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| 2. |
- Bravo, L, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 3. |
- Tabiri, S, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 4. |
- Khatri, C, et al.
(författare)
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Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
- 2021
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Ingår i: BMJ open. - : BMJ. - 2044-6055. ; 11:11, s. e050830-
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Tidskriftsartikel (refereegranskat)abstract
- Studies have demonstrated high rates of mortality in people with proximal femoral fracture and SARS-CoV-2, but there is limited published data on the factors that influence mortality for clinicians to make informed treatment decisions. This study aims to report the 30-day mortality associated with perioperative infection of patients undergoing surgery for proximal femoral fractures and to examine the factors that influence mortality in a multivariate analysis.SettingProspective, international, multicentre, observational cohort study.ParticipantsPatients undergoing any operation for a proximal femoral fracture from 1 February to 30 April 2020 and with perioperative SARS-CoV-2 infection (either 7 days prior or 30-day postoperative).Primary outcome30-day mortality. Multivariate modelling was performed to identify factors associated with 30-day mortality.ResultsThis study reports included 1063 patients from 174 hospitals in 19 countries. Overall 30-day mortality was 29.4% (313/1063). In an adjusted model, 30-day mortality was associated with male gender (OR 2.29, 95% CI 1.68 to 3.13, p<0.001), age >80 years (OR 1.60, 95% CI 1.1 to 2.31, p=0.013), preoperative diagnosis of dementia (OR 1.57, 95% CI 1.15 to 2.16, p=0.005), kidney disease (OR 1.73, 95% CI 1.18 to 2.55, p=0.005) and congestive heart failure (OR 1.62, 95% CI 1.06 to 2.48, p=0.025). Mortality at 30 days was lower in patients with a preoperative diagnosis of SARS-CoV-2 (OR 0.6, 95% CI 0.6 (0.42 to 0.85), p=0.004). There was no difference in mortality in patients with an increase to delay in surgery (p=0.220) or type of anaesthetic given (p=0.787).ConclusionsPatients undergoing surgery for a proximal femoral fracture with a perioperative infection of SARS-CoV-2 have a high rate of mortality. This study would support the need for providing these patients with individualised medical and anaesthetic care, including medical optimisation before theatre. Careful preoperative counselling is needed for those with a proximal femoral fracture and SARS-CoV-2, especially those in the highest risk groups.Trial registration numberNCT04323644
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| 6. |
- Morris, John A, et al.
(författare)
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An atlas of genetic influences on osteoporosis in humans and mice.
- 2019
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Ingår i: Nature genetics. - : Springer Science and Business Media LLC. - 1546-1718 .- 1061-4036. ; 51, s. 258-266
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Tidskriftsartikel (refereegranskat)abstract
- Osteoporosis is a common aging-related disease diagnosed primarily using bone mineral density (BMD). We assessed genetic determinants of BMD as estimated by heel quantitative ultrasound in 426,824 individuals, identifying 518 genome-wide significant loci (301 novel), explaining 20% of its variance. We identified 13 bone fracture loci, all associated with estimated BMD (eBMD), in ~1.2 million individuals. We then identified target genes enriched for genes known to influence bone density and strength (maximum odds ratio (OR)=58, P=1 × 10-75) from cell-specific features, including chromatin conformation and accessible chromatin sites. We next performed rapid-throughput skeletal phenotyping of 126 knockout mice with disruptions in predicted target genes and found an increased abnormal skeletal phenotype frequency compared to 526 unselected lines (P<0.0001). In-depth analysis of one gene, DAAM2, showed a disproportionate decrease in bone strength relative to mineralization. This genetic atlas provides evidence linking associated SNPs to causal genes, offers new insight into osteoporosis pathophysiology, and highlights opportunities for drug development.
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| 8. |
- Vaidya, A. S., et al.
(författare)
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Estimation of arterial stiffness through pulse transit time measurement
- 2014
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Ingår i: BIODEVICES 2014 - 7th Int. Conference on Biomedical Electronics and Devices, Proceedings; Part of 7th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2014. - : SCITEPRESS - Science and and Technology Publications. - 9789897580130 ; , s. 238-242
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Konferensbidrag (refereegranskat)abstract
- Early detection of cardiovascular disease (CVD) and its treatment is significantly expected to reduce the mortality rate across the world. While several diagnostic techniques have been developed for early detection of the CVD, recent focus has been on measuring the 'arterial stiffness', which appears to be a major indicator of onset of cardio vascular disease. In this work, authors consider three mathematical models that relate pulse wave velocity (PWV) with arterial stiffness. While one model considers blood to be a nonviscous and incompressible fluid, the other considers it to be a viscous and compressible. Pulse transit time has been measured experimentally for five different individuals of different ages and heights from where PWV has been estimated. Using values of PWV, Young's modulus of elasticity has been derived. Data related to arteries such as radius, wall thickness, density and viscosity of blood have been taken from published literature where these parameters have been measured using techniques such as MRI. Initial results indicate that different models predict different estimates for arterial stiffness that depend on assumptions made.
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| 10. |
- Idris, Alamin, et al.
(författare)
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Investigation on particle properties and extent of functionalization of silica nanoparticles
- 2020
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Ingår i: Applied Surface Science. - : Elsevier. - 0169-4332 .- 1873-5584. ; 506
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Tidskriftsartikel (refereegranskat)abstract
- Quantification of the extent of functionalization on silica nanoparticle surface is crucial in a variety of applications. This work aims to evaluate particle properties and extent of functionalization on silica nanoparticles synthesized under acidic and basic conditions via co-condensation of tetraethyl orthosilicate with 3-aminopropyltrimethoxysilane in the sol-gel process. The silica nanoparticles properties were analyzed via field emission scanning electron microscope, transmission electron microscopy, dynamic light scattering, and Brunauer-Emmett-Teller methods; whereas, the extent of functionalization was evaluated using Fourier transform infrared spectroscopy, X-ray photoelectron spectrometer, and thermogravimetric analyzer. Results showed that the functionalized silica nanoparticles have a lower tendency to agglomerate and highly monodispersed as compared to unfunctionalized. The surface areas of acid and base-catalyzed nanoparticles were obtained as 618.8 and 514.7 m2/g, respectively. FTIR spectra, XPS scans, and TGA curves confirmed the presence of alkyl and amine functional groups on the functionalized surfaces. The extent of functionalization (N/Si) was obtained as 0.296 and 0.196, and the percentages of functional groups attached on the surface were found to be 6.80 and 5.92% for acid and base-catalyzed nanoparticles, respectively. The overall results suggest that acidic catalysis is a better approach for the synthesis of surface-modified or organofunctionalized silica nanoparticles.
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| 12. |
- Mridha, Mannan, et al.
(författare)
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A smart phone, tablet, based on mobile health care system for developing countries
- 2013
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Ingår i: 35th Annual International Conference of the IEEE, Engineering in Medicine and Biology Society, EMBC. ; , s. 4642-4645
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Konferensbidrag (refereegranskat)abstract
- Increasing cost of health care in developing countries is placing heavy financial burden on its populations. With the advent of mobile and tablet technologies however, it is possible to reduce this burden to some extent through telehealthcare.In this paper, authors describe their effort to design portable diagnostic devices that can communicate to smart phones and tablets there by making tele-healthcare possible. A possible architecture of their model is presented and components thereof discussed.
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