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Sökning: WFRF:(Din Z)

  • Resultat 1-10 av 11
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1.
  • Aad, G., et al. (författare)
  • 2012
  • swepub:Mat__t (refereegranskat)
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2.
  • Thomas, HS, et al. (författare)
  • 2019
  • swepub:Mat__t
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4.
  • Ruilope, LM, et al. (författare)
  • Design and Baseline Characteristics of the Finerenone in Reducing Cardiovascular Mortality and Morbidity in Diabetic Kidney Disease Trial
  • 2019
  • Ingår i: American journal of nephrology. - : S. Karger AG. - 1421-9670 .- 0250-8095. ; 50:5, s. 345-356
  • Tidskriftsartikel (refereegranskat)abstract
    • <b><i>Background:</i></b> Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials. <b><i>Patients and</i></b> <b><i>Methods:</i></b> The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate ≥25 mL/min/1.73 m<sup>2</sup> and albuminuria (urinary albumin-to-creatinine ratio ≥30 to ≤5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level α = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure. <b><i>Conclusions:</i></b> FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen. Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049.
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5.
  • Drake, TM, et al. (författare)
  • Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study
  • 2020
  • Ingår i: BMJ global health. - : BMJ. - 2059-7908. ; 5:12
  • Tidskriftsartikel (refereegranskat)abstract
    • Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings.MethodsA multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI).ResultsOf 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI.ConclusionThe odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.
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7.
  • Mohamed Idris, Z., et al. (författare)
  • Amino-functionalised silica-grafted molecularly imprinted polymers for chloramphenicol adsorption
  • 2020
  • Ingår i: Journal of Environmental Chemical Engineering. - : Elsevier BV. - 2213-3437. ; 8:5
  • Tidskriftsartikel (refereegranskat)abstract
    • This research investigated the liquid-phase removal of chloramphenicol (CAP), an emerging contaminant using molecularly imprinted polymers (MIPs). CAP adsorption profiles, equilibrium, and kinetics were analysed. The adsorption performance was compared between MIPs and non-imprinted polymers (NIPs), both with silica or without silica grafting. The imprinting factor (IF) values for the Si@MIPs-CAP were significantly higher than the IF values for MIPs-CAP adsorbent at pH 8. The kinetics of CAP adsorption was fitted to pseudo-second-order kinetics models for MIPs-CAP (R2 = 0.9998) and Si@MIPs-CAP (R2 = 0.9999). The adsorption isotherm of Si@MIPs-CAP was well represented by the Langmuir model (R2 = 0.9991), while the Freundlich isotherm model (R2 = 0.9998) provided the best fit for MIPs-CAP. The maximum monolayer adsorption capacities, Qmax, for Si@MIPs-CAP (32.26 mg g−1) were higher than the Qmax for Si@NIPs-CAP (29.6 mg g−1). These results suggested that the silica-grafted molecularly imprinted polymers can be employed as a potential water-compatible adsorbent for the selective adsorption and removal of CAP from aqueous phase.
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8.
  • Zamli, Kamal Z., et al. (författare)
  • A hybrid Q-learning sine-cosine-based strategy for addressing the combinatorial test suite minimization problem
  • 2018
  • Ingår i: PLOS ONE. - : PUBLIC LIBRARY SCIENCE. - 1932-6203. ; 13:5
  • Tidskriftsartikel (refereegranskat)abstract
    • The sine-cosine algorithm (SCA) is a new population-based meta-heuristic algorithm. In addition to exploiting sine and cosine functions to perform local and global searches (hence the name sine-cosine), the SCA introduces several random and adaptive parameters to facilitate the search process. Although it shows promising results, the search process of the SCA is vulnerable to local minima/maxima due to the adoption of a fixed switch probability and the bounded magnitude of the sine and cosine functions (from -1 to 1). In this paper, we propose a new hybrid Q-learning sine-cosine- based strategy, called the Q-learning sinecosine algorithm (QLSCA). Within the QLSCA, we eliminate the switching probability. Instead, we rely on the Q-learning algorithm (based on the penalty and reward mechanism) to dynamically identify the best operation during runtime. Additionally, we integrate two new operations (Levy flight motion and crossover) into the QLSCA to facilitate jumping out of local minima/maxima and enhance the solution diversity. To assess its performance, we adopt the QLSCA for the combinatorial test suite minimization problem. Experimental results reveal that the QLSCA is statistically superior with regard to test suite size reduction compared to recent state-of-the-art strategies, including the original SCA, the particle swarm test generator (PSTG), adaptive particle swarm optimization (APSO) and the cuckoo search strategy (CS) at the 95% confidence level. However, concerning the comparison with discrete particle swarm optimization (DPSO), there is no significant difference in performance at the 95% confidence level. On a positive note, the QLSCA statistically outperforms the DPSO in certain configurations at the 90% confidence level.
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9.
  • Zamli, Kamal Z., et al. (författare)
  • An experimental study of hyper-heuristic selection and acceptance mechanism for combinatorial t-way test suite generation
  • 2017
  • Ingår i: Information Sciences. - : Elsevier. - 0020-0255 .- 1872-6291. ; 399, s. 121-153
  • Tidskriftsartikel (refereegranskat)abstract
    • Recently, many meta-heuristic algorithms have been proposed to serve as the basis of a t-way test generation strategy (where t indicates the interaction strength) including Genetic Algorithms (GA), Ant Colony Optimization (ACO), Simulated Annealing (SA), Cuckoo Search (CS), Particle Swarm Optimization (PSO), and Harmony Search (HS). Although useful, meta heuristic algorithms that make up these strategies often require specific domain knowledge in order to allow effective tuning before good quality solutions can be obtained. Hyper heuristics provide an alternative methodology to meta-heuristics which permit adaptive selection and/or generation of meta-heuristics automatically during the search process. This paper describes our experience with four hyper-heuristic selection and acceptance mechanisms namely Exponential Monte Carlo with counter (EMCQ), Choice Function (CF), Improvement Selection Rules (ISR), and newly developed Fuzzy Inference Selection (FIS), using the t-way test generation problem as a case study. Based on the experimental results, we offer insights on why each strategy differs in terms of its performance. (C) 2017 Elsevier Inc. All rights reserved.
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10.
  • Zamli, Kamal Z., et al. (författare)
  • Fuzzy adaptive teaching learning-based optimization strategy for the problem of generating mixed strength t-way test suites
  • 2017
  • Ingår i: Engineering applications of artificial intelligence. - : Elsevier. - 0952-1976 .- 1873-6769. ; 59, s. 35-50
  • Tidskriftsartikel (refereegranskat)abstract
    • The teaching learning-based optimization (TLBO) algorithm has shown competitive performance in solving numerous real-world optimization problems. Nevertheless, this algorithm requires better control for exploitation and exploration to prevent premature convergence (i.e., trapped in local optima), as well as enhance solution diversity. Thus, this paper proposes a new TLBO variant based on Mamdani fuzzy inference system, called ATLBO, to permit adaptive selection of its global and local search operations. In order to assess its performances, we adopt ATLBO for the mixed strength t-way test generation problem. Experimental results reveal that ATLBO exhibits competitive performances against the original TLBO and other meta-heuristic counterparts.
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