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- Feigin, Valery L., et al.
(författare)
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Global, regional, and national burden of neurological disorders, 1990–2016 : a systematic analysis for the Global Burden of Disease Study 2016
- 2019
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Ingår i: Lancet Neurology. - : Elsevier. - 1474-4422 .- 1474-4465. ; 18:5, s. 459-480
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Tidskriftsartikel (refereegranskat)abstract
- Background: Neurological disorders are increasingly recognised as major causes of death and disability worldwide. The aim of this analysis from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 is to provide the most comprehensive and up-to-date estimates of the global, regional, and national burden from neurological disorders.Methods: We estimated prevalence, incidence, deaths, and disability-adjusted life-years (DALYs; the sum of years of life lost [YLLs] and years lived with disability [YLDs]) by age and sex for 15 neurological disorder categories (tetanus, meningitis, encephalitis, stroke, brain and other CNS cancers, traumatic brain injury, spinal cord injury, Alzheimer's disease and other dementias, Parkinson's disease, multiple sclerosis, motor neuron diseases, idiopathic epilepsy, migraine, tension-type headache, and a residual category for other less common neurological disorders) in 195 countries from 1990 to 2016. DisMod-MR 2.1, a Bayesian meta-regression tool, was the main method of estimation of prevalence and incidence, and the Cause of Death Ensemble model (CODEm) was used for mortality estimation. We quantified the contribution of 84 risks and combinations of risk to the disease estimates for the 15 neurological disorder categories using the GBD comparative risk assessment approach.Findings: Globally, in 2016, neurological disorders were the leading cause of DALYs (276 million [95% UI 247–308]) and second leading cause of deaths (9·0 million [8·8–9·4]). The absolute number of deaths and DALYs from all neurological disorders combined increased (deaths by 39% [34–44] and DALYs by 15% [9–21]) whereas their age-standardised rates decreased (deaths by 28% [26–30] and DALYs by 27% [24–31]) between 1990 and 2016. The only neurological disorders that had a decrease in rates and absolute numbers of deaths and DALYs were tetanus, meningitis, and encephalitis. The four largest contributors of neurological DALYs were stroke (42·2% [38·6–46·1]), migraine (16·3% [11·7–20·8]), Alzheimer's and other dementias (10·4% [9·0–12·1]), and meningitis (7·9% [6·6–10·4]). For the combined neurological disorders, age-standardised DALY rates were significantly higher in males than in females (male-to-female ratio 1·12 [1·05–1·20]), but migraine, multiple sclerosis, and tension-type headache were more common and caused more burden in females, with male-to-female ratios of less than 0·7. The 84 risks quantified in GBD explain less than 10% of neurological disorder DALY burdens, except stroke, for which 88·8% (86·5–90·9) of DALYs are attributable to risk factors, and to a lesser extent Alzheimer's disease and other dementias (22·3% [11·8–35·1] of DALYs are risk attributable) and idiopathic epilepsy (14·1% [10·8–17·5] of DALYs are risk attributable).Interpretation: Globally, the burden of neurological disorders, as measured by the absolute number of DALYs, continues to increase. As populations are growing and ageing, and the prevalence of major disabling neurological disorders steeply increases with age, governments will face increasing demand for treatment, rehabilitation, and support services for neurological disorders. The scarcity of established modifiable risks for most of the neurological burden demonstrates that new knowledge is required to develop effective prevention and treatment strategies.Funding: Bill & Melinda Gates Foundation.
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- Cung, T. -T., et al.
(författare)
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Cyclosporine before PCI in Patients with Acute Myocardial Infarction
- 2015
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Ingår i: New England Journal of Medicine. - 0028-4793. ; 373:11, s. 1021-1031
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND Experimental and clinical evidence suggests that cyclosporine may attenuate reperfusion injury and reduce myocardial infarct size. We aimed to test whether cyclosporine would improve clinical outcomes and prevent adverse left ventricular remodeling. METHODS In a multicenter, double-blind, randomized trial, we assigned 970 patients with an acute anterior ST-segment elevation myocardial infarction (STEMI) who were undergoing percutaneous coronary intervention (PCI) within 12 hours after symptom onset and who had complete occlusion of the culprit coronary artery to receive a bolus injection of cyclosporine (administered intravenously at a dose of 2.5 mg per kilogram of body weight) or matching placebo before coronary recanalization. The primary outcome was a composite of death from any cause, worsening of heart failure during the initial hospitalization, rehospitalization for heart failure, or adverse left ventricular remodeling at 1 year. Adverse left ventricular remodeling was defined as an increase of 15% or more in the left ventricular end-diastolic volume. RESULTS A total of 395 patients in the cyclosporine group and 396 in the placebo group received the assigned study drug and had data that could be evaluated for the primary outcome at 1 year. The rate of the primary outcome was 59.0% in the cyclosporine group and 58.1% in the control group (odds ratio, 1.04; 95% confidence interval, 0.78 to 1.39; P = 0.77). Cyclosporine did not reduce the incidence of the separate clinical components of the primary outcome or other events, including recurrent infarction, unstable angina, and stroke. No significant difference in the safety profile was observed between the two treatment groups. CONCLUSIONS In patients with anterior STEMI who had been referred for primary PCI, intravenous cyclosporine did not result in better clinical outcomes than those with placebo and did not prevent adverse left ventricular remodeling at 1 year. (Funded by the French Ministry of Health and NeuroVive Pharmaceutical; CIRCUS ClinicalTrials.gov number, NCT01502774; EudraCT number, 2009-013713-99.)
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- Chung, Sun Ju, et al.
(författare)
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Alpha-Synuclein Repeat Variants and Survival in Parkinson's Disease
- 2014
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Ingår i: Movement Disorders. - : Wiley. - 0885-3185. ; 29:8, s. 1053-1057
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To determine whether alpha-synuclein dinucleotide repeat (REP1) genotypes are associated with survival in Parkinson's disease (PD). Methods: Investigators from the Genetic Epidemiology of Parkinson's Disease Consortium provided REP1 genotypes and baseline and follow-up clinical data for cases. The primary outcome was time to death. Cox proportional hazards regression models were used to assess the association of REP1 genotypes with survival. Results: Twenty-one sites contributed data for 6,154 cases. There was no significant association between alpha-synuclein REP1 genotypes and survival in PD. However, there was a significant association between REP1 genotypes and age at onset of PD (hazard ratio: 1.06; 95% confidence interval: 1.01-1.10; P value = 0.01). Conclusions: In our large consortium study, alpha-synuclein REP1 genotypes were not associated with survival in PD. Further studies of alpha-synuclein's role in disease progression and long-term outcomes are needed. (C) 2014 International Parkinson and Movement Disorder Society
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- Baudoin, Eric, et al.
(författare)
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Effect of partial premixing on stabilization and local extinction of turbulent methane/air flames
- 2013
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Ingår i: Flow, Turbulence and Combustion. - : Springer Science and Business Media LLC. - 1573-1987 .- 1386-6184. ; 90:2, s. 269-284
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Tidskriftsartikel (refereegranskat)abstract
- Abstract in UndeterminedThe stabilization characteristics and local extinction structures of partially premixed methane/air flames were studied using simultaneous OH-PLIF/PIV techniques, and large eddy simulations employing a two-scalar flamelet model. Partial premixing was made in a mixing chamber comprised of two concentric tubes, where the degree of partial premixing of fuel and air was controlled by varying the mixing length of the chamber. At the exit of the mixing chamber a cone was mounted to stabilize the flames at high turbulence intensities. The stability regime of flames was determined for different degree of partial premixing and Reynolds numbers. It was found that in general partially premixed flames at low Reynolds numbers become more stable when the level of partial premixing of air to the fuel stream decreases. At high Reynolds numbers, for the presently studied burner configuration there is an optimal partial premixing level of air to the fuel stream at which the flame is most stable. OH-PLIF images revealed that for the stable flames not very close to the blowout regime, significant local extinction holes appear already. By increasing premixing air to fuel stream successively, local extinction holes grow in size leading to eventual flame blowout. Local flame extinction was found to frequently attain to locations where locally high velocity flows impinging to the flame. The local flame extinction poses a future challenge for model simulations and the present flames provide a possible test case for such study.
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27. |
- Baudoin, Eric, et al.
(författare)
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Effect of partial premixing on stabilization and local extinction of turbulent methane/air flames
- 2011
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Ingår i: Proceedings of the 17th Mediterranean Combustion symposium, MCS 7. - 9788888104126
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Konferensbidrag (refereegranskat)abstract
- The stabilization characteristics and local extinction structures of partially premixed methane/air flames were studied using simultaneous OH-PLIF/PIV techniques, and large eddy simulations employing a two-scalar flamelet model. Partial premixing was made in a mixing chamber comprised of two concentric tubes, where the degree of partial premixing of fuel and air was controlled by varying the mixing length of the chamber. At the exit of the mixing chamber a cone was mounted to stabilize the flames at high turbulence intensities. The stability regime of flames was determined for different degree of partial premixing and Reynolds numbers. It was found that in general partially premixed flames at low Reynolds numbers become more stable when the level of partial premixing of air to the fuel stream decreases. At high Reynolds numbers, for the presently studied burner configuration there is an optimal partial premixing level of air to the fuel stream at which the flame is most stable. OH-PLIF images revealed that for the stable flames not very close to the blowout regime,significant local extinction holes appear already. By increasing premixing air to fuel stream successively, local extinction holes grow in size leading to eventual flame blowout. Local flame extinction was found to frequently attain to locations where locally high velocity flows impinging to the flame. The local flame extinction poses a future challenge for model simulations and the present flames provide a possible test case for such study.
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- Elbaz, Alexis, et al.
(författare)
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Independent and Joint Effects of the MAPT and SNCA Genes in Parkinson Disease
- 2011
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Ingår i: Annals of Neurology. - : Wiley. - 1531-8249 .- 0364-5134. ; 69:5, s. 778-792
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Tidskriftsartikel (refereegranskat)abstract
- Objective: We studied the independent and joint effects of the genes encoding alpha-synuclein (SNCA) and microtubule-associated protein tau (MAPT) in Parkinson disease (PD) as part of a large meta-analysis of individual data from case-control studies participating in the Genetic Epidemiology of Parkinson's Disease (GEO-PD) consortium. Methods: Participants of Caucasian ancestry were genotyped for a total of 4 SNCA (rs2583988, rs181489, rs356219, rs11931074) and 2 MAPT (rs1052553, rs242557) single nucleotide polymorphism (SNPs). Individual and joint effects of SNCA and MAPT SNPs were investigated using fixed- and random-effects logistic regression models. Interactions were studied on both a multiplicative and an additive scale, and using a case-control and case-only approach. Results: Fifteen GEO-PD sites contributed a total of 5,302 cases and 4,161 controls. All 4 SNCA SNPs and the MAPT H1-haplotype-defining SNP (rs1052553) displayed a highly significant marginal association with PD at the significance level adjusted for multiple comparisons. For SNCA, the strongest associations were observed for SNPs located at the 30 end of the gene. There was no evidence of statistical interaction between any of the 4 SNCA SNPs and rs1052553 or rs242557, neither on the multiplicative nor on the additive scale. Interpretation: This study confirms the association between PD and both SNCA SNPs and the H1 MAPT haplotype. It shows, based on a variety of approaches, that the joint action of variants in these 2 loci is consistent with independent effects of the genes without additional interacting effects. ANN NEUROL 2011; 69: 778-792
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- Evangelou, Evangelos, et al.
(författare)
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Non-replication of association for six polymorphisms from meta-analysis of genome-wide association studies of Parkinson's disease : large-scale collaborative study
- 2010
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Ingår i: American Journal of Medical Genetics, Part B: Neuropsychiatric Genetics. - : Wiley. - 1552-4841 .- 1552-485X. ; 153B:1, s. 8-220
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Tidskriftsartikel (refereegranskat)abstract
- Early genome-wide association (GWA) studies on Parkinson's disease (PD) have not been able to yield conclusive, replicable signals of association, perhaps due to limited sample size. We aimed to investigate whether association signals derived from the meta-analysis of the first two GWA investigations might be replicable in different populations. We examined six single-nucleotide polymorphisms (SNPs) (rs1000291, rs1865997, rs2241743, rs2282048, rs2313982, and rs3018626) that had reached nominal significance with at least two of three different strategies proposed in a previous analysis of the original GWA studies. Investigators from the "Genetic Epidemiology of Parkinson's Disease" (GEOPD) consortium were invited to join in this study. Ten teams contributed replication data from 3,458 PD cases and 3,719 controls. The data from the two previously published GWAs (599 PD cases, 592 controls and 443 sibling pairs) were considered as well. All data were synthesized using both fixed and random effects models. The summary allelic odds ratios were ranging from 0.97 to 1.09 by random effects, when all data were included. The summary estimates of the replication data sets (excluding the original GWA data) were very close to 1.00 (range 0.98-1.09) and none of the effects were nominally statistically significant. The replication data sets had significantly different results than the GWA data. Our data do not support evidence that any of these six SNPs reflect susceptibility markers for PD. Much stronger signals of statistical significance in GWA platforms are needed to have substantial chances of replication. Specifically in PD genetics, this would require much larger GWA studies and perhaps novel analytical techniques.
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- Heckman, Michael G., et al.
(författare)
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Population-specific Frequencies for LRRK2 Susceptibility Variants in the Genetic Epidemiology of Parkinson's Disease (GEO-PD) Consortium
- 2013
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Ingår i: Movement Disorders. - : Wiley. - 0885-3185. ; 28:12, s. 1740-1744
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundVariants within the leucine-rich repeat kinase 2 gene are recognized as the most frequent genetic cause of Parkinson's disease. Leucine-rich repeat kinase 2 variation related to disease susceptibility displays many features that reflect the nature of complex, late-onset sporadic disorders like Parkinson's disease. MethodsThe Genetic Epidemiology of Parkinson's Disease Consortium recently performed the largest genetic association study for variants in the leucine-rich repeat kinase 2 gene across 23 different sites in 15 countries. ResultsHerein, we detail the allele frequencies for the novel risk factors (p.A419V and p.M1646T) and the protective haplotype (p.N551K-R1398H-K1423K) nominated in the original publication. Simple population allele frequencies not only can provide insight into the clinical relevance of specific variants but also can help genetically define patient groups. ConclusionsEstablishing individual patient-based genomic susceptibility profiles that incorporate both risk factors and protective factors will determine future diagnostic and treatment strategies. (c) 2013 International Parkinson and Movement Disorder Society
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- Krüger, Rejko, et al.
(författare)
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A large-scale genetic association study to evaluate the contribution of Omi/HtrA2 (PARK13) to Parkinson's disease
- 2011
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Ingår i: Neurobiology of Aging. - : Elsevier BV. - 1558-1497 .- 0197-4580. ; 32:3, s. 9-548
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Tidskriftsartikel (refereegranskat)abstract
- High-profile studies have provided conflicting results regarding the involvement of the Omi/HtrA2 gene in Parkinson's disease (PD) susceptibility. Therefore, we performed a large-scale analysis of the association of common Omi/HtrA2 variants in the Genetic Epidemiology of Parkinson's disease (GEO-PD) consortium. GEO-PD sites provided clinical and genetic data including affection status, gender, ethnicity, age at study, age at examination (all subjects); age at onset and family history of PD (patients). Genotyping was performed for the five most informative SNPs spanning the Omi/HtrA2 gene in approximately 2-3 kb intervals (rs10779958, rs2231250, rs72470544, rs1183739, rs2241028). Fixed as well as random effect models were used to provide summary risk estimates of Omi/HtrA2 variants. The 20 GEO-PD sites provided data for 6378 cases and 8880 controls. No overall significant associations for the five Omi/HtrA2 SNPs and PD were observed using either fixed effect or random effect models. The summary odds ratios ranged between 0.98 and 1.08 and the estimates of between-study heterogeneity were not large (non-significant Q statistics for all 5 SNPs; I(2) estimates 0-28%). Trends for association were seen for participants of Scandinavian descent for rs2241028 (OR 1.41, p=0.04) and for rs1183739 for age at examination (cut-off 65 years; OR 1.17, p=0.02), but these would not be significant after adjusting for multiple comparisons and their Bayes factors were only modest. This largest association study performed to define the role of any gene in the pathogenesis of Parkinson's disease revealed no overall strong association of Omi/HtrA2 variants with PD in populations worldwide.
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- Ross, Owen A., et al.
(författare)
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Association of LRRK2 exonic variants with susceptibility to Parkinson's disease: a case-control study
- 2011
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Ingår i: Lancet Neurology. - 1474-4465. ; 10:10, s. 898-908
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Tidskriftsartikel (refereegranskat)abstract
- Background The leucine-rich repeat kinase 2 gene (LRRK2) harbours highly penetrant mutations that are linked to familial parkinsonism. However, the extent of its polymorphic variability in relation to risk of Parkinson's disease (PD) has not been assessed systematically. We therefore assessed the frequency of LRRK2 exonic variants in individuals with and without PD, to investigate the role of the variants in PD susceptibility. Methods LRRK2 was genotyped in patients with PD and controls from three series (white, Asian, and Arab-Berber) from sites participating in the Genetic Epidemiology of Parkinson's Disease Consortium. Genotyping was done for exonic variants of LRRK2 that were identified through searches of literature and the personal communications of consortium members. Associations with PD were assessed by use of logistic regression models. For variants that had a minor allele frequency of 0.5% or greater, single variant associations were assessed, whereas for rarer variants information was collapsed across variants. Findings 121 exonic LRRK2 variants were assessed in 15 540 individuals: 6995 white patients with PD and 5595 controls, 1376 Asian patients and 962 controls, and 240 Arab-Berber patients and 372 controls. After exclusion of carriers of known pathogenic mutations, new independent risk associations were identified for polymorphic variants in white individuals (M1646T, odds ratio 1.43, 95% CI 1.15-1.78; p=0.0012) and Asian individuals (A419V, 2.27, 1.35-3.83; p=0.0011). A protective haplotype (N551K-R1398H-K1423K) was noted at a frequency greater than 5% in the white and Asian series, with a similar finding in the Arab-Berber series (combined odds ratio 0.82, 0.72-0.94; p=0.0043). Of the two previously reported Asian risk variants, G2385R was associated with disease (1.73, 1.20-2.49; p=0.0026), but no association was noted for R1628P (0.62, 0.36-1.07; p=0.087). In the Arab-Berber series, Y2189C showed potential evidence of risk association with PD (4.48, 133-15.09; p=0.012). Interpretation The results for LRRK2 show that several rare and common genetic variants in the same gene can have independent effects on disease risk. LRRK2, and the pathway in which it functions, is important in the cause and pathogenesis of PD in a greater proportion of patients with this disease than previously believed. These results will help discriminate those patients who will benefit most from therapies targeted at LRRK2 pathogenic activity. Funding Michael J Fox Foundation and National Institutes of Health.
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- Elbaz, A. M., et al.
(författare)
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An experimental/numerical investigation of the role of the quarl in enhancing the blowout limits of swirl-stabilized turbulent non-premixed flames
- 2019
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Ingår i: Fuel. - : Elsevier BV. - 0016-2361. ; 236, s. 1226-1242
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Tidskriftsartikel (refereegranskat)abstract
- The blowout limits of methane/air non-premixed swirl-stabilized flames were measured with and without quarl. The addition of a quarl significantly enhances the flame blowout limits. The transition from attached flame to blowout was mapped. To explore the role of the quarl, a series of OH-PLIF/PIV experiments, coupled with large eddy simulations (LES) using a transported probability density function (PDF) model, were carried out on flames with and without quarl over a wide range of fuel jet velocity, Uf. The results show that the mean flow field is characterized by two recirculation zones. The existence of the quarl enhances this flow field by triggering a larger scale of reversal flow, penetrating deeply upstream into the quarl. This results in much earlier fuel, extending down into the air tube, where a diffusion flame is stabilized around the stoichiometric mixture contour and locally low scalar dissipation rates. The relative delay in fuel/air mixing in non-quarl flames results in a locally strong scalar dissipation rate layer overlapping the stoichiometric mixture contour, and thus, the flame is highly sensitive to local extinction with increasing fuel jet velocity. At high Uf, in the liftoff flame region, the existence of the quarl enhances the jet spreading and a weak recirculation zone around the highly strained jet is observed. Together with fuel jet spreading, partial oxidization of the mixture upstream the lifted flame base creates a wider range of burnable mixture along the axis in the quarl flames. On the contrary, the high scalar dissipation rate and the absence of a recirculation region in the proximity of the fuel nozzle in the non-quarl flame give rise to an earlier blowout.
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- Juneau, Stéphanie, et al.
(författare)
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The Black Hole-Galaxy Connection : Interplay between Feedback, Obscuration, and Host Galaxy Substructure
- 2022
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Ingår i: Astrophysical Journal. - : American Astronomical Society. - 0004-637X .- 1538-4357. ; 925:2
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Tidskriftsartikel (refereegranskat)abstract
- There is growing evidence for physical influence between supermassive black holes and their host galaxies. We present a case study of the nearby galaxy NGC 7582, for which we find evidence that galactic substructure plays an important role in affecting the collimation of ionized outflows as well as contributing to the heavy active galactic nucleus (AGN) obscuration. This result contrasts with a simple, small-scale AGN torus model, according to which AGN-wind collimation may take place inside the torus itself, at subparsec scales. Using 3D spectroscopy with the Multi Unit Spectroscopic Explorer instrument, we probe the kinematics of the stellar and ionized gas components as well as the ionization state of the gas from a combination of emission-line ratios. We report for the first time a kinematically distinct core (KDC) in NGC 7582, on a scale of ∼600 pc. This KDC coincides spatially with dust lanes and starbursting complexes previously observed. We interpret it as a circumnuclear ring of stars and dusty, gas-rich material. We obtain a clear view of the outflowing cones over kiloparsec scales and demonstrate that they are predominantly photoionized by the central engine. We detect the back cone (behind the galaxy) and confirm previous results of a large nuclear obscuration of both the stellar continuum and H II regions. While we tentatively associate the presence of the KDC with a large-scale bar and/or a minor galaxy merger, we stress the importance of gaining a better understanding of the role of galaxy substructure in controlling the fueling, feedback, and obscuration of AGNs.
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- Liu, X., et al.
(författare)
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Effect of burner geometry on swirl stabilized methane/air flames : A joint LES/OH-PLIF/PIV study
- 2017
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Ingår i: Fuel. - : Elsevier BV. - 0016-2361. ; 207, s. 533-546
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Tidskriftsartikel (refereegranskat)abstract
- Large eddy simulation (LES) using a transported PDF model and OH-PLIF/PIV experiments were carried out to investigate the quarl effects on the structures of swirl stabilized methane/air flames. Two different quarls were investigated, one straight cylindrical quarl and one diverging conical quarl. The experiments show that the flames are significantly different with the two quarls. With the straight cylindrical quarl a compact blue flame is observed while with the diverging conical quarl the flame appears to be long and yellow indicating a sooty flame structure. The PIV results show the formation of a stronger flow recirculation inside the diverging conical quarl than that in the straight quarl. LES results reveal further details of the flow and mixing process inside the quarl. The results show that with the diverging quarl vortex breakdown occurs much earlier towards the upstream of the quarl. As a result the fuel is convected into the air flow tube and a diffusion flame is stabilized inside the air flow tube upstream the quarl. With the straight quarl, vortex breakdown occurs at a downstream location in the quarl. The scalar dissipation rate in the shear layer of the fuel jet is high, which prevents the stabilization of a diffusion flame in the proximity of the fuel nozzle; instead, a compact partially premixed flame with two distinct heat release layers is stablized in a downstream region in the quarl, which allows for the fuel and air to mix in the quarl before combustion and a lower formation rate of soot. The results showed that the Eulerian Stochastic Fields transported PDF method can well predict the details of the swirl flame dynamics.
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- Matta, Komodo, et al.
(författare)
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Healthy lifestyle change and all-cause and cancer mortality in the European Prospective Investigation into Cancer and Nutrition cohort
- 2024
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Ingår i: BMC Medicine. - 1741-7015. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Healthy lifestyles are inversely associated with the risk of noncommunicable diseases, which are leading causes of death. However, few studies have used longitudinal data to assess the impact of changing lifestyle behaviours on all-cause and cancer mortality. Methods: Within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort, lifestyle profiles of 308,497 cancer-free adults (71% female) aged 35–70 years at recruitment across nine countries were assessed with baseline and follow-up questionnaires administered on average of 7 years apart. A healthy lifestyle index (HLI), assessed at two time points, combined information on smoking status, alcohol intake, body mass index, and physical activity, and ranged from 0 to 16 units. A change score was calculated as the difference between HLI at baseline and follow-up. Associations between HLI change and all-cause and cancer mortality were modelled with Cox regression, and the impact of changing HLI on accelerating mortality rate was estimated by rate advancement periods (RAP, in years). Results: After the follow-up questionnaire, participants were followed for an average of 9.9 years, with 21,696 deaths (8407 cancer deaths) documented. Compared to participants whose HLIs remained stable (within one unit), improving HLI by more than one unit was inversely associated with all-cause and cancer mortality (hazard ratio [HR]: 0.84; 95% confidence interval [CI]: 0.81, 0.88; and HR: 0.87; 95% CI: 0.82, 0.92; respectively), while worsening HLI by more than one unit was associated with an increase in mortality (all-cause mortality HR: 1.26; 95% CI: 1.20, 1.33; cancer mortality HR: 1.19; 95% CI: 1.09, 1.29). Participants who worsened HLI by more than one advanced their risk of death by 1.62 (1.44, 1.96) years, while participants who improved HLI by the same amount delayed their risk of death by 1.19 (0.65, 2.32) years, compared to those with stable HLI. Conclusions: Making healthier lifestyle changes during adulthood was inversely associated with all-cause and cancer mortality and delayed risk of death. Conversely, making unhealthier lifestyle changes was positively associated with mortality and an accelerated risk of death.
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39. |
- Wang, Shixing, et al.
(författare)
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Experimental study and kinetic analysis of the laminar burning velocity of NH3/syngas/air, NH3/CO/air and NH3/H2/air premixed flames at elevated pressures
- 2020
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Ingår i: Combustion and Flame. - : Elsevier BV. - 0010-2180. ; 221, s. 270-287
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Tidskriftsartikel (refereegranskat)abstract
- Mixing ammonia with syngas can be a promising way to overcome the low reactivity of ammonia, allowing it to find usage in IGCC (Integrated Gasification Combined Cycle) systems and gas turbines for power generation. However, fundamental experimental data on laminar burning velocity of NH3/syngas/air are rather scarce, especially at elevated pressures. This information is critical for the development and validation of reaction mechanisms and advances in combustor design. In the present work, measurements of the laminar burning velocities (SL) of NH3/syngas/air, NH3/CO/air, and NH3/H2/air premixed flames were performed by the heat flux method at pressures up to 5 atm, equivalence ratios ranging from 0.7 to 1.6, ammonia mole fractions in the fuel mixture from 0.2 to 1.0 in the NH3/syngas/air mixtures and 0.03–1.0 in the NH3/CO/air mixtures. Several recently published ammonia oxidation mechanisms were tested against the present experimental data. The measurements and predictions of SL exhibit discrepancies especially for NH3/H2/air flames at elevated pressures. The pressure exponent factors, β, characterizing burning velocity at elevated pressure via empirical power-law correlation SL/SL0 = (P/P0)β are extracted from the measured SL and compared with the numerical results. The thermal, diffusion, and chemical effects of blending syngas with ammonia on SL of the mixtures are distinguished, and the dominant role of the adiabatic flame temperature on the variation of the pressure exponent β is discussed. Kinetic modeling and sensitivity analyses showed that reactions of NHi to N2Hi (i = 0–4) species affect the predicted SL under rich conditions. At elevated pressures, these reactions also affect the NO formation via third-body collision reactions and NHi + NO reactions. Even for rich flames, the ammonia consumption is favored with the addition of syngas which also promotes NO formation by enriching the H and OH radical pools and increasing the flame temperature. The addition of hydrogen or carbon monoxide has equally promoting effect on the ammonia decomposition and NOx formation although their flame speed differs a lot.
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40. |
- Yu, Sen Bin, et al.
(författare)
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非预混旋流火焰中部熄火及重新稳燃机理研究
- 2021
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Ingår i: Kung Cheng Je Wu Li Hsueh Pao/Journal of Engineering Thermophysics. - 0253-231X. ; 42:12, s. 3312-3319
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Tidskriftsartikel (refereegranskat)abstract
- The effects of quarl on the non-premixed swirling flames were studied by performing simultaneous OH-PLIF/PIV measurements experimentally and coupling LES with PDF combustion model numerically. The results showed that LES-PDF method can successfully capture the swirl flow fields and flame structures even including local extinction and re-stabilization. Compared to the no quarl case, the quarl plays a significant role on the expansion of the recirculation zone thus influencing the attached flame and the following extinction, though it affects the re-stabilization height rarely. With the high scalar dissipation rate, local extinction occurs due to the strong heat loss caused by the central fuel jet. In addition, fuel and air are partially premixed accompanied with some partial oxidation reactions producing CH2O, which provides preferential conditions for the stabilization of the non-premixed swirling flame. Moreover, the reaction rate term of OH is at least 10 times larger than its diffusion term, indicating that the reaction front dominates the re-ignition process for the flame re-stabilization downstream. It is thus concluded that the partially premixed flame propagation plays a dominant role in controlling the re-stabilization of this flame.
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41. |
- Yu, S., et al.
(författare)
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LES/PDF modeling of swirl-stabilized non-premixed methane/air flames with local extinction and re-ignition
- 2020
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Ingår i: Combustion and Flame. - : Elsevier BV. - 0010-2180. ; 219, s. 102-119
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Tidskriftsartikel (refereegranskat)abstract
- Turbulent non-premixed flames with local extinction and re-ignition exhibit multiple combustion modes including ignition waves, diffusion flames, partially premixed flames, and ignition-assisted partially premixed flames. The mechanisms of local extinction and re-ignition are not well understood and numerical modeling of multi-mode combustion is a challenging task. In this work, a specially designed swirl-burner was used to study local extinction and re-ignition of non-premixed turbulent methane/air flames. High speed Particle Image Velocimetry (PIV) and laser induced fluorescence of OH radicals (OH-PLIF) measurements along with Large Eddy Simulation (LES) were carried out to investigate the mechanisms of extinction and re-ignition processes in the burner. LES is based on a transported probability density function model within the framework of Eulerian Stochastic Fields (PDF-ESF). It is found that local extinction occurs when the scalar dissipation rate around the stoichiometric mixture fraction is high. The characteristic time scale for local extinction and re-ignition in the present flames is an order of magnitude longer than the characteristic time scale of diffusion/extinction of laminar flamelets. There are two mechanisms for flame hole re-ignition in the present flames. First, under low degree of local extinction conditions (i.e., for small flame holes surrounded by flames) the flame hole re-ignition is due to the mechanism of turbulent flame folding. Second, under high degree of extinction conditions (i.e., with large regions of extinction and lifted flames), re-ignition of the locally extinguished flame is due to the mechanism of ignition assisted partially premixed flame propagation. The results show that the PDF-ESF model is capable of simulating the quenching and re-ignition process found in the experiments.
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