SwePub
Sök i SwePub databas

  Utökad sökning

Träfflista för sökning "WFRF:(Fernandes Eduardo) "

Sökning: WFRF:(Fernandes Eduardo)

  • Resultat 1-45 av 45
Sortera/gruppera träfflistan
   
NumreringReferensOmslagsbildHitta
1.
  • Kassebaum, Nicholas J., et al. (författare)
  • Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015 : a systematic analysis for the Global Burden of Disease Study 2015
  • 2016
  • Ingår i: The Lancet. - 0140-6736 .- 1474-547X. ; 388:10053, s. 1603-1658
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Healthy life expectancy (HALE) and disability-adjusted life-years (DALYs) provide summary measures of health across geographies and time that can inform assessments of epidemiological patterns and health system performance, help to prioritise investments in research and development, and monitor progress toward the Sustainable Development Goals (SDGs). We aimed to provide updated HALE and DALYs for geographies worldwide and evaluate how disease burden changes with development. Methods We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) for all-cause mortality, cause-specific mortality, and non-fatal disease burden to derive HALE and DALYs by sex for 195 countries and territories from 1990 to 2015. We calculated DALYs by summing years of life lost (YLLs) and years of life lived with disability (YLDs) for each geography, age group, sex, and year. We estimated HALE using the Sullivan method, which draws from age-specific death rates and YLDs per capita. We then assessed how observed levels of DALYs and HALE differed from expected trends calculated with the Socio-demographic Index (SDI), a composite indicator constructed from measures of income per capita, average years of schooling, and total fertility rate. Findings Total global DALYs remained largely unchanged from 1990 to 2015, with decreases in communicable, neonatal, maternal, and nutritional (Group 1) disease DALYs off set by increased DALYs due to non-communicable diseases (NCDs). Much of this epidemiological transition was caused by changes in population growth and ageing, but it was accelerated by widespread improvements in SDI that also correlated strongly with the increasing importance of NCDs. Both total DALYs and age-standardised DALY rates due to most Group 1 causes significantly decreased by 2015, and although total burden climbed for the majority of NCDs, age-standardised DALY rates due to NCDs declined. Nonetheless, age-standardised DALY rates due to several high-burden NCDs (including osteoarthritis, drug use disorders, depression, diabetes, congenital birth defects, and skin, oral, and sense organ diseases) either increased or remained unchanged, leading to increases in their relative ranking in many geographies. From 2005 to 2015, HALE at birth increased by an average of 2.9 years (95% uncertainty interval 2.9-3.0) for men and 3.5 years (3.4-3.7) for women, while HALE at age 65 years improved by 0.85 years (0.78-0.92) and 1.2 years (1.1-1.3), respectively. Rising SDI was associated with consistently higher HALE and a somewhat smaller proportion of life spent with functional health loss; however, rising SDI was related to increases in total disability. Many countries and territories in central America and eastern sub-Saharan Africa had increasingly lower rates of disease burden than expected given their SDI. At the same time, a subset of geographies recorded a growing gap between observed and expected levels of DALYs, a trend driven mainly by rising burden due to war, interpersonal violence, and various NCDs. Interpretation Health is improving globally, but this means more populations are spending more time with functional health loss, an absolute expansion of morbidity. The proportion of life spent in ill health decreases somewhat with increasing SDI, a relative compression of morbidity, which supports continued efforts to elevate personal income, improve education, and limit fertility. Our analysis of DALYs and HALE and their relationship to SDI represents a robust framework on which to benchmark geography-specific health performance and SDG progress. Country-specific drivers of disease burden, particularly for causes with higher-than-expected DALYs, should inform financial and research investments, prevention efforts, health policies, and health system improvement initiatives for all countries along the development continuum.
  •  
2.
  • Lozano, Rafael, et al. (författare)
  • Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017
  • 2018
  • Ingår i: The Lancet. - : Elsevier. - 1474-547X .- 0140-6736. ; 392:10159, s. 2091-2138
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Efforts to establish the 2015 baseline and monitor early implementation of the UN Sustainable Development Goals (SDGs) highlight both great potential for and threats to improving health by 2030. To fully deliver on the SDG aim of “leaving no one behind”, it is increasingly important to examine the health-related SDGs beyond national-level estimates. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017), we measured progress on 41 of 52 health-related SDG indicators and estimated the health-related SDG index for 195 countries and territories for the period 1990–2017, projected indicators to 2030, and analysed global attainment. Methods: We measured progress on 41 health-related SDG indicators from 1990 to 2017, an increase of four indicators since GBD 2016 (new indicators were health worker density, sexual violence by non-intimate partners, population census status, and prevalence of physical and sexual violence [reported separately]). We also improved the measurement of several previously reported indicators. We constructed national-level estimates and, for a subset of health-related SDGs, examined indicator-level differences by sex and Socio-demographic Index (SDI) quintile. We also did subnational assessments of performance for selected countries. To construct the health-related SDG index, we transformed the value for each indicator on a scale of 0–100, with 0 as the 2·5th percentile and 100 as the 97·5th percentile of 1000 draws calculated from 1990 to 2030, and took the geometric mean of the scaled indicators by target. To generate projections through 2030, we used a forecasting framework that drew estimates from the broader GBD study and used weighted averages of indicator-specific and country-specific annualised rates of change from 1990 to 2017 to inform future estimates. We assessed attainment of indicators with defined targets in two ways: first, using mean values projected for 2030, and then using the probability of attainment in 2030 calculated from 1000 draws. We also did a global attainment analysis of the feasibility of attaining SDG targets on the basis of past trends. Using 2015 global averages of indicators with defined SDG targets, we calculated the global annualised rates of change required from 2015 to 2030 to meet these targets, and then identified in what percentiles the required global annualised rates of change fell in the distribution of country-level rates of change from 1990 to 2015. We took the mean of these global percentile values across indicators and applied the past rate of change at this mean global percentile to all health-related SDG indicators, irrespective of target definition, to estimate the equivalent 2030 global average value and percentage change from 2015 to 2030 for each indicator. Findings: The global median health-related SDG index in 2017 was 59·4 (IQR 35·4–67·3), ranging from a low of 11·6 (95% uncertainty interval 9·6–14·0) to a high of 84·9 (83·1–86·7). SDG index values in countries assessed at the subnational level varied substantially, particularly in China and India, although scores in Japan and the UK were more homogeneous. Indicators also varied by SDI quintile and sex, with males having worse outcomes than females for non-communicable disease (NCD) mortality, alcohol use, and smoking, among others. Most countries were projected to have a higher health-related SDG index in 2030 than in 2017, while country-level probabilities of attainment by 2030 varied widely by indicator. Under-5 mortality, neonatal mortality, maternal mortality ratio, and malaria indicators had the most countries with at least 95% probability of target attainment. Other indicators, including NCD mortality and suicide mortality, had no countries projected to meet corresponding SDG targets on the basis of projected mean values for 2030 but showed some probability of attainment by 2030. For some indicators, including child malnutrition, several infectious diseases, and most violence measures, the annualised rates of change required to meet SDG targets far exceeded the pace of progress achieved by any country in the recent past. We found that applying the mean global annualised rate of change to indicators without defined targets would equate to about 19% and 22% reductions in global smoking and alcohol consumption, respectively; a 47% decline in adolescent birth rates; and a more than 85% increase in health worker density per 1000 population by 2030. Interpretation: The GBD study offers a unique, robust platform for monitoring the health-related SDGs across demographic and geographic dimensions. Our findings underscore the importance of increased collection and analysis of disaggregated data and highlight where more deliberate design or targeting of interventions could accelerate progress in attaining the SDGs. Current projections show that many health-related SDG indicators, NCDs, NCD-related risks, and violence-related indicators will require a concerted shift away from what might have driven past gains—curative interventions in the case of NCDs—towards multisectoral, prevention-oriented policy action and investments to achieve SDG aims. Notably, several targets, if they are to be met by 2030, demand a pace of progress that no country has achieved in the recent past. The future is fundamentally uncertain, and no model can fully predict what breakthroughs or events might alter the course of the SDGs. What is clear is that our actions—or inaction—today will ultimately dictate how close the world, collectively, can get to leaving no one behind by 2030.
  •  
3.
  • Wang, Haidong, et al. (författare)
  • Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015 : a systematic analysis for the Global Burden of Disease Study 2015
  • 2016
  • Ingår i: The Lancet. - 0140-6736 .- 1474-547X. ; 388:10053, s. 1459-1544
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Improving survival and extending the longevity of life for all populations requires timely, robust evidence on local mortality levels and trends. The Global Burden of Disease 2015 Study (GBD 2015) provides a comprehensive assessment of all-cause and cause-specific mortality for 249 causes in 195 countries and territories from 1980 to 2015. These results informed an in-depth investigation of observed and expected mortality patterns based on sociodemographic measures.METHODS: We estimated all-cause mortality by age, sex, geography, and year using an improved analytical approach originally developed for GBD 2013 and GBD 2010. Improvements included refinements to the estimation of child and adult mortality and corresponding uncertainty, parameter selection for under-5 mortality synthesis by spatiotemporal Gaussian process regression, and sibling history data processing. We also expanded the database of vital registration, survey, and census data to 14 294 geography-year datapoints. For GBD 2015, eight causes, including Ebola virus disease, were added to the previous GBD cause list for mortality. We used six modelling approaches to assess cause-specific mortality, with the Cause of Death Ensemble Model (CODEm) generating estimates for most causes. We used a series of novel analyses to systematically quantify the drivers of trends in mortality across geographies. First, we assessed observed and expected levels and trends of cause-specific mortality as they relate to the Socio-demographic Index (SDI), a summary indicator derived from measures of income per capita, educational attainment, and fertility. Second, we examined factors affecting total mortality patterns through a series of counterfactual scenarios, testing the magnitude by which population growth, population age structures, and epidemiological changes contributed to shifts in mortality. Finally, we attributed changes in life expectancy to changes in cause of death. We documented each step of the GBD 2015 estimation processes, as well as data sources, in accordance with Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER).FINDINGS: Globally, life expectancy from birth increased from 61·7 years (95% uncertainty interval 61·4-61·9) in 1980 to 71·8 years (71·5-72·2) in 2015. Several countries in sub-Saharan Africa had very large gains in life expectancy from 2005 to 2015, rebounding from an era of exceedingly high loss of life due to HIV/AIDS. At the same time, many geographies saw life expectancy stagnate or decline, particularly for men and in countries with rising mortality from war or interpersonal violence. From 2005 to 2015, male life expectancy in Syria dropped by 11·3 years (3·7-17·4), to 62·6 years (56·5-70·2). Total deaths increased by 4·1% (2·6-5·6) from 2005 to 2015, rising to 55·8 million (54·9 million to 56·6 million) in 2015, but age-standardised death rates fell by 17·0% (15·8-18·1) during this time, underscoring changes in population growth and shifts in global age structures. The result was similar for non-communicable diseases (NCDs), with total deaths from these causes increasing by 14·1% (12·6-16·0) to 39·8 million (39·2 million to 40·5 million) in 2015, whereas age-standardised rates decreased by 13·1% (11·9-14·3). Globally, this mortality pattern emerged for several NCDs, including several types of cancer, ischaemic heart disease, cirrhosis, and Alzheimer's disease and other dementias. By contrast, both total deaths and age-standardised death rates due to communicable, maternal, neonatal, and nutritional conditions significantly declined from 2005 to 2015, gains largely attributable to decreases in mortality rates due to HIV/AIDS (42·1%, 39·1-44·6), malaria (43·1%, 34·7-51·8), neonatal preterm birth complications (29·8%, 24·8-34·9), and maternal disorders (29·1%, 19·3-37·1). Progress was slower for several causes, such as lower respiratory infections and nutritional deficiencies, whereas deaths increased for others, including dengue and drug use disorders. Age-standardised death rates due to injuries significantly declined from 2005 to 2015, yet interpersonal violence and war claimed increasingly more lives in some regions, particularly in the Middle East. In 2015, rotaviral enteritis (rotavirus) was the leading cause of under-5 deaths due to diarrhoea (146 000 deaths, 118 000-183 000) and pneumococcal pneumonia was the leading cause of under-5 deaths due to lower respiratory infections (393 000 deaths, 228 000-532 000), although pathogen-specific mortality varied by region. Globally, the effects of population growth, ageing, and changes in age-standardised death rates substantially differed by cause. Our analyses on the expected associations between cause-specific mortality and SDI show the regular shifts in cause of death composition and population age structure with rising SDI. Country patterns of premature mortality (measured as years of life lost [YLLs]) and how they differ from the level expected on the basis of SDI alone revealed distinct but highly heterogeneous patterns by region and country or territory. Ischaemic heart disease, stroke, and diabetes were among the leading causes of YLLs in most regions, but in many cases, intraregional results sharply diverged for ratios of observed and expected YLLs based on SDI. Communicable, maternal, neonatal, and nutritional diseases caused the most YLLs throughout sub-Saharan Africa, with observed YLLs far exceeding expected YLLs for countries in which malaria or HIV/AIDS remained the leading causes of early death.INTERPRETATION: At the global scale, age-specific mortality has steadily improved over the past 35 years; this pattern of general progress continued in the past decade. Progress has been faster in most countries than expected on the basis of development measured by the SDI. Against this background of progress, some countries have seen falls in life expectancy, and age-standardised death rates for some causes are increasing. Despite progress in reducing age-standardised death rates, population growth and ageing mean that the number of deaths from most non-communicable causes are increasing in most countries, putting increased demands on health systems.
  •  
4.
  •  
5.
  • Li, Jun, et al. (författare)
  • ALPPS for Locally Advanced Intrahepatic Cholangiocarcinoma: Did Aggressive Surgery Lead to the Oncological Benefit? An International Multi-center Study
  • 2020
  • Ingår i: Annals of Surgical Oncology. - : SPRINGER. - 1068-9265 .- 1534-4681. ; 27, s. 1372-1384
  • Tidskriftsartikel (refereegranskat)abstract
    • Background ALPPS is found to increase the resectability of primary and secondary liver malignancy at the advanced stage. The aim of the study was to verify the surgical and oncological outcome of ALPPS for intrahepatic cholangiocarcinoma (ICC). Methods The study cohort was based on the ALPPS registry with patients from 31 international centers between August 2009 and January 2018. Propensity score matched patients receiving chemotherapy only were selected from the SEER database as controls for the survival analysis. Results One hundred and two patients undergoing ALPPS were recruited, 99 completed the second stage with median inter-stage duration of 11 days. The median kinetic growth rate was 23 ml/day. R0 resection was achieved in 87 (85%). Initially high rates of morbidity and mortality decreased steadily to a 29% severe complication rate and 7% 90-day morbidity in the last 2 years. Post-hepatectomy liver failure remained the main cause of 90-day mortality. Multivariate analysis revealed insufficient future liver remnant at the stage-2 operation (FLR2) to be the only risk factor for severe complications (OR 2.91, p = 0.02). The propensity score matching analysis showed a superior overall survival in the ALPPS group compared to palliative chemotherapy (median overall survival: 26.4 months vs 14 months; 1-, 2-, and 3-year survival rates: 82.4%, 70.5% and 39.6% vs 51.2%, 21.4% and 11.3%, respectively, p amp;lt; 0.01). The survival benefit, however, was not confirmed in the subgroup analysis for patients with insufficient FLR2 or multifocal ICC. Conclusion ALPPS showed high efficacy in achieving R0 resections in locally advanced ICC. To get the most oncological benefit from this aggressive surgery, ALPPS would be restricted to patients with single lesions and sufficient FLR2.
  •  
6.
  • Proletov, Ian, et al. (författare)
  • Primary and secondary glomerulonephritides 1.
  • 2014
  • Ingår i: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association. - : Oxford University Press (OUP). - 1460-2385. ; 29 Suppl 3:May, s. 186-200
  • Tidskriftsartikel (refereegranskat)
  •  
7.
  • Stanaway, Jeffrey D., et al. (författare)
  • Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017
  • 2018
  • Ingår i: The Lancet. - 1474-547X .- 0140-6736. ; 392:10159, s. 1923-1994
  • Tidskriftsartikel (refereegranskat)abstract
    • Background The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 comparative risk assessment (CRA) is a comprehensive approach to risk factor quantification that offers a useful tool for synthesising evidence on risks and risk-outcome associations. With each annual GBD study, we update the GBD CRA to incorporate improved methods, new risks and risk-outcome pairs, and new data on risk exposure levels and risk- outcome associations. Methods We used the CRA framework developed for previous iterations of GBD to estimate levels and trends in exposure, attributable deaths, and attributable disability-adjusted life-years (DALYs), by age group, sex, year, and location for 84 behavioural, environmental and occupational, and metabolic risks or groups of risks from 1990 to 2017. This study included 476 risk-outcome pairs that met the GBD study criteria for convincing or probable evidence of causation. We extracted relative risk and exposure estimates from 46 749 randomised controlled trials, cohort studies, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. Using the counterfactual scenario of theoretical minimum risk exposure level (TMREL), we estimated the portion of deaths and DALYs that could be attributed to a given risk. We explored the relationship between development and risk exposure by modelling the relationship between the Socio-demographic Index (SDI) and risk-weighted exposure prevalence and estimated expected levels of exposure and risk-attributable burden by SDI. Finally, we explored temporal changes in risk-attributable DALYs by decomposing those changes into six main component drivers of change as follows: (1) population growth; (2) changes in population age structures; (3) changes in exposure to environmental and occupational risks; (4) changes in exposure to behavioural risks; (5) changes in exposure to metabolic risks; and (6) changes due to all other factors, approximated as the risk-deleted death and DALY rates, where the risk-deleted rate is the rate that would be observed had we reduced the exposure levels to the TMREL for all risk factors included in GBD 2017.
  •  
8.
  • Vos, Theo, et al. (författare)
  • Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013
  • 2015
  • Ingår i: The Lancet. - 1474-547X .- 0140-6736. ; 386:9995, s. 743-800
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013. Methods Estimates were calculated for disease and injury incidence, prevalence, and YLDs using GBD 2010 methods with some important refinements. Results for incidence of acute disorders and prevalence of chronic disorders are new additions to the analysis. Key improvements include expansion to the cause and sequelae list, updated systematic reviews, use of detailed injury codes, improvements to the Bayesian meta-regression method (DisMod-MR), and use of severity splits for various causes. An index of data representativeness, showing data availability, was calculated for each cause and impairment during three periods globally and at the country level for 2013. In total, 35 620 distinct sources of data were used and documented to calculated estimates for 301 diseases and injuries and 2337 sequelae. The comorbidity simulation provides estimates for the number of sequelae, concurrently, by individuals by country, year, age, and sex. Disability weights were updated with the addition of new population-based survey data from four countries. Findings Disease and injury were highly prevalent; only a small fraction of individuals had no sequelae. Comorbidity rose substantially with age and in absolute terms from 1990 to 2013. Incidence of acute sequelae were predominantly infectious diseases and short-term injuries, with over 2 billion cases of upper respiratory infections and diarrhoeal disease episodes in 2013, with the notable exception of tooth pain due to permanent caries with more than 200 million incident cases in 2013. Conversely, leading chronic sequelae were largely attributable to non-communicable diseases, with prevalence estimates for asymptomatic permanent caries and tension-type headache of 2.4 billion and 1.6 billion, respectively. The distribution of the number of sequelae in populations varied widely across regions, with an expected relation between age and disease prevalence. YLDs for both sexes increased from 537.6 million in 1990 to 764.8 million in 2013 due to population growth and ageing, whereas the age-standardised rate decreased little from 114.87 per 1000 people to 110.31 per 1000 people between 1990 and 2013. Leading causes of YLDs included low back pain and major depressive disorder among the top ten causes of YLDs in every country. YLD rates per person, by major cause groups, indicated the main drivers of increases were due to musculoskeletal, mental, and substance use disorders, neurological disorders, and chronic respiratory diseases; however HIV/AIDS was a notable driver of increasing YLDs in sub-Saharan Africa. Also, the proportion of disability-adjusted life years due to YLDs increased globally from 21.1% in 1990 to 31.2% in 2013. Interpretation Ageing of the world's population is leading to a substantial increase in the numbers of individuals with sequelae of diseases and injuries. Rates of YLDs are declining much more slowly than mortality rates. The non-fatal dimensions of disease and injury will require more and more attention from health systems. The transition to non-fatal outcomes as the dominant source of burden of disease is occurring rapidly outside of sub-Saharan Africa. Our results can guide future health initiatives through examination of epidemiological trends and a better understanding of variation across countries.
  •  
9.
  • Abreu, Barbara, et al. (författare)
  • Gemini surfactants as efficient dispersants of multiwalled carbon nanotubes : Interplay of molecular parameters on nanotube dispersibility and debundling
  • 2019
  • Ingår i: Journal of Colloid and Interface Science. - : ACADEMIC PRESS INC ELSEVIER SCIENCE. - 0021-9797 .- 1095-7103. ; 547, s. 69-77
  • Tidskriftsartikel (refereegranskat)abstract
    • Surfactants have been widely employed to debundle, disperse and stabilize carbon nanotubes in aqueous solvents. Yet, a thorough understanding of the dispersing mechanisms at molecular level is still warranted. Herein, we investigated the influence of the molecular structure of gemini surfactants on the dispersibility of multiwalled carbon nanotubes (MWNTs). We used dicationic n-s-n gemini surfactants, varying n and s, the number of alkyl tail and alkyl spacer carbons, respectively; for comparisons, single-tailed surfactant homologues were also studied. Detailed curves of dispersed MWNT concentration vs. surfactant concentration were obtained through a stringently controlled experimental procedure, allowing for molecular insight. The gemini are found to be much more efficient dispersants than their single-tailed homologues, i.e. lower surfactant concentration is needed to attain the maximum dispersed MWNT concentration. In general, the spacer length has a comparatively higher influence on the dispersing efficiency than the tail length. Further, scanning electron microscopy imaging shows a sizeable degree of MWNT debundling by the gemini surfactants in the obtained dispersions. Our observations also point to an adsorption process that does not entail the formation of micelle-like aggregates on the nanotube surface, but rather coverage by individual molecules, among which the ones that seem to be able to adapt best to the nanotube surface provide the highest efficiency. These studies are relevant for the rational design and choice of optimal dispersants for carbon nanomaterials and other similarly water-insoluble materials.
  •  
10.
  • Afshin, Ashkan, et al. (författare)
  • Health effects of dietary risks in 195 countries, 1990-2017 : a systematic analysis for the Global Burden of Disease Study 2017
  • 2019
  • Ingår i: The Lancet. - : Elsevier. - 0140-6736 .- 1474-547X. ; 393:10184, s. 1958-1972
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Suboptimal diet is an important preventable risk factor for non-communicable diseases (NCDs); however, its impact on the burden of NCDs has not been systematically evaluated. This study aimed to evaluate the consumption of major foods and nutrients across 195 countries and to quantify the impact of their suboptimal intake on NCD mortality and morbidity.Methods: By use of a comparative risk assessment approach, we estimated the proportion of disease-specific burden attributable to each dietary risk factor (also referred to as population attributable fraction) among adults aged 25 years or older. The main inputs to this analysis included the intake of each dietary factor, the effect size of the dietary factor on disease endpoint, and the level of intake associated with the lowest risk of mortality. Then, by use of diseasespecific population attributable fractions, mortality, and disability-adjusted life-years (DALYs), we calculated the number of deaths and DALYs attributable to diet for each disease outcome.Findings: In 2017, 11 million (95% uncertainty interval [UI] 10-12) deaths and 255 million (234-274) DALYs were attributable to dietary risk factors. High intake of sodium (3 million [1-5] deaths and 70 million [34-118] DALYs), low intake of whole grains (3 million [2-4] deaths and 82 million [59-109] DALYs), and low intake of fruits (2 million [1-4] deaths and 65 million [41-92] DALYs) were the leading dietary risk factors for deaths and DALYs globally and in many countries. Dietary data were from mixed sources and were not available for all countries, increasing the statistical uncertainty of our estimates.Interpretation: This study provides a comprehensive picture of the potential impact of suboptimal diet on NCD mortality and morbidity, highlighting the need for improving diet across nations. Our findings will inform implementation of evidence-based dietary interventions and provide a platform for evaluation of their impact on human health annually.
  •  
11.
  • Alberto, Helena, V, et al. (författare)
  • Characterization of the Interfacial Defect Layer in Chalcopyrite Solar Cells by Depth-Resolved Muon Spin Spectroscopy
  • 2022
  • Ingår i: Advanced Materials Interfaces. - : John Wiley & Sons. - 2196-7350. ; 9:19
  • Tidskriftsartikel (refereegranskat)abstract
    • As devices become smaller and more complex, the interfaces between adjacent materials become increasingly important and are often critical to device performance. An important research goal is to improve the interface between the absorber and the window layer by inserting buffer layers to adjust the transition. Depth-resolved studies are key for a fundamental understanding of the interface. In the present experiment, the interface between the chalcopyrite Cu(In,Ga)Se-2 absorber and various buffer layers are investigated using low-energy muon spin rotation (mu SR) spectroscopy. Depth resolution in the nm range is achieved by implanting the muons with different energies so that they stop at different depths in the sample. Near the interface, a region about 50 nm wide is detected where the lattice is more distorted than further inside the absorber. The distortion is attributed to the long-range strain field caused by defects. These measurements allow a quantification of the corresponding passivation effect of the buffer layer. Bath-deposited cadmium sulfide provides the best defect passivation in the near interface region, in contrast to the dry-deposited oxides, which have a much smaller effect. The experiment demonstrates the great potential of low energy mu SR spectroscopy for microscopic interfacial studies of multilayer systems.
  •  
12.
  • Balci, Deniz, et al. (författare)
  • Revival of associating liver partition and portal vein ligation for staged hepatectomy for perihilar cholangiocarcinoma: An international multicenter study with promising outcomes
  • 2023
  • Ingår i: Surgery. - : MOSBY-ELSEVIER. - 0039-6060 .- 1532-7361. ; 173:6, s. 1398-1404
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Associating liver partition and portal vein ligation for staged hepatectomy for per-ihilar cholangiocarcinoma has been considered to be contraindicated due to the initial poor results. Given the recent reports of improved outcomes, we aimed to collect the recent expe-riences of different centers performing associating liver partition and portal vein ligation for staged hepatectomy for perihilar cholangiocarcinoma to analyze factors related to improved outcomes. Methods: This proof-of-concept study collected contemporary cases of associating liver partition and portal vein ligation for staged hepatectomy for perihilar cholangiocarcinoma and analyzed for morbidity, short and long-term survival, and factors associated with outcomes. Results: In total, 39 patients from 8 centers underwent associating liver partition and portal vein ligation for staged hepatectomy for perihilar cholangiocarcinoma from 2010 to 2020. The median preoperative future liver remnant volume was 323 mL (155-460 mL). The median future liver remnant increase was 58.7% (8.9%-264. 5%) with a median interstage interval of 13 days (6-60 days). Post-stage 1 and post-stage 2 biliary leaks occurred in 2 (7.7%) and 4 (15%) patients. Six patients (23%) after stage 1 and 6 (23%) after stage 2 experienced grade 3 or higher complica-tions. Two patients (7.7%) died within 90 days after stage 2. The 1-, 3-, and 5-year survival was 92%, 69%, and 55%, respectively. A subgroup analysis revealed poor survival for patients under-going additional vascular resection and lymph node positivity. Lymph node-negative patients showed excellent survival demonstrated by 1-, 3-, and 5-year survival of 86%, 86%, and 86%. Conclusion: This study highlights that the critical attitude toward associating liver partition and portal vein ligation for staged hepatectomy for perihilar cholangiocarcinoma needs to be revised. In selected patients with perihilar cholangiocarcinoma, associating liver partition and portal vein ligation for staged hepatectomy can achieve favorable survival that compares to the outcome of established surgical treatment strategies reported in benchmark studies for perihilar cholangiocarcinoma including 1-stage hepatectomy and liver transplantation. (c) 2023 Elsevier Inc. All rights reserved.
  •  
13.
  • Baloch, Ramen Munir, et al. (författare)
  • Indoor air pollution, physical and comfort parameters related to schoolchildren's health : Data from the European SINPHONIE study
  • 2020
  • Ingår i: Science of the Total Environment. - : ELSEVIER. - 0048-9697 .- 1879-1026. ; 739
  • Tidskriftsartikel (refereegranskat)abstract
    • Substantial knowledge is available on the association of the indoor school environment and its effect among schoolchildren. In the same context, the SINPHONIE (School indoor pollution and health: Observatory network in Europe) conducted a study to collect data and determine the distribution of several indoor air pollutants (IAPs), physical and thermal parameters and their association with eye, skin, upper-, lower respiratory and systemic disorder symptoms during the previous three months. Finally, data from 115 schools in 54 European cities from 23 countries were collected and included 5175 schoolchildren using a harmonized and standardized protocol. The association between exposures and the health outcomes were examined using logistic regression models on the environmental stressors assessed in classroom while adjusting for several confounding factors; a VOC (volatile organic compound) score defined as the sum of the number of pollutants to which the children were highly exposed (concentration > median of the distribution) in classroom was also introduced to evaluate the mul tiexposu re - outcome association. Schoolchildren while adjusting for several confounding factors. Schoolchildren exposed to above or equal median concentration of PM2.5, benzene, limonene, ozone and radon were at significantly higher odds of suffering from upper, lower airways, eye and systemic disorders. Increased odds were also observed for any symptom (sick school syndrome) among schoolchildren exposed to concentrations of limonene and ozone above median values. Furthermore, the risks for upper and lower airways and systemic disorders significantly increased with the VOCs score. Results also showed that increased ventilation rate was significantly associated with decreased odds of suffering from eye and skin disorders whereas similar association was observed between temperature and upper airways symptoms. The present study provides evidence that exposure to IAPs in schools is associated with various health problems in children. Further investigations are needed to confirm our findings. (C) 2020 Elsevier B.V. All rights reserved.
  •  
14.
  • Beal, Jacob, et al. (författare)
  • Robust estimation of bacterial cell count from optical density
  • 2020
  • Ingår i: Communications Biology. - : Springer Science and Business Media LLC. - 2399-3642. ; 3:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Optical density (OD) is widely used to estimate the density of cells in liquid culture, but cannot be compared between instruments without a standardized calibration protocol and is challenging to relate to actual cell count. We address this with an interlaboratory study comparing three simple, low-cost, and highly accessible OD calibration protocols across 244 laboratories, applied to eight strains of constitutive GFP-expressing E. coli. Based on our results, we recommend calibrating OD to estimated cell count using serial dilution of silica microspheres, which produces highly precise calibration (95.5% of residuals <1.2-fold), is easily assessed for quality control, also assesses instrument effective linear range, and can be combined with fluorescence calibration to obtain units of Molecules of Equivalent Fluorescein (MEFL) per cell, allowing direct comparison and data fusion with flow cytometry measurements: in our study, fluorescence per cell measurements showed only a 1.07-fold mean difference between plate reader and flow cytometry data.
  •  
15.
  • Christensen, Nikolaj R., et al. (författare)
  • PDZ Domains as Drug Targets
  • 2019
  • Ingår i: Advanced Therapeutics. - : Wiley. - 2366-3987. ; 2:7
  • Forskningsöversikt (refereegranskat)abstract
    • Protein-protein interactions within protein networks shape the human interactome, which often is promoted by specialized protein interaction modules, such as the postsynaptic density-95 (PSD-95), discs-large, zona occludens 1 (ZO-1) (PDZ) domains. PDZ domains play a role in several cellular functions, from cell-cell communication and polarization, to regulation of protein transport and protein metabolism. PDZ domain proteins are also crucial in the formation and stability of protein complexes, establishing an important bridge between extracellular stimuli detected by transmembrane receptors and intracellular responses. PDZ domains have been suggested as promising drug targets in several diseases, ranging from neurological and oncological disorders to viral infections. In this review, the authors describe structural and genetic aspects of PDZ-containing proteins and discuss the current status of the development of small-molecule and peptide modulators of PDZ domains. An overview of potential new therapeutic interventions in PDZ-mediated protein networks is also provided.
  •  
16.
  • Cruz, Raquel, et al. (författare)
  • Novel genes and sex differences in COVID-19 severity
  • 2022
  • Ingår i: Human Molecular Genetics. - : Oxford University Press. - 0964-6906 .- 1460-2083. ; 31:22, s. 3789-3806
  • Tidskriftsartikel (refereegranskat)abstract
    • Here, we describe the results of a genome-wide study conducted in 11 939 coronavirus disease 2019 (COVID-19) positive cases with an extensive clinical information that were recruited from 34 hospitals across Spain (SCOURGE consortium). In sex-disaggregated genome-wide association studies for COVID-19 hospitalization, genome-wide significance (P < 5 × 10−8) was crossed for variants in 3p21.31 and 21q22.11 loci only among males (P = 1.3 × 10−22 and P = 8.1 × 10−12, respectively), and for variants in 9q21.32 near TLE1 only among females (P = 4.4 × 10−8). In a second phase, results were combined with an independent Spanish cohort (1598 COVID-19 cases and 1068 population controls), revealing in the overall analysis two novel risk loci in 9p13.3 and 19q13.12, with fine-mapping prioritized variants functionally associated with AQP3 (P = 2.7 × 10−8) and ARHGAP33 (P = 1.3 × 10−8), respectively. The meta-analysis of both phases with four European studies stratified by sex from the Host Genetics Initiative (HGI) confirmed the association of the 3p21.31 and 21q22.11 loci predominantly in males and replicated a recently reported variant in 11p13 (ELF5, P = 4.1 × 10−8). Six of the COVID-19 HGI discovered loci were replicated and an HGI-based genetic risk score predicted the severity strata in SCOURGE. We also found more SNP-heritability and larger heritability differences by age (<60 or ≥60 years) among males than among females. Parallel genome-wide screening of inbreeding depression in SCOURGE also showed an effect of homozygosity in COVID-19 hospitalization and severity and this effect was stronger among older males. In summary, new candidate genes for COVID-19 severity and evidence supporting genetic disparities among sexes are provided.
  •  
17.
  • Dai, Jing, et al. (författare)
  • Dispersing Carbon Nanotubes in Water with Amphiphiles : Dispersant Adsorption, Kinetics, and Bundle Size Distribution as Defining Factors
  • 2018
  • Ingår i: The Journal of Physical Chemistry C. - : American Chemical Society (ACS). - 1932-7447 .- 1932-7455. ; 122:42, s. 24386-24393
  • Tidskriftsartikel (refereegranskat)abstract
    • Debundling and dispersing single-walled carbon nanotubes (SWNTs) is essential for applications, but the process is not well understood. In this work, aqueous SWNT dispersions were produced by sonicating pristine SWNT powder in the presence of an amphiphilic triblock copolymer (Pluronic F127) as dispersant. Upon centrifugation, one obtains a supernatant with suspended individual tubes and thin bundles and a precipitate with large bundles (and impurities). In the supernatant, that constitutes the final dispersion, we determined the dispersed SWNT concentration by thermogravi-metric analysis (TGA) and UV-vis spectroscopy, and the dispersant concentration by NMR The fraction of dispersant adsorbed at the SWNT surface was obtained by H-1 diffusion NMR Sigmoidal dispersion curves recording the concentration of dispersed SWNTs as a function of supernatant dispersant concentration were obtained at different SWNT loadings and sonication times. As SWNT bundles are debundled into smaller and smaller ones, the essential role of the dispersant is to sufficiently quickly cover the freshly exposed surfaces created by shear forces induced during sonication. Primarily kinetic reasons are behind the need for dispersant concentrations required to reach a substantial SWNT concentration. Centrifugation sets the size threshold below which SWNT particles are retained in the dispersion and consequently determines the SWNT concentration as a function of sonication time.
  •  
18.
  • Dai, Jing, et al. (författare)
  • The dispersion process of carbon nanotubes sonicated in aqueous solutions of a dispersant
  • Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
    • Single-walled carbon nanotube (SWNT) dispersions are created by sonicating pristine SWNT powders added to aqueous solutions of the dispersant block copolymer Pluronic F127. In those dispersions, the amount of the dispersed SWNT is determined by the combination of TGA and UV-Vis methods, while the dispersant concentration is estimated by 1H NMR spectroscopy. In addition, the amount of dispersant adsorbed at the SWNT surface is obtained by 1H NMR diffusion experiments. A part of the dispersant is taken up by non-dispersed and precipitated particles. Dispersion curves recording the amount of the dispersed SWNT as a function of either the initial dispersant concentration or the final dispersant concentration are obtained at different initial SWNT loadings and sonication times. The results show in detail the way the original SWNT particles are divided into smaller and smaller sizes thereby increasing the available SWNT surface to be covered by dispersant. Centrifugation sets the size-threshold above which SWNT particles are retained in the dispersion which determined the SWNT content as a function of sonication time.
  •  
19.
  • Fernandes, Ricardo M.F. 1983-, et al. (författare)
  • Assessing Surfactant Binding to Carbon Nanotubes via Competitive Adsorption : Binding strength and critical coverage
  • 2015
  • Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
    • The displacement of a nonionic polymeric dispersant, Pluronic F127, adsorbed at the surface of single-walled carbon nanotubes, by low molecular-weight ionic dispersants (surfactants) is studied in aqueous dispersion. The method applied is diffusion NMR spectroscopy that can accurately measure the fraction of F127 molecules adsorbed at the tube surface because of the slow exchange (over the experimental time scale) of F127 between bulk and surface. In a series of surfactants with varying chain length and headgroups, we find that anionic surfactants replace in general more nonionic F127 than do cationic surfactants. The data collected show a strong correlation with the critical dispersibility concentration of the different surfactants, a parameter that signifies the concentration at which one obtains significant dispersed nanotube concentration by ultrasonication. We posit that this finding indicates the existence of a threshold surface coverage for dispersants that constitutes a necessary condition for de-bundling by ultrasonication. The results are discussed in relation to previous findings in the literature. 
  •  
20.
  • Fernandes, Ricardo M. Ferreira, 1983- (författare)
  • Dispersing Carbon Nanotubes: Towards Molecular Understanding
  • 2015
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Carbon nanotubes (CNTs) exhibit unique and fascinating intrinsic electrical, optical, thermal or mechanical properties that lead to a plethora of potential applications in composite materials, electronics, energy storage, medicine, among others. However, the manipulation of nanotubes is not trivial and there are significant difficulties to overcome before achieving their full potential in applications. Because of their high aspect ratio and strong tube-to-tube van der Waals interactions, nanotubes form bundles and ropes that are difficult to disperse in liquids. In this thesis, the topic of dispersing carbon nanotubes in water was addressed by several experimental methods such as nuclear magnetic resonance (NMR) diffusometry and light/electron microcopy. The main goal was to obtain molecular information on how the dispersants interact with carbon nanotubes.In dispersions of single-walled carbon nanotubes (SWNTs) in water, only a small fraction of the polymeric dispersant (Pluronic F127) was shown to be adsorbed at the CNT surface. Regarding dynamic features, the residence time of F127 on the SWNT surface was measured to be in the order of hundred milliseconds, and the lateral diffusion coefficient of the polymer along the nanotube surface proved to be an order of magnitude slower than that in the solution. The surface coverage of SWNTs by F127 was also investigated and the competitive adsorption of F127 and the protein bovine serum albumin, BSA, was assessed. F127 was found to bind stronger to the CNT surface than BSA does.Low molecular weight dispersants, viz. surfactants, were also investigated. Using carefully controlled conditions for the sonication and centrifugation steps, reproducible sigmoidal dispersibility curves were obtained, that exhibited an interesting variation with molecular properties of the surfactants. Various metrics that quantify the ability of different surfactants to disperse CNTs were obtained. In particular, the concentration of surfactant required to attain maximal dispersibility depends linearly on alkyl chain length, which indicates that the CNT-surfactant association, although hydrophobic in nature, is different from a micellization process. No correlation between dispersibility and the critical micellization concentration, cmc, of the surfactants was found. For gemini surfactants of the n-s-n type with spacer length s and hydrophobic tail length n, the dispersibility of multiwalled carbon nanotubes (MWNTs) also followed sigmoidal curves that were compared to those obtained with single-tailed homologues. The increase in spacer length caused an increase in the dispersion efficiency. The observations indicate a loose type of monolayer adsorption rather than the formation of micelle-like aggregates on the nanotube surface. With the future goal of embedding nanotubes in liquid crystal (LC) phases and thereby creating nanocomposites, the effect of the spacer length on the thermotropic behavior of the gemini 12-s-12 surfactant was investigated. Different mesophases were observed and a non-monotonic effect of the spacer length was found and rationalized within a model of the surfactant packing in the solid state.The relative binding strength of simple surfactants to CNTs was assessed by the amount of F127 they displace from the CNT surface upon addition. Anionic surfactants were found to replace more F127, which was interpreted as a sign of stronger binding to CNT. The data collected for all surfactants showed a good correlation with their critical dispersibility concentration that suggests the existence of a surface coverage threshold for dispersing nanotubes.On the macroscopic scale, the formation of weakly bound CNT aggregates in homogeneous dispersions was found to be induced by vortex-shaking. These aggregates could quickly and easily be re-dispersed by mild sonication. This counterintuitive behavior was related to the type of dispersant used and of the duration of mechanical agitation and was explained as a result of loose coverage by the dispersant. 
  •  
21.
  • Fernandes, Ricardo M.F. 1983-, et al. (författare)
  • Dispersing Carbon Nanotubes with Ionic Surfactants under Controlled Conditions : Comparisons and Insight
  • 2015
  • Ingår i: Langmuir. - : American Chemical Society (ACS). - 0743-7463 .- 1520-5827. ; 31:40, s. 10955-10965
  • Tidskriftsartikel (refereegranskat)abstract
    • A fundamental understanding of the mechanisms involved in the surfactant-assisted exfoliation and dispersion of carbon nanotubes (CNTs) in water calls for well-controlled experimental methodologies and reliable comparative metrics. We have assessed the ability of several ionic surfactants to disperse single and multiwalled carbon nanotubes, resorting to a stringently controlled sonication-centrifugation method for the preparation of the dispersions. The CNT concentration was accurately measured for a wide range of surfactant concentration, using combined thermogravimetric analysis and UV–vis spectroscopy. The obtained dispersibility curves yield several quantitative parameters, which in turn allow for the effects of nanotube morphology and surfactant properties (aromatic rings, chain length, headgroup charge, andcmc) to be assessed and rationalized, both in terms of dispersed nanotube mass and surface area. The data also indicate that the CNT-surfactant association follows patterns that are markedly different from other equilibrium processes governed by hydrophobicity (such as micellization); in particular, the surfactant concentration needed for maximum dispersibility,cs,max, and the number of surfactant molecules per unit CNT area at cs,max are shown to depend linearly on chain length. The results further suggest that the presence of micelles in the exfoliation process is not a key factor either for starting CNT dispersibility or attaining its saturation value.
  •  
22.
  • Fernandes, Ricardo M.F. 1983-, et al. (författare)
  • Mechanical Agitation Induces Aggregation of Pre-Dispersed Carbon Nanotubes
  • 2015
  • Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
    • Mechanical agitation is typically used to fragment and disperse insoluble materials in a solvent. We report here an aggregation process that, contrary to expectation, is induced by mechanical agitation: when aqueous dispersions of single-walled carbon nanotubes (SWNTs) are subject to vortex-shaking, weakly bound micron-sized aggregates are formed. The SWNT dispersions are prepared by adding various dispersants employing a sonication followed by centrifugation approach. While surfactant adsorption to the SWNTs during sonication results in stabilized exfoliated tubes and thin bundles, we find that vortex-shaking the fresh dispersions for short periods (10-60 s) results in re-aggregation into flocs in the 1-102 µm range. The aggregation is reversible: if the vortexed dispersions are mildly sonicated, the flocs break down and re-dispersal occurs. Imaging at different resolutions shows that the aggregates consist of loose networks of intertwined tubes and bundles. The data further indicate that the average aggregate size increases logarithmically with vortex time and is critically influenced by dispersant type (ionic or nonionic), centrifugation time (prior to vortexing) and initial concentration of dispersed SWNTs. These results are relevant if stabilization or destabilization of dispersions is sought for, i.e., in drug delivery or sensing applications, and could also be of interest for chiral sorting of SWNTs and percolation conductivity.
  •  
23.
  • Fernandes, Ricardo M.F. 1983-, et al. (författare)
  • Strong Spacer Length Effects on The Thermal Behavior and Mesophase Formation By Gemini Surfactants
  • 2015
  • Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
    • The self-aggregation properties in aqueous solution of gemini surfactants of the type alkanediyl-α,ω-bis(dodecyldimethylammonium bromides), 12-s-12, have been extensively reported and are known to be significantly influenced by the number of methylene groups, s, of the covalent spacer. In contrast, the thermal behavior of the anhydrous compounds as a function of varying s has not been investigated in a similarly systematic way. Herein, we present the thermal phase behavior of eight compounds of the 12-s-12 family (with s = 2-6, 8, 10 and 12), resorting to differential scanning calorimetry (DSC), polarized light microscopy (PLM) and X-ray diffraction (XRD). We find that compounds with either the shortest spacer, s = 2, or the longest ones—8, 10 and 12—form several smectic liquid-crystalline phases prior to isotropization to the liquid phase, with appearance of oily streaks, focal conics, mosaic and fan-shaped birefringent textures. In sharp contrast, gemini compounds with intermediate spacers, s = 3-6, decompose and do not form any disordered, fluid mesophases. Both the DSC thermodynamic parameters for the phase transitions and d00l spacings obtained from XRD show non-monotonic trends with spacer variation, indicating that there are significant differences in solid-state packing and melting process. Plausible molecular packing arrangements in the solid-state are presented, consistent with the XRD information and geometric considerations, and their influence on the phase behavior trends critically discussed.
  •  
24.
  • Fernandes, Ricardo M.F. 1983-, et al. (författare)
  • Surface Coverage and Competitive Adsorption on Carbon Nanotubes
  • 2015
  • Ingår i: The Journal of Physical Chemistry C. - : American Chemical Society (ACS). - 1932-7447 .- 1932-7455. ; 119:38, s. 22190-22197
  • Tidskriftsartikel (refereegranskat)abstract
    • The binding strength of dispersants to the surface of carbon nanotubes is of crucial importance for the efficiency of the dispersion process and for potential applications, yet data are scarce on this subject. Here we present the results of diffusion NMR experiments in dispersions of single-walled carbon nanotubes (SWNTs) prepared by either the polymer Pluronics F127 or the protein bovine serum albumin (BSA). The experiments detect the amount of F127 molecules adsorbed onto the SWNT surface. This quantity is recorded (i) in F127-SWNT dispersions to which BSA molecules are added and (ii) in BSA-SWNT dispersions to which F127 molecules are added. The data clearly show that F127 replaces BSA adsorbed at the SWNT surface, while BSA leaves the adsorbed F127 coverage intact. Consequently, F127 binds to the nanotube surface more strongly than BSA. Hence, we provide a way to categorize dispersants by adsorption strength. We also provide evidence showing that the nanotubes dispersed by BSA form loose aggregates where a large part of the surface is not in direct contact with the surrounding liquid. The results are discussed in relation to previous findings in the literature.
  •  
25.
  • Ferreira Fernandes, Ricardo Manuel, 1983-, et al. (författare)
  • Block copolymers adsorbed on single-walled carbon nanotubes. Block polydispersity and the modes of surface attachment
  • Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
    • 1H NMR peak intensities, 1H NMR diffusion measurements and TGA experiments were used to clarify the fate of the dispersing molecules, block copolymer Pluronic F127, during preparation of single-walled carbon nanotube (CNT) dispersions and their state in the created dispersions. In the dispersions, a fraction of the F127 molecules is adsorbed to the CNT surface. The mode of adsorption is the attachment and significant immobilization of the hydrophobic polypropylene oxide (PPO) block to the CNT surface and, as a result, the 1H NMR signal from the attached PPO blocks is lost. On the other hand, the hydrophilic polyethylene oxide (PEO) blocks remain highly mobile and thereby detectable by NMR. The F127 is revealed to exhibit significant block polydispersity. Molecules with large PPO blocks become enriched upon the surface of that fraction of the initial CNT powder that does not become dispersed. The molecular motions involved in creating the observed NMR features are clarified.
  •  
26.
  • Ferreira Fernandes, Ricardo Manuel, 1983-, et al. (författare)
  • Block Copolymers as Dispersants for Single-Walled Carbon Nanotubes : Modes of Surface Attachment and Role of Block Polydispersity
  • 2018
  • Ingår i: Langmuir. - : AMER CHEMICAL SOC. - 0743-7463 .- 1520-5827. ; 34:45, s. 13672-13679
  • Tidskriftsartikel (refereegranskat)abstract
    • When using amphiphilic polymers to exfoliate and disperse carbon nanotubes in water, the balance between the hydrophobic and hydrophilic moieties is critical and nontrivial. Here, we investigate the mode of surface attachment of a triblock copolymer, Pluronics F127, composed of a central hydrophobic polypropylene oxide block flanked by hydrophilic polyethylene oxide blocks, onto single-walled carbon nanotubes (SWNTs). Crucially, we analyze the composition in dispersant of both the as-obtained dispersion (the supernatant) and the precipitate-containing undispersed materials. For this, we combine the carefully obtained data from H-1 NMR peak intensities and self-diffusion and thermogravimetric analysis. The molecular motions behind the observed NMR features are clarified. We find that the hydrophobic blocks attach to the dispersed SWNT surface and remain significantly immobilized leading to H-1 NMR signal loss. On the other hand, the hydrophilic blocks remain highly mobile and thus readily detectable by NMR. The dispersant is shown to possess significant block polydispersity that has a large effect on dispersibility. Polymers with large hydrophobic blocks adsorb on the surface of the carbonaceous particles that precipitate, indicating that although a larger hydrophobic block is good for enhancing adsorption, it may be less effective in dispersing the tubes. A model is also proposed that consistently explains our observations in SWNT dispersions and some contradicting findings obtained previously in carbon nanohorn dispersions. Overall, our findings help elucidating the molecular picture of the dispersion process for SWNTs and are of interest when looking for more effective (i.e., well-balanced) polymeric dispersants.
  •  
27.
  • Ferreira Fernandes, Ricardo Manuel, et al. (författare)
  • Lateral Diffusion of Dispersing Molecules On Nanotubes As Probed by NMR
  • 2014
  • Ingår i: The Journal of Physical Chemistry C. - : American Chemical Society (ACS). - 1932-7447 .- 1932-7455. ; 118:1, s. 582-589
  • Tidskriftsartikel (refereegranskat)abstract
    • Noncovalent dispersion of carbon nanotubes is essential to most applications but still poorly understood at the molecular level. The interaction of the dispersing molecule with the nanotube, wrapping or nonwrapping, still awaits consensus. Herein, we have studied by H-1 NMR diffusometry some features of molecular dynamics in the system of carbon nanotubes dispersed by triblock copolymer Pluronics F127 in water. The diffusional decays obtained at different diffusion times, Delta, are not single-exponential and have a complex Delta-dependent profile, ultimately implying that the polymer is observed in two states: free (in unimeric form) and nanotube-bound. Fitting a two-site exchange model to the data indicates that at any instant, only a small fraction of polymers are adsorbed on the nanotubes, with polydisperse residence times in the range of 100-400 ms. Most significantly, we further provide an estimate of D = (3-8) x 10(-12) m(2) s(-1) the coefficient of lateral diffusion of the polymer along the nanotube surface, which is an order of magnitude slower than the corresponding self-diffusion coefficient in water. The emerging picture is that of a nonwrapping mode for the polymer-nanotube interaction.
  •  
28.
  • Gei, Maga, et al. (författare)
  • Legume abundance along successional and rainfall gradients in Neotropical forests
  • 2018
  • Ingår i: Nature Ecology & Evolution. - : Springer Science and Business Media LLC. - 2397-334X. ; 2:7
  • Tidskriftsartikel (refereegranskat)abstract
    • The nutrient demands of regrowing tropical forests are partly satisfied by nitrogen-fixing legume trees, but our understanding of the abundance of those species is biased towards wet tropical regions. Here we show how the abundance of Leguminosae is affected by both recovery from disturbance and large-scale rainfall gradients through a synthesis of forest inventory plots from a network of 42 Neotropical forest chronosequences. During the first three decades of natural forest regeneration, legume basal area is twice as high in dry compared with wet secondary forests. The tremendous ecological success of legumes in recently disturbed, water-limited forests is likely to be related to both their reduced leaflet size and ability to fix N2, which together enhance legume drought tolerance and water-use efficiency. Earth system models should incorporate these large-scale successional and climatic patterns of legume dominance to provide more accurate estimates of the maximum potential for natural nitrogen fixation across tropical forests.
  •  
29.
  • Goncalves Fernandes Ferreira, Flavio Pedro, et al. (författare)
  • Artificial eye for calibration of an eye-tracker, eye tracking calibration system and method thereof
  • 2021
  • Patent (populärvet., debatt m.m.)abstract
    • Abstract(EN) An artificial eye for eye tracking calibration of an eye-tracker, comprising: an eye model comprising a foveal region; an optical position sensor arranged at the foveal region for transducing the position of a foveal light spot into a sensor position signal; a two-axis rotational pivoting support upon which the eye model is mounted; a two-axis actuator for rotating the eye model in said pivoting support; a feed-back electronic circuit, connected between the sensor and actuator, arranged to cause rotation of the eye model by said actuator such that the sensor position signal matches a reference position signal. The reference position signal may be adjustable to cause an off-set between the pupillary-axis of the eye model and a visual-axis defined by the reference position signal, in particular the reference position signal being adjustable by configuration of the feed-back electronic circuit.(FR) L'invention concerne un oeil artificiel pour l'étalonnage de suivi de l'oeil d'un oculomètre, comprenant : un modèle d'oeil comprenant une région fovéale ; un capteur de position optique disposé au niveau de la région fovéale pour convertir la position d'un point lumineux fovéal en un signal de position de capteur ; un support pivotant rotatif à deux axes sur lequel est monté le modèle oculaire ; un actionneur à deux axes pour faire tourner le modèle d'oeil dans ledit support pivotant ; un circuit électronique de rétroaction, connecté entre le capteur et l'actionneur, agencé pour provoquer la rotation du modèle d'oeil par ledit actionneur de telle sorte que le signal de position de capteur corresponde à un signal de position de référence. Le signal de position de référence peut être réglé pour provoquer un décalage entre l'axe pupillaire du modèle d'oeil et un axe visuel défini par le signal de position de référence, en particulier le signal de position de référence étant réglable par la configuration du circuit électronique de rétroaction.
  •  
30.
  • Griswold, Max G., et al. (författare)
  • Alcohol use and burden for 195 countries and territories, 1990-2016 : a systematic analysis for the Global Burden of Disease Study 2016
  • 2018
  • Ingår i: The Lancet. - : Elsevier. - 0140-6736 .- 1474-547X. ; 392:10152, s. 1015-1035
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Alcohol use is a leading risk factor for death and disability, but its overall association with health remains complex given the possible protective effects of moderate alcohol consumption on some conditions. With our comprehensive approach to health accounting within the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we generated improved estimates of alcohol use and alcohol-attributable deaths and disability-adjusted life-years (DALYs) for 195 locations from 1990 to 2016, for both sexes and for 5-year age groups between the ages of 15 years and 95 years and older.Methods: Using 694 data sources of individual and population-level alcohol consumption, along with 592 prospective and retrospective studies on the risk of alcohol use, we produced estimates of the prevalence of current drinking, abstention, the distribution of alcohol consumption among current drinkers in standard drinks daily (defined as 10 g of pure ethyl alcohol), and alcohol-attributable deaths and DALYs. We made several methodological improvements compared with previous estimates: first, we adjusted alcohol sales estimates to take into account tourist and unrecorded consumption; second, we did a new meta-analysis of relative risks for 23 health outcomes associated with alcohol use; and third, we developed a new method to quantify the level of alcohol consumption that minimises the overall risk to individual health.Findings: Globally, alcohol use was the seventh leading risk factor for both deaths and DALYs in 2016, accounting for 2.2% (95% uncertainty interval [UI] 1.5-3.0) of age-standardised female deaths and 6.8% (5.8-8.0) of age-standardised male deaths. Among the population aged 15-49 years, alcohol use was the leading risk factor globally in 2016, with 3.8% (95% UI 3.2-4-3) of female deaths and 12.2% (10.8-13-6) of male deaths attributable to alcohol use. For the population aged 15-49 years, female attributable DALYs were 2.3% (95% UI 2.0-2.6) and male attributable DALYs were 8.9% (7.8-9.9). The three leading causes of attributable deaths in this age group were tuberculosis (1.4% [95% UI 1. 0-1. 7] of total deaths), road injuries (1.2% [0.7-1.9]), and self-harm (1.1% [0.6-1.5]). For populations aged 50 years and older, cancers accounted for a large proportion of total alcohol-attributable deaths in 2016, constituting 27.1% (95% UI 21.2-33.3) of total alcohol-attributable female deaths and 18.9% (15.3-22.6) of male deaths. The level of alcohol consumption that minimised harm across health outcomes was zero (95% UI 0.0-0.8) standard drinks per week.Interpretation: Alcohol use is a leading risk factor for global disease burden and causes substantial health loss. We found that the risk of all-cause mortality, and of cancers specifically, rises with increasing levels of consumption, and the level of consumption that minimises health loss is zero. These results suggest that alcohol control policies might need to be revised worldwide, refocusing on efforts to lower overall population-level consumption.
  •  
31.
  • Haugaard-Kedström, Linda M., et al. (författare)
  • A High-Affinity Peptide Ligand Targeting Syntenin Inhibits Glioblastoma
  • 2021
  • Ingår i: Journal of Medicinal Chemistry. - : American Chemical Society (ACS). - 0022-2623 .- 1520-4804. ; 64:3, s. 1423-1434
  • Tidskriftsartikel (refereegranskat)abstract
    • Despite the recent advances in cancer therapeutics, highly aggressive cancer forms, such as glioblastoma (GBM), still have very low survival rates. The intracellular scaffold protein syntenin, comprising two postsynaptic density protein-95/discslarge/zona occludens-1 (PDZ) domains, has emerged as a novel therapeutic target in highly malignant phenotypes including GBM. Here, we report the development of a novel, highly potent, and metabolically stable peptide inhibitor of syntenin, KSL-128114, which binds the PDZ1 domain of syntenin with nanomolar affinity. KSL-128114 is resistant toward degradation in human plasma and mouse hepatic microsomes and displays a global PDZ domain selectivity for syntenin. An X-ray crystal structure reveals that KSL128114 interacts with syntenin PDZ1 in an extended noncanonical binding mode. Treatment with KSL-128114 shows an inhibitory effect on primary GBM cell viability and significantly extends survival time in a patient-derived xenograft mouse model. Thus, KSL-128114 is a novel promising candidate with therapeutic potential for highly aggressive tumors, such as GBM.
  •  
32.
  • Jacobo-Martin, Alejandra, et al. (författare)
  • Resilient moth-eye nanoimprinted antireflective and self-cleaning TiO2 sputter-coated PMMA films
  • 2022
  • Ingår i: Applied Surface Science. - : Elsevier. - 0169-4332 .- 1873-5584. ; 585
  • Tidskriftsartikel (refereegranskat)abstract
    • Moth-eye nanostructures are amongst the most remarkable surfaces in nature because of their multi-functionality including antireflection, self-cleaning and bactericidal ability. Moth-eye surfaces consist of subwavelength arrays of tapered nanostructures, which are challenging to reproduce artificially. Nanoimprint lithography is probably one of the most suited technologies for this purpose. However, the poor mechanical resilience and durability of the polymeric nanocones when exposed to the environment, hinders their use in actual applications. To overcome these limitations, this work demonstrates the use of a thin oxide coating over the polymer moth-eye features imprinted on poly methyl methacrylate (PMMA) films. Particularly TiO2 conformal thin film coatings are deposited by unipolar pulsed dc magnetron sputtering over the antireflective nanopatterns acting as encapsulant. The coating, while preserving the antireflective properties, protects the nanostructures against mechanical scratching and improves substantially their thermal stability to over 250 ?. Furthermore, the TiO2 layer provides additional photoinduced self-cleaning functionality and at the same time it protects the matrix from UV photodegradation. The robust and durable antireflective surfaces developed here may find application on solar cells covers, flat panel displays or on optical components.
  •  
33.
  •  
34.
  • Maia Paiva, Eduardo, et al. (författare)
  • Low-frequency Raman spectrophotometer with wide laser illumination on the sample : A tool for pharmaceutical analytical analysis
  • 2020
  • Ingår i: Spectrochimica Acta Part A - Molecular and Biomolecular Spectroscopy. - : Elsevier. - 1386-1425 .- 1873-3557. ; 228
  • Tidskriftsartikel (refereegranskat)abstract
    • This work describes an optical configuration for a Raman spectrophotometer, which permits variation of the laser spot size from 3 to 3000 μm, maintaining a high Raman photons throughput and allowing acquisitions with a short integration time. In addition, the instrument can acquire spectra from the low to middle frequency vibrational range (10 to 2000 cm−1), on the Stokes and anti-Stokes sides. One of the features of this new optical configuration is the non-use of beam splitters to redirect the scattered light to the detector, which would sacrifice the laser power. The quantitative and qualitative analytical performances of the Raman spectrophotometer were evaluated using chemometric models to predict the concentrations of different active pharmaceutical ingredients (APIs) in mixtures with polymorphs and excipients, as well as by analysis of an API mixture employing hyperspectral imaging. This new optical configuration was shown to be versatile for pharmaceutical purposes and could be used in applications such as the characterization of new drugs or the quality control of raw materials and processes, using normal Raman measurements or SERS (surface-enhanced Raman scattering).
  •  
35.
  • Maia Paiva, Eduardo, et al. (författare)
  • Quantification of biodiesel and adulteration with vegetable oils in diesel/biodiesel blends using portable near-infrared spectrometer
  • 2015
  • Ingår i: Fuel. - : Elsevier. - 0016-2361 .- 1873-7153. ; 160, s. 57-63
  • Tidskriftsartikel (refereegranskat)abstract
    • The performance of a portable near infrared spectrophotometer to determine biodiesel content in diesel/biodiesel blends, as well as to quantify adulteration by vegetable oil, was evaluated. The NIR transmittance/absorbance spectra of 118 samples in the range 950–1650 nm were acquired using an ultra-compact spectrophotometer (MicroNIR), and also by using a Fourier transform benchtop instrument (FT-NIR) from 800 to 2500 nm. In a preliminary step, partial least squares (PLS) models aimed at the determination of biodiesel quality parameters were developed by using full spectral information. Thereafter, the variables showing significant regression coefficients were selected and the PLS models were re-processed. Successive Projections Algorithm (SPA) was used to screen for the most orthogonal variables to be used in a model constructed by using Multiple Linear Regression (MLR). For determining the contents of both biodiesel and vegetable oil in diesel/biodiesel blends, using MicroNIR and FT-NIR, the results indicated MLR-SPA as the best modelling strategy. RMSEP values of 0.22% v/v (MicroNIR) and 0.13% v/v (FT-NIR) for biodiesel and 0.34% v/v (MicroNIR) and 0.22% (FT-NIR) for vegetable oil contents were obtained. LOD values of 0.31% (MicroNIR) and 0.22% (FT-NIR) for biodiesel and 0.40% (MicroNIR) and 0.34% (FT-NIR) for vegetable oil determination were achieved. The results revealed comparable performances between the portable and the benchtop instruments, demonstrating the feasibility of monitoring in situ the quality characteristics of diesel/biodiesel blends according to biodiesel content and for detection of adulteration with vegetable oils by using the portable spectrophotometer.
  •  
36.
  • Murray, Christopher J. L., et al. (författare)
  • Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017
  • 2018
  • Ingår i: The Lancet. - 1474-547X .- 0140-6736. ; 392:10159, s. 1995-2051
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Population estimates underpin demographic and epidemiological research and are used to track progress on numerous international indicators of health and development. To date, internationally available estimates of population and fertility, although useful, have not been produced with transparent and replicable methods and do not use standardised estimates of mortality. We present single-calendar year and single-year of age estimates of fertility and population by sex with standardised and replicable methods. Methods: We estimated population in 195 locations by single year of age and single calendar year from 1950 to 2017 with standardised and replicable methods. We based the estimates on the demographic balancing equation, with inputs of fertility, mortality, population, and migration data. Fertility data came from 7817 location-years of vital registration data, 429 surveys reporting complete birth histories, and 977 surveys and censuses reporting summary birth histories. We estimated age-specific fertility rates (ASFRs; the annual number of livebirths to women of a specified age group per 1000 women in that age group) by use of spatiotemporal Gaussian process regression and used the ASFRs to estimate total fertility rates (TFRs; the average number of children a woman would bear if she survived through the end of the reproductive age span [age 10–54 years] and experienced at each age a particular set of ASFRs observed in the year of interest). Because of sparse data, fertility at ages 10–14 years and 50–54 years was estimated from data on fertility in women aged 15–19 years and 45–49 years, through use of linear regression. Age-specific mortality data came from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 estimates. Data on population came from 1257 censuses and 761 population registry location-years and were adjusted for underenumeration and age misreporting with standard demographic methods. Migration was estimated with the GBD Bayesian demographic balancing model, after incorporating information about refugee migration into the model prior. Final population estimates used the cohort-component method of population projection, with inputs of fertility, mortality, and migration data. Population uncertainty was estimated by use of out-of-sample predictive validity testing. With these data, we estimated the trends in population by age and sex and in fertility by age between 1950 and 2017 in 195 countries and territories. Findings: From 1950 to 2017, TFRs decreased by 49·4% (95% uncertainty interval [UI] 46·4–52·0). The TFR decreased from 4·7 livebirths (4·5–4·9) to 2·4 livebirths (2·2–2·5), and the ASFR of mothers aged 10–19 years decreased from 37 livebirths (34–40) to 22 livebirths (19–24) per 1000 women. Despite reductions in the TFR, the global population has been increasing by an average of 83·8 million people per year since 1985. The global population increased by 197·2% (193·3–200·8) since 1950, from 2·6 billion (2·5–2·6) to 7·6 billion (7·4–7·9) people in 2017; much of this increase was in the proportion of the global population in south Asia and sub-Saharan Africa. The global annual rate of population growth increased between 1950 and 1964, when it peaked at 2·0%; this rate then remained nearly constant until 1970 and then decreased to 1·1% in 2017. Population growth rates in the southeast Asia, east Asia, and Oceania GBD super-region decreased from 2·5% in 1963 to 0·7% in 2017, whereas in sub-Saharan Africa, population growth rates were almost at the highest reported levels ever in 2017, when they were at 2·7%. The global average age increased from 26·6 years in 1950 to 32·1 years in 2017, and the proportion of the population that is of working age (age 15–64 years) increased from 59·9% to 65·3%. At the national level, the TFR decreased in all countries and territories between 1950 and 2017; in 2017, TFRs ranged from a low of 1·0 livebirths (95% UI 0·9–1·2) in Cyprus to a high of 7·1 livebirths (6·8–7·4) in Niger. The TFR under age 25 years (TFU25; number of livebirths expected by age 25 years for a hypothetical woman who survived the age group and was exposed to current ASFRs) in 2017 ranged from 0·08 livebirths (0·07–0·09) in South Korea to 2·4 livebirths (2·2–2·6) in Niger, and the TFR over age 30 years (TFO30; number of livebirths expected for a hypothetical woman ageing from 30 to 54 years who survived the age group and was exposed to current ASFRs) ranged from a low of 0·3 livebirths (0·3–0·4) in Puerto Rico to a high of 3·1 livebirths (3·0–3·2) in Niger. TFO30 was higher than TFU25 in 145 countries and territories in 2017. 33 countries had a negative population growth rate from 2010 to 2017, most of which were located in central, eastern, and western Europe, whereas population growth rates of more than 2·0% were seen in 33 of 46 countries in sub-Saharan Africa. In 2017, less than 65% of the national population was of working age in 12 of 34 high-income countries, and less than 50% of the national population was of working age in Mali, Chad, and Niger. Interpretation: Population trends create demographic dividends and headwinds (ie, economic benefits and detriments) that affect national economies and determine national planning needs. Although TFRs are decreasing, the global population continues to grow as mortality declines, with diverse patterns at the national level and across age groups. To our knowledge, this is the first study to provide transparent and replicable estimates of population and fertility, which can be used to inform decision making and to monitor progress. Funding: Bill & Melinda Gates Foundation.
  •  
37.
  • Naghavi, Mohsen, et al. (författare)
  • Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013
  • 2015
  • Ingår i: The Lancet. - 1474-547X .- 0140-6736. ; 385:9963, s. 117-171
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Up-to-date evidence on levels and trends for age-sex-specifi c all-cause and cause-specifi c mortality is essential for the formation of global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013) we estimated yearly deaths for 188 countries between 1990, and 2013. We used the results to assess whether there is epidemiological convergence across countries. Methods We estimated age-sex-specifi c all-cause mortality using the GBD 2010 methods with some refinements to improve accuracy applied to an updated database of vital registration, survey, and census data. We generally estimated cause of death as in the GBD 2010. Key improvements included the addition of more recent vital registration data for 72 countries, an updated verbal autopsy literature review, two new and detailed data systems for China, and more detail for Mexico, UK, Turkey, and Russia. We improved statistical models for garbage code redistribution. We used six different modelling strategies across the 240 causes; cause of death ensemble modelling (CODEm) was the dominant strategy for causes with sufficient information. Trends for Alzheimer's disease and other dementias were informed by meta-regression of prevalence studies. For pathogen-specifi c causes of diarrhoea and lower respiratory infections we used a counterfactual approach. We computed two measures of convergence (inequality) across countries: the average relative difference across all pairs of countries (Gini coefficient) and the average absolute difference across countries. To summarise broad findings, we used multiple decrement life-tables to decompose probabilities of death from birth to exact age 15 years, from exact age 15 years to exact age 50 years, and from exact age 50 years to exact age 75 years, and life expectancy at birth into major causes. For all quantities reported, we computed 95% uncertainty intervals (UIs). We constrained cause-specific fractions within each age-sex-country-year group to sum to all-cause mortality based on draws from the uncertainty distributions. Findings Global life expectancy for both sexes increased from 65.3 years (UI 65.0-65.6) in 1990, to 71.5 years (UI 71.0-71.9) in 2013, while the number of deaths increased from 47.5 million (UI 46.8-48.2) to 54.9 million (UI 53.6-56.3) over the same interval. Global progress masked variation by age and sex: for children, average absolute diff erences between countries decreased but relative diff erences increased. For women aged 25-39 years and older than 75 years and for men aged 20-49 years and 65 years and older, both absolute and relative diff erences increased. Decomposition of global and regional life expectancy showed the prominent role of reductions in age-standardised death rates for cardiovascular diseases and cancers in high-income regions, and reductions in child deaths from diarrhoea, lower respiratory infections, and neonatal causes in low-income regions. HIV/AIDS reduced life expectancy in southern sub-Saharan Africa. For most communicable causes of death both numbers of deaths and age-standardised death rates fell whereas for most non-communicable causes, demographic shifts have increased numbers of deaths but decreased age-standardised death rates. Global deaths from injury increased by 10.7%, from 4.3 million deaths in 1990 to 4.8 million in 2013; but age-standardised rates declined over the same period by 21%. For some causes of more than 100 000 deaths per year in 2013, age-standardised death rates increased between 1990 and 2013, including HIV/AIDS, pancreatic cancer, atrial fibrillation and flutter, drug use disorders, diabetes, chronic kidney disease, and sickle-cell anaemias. Diarrhoeal diseases, lower respiratory infections, neonatal causes, and malaria are still in the top five causes of death in children younger than 5 years. The most important pathogens are rotavirus for diarrhoea and pneumococcus for lower respiratory infections. Country-specific probabilities of death over three phases of life were substantially varied between and within regions. Interpretation For most countries, the general pattern of reductions in age-sex specifi c mortality has been associated with a progressive shift towards a larger share of the remaining deaths caused by non-communicable disease and injuries. Assessing epidemiological convergence across countries depends on whether an absolute or relative measure of inequality is used. Nevertheless, age-standardised death rates for seven substantial causes are increasing, suggesting the potential for reversals in some countries. Important gaps exist in the empirical data for cause of death estimates for some countries; for example, no national data for India are available for the past decade.
  •  
38.
  • Nobre, Liana, et al. (författare)
  • Outcomes of BRAF V600E pediatric gliomas treated with targeted BRAF inhibition
  • 2020
  • Ingår i: JCO Precision Oncology. - 2473-4284. ; 3, s. 561-571
  • Tidskriftsartikel (refereegranskat)abstract
    • © 2020 by American Society of Clinical Oncology PURPOSE Children with pediatric gliomas harboring a BRAF V600E mutation have poor outcomes with current chemoradiotherapy strategies. Our aim was to study the role of targeted BRAF inhibition in these tumors. PATIENTS AND METHODS We collected clinical, imaging, molecular, and outcome information from patients with BRAF V600E–mutated glioma treated with BRAF inhibition across 29 centers from multiple countries. RESULTS Sixty-seven patients were treated with BRAF inhibition (pediatric low-grade gliomas [PLGGs], n = 56; pediatric high-grade gliomas [PHGGs], n = 11) for up to 5.6 years. Objective responses were observed in 80% of PLGGs, compared with 28% observed with conventional chemotherapy (P, .001). These responses were rapid (median, 4 months) and sustained in 86% of tumors up to 5 years while receiving therapy. After discontinuation of BRAF inhibition, 76.5% (13 of 17) of patients with PLGG experienced rapid progression (median, 2.3 months). However, upon rechallenge with BRAF inhibition, 90% achieved an objective response. Poor prognostic factors in conventional therapies, such as concomitant homozygous deletion of CDKN2A, were not associated with lack of response to BRAF inhibition. In contrast, only 36% of those with PHGG responded to BRAF inhibition, with all but one tumor progressing within 18 months. In PLGG, responses translated to 3-year progression-free survival of 49.6% (95% CI, 35.3% to 69.5%) versus 29.8% (95% CI, 20% to 44.4%) for BRAF inhibition versus chemotherapy, respectively (P = .02). CONCLUSION Use of BRAF inhibition results in robust and durable responses in BRAF V600E–mutated PLGG. Prospective studies are required to determine long-term survival and functional outcomes with BRAF inhibitor therapy in childhood gliomas.
  •  
39.
  • Ramos-Casals, Manuel, et al. (författare)
  • Childhood-onset of primary Sjögren's syndrome : phenotypic characterization at diagnosis of 158 children
  • 2021
  • Ingår i: Rheumatology. - : Oxford University Press. - 1462-0324 .- 1462-0332. ; 60:10, s. 4558-4567
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: To characterize the phenotypic presentation at diagnosis of childhood-onset primary SS.Methods: The Big Data Sjögren Project Consortium is an international, multicentre registry using worldwide data-sharing cooperative merging of pre-existing clinical SS databases from the five continents. For this study, we selected those patients in whom the disease was diagnosed below the age of 19 years according to the fulfilment of the 2002/2016 classification criteria.Results: Among the 12 083 patients included in the Sjögren Big Data Registry, 158 (1.3%) patients had a childhood-onset diagnosis (136 girls, mean age of 14.2 years): 126 (80%) reported dry mouth, 111 (70%) dry eyes, 52 (33%) parotid enlargement, 118/122 (97%) positive minor salivary gland biopsy and 60/64 (94%) abnormal salivary US study, 140/155 (90%) positive ANA, 138/156 (89%) anti-Ro/La antibodies and 86/142 (68%) positive RF. The systemic EULAR Sjögren's syndrome disease activity index (ESSDAI) domains containing the highest frequencies of active patients included the glandular (47%), articular (26%) and lymphadenopathy (25%) domains. Patients with childhood-onset primary SS showed the highest mean ESSDAI score and the highest frequencies of systemic disease in 5 (constitutional, lymphadenopathy, glandular, cutaneous and haematological) of the 12 ESSDAI domains, and the lowest frequencies in 4 (articular, pulmonary, peripheral nerve and CNS) in comparison with patients with adult-onset disease.Conclusions: Childhood-onset primary SS involves around 1% of patients with primary SS, with a clinical phenotype dominated by sicca features, parotid enlargement and systemic disease. Age at diagnosis plays a key role in modulating the phenotypic expression of the disease.
  •  
40.
  • Rocha, Jessica, et al. (författare)
  • Gemini Surfactants as Dispersants of Multiwalled Carbon Nanotubes : a Systematic Study on the Role of Molecular Structure
  • 2015
  • Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
    • Surfactants have been widely used as non-covalent dispersants of carbon nanotubes and yet a deeper and systematic understanding of the role of their molecular properties on dispersibility still awaits consensus. Herein, we report on the dispersibility of multiwalled carbon nanotubes (MWNTs) using a set of dicationic gemini surfactants of the n-s-n type, where both the length of the covalent spacer (s) that bridges the two cationic headgroups and the length of the tails (n) are systematically varied. Thus, 12-s-12 gemini with s = 2, 6, and 12 are studied together with 16-s-16 (s = 2 and 12). In addition, the single-tailed homologues dodecyltrimethylammonium bromide, DTAB (n = 12), and cetyltrimethylammonium bromide, CTAB (n = 16), are employed for comparisons. High precision dispersion curves (dispersed NT vs. surfactant concentration) are presented, obtained through a well-controlled sonication/centrifugation procedure combined with an accurate determination of MWNT concentration. The gemini amphiphiles, despite being double-tailed and double-charged, are found to be less effective dispersants than CTAB and roughly as effective as DTAB. Among the gemini, the following pattern emerges as concerning dispersion behavior. (i) The tail length, n, is less influential than spacer length, s, in dispersing ability, implying that the spacer hydrophobicity rather than that of the tail may govern the affinity for the nanotube surface. (ii) In the 12-s-12 series, the surfactant concentration needed for maximum MWNT dispersibility depends linearly on s, while it is known that the neat cmc depends non-monotonically on s. (iii) Similarly to single-tailed ionic surfactants, the presence of micelles has no direct effect on the dispersion behavior. In combination, these observations also point to an adsorption mechanism that does not involve the formation of micelle-like aggregates on the nanotube surface but rather coverage by individual dispersant molecules.
  •  
41.
  • Ruiz-Hitzky, Eduardo, et al. (författare)
  • Clay-Based Bionanocomposite Foams
  • 2016
  • Ingår i: Biofoams. - Boca Raton : Taylor & Francis. - 9781466561809 - 9781466561793 ; , s. 251-265
  • Bokkapitel (refereegranskat)
  •  
42.
  • Sbarra, AN, et al. (författare)
  • Mapping routine measles vaccination in low- and middle-income countries
  • 2021
  • Ingår i: Nature. - : Springer Science and Business Media LLC. - 1476-4687 .- 0028-0836. ; 589:7842, s. 415-
  • Tidskriftsartikel (refereegranskat)abstract
    • The safe, highly effective measles vaccine has been recommended globally since 1974, yet in 2017 there were more than 17 million cases of measles and 83,400 deaths in children under 5 years old, and more than 99% of both occurred in low- and middle-income countries (LMICs)1–4. Globally comparable, annual, local estimates of routine first-dose measles-containing vaccine (MCV1) coverage are critical for understanding geographically precise immunity patterns, progress towards the targets of the Global Vaccine Action Plan (GVAP), and high-risk areas amid disruptions to vaccination programmes caused by coronavirus disease 2019 (COVID-19)5–8. Here we generated annual estimates of routine childhood MCV1 coverage at 5 × 5-km2pixel and second administrative levels from 2000 to 2019 in 101 LMICs, quantified geographical inequality and assessed vaccination status by geographical remoteness. After widespread MCV1 gains from 2000 to 2010, coverage regressed in more than half of the districts between 2010 and 2019, leaving many LMICs far from the GVAP goal of 80% coverage in all districts by 2019. MCV1 coverage was lower in rural than in urban locations, although a larger proportion of unvaccinated children overall lived in urban locations; strategies to provide essential vaccination services should address both geographical contexts. These results provide a tool for decision-makers to strengthen routine MCV1 immunization programmes and provide equitable disease protection for all children.
  •  
43.
  • van Leeuwen, F., et al. (författare)
  • Gaia Data Release 1 : Open cluster astrometry: Performance, limitations, and future prospects
  • 2017
  • Ingår i: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 601
  • Tidskriftsartikel (refereegranskat)abstract
    • Context. The first Gaia Data Release contains the Tycho-Gaia Astrometric Solution (TGAS). This is a subset of about 2 million stars for which, besides the position and photometry, the proper motion and parallax are calculated using Hipparcos and Tycho-2 positions in 1991.25 as prior information. Aims. We investigate the scientific potential and limitations of the TGAS component by means of the astrometric data for open clusters. Methods. Mean cluster parallax and proper motion values are derived taking into account the error correlations within the astrometric solutions for individual stars, an estimate of the internal velocity dispersion in the cluster, and, where relevant, the effects of the depth of the cluster along the line of sight. Internal consistency of the TGAS data is assessed. Results. Values given for standard uncertainties are still inaccurate and may lead to unrealistic unit-weight standard deviations of least squares solutions for cluster parameters. Reconstructed mean cluster parallax and proper motion values are generally in very good agreement with earlier Hipparcos-based determination, although the Gaia mean parallax for the Pleiades is a significant exception. We have no current explanation for that discrepancy. Most clusters are observed to extend to nearly 15 pc from the cluster centre, and it will be up to future Gaia releases to establish whether those potential cluster-member stars are still dynamically bound to the clusters. Conclusions. The Gaia DR1 provides the means to examine open clusters far beyond their more easily visible cores, and can provide membership assessments based on proper motions and parallaxes. A combined HR diagram shows the same features as observed before using the Hipparcos data, with clearly increased luminosities for older A and F dwarfs.
  •  
44.
  •  
45.
  • Abbafati, Cristiana, et al. (författare)
  • 2020
  • Tidskriftsartikel (refereegranskat)
  •  
Skapa referenser, mejla, bekava och länka
  • Resultat 1-45 av 45
Typ av publikation
tidskriftsartikel (33)
annan publikation (6)
rapport (1)
konferensbidrag (1)
doktorsavhandling (1)
forskningsöversikt (1)
visa fler...
bokkapitel (1)
patent (1)
visa färre...
Typ av innehåll
refereegranskat (35)
övrigt vetenskapligt/konstnärligt (9)
populärvet., debatt m.m. (1)
Författare/redaktör
Regev, Oren (11)
Furo, Istvan (11)
Bensenor, Isabela M. (11)
Esteghamati, Alireza (11)
Jonas, Jost B. (11)
Lotufo, Paulo A. (11)
visa fler...
Werdecker, Andrea (11)
Xu, Gelin (11)
Badawi, Alaa (10)
Bernabe, Eduardo (10)
Farzadfar, Farshad (10)
Feigin, Valery L. (10)
Geleijnse, Johanna M ... (10)
Khang, Young-Ho (10)
Malekzadeh, Reza (10)
Mendoza, Walter (10)
Miller, Ted R. (10)
Mokdad, Ali H. (10)
Naghavi, Mohsen (10)
Pereira, David M. (10)
Sepanlou, Sadaf G. (10)
Vollset, Stein Emil (10)
Vos, Theo (10)
Yonemoto, Naohiro (10)
Murray, Christopher ... (10)
Bennett, Derrick A. (10)
Kim, Daniel (10)
Hankey, Graeme J. (9)
McKee, Martin (9)
Weiderpass, Elisabet ... (9)
Abbafati, Cristiana (9)
Dandona, Lalit (9)
Dandona, Rakhi (9)
Khader, Yousef Saleh (9)
Kokubo, Yoshihiro (9)
Kumar, G. Anil (9)
Lopez, Alan D. (9)
Lozano, Rafael (9)
Qorbani, Mostafa (9)
Roth, Gregory A. (9)
Tran, Bach Xuan (9)
Uthman, Olalekan A. (9)
Hafezi-Nejad, Nima (9)
Rafay, Anwar (9)
Salomon, Joshua A. (9)
Santos, Itamar S. (9)
Sawhney, Monika (9)
Tonelli, Marcello (9)
Yano, Yuichiro (9)
Allebeck, Peter (9)
visa färre...
Lärosäte
Uppsala universitet (17)
Karolinska Institutet (14)
Kungliga Tekniska Högskolan (13)
Lunds universitet (10)
Högskolan Dalarna (9)
Chalmers tekniska högskola (8)
visa fler...
Umeå universitet (7)
Göteborgs universitet (5)
Stockholms universitet (3)
Linköpings universitet (2)
Mittuniversitetet (2)
Södertörns högskola (2)
Jönköping University (1)
Linnéuniversitetet (1)
visa färre...
Språk
Engelska (45)
Forskningsämne (UKÄ/SCB)
Naturvetenskap (23)
Medicin och hälsovetenskap (20)
Teknik (5)
Samhällsvetenskap (2)

År

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy