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Sökning: WFRF:(Manrique H)

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  • Bouyoucef, S E, et al. (författare)
  • Poster Session 2 : Monday 4 May 2015, 08
  • 2015
  • Ingår i: European Heart Journal Cardiovascular Imaging. - : Oxford University Press (OUP). - 2047-2404 .- 2047-2412. ; 16 Suppl 1
  • Tidskriftsartikel (refereegranskat)
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  • Ferreira, Mjv, et al. (författare)
  • Poster Session 3 : Tuesday 5 May 2015, 08
  • 2015
  • Ingår i: European Heart Journal Cardiovascular Imaging. - : Oxford University Press (OUP). - 2047-2404 .- 2047-2412. ; 16 Suppl 1
  • Tidskriftsartikel (refereegranskat)
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  • Axfors, Cathrine, et al. (författare)
  • Association between convalescent plasma treatment and mortality in COVID-19 : a collaborative systematic review and meta-analysis of randomized clinical trials
  • 2021
  • Ingår i: BMC Infectious Diseases. - : BioMed Central (BMC). - 1471-2334. ; 21:1
  • Forskningsöversikt (refereegranskat)abstract
    • Background: Convalescent plasma has been widely used to treat COVID-19 and is under investigation in numerous randomized clinical trials, but results are publicly available only for a small number of trials. The objective of this study was to assess the benefits of convalescent plasma treatment compared to placebo or no treatment and all-cause mortality in patients with COVID-19, using data from all available randomized clinical trials, including unpublished and ongoing trials (Open Science Framework, ). Methods: In this collaborative systematic review and meta-analysis, clinical trial registries (ClinicalTrials.gov, WHO International Clinical Trials Registry Platform), the Cochrane COVID-19 register, the LOVE database, and PubMed were searched until April 8, 2021. Investigators of trials registered by March 1, 2021, without published results were contacted via email. Eligible were ongoing, discontinued and completed randomized clinical trials that compared convalescent plasma with placebo or no treatment in COVID-19 patients, regardless of setting or treatment schedule. Aggregated mortality data were extracted from publications or provided by investigators of unpublished trials and combined using the Hartung-Knapp-Sidik-Jonkman random effects model. We investigated the contribution of unpublished trials to the overall evidence. Results: A total of 16,477 patients were included in 33 trials (20 unpublished with 3190 patients, 13 published with 13,287 patients). 32 trials enrolled only hospitalized patients (including 3 with only intensive care unit patients). Risk of bias was low for 29/33 trials. Of 8495 patients who received convalescent plasma, 1997 died (23%), and of 7982 control patients, 1952 died (24%). The combined risk ratio for all-cause mortality was 0.97 (95% confidence interval: 0.92; 1.02) with between-study heterogeneity not beyond chance (I-2 = 0%). The RECOVERY trial had 69.8% and the unpublished evidence 25.3% of the weight in the meta-analysis. Conclusions: Convalescent plasma treatment of patients with COVID-19 did not reduce all-cause mortality. These results provide strong evidence that convalescent plasma treatment for patients with COVID-19 should not be used outside of randomized trials. Evidence synthesis from collaborations among trial investigators can inform both evidence generation and evidence application in patient care.
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  • Strakova, A., et al. (författare)
  • Recurrent horizontal transfer identifies mitochondrial positive selection in a transmissible cancer
  • 2020
  • Ingår i: Nature Communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 11
  • Tidskriftsartikel (refereegranskat)abstract
    • Autonomous replication and segregation of mitochondrial DNA (mtDNA) creates the potential for evolutionary conflict driven by emergence of haplotypes under positive selection for 'selfish' traits, such as replicative advantage. However, few cases of this phenomenon arising within natural populations have been described. Here, we survey the frequency of mtDNA horizontal transfer within the canine transmissible venereal tumour (CTVT), a contagious cancer clone that occasionally acquires mtDNA from its hosts. Remarkably, one canine mtDNA haplotype, A1d1a, has repeatedly and recently colonised CTVT cells, recurrently replacing incumbent CTVT haplotypes. An A1d1a control region polymorphism predicted to influence transcription is fixed in the products of an A1d1a recombination event and occurs somatically on other CTVT mtDNA backgrounds. We present a model whereby 'selfish' positive selection acting on a regulatory variant drives repeated fixation of A1d1a within CTVT cells.
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  • Beecham, Ashley H, et al. (författare)
  • Analysis of immune-related loci identifies 48 new susceptibility variants for multiple sclerosis.
  • 2013
  • Ingår i: Nature genetics. - : Springer Science and Business Media LLC. - 1546-1718 .- 1061-4036. ; 45:11, s. 1353-60
  • Tidskriftsartikel (refereegranskat)abstract
    • Using the ImmunoChip custom genotyping array, we analyzed 14,498 subjects with multiple sclerosis and 24,091 healthy controls for 161,311 autosomal variants and identified 135 potentially associated regions (P < 1.0 × 10(-4)). In a replication phase, we combined these data with previous genome-wide association study (GWAS) data from an independent 14,802 subjects with multiple sclerosis and 26,703 healthy controls. In these 80,094 individuals of European ancestry, we identified 48 new susceptibility variants (P < 5.0 × 10(-8)), 3 of which we found after conditioning on previously identified variants. Thus, there are now 110 established multiple sclerosis risk variants at 103 discrete loci outside of the major histocompatibility complex. With high-resolution Bayesian fine mapping, we identified five regions where one variant accounted for more than 50% of the posterior probability of association. This study enhances the catalog of multiple sclerosis risk variants and illustrates the value of fine mapping in the resolution of GWAS signals.
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  • Maier, Hannes, et al. (författare)
  • Consensus Statement on Bone Conduction Devices and Active Middle Ear Implants in Conductive and Mixed Hearing Loss
  • 2022
  • Ingår i: Otology and Neurotology. - : Lippincott, Williams & Wilkins. - 1531-7129 .- 1537-4505. ; 43:5, s. 513-529
  • Tidskriftsartikel (refereegranskat)abstract
    • Nowadays, several options are available to treat patients with conductive or mixed hearing loss. Whenever surgical intervention is not possible or contra-indicated, and amplification by a conventional hearing device (e.g., behind-the-ear device) is not feasible, then implantable hearing devices are an indispensable next option. Implantable bone-conduction devices and middle-ear implants have advantages but also limitations concerning complexity/invasiveness of the surgery, medical complications, and effectiveness. To counsel the patient, the clinician should have a good overview of the options with regard to safety and reliability as well as unequivocal technical performance data. The present consensus document is the outcome of an extensive iterative process including ENT specialists, audiologists, health-policy scientists, and representatives/technicians of the main companies in this field. This document should provide a first framework for procedures and technical characterization to enhance effective communication between these stakeholders, improving health care.
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  • Weeland, CJ, et al. (författare)
  • The thalamus and its subnuclei-a gateway to obsessive-compulsive disorder
  • 2022
  • Ingår i: Translational psychiatry. - : Springer Science and Business Media LLC. - 2158-3188. ; 12:1, s. 70-
  • Tidskriftsartikel (refereegranskat)abstract
    • Larger thalamic volume has been found in children with obsessive-compulsive disorder (OCD) and children with clinical-level symptoms within the general population. Particular thalamic subregions may drive these differences. The ENIGMA-OCD working group conducted mega- and meta-analyses to study thalamic subregional volume in OCD across the lifespan. Structural T1-weighted brain magnetic resonance imaging (MRI) scans from 2649 OCD patients and 2774 healthy controls across 29 sites (50 datasets) were processed using the FreeSurfer built-in ThalamicNuclei pipeline to extract five thalamic subregions. Volume measures were harmonized for site effects using ComBat before running separate multiple linear regression models for children, adolescents, and adults to estimate volumetric group differences. All analyses were pre-registered (https://osf.io/73dvy) and adjusted for age, sex and intracranial volume. Unmedicated pediatric OCD patients (<12 years) had larger lateral (d = 0.46), pulvinar (d = 0.33), ventral (d = 0.35) and whole thalamus (d = 0.40) volumes at unadjusted p-values <0.05. Adolescent patients showed no volumetric differences. Adult OCD patients compared with controls had smaller volumes across all subregions (anterior, lateral, pulvinar, medial, and ventral) and smaller whole thalamic volume (d = −0.15 to −0.07) after multiple comparisons correction, mostly driven by medicated patients and associated with symptom severity. The anterior thalamus was also significantly smaller in patients after adjusting for thalamus size. Our results suggest that OCD-related thalamic volume differences are global and not driven by particular subregions and that the direction of effects are driven by both age and medication status.
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  • Ademuyiwa, Adesoji O., et al. (författare)
  • Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
  • 2016
  • Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
  • 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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  • Jayasuriya, Jeevan, et al. (författare)
  • Experimental investigations of catalytic combustion for high-pressure gas turbine applications
  • 2006
  • Ingår i: Proceedings of the ASME Turbo Expo 2006, Vol 1. - 0791842363 ; , s. 763-771
  • Konferensbidrag (refereegranskat)abstract
    • Catalytic combustion has proven to be a suitable alternative to conventional flame combustion in gas turbines for achieving Ultra-Low Emission levels (ULE). In the process of catalytic combustion, it is possible to achieve a stable combustion of lean fuel/air mixtures which results in reduced combustion temperature in the combustor. The ultimate result is that almost no thermal-NOx is formed and the emissions of carbon monoxide and hydrocarbon emissions are reduced to single-digit limits. Successful development of catalytic combustion technology would lead to reducing pollutant emissions in gas turbines to ultra-low levels at lower operating costs. Since the catalytic combustion prevents the pollutant formations in the combustion there is no need for costly emission cleaning systems.
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  • Jayasuriya, Jeevan, et al. (författare)
  • Gasified biomass fuelled gas turbine : Combustion stability and selective catalytic oxidation of fuel-bound nitrogen
  • 2006
  • Ingår i: Proceedings of the ASME Turbo Expo 2006, Vol 1. - 0791842363 ; , s. 773-780
  • Konferensbidrag (refereegranskat)abstract
    • Low heating value of gasified biomass and its fuel bound nitrogen containing compounds challenge the efforts on utilizing gasified biomass on gas turbine combustor. Low heating value of the gas brings along combustion stability issues and pollutant emission concerns. The fuel bound nitrogen present in gasified biomass could completely be converted to NOx during the combustion process. Catalytic combustion technology, showing promising developments on ultra low emission gas turbine combustion of natural gas could also be the key to successful utilization of biomass in gas turbine combustor. Catalysts could stabilize the combustion process of low heating value gas while the proper design of the catalytic configuration could selectively convert the fuel bound nitrogen into molecular nitrogen. This paper presents preliminary results of the experimental investigations on combustion stability and nitrogen selectivity in selective catalytic oxidation of ammonia in catalytic combustion followed by a brief description of the design of catalytic combustion test facility. The fuel-NOx reduction strategy considered in this study was to preprocess fuel in the catalytic system to remove fuel bound nitrogen before real combustion reactions occurs. The catalytic combustion system studied here contained two stage reactor in one unit containing fuel preprocessor (SCO catalyst) and combustion catalysts. Experiments were performed under lean combustion conditions (lambda value from 6 up to 22) using a simulated mixture of gasified biomass. The Selective Catalytic Oxidation approach was considered to reduce the conversion of NH3 into N-2. Results showed very good combustion stability, higher combustion efficiency and good ignition performances under the experimental conditions. However, the selective oxidation of fuel bound nitrogen into N-2 was only in the range of 20% to 30% under the above conditions.
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  • Manrique Carrera, Arturo, 1974- (författare)
  • Catalytic Combustion in Gas Turbines : Experimental Study on Gasified Biomass Utilization
  • 2014
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Environmental and geopolitical concerns encourage societies towards the utilization of renewable energy sources (RES). Photovoltaic and wind power can produce electricity directly, although their intermittent characteristic negatively affects the security and safety of the energy supply chain; moreover, in order to be viable it is necessary to establish energy storage systems and to find mechanisms to adapt the power distribution grid to larger production variability. In contrast, biomass (a carbon neutral fuel if adequately managed) can be stored, is relatively widely available, and after simple treatments can be gasified and ready to be used for power production. Correspondingly, gas turbines are a well-established technology that first became relevant in industrial applications and power production since 1940’s. The use of biomass in gas turbines is an important step forward towards more sustainable power production; however, this combination presents some technical challenges that have yet to be overcome.Gasified biomass is generally a gas with low or medium heating value that is usually composed of a mixture of gases such as CO, H2, CH4, CO2, and N2 as well as other c60*6nents in small fractions. Its firing in standard gas turbine combustors might be unstable at certain load conditions. Moreover, gasified biomass contains undesirable compounds; in particular the nitrogen-containing compounds that may produce elevated NOx emissions once the biomass is burned.Catalytic combustion is an alternative for using gasified biomass in a gas turbine, and it is investigated in this study. Using catalytic combustion is possible to burn such a mixture of gases under very lean conditions, extending the normal flammability limits, reducing the maximum temperature of the reaction zone, and thus reducing the thermal NOx formation. It also reduces the vibration levels, and it is possible to avoid fuel-NOx formation using alternative catalytic techniques, such as Selective Catalytic Oxidation (SCO).In the present study the feasibility of using catalytic combustion in a gas turbine combustor is evaluated. The tests performed indicate the necessity of using hybrid combustion chamber concepts to achieve turbine inlet temperatures levels of modern gas turbines. The different catalytic burning characteristic of H2, CO and CH4 was evaluated and different techniques were applied to equalize their burning behaviour such as the diffusion barrier, and partially coated catalyst. Fuel-NOx is another subject treated in this work, where a Selective Catalytic Oxidation (SCO) technique is applied reaching up to 42% of fuel NOx reduction. Finally, the use of Catalytic Partial Oxidation (CPO) of methane was experimentally investigated.In this study, two one-of-a-kind test facilities were used directly, namely the high-pressure test facility and the pilot scale test facility. This gives a unique characteristic to the study performed. Finally, the catalytic combustion approach allows the utilization of gasified biomass with some restrictions depending on whether it is a Catalytic Lean, Catalytic Rich or Catalytic Partial Oxidation (CPO) approach.
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  • Manrique, H. M., et al. (författare)
  • Behavioural mimicry as an indicator of affiliation
  • 2021
  • Ingår i: Plos One. - : Public Library of Science (PLoS). - 1932-6203. ; 16:5
  • Tidskriftsartikel (refereegranskat)abstract
    • Previous research has shown that behavioural mimicry fosters affiliation, and can be used to infer whether people belong to the same social unit. However, we still know very little about the generalizability of these findings and the individual factors involved. The present study intends to disentangle two important variables and assess their importance for affiliation: the matching in time of the behaviours versus their matching in form. In order to address this issue, we presented participants with short videos in which two actors displayed a set of small movements (e.g. crossing their legs, folding their arms, tapping their fingers) arranged to be either contingent in time or in form. A dark filter was used to eliminate ostensive group marks, such us phenotype or clothing. Participants attributed the highest degree of affiliation to the actors when their subsequent movements matched in form, but were delayed by 4-5 seconds, and the lowest degree when the timing of their movements matched, but they differed in form. To assess the generalizability of our findings, we took our study outside the usual Western context and tested a matching sample of participants from a traditional small-scale society in Kenya. In all, our results suggest that movements are used to judge the degree of affiliation between two individuals in both large- and small-scale societies. While moving in different ways at the same time seems to increase the perceived distance between two individuals, movements which match in form seem to invoke closeness.
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