| 1. |
- Ademuyiwa, Adesoji O., et al.
(författare)
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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
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Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results: This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions: Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.
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| 2. |
- Ebersole, Charles R., et al.
(författare)
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Many Labs 5: Testing Pre-Data-Collection Peer Review as an Intervention to Increase Replicability
- 2020
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Ingår i: Advances in Methods and Practices in Psychological Science. - : Sage. - 2515-2467 .- 2515-2459. ; 3:3, s. 309-331
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Tidskriftsartikel (refereegranskat)abstract
- Replication studies in psychological science sometimes fail to reproduce prior findings. If these studies use methods that are unfaithful to the original study or ineffective in eliciting the phenomenon of interest, then a failure to replicate may be a failure of the protocol rather than a challenge to the original finding. Formal pre-data-collection peer review by experts may address shortcomings and increase replicability rates. We selected 10 replication studies from the Reproducibility Project: Psychology (RP:P; Open Science Collaboration, 2015) for which the original authors had expressed concerns about the replication designs before data collection; only one of these studies had yielded a statistically significant effect (p < .05). Commenters suggested that lack of adherence to expert review and low-powered tests were the reasons that most of these RP:P studies failed to replicate the original effects. We revised the replication protocols and received formal peer review prior to conducting new replication studies. We administered the RP:P and revised protocols in multiple laboratories (median number of laboratories per original study = 6.5, range = 3-9; median total sample = 1,279.5, range = 276-3,512) for high-powered tests of each original finding with both protocols. Overall, following the preregistered analysis plan, we found that the revised protocols produced effect sizes similar to those of the RP:P protocols (Delta r = .002 or .014, depending on analytic approach). The median effect size for the revised protocols (r = .05) was similar to that of the RP:P protocols (r = .04) and the original RP:P replications (r = .11), and smaller than that of the original studies (r = .37). Analysis of the cumulative evidence across the original studies and the corresponding three replication attempts provided very precise estimates of the 10 tested effects and indicated that their effect sizes (median r = .07, range = .00-.15) were 78% smaller, on average, than the original effect sizes (median r = .37, range = .19-.50).
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| 3. |
- Klionsky, Daniel J., et al.
(författare)
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Guidelines for the use and interpretation of assays for monitoring autophagy
- 2012
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Ingår i: Autophagy. - : Informa UK Limited. - 1554-8635 .- 1554-8627. ; 8:4, s. 445-544
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Forskningsöversikt (refereegranskat)abstract
- In 2008 we published the first set of guidelines for standardizing research in autophagy. Since then, research on this topic has continued to accelerate, and many new scientists have entered the field. Our knowledge base and relevant new technologies have also been expanding. Accordingly, it is important to update these guidelines for monitoring autophagy in different organisms. Various reviews have described the range of assays that have been used for this purpose. Nevertheless, there continues to be confusion regarding acceptable methods to measure autophagy, especially in multicellular eukaryotes. A key point that needs to be emphasized is that there is a difference between measurements that monitor the numbers or volume of autophagic elements (e.g., autophagosomes or autolysosomes) at any stage of the autophagic process vs. those that measure flux through the autophagy pathway (i.e., the complete process); thus, a block in macroautophagy that results in autophagosome accumulation needs to be differentiated from stimuli that result in increased autophagic activity, defined as increased autophagy induction coupled with increased delivery to, and degradation within, lysosomes (in most higher eukaryotes and some protists such as Dictyostelium) or the vacuole (in plants and fungi). In other words, it is especially important that investigators new to the field understand that the appearance of more autophagosomes does not necessarily equate with more autophagy. In fact, in many cases, autophagosomes accumulate because of a block in trafficking to lysosomes without a concomitant change in autophagosome biogenesis, whereas an increase in autolysosomes may reflect a reduction in degradative activity. Here, we present a set of guidelines for the selection and interpretation of methods for use by investigators who aim to examine macroautophagy and related processes, as well as for reviewers who need to provide realistic and reasonable critiques of papers that are focused on these processes. These guidelines are not meant to be a formulaic set of rules, because the appropriate assays depend in part on the question being asked and the system being used. In addition, we emphasize that no individual assay is guaranteed to be the most appropriate one in every situation, and we strongly recommend the use of multiple assays to monitor autophagy. In these guidelines, we consider these various methods of assessing autophagy and what information can, or cannot, be obtained from them. Finally, by discussing the merits and limits of particular autophagy assays, we hope to encourage technical innovation in the field.
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| 4. |
- Kloth, Karen J., et al.
(författare)
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PECTIN ACETYLESTERASE9 Affects the Transcriptome and Metabolome and Delays Aphid Feeding1[OPEN]
- 2019
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Ingår i: Plant Physiology. - Rockville : American Society of Plant Biologists. - 0032-0889 .- 1532-2548. ; 181:4, s. 1704-1720
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Tidskriftsartikel (refereegranskat)abstract
- The plant cell wall plays an important role in damage-associated molecular pattern-induced resistance to pathogens and herbivorous insects. Our current understanding of cell wall-mediated resistance is largely based on the degree of pectin methylesterification. However, little is known about the role of pectin acetylesterification in plant immunity. This study describes how one pectin-modifying enzyme, PECTIN ACETYLESTERASE 9 (PAE9), affects the Arabidopsis (Arabidopsis thaliana) transcriptome, secondary metabolome, and aphid performance. Electro-penetration graphs showed that Myzus persicae aphids established phloem feeding earlier on pae9 mutants. Whole-genome transcriptome analysis revealed a set of 56 differentially expressed genes (DEGs) between uninfested pae9-2 mutants and wild-type plants. The majority of the DEGs were enriched for biotic stress responses and down-regulated in the pae9-2 mutant, including PAD3 and IGMT2, involved in camalexin and indole glucosinolate biosynthesis, respectively. Relative quantification of more than 100 secondary metabolites revealed decreased levels of several compounds, including camalexin and oxylipins, in two independent pae9 mutants. In addition, absolute quantification of phytohormones showed that jasmonic acid (JA), jasmonoyl-Ile, salicylic acid, abscisic acid, and indole-3-acetic acid were compromised due to PAE9 loss of function. After aphid infestation, however, pae9 mutants increased their levels of camalexin, glucosinolates, and JA, and no long-term effects were observed on aphid fitness. Overall, these data show that PAE9 is required for constitutive up-regulation of defense-related compounds, but that it is not required for aphid-induced defenses. The signatures of phenolic antioxidants, phytoprostanes, and oxidative stress-related transcripts indicate that the processes underlying PAE9 activity involve oxidation-reduction reactions. PECTIN ACETYLESTERASE9 is involved in the accumulation of jasmonic acid, camalexin and antioxidants, and delays establishment of aphid phloem feeding, but is not required for aphid-induced defenses.
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| 5. |
- Kowal-Bielecka, Otylia, et al.
(författare)
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Update of EULAR recommendations for the treatment of systemic sclerosis
- 2017
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Ingår i: Annals of the Rheumatic Diseases. - : BMJ. - 0003-4967 .- 1468-2060. ; 76, s. 1327-1339
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to update the 2009 European League against Rheumatism (EULAR) recommendations for the treatment of systemic sclerosis (SSc), with attention to new therapeutic questions. Update of the previous treatment recommendations was performed according to EULAR standard operating procedures. The task force consisted of 32 SSc clinical experts from Europe and the USA, 2 patients nominated by the pan-European patient association for SSc (Federation of European Scleroderma Associations (FESCA)), a clinical epidemiologist and 2 research fellows. All centres from the EULAR Scleroderma Trials and Research group were invited to submit and select clinical questions concerning SSc treatment using a Delphi approach. Accordingly, 46 clinical questions addressing 26 different interventions were selected for systematic literature review. The new recommendations were based on the available evidence and developed in a consensus meeting with clinical experts and patients. The procedure resulted in 16 recommendations being developed (instead of 14 in 2009) that address treatment of several SSc-related organ complications: Raynaud's phenomenon (RP), digital ulcers (DUs), pulmonary arterial hypertension (PAH), skin and lung disease, scleroderma renal crisis and gastrointestinal involvement. Compared with the 2009 recommendations, the 2016 recommendations include phosphodiesterase type 5 (PDE-5) inhibitors for the treatment of SSc-related RP and DUs, riociguat, new aspects for endothelin receptor antagonists, prostacyclin analogues and PDE-5 inhibitors for SSc-related PAH. New recommendations regarding the use of fluoxetine for SSc-related RP and haematopoietic stem cell transplantation for selected patients with rapidly progressive SSc were also added. In addition, several comments regarding other treatments addressed in clinical questions and suggestions for the SSc research agenda were formulated. These updated data-derived and consensus-derived recommendations will help rheumatologists to manage patients with SSc in an evidence-based way. These recommendations also give directions for future clinical research in SSc.
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| 6. |
- Sekulic, Damir, et al.
(författare)
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Physiological and Anthropometric Determinants of Performance Levels in Professional Futsal
- 2021
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Ingår i: Frontiers in Psychology. - : Frontiers Media S.A.. - 1664-1078. ; 11, s. 1-14
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Tidskriftsartikel (refereegranskat)abstract
- There is an evident lack of studies examining the pursuit of excellence in futsal. The aims of this study were to evaluate anthropometric and physiological variables that may contribute to distinguishing among performance levels in professional futsal players and to evaluate correlates of those variables. The participants were 75 male professionals (age = 25.1 ± 5.1 years, body height = 182.3 ± 6.2 cm, body mass = 80.8 ± 10.4 kg), who were divided into performance levels using two criteria: (i) starters (first teams) vs. non-starters (substitutes) and (ii) top-level players (members of the national team and players who participated in top-level team competition in Europe) vs. high-level players (team players competing at the highest national competitive rank). Variables included anthropometrics (body height and mass, BMI, body fat percentage), generic tests of physiological capacities [5- and 10-m sprints, countermovement jump, broad jump, 20-yard test, reactive strength index (RSI)], and futsal-specific fitness tests [kicking speed by dominant and non-dominant leg, futsal-specific tests of change of direction speed, and reactive agility (FSRAG) involving/not involving dribbling the ball]. Top-level players outperformed high-level players in RSI, broad jump, kicking speed, and FSRAG involving dribbling. Starters achieved better results than non-starters in fewer variables, including kicking speed and RSI. Body fat percentage negatively influenced FSRAG involving dribbling, and RSI. FSRAG, RSI, and kicking speed were significantly correlated, indicating the similar physiological background of these capacities. The findings suggest that enhanced reactive strength and the ability to rapidly change direction speed in response to external stimulus while executing futsal-specific motor tasks (e.g., dribbling), along with players’ ability to kick the ball speedily, can be considered essential qualities required for advanced performance in futsal. Consequently, futsal strength and conditioning training should be targeted toward lowering relative body fat, maximizing lower-body reactive strength and including futsal-specific skills (e.g., dribbling, shooting) in reactive agility drills.
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| 7. |
- Sprung, Charles L., et al.
(författare)
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Attitudes of European physicians, nurses, patients, and families regarding end-of-life decisions : the ETHICATT study
- 2007
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Ingår i: Intensive Care Medicine. - Berlin : Springer. - 0342-4642 .- 1432-1238. ; 33:1, s. 104-110
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To evaluate attitudes of Europeans regarding end-of-life decisions. DESIGN AND SETTING: Responses to a questionnaire by physicians and nurses working in ICUs, patients who survived ICU, and families of ICU patients in six European countries were compared for attitudes regarding quality and value of life, ICU treatments, active euthanasia, and place of treatment. MEASUREMENTS AND RESULTS: Questionnaires were distributed to 4,389 individuals and completed by 1,899 (43%). Physicians (88%) and nurses (87%) found quality of life more important and value of life less important in their decisions for themselves than patients (51%) and families (63%). If diagnosed with a terminal illness, health professionals wanted fewer ICU admissions, uses of CPR, and ventilators (21%, 8%, 10%, respectively) than patients and families (58%, 49%, 44%, respectively). More physicians (79%) and nurses (61%) than patients (58%) and families (48%) preferred being home or in a hospice if they had a terminal illness with only a short time to live. CONCLUSIONS: Quality of life was more important for physicians and nurses than patients and families. More medical professionals want fewer ICU treatments and prefer being home or in a hospice for a terminal illness than patients and families.
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| 8. |
- Valastyán, Iván, et al.
(författare)
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A SPECT demonstrator - revival of a gamma camera
- 2006
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Ingår i: Nuclear Instruments and Methods in Physics Research Section A. - : Elsevier BV. - 0168-9002 .- 1872-9576. ; 563:1, s. 274-277
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Tidskriftsartikel (refereegranskat)abstract
- A gamma camera has been updated and converted to serve as a demonstrator for educational purposes. The gantry and the camera head were the only part of the system that remained untouched. The main reason for this modernization was to increase the transparency of the gamma camera by partitioning the different logical building blocks of the system and thus providing access for inspection and improvements throughout the chain. New data acquisition and reconstruction software has been installed. By taking these measures, the camera is now used in education and also serves as a platform for tests of new hardware and software solutions. The camera is also used to demonstrate 3D (SPECT) imaging by collecting 2D projections from a rotatable cylindrical phantom. Since the camera head is not attached mechanically to the phantom, the effect of misalignment between the head and the rotation axis of the phantom can be studied. (c) 2006 Elsevier B.V. All rights reserved.
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| 9. |
- Valastyán, Iván, et al.
(författare)
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Data acquisition and image reconstruction systems from the MiniPET scanners to the CARDIOTOM camera
- 2007
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Ingår i: Nuclear Physics Methods And Accelerators In Biology And Medicine. - : American Institute of Physics (AIP). - 9780735404724 ; , s. 282-283
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Bokkapitel (refereegranskat)abstract
- Nuclear imaging devices play an important role in medical diagnosis as well as drug research. The first and second generation data acquisition systems and the image reconstruction library developed provide a unified hardware and software platform for the miniPET-I, miniPET-II small animal PET scanners and for the CARDIOTOM(TM).
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| 10. |
- Valastyán, Iván, et al.
(författare)
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Experimental scanner setup from miniPET II detector module
- 2009
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Ingår i: 2008 IEEE Nuclear Science SYmposium Conference Record. - 9781424427147 ; , s. 3121-3124
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- The PET technique is widely used in human clinical studies and recent developments of image resolution has made it suitable for small animal research. The second generation of our PET scanner consists of 12 detector modules and has a field of view large enough to image mice and rats. Parameters of the incoming data are extracted by Digital Signal Processing in the detector modules and a System-on-Module is used to transmit the data through an Ethernet network for storage and reconstruction. The experimental scanner setup described in this paper was constructed in order to investigate the applicability of the developed detector modules in a full ring small animal PET camera. The preliminary results of the system are also presented.
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