| 1471. |
- Koivula, Robert W., et al.
(författare)
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Discovery of biomarkers for glycaemic deterioration before and after the onset of type 2 diabetes : descriptive characteristics of the epidemiological studies within the IMI DIRECT Consortium
- 2019
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Ingår i: Diabetologia. - : Springer. - 0012-186X .- 1432-0428. ; 62:9, s. 1601-1615
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Tidskriftsartikel (refereegranskat)abstract
- Aims/hypothesis: Here, we describe the characteristics of the Innovative Medicines Initiative (IMI) Diabetes Research on Patient Stratification (DIRECT) epidemiological cohorts at baseline and follow-up examinations (18, 36 and 48 months of follow-up).Methods: From a sampling frame of 24,682 adults of European ancestry enrolled in population-based cohorts across Europe, participants at varying risk of glycaemic deterioration were identified using a risk prediction algorithm (based on age, BMI, waist circumference, use of antihypertensive medication, smoking status and parental history of type 2 diabetes) and enrolled into a prospective cohort study (n = 2127) (cohort 1, prediabetes risk). We also recruited people from clinical registries with type 2 diabetes diagnosed 6-24 months previously (n = 789) into a second cohort study (cohort 2, diabetes). Follow-up examinations took place at similar to 18 months (both cohorts) and at similar to 48 months (cohort 1) or similar to 36 months (cohort 2) after baseline examinations. The cohorts were studied in parallel using matched protocols across seven clinical centres in northern Europe.Results: Using ADA 2011 glycaemic categories, 33% (n = 693) of cohort 1 (prediabetes risk) had normal glucose regulation and 67% (n = 1419) had impaired glucose regulation. Seventy-six per cent of participants in cohort 1 was male. Cohort 1 participants had the following characteristics (mean +/- SD) at baseline: age 62 (6.2) years; BMI 27.9 (4.0) kg/m(2); fasting glucose 5.7 (0.6) mmol/l; 2 h glucose 5.9 (1.6) mmol/l. At the final follow-up examination the participants' clinical characteristics were as follows: fasting glucose 6.0 (0.6) mmol/l; 2 h OGTT glucose 6.5 (2.0) mmol/l. In cohort 2 (diabetes), 66% (n = 517) were treated by lifestyle modification and 34% (n = 272) were treated with metformin plus lifestyle modification at enrolment. Fifty-eight per cent of participants in cohort 2 was male. Cohort 2 participants had the following characteristics at baseline: age 62 (8.1) years; BMI 30.5 (5.0) kg/m(2); fasting glucose 7.2 (1.4) mmol/l; 2 h glucose 8.6 (2.8) mmol/l. At the final follow-up examination, the participants' clinical characteristics were as follows: fasting glucose 7.9 (2.0) mmol/l; 2 h mixed-meal tolerance test glucose 9.9 (3.4) mmol/l.Conclusions/interpretation: The IMI DIRECT cohorts are intensely characterised, with a wide-variety of metabolically relevant measures assessed prospectively. We anticipate that the cohorts, made available through managed access, will provide a powerful resource for biomarker discovery, multivariate aetiological analyses and reclassification of patients for the prevention and treatment of type 2 diabetes.
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| 1472. |
- Korkmaz, Seren Selvin, 1990-
(författare)
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The Role of the Opposition in Autocratization : The Case of Turkey's Republican People’s Party (CHP)
- 2024
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This dissertation explores the role of opposition parties in autocratization, focusing on Turkey's main opposition party, the Republican People’s Party (CHP). By examining the CHP during the Justice and Development Party (AKP) rule from 2002 to 2023, it reveals the complex roles and strategies of opposition actors in both resisting and contributing to autocratization. It challenges the binary view of opposition success or failure, suggesting that opposition parties like the CHP are dynamic entities within autocratic regimes. They can combat and contribute to autocratization through their discourse, policy decisions, and actions. By analyzing the CHP's evolving strategies, alliances, and discourse, the research underscores the opposition's pivotal role in shaping Turkey’s political landscape. Employing a diverse methodology, including 20 elite interviews, 10 focus group discussions with 60 participants, archival research, and participant observation, the thesis introduces two new concepts: rigid opposition and flexible opposition. Initially, the CHP maintained a rigid opposition characterized by identity-based polarization. However, over time, the party shifted to a more flexible approach, forging strategic alliances and adopting an inclusive discourse. This transformation underscores the adaptable nature of opposition strategies, illustrating that opposition actions cannot be solely evaluated on a binary success-failure scale. While the CHP's flexibility is essential in countering autocratization, it also poses the risk of contributing to it and diluting party identity. Additionally, the dissertation examines the evolution of the CHP’s discourse. By comparing election campaigns and protests, the study shows how the CHP's shift from an exclusionary to an inclusive discourse challenged the ruling AKP's polarizing populist narrative, while the previous exclusionary approach contributed to political polarization. This inclusive discourse played a crucial role in the CHP’s success in the 2019 local elections. Furthermore, the thesis investigates the CHP's strategic alliances and opposition coordination, probing into the motivations and challenges encountered by CHP political elites. It identifies the primary challenges encountered by the CHP in maintaining cohesive opposition alliances and elucidates how these challenges impact the process of autocratization in Turkey.
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| 1473. |
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| 1474. |
- Kyrpides, Nikos C, et al.
(författare)
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Genomic encyclopedia of bacteria and archaea: sequencing a myriad of type strains.
- 2014
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Ingår i: PLoS biology. - : Public Library of Science (PLoS). - 1545-7885. ; 12:8
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Tidskriftsartikel (refereegranskat)abstract
- Microbes hold the key to life. They hold the secrets to our past (as the descendants of the earliest forms of life) and the prospects for our future (as we mine their genes for solutions to some of the planet's most pressing problems, from global warming to antibiotic resistance). However, the piecemeal approach that has defined efforts to study microbial genetic diversity for over 20 years and in over 30,000 genome projects risks squandering that promise. These efforts have covered less than 20% of the diversity of the cultured archaeal and bacterial species, which represent just 15% of the overall known prokaryotic diversity. Here we call for the funding of a systematic effort to produce a comprehensive genomic catalog of all cultured Bacteria and Archaea by sequencing, where available, the type strain of each species with a validly published name (currently∼11,000). This effort will provide an unprecedented level of coverage of our planet's genetic diversity, allow for the large-scale discovery of novel genes and functions, and lead to an improved understanding of microbial evolution and function in the environment.
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| 1475. |
- Lango Allen, Hana, et al.
(författare)
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Hundreds of variants clustered in genomic loci and biological pathways affect human height.
- 2010
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Ingår i: Nature. - : Springer Science and Business Media LLC. - 1476-4687 .- 0028-0836. ; 467:7317, s. 832-8
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Tidskriftsartikel (refereegranskat)abstract
- Most common human traits and diseases have a polygenic pattern of inheritance: DNA sequence variants at many genetic loci influence the phenotype. Genome-wide association (GWA) studies have identified more than 600 variants associated with human traits, but these typically explain small fractions of phenotypic variation, raising questions about the use of further studies. Here, using 183,727 individuals, we show that hundreds of genetic variants, in at least 180 loci, influence adult height, a highly heritable and classic polygenic trait. The large number of loci reveals patterns with important implications for genetic studies of common human diseases and traits. First, the 180 loci are not random, but instead are enriched for genes that are connected in biological pathways (P = 0.016) and that underlie skeletal growth defects (P<0.001). Second, the likely causal gene is often located near the most strongly associated variant: in 13 of 21 loci containing a known skeletal growth gene, that gene was closest to the associated variant. Third, at least 19 loci have multiple independently associated variants, suggesting that allelic heterogeneity is a frequent feature of polygenic traits, that comprehensive explorations of already-discovered loci should discover additional variants and that an appreciable fraction of associated loci may have been identified. Fourth, associated variants are enriched for likely functional effects on genes, being over-represented among variants that alter amino-acid structure of proteins and expression levels of nearby genes. Our data explain approximately 10% of the phenotypic variation in height, and we estimate that unidentified common variants of similar effect sizes would increase this figure to approximately 16% of phenotypic variation (approximately 20% of heritable variation). Although additional approaches are needed to dissect the genetic architecture of polygenic human traits fully, our findings indicate that GWA studies can identify large numbers of loci that implicate biologically relevant genes and pathways.
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| 1476. |
- Larson, M.A., et al.
(författare)
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Growth rate dispersion in MSMPR crystallizers
- 1985
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Ingår i: AIChE Journal. - : Wiley. - 0001-1541 .- 1547-5905. ; 31:1, s. 90-94
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Tidskriftsartikel (refereegranskat)abstract
- A model is presented which relates the crystal size distribution (CSD) from a mixed-suspension, mixed-product-removal (MSMPR) crystallizer to the distribution of growth rates. This model is based on the assumption that individual contact nuclei have some inherent growth rate which remains constant, but the growth rate may vary from crystal to crystal. The crystal size distribution can be calculated from prior knowledge of the growth rate distribution. A limited knowledge of only the coefficient of variation and the mean growth rate permits an approximation of the expected crystal size distribution. Conversely, estimates of the mean and variance of the growth rate distribution can be determined from the moments of the CSD from an MSMPR crystallizer
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| 1477. |
- Lawson, C., et al.
(författare)
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Development of an international comorbidity education framework
- 2017
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Ingår i: Nurse Education Today. - : CHURCHILL LIVINGSTONE. - 0260-6917 .- 1532-2793. ; 55, s. 82-89
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Tidskriftsartikel (refereegranskat)abstract
- Context The increasing number of people living with multiple chronic conditions in addition to an index condition has become an international healthcare priority. Health education curricula have been developed alongside single condition frameworks in health service policy and practice and need redesigning to incorporate optimal management of multiple conditions. Aim: Our aims were to evaluate current teaching and learning about comorbidity care amongst the global population of healthcare students from different disciplines and to develop an International Comorbidity Education Framework (ICEF) for incorporating comorbidity concepts into health education. Methods: We surveyed nursing, medical and pharmacy students from England, India, Italy and Sweden to evaluate their understanding of comorbidity care. A list of core comorbidity content was constructed by an international group of higher education academics and clinicians from the same disciplines, by searching current curricula and analysing clinical frameworks and the student survey data. This list was used to develop the International Comorbidity Education Framework. Results: The survey sample consisted of 917 students from England (42%), India (48%), Italy (8%) and Sweden (2%). The majority of students across all disciplines said that they lacked knowledge, training and confidence in comorbidity care and were unable to identify specific teaching on comorbidities. All student groups wanted further comorbidity training. The health education institution representatives found no specific references to comorbidity in current health education curricula. Current clinical frameworks were used to develop an agreed list of core comorbidity content and hence an International Comorbidity Education Framework. Conclusions: Based on consultation with academics and clinicians and on student feedback we developed an International Comorbidity Education Framework to promote the integration of comorbidity concepts into current healthcare curricula.
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| 1478. |
- Lindegårdh, N, et al.
(författare)
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Piperaquine, new findings
- 2005
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Ingår i: International Congress for Tropical medicine and Malaria. - Marseille.
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Konferensbidrag (refereegranskat)
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| 1479. |
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| 1480. |
- Liseau, René, 1949, et al.
(författare)
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Resolving the cold debris disc around a planet-hosting star. PACS photometric imaging observations of q1 Eridani (HD 10647, HR 506)
- 2010
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Ingår i: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 518:Article Number: L132
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Tidskriftsartikel (refereegranskat)abstract
- Context. About two dozen exo-solar debris systems have been spatially resolved. These debris discs commonly display a variety of structural features such as clumps, rings, belts, excentric distributions and spiral patterns. In most cases, these features are believed to be formed, shaped and maintained by the dynamical influence of planets orbiting the host stars. In very few cases has the presence of the dynamically important planet(s) been inferred from direct observation. Aims. The solar-type star q(1) Eri is known to be surrounded by debris, extended on scales of less than or similar to 30 ''. The star is also known to host at least one planet, albeit on an orbit far too small to make it responsible for structures at distances of tens to hundreds of AU. The aim of the present investigation is twofold: to determine the optical and material properties of the debris and to infer the spatial distribution of the dust, which may hint at the presence of additional planets. Methods. The Photodetector Array Camera and Spectrometer (PACS) aboard the Herschel Space Observatory allows imaging observations in the far infrared at unprecedented resolution, i.e. at better than 6 '' to 12 '' over the wavelength range of 60 mu m to 210 mu m. Together with the results from ground-based observations, these spatially resolved data can be modelled to determine the nature of the debris and its evolution more reliably than what would be possible from unresolved data alone. Results. For the first time has the q(1) Eri disc been resolved at far infrared wavelengths. The PACS observations at 70 mu m, 100 mu m and 160 mu m reveal an oval image showing a disc-like structure in all bands, the size of which increases with wavelength. Assuming a circular shape yields the inclination of its equatorial plane with respect to that of the sky, i > 53 degrees. The results of image de-convolution indicate that i likely is larger than 63 degrees, where 90 degrees corresponds to an edge-on disc. Conclusions. The observed emission is thermal and optically thin. The resolved data are consistent with debris at temperatures below 30 K at radii larger than 120 AU. From image de-convolution, we find that q(1) Eri is surrounded by an about 40 AU wide ring at the radial distance of similar to 85 AU. This is the first real Edgeworth-Kuiper Belt analogue ever observed.
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