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- Gerkin, RC, et al.
(författare)
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The best COVID-19 predictor is recent smell loss: a cross-sectional study
- 2020
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Ingår i: medRxiv : the preprint server for health sciences. - : Cold Spring Harbor Laboratory.
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- BackgroundCOVID-19 has heterogeneous manifestations, though one of the most common symptoms is a sudden loss of smell (anosmia or hyposmia). We investigated whether olfactory loss is a reliable predictor of COVID-19.MethodsThis preregistered, cross-sectional study used a crowdsourced questionnaire in 23 languages to assess symptoms in individuals self-reporting recent respiratory illness. We quantified changes in chemosensory abilities during the course of the respiratory illness using 0-100 visual analog scales (VAS) for participants reporting a positive (C19+; n=4148) or negative (C19-; n=546) COVID-19 laboratory test outcome. Logistic regression models identified singular and cumulative predictors of COVID-19 status and post-COVID-19 olfactory recovery.ResultsBoth C19+ and C19-groups exhibited smell loss, but it was significantly larger in C19+ participants (mean±SD, C19+: -82.5±27.2 points; C19-: -59.8±37.7). Smell loss during illness was the best predictor of COVID-19 in both single and cumulative feature models (ROC AUC=0.72), with additional features providing negligible model improvement. VAS ratings of smell loss were more predictive than binary chemosensory yes/no-questions or other cardinal symptoms, such as fever or cough. Olfactory recovery within 40 days was reported for ∼50% of participants and was best predicted by time since illness onset.ConclusionsAs smell loss is the best predictor of COVID-19, we developed the ODoR-19 tool, a 0-10 scale to screen for recent olfactory loss. Numeric ratings ≤2 indicate high odds of symptomatic COVID-19 (4<OR<10), which can be deployed when viral lab tests are impractical or unavailable.
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| 2. |
- Tan, Youwen, et al.
(författare)
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The naturally occurring YMDD mutation among patients chronically infected HBV and untreated with lamivudine: A systematic review and meta-analysis
- 2012
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Ingår i: PLoS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 7
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Recension (övrigt vetenskapligt/konstnärligt)abstract
- Background: Several recent reports have demonstrated that tyrosine (Y)-methionine (M)-aspartic acid (D)-aspartic acid (D) (YMDD) motif mutations can naturally occur in chronic HBV patients without antiviral treatment such as lamivudine therapy. This paper aims to assess the overall spontaneous incidence and related risk factors of YMDD-motif mutations among lamivudine-naïve chronic HBV carriers, so as to provide some clue for clinical treatment of hepatitis B. Methodology/Principal Findings: Chinese and English literatures were searched for studies reporting natural YMDD mutations among untreated chronic HBV patients from 2001 to 2010. The incidence estimates were summarized and analyzed by meta-analyses. Forty-seven eligible articles from eight countries were selected in this review (13 in English and 34 in Chinese). The pooled incidence of YMDD-motif mutation among untreated chronic HBV patients from eight countries was 12.21% (95% CI: 9.69%-14.95%). China had an incidence of 13.38% (95% CI: 10.90%-16.07%) and seven other countries had an incidence of 9.90% (95% CI: 3.28%-19.55%), respectively. Lamivudine therapy would increase the risk of mutations 5.23 times higher than the untreated patients. A higher HBV DNA copy number was associated with increased incidence of natural YMDD mutation. No significant difference was found in YMDD mutation incidence between groups of different gender, age, HBeAg status, patients' ALT (alanine aminotransferase) level, and between the groups of HBV genotype B and C. Conclusions: The YMDD-motif mutations can occur spontaneously with a relatively high incidence in CHB patients untreated with lamivudine. These mutations might be the consequence of accumulated base mismatch due to the nature of viral polymerase. More fundamental and clinical studies are needed to clarify the influence of YMDD mutations in hepatitis B progression and antiviral treatment. © 2012 Tan et al.
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| 5. |
- Bao, Min, 1981-
(författare)
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System-Level Techniques for Temperature-Aware Energy Optimization
- 2010
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Energy consumption has become one of the main design constraints in today’s integrated circuits. Techniques for energy optimization, from circuit-level up to system-level, have been intensively researched.The advent of large-scale integration with deep sub-micron technologies has led to both high power densities and high chip working temperatures. At the same time, leakage power is becoming the dominant power consumption source of circuits, due to continuously lowered threshold voltages, as technology scales. In this context, temperature is an important parameter. One aspect, of particular interest for this thesis, is the strong inter-dependency between leakage and temperature. Apart from leakage power, temperature also has an important impact on circuit delay and, implicitly, on the frequency, mainly through its influence on carrier mobility and threshold voltage. For power-aware design techniques, temperature has become a major factor to be considered. In this thesis, we address the issue of system-level energy optimization for real-time embedded systems taking temperature aspects into consideration.We have investigated two problems in this thesis: (1) Energy optimization via temperature-aware dynamic voltage/frequency scaling (DVFS). (2) Energy optimization through temperature-aware idle time (or slack) distribution (ITD). For the above two problems, we have proposed off-line techniques where only static slack is considered. To further improve energy efficiency, we have also proposed online techniques, which make use of both static and dynamic slack. Experimental results have demonstrated that considerable improvement of the energy efficiency can be achieved by applying our temperature-aware optimization techniques. Another contribution of this thesis is an analytical temperature analysis approach which is both accurate and sufficiently fast to be used inside an energy optimization loop.
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| 6. |
- Chen, Peng, 1973-
(författare)
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Function of wobble nucleoside modifications in tRNAs of Salmonella enterica Serovar Typhimurium
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Transfer RNA from all organisms has modified nucleosides and position 34 (the wobble position) is one of the most extensively modified positions. Some wobble nucleoside modifications restrict codon choice (e.g. 5-methylaminomethyl-2-thiouridine, mnm5s2U) while some extend the decoding capacity (e.g. uridine-5-oxyacetic acid, cmo5U). In this thesis the influence of wobble nucleoside modification on cell physiology and translation efficiency and accuracy is described.A mutant proL tRNA (proL207) was isolated that had an unmodified adenosine in the wobble position. Surprisingly, the proL207 mutant grows normally and is efficiently selected at the non-complementary CCC codon. The explanation of how an A34 containing tRNA can read CCC codon could be that a protonated A can form a base pair with C.cmo5U (uridine-5-oxyacetic acid) is present in the wobble position of five tRNA species in S.enterica. Two genes (cmoA and cmoB) have been identified that are involved in the synthetic pathway of cmo5U. Mutants were constructed in alanine, valine, proline, and threonine codon boxes which left only a cmo5U containing tRNA present in the cell. The influence of cmo5U on growth or on A site selection rates of the ternary complex was found to be tRNA dependent.During the study of the frameshift suppressor sufY of the hisC3737 frameshift mutation, a dominant mutation was found in YbbB protein, a selenouridine synthetase. The frameshifting occurs at CCC-CAA codon contexts and is specific for CAA codons, which are read by tRNAGlncmnm5s2UUG . The sufY204 mutation is a dominant mutation resulting in a change from Gly67 to Glu67 in the YbbB protein, and mediates the synthesis of several novel modified nucleosides/nucleotides (UKs) with unknown structure. The synthesis of these UKs is connected to the synthesis of cmnm5s2U34. The presence of UK on tRNAGlnU*UG reduced aminoacylation and therefore might account for the slow entry at CAA codons which could result in +1 frameshifting by P site tRNA. The selenourdine synthetase activity is not required for the synthesis of UKs. We hypothesize that an intrinsic activity that is low in the wild type protein has been elevated by the single amino acid substitution and results in the synthesis of UKs.
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| 9. |
- Chen, Zhe
(författare)
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Surface Integrity and Fatigue Performance of Nickel-based Superalloys
- 2017
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Due to global warming, the demand for more efficient gas turbines has increased. A way to achieve this, is by increasing the operating temperature of the gas turbine. Therefore, nickel-based superalloys have been developed to withstand these extreme temperatures and loads, especially in the hot sections. Today, the way of operating land-based gas turbines is changing. Instead of running for long periods of time, the operation is becoming more flexible, with ever-increasing cyclic loads and number of start and stop cycles. To handle the increased stress and cycles, component resistance to fatigue failures need to be improved.Surface integrity is critical to fatigue performance, since fatigue cracks normally initiate at a surface. Machining changes the surface integrity which can result in worse fatigue resistance. The work presented in this Ph.D. thesis was conducted in collaboration with Siemens Industrial Turbomachinery AB in Finspång, Sweden. Surface integrity changes which are induced during machining and their effects on fatigue performance have been studied on the alloy Inconel 718. Inconel 718 is a widely-used nickel-based superalloy for high temperature applications in modern gas turbines.Broaching, milling, and wire electrical discharge machining, related to component manufacturing in turbo machinery industries, were included in this study. Machining induced surface defects provide preferential sites for fatigue crack initiation which influence the fatigue performance of the alloy. If compressive residual stresses are induced during machining, they benefit the fatigue life by retarding fatigue crack initiation away from surface regions. Shot peening was performed on machined Inconel 718, by which high compressive residual stresses are deliberately induced. It results in enhanced fatigue performance.The high temperatures in gas turbines generally deteriorate the surface integrity. Recrystallization often occurs in the highly deformed surface layer. Microstructural degradation, in the form of α-Cr precipitates, have also been frequently observed in the deformed surface and sub-surface microstructure. Oxidation at elevated temperatures degrades the surface integrity and thereby also the fatigue performance. Fatigue cracks are preferably initiated at oxidized surface carbides, if thermal exposure has been made prior to the test. It is even worse when high temperatures relax the beneficial surface compression induced by shot-peening and thereby lowering the fatigue resistance.Machinability of a newly developed nickel-based superalloy, AD 730TM, and the surface integrity induced during turning have also been studied in this thesis project. AD 730TM is a candidate for turbine disc applications with an operating temperature above 650 °C. At such high temperatures, Inconel 718 is no longer stable and its mechanical properties start to degrade.To summarize, the results from this thesis work show the importance of understanding surface integrity effects for fatigue applications, especially in harsh environments. Moreover, the knowledge gained through this work could be used for surface enhancement of turbine components which are subjected to a high risk of fatigue failure. These will contribute to more efficient and flexible power generation by gas turbines.
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| 10. |
- Chen, Zhe, 1987-
(författare)
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Surface Integrity of Broached Inconel 718 and Influence of Thermal Exposure
- 2014
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Inconel 718 is a nickel-based superalloy that is extensively used as a disc material in gas turbine engines. The service life of gas turbine discs is normally governed by the modes of material degradation and fatigue failure since they work mostly at high temperatures and are subjected to cyclic mechanical loadings. Fatigue failures often start with the initiation of cracks at the surface and the precise details of the failure process significantly depend on the surface conditions. In turbine disc production, one of the last manufacturing steps is to broach root fixings, commonly of fir-tree design, for blade mounting. It has always been a challenge when machining Inconel 718 due to its high strength retention at elevated temperatures, rapid work hardening, as well as low thermal conductivity. This usually leads to rapid tool wear, and consequently shorter tool life, and at the end to the deterioration of the surface integrity of the machined components.The aim of this licentiate thesis is to increase our knowledge about the surface integrity, especially microstructure and residual stresses, of broached Inconel 718 and its stability under thermal exposure. This knowledge can later be used for analyzing the initiation and propagation of fatigue cracks in broached Inconel 718, particularly in the case of high temperature fatigue, thereby giving a better understanding of the failure mechanism of gas turbine discs from a fatigue point of view.A broaching operation has been performed using similar cutting conditions as that used in turbo machinery industries for producing fir-tree root fixings. In addition, service damages were analyzed in a retired dis of Inconel 718. Surface defects, severe plastic deformation and generation of high tensile residual stresses have been found to be the main damages to the surface integrity caused by the broaching operation. The machining induced plastic deformation was found to accelerate the microstructural degradation beneath the broached surface when subjected to thermal exposure. The surface tensile residual stresses can be completely removed after short thermal exposure, the tensile layer in the sub-surface region, however, exhibited a high resistance to stress relief at high temperatures. The damage analysis on the retired disc indicated that presence of the highly deformed layer on the machined surface is negative for preventing the occurrence of fretting fatigue in turbine discs.
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