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- Parker, W. A. E., et al.
(författare)
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Prevalence of microspirometry-defined chronic obstructive pulmonary disease in two European cohorts of patients with significant smoking history hospitalised for acute myocardial infarction
- 2023
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Ingår i: Thorax. - : BMJ Publishing Group Ltd. - 0040-6376 .- 1468-3296. ; 78:Suppl. 4, s. A66-A66
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: Smoking is a major risk factor for both chronic obstructive pulmonary disease (COPD) and myocardial infarction (MI). Systemic inflammation also contributes to both diseases and has been suggested as a potential target for intervention. Prevalence of COPD in those with a significant smoking history hospitalised for MI has not been well-characterised. We sought to obtain an accurate estimate of COPD burden in this group and characterise the population.Methods: Two consecutive cohorts of patients hospitalised for MI with a smoking history of ≥10 pack-years were recruited in Sweden and the United Kingdom (UK). Baseline characteristics were recorded, including treatment with inhaled corticosteroids (ICS) and eosinophil count in blood. Microspirometry was performed using the Vitalograph COPD-6 device and symptom burden assessed using the COPD Assessment Test (CAT). The primary outcome was the prevalence of a preliminary diagnosis of clinically-significant COPD, here defined as a ratio of forced expiratory volume in 1 and 6 seconds (FEV1/FEV6) <0.7 and with FEV1 <80% of predicted value.Results: In the UK cohort, 216 participants with MI (26% female, median age 60 (IQR 53–67) years, smoking history 32 (23–45) pack-years) were recruited. The proportion with any COPD was 36%. Clinically-significant COPD was found in 30 participants (13.9%, 95% CI 9.5–19.2). Of these, 43% had a prior COPD diagnosis, 20% had an eosinophil count ≥300 cells/mm3, mean CAT score was 14.4 ± 9.3), 80% had high symptom burden (CAT score >10) and 23% were receiving ICS. The Swedish cohort included 302 participants with MI (24% female, median age 68 (IQR 61–76) years, 26 (15–38) pack years), and clinically-significant COPD was found in 52 (17.2%; 12.9–21.5). In these 52 participants, 17% had a prior COPD diagnosis, 20% had an eosinophil count ≥300 cells/mm3, mean CAT score was 12.9 ± 7.2, 63% had CAT score ≥10 and 15% had treatment with ICS.Conclusions: The prevalence of preliminary diagnosis of clinically-significant COPD in patients with a ≥10 pack-year smoking history hospitalised for MI is similar between two European cohorts and under-recognised. Further work is warranted to determine whether identification and treatment of COPD improves clinical outcomes following MI.
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- Björnsson, Andreas, 1981-, et al.
(författare)
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Low-cost Automation for Prepreg Handling - Two Cases from the Aerospace Industry
- 2015
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Ingår i: SAE International Journal of Materials & Manufacturing. - Warrendale, USA : SAE International. - 1946-3979 .- 1946-3987. ; 9:1, s. 68-74
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Tidskriftsartikel (refereegranskat)abstract
- With an increased use of composite materials within the aerospace industry follows a need for rational and cost-effective methods for composite manufacturing. Manual operations are still common for low to medium manufacturing volumes and complex products. Manual operations can for example be found in material handling, when picking prepreg plies from a cutter table and stacking them to form a plane laminate in preparation for a subsequent forming operation. Stacking operations of this kind often involves a great number of different ply geometries and removal of backing paper and other protecting materials like plastic. In this paper two different demonstrator cells for automated picking of prepreg plies and stacking of plane laminates are presented. One demonstrator is utilizing a standard industrial robot and an advanced end-effector to handle the ply variants. The other demonstrator is using a dual arm robot which allow for simpler end-effector design. In combination with a previously developed system for automated removal of backing papers both systems have shown to be capable of automatically picking prepreg plies from a plane surface and stack them to generate a flat multistack laminate. The dual arm approach has shown advantageous since it result in simpler end-effector design and a successive lay down sequence that result in good adhesion between the plies in the laminate. null.
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