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- Ederle, Joerg, et al.
(författare)
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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
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Ingår i: The Lancet. - 1474-547X. ; 375:9719, s. 985-997
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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.
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- Golkar, A, et al.
(författare)
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Other people as means to a safe end: vicarious extinction blocks the return of learned fear
- 2013
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Ingår i: Psychological science. - : SAGE Publications. - 1467-9280 .- 0956-7976. ; 24:11, s. 2182-2190
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Tidskriftsartikel (refereegranskat)abstract
- Information about what is dangerous and safe in the environment is often transferred from other individuals through social forms of learning, such as observation. Past research has focused on the observational, or vicarious, acquisition of fears, but little is known about how social information can promote safety learning. To address this issue, we studied the effects of vicarious-extinction learning on the recovery of conditioned fear. Compared with a standard extinction procedure, vicarious extinction promoted better extinction and effectively blocked the return of previously learned fear. We confirmed that these effects could not be attributed to the presence of a learning model per se but were specifically driven by the model’s experience of safety. Our results confirm that vicarious and direct emotional learning share important characteristics but that social-safety information promotes superior down-regulation of learned fear. These findings have implications for emotional learning, social-affective processes, and clinical practice.
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- Golkar, A, et al.
(författare)
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Immunization against social fear learning
- 2016
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Ingår i: Journal of experimental psychology. General. - : American Psychological Association (APA). - 1939-2222 .- 0096-3445. ; 145:6, s. 665-671
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Tidskriftsartikel (refereegranskat)
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- Golkar, A, et al.
(författare)
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Neural signals of vicarious extinction learning
- 2016
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Ingår i: Social cognitive and affective neuroscience. - : Oxford University Press (OUP). - 1749-5024 .- 1749-5016. ; 11:10, s. 1541-1549
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Tidskriftsartikel (refereegranskat)
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- Golkar, A, et al.
(författare)
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The interplay of social group biases in social threat learning
- 2017
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Ingår i: Scientific reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 7:1, s. 7685-
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Tidskriftsartikel (refereegranskat)abstract
- Learning from other individuals (e.g. social learning) is subjected to biases affecting whom to learn from. Consistent with research in animals, showing similarity-based learning biases and a general tendency to display pro-social responses to in-group individuals, we recently demonstrated that social learning of both fear and safety was enhanced when information was transmitted between same-race individuals. Here, we addressed how two different social group categories jointly affect the transmission of fears by investigating the interplay between racial and supporter group membership. We demonstrate that supporter group membership differentially influenced learning from a racial in-group vs. racial out-group individual. Thus, conditioned skin conductance responses in the same-race condition were significantly higher when fear was transmitted by an in-group (same team) vs. an out-group (rival team) individual, and were related to supporter team identification. However, supporter group membership did not influence learning from a racial out-group demonstrator, suggesting that the presence of an alternative alliance does not necessary reduce the influence of racial biases on social fear learning.
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