som blir allt tunnare (till höger på bilden). Från det omgivande blodet tränga syre- och näringsmolekylerna (röda punkter) in i cellens plasma. Kolsyra och avfallsprodukterna (blå punkter) samlas omkring kärnan i cellens mitt och flyta därifrån i en ven (blå) genom plasman och cellväggen utåt.

Från Fritz Kahn: Människan del IV, Albert Bonniers Förlag, Stockholm 1930 Översatt till svenska av Professor Ivar Broman och Docent Sture A. Siwe

(Ivar Broman var professor i anatomi i Lund, far till den kände kompositören och musikkritikern Sten Broman.)

A

CKNOWLEDGEMENTS

All participants in the studies, the patients as well as the staff in the different facilities, for their kind and generous participation and co-operation, allowing me to conduct this thesis.

Professor Torbjörn Nilsson, my supervisor and friend for all the support and introducing me in the scientific thinking. You have been necessary for this project. But we have more to science to “bake off” from our material and I look forward to further collaboration.

Professor Lars-Olof Wahlund, co-supervisor, you were indispensable discussing the complex world of dementia.

Professor Kurt Boman helped me through the maze of fibrinolysis.

Anna Böttiger, my co-author, who set up most of the genetical analyses included in this thesis.

Lovisa Olsson, for partnership in setting up and collecting the biobanks of the AS and DGM cohorts, and for the chemical analyses.

Professor emerita Henny Olsson, who introduced me to the importance of humor in healthcare and for helpful advice in the beginning of this project.

Lena Ek, Sari Hallinen Wilén and Malin Bäckman, psychologists at the Department of Geriatrics, for their help with the neuropsychological evaluations. Gunilla Forsberg, study nurse at the Department of Geriatrics, for help in solving the practical issues around this clinical research project.

Wanja Schwartz Hall, study nurse at the Department of Geriatrics, for help with administrating the MMSE and CDT test in the Active Seniors study.

Professor Matti Viitanen, for kind support and fair criticism in my mid-term evaluation.

Associate professor Björn Regland, for inspiring and enthusiastic discussions and for constructive criticism in my mid-term evaluation.

Dr Katarina Nägga, for taking your time and giving me strength during my mid- term evaluation.

Associate professor Peter Appelros, my former colleague and friend for your support in different phases of my work with this thesis.

Drs Lars Breimer and Ian Jones, colleagues and friends at the Department of Clinical Chemistry, for your valuable comments on the manuscript and for language revision.

My chief, Riitta Varelius, head of Department of Geriatrics, Örebro University Hospital, for your support. You made it possible to combine my PhD studies with my work as consultant in the department.

My colleagues in the Department of Geriatrics who made the Department function despite the strained situation with scarcity of colleagues.

The staff at the Medical Library, Örebro University Hospital for excellent help and assistance.

This thesis was financially supported by grants from Örebro University Hospital, Nyckelfonden, Örebro County Council, Örebro University, and Novartis, Sweden AB.

Our three sons, Anders, Fredrik and Niklas for help in creating the database the DGM study was based on.

Louise, my first and so far, only grandchild. It is always so relieving when your laughter sounds, the research linked problems becomes pushed in the background and the “real world” becomes real, again.

Last, but definitely not least, I want to thank my beloved wife, Lilian, without whom this research wouldn’t have become true. You supported me already when I began as a medical student. You have with your enormous patience and positive thinking done miracles to me and to our family.

R

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