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- Beumer, B. R., et al.
(författare)
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Impact of muscle mass on survival of patients with hepatocellular carcinoma after liver transplantation beyond the Milan criteria
- 2022
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Ingår i: Journal of Cachexia, Sarcopenia and Muscle. - : Wiley. - 2190-5991 .- 2190-6009. ; 13:5, s. 2373-2382
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Tidskriftsartikel (refereegranskat)abstract
- Background: Access to the liver transplant waitlist for patients with hepatocellular carcinoma (HCC) depends on tumour presentation, biology, and response to treatments. The Milan Criteria (MC) represent the benchmark for expanded criteria that incorporate additional prognostic factors. The purpose of this study was to determine the added value of skeletal muscle index (SMI) in HCC patients beyond the MC. Method: Patients with HCC that were transplanted beyond the MC were included in this retrospective multicentre study. SMI was quantified using the Computed Tomography (CT) within 3months prior to transplantation. Cox regression models were used to identify predictors of overall survival (OS). The discriminative performance of SMI extended Metroticket 2.0 and AFP models was also assessed. Results: Out of 889 patients transplanted outside the MC, 528 had a CT scan within 3months prior to liver transplantation (LT), of whom 176 (33%) were classified as sarcopenic. The median time between assessment of the SMI and LT was 1.8months (IQR: 0.77–2.67). The median follow-up period was 5.1 95% CI [4.7–5.5] years, with a total of 177 recorded deaths from any cause. In a linear regression model with SMI as the dependent variable, only male gender (8.55 95% CI [6.51–10.59], P<0.001) and body mass index (0.74 95% CI [0.59–0.89], P<0.001) were significant. Univariable survival analysis of patients with sarcopenia versus patients without sarcopenia showed a significant difference in OS (HR 1.44 95% CI [1.07−1.94], P=0.018). Also the SMI was significant (HR 0.98 95% CI [0.96–0.99], P=0.014). The survival difference between the lowest SMI quartile versus the highest SMI quartile was significant (log-rank: P=0.005) with 5year OS of 57% and 71%, respectively. Data from 423 patients, describing 139 deaths, was used for multivariate analysis. Both sarcopenia (HR 1.45 95% CI [1.02−2.05], P=0.036) and SMI were (HR 0.98 95% CI [0.95–0.99], P=0.035) significant. On the survival scale this translates to a 5year OS difference of 11% between sarcopenia and no sarcopenia. Whereas for SMI, this translates to a survival difference of 8% between first and third quartiles for both genders. Conclusions: Overall, we can conclude that higher muscle mass contributes to a better long-term survival. However, for individual patients, low muscle mass should not be considered an absolute contra-indication for LT as its discriminatory performance was limited.
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- Vernant, P, et al.
(författare)
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Present-day crustal deformation and plate kinematics in the Middle East constrained by GPS measurements in Iran and northern Oman
- 2004
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Ingår i: Geophysical Journal International. - 0956-540X .- 1365-246X. ; 157:1, s. 381-398
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Tidskriftsartikel (refereegranskat)abstract
- A network of 27 GPS sites was implemented in Iran and northern Oman to measure displacements in this part of the Alpine–Himalayan mountain belt. We present and interpret the results of two surveys performed in 1999 September and 2001 October. GPS sites in Oman show northward motion of the Arabian Plate relative to Eurasia slower than the NUVEL-1A estimates (e.g. 22 ± 2 mm yr−1 at N8°± 5°E instead of 30.5 mm yr−1 at N6°E at Bahrain longitude). We define a GPS Arabia–Eurasia Euler vector of 27.9°± 0.5°N, 19.5°± 1.4°E, 0.41°± 0.1° Myr−1. The Arabia–Eurasia convergence is accommodated differently in eastern and western Iran. East of 58°E, most of the shortening is accommodated by the Makran subduction zone (19.5 ± 2 mm yr−1) and less by the Kopet-Dag (6.5 ± 2 mm yr−1). West of 58°E, the deformation is distributed in separate fold and thrust belts. At the longitude of Tehran, the Zagros and the Alborz mountain ranges accommodate 6.5 ± 2 mm yr−1 and 8 ± 2 mm yr−1 respectively. The right-lateral displacement along the Main Recent Fault in the northern Zagros is about 3 ± 2 mm yr−1, smaller than what was generally expected. By contrast, large right-lateral displacement takes place in northwestern Iran (up to 8 ± mm yr−1). The Central Iranian Block is characterized by coherent plate motion (internal deformation <2 mm yr−1). Sites east of 61°E show very low displacements relative to Eurasia. The kinematic contrast between eastern and western Iran is accommodated by strike-slip motions along the Lut Block. To the south, the transition zone between Zagros and Makran is under transpression with right-lateral displacements of 11 ± 2 mm yr−1.
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- Bayer, R, et al.
(författare)
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Active deformation in Zagros-Makran transition zone inferred from GPS measurements
- 2006
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Ingår i: Geophysical Journal International. ; 165:1, s. 373-381
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Tidskriftsartikel (refereegranskat)abstract
- The Bandar Abbas-Strait of Hormuz zone is considered as a transition between the Zagros collision and the Makran oceanic subduction. We used GPS network measurements collected in 2000 and 2002 to better understand the distribution of the deformation between the collision zone and the Makran subduction. Analysing the GPS velocities, we show that transfer of the deformation is mainly accommodated along the NNW–SSE-trending reverse right-lateral Zendan–Minab–Palami (ZMP) fault system. The rate is estimated to 10 ± 3 mm yr−1 near the faults. Assuming that the ZMP fault system transfers the motion between the Makran–Lut Block and the Arabian plate, we estimate to 15 mm yr−1 and 6 mm yr−1, respectively, the dextral strike-slip and shortening components of the long-term transpressive displacement. Our geodetic measurements suggest also a 10–15 km locking depth for the ZMP fault system. The radial velocity pattern and the orientation of compressive strain axes around the straight of Hormuz is probably the consequence of the subducting Musandam promontory. The N–S Jiroft–Sabzevaran (JS) fault system prolongates southwards the dextral shear motion of the Nayband–Gowk (NG) fault system at an apparent rate of 3.1 ± 2.5 mm yr−1. The change from strong to weak coupling for underthrusting the Arabian plate beneath the Zagros (strong) and the Makran (weak) may explain the dextral motion along the ZMP, JS/NG and Neh–Zahedan fault systems which transfer the convergence from a broad zone in the western Iran (Zagros, Tabriz fault system, Alborz, Caucasus and Caspian sea surroundings) to Makran subduction.
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- Ma, G. B., et al.
(författare)
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Structure of the dimethyl sulfoxide solvated thallium(III) ion in solution and in the solid state
- 2001
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Ingår i: Inorganic Chemistry. - : American Chemical Society (ACS). - 0020-1669 .- 1520-510X. ; 40:25, s. 6432-6438
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Tidskriftsartikel (refereegranskat)abstract
- The structure and vibrational spectra of the dimethyl sulfoxide solvated thallium(III) ion have been studied in a dimethyl sulfoxide solution and in the solid state. X-ray crystallography shows a trigonal unit cell, space group R (3) over bar (No. 148), for the [TI(dmso)(6)](ClO4)(3) Compound with Z = 3, a = b = 11.9764(13) [11.8995(9)] Angstrom, c = 20.802(2) [20.467(2)] Angstrom, and V = 2584.0(5) [2509.9(4)] Angstrom (3) at 295 [150] K. The crystal structure comprises a highly symmetric hexakis(dimethyl sulfoxide)thallium(III) ion, with thallium in a 3 symmetry site and a TI-O bond distance of 2.224(3) Angstrom at 295 K. The octahedral TlO6 kernel is compressed along the threefold axis with an O-Tl-O bond angle of 96.20(11)degrees. The Tl-O-S bond angle of 120.7(2)degrees corresponds to a Tl . . .S distance of 3.292(2) Angstrom. One perchlorate ion centered on the (3) over bar axis was described by a statistically disordered model. A low-temperature EXAFS study (10 K) resulted in the TI-O and Tl . . .S distances of 2.221(4) and 3.282(6) Angstrom, respectively, consistent with a Tl-O-S bond angle of 120(1)degrees. The low Debye-Waller factors confirm a regular coordination without the disorder of the dimethyl sulfoxide ligands, which would have resulted from the alternative choice of space group R3 for the crystal structure. Raman and infrared spectra have been recorded and assigned, with the bands at 435 and 447 cm(-1) corresponding to the vibrational frequency of the symmetric and asymmetric TI-O stretching modes, respectively. EXAFS data of a 0.5 mol dm(-3) thallium(III) trifluoromethanesulfonate in a dimethyl sulfoxide solution were consistent with that of a hexasolvated ion with mean Tl-O and Tl . . .S distances of 2.22(1) and 3.33(2) Angstrom, respectively, which correspond to a mean Tl-O-S bond angle of 124(2)degrees. The anomalously large disorder parameter for the TI-O distances is consistent with a weal, pseudo-Jahn-Teller effect. The Tl-205, C-13, and H-1 NMR spectra of the complex in solution show single signals at 1886, 39.5, and 2.3 ppm, respectively.
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