| 1. |
- Aad, G, et al.
(författare)
-
- 2015
-
swepub:Mat__t
|
|
| 2. |
- Glasbey, JC, et al.
(författare)
-
- 2021
-
swepub:Mat__t
|
|
| 3. |
|
|
| 4. |
|
|
| 5. |
- Ederle, Joerg, et al.
(författare)
-
Carotid artery stenting compared with endarterectomy in patients with symptomatic carotid stenosis (International Carotid Stenting Study): an interim analysis of a randomised controlled trial
- 2010
-
Ingår i: The Lancet. - 1474-547X. ; 375:9719, s. 985-997
-
Tidskriftsartikel (refereegranskat)abstract
- Background Stents are an alternative treatment to carotid endarterectomy for symptomatic carotid stenosis, but previous trials have not established equivalent safety and efficacy. We compared the safety of carotid artery stenting with that of carotid endarterectomy. Methods The International Carotid Stenting Study (ICSS) is a multicentre, international, randomised controlled trial with blinded adjudication of outcomes. Patients with recently symptomatic carotid artery stenosis were randomly assigned in a 1:1 ratio to receive carotid artery stenting or carotid endarterectomy. Randomisation was by telephone call or fax to a central computerised service and was stratified by centre with minimisation for sex, age, contralateral occlusion, and side of the randomised artery. Patients and investigators were not masked to treatment assignment. Patients were followed up by independent clinicians not directly involved in delivering the randomised treatment. The primary outcome measure of the trial is the 3-year rate of fatal or disabling stroke in any territory, which has not been analysed yet. The main outcome measure for the interim safety analysis was the 120-day rate of stroke, death, or procedural myocardial infarction. Analysis was by intention to treat (ITT). This study is registered, number ISRCTN25337470. Findings The trial enrolled 1713 patients (stenting group, n=855; endarterectomy group, n=858). Two patients in the stenting group and one in the endarterectomy group withdrew immediately after randomisation, and were not included in the ITT analysis. Between randomisation and 120 days, there were 34 (Kaplan-Meier estimate 4.0%) events of disabling stroke or death in the stenting group compared with 27 (3.2%) events in the endarterectomy group (hazard ratio [HR] 1.28, 95% CI 0.77-2.11). The incidence of stroke, death, or procedural myocardial infarction was 8.5% in the stenting group compared with 5.2% in the endarterectomy group (72 vs 44 events; HR 1.69, 1.16-2.45, p=0.006), Risks of any stroke (65 vs 35 events; HR 1.92, 1.27-2.89) and all-cause death (19 vs seven events; HR 2.76, 1.16-6.56) were higher in the stenting group than in the endarterectomy group. Three procedural myocardial infarctions were recorded in the stenting group, all of which were fatal, compared with four, all non-fatal, in the endarterectomy group. There was one event of cranial nerve palsy in the stenting group compared with 45 in the endarterectomy group. There were also fewer haematomas of any severity in the stenting group than in the endarterectomy group (31 vs 50 events; p=0.0197). Interpretation Completion of long-term follow-up is needed to establish the efficacy of carotid artery stenting compared with endarterectomy. In the meantime, carotid endarterectomy should remain the treatment of choice for patients suitable for surgery.
|
|
| 6. |
- Bousquet, Jean, et al.
(författare)
-
ARIA digital anamorphosis : Digital transformation of health and care in airway diseases from research to practice
- 2021
-
Ingår i: Allergy. European Journal of Allergy and Clinical Immunology. - : John Wiley & Sons. - 0105-4538 .- 1398-9995. ; 76:1, s. 168-190
-
Forskningsöversikt (refereegranskat)abstract
- Digital anamorphosis is used to define a distorted image of health and care that may be viewed correctly using digital tools and strategies. MASK digital anamorphosis represents the process used by MASK to develop the digital transformation of health and care in rhinitis. It strengthens the ARIA change management strategy in the prevention and management of airway disease. The MASK strategy is based on validated digital tools. Using the MASK digital tool and the CARAT online enhanced clinical framework, solutions for practical steps of digital enhancement of care are proposed.
|
|
| 7. |
- Herrera-Rivero, Marisol, et al.
(författare)
-
Exploring the genetics of lithium response in bipolar disorders.
- 2023
-
Ingår i: Research square.
-
Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Lithium (Li) remains the treatment of choice for bipolar disorders (BP). Its mood-stabilizing effects help reduce the long-term burden of mania, depression and suicide risk in patients with BP. It also has been shown to have beneficial effects on disease-associated conditions, including sleep and cardiovascular disorders. However, the individual responses to Li treatment vary within and between diagnostic subtypes of BP (e.g. BP-I and BP-II) according to the clinical presentation. Moreover, long-term Li treatment has been linked to adverse side-effects that are a cause of concern and non-adherence, including the risk of developing chronic medical conditions such as thyroid and renal disease. In recent years, studies by the Consortium on Lithium Genetics (ConLiGen) have uncovered a number of genetic factors that contribute to the variability in Li treatment response in patients with BP. Here, we leveraged the ConLiGen cohort (N=2,064) to investigate the genetic basis of Li effects in BP. For this, we studied how Li response and linked genes associate with the psychiatric symptoms and polygenic load for medical comorbidities, placing particular emphasis on identifying differences between BP-I and BP-II.We found that clinical response to Li treatment, measured with the Alda scale, was associated with a diminished burden of mania, depression, substance and alcohol abuse, psychosis and suicidal ideation in patients with BP-I and, in patients with BP-II, of depression only. Our genetic analyses showed that a stronger clinical response to Li was modestly related to lower polygenic load for diabetes and hypertension in BP-I but not BP-II. Moreover, our results suggested that a number of genes that have been previously linked to Li response variability in BP differentially relate to the psychiatric symptomatology, particularly to the numbers of manic and depressive episodes, and to the polygenic load for comorbid conditions, including diabetes, hypertension and hypothyroidism.Taken together, our findings suggest that the effects of Li on symptomatology and comorbidity in BP are partially modulated by common genetic factors, with differential effects between BP-I and BP-II.
|
|
| 8. |
- Adamaki, Angeliki K., et al.
(författare)
-
Precursory Activity Before Larger Events in Greece Revealed by Aggregated Seismicity Data
- 2017
-
Ingår i: Pure and Applied Geophysics. - : SPRINGER BASEL AG. - 0033-4553 .- 1420-9136. ; 174:3, s. 1331-1343
-
Tidskriftsartikel (refereegranskat)abstract
- We investigate the seismicity rate behaviour in and around Greece during 2009, seeking significant changes in rate preceding larger events. For individual larger events it is difficult to clearly distinguish precursory rate changes from other, possibly unrelated, variations in seismicity. However, when we aggregate seismicity data occurring within a radius of 10 km and in a 50-day window prior to earthquakes with, e. g. magnitude C3.5, the resulting aggregated time series show a clearly increasing trend starting 2-3 weeks prior to the "mainshock'' time. We apply statistical tests to investigate if the observed behaviour may be simply consistent with random (poissonian) variations, or, as some earlier studies suggest, with clustering in the sense that high activity rates at some time may imply increased rates later, and thus (randomly) greater probability of larger coming events than for periods of lower seismicity. In this case, rate increases have little useful predictive power. Using data from the entire catalogue, the aggregated rate changes before larger events are clearly and strongly statistically significant and cannot be explained by such clustering. To test this we choose events at random from the catalogue as potential "mainshocks''. The events preceding the randomly chosen earthquakes show less pronounced rate increases compared to the observed rate changes prior to larger events. Similar behaviour is observed in data sub-sets. However, statistical confidence decreases for geographical subsets containing few "mainshocks'' as it does when data are weighted such that "mainshocks'' with many preceding events are strongly downweighted relative to those with fewer. The analyses suggest that genuine changes in aggregated rate do occur prior to larger events and that this behaviour is not due to a small number of mainshocks with many preceding events dominating the analysis. It does not automatically follow that it will be possible to routinely observe precursory changes prior to individual larger events, but there is a possibility that this may be feasible, e. g. with better data from more sensitive networks.
|
|
| 9. |
- Amini, Samar, et al.
(författare)
-
Tomographic upper-mantle velocity structure beneath the Iranian Plateau
- 2012
-
Ingår i: Tectonophysics. - : Elsevier BV. - 0040-1951 .- 1879-3266. ; 554-557, s. 42-49
-
Tidskriftsartikel (refereegranskat)abstract
- The Iranian plateau is one of the most structurally complex and tectonically inhomogeneous regions in the world. In this study, we analyze Pn arrival-times from regional seismicity in order to resolve lateral velocity variations within the uppermost-mantle under the Iranian Plateau. More than 48,000 Pn first arrival times selected from the EHB catalog were used with epicentral distances of 200 to 1600 km. We used regularized isotropic and anisotropic damped least-squares inversion to image lateral velocity variations in the upper mantle. Our velocity model, with high lateral resolution, shows positive anomalies in the Zagros mountain belt with a distinct transition approximately along the Main Zagros Thrust to the lower mantle velocity zone of Central Iran. Anomalously low velocities are observed predominantly beneath NW Iran and eastern Turkey, suggesting a zone of relatively weak mantle. Low velocity region under the Damavand volcano reveals the hot upper mantle beneath the central Alborz mountains.
|
|
| 10. |
- Gregersen, S., et al.
(författare)
-
Physical differences in the deep lithosphere of Northern and Central Europe
- 2006. - 32
-
Ingår i: European Lithosphere Dynamics. - : Geological Society of London. - 9781862392120 - 1862392129 ; 32, s. 313-322
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- A number of large-scale integrated studies, including the TOR and POLONAISE’97 projects, with an emphasis on seismicmethods, have been used to elucidate the southwestern boundary (suture zone) between the East European Craton and the Phanerozoicterranes of Western Europe. Results indicate that a thick slab of mantle lithosphere below the craton thins southwestwards beneath theTrans-European Suture Zone and is not seen south of the Variscan front. The thinning is not gradual, but is interrupted by at least twoabrupt deep boundaries, the most significant of which corresponds to the surface position of the Tornquist Zone, a major fault. Thepresent geometry of the lithosphere is the result of modification of the margin of the Neoproterozoic continent Baltica by Phanerozoicprocesses, including the development of the Tornquist Zone and the stretching of the lithosphere in a broad central block SW of thiszone. Seismic results and their interpretations from the TOR tomographic project are presented and compared with results from thePOLONAISE’97 controlled source project to the SE. Both investigations have shown high-angle, non-symmetrical features extendingdeep into the mantle.
|
|
