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| 2. |
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| 3. |
- Vieira-Silva, S., et al.
(author)
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Statin therapy is associated with lower prevalence of gut microbiota dysbiosis
- 2020
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In: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 581:7808, s. 310-315
-
Journal article (peer-reviewed)abstract
- Microbiome community typing analyses have recently identified the Bacteroides2 (Bact2) enterotype, an intestinal microbiota configuration that is associated with systemic inflammation and has a high prevalence in loose stools in humans1,2. Bact2 is characterized by a high proportion of Bacteroides, a low proportion of Faecalibacterium and low microbial cell densities1,2, and its prevalence varies from 13% in a general population cohort to as high as 78% in patients with inflammatory bowel disease2. Reported changes in stool consistency3 and inflammation status4 during the progression towards obesity and metabolic comorbidities led us to propose that these developments might similarly correlate with an increased prevalence of the potentially dysbiotic Bact2 enterotype. Here, by exploring obesity-associated microbiota alterations in the quantitative faecal metagenomes of the cross-sectional MetaCardis Body Mass Index Spectrum cohort (n=888), we identify statin therapy as a key covariate of microbiome diversification. By focusing on a subcohort of participants that are not medicated with statins, we find that the prevalence of Bact2 correlates with body mass index, increasing from 3.90% in lean or overweight participants to 17.73% in obese participants. Systemic inflammation levels in Bact2-enterotyped individuals are higher than predicted on the basis of their obesity status, indicative of Bact2 as a dysbiotic microbiome constellation. We also observe that obesity-associated microbiota dysbiosis is negatively associated with statin treatment, resulting in a lower Bact2 prevalence of 5.88% in statin-medicated obese participants. This finding is validated in both the accompanying MetaCardis cardiovascular disease dataset (n = 282) and the independent Flemish Gut Flora Project population cohort (n=2,345). The potential benefits of statins in this context will require further evaluation in a prospective clinical trial to ascertain whether the effect is reproducible in a randomized population and before considering their application as microbiota-modulating therapeutics. © 2020, The Author(s), under exclusive licence to Springer Nature Limited.
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| 10. |
- Creevey, O. L., et al.
(author)
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Fundamental properties of the Population II fiducial stars HD 122563 and Gmb 1830 from CHARA interferometric observations
- 2012
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In: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 545, s. A17-
-
Journal article (peer-reviewed)abstract
- We have determined the angular diameters of two metal-poor stars, HD 122563 and Gmb 1830, using CHARA and Palomar Testbed Interferometer observations. For the giant star HD 122563, we derive an angular diameter theta(3D) = 0.940 +/- 0.011 milliarcseconds (mas) using limb-darkening from 3D convection simulations and for the dwarf star Gmb 1830 (HD 103095) we obtain a 1D limb-darkened angular diameter theta(1D) = 0.679 +/- 0.007 mas. Coupling the angular diameters with photometry yields effective temperatures with precisions better than 55 K (T-eff = 4598 +/- 41 K and 4818 +/- 54 K - for the giant and the dwarf star, respectively). Including their distances results in very well-determined luminosities and radii (L = 230 +/- 7 L-circle dot, R = 24.1 +/- 1.1 R-circle dot and L = 0.213 +/- 0.002 L-circle dot, R = 0.665 +/- 0.014 R-circle dot, respectively). We used the CESAM2k stellar structure and evolution code in order to produce models that fit the observational data. We found values of the mixing-length parameter alpha (which describes 1D convection) that depend on the mass of the star. The masses were determined from the models with precisions of < 3% and with the well-measured radii excellent constraints on the surface gravity are obtained (log g = 1.60 +/- 0.04, 4.59 +/- 0.02 dex, respectively). The very small errors on both log g and T-eff provide stringent constraints for spectroscopic analyses given the sensitivity of abundances to both of these values. The precise determination of T-eff for the two stars brings into question the photometric scales for metal-poor stars.
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| 17. |
- Andrikopoulos, Petros, et al.
(author)
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Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide
- 2023
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In: Nature Communications. - 2041-1723 .- 2041-1723. ; 14:1
-
Journal article (peer-reviewed)abstract
- The host-microbiota co-metabolite trimethylamine N-oxide (TMAO) is linked to increased cardiovascular risk but how its circulating levels are regulated remains unclear. We applied "explainable" machine learning, univariate, multivariate and mediation analyses of fasting plasma TMAO concentration and a multitude of phenotypes in 1,741 adult Europeans of the MetaCardis study. Here we show that next to age, kidney function is the primary variable predicting circulating TMAO, with microbiota composition and diet playing minor, albeit significant, roles. Mediation analysis suggests a causal relationship between TMAO and kidney function that we corroborate in preclinical models where TMAO exposure increases kidney scarring. Consistent with our findings, patients receiving glucose-lowering drugs with reno-protective properties have significantly lower circulating TMAO when compared to propensity-score matched control individuals. Our analyses uncover a bidirectional relationship between kidney function and TMAO that can potentially be modified by reno-protective anti-diabetic drugs and suggest a clinically actionable intervention for decreasing TMAO-associated excess cardiovascular risk.
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| 18. |
- Armengaud, J., et al.
(author)
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The Importance Of Naturally Attenuated Sars-Cov-2 In The Fight Against Covid-19
- 2020
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In: Environmental Microbiology. - : Wiley. - 1462-2912 .- 1462-2920. ; 22:6, s. 1997-2000
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Journal article (peer-reviewed)abstract
- The current SARS-CoV-2 pandemic is wreaking havoc throughout the world and has rapidly become a global health emergency. A central question concerning COVID-19 is why some individuals become sick and others not. Many have pointed already at variation in risk factors between individuals. However, the variable outcome of SARS-CoV-2 infections may, at least in part, be due also to differences between the viral subspecies with which individuals are infected. A more pertinent question is how we are to overcome the current pandemic. A vaccine against SARS-CoV-2 would offer significant relief, although vaccine developers have warned that design, testing, and production of vaccines may take a year if not longer. Vaccines are based on a handful of different designs (1), but the earliest vaccines were based on live, attenuated virus. As has been the case for other viruses during earlier pandemics, SARS-CoV-2 will mutate and may naturally attenuate over time (2). What makes the current pandemic unique is that, thanks to state-of-the-art nucleic acid sequencing technologies, we can follow in detail how SARS-CoV-2 evolves while it spreads. We argue that knowledge of naturally emerging attenuated SARS-CoV-2 variants across the globe should be of key interest in our fight against the pandemic. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
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| 19. |
- De Maria, Giovanni Luigi, et al.
(author)
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Novel Indices of Coronary Physiology : Do We Need Alternatives to Fractional Flow Reserve?
- 2020
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In: Circulation. Cardiovascular Interventions. - 1941-7640 .- 1941-7632. ; 13:4
-
Research review (peer-reviewed)abstract
- Fractional flow reserve is the current invasive gold standard for assessing the ischemic potential of an angiographically intermediate coronary stenosis. Procedural cost and time, the need for coronary vessel instrumentation, and the need to administer adenosine to achieve maximal hyperemia remain integral components of invasive fractional flow reserve. The number of new alternatives to fractional flow reserve has proliferated over the last ten years using techniques ranging from alternative pressure wire metrics to anatomic simulation via angiography or intravascular imaging. This review article provides a critical description of the currently available or under-development alternatives to fractional flow reserve with a special focus on the available evidence, pros, and cons for each with a view towards their clinical application in the near future for the functional assessment of coronary artery disease.
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| 20. |
- Forslund, Sofia K., et al.
(author)
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Combinatorial, additive and dose-dependent drug–microbiome associations
- 2021
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In: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 600:7889, s. 500-505
-
Journal article (peer-reviewed)abstract
- During the transition from a healthy state to cardiometabolic disease, patients become heavily medicated, which leads to an increasingly aberrant gut microbiome and serum metabolome, and complicates biomarker discovery1–5. Here, through integrated multi-omics analyses of 2,173 European residents from the MetaCardis cohort, we show that the explanatory power of drugs for the variability in both host and gut microbiome features exceeds that of disease. We quantify inferred effects of single medications, their combinations as well as additive effects, and show that the latter shift the metabolome and microbiome towards a healthier state, exemplified in synergistic reduction in serum atherogenic lipoproteins by statins combined with aspirin, or enrichment of intestinal Roseburia by diuretic agents combined with beta-blockers. Several antibiotics exhibit a quantitative relationship between the number of courses prescribed and progression towards a microbiome state that is associated with the severity of cardiometabolic disease. We also report a relationship between cardiometabolic drug dosage, improvement in clinical markers and microbiome composition, supporting direct drug effects. Taken together, our computational framework and resulting resources enable the disentanglement of the effects of drugs and disease on host and microbiome features in multimedicated individuals. Furthermore, the robust signatures identified using our framework provide new hypotheses for drug–host–microbiome interactions in cardiometabolic disease.
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| 21. |
- Marino, A. F., et al.
(author)
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Iron and s-elements abundance variations in NGC 5286 : comparison with 'anomalous' globular clusters and Milky Way satellites
- 2015
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In: Monthly notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 450:1, s. 815-845
-
Journal article (peer-reviewed)abstract
- We present a high-resolution spectroscopic analysis of 62 red giants in the Milky Way globular cluster (GC) NGC 5286. We have determined abundances of representative light proton-capture, a, Fe-peak and neutron-capture element groups, and combined them with photometry of multiple sequences observed along the colour-magnitude diagram. Our principal results are: (i) a broad, bimodal distribution in s-process element abundance ratios, with two main groups, the s-poor and s-rich groups; (ii) substantial star-to-star Fe variations, with the s-rich stars having higher Fe, e.g. <[Fe/H]>(s-rich) - <[Fe/H]>(s-poor) similar to 0.2 dex; and (iii) the presence of O-Na-Al (anti) correlations in both stellar groups. We have defined a new photometric index, c(BVI) = (B - V) -(V - I), to maximize the separation in the colour-magnitude diagram between the two stellar groups with different Fe and s-element content, and this index is not significantly affected by variations in light elements (such as the O-Na anticorrelation). The variations in the overall metallicity present in NGC 5286 add this object to the class of anomalous GCs. Furthermore, the chemical abundance pattern of NGC 5286 resembles that observed in some of the anomalous GCs, e.g. M 22, NGC 1851, M 2, and the more extreme omega Centauri, that also show internal variations in s-elements, and in light elements within stars with different Fe and s-elements content. In view of the common variations in s-elements, we propose the term s-Fe-anomalous GCs to describe this sub-class of objects. The similarities in chemical abundance ratios between these objects strongly suggest similar formation and evolution histories, possibly associated with an origin in tidally disrupted dwarf satellites.
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| 22. |
- Molinaro, Antonio, et al.
(author)
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Imidazole propionate is increased in diabetes and associated with dietary patterns and altered microbial ecology
- 2020
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In: Nature Communications. - : Springer Science and Business Media LLC. - 2041-1723 .- 2041-1723. ; 11:1
-
Journal article (peer-reviewed)abstract
- Microbiota-host-diet interactions contribute to the development of metabolic diseases. Imidazole propionate is a novel microbially produced metabolite from histidine, which impairs glucose metabolism. Here, we show that subjects with prediabetes and diabetes in the MetaCardis cohort from three European countries have elevated serum imidazole propionate levels. Furthermore, imidazole propionate levels were increased in subjects with low bacterial gene richness and Bacteroides 2 enterotype, which have previously been associated with obesity. The Bacteroides 2 enterotype was also associated with increased abundance of the genes involved in imidazole propionate biosynthesis from dietary histidine. Since patients and controls did not differ in their histidine dietary intake, the elevated levels of imidazole propionate in type 2 diabetes likely reflects altered microbial metabolism of histidine, rather than histidine intake per se. Thus the microbiota may contribute to type 2 diabetes by generating imidazole propionate that can modulate host inflammation and metabolism.
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| 25. |
- Angiolillo, Dominick J., et al.
(author)
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European practice patterns for antiplatelet management in NSTE-ACS patients : Results from the REal-world ADoption survey focus on Acute antiPlatelet Treatment (READAPT) survey
- 2023
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In: International Journal of Cardiology. - 0167-5273. ; 386, s. 8-16
-
Journal article (peer-reviewed)abstract
- Background: The 2020 European Society of Cardiology (ESC) guidelines for the diagnosis and management of patients with non-ST elevation-acute coronary syndrome (NSTE-ACS) recommend early invasive coronary angiography in high-risk patients and no routine pre-treatment with oral P2Y12 receptor inhibitor in NSTE-ACS patients prior to defining coronary anatomy. Objective: To assess the implementation of this recommendation in the real-life setting. Methods: A web-survey in 17 European countries collected physician profiles and their perceptions of the diagnosis, medical and invasive management of NSTE-ACS patients at their hospital. A sample size of at least 1100 responders permitted the estimation of proportions with a precision of at least ±3.0%. Results: Among the 3024 targeted participants, 1154 provided valid feedback defined as a 50% response rate of answers to the survey questions. Overall, >60% of the participants declared full implementation of the guidelines at their institution. The time delay from admission to coronary angiography and PCI was reported to be <24 h in over 75% of the hospitals while pre-treatment was intended in >50% of NSTE-ACS patients. Ad-hoc percutaneous coronary intervention (PCI) was performed in >70% of the cases while intravenous platelet inhibition was rarely used (<10%). Between countries differences in practice patterns for antiplatelet management for NSTE-ACS were observed, suggesting heterogeneous implementation of the guidelines. Conclusions: This survey indicates that the implementation of 2020 NSTE-ACS guidelines on early invasive management and pre-treatment is heterogeneous, potentially due by local logistical constraints.
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| 26. |
- Berger, Thorsten, 1981, et al.
(author)
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Usage Scenarios for a Common Feature Modeling Language
- 2020
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In: SPLC '19: Proceedings of the 23rd International Systems and Software Product Line Conference - Volume B. pp. 174–181. - New York, NY, USA : ACM. - 9781450366687
-
Conference paper (peer-reviewed)abstract
- Feature models are recognized as a de facto standard for variability modeling. Presented almost three decades ago, dozens of different variations and extensions to the original feature-modeling notation have been proposed, together with hundreds of variability management techniques building upon feature models. Unfortunately, despite several attempts to establish a unified language, there is still no emerging consensus on a feature-modeling language that is both intuitive and simple, but also expressive enough to cover a range of important usage scenarios. There is not even a documented and commonly agreed set of such scenarios. Following an initiative among product-line engineering researchers in September 2018, we present 14 usage scenarios together with examples and requirements detailing each scenario. The scenario descriptions are the result of a systematic process, where members of the initiative authored original descriptions, which received feedback via a survey, and which we then refined and extended based on the survey results, reviewers' comments, and our own expertise. We also report the relevance of supporting each usage scenario for the language, as perceived by the initiative's members, prioritizing each scenario. We present a roadmap to build and implement a first version of the envisaged common language.
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| 27. |
- Caffau, E., et al.
(author)
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Systematic investigation of chemical abundances derived using IR spectra obtained with GIANO
- 2019
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In: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 622
-
Journal article (peer-reviewed)abstract
- Context. Detailed chemical abundances of Galactic stars are needed in order to improve our knowledge of the formation and evolution of our galaxy, the Milky Way. Aims. We took advantage of the GIANO archive spectra to select a sample of Galactic disc stars in order to derive their chemical inventory and to compare the abundances we derived from these infrared spectra to the chemical pattern derived from optical spectra. Methods. We analysed high-quality spectra of 40 stars observed with GIANO. We derived the stellar parameters from the photometry and the Gaia data-release 2 (DR2) parallax; the chemical abundances were derived with the code MyGIsFOS. For a subsample of stars we compared the chemical pattern derived from the GIANO spectra with the abundances derived from optical spectra. We derived P abundances for all 40 stars, increasing the number of Galactic stars for which phosphorus abundance is known. Results. We could derive abundances of 14 elements, 8 of which are also derived from optical spectra. The comparison of the abundances derived from infrared and optical spectra is very good. The chemical pattern of these stars is the one expected for Galactic disc stars and is in agreement with the results from the literature. Conclusions. GIANO is providing the astronomical community with an extremely useful instrument, able to produce spectra with high resolution and a wide wavelength range in the infrared.
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| 28. |
- Capodanno, Davide, et al.
(author)
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Defining Strategies of Modulation of Antiplatelet Therapy in Patients With Coronary Artery Disease : A Consensus Document from the Academic Research Consortium
- 2023
-
In: Circulation. - : Ovid Technologies (Wolters Kluwer Health). - 0009-7322 .- 1524-4539. ; 147:25, s. 1933-1944
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Journal article (peer-reviewed)abstract
- Antiplatelet therapy is the mainstay of pharmacologic treatment to prevent thrombotic or ischemic events in patients with coronary artery disease treated with percutaneous coronary intervention and those treated medically for an acute coronary syndrome. The use of antiplatelet therapy comes at the expense of an increased risk of bleeding complications. Defining the optimal intensity of platelet inhibition according to the clinical presentation of atherosclerotic cardiovascular disease and individual patient factors is a clinical challenge. Modulation of antiplatelet therapy is a medical action that is frequently performed to balance the risk of thrombotic or ischemic events and the risk of bleeding. This aim may be achieved by reducing (ie, de-escalation) or increasing (ie, escalation) the intensity of platelet inhibition by changing the type, dose, or number of antiplatelet drugs. Because de-escalation or escalation can be achieved in different ways, with a number of emerging approaches, confusion arises with terminologies that are often used interchangeably. To address this issue, this Academic Research Consortium collaboration provides an overview and definitions of different strategies of antiplatelet therapy modulation for patients with coronary artery disease, including but not limited to those undergoing percutaneous coronary intervention, and consensus statements on standardized definitions.
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| 29. |
- Escaned, Javier, et al.
(author)
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Applied coronary physiology for planning and guidance of percutaneous coronary interventions. A clinical consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the European Society of Cardiology
- 2023
-
In: EuroIntervention. - : Europa Digital & Publishing. - 1774-024X .- 1969-6213. ; 19:6, s. 464-
-
Journal article (peer-reviewed)abstract
- The clinical value of fractional flow reserve and non-hyperaemic pressure ratios are well established in determining an indication for percutaneous coronary intervention (PCI) in patients with coronary artery disease (CAD). In addition, over the last 5 years we have witnessed a shift towards the use of physio-logy to enhance procedural planning, assess post-PCI functional results, and guide PCI optimisation. In this regard, clinical studies have reported compelling data supporting the use of longitudinal vessel analysis, obtained with pressure guidewire pullbacks, to better understand how obstructive CAD contributes to myocardial ischaemia, to establish the likelihood of functionally successful PCI, to identify the presence and location of residual flow-limiting stenoses and to predict long-term outcomes. The introduction of new functional coronary angiography tools, which merge angiographic information with fluid dynamic equations to deliver information equivalent to intracoronary pressure measurements, are now available and potentially also applicable to these endeavours. Furthermore, the ability of longitudinal vessel analysis to predict the functional results of stenting has played an integral role in the evolving field of simulated PCI. Nevertheless, it is important to have an awareness of the value and challenges of physiology-guided PCI in specific clinical and anatomical contexts. The main aim of this European Association of Percutaneous Cardiovascular Interventions clinical consensus statement is to offer up-to-date evidence and expert opin-ion on the use of applied coronary physiology for procedural PCI planning, disease pattern recognition and post-PCI optimisation.
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| 30. |
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| 31. |
- Gruyters, Pieter, et al.
(author)
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Atomic diffusion and mixing in old stars IV. Weak abundance trends in the globular cluster NGC6752
- 2013
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In: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 555, s. A31-
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Journal article (peer-reviewed)abstract
- Context. Atomic diffusion in stars can create systematic trends of surface abundances with evolutionary stage. Globular clusters off er useful laboratories to put observational constraints on this theory as one needs to compare abundances in unevolved and evolved stars, all drawn from the same stellar population. Aims. Atomic diffusion and additional mixing has been shown to be at work in the globular cluster NGC6397 at a metallicity of [Fe/H] similar to -2.1. We investigate possible abundance trends in Li, Mg, Ca, Ti, Sc, and Fe with evolutionary stage in another globular cluster NGC6752 at a metallicity of [Fe/H] similar to -1.6. This in order to better constrain stellar structure models including atomic diffusion and additional mixing. Methods. We performed a differential abundance analysis on VLT/FLAMES-UVES data of 16 stars in four groups between the turnoff point and the red giant branch. Continuum normalisation of the stellar spectra was performed in an automated way using DAOSPEC. Differential abundances relative to the sun were derived by fitting synthetic spectra to individual lines in the stellar spectrum. Results. We find weak systematic abundance trends with evolutionary phase for Fe, Sc, Ti, and Ca. The individual trends are weaker than the trends in NGC6397 and only significant at the 1-sigma level. However, the combined trend shows a significance on the 2-sigma level. The trends are best explained by stellar-structure models including atomic diffusion with more efficient additional mixing than needed in NGC6397. The model allows to correct for sub-primordial stellar lithium abundances of the stars on the Spite plateau. Conclusions. Abundance trends for groups of elements, differently affected by atomic diffusion and additional mixing, are identified. Although the significance of the trends is weak, they all seem to indicate that atomic diffusion is operational along the evolutionary sequence of NGC6752. The trends are weaker than those observed in NGC6397, which is perhaps due to more efficient mixing. Using models of atomic diffusion including efficient additional mixing, we find a diffusion-corrected primordial lithium abundance of log epsilon(Li) = 2.58 +/- 0.10, in agreement with WMAP-calibrated Big-Bang nucleosynthesis predictions within the mutual 1-sigma uncertainties.
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| 32. |
- Jönsson, Henrik, et al.
(author)
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Sulphur abundances in halo giants from the [S I] line at 1082 nm and the [S I] triplet around 1045 nm
- 2011
-
In: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 530, s. A144-
-
Journal article (peer-reviewed)abstract
- Context. It is still debated whether or not the Galactic chemical evolution of sulphur in the halo follows the flat trend with [Fe/H] that is ascribed to the result of explosive nucleosynthesis in type II SNe. It has been suggested that the disagreement between different investigations of sulphur abundances in halo stars might be owing to problems with the diagnostics used, that a new production source of sulphur might be needed in the early Universe, like hypernovae, or that the deposition of supernova ejecta into the interstellar medium is time-delayed. Aims. The aim of this study is to try to clarify this situation by measuring the sulphur abundance in a sample of halo giants using two diagnostics: the S I triplet around 1045 nm and the [S I] line at 1082 nm. The latter of the two is not believed to be sensitive to non-LTE effects. We can thereby minimize the uncertainties in the diagnostic used and estimate the usefulness of the triplet for the sulphur determination in halo K giants. We will also be able to compare our sulphur abundance differences from the two diagnostics with the expected non-LTE effects in the 1045 nm triplet previously calculated by others. Methods. High-resolution near-infrared spectra of ten K giants were recorded using the spectrometer CRIRES mounted at VLT. Two standard settings were used, one covering the S I triplet and one covering the [S I] line. The sulphur abundances were individually determined with equivalent widths and synthetic spectra for the two diagnostics using tailored 1D model atmospheres and relying on non-LTE corrections from the litterature. Effects of convective inhomogeneities in the stellar atmospheres are investigated. Results. The sulphur abundances derived from both the [S I] line and the non-LTE corrected 1045 nm triplet favor a flat trend for the evolution of sulphur. In contrast to some previous studies, we saw no "high" values of [S/Fe] in our sample. Conclusions. We corroborate the flat trend in the [S/Fe] vs. [Fe/H] plot for halo stars found in some previous studies but do not find a scatter or a rise in [S/Fe] as obtained in other works. We find the sulphur abundances deduced from the non-LTE corrected triplet to be somewhat lower than the abundances from the [S I] line, possibly indicating too large non-LTE corrections. Considering 3D modeling, however, they might instead be too small. Moreover, we show that the [S I] line can be used as a sulphur diagnostic down to [Fe/H] similar to - 2.3 in giants.
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| 33. |
- Lundberg, Bengt, et al.
(author)
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Optimal wave shape with respect to efficiency in percussive drilling with detachable drill bit
- 2015
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In: International Journal of Impact Engineering. - : Elsevier BV. - 0734-743X .- 1879-3509. ; 86, s. 179-187
-
Journal article (peer-reviewed)abstract
- Abstract The problem of finding the optimal incident wave of given duration that maximizes the efficiency of conversion of wave energy into work in percussive drilling with detachable drill bit is considered. The drill rod is modelled as 1D linearly elastic and the drill bit as a rigid mass. The bit/rock interaction is described by a history-dependent force versus penetration relation with different constant slopes for primary loading and unloading/reloading. A functional expressing the dependence of the efficiency on the shape of an arbitrary incident wave of given duration is derived and maximized. For short incident waves, there is a weak influence of the bit mass on the optimal wave shape which is nearly rectangular. For longer incident waves, there is a strong influence of the bit mass on the optimal wave shape which significantly differs from rectangular. The efficiencies for optimal waves approach those for rectangular waves for short waves. For long waves they approach or assume values which are independent of wave duration but decrease with increasing bit mass. Relative to commonly-used rectangular waves significant increase in efficiency can be achieved through optimization of the wave shape if the wave is not too short. Optimal incident waves can be realized accurately, e.g., by piezoelectric means.
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| 34. |
- Lundberg, Bengt, et al.
(author)
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Optimal wave with respect to efficiency in percussive drilling with integral drill steel
- 2010
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In: International Journal of Impact Engineering. - : Elsevier BV. - 0734-743X .- 1879-3509. ; 37:8, s. 901-906
-
Journal article (peer-reviewed)abstract
- The problem considered is that of finding the optimum wave of given finite duration that maximizes the efficiency of conversion of wave energy into work in percussive drilling with integral drill steel (drill rod with integrated bit). A 10 model is used for the drill rod, and the bit-rock interaction is represented by a piecewise linear force versus penetration relation with different penetration resistances for primary loading and for unloading/reloading. A functional expressing the dependence of the efficiency on the incident wave is derived and maximized. The optimal incident wave has exponential shape with time constant for the growth rate equal to the characteristic response time of the percussive drill system, including the rock. The maximal efficiency increases monotonously with the duration of the optimal wave. It approaches zero for very short waves and unity for very long waves. Optimal waves of short duration are close to rectangular while those of long duration approach the semi-infinite exponential wave derived by Long in the 1960s. Optimal waves of medium or longer duration give significantly higher efficiencies than commonly used rectangular waves of the same duration.
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| 35. |
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| 36. |
- Milton, A., et al.
(author)
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Development of an ICU discharge instrument predicting psychological morbidity : a multinational study
- 2018
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In: Intensive Care Medicine. - : Springer. - 0342-4642 .- 1432-1238. ; 44:12, s. 2038-2047
-
Journal article (peer-reviewed)abstract
- Purpose: To develop an instrument for use at ICU discharge for prediction of psychological problems in ICU survivors.Methods: Multinational, prospective cohort study in ten general ICUs in secondary and tertiary care hospitals in Sweden, Denmark and the Netherlands. Adult patients with an ICU stay12h were eligible for inclusion. Patients in need of neurointensive care, with documented cognitive impairment, unable to communicate in the local language, without a home address or with more than one limitation of therapy were excluded. Primary outcome was psychological morbidity 3months after ICU discharge, defined as Hospital Anxiety and Depression Scale (HADS) subscale score11 or Post-traumatic Stress Symptoms Checklist-14 (PTSS-14) part B score>45.Results: A total of 572 patients were included and 78% of patients alive at follow-up responded to questionnaires. Twenty percent were classified as having psychological problems post-ICU. Of 18 potential risk factors, four were included in the final prediction model after multivariable logistic regression analysis: symptoms of depression [odds ratio (OR) 1.29, 95% confidence interval (CI) 1.10-1.50], traumatic memories (OR 1.44, 95% CI 1.13-1.82), lack of social support (OR 3.28, 95% CI 1.47-7.32) and age (age-dependent OR, peak risk at age 49-65years). The area under the receiver operating characteristics curve (AUC) for the instrument was 0.76 (95% CI 0.70-0.81).Conclusions: We developed an instrument to predict individual patients' risk for psychological problems 3months post-ICU, http://www.imm.ki.se/biostatistics/calculators/psychmorb/. The instrument can be used for triage of patients for psychological ICU follow-up.Trial registration: The study was registered at clinicaltrials.gov, NCT02679157.
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| 37. |
- Mussbacher, G., et al.
(author)
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The Relevance of Model-Driven Engineering Thirty years from Now
- 2014
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In: Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics). - Cham : Springer International Publishing. - 1611-3349 .- 0302-9743. ; 8767, s. 183-200
-
Journal article (peer-reviewed)abstract
- Although model-driven engineering (MDE) is now an established approach for developing complex software systems, it has not been universally adopted by the software industry. In order to better understand the reasons for this, as well as to identify future opportunities for MDE, we carried out a week-long design thinking experiment with 15 MDE experts. Participants were facilitated to identify the biggest problems with current MDE technologies, to identify grand challenges for society in the near future, and to identify ways that MDE could help to address these challenges. The outcome is a reflection of the current strengths of MDE, an outlook of the most pressing challenges for society at large over the next three decades, and an analysis of key future MDE research opportunities.
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| 38. |
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- Schiele, Francois, et al.
(author)
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2020 Update of the quality indicators for acute myocardial infarction: a position paper of the Association for Acute Cardiovascular Care: the study group for quality indicators from the ACVC and the NSTE-ACS guideline group
- 2021
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In: European Heart Journal. - : OXFORD UNIV PRESS. - 2048-8726 .- 2048-8734. ; 10:2, s. 224-233
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Journal article (peer-reviewed)abstract
- Aims Quality indicators (QIs) are tools to improve the delivery of evidence-base medicine. In 2017, the European Society of Cardiology (ESC) Association for Acute Cardiovascular Care (ACVC) developed a set of QIs for acute myocardial infarction (AMI), which have been evaluated at national and international levels and across different populations. However, an update of these QIs is needed in light of the accumulated experience and the changes in the supporting evidence. Methods and results The ESC methodology for the QI development was used to update the 2017 ACVC QIs. We identified key domains of AMI care, conducted a literature review, developed a list of candidate QIs, and used a modified Delphi method to select the final set of indicators. The same seven domains of AMI care identified by the 2017 Study Group were retained for this update. For each domain, main and secondary QIs were developed reflecting the essential and complementary aspects of care, respectively. Overall, 26 QIs are proposed in this document, compared to 20 in the 2017 set. New QIs are proposed in this document (e.g. the centre use of high-sensitivity troponin), some were retained or modified (e.g. the in-hospital risk assessment), and others were retired in accordance with the changes in evidence [e.g. the proportion of patients with non-ST segment elevation myocardial infarction (NSTEMI) treated with fondaparinux] and the feasibility assessments (e.g. the proportion of patients with NSTEMI whom risk assessment is performed using the GRACE and CRUSADE risk scores). Conclusion Updated QIs for the management of AMI were developed according to contemporary knowledge and accumulated experience. These QIs may be applied to evaluate and improve the quality of AMI care.
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