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| 2. |
- Tabiri, S, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 3. |
- Bravo, L, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 4. |
- Khatri, C, et al.
(författare)
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Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
- 2021
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Ingår i: BMJ open. - : BMJ. - 2044-6055. ; 11:11, s. e050830-
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Tidskriftsartikel (refereegranskat)abstract
- Studies have demonstrated high rates of mortality in people with proximal femoral fracture and SARS-CoV-2, but there is limited published data on the factors that influence mortality for clinicians to make informed treatment decisions. This study aims to report the 30-day mortality associated with perioperative infection of patients undergoing surgery for proximal femoral fractures and to examine the factors that influence mortality in a multivariate analysis.SettingProspective, international, multicentre, observational cohort study.ParticipantsPatients undergoing any operation for a proximal femoral fracture from 1 February to 30 April 2020 and with perioperative SARS-CoV-2 infection (either 7 days prior or 30-day postoperative).Primary outcome30-day mortality. Multivariate modelling was performed to identify factors associated with 30-day mortality.ResultsThis study reports included 1063 patients from 174 hospitals in 19 countries. Overall 30-day mortality was 29.4% (313/1063). In an adjusted model, 30-day mortality was associated with male gender (OR 2.29, 95% CI 1.68 to 3.13, p<0.001), age >80 years (OR 1.60, 95% CI 1.1 to 2.31, p=0.013), preoperative diagnosis of dementia (OR 1.57, 95% CI 1.15 to 2.16, p=0.005), kidney disease (OR 1.73, 95% CI 1.18 to 2.55, p=0.005) and congestive heart failure (OR 1.62, 95% CI 1.06 to 2.48, p=0.025). Mortality at 30 days was lower in patients with a preoperative diagnosis of SARS-CoV-2 (OR 0.6, 95% CI 0.6 (0.42 to 0.85), p=0.004). There was no difference in mortality in patients with an increase to delay in surgery (p=0.220) or type of anaesthetic given (p=0.787).ConclusionsPatients undergoing surgery for a proximal femoral fracture with a perioperative infection of SARS-CoV-2 have a high rate of mortality. This study would support the need for providing these patients with individualised medical and anaesthetic care, including medical optimisation before theatre. Careful preoperative counselling is needed for those with a proximal femoral fracture and SARS-CoV-2, especially those in the highest risk groups.Trial registration numberNCT04323644
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| 6. |
- Stacchiotti, S., et al.
(författare)
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Epithelioid hemangioendothelioma, an ultra-rare cancer : a consensus paper from the community of experts
- 2021
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Ingår i: ESMO Open. - : Elsevier BV. - 2059-7029. ; 6:3
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Forskningsöversikt (refereegranskat)abstract
- Epithelioid hemangioendothelioma (EHE) is an ultra-rare, translocated, vascular sarcoma. EHE clinical behavior is variable, ranging from that of a low-grade malignancy to that of a high-grade sarcoma and it is marked by a high propensity for systemic involvement. No active systemic agents are currently approved specifically for EHE, which is typically refractory to the antitumor drugs used in sarcomas. The degree of uncertainty in selecting the most appropriate therapy for EHE patients and the lack of guidelines on the clinical management of the disease make the adoption of new treatments inconsistent across the world, resulting in suboptimal outcomes for many EHE patients. To address the shortcoming, a global consensus meeting was organized in December 2020 under the umbrella of the European Society for Medical Oncology (ESMO) involving >80 experts from several disciplines from Europe, North America and Asia, together with a patient representative from the EHE Group, a global, disease-specific patient advocacy group, and Sarcoma Patient EuroNet (SPAEN). The meeting was aimed at defining, by consensus, evidence-based best practices for the optimal approach to primary and metastatic EHE. The consensus achieved during that meeting is the subject of the present publication.
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| 7. |
- Khan, H. R., et al.
(författare)
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Cross-cultural prevalence of sleep quality and psychological distress in healthcare workers during COVID-19 pandemic
- 2021
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Ingår i: Brain and Behavior. - : John Wiley & Sons. - 2162-3279 .- 2162-3279. ; 11:11
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Tidskriftsartikel (refereegranskat)abstract
- Background: Poor quality sleep and emotional disturbances are expected in times of crisis. COVID-19 has severely impacted healthcare worldwide and with that comes the concern about its effects on healthcare workers. The purpose of the present study was to assess sleep quality and psychological distress in healthcare workers during the COVID-19 pandemic.Methods: The present work is a multi-centric cross-sectional study targeting healthcare workers from India, Pakistan, and Nepal. It used an online version of the Pittsburg Sleep Quality Index and the General Health Questionnaire, and data were analyzed using SPSS V.24.Results: A total of 1790 participants completed the questionnaire. Of the 1790 participants, 57% reported poor sleep quality, and 10% reported a high level of psychological distress. A cross-cultural comparison found some differences between the different groups of participants. The details of the differences were further explored in the article.Conclusion: The present study highlights that a significant proportion of healthcare workers are affected by poor sleep quality and psychological distress during the COVID-19 pandemic. It also emphasizes the imperative to provide them with psychosocial support to avoid potential short- and long-term psychological consequences of these troubling times.
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| 8. |
- Ertoprak, Aysegul, et al.
(författare)
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LIFETIME MEASUREMENTS WITH THE DOPPLER SHIFT ATTENUATION METHOD USING A THICK HOMOGENEOUS PRODUCTION TARGET - VERIFICATION OF THE METHOD
- 2017
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Ingår i: Acta Physica Polonica B. - : Jagiellonian University Press. - 0587-4254 .- 1509-5770. ; 48:3, s. 325-329
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Tidskriftsartikel (refereegranskat)abstract
- Doppler Shift Attenuation Method (DSAM) analysis of excited-state lifetimes normally employs thin production targets mounted on a thick stopper foil ("backing") serving to slow down and stop the recoiling nuclei of interest in a well-defined manner. Use of a thick, homogeneous production target leads to a more complex analysis as it results in a substantial decrease in the energy of the incident projectile which traverses the target with an associated change in the production cross section of the residues as a function of penetration depth. Here, a DSAM lifetime analysis using a thick homogeneous target has been verified using the Doppler broadened lineshapes of gamma rays following the decay of highly excited states in the semi-magic (N = 50) nucleus Ru-94. Lifetimes of excited states in the Ru-94 nucleus have been obtained using a modified version of the LINESHAPE package from the Doppler broadened lineshapes resulting from the emission of the gamma rays, while the residual nuclei were slowing down in the thick (6 mg/cm(2)) metallic Ni-58 target. The results have been validated by comparison with a previous measurement using a different (RDDS) technique.
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| 9. |
- Ertoprak, A., et al.
(författare)
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Lifetimes of core-excited states in semi-magic Rh-95
- 2020
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Ingår i: European Physical Journal A. - : SPRINGER. - 1434-6001 .- 1434-601X. ; 56:11
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Tidskriftsartikel (refereegranskat)abstract
- Lifetimes of negative-parity states have been determined in the neutron deficient semi-magic (N = 50) nucleus Rh-95. The fusion-evaporation reaction Ni-58(Ca-40, 3p) was used to populate high-spin states in Rh-95 at the Grand Accelerateur National d'Ions Lourds (GANIL) accelerator facility. The results were obtained using the Doppler Shift Attenuation Method (DSAM) based on the Doppler broadened line shapes produced during the slowing down process of the residual nuclei in a thick 6 mg/cm(2) metallic target. B(M1) and B(E2) reduced transition strengths are compared with predictions from large-scale shell-model calculations. state-of-the-art theory. Remarkably, the structural features up to moderate angular momentum of nuclei immediately below the N = Z = 50 shell closures can be described with high accuracy in a very simple way by shell-model calculations including only the g(9/2) and p(1/2) subshells. Of special interest is the neutron-proton pair coupling scheme which is expected to appear in the heaviest N=Z nuclei [1,2] and the seniority structure of the N = 50 isotones [3-7]. However, multiple core-excited states have been observed in the semi-magic nuclei of the Sn-100 region [8-10]. The theoretical study of those states is a challenging task, which requires a significantly larger model space for their interpretation. Transition probabilities between nuclear states provide important constraints for theoretical modelling of the structure of the nuclei of interest. Our previous lifetime study of the semimagic (N = 50) nucleus Ru-94 [ 11,12] provided information on the electromagnetic decay properties of neutron-core excited states. We now address lifetime measurements in its closest, more neutron deficient, isotone Rh-95 using the same DSAM technique. The experimental results have been interpreted within the framework of large-scale shell-model (LSSM) calculations.
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| 10. |
- Ertoprak, Aysegul, 1987-, et al.
(författare)
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M1 and E2 transition rates from core-excited states in semi-magic 94Ru
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Lifetimes of high-spin states have been measured in the semi-magic (N=50) nucleus 94Ru. Excited states in 94Ru were populated in the 58Ni(40Ca, 4p)94Ru∗ fusion-evaporation reaction at the Grand Accelerateur National d’Ions Lourds (GANIL) accelerator complex. DSAM lifetime analysis was performed on the Doppler broadened line shapes in energy spectra obtained from γ-rays emitted while the residual nuclei were slowing down in a thick 6 mg/cm2 metallic 58Ni target. In total eight excited-state lifetimes in the angular momentum range I = (13 − 20)ħ have been measured, five of which were determined for the first time. The deduced corresponding B(M1) and B(E2)reduced transition strengths are discussed within the framework of large-scale shell model calculations to study the contribution of different particle-hole configurations, in particular for analyzing contributions from core-excited configurations.
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