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Sökning: WFRF:(Clark Sue)

  • Resultat 1-8 av 8
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1.
  • Cheng, Timothy H T, et al. (författare)
  • Common colorectal cancer risk alleles contribute to the multiple colorectal adenoma phenotype, but do not influence colonic polyposis in FAP.
  • 2015
  • Ingår i: European Journal of Human Genetics. - : Springer Science and Business Media LLC. - 1018-4813 .- 1476-5438. ; 23:2
  • Tidskriftsartikel (refereegranskat)abstract
    • The presence of multiple (5-100) colorectal adenomas suggests an inherited predisposition, but the genetic aetiology of this phenotype is undetermined if patients test negative for Mendelian polyposis syndromes such as familial adenomatous polyposis (FAP) and MUTYH-associated polyposis (MAP). We investigated whether 18 common colorectal cancer (CRC) predisposition single-nucleotide polymorphisms (SNPs) could help to explain some cases with multiple adenomas who phenocopied FAP or MAP, but had no pathogenic APC or MUTYH variant. No multiple adenoma case had an outlying number of CRC SNP risk alleles, but multiple adenoma patients did have a significantly higher number of risk alleles than population controls (P=5.7 × 10(-7)). The association was stronger in those with ≥10 adenomas. The CRC SNPs accounted for 4.3% of the variation in multiple adenoma risk, with three SNPs (rs6983267, rs10795668, rs3802842) explaining 3.0% of the variation. In FAP patients, the CRC risk score did not differ significantly from the controls, as we expected given the overwhelming effect of pathogenic germline APC variants on the phenotype of these cases. More unexpectedly, we found no evidence that the CRC SNPs act as modifier genes for the number of colorectal adenomas in FAP patients. In conclusion, common colorectal tumour risk alleles contribute to the development of multiple adenomas in patients without pathogenic germline APC or MUTYH variants. This phenotype may have 'polygenic' or monogenic origins. The risk of CRC in relatives of multiple adenoma cases is probably much lower for cases with polygenic disease, and this should be taken into account when counselling such patients.
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2.
  • Clark, Eric, et al. (författare)
  • Gentrification and revanchist urbanism in Taipei?
  • 2016
  • Ingår i: Urban Studies. - : SAGE Publications. - 0042-0980 .- 1360-063X. ; 53:3, s. 560-576
  • Tidskriftsartikel (refereegranskat)abstract
    • As policy and theory travel, comparative urbanism becomes important to address questions concerning if and how gentrification and revanchist urbanism have ‘gone South’, or ‘gone East’. In recent decades, Taipei has experienced a shift in economic base, massive urban renewal, neoliberal reforms and associated social polarisation. In this paper we ask to what extent gentrification and revanchist urbanism are relevant concepts for understanding processes of urban restructuring in this East Asian developmental state capital city. The analysis relates national and urban politics to gentrification of the Yongkang, Qingtian, Wenzhou and Huaguang neighbourhoods in Daan District, Taipei. We investigate manifestations of Atkinson’s four analytical strands of revanchist urbanism in Taipei. We conclude that revanchist urbanism has to a considerable extent formed urban development in Taipei during the last quarter century, and that unless democratising forces tame the power of finance and property capital, effectively claiming the right to the city, urban improvements by progressive movements will be valorised by the architects of revanchist urbanism: finance and property capital.
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3.
  • Pearce, Carolyn I., et al. (författare)
  • Reducing risk and uncertainty associated with nuclear waste processing and disposal : a Hanfort tank waste study
  • 2018
  • Konferensbidrag (refereegranskat)abstract
    • The Department of Energy’s Environmental Management cleanup effort is focused on developing and implementing innovative and high impact technologies and solutions that positively impact the overall mission lifecycle by: (1) reducing lifecycle costs; (2) accelerating lifecycle schedules; (3) mitigating mission uncertainties, vulnerabilities, and risks; and (4) minimizing the mortgage associated with long-term, post-closure and post-completion stewardship. Pacific Northwest National Laboratory and its partnering institutions, are focused on reducing risk and uncertainty across the integrated flowsheet which includes safe waste storage, retrieval, pretreatment, immobilization, disposal, and tank closure. In this presentation, an overview of the major Hanford flowsheet unit operations will be provided and examples of specific projects focused on reducing risks and uncertainties will be explored. For example, a key issue of Hanford tank waste processing and disposal is that, although radionuclides (e.g., technetium) drive the disposal risk for the low-activity flowsheet, the presence of ‘benign’ elements (e.g., aluminum) dictate processing limits or rates in both retrieval and pretreatment unit operations and have other potential downstream negative impacts. Thus, safe, cost-effective, and efficient waste processing depends on a fundamental understanding of aluminum chemistry in high ionic strength, highly alkaline solutions where water activity is low. Once the waste has been retrieved, processed, and immobilized, controlling the behavior of risk driving elements (e.g., Tc and/or I for low-activity waste) in the waste form and the environment becomes essential for waste form disposal or tank closure.With respect to low-activity waste form disposal, material solutions must demonstrate that the risk driving radioactive elements will be contained in a manner wholly consistent with statutory requirements. Modelling future performance remains a challenge for performance assessment (PA) formalism. An appealing option is to perform an inverse PA (IPA) and look far into the past. Archeological artifacts, analogous to wasteform materials (i.e. glass and concrete) that have been left by our ancestors and exposed to the environment for thousands of years can be used to check for comprehensiveness as well as to validate and refine predicted wasteform durability. An IPA describes the features, events and processes that have influenced the corrosion of a material over time and can help establish the most likely scenarios that should be included in PA for the future. An IPA for ancient glass from a hillfort at Broborg, Sweden (ca. 400-575 AD), used to fortify the fort walls will also be one of the key focal points of this presentation. 
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4.
  • Sise, Andrew, et al. (författare)
  • Health and well-being needs of Indigenous adolescents : a protocol for a scoping review of qualitative studies
  • 2024
  • Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 14:5
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: Improving the health of Indigenous adolescents is central to addressing the health inequities faced by Indigenous peoples. To achieve this, it is critical to understand what is needed from the perspectives of Indigenous adolescents themselves. There have been many qualitative studies that capture the perspectives of Indigenous young people, but synthesis of these has been limited to date.Methods and analysis: This scoping review seeks to understand the specific health needs and priorities of Indigenous adolescents aged 10-24 years captured via qualitative studies conducted across Australia, Aotearoa New Zealand, Canada, the USA, Greenland and Sami populations (Norway and Sweden). A team of Indigenous and non-Indigenous researchers from these nations will systematically search PubMed (including the MEDLINE, PubMed Central and Bookshelf databases), CINAHL, Embase, Scopus, the Informit Indigenous and Health Collections, Google Scholar, Arctic Health, the Circumpolar Health Bibliographic Database, Native Health Database, iPortal and NZresearch.org, as well as specific websites and clearinghouses within each nation for qualitative studies. We will limit our search to articles published in any language during the preceding 5 years given that needs may have changed significantly over time. Two independent reviewers will identify relevant articles using a two-step process, with disagreements resolved by a third reviewer and the wider research group. Data will then be extracted from included articles using a standardised form, with descriptive synthesis focussing on key needs and priorities. This scoping review will be conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines.Ethics and dissemination: Ethics approval was not required for this review. Findings will be disseminated via a peer-reviewed journal article and will inform a broader international collaboration for Indigenous adolescent health to develop evidence-based actions and solutions.
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5.
  • Vogt, Viola Lara, et al. (författare)
  • Current standards of neuropsychological assessment in epilepsy surgery centers across Europe.
  • 2017
  • Ingår i: Epilepsia. - : Wiley. - 1528-1167 .- 0013-9580. ; 58:3, s. 343-355
  • Tidskriftsartikel (refereegranskat)abstract
    • We explored the current practice with respect to the neuropsychological assessment of surgical epilepsy patients in European epilepsy centers, with the aim of harmonizing and establishing common standards. Twenty-six epilepsy centers and members of "E-PILEPSY" (a European pilot network of reference centers in refractory epilepsy and epilepsy surgery), were asked to report the status of neuropsychological assessment in adults and children via two different surveys. There was a consensus among these centers regarding the role of neuropsychology in the presurgical workup. Strong agreement was found on indications (localization, epileptic dysfunctions, adverse drugs effects, and postoperative monitoring) and the domains to be evaluated (memory, attention, executive functions, language, visuospatial skills, intelligence, depression, anxiety, and quality of life). Although 186 different tests are in use throughout these European centers, a core group of tests reflecting a moderate level of agreement could be discerned. Variability exists with regard to indications, protocols, and paradigms for the assessment of hemispheric language dominance. For the tests in use, little published evidence of clinical validity in epilepsy was provided. Participants in the survey reported a need for improvement concerning the validity of the tests, tools for the assessment of everyday functioning and accelerated forgetting, national norms, and test co-normalization. Based on the present survey, we documented a consensus regarding the indications and principles of neuropsychological testing. Despite the variety of tests in use, the survey indicated that there may be a core set of tests chosen based on experience, as well as on published evidence. By combining these findings with the results of an ongoing systematic literature review, we aim for a battery that can be recommended for the use across epilepsy surgical centers in Europe.
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8.
  • Wang, Anqi, et al. (författare)
  • Characterizing prostate cancer risk through multi-ancestry genome-wide discovery of 187 novel risk variants
  • 2023
  • Ingår i: Nature Genetics. - : Springer Nature. - 1061-4036 .- 1546-1718. ; 55:12, s. 2065-2074
  • Tidskriftsartikel (refereegranskat)abstract
    • The transferability and clinical value of genetic risk scores (GRSs) across populations remain limited due to an imbalance in genetic studies across ancestrally diverse populations. Here we conducted a multi-ancestry genome-wide association study of 156,319 prostate cancer cases and 788,443 controls of European, African, Asian and Hispanic men, reflecting a 57% increase in the number of non-European cases over previous prostate cancer genome-wide association studies. We identified 187 novel risk variants for prostate cancer, increasing the total number of risk variants to 451. An externally replicated multi-ancestry GRS was associated with risk that ranged from 1.8 (per standard deviation) in African ancestry men to 2.2 in European ancestry men. The GRS was associated with a greater risk of aggressive versus non-aggressive disease in men of African ancestry (P = 0.03). Our study presents novel prostate cancer susceptibility loci and a GRS with effective risk stratification across ancestry groups.
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