| 1. |
- Carraminana, Albert, et al.
(författare)
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Rationale and Study Design for an Individualized Perioperative Open Lung Ventilatory Strategy in Patients on One-Lung Ventilation (iPROVE-OLV)
- 2019
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Ingår i: Journal of Cardiothoracic and Vascular Anesthesia. - : W B SAUNDERS CO-ELSEVIER INC. - 1053-0770 .- 1532-8422. ; 33:9, s. 2492-2502
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of this clinical trial is to examine whether it is possible to reduce postoperative complications using an individualized perioperative ventilatory strategy versus using a standard lung-protective ventilation strategy in patients scheduled for thoracic surgery requiring one-lung ventilation. Design: International, multicenter, prospective, randomized controlled clinical trial. Setting: A network of university hospitals. Participants: The study comprises 1,380 patients scheduled for thoracic surgery. Interventions: The individualized group will receive intraoperative recruitment maneuvers followed by individualized positive end-expiratory pressure (open lung approach) during the intraoperative period plus postoperative ventilatory support with high-flow nasal cannula, whereas the control group will be managed with conventional lung-protective ventilation. Measurements and Main Results: Individual and total number of postoperative complications, including atelectasis, pneumothorax, pleural effusion, pneumonia, acute lung injury; unplanned readmission and reintubation; length of stay and death in the critical care unit and in the hospital will be analyzed for both groups. The authors hypothesize that the intraoperative application of an open lung approach followed by an individual indication of high-flow nasal cannula in the postoperative period will reduce pulmonary complications and length of hospital stay in high-risk surgical patients. (C) 2019 Published by Elsevier Inc.
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| 2. |
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- 2019
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Tidskriftsartikel (refereegranskat)
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| 3. |
- Allentoft, Morten E., et al.
(författare)
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Population genomics of post-glacial western Eurasia
- 2024
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Ingår i: Nature. - 0028-0836 .- 1476-4687. ; 625:7994, s. 301-311
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Tidskriftsartikel (refereegranskat)abstract
- Western Eurasia witnessed several large-scale human migrations during the Holocene1–5. Here, to investigate the cross-continental effects of these migrations, we shotgun-sequenced 317 genomes—mainly from the Mesolithic and Neolithic periods—from across northern and western Eurasia. These were imputed alongside published data to obtain diploid genotypes from more than 1,600 ancient humans. Our analyses revealed a ‘great divide’ genomic boundary extending from the Black Sea to the Baltic. Mesolithic hunter-gatherers were highly genetically differentiated east and west of this zone, and the effect of the neolithization was equally disparate. Large-scale ancestry shifts occurred in the west as farming was introduced, including near-total replacement of hunter-gatherers in many areas, whereas no substantial ancestry shifts happened east of the zone during the same period. Similarly, relatedness decreased in the west from the Neolithic transition onwards, whereas, east of the Urals, relatedness remained high until around 4,000 bp, consistent with the persistence of localized groups of hunter-gatherers. The boundary dissolved when Yamnaya-related ancestry spread across western Eurasia around 5,000 bp, resulting in a second major turnover that reached most parts of Europe within a 1,000-year span. The genetic origin and fate of the Yamnaya have remained elusive, but we show that hunter-gatherers from the Middle Don region contributed ancestry to them. Yamnaya groups later admixed with individuals associated with the Globular Amphora culture before expanding into Europe. Similar turnovers occurred in western Siberia, where we report new genomic data from a ‘Neolithic steppe’ cline spanning the Siberian forest steppe to Lake Baikal. These prehistoric migrations had profound and lasting effects on the genetic diversity of Eurasian populations.
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| 4. |
- Axfors, Cathrine, et al.
(författare)
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Association between convalescent plasma treatment and mortality in COVID-19 : a collaborative systematic review and meta-analysis of randomized clinical trials
- 2021
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Ingår i: BMC Infectious Diseases. - : BioMed Central (BMC). - 1471-2334. ; 21:1
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Forskningsöversikt (refereegranskat)abstract
- Background: Convalescent plasma has been widely used to treat COVID-19 and is under investigation in numerous randomized clinical trials, but results are publicly available only for a small number of trials. The objective of this study was to assess the benefits of convalescent plasma treatment compared to placebo or no treatment and all-cause mortality in patients with COVID-19, using data from all available randomized clinical trials, including unpublished and ongoing trials (Open Science Framework, ). Methods: In this collaborative systematic review and meta-analysis, clinical trial registries (ClinicalTrials.gov, WHO International Clinical Trials Registry Platform), the Cochrane COVID-19 register, the LOVE database, and PubMed were searched until April 8, 2021. Investigators of trials registered by March 1, 2021, without published results were contacted via email. Eligible were ongoing, discontinued and completed randomized clinical trials that compared convalescent plasma with placebo or no treatment in COVID-19 patients, regardless of setting or treatment schedule. Aggregated mortality data were extracted from publications or provided by investigators of unpublished trials and combined using the Hartung-Knapp-Sidik-Jonkman random effects model. We investigated the contribution of unpublished trials to the overall evidence. Results: A total of 16,477 patients were included in 33 trials (20 unpublished with 3190 patients, 13 published with 13,287 patients). 32 trials enrolled only hospitalized patients (including 3 with only intensive care unit patients). Risk of bias was low for 29/33 trials. Of 8495 patients who received convalescent plasma, 1997 died (23%), and of 7982 control patients, 1952 died (24%). The combined risk ratio for all-cause mortality was 0.97 (95% confidence interval: 0.92; 1.02) with between-study heterogeneity not beyond chance (I-2 = 0%). The RECOVERY trial had 69.8% and the unpublished evidence 25.3% of the weight in the meta-analysis. Conclusions: Convalescent plasma treatment of patients with COVID-19 did not reduce all-cause mortality. These results provide strong evidence that convalescent plasma treatment for patients with COVID-19 should not be used outside of randomized trials. Evidence synthesis from collaborations among trial investigators can inform both evidence generation and evidence application in patient care.
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| 5. |
- Botvinik-Nezer, Rotem, et al.
(författare)
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Variability in the analysis of a single neuroimaging dataset by many teams
- 2020
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Ingår i: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 582, s. 84-88
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Tidskriftsartikel (refereegranskat)abstract
- Data analysis workflows in many scientific domains have become increasingly complex and flexible. Here we assess the effect of this flexibility on the results of functional magnetic resonance imaging by asking 70 independent teams to analyse the same dataset, testing the same 9 ex-ante hypotheses(1). The flexibility of analytical approaches is exemplified by the fact that no two teams chose identical workflows to analyse the data. This flexibility resulted in sizeable variation in the results of hypothesis tests, even for teams whose statistical maps were highly correlated at intermediate stages of the analysis pipeline. Variation in reported results was related to several aspects of analysis methodology. Notably, a meta-analytical approach that aggregated information across teams yielded a significant consensus in activated regions. Furthermore, prediction markets of researchers in the field revealed an overestimation of the likelihood of significant findings, even by researchers with direct knowledge of the dataset(2-5). Our findings show that analytical flexibility can have substantial effects on scientific conclusions, and identify factors that may be related to variability in the analysis of functional magnetic resonance imaging. The results emphasize the importance of validating and sharing complex analysis workflows, and demonstrate the need for performing and reporting multiple analyses of the same data. Potential approaches that could be used to mitigate issues related to analytical variability are discussed. The results obtained by seventy different teams analysing the same functional magnetic resonance imaging dataset show substantial variation, highlighting the influence of analytical choices and the importance of sharing workflows publicly and performing multiple analyses.
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| 6. |
- Gil de la Iglesia, Alba, et al.
(författare)
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3D reflection seismic imaging of the Zinkgruvan mineral-bearing structures in the south-eastern Bergslagen mineral district (Sweden)
- 2023
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Ingår i: Geophysical Prospecting. - : John Wiley & Sons. - 0016-8025 .- 1365-2478. ; 71:7, s. 1132-1151
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Tidskriftsartikel (refereegranskat)abstract
- Mineral exploration is facing greater challenges nowadays because of the increasing demand for raw materials and the lesser chance of finding large deposits at shallow depths. To be efficient and address new exploration challenges, high-resolution and sensitive methods that are cost-effective and environmentally friendly are required. In this work, we present the results of a sparse 3D seismic survey that was conducted in the Zinkgruvan mining area, in the Bergslagen mineral district of central Sweden. The survey covers an area of 10.5 km2 for deep targeting of massive sulphides in a polyphasic tectonic setting. A total of 1311 receivers and 950 shot points in a fixed 3D geometry setup were employed for the survey. Nine 2D profiles and a smaller 3D mesh were used. Shots were generated at every 10 m, and receivers were placed at every 10-20 m, along the 2D profiles, and 40-80 m in the mesh area. An analysis of the seismic fold coverage at depth was used to determine the potential resolving power of this sparse 3D setup. The data processing had to account for cultural noise from the operating mine and strong source-generated surface waves, which were attenuated during both pre- and post-stack processing steps. The processing workflow employed a combination of 2D and 3D refraction static corrections, and post-stack FK filters along inlines and crosslines. The resulting 3D seismic volume is correlated with downhole data (density and P-wave, acoustic impedance, reflection coefficient), synthetic seismograms, surface geology and a 3D model of mineral-bearing horizons in order to suggest new exploration targets at depth. The overall geological architecture at Zinkgruvan is interpreted as two EW overturn folds, an antiform and a synform, affected by later NS-trending folding. Two strong sets of shallow reflections, associated with the Zn-Pb mineralization, are located at the hinge of an EW-trending antiform, while a strong set of reflections, associated with the main mineralization, is located at the overturned apex of the EW synform. The NS Knalla fault that crosses the study area terminates the continuation of the mineral-bearing deposits at depth towards the west, a conclusion solely based on the reflectivity character of the seismic volume. This study illustrates that sparse 3D data acquisition, while it has its own challenges, can be a suitable replacement for 2D profiles while line cutting, and environmental footprints can totally be avoided.
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| 7. |
- Gil de la Iglesia, Alba, et al.
(författare)
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Reflection seismic imaging to unravel subsurface geological structures of the Zinkgruvan mining area, central Sweden
- 2021
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Ingår i: Ore Geology Reviews. - : Elsevier. - 0169-1368 .- 1872-7360. ; 137
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Tidskriftsartikel (refereegranskat)abstract
- The Zinkgruvan mining area is located on the south-eastern part of the Bergslagen district, one of the three major mineral producing regions in Sweden. In this study, we present the results from three (P1, P2 and P8) reflection seismic profiles each approximately 3000 m-long crossing the Zinkgruvan Zn-Pb-Ag-(Cu) mining area. P1 was acquired using cabled geophones with 10 m receiver and source interval and crossed major geological features. The other two profiles (P2 and P8) were acquired by wireless recorders with 20 m receiver and 10 m source interval and ran perpendicular to P1. Through a special data processing workflow adapted to this dataset, good quality seismic sections were obtained along these profiles, although a high noise level due to high voltage electric power lines was present. The interpretations were constrained by (1) seismic P-wave velocity and density data from a series of downhole logging measurements, (2) 3D forward reflection traveltime modelling in both pre- and post-stack domains, and (3) other geophysical and geological observations available from the site. Despite the notably complex geology, the processed seismic sections clearly reveal a series of horizontal to gently dipping reflections associated with known geological formations. Results indicate that most structures and lithological contacts dip or plunge to the northeast, including the targeted Zinkgruvan Formation. The results from this seismic survey are encouraging regarding the potential of the seismic method for base-metal exploration in Sweden and in particular in the Bergslagen district. It shows the high resolving power of the reflection seismic methods for imaging complex geological structures in a cost-effective and environmentally-friendly way.
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