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| 2. |
- Li, Wei, et al.
(författare)
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Non-lab and semi-lab algorithms for screening undiagnosed diabetes : A cross-sectional study
- 2018
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Ingår i: EBioMedicine. - : ELSEVIER SCIENCE BV. - 2352-3964. ; 35, s. 307-316
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Tidskriftsartikel (refereegranskat)abstract
- Background: The terrifying undiagnosed rate and high prevalence of diabetes have become a public emergency. A high efficiency and cost-effective early recognition method is urgently needed. We aimed to generate innovative, user-friendly nomograms that can be applied for diabetes screening in different ethnic groups in China using the non-lab or noninvasive semi-lab data. Methods: This multicenter, multi-ethnic, population-based, cross-sectional study was conducted in eight sites in China by enrolling subjects aged 20-70. Sociodemographic and anthropometric characteristics were collected. Blood and urine samples were obtained 2 h following a standard 75 g glucose solution. In the final analysis, 10,794 participants were included and randomized into model development (n - 8096) and model validation (n = 2698) group with a ratio of 3:1. Nomograms were developed by the stepwise binary logistic regression. The nomograms were validated internally by a bootstrap sampling method in the model development set and externally in the model validation set. The area under the receiver operating characteristic curve (AUC) was used to assess the screening performance of the nomograms. Decision curve analysis was applied to calculate the net benefit of the screening model. Results: The overall prevalence of undiagnosed diabetes was 9.8% (1059/10794) according to ADA criteria. The non-lab model revealed that gender, age, body mass index, waist circumference, hypertension, ethnicities, vegetable daily consumption and family history of diabetes were independent risk factors for diabetes. By adding 2 h post meal glycosuria qualitative to the non-lab model, the semi-lab model showed an improved Akaike information criterion (AIC: 4506 to 3580). The AUC of the semi-lab model was statistically larger than the non-lab model (0.868 vs 0.763, P < 0.001). The optimal cutoff probability in semi-lab and non-lab nomograms were 0.088 and 0.098, respectively. The sensitivity and specificity were 76.3% and 81.6%, respectively in semi-lab nomogram, and 72.1% and 673% in non-lab nomogram at the optimal cut off point. The decision curve analysis also revealed a bigger decrease of avoidable OGTT test (52 per 100 subjects) in the semi-lab model compared to the non-lab model (36 per 100 subjects) and the existed New Chinese Diabetes Risk Score (NCDRS, 35 per 100 subjects). Conclusion: The non-lab and semi-lab nomograms appear to be reliable tools for diabetes screening, especially in developing countries. However, the semi-lab model outperformed the non-lab model and NCDRS prediction systems and might be worth being adopted as decision support in diabetes screening in China.
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| 3. |
- He, YQ, et al.
(författare)
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A polygenic risk score for nasopharyngeal carcinoma shows potential for risk stratification and personalized screening
- 2022
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Ingår i: Nature communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 13:1, s. 1966-
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Tidskriftsartikel (refereegranskat)abstract
- Polygenic risk scores (PRS) have the potential to identify individuals at risk of diseases, optimizing treatment, and predicting survival outcomes. Here, we construct and validate a genome-wide association study (GWAS) derived PRS for nasopharyngeal carcinoma (NPC), using a multi-center study of six populations (6 059 NPC cases and 7 582 controls), and evaluate its utility in a nested case-control study. We show that the PRS enables effective identification of NPC high-risk individuals (AUC = 0.65) and improves the risk prediction with the PRS incremental deciles in each population (Ptrend ranging from 2.79 × 10−7 to 4.79 × 10−44). By incorporating the PRS into EBV-serology-based NPC screening, the test’s positive predictive value (PPV) is increased from an average of 4.84% to 8.38% and 11.91% in the top 10% and 5% PRS, respectively. In summary, the GWAS-derived PRS, together with the EBV test, significantly improves NPC risk stratification and informs personalized screening.
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| 5. |
- Haycock, Philip C., et al.
(författare)
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Association Between Telomere Length and Risk of Cancer and Non-Neoplastic Diseases A Mendelian Randomization Study
- 2017
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Ingår i: JAMA Oncology. - : American Medical Association. - 2374-2437 .- 2374-2445. ; 3:5, s. 636-651
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Tidskriftsartikel (refereegranskat)abstract
- IMPORTANCE: The causal direction and magnitude of the association between telomere length and incidence of cancer and non-neoplastic diseases is uncertain owing to the susceptibility of observational studies to confounding and reverse causation. OBJECTIVE: To conduct a Mendelian randomization study, using germline genetic variants as instrumental variables, to appraise the causal relevance of telomere length for risk of cancer and non-neoplastic diseases. DATA SOURCES: Genomewide association studies (GWAS) published up to January 15, 2015. STUDY SELECTION: GWAS of noncommunicable diseases that assayed germline genetic variation and did not select cohort or control participants on the basis of preexisting diseases. Of 163 GWAS of noncommunicable diseases identified, summary data from 103 were available. DATA EXTRACTION AND SYNTHESIS: Summary association statistics for single nucleotide polymorphisms (SNPs) that are strongly associated with telomere length in the general population. MAIN OUTCOMES AND MEASURES: Odds ratios (ORs) and 95% confidence intervals (CIs) for disease per standard deviation (SD) higher telomere length due to germline genetic variation. RESULTS: Summary data were available for 35 cancers and 48 non-neoplastic diseases, corresponding to 420 081 cases (median cases, 2526 per disease) and 1 093 105 controls (median, 6789 per disease). Increased telomere length due to germline genetic variation was generally associated with increased risk for site-specific cancers. The strongest associations (ORs [ 95% CIs] per 1-SD change in genetically increased telomere length) were observed for glioma, 5.27 (3.15-8.81); serous low-malignant-potential ovarian cancer, 4.35 (2.39-7.94); lung adenocarcinoma, 3.19 (2.40-4.22); neuroblastoma, 2.98 (1.92-4.62); bladder cancer, 2.19 (1.32-3.66); melanoma, 1.87 (1.55-2.26); testicular cancer, 1.76 (1.02-3.04); kidney cancer, 1.55 (1.08-2.23); and endometrial cancer, 1.31 (1.07-1.61). Associations were stronger for rarer cancers and at tissue sites with lower rates of stem cell division. There was generally little evidence of association between genetically increased telomere length and risk of psychiatric, autoimmune, inflammatory, diabetic, and other non-neoplastic diseases, except for coronary heart disease (OR, 0.78 [ 95% CI, 0.67-0.90]), abdominal aortic aneurysm (OR, 0.63 [ 95% CI, 0.49-0.81]), celiac disease (OR, 0.42 [ 95% CI, 0.28-0.61]) and interstitial lung disease (OR, 0.09 [ 95% CI, 0.05-0.15]). CONCLUSIONS AND RELEVANCE: It is likely that longer telomeres increase risk for several cancers but reduce risk for some non-neoplastic diseases, including cardiovascular diseases.
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| 6. |
- Li, Bei-Bei, et al.
(författare)
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The spatial and temporal change of cropland in the Scandinavian Peninsula during 1875–1999
- 2013
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Ingår i: Regional Environmental Change. - : Springer Science and Business Media LLC. - 1436-3798 .- 1436-378X. ; 13:6, s. 1325-1336
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Tidskriftsartikel (refereegranskat)abstract
- Land use and land cover change (LUCC) has emerged as an important issue of global change with significant influences on the geochemical cycle and regional climate change. Understanding the historical changes of land use and analyzing the environmental effects of LUCC make such reconstructions important. Based on historical statistics, this article reconstructs cropland area at the municipality level (härad/kommun) in the Scandinavian Peninsula during 1875–1999. The total acreage of cropland increased 36.84 % during 1875–1930, kept stable during 1930–1950, and decreased 14.25 % during 1950–1999. The croplands of Sweden and Norway both increased before 1950 and changed in different ways during 1950–1999 when the cropland decreased by 19.79 % in Sweden but increased by 9.63 % in Norway. The counties in the south Scandinavian Peninsula owned most of the cropland, with a cropland proportion of over 20 %, and experienced relatively obvious cropland changes. Growth centers with a rate of increase of over 5 % during 1875–1910 were found in Skåne, Stockholm, the Uppsala counties in Sweden, and the area around Oslo county in Norway. The general cropland distribution showed almost no change during this period, which mainly reflects the suitability of the natural conditions for agriculture. Multi-social factors co-impacted land use activities and induced temporal and spatial variations of the cropland. These factors included food supply, world trade, wars, agriculture policies, the economic and political environment, urbanization, and national differences. Compared with the widely used global land use dataset Historical Database of the Global Environment (HYDE), this study shows different cropland change curves before 1950. This article is a case study showing that the hindcasting model of the HYDE dataset has difficulty estimating multi-determined cropland change in the Scandinavian Peninsula, and the empirical study contributes to the improvement of the accuracy of historical land use data at the regional level.
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| 9. |
- Chen, Wenjun, et al.
(författare)
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A typological framework of non-floodplain wetlands for global collaborative research and sustainable use
- 2022
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Ingår i: Environmental Research Letters. - : IOP Publishing. - 1748-9326. ; 17:11
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Forskningsöversikt (refereegranskat)abstract
- Non-floodplain wetlands (NFWs) are important but vulnerable inland freshwater systems that are receiving increased attention and protection worldwide. However, a lack of consistent terminology, incohesive research objectives, and inherent heterogeneity in existing knowledge hinder cross-regional information sharing and global collaboration. To address this challenge and facilitate future management decisions, we synthesized recent work to understand the state of NFW science and explore new opportunities for research and sustainable NFW use globally. Results from our synthesis show that although NFWs have been widely studied across all continents, regional biases exist in the literature. We hypothesize these biases in the literature stem from terminology rather than real geographical bias around existence and functionality. To confirm this observation, we explored a set of geographically representative NFW regions around the world and characteristics of research focal areas. We conclude that there is more that unites NFW research and management efforts than we might otherwise appreciate. Furthermore, opportunities for cross-regional information sharing and global collaboration exist, but a unified terminology will be needed, as will a focus on wetland functionality. Based on these findings, we discuss four pathways that aid in better collaboration, including improved cohesion in classification and terminology, and unified approaches to modeling and simulation. In turn, legislative objectives must be informed by science to drive conservation and management priorities. Finally, an educational pathway serves to integrate the measures and to promote new technologies that aid in our collective understanding of NFWs. Our resulting framework from NFW synthesis serves to encourage interdisciplinary collaboration and sustainable use and conservation of wetland systems globally.
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| 10. |
- Chen, Yifeng, et al.
(författare)
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Developing aqueous porous carbons for biogas upgrading
- 2024
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Ingår i: Separation and Purification Technology. - : Elsevier B.V.. - 1383-5866 .- 1873-3794. ; 329
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Tidskriftsartikel (refereegranskat)abstract
- Developing novel sorbents is essential for biogas upgrading. In this study, mixed sorbents of aqueous porous carbons were developed to separate CO2 from the biogas, where the porous carbon with the developed micropore structure was identified as the most desirable constituent. Both thermodynamics and kinetics were studied experimentally, and Henry’s constant (KH) and the liquid-side mass-transfer coefficient (kL) of CO2 in the mixed sorbent as well as the selectivity of CO2/CH4 were obtained accordingly. Furthermore, the CO2 separation performance was evaluated with a proposed index, and the cost of biogas upgrading using the mixed sorbent was estimated and compared. The results showed that the porous carbon with the developed micropore structure led to better performance on KH and kL of CO2 in the mixed sorbent, and the mixed sorbent with 3.03 wt% porous carbon exhibited the best CO2 separation performance, reducing 36.2 % in cost compared to the current technologies.
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