| 1. |
- Feigin, Valery L., et al.
(författare)
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Global, regional, and national burden of stroke and its risk factors, 1990-2019 : a systematic analysis for the Global Burden of Disease Study 2019
- 2021
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Ingår i: Lancet Neurology. - : Elsevier. - 1474-4422 .- 1474-4465. ; 20:10, s. 795-820
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Tidskriftsartikel (refereegranskat)abstract
- Background Regularly updated data on stroke and its pathological types, including data on their incidence, prevalence, mortality, disability, risk factors, and epidemiological trends, are important for evidence-based stroke care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) aims to provide a standardised and comprehensive measurement of these metrics at global, regional, and national levels. Methods We applied GBD 2019 analytical tools to calculate stroke incidence, prevalence, mortality, disability-adjusted life-years (DALYs), and the population attributable fraction (PAF) of DALYs (with corresponding 95% uncertainty intervals [UIs]) associated with 19 risk factors, for 204 countries and territories from 1990 to 2019. These estimates were provided for ischaemic stroke, intracerebral haemorrhage, subarachnoid haemorrhage, and all strokes combined, and stratified by sex, age group, and World Bank country income level. Findings In 2019, there were 12.2 million (95% UI 11.0-13.6) incident cases of stroke, 101 million (93.2-111) prevalent cases of stroke, 143 million (133-153) DALYs due to stroke, and 6.55 million (6.00-7.02) deaths from stroke. Globally, stroke remained the second-leading cause of death (11.6% [10.8-12.2] of total deaths) and the third-leading cause of death and disability combined (5.7% [5.1-6.2] of total DALYs) in 2019. From 1990 to 2019, the absolute number of incident strokes increased by 70.0% (67.0-73.0), prevalent strokes increased by 85.0% (83.0-88.0), deaths from stroke increased by 43.0% (31.0-55.0), and DALYs due to stroke increased by 32.0% (22.0-42.0). During the same period, age-standardised rates of stroke incidence decreased by 17.0% (15.0-18.0), mortality decreased by 36.0% (31.0-42.0), prevalence decreased by 6.0% (5.0-7.0), and DALYs decreased by 36.0% (31.0-42.0). However, among people younger than 70 years, prevalence rates increased by 22.0% (21.0-24.0) and incidence rates increased by 15.0% (12.0-18.0). In 2019, the age-standardised stroke-related mortality rate was 3.6 (3.5-3.8) times higher in the World Bank low-income group than in the World Bank high-income group, and the age-standardised stroke-related DALY rate was 3.7 (3.5-3.9) times higher in the low-income group than the high-income group. Ischaemic stroke constituted 62.4% of all incident strokes in 2019 (7.63 million [6.57-8.96]), while intracerebral haemorrhage constituted 27.9% (3.41 million [2.97-3.91]) and subarachnoid haemorrhage constituted 9.7% (1.18 million [1.01-1.39]). In 2019, the five leading risk factors for stroke were high systolic blood pressure (contributing to 79.6 million [67.7-90.8] DALYs or 55.5% [48.2-62.0] of total stroke DALYs), high body-mass index (34.9 million [22.3-48.6] DALYs or 24.3% [15.7-33.2]), high fasting plasma glucose (28.9 million [19.8-41.5] DALYs or 20.2% [13.8-29.1]), ambient particulate matter pollution (28.7 million [23.4-33.4] DALYs or 20.1% [16.6-23.0]), and smoking (25.3 million [22.6-28.2] DALYs or 17.6% [16.4-19.0]). Interpretation The annual number of strokes and deaths due to stroke increased substantially from 1990 to 2019, despite substantial reductions in age-standardised rates, particularly among people older than 70 years. The highest age-standardised stroke-related mortality and DALY rates were in the World Bank low-income group. The fastest-growing risk factor for stroke between 1990 and 2019 was high body-mass index. Without urgent implementation of effective primary prevention strategies, the stroke burden will probably continue to grow across the world, particularly in low-income countries.
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| 2. |
- Saeed, Ayesha, et al.
(författare)
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Robust and efficient EBG-backed wearable antenna for ISM applications
- 2021
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Ingår i: Turkish Journal of Electrical Engineering and Computer Sciences. - : Turkiye Klinikleri. - 1300-0632 .- 1303-6203. ; 29:7, s. 3036-3052
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Tidskriftsartikel (refereegranskat)abstract
- A structurally compact, semiflexible wearable antenna composed of a distinctively miniaturized electromagnetic band gap (EBG) structure is presented in this work. Designed for body-centric applications in the 5.8 GHz band, the design draws heavily from a novel planar geometry realized on Rogers RT/duroid 5880 laminate with a compact physical footprint spanning lateral dimensions of 0.6 lambda 0 x 0.06 lambda 0. Incorporating a 2 x 2 EBG structure at the rear of the proposed design ensures sufficient isolation between the body and the antenna, doing away with the performance degradation associated with high permittivity of the tissue layer. The peculiar antenna geometry allows for reduced backward radiation and low specific absorption rate (SAR). With the inclusion of EBG, the gain of the antenna undergoes a considerable increase to 7.2 dBi with more than 95% reduction in SAR value. In addition, the front-to-back ratio also amplified to 13 dB. A rigorous analysis detailing the structural robustness is reported for varied bend angle configurations of the proposed antenna. To assess the suitability of the proposed design as a body-worn antenna, an experimental investigation is carried out on different parts of the body. Experimental findings are congruent with computationally obtained results, validating the applicability of the novel antenna structure for body-worn applications.
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| 3. |
- Saeed, Ayesha, et al.
(författare)
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Robustness-Driven Hybrid Descriptor for Noise-Deterrent Texture Classification
- 2019
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Ingår i: IEEE Access. - : IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC. - 2169-3536. ; 7, s. 110116-110127
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Tidskriftsartikel (refereegranskat)abstract
- A robustness-driven hybrid descriptor (RDHD) for noise-deterrent texture classification is presented in this paper. This paper offers the ability to categorize a variety of textures under challenging image acquisition conditions. An image is initially resolved into its low-frequency components by applying wavelet decomposition. The resulting low-frequency components are further processed for feature extraction using completed joint-scale local binary patterns (CJLBP). Moreover, a second feature set is obtained by computing the low order derivatives of the original sample. The evaluated feature sets are integrated to get a final feature vector representation. The texture-discriminating performance of the hybrid descriptor is analyzed using renowned datasets: Outex original, Outex extended, and KTH-TIPS. The experimental results demonstrate a stable and robust performance of the descriptor under a variety of noisy conditions. An accuracy of 95.86%, 32.52%, and 88.74% at noise variance of 0.025 is achieved for the given datasets, respectively. A comparison between performance parameters of the proposed paper with its parent descriptors and recently published paper is also presented.
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