| 1. |
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- 2019
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Tidskriftsartikel (refereegranskat)
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| 2. |
- Ahmad, Abrar, et al.
(författare)
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Precision Prognostics for Cardiovascular Disease in Type 2 Diabetes : A Systematic Review and Meta-analysis
- 2023
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- BACKGROUND: Precision medicine has the potential to improve cardiovascular disease (CVD) risk prediction in individuals with type 2 diabetes (T2D).METHODS: We conducted a systematic review and meta-analysis of longitudinal studies to identify potentially novel prognostic factors that could improve CVD risk prediction in T2D. Out of 9380 studies identified, 416 studies met inclusion criteria. Outcomes were reported for 321 biomarker studies, 48 genetic marker studies, and 47 risk score/model studies.Out of all evaluated biomarkers, only 13 showed improvement in prediction performance. Results of pooled meta-analyses, non-pooled analyses, and assessments of improvement in prediction performance and risk of bias, yielded the highest predictive utility for N-terminal pro b-type natriuretic peptide (NT-proBNP) (high-evidence), troponin-T (TnT) (moderate-evidence), triglyceride-glucose (TyG) index (moderate-evidence), Genetic Risk Score for Coronary Heart Disease (GRS-CHD) (moderate-evidence); moderate predictive utility for coronary computed tomography angiography (low-evidence), single-photon emission computed tomography (low-evidence), pulse wave velocity (moderate-evidence); and low predictive utility for C-reactive protein (moderate-evidence), coronary artery calcium score (low-evidence), galectin-3 (low-evidence), troponin-I (low-evidence), carotid plaque (low-evidence), and growth differentiation factor-15 (low-evidence). Risk scores showed modest discrimination on internal validation, with lower performance on external validation.CONCLUSIONS: Despite high interest in this topic, very few studies conducted rigorous analyses to demonstrate incremental predictive utility beyond established CVD risk factors for T2D. The most promising markers identified were NT-proBNP, TnT, TyG and GRS-CHD, with the highest strength of evidence for NT-proBNP. Further research is needed to determine their clinical utility in risk stratification and management of CVD in T2D.PLAIN LANGUAGE SUMMARY: Patients with T2D are at high risk for CVD but predicting who will experience a cardiac event is challenging. Current risk tools and prognostic factors, such as laboratory tests, may not accurately predict risk in different patient populations. There is a need for personalized risk prediction tools to identify patients more accurately so that CVD prevention can be targeted to those who need it most. This study examined novel biomarkers, genetic markers, and risk scores on the prediction of CVD in individuals with T2D. We found that four laboratory markers and a genetic risk score for CHD had high predictive utility beyond traditional CVD risk factors and that risk scores had modest predictive utility when tested in diverse populations, but more studies are needed to determine their usefulness in clinical practice. The highest strength of evidence was observed for NT-proBNP, a laboratory test currently used to monitor patients with heart failure but not currently used in clinical practice for the purpose of CVD prediction in T2D.
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| 3. |
- Ahmad, Abrar, et al.
(författare)
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Precision prognostics for cardiovascular disease in Type 2 diabetes : a systematic review and meta-analysis
- 2024
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Ingår i: Communications medicine. - 2730-664X. ; 4
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Precision medicine has the potential to improve cardiovascular disease (CVD) risk prediction in individuals with Type 2 diabetes (T2D).METHODS: We conducted a systematic review and meta-analysis of longitudinal studies to identify potentially novel prognostic factors that may improve CVD risk prediction in T2D. Out of 9380 studies identified, 416 studies met inclusion criteria. Outcomes were reported for 321 biomarker studies, 48 genetic marker studies, and 47 risk score/model studies.RESULTS: Out of all evaluated biomarkers, only 13 showed improvement in prediction performance. Results of pooled meta-analyses, non-pooled analyses, and assessments of improvement in prediction performance and risk of bias, yielded the highest predictive utility for N-terminal pro b-type natriuretic peptide (NT-proBNP) (high-evidence), troponin-T (TnT) (moderate-evidence), triglyceride-glucose (TyG) index (moderate-evidence), Genetic Risk Score for Coronary Heart Disease (GRS-CHD) (moderate-evidence); moderate predictive utility for coronary computed tomography angiography (low-evidence), single-photon emission computed tomography (low-evidence), pulse wave velocity (moderate-evidence); and low predictive utility for C-reactive protein (moderate-evidence), coronary artery calcium score (low-evidence), galectin-3 (low-evidence), troponin-I (low-evidence), carotid plaque (low-evidence), and growth differentiation factor-15 (low-evidence). Risk scores showed modest discrimination, with lower performance in populations different from the original development cohort.CONCLUSIONS: Despite high interest in this topic, very few studies conducted rigorous analyses to demonstrate incremental predictive utility beyond established CVD risk factors for T2D. The most promising markers identified were NT-proBNP, TnT, TyG and GRS-CHD, with the highest strength of evidence for NT-proBNP. Further research is needed to determine their clinical utility in risk stratification and management of CVD in T2D.
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| 4. |
- Chen, Shuhui, et al.
(författare)
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First-principles analysis of the stability and hydrogen adsorption properties of the α-Ti/α2-Ti3Al interface towards clarified hydrogen embrittlement mechanism of titanium alloys
- 2024
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Ingår i: International journal of hydrogen energy. - : Elsevier BV. - 0360-3199 .- 1879-3487. ; 72, s. 338-348
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Tidskriftsartikel (refereegranskat)abstract
- First-principles calculations were employed to investigate the adsorption and diffusion energy of hydrogen (H) in the Ti/Ti3Al binary system, along with the evolution of the interfacial stability induced by the presence of H. The penetration energy barrier indicates that H can more easily penetrate the substrate through the Ti/Ti3Al interface. The formation energy of H increases with distance from the interface and the Ti/Ti3Al interface acts as a sink for trapping hydrogen interstitials. When all interstitial sites are completely occupied by H, the cleavage energy along the interface decreases from 1.935 to 1.094 J/m2, suggesting that H doping significantly reduces the strength of the Ti-Ti3Al (01–10) interface. When the area density of H-doping at the interface exceeds 0.37 atoms/Å2, the α-Ti lattice expands. Consistent with experimental observations, this triggers atomic migration and the generation of Ti-hydrides. Further analysis of the atomic structure and Bader charge transfers indicate that the interaction of Ti and H can alter the localized electronic structure of Al, leading to a weakened interface due to loss of interface bond strength. In summary, the theoretical calculations have provided new insights into possible hydrogen embrittlement (HE) mechanism in titanium alloys.
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| 5. |
- Chen, Sichun, et al.
(författare)
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Spatiotemporal Changes in Precipitation and Temperature in the Huaibei Plain and the Relation between Local Precipitation and Global Teleconnection Patterns
- 2019
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Ingår i: Journal of Hydrologic Engineering. - 1084-0699. ; 24:8
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Tidskriftsartikel (refereegranskat)abstract
- The Huaibei Plain is one of the most severe water scarcity areas in China. Understanding of hydroclimatic variation in this area at different timescales and its relationship with global teleconnection patterns are important for assessment of water resources utilization. In this study, spatiotemporal changes of seasonal and annual precipitation and temperature, including trend, abrupt change, variability, and periodicity were examined to recognize the potential remarkable changes during the last 41 years. The relationship between precipitation in the Huaibei Plain and teleconnection patterns using climate indexes was revealed by applying singular value decomposition. Results showed a nonsignificant annual precipitation increase about 2.4 mm/year. The annual average temperature increased about 1.2°C during 1970-2010. The abrupt change of annual precipitation mainly occurred during the 1970s and 1980s, while the primary mutation points for temperature were detected in 1990s, especially in 1997. The mean areal precipitation is characterized by a statistically significant 2- to 4-year periodicity at different phases, and the 2- to 5-year band is the major cycle for annual average temperature in this region. A statistically strong 5- to 8-year periodicity for precipitation could be detected from the middle of the 1980s to the end of the 1990s. Precipitation has positive correlation with the West Pacific Pattern and El Nino Southern Oscillation. The investigated results might have considerable implications for managing water resources in the Huaibei Plain.
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| 6. |
- Tobias, Deirdre K, et al.
(författare)
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Second international consensus report on gaps and opportunities for the clinical translation of precision diabetes medicine
- 2023
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Ingår i: Nature Medicine. - 1546-170X. ; 29:10, s. 2438-2457
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Forskningsöversikt (refereegranskat)abstract
- Precision medicine is part of the logical evolution of contemporary evidence-based medicine that seeks to reduce errors and optimize outcomes when making medical decisions and health recommendations. Diabetes affects hundreds of millions of people worldwide, many of whom will develop life-threatening complications and die prematurely. Precision medicine can potentially address this enormous problem by accounting for heterogeneity in the etiology, clinical presentation and pathogenesis of common forms of diabetes and risks of complications. This second international consensus report on precision diabetes medicine summarizes the findings from a systematic evidence review across the key pillars of precision medicine (prevention, diagnosis, treatment, prognosis) in four recognized forms of diabetes (monogenic, gestational, type 1, type 2). These reviews address key questions about the translation of precision medicine research into practice. Although not complete, owing to the vast literature on this topic, they revealed opportunities for the immediate or near-term clinical implementation of precision diabetes medicine; furthermore, we expose important gaps in knowledge, focusing on the need to obtain new clinically relevant evidence. Gaps include the need for common standards for clinical readiness, including consideration of cost-effectiveness, health equity, predictive accuracy, liability and accessibility. Key milestones are outlined for the broad clinical implementation of precision diabetes medicine.
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| 7. |
- Zhang, Hongbo, et al.
(författare)
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The formation of hydride and its influence on Ti-6Al-4V alloy fracture behavior
- 2023
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Ingår i: International journal of hydrogen energy. - : Elsevier BV. - 0360-3199 .- 1879-3487. ; 48:92, s. 36169-36184
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Tidskriftsartikel (refereegranskat)abstract
- The fracture mechanism of hydrogen charged Ti-6Al-4V has been investigated through a multianalytical approach. The difference in hydrogen solubility between 13 phase (high solubility) anda phase (low) governs the formation and growth pattern of titanium hydrides, and determine the fracture mode of Ti-6Al-4V. Depending on the hydrogen charging extent, the penetration of hydrogen and distribution of hydrides can be divided into three stages. In the initial stage hydrogen diffuses mainly into the 13 phase, as judged from its increase in Volta potential, and with no hydrides formed. Failure analysis after tensile tests exhibits plastic behavior and a fracture surface with mainly dimples. In the subsequent transition stage, hydrides are formed at the a/13 interfaces and along a grain boundaries. More initial cracks occur in the brittle hydrides and the fracture surface transforms from dimple to quasi-cleavage. In the final stage a layer of uniformly distributed hydride is produced on the surface and within the a phase. Supported by nanoindentation measurements, the plasticity of the charged sample diminishes with hydrogen charging time, and an intergranular-transgranular mixed fracture is observed. Overall, the study forms clear evidence that the distribution and cracks of hydrides influence the fracture mode of the Ti-6A-4V alloy.
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