| 1. |
- Ademuyiwa, Adesoji O., et al.
(författare)
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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
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Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results: This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions: Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.
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| 2. |
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| 3. |
- Bartsch, Adam, et al.
(författare)
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Head impact doses and 'no-go' deficits in Olympic and Non-Olympic sport athletes
- 2021
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Konferensbidrag (refereegranskat)abstract
- Background: The relationship between head impact dose andobservable functional deficits remains unclear. While studieshave almost exclusively examined American football athletes,in Olympic athletes there are almost no data that explore thisrelationship.Objective: We aimed to use an impact monitoring mouthguard(IMM) to quantify head impact doses in Olympic and non-Olympic Sports, identifying high-energy impacts on video as‘No-go’ per the NFL protocol.Design: Retrospective meta-analysis from American football,basketball, boxing, ice hockey, karate, lacrosse, mixed martialarts, rugby, tae-kwon-do, soccer.Setting: Sporting field.Patients (or Participants): 4500 impacts over 800 player-games.Interventions (or Assessment of Risk Factors): Impact doseswhere the athlete was observed as ‘no-go’.Main Outcome Measurements: Kinetic energy transfer (KE),risk-weighted exposure (RWE), peak scalar linear acceleration(PLA), peak scalar linear velocity (PLV), peak scalar angularacceleration (PAA), peak scalar angular velocity (PAV), impactlocation, impact direction, ‘No-go’ status.Results: The median KE, RWE, PLA, PAA, PLV and PAV was 5J, 0.0002, 20 g, 1500 rad/s2, 10 rad/s and 1.5 m/s, respectively.American football athletes sustained the highest energyimpact doses, boxers and mixed-martial artists sustained thehighest cumulative dose for a day of competition. Ice hockeyhad the highest rate of ‘no-go’ impacts versus total impactscollected. Karate had the highest rotational kinematics. Of thenine (9) highest energy impacts to the side and rear of thehead, all were ‘no-go’ impacts. Of the top eight (8) highestenergy impacts to the front of the head, none were ‘no-go’impacts.Conclusions: ‘No-go’ observations occurred in high energyimpact doses to the rear and the sides of the head, while similarimpact doses to the forehead seemed tolerable. ProspectiveOlympic athlete impact monitoring could help identify riskyexposures.
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| 4. |
- Bettegowda, Chetan, et al.
(författare)
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Detection of circulating tumor DNA in early- and late-stage human malignancies
- 2014
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Ingår i: Science Translational Medicine. - : American Association for the Advancement of Science (AAAS). - 1946-6234 .- 1946-6242. ; 6:224, s. 224ra24-
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Tidskriftsartikel (refereegranskat)abstract
- The development of noninvasive methods to detect and monitor tumors continues to be a major challenge in oncology. We used digital polymerase chain reaction-based technologies to evaluate the ability of circulating tumor DNA (ctDNA) to detect tumors in 640 patients with various cancer types. We found that ctDNA was detectable in >75% of patients with advanced pancreatic, ovarian, colorectal, bladder, gastroesophageal, breast, melanoma, hepatocellular, and head and neck cancers, but in less than 50% of primary brain, renal, prostate, or thyroid cancers. In patients with localized tumors, ctDNA was detected in 73, 57, 48, and 50% of patients with colorectal cancer, gastroesophageal cancer, pancreatic cancer, and breast adenocarcinoma, respectively. ctDNA was often present in patients without detectable circulating tumor cells, suggesting that these two biomarkers are distinct entities. In a separate panel of 206 patients with metastatic colorectal cancers, we showed that the sensitivity of ctDNA for detection of clinically relevant KRAS gene mutations was 87.2% and its specificity was 99.2%. Finally, we assessed whether ctDNA could provide clues into the mechanisms underlying resistance to epidermal growth factor receptor blockade in 24 patients who objectively responded to therapy but subsequently relapsed. Twenty-three (96%) of these patients developed one or more mutations in genes involved in the mitogen-activated protein kinase pathway. Together, these data suggest that ctDNA is a broadly applicable, sensitive, and specific biomarker that can be used for a variety of clinical and research purposes in patients with multiple different types of cancer.
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| 5. |
- Cameron, J., et al.
(författare)
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A biometric approach to laboratory rodent identification
- 2007
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Ingår i: Lab animal. - New York : Nature Publishing Group. - 0093-7355 .- 1548-4475. ; 36:3, s. 36-40
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Tidskriftsartikel (refereegranskat)abstract
- Individual identification of laboratory rodents typically involves invasive methods, such as tattoos, ear clips, and implanted transponders. Beyond the ethical dilemmas they may present, these methods may cause pain or distress that confounds research results. The authors describe a prototype device for biometric identification of laboratory rodents that would allow researchers to identify rodents without the complications of other methods. The device, which uses the rodent's ear blood vessel pattern as the identifier, is fast, automatic, noninvasive, and painless.
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| 6. |
- Golightly, Yvonne M., et al.
(författare)
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Association of Traumatic Knee Injury With Radiographic Evidence of Knee Osteoarthritis in Military Officers
- 2023
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Ingår i: Arthritis Care and Research. - : Wiley. - 2151-464X .- 2151-4658. ; 75:8, s. 1744-1751
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The association between knee injury and knee osteoarthritis (OA) is understudied relative to its importance, particularly in younger populations. This study was undertaken to examine the association of knee injury with radiographic features of knee OA in military officers, who have a physically demanding profession and high rates of knee injury. Methods: Participants were recruited in 2015–2017 from an existing program that enrolled 6,452 military officers during 2004–2009. Officers with a history of knee ligament or meniscal injuries (n = 117 via medical record review) were compared to officers with no history of knee injury (n = 143). Bilateral posteroanterior knee radiographs were obtained using a standardized fixed-flexion positioning frame. All images were read for Kellgren/Lawrence (K/L) grade, osteophyte (OST), and joint space narrowing (JSN) scores. Data were analyzed using linear-risk regression models with generalized estimating equations. Results: Injured and noninjured participants were similar (mean age 28 years, mean body mass index 25 kg/m2, ~40% female). The mean time from first knee injury to imaging among injured participants was 9.2 years. Compared with noninjured knees, greater prevalence of radiographic OA (K/L grade ≥ 2), OST (grade ≥ 1), and JSN (grade ≥ 1) was observed among injured knees, with prevalence differences of +16% (95% confidence interval [95% CI] 10%, 22%), +29% (95% CI 20%, 38%), and + 17% (95% CI 10%, 24%), respectively. Approximately 1 in 6 officers with prior knee injury progressed to radiographic OA by age 30 years. Conclusion: At the midpoint of a projected 20-year military career, officers with a history of traumatic knee injury have a markedly increased prevalence of knee radiographic OA compared to officers without injury.
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| 7. |
- Hudson, Lawrence N, et al.
(författare)
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The database of the PREDICTS (Projecting Responses of Ecological Diversity In Changing Terrestrial Systems) project
- 2017
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Ingår i: Ecology and Evolution. - : John Wiley & Sons. - 2045-7758. ; 7:1, s. 145-188
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Tidskriftsartikel (refereegranskat)abstract
- The PREDICTS project-Projecting Responses of Ecological Diversity In Changing Terrestrial Systems (www.predicts.org.uk)-has collated from published studies a large, reasonably representative database of comparable samples of biodiversity from multiple sites that differ in the nature or intensity of human impacts relating to land use. We have used this evidence base to develop global and regional statistical models of how local biodiversity responds to these measures. We describe and make freely available this 2016 release of the database, containing more than 3.2 million records sampled at over 26,000 locations and representing over 47,000 species. We outline how the database can help in answering a range of questions in ecology and conservation biology. To our knowledge, this is the largest and most geographically and taxonomically representative database of spatial comparisons of biodiversity that has been collated to date; it will be useful to researchers and international efforts wishing to model and understand the global status of biodiversity.
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| 8. |
- Nilsson, Kenneth, 1951-, et al.
(författare)
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Biometric identification of mice
- 2006
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Ingår i: The 18th International Conference on Pattern Recognition. - Los Alamitos, Calif. : IEEE Computer Society. - 0769525210 ; , s. 465-468
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Konferensbidrag (refereegranskat)abstract
- We present a new application area for biometric recognition: the identification of laboratory animals to replace today's invasive methods. Through biometric identification a non invasive identification technique is applied with a code space that is restricted only by the uniqueness of the biometric identifier in use, and with an error rate that is predictable. In this work we present the blood vessel pattern in a mouse-ear as a suitable biometric identifier used for mouse identification. Genuine and impostor score distributions are presented using a total of 50 mice. An EER of 2.5% is reported for images captured at the same instance of time which verifies the distinctive property of the biometric identifier.
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| 9. |
- Okebiorun, Michael, et al.
(författare)
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Selective Optical Imaging for Detection of Bacterial Biofilms in Tissues
- 2023
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Ingår i: Journal of Imaging. - : MDPI. - 2313-433X. ; 9:8
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Tidskriftsartikel (refereegranskat)abstract
- Significance: The development of an imaging technique to accurately identify biofilm regions on tissues and in wounds is crucial for the implementation of precise surface-based treatments, leading to better patient outcomes and reduced chances of infection. Aim: The goal of this study was to develop an imaging technique that relies on selective trypan blue (TB) staining of dead cells, necrotic tissues, and bacterial biofilms, to identify biofilm regions on tissues and wounds. Approach: The study explored combinations of ambient multi-colored LED lights to obtain maximum differentiation between stained biofilm regions and the underlying chicken tissue or glass substrate during image acquisition. The TB imaging results were then visually and statistically compared to fluorescence images using a shape similarity measure. Results: The comparisons between the proposed TB staining method and the fluorescence standard used to detect biofilms on tissues and glass substrates showed up to 97 percent similarity, suggesting that the TB staining method is a promising technique for identifying biofilm regions. Conclusions: The TB staining method demonstrates significant potential as an effective imaging technique for the identification of fluorescing and non-fluorescing biofilms on tissues and in wounds. This approach could lead to improved precision in surface-based treatments and better patient outcomes.
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| 10. |
- Savolainen, Vincent, et al.
(författare)
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Phylogeny of the eudicots : a nearly complete familial analysis based on rbcL gene sequences
- 2000
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Ingår i: Kew bulletin. - 0075-5974 .- 1874-933X. ; 55:2, s. 257-309
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Tidskriftsartikel (refereegranskat)abstract
- A phylogenetic analysis of 589 plastid rbcL gene sequences representing nearly all eudicot families (a total of 308 families; seven photosynthetic and four parasitic families are missing) was performed, and bootstrap re-sampling was used to assess support for clades. Based on these data, the ordinal classification of eudicots is revised following the previous classification of angiosperms by the Angiosperm Phylogeny Group (APG). Putative additional orders are discussed (e.g. Dilleniales, Escalloniales, Vitales), and several additional families are assigned to orders for future updates of the APG classification. The use of rbcL alone in such a large matrix was found to be practical in discovering and providing bootstrap support for most orders. Combination of these data with other matrices for the rest of the angiosperms should provide the framework for a complete phylogeny to be used in macro-evolutionary studies.
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