| 1. |
- Glasbey, JC, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 2. |
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| 3. |
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| 4. |
- Khatri, C, et al.
(författare)
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Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
- 2021
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Ingår i: BMJ open. - : BMJ. - 2044-6055. ; 11:11, s. e050830-
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Tidskriftsartikel (refereegranskat)abstract
- Studies have demonstrated high rates of mortality in people with proximal femoral fracture and SARS-CoV-2, but there is limited published data on the factors that influence mortality for clinicians to make informed treatment decisions. This study aims to report the 30-day mortality associated with perioperative infection of patients undergoing surgery for proximal femoral fractures and to examine the factors that influence mortality in a multivariate analysis.SettingProspective, international, multicentre, observational cohort study.ParticipantsPatients undergoing any operation for a proximal femoral fracture from 1 February to 30 April 2020 and with perioperative SARS-CoV-2 infection (either 7 days prior or 30-day postoperative).Primary outcome30-day mortality. Multivariate modelling was performed to identify factors associated with 30-day mortality.ResultsThis study reports included 1063 patients from 174 hospitals in 19 countries. Overall 30-day mortality was 29.4% (313/1063). In an adjusted model, 30-day mortality was associated with male gender (OR 2.29, 95% CI 1.68 to 3.13, p<0.001), age >80 years (OR 1.60, 95% CI 1.1 to 2.31, p=0.013), preoperative diagnosis of dementia (OR 1.57, 95% CI 1.15 to 2.16, p=0.005), kidney disease (OR 1.73, 95% CI 1.18 to 2.55, p=0.005) and congestive heart failure (OR 1.62, 95% CI 1.06 to 2.48, p=0.025). Mortality at 30 days was lower in patients with a preoperative diagnosis of SARS-CoV-2 (OR 0.6, 95% CI 0.6 (0.42 to 0.85), p=0.004). There was no difference in mortality in patients with an increase to delay in surgery (p=0.220) or type of anaesthetic given (p=0.787).ConclusionsPatients undergoing surgery for a proximal femoral fracture with a perioperative infection of SARS-CoV-2 have a high rate of mortality. This study would support the need for providing these patients with individualised medical and anaesthetic care, including medical optimisation before theatre. Careful preoperative counselling is needed for those with a proximal femoral fracture and SARS-CoV-2, especially those in the highest risk groups.Trial registration numberNCT04323644
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| 6. |
- Li, W, et al.
(författare)
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Predicting breast cancer response to neoadjuvant treatment using multi-feature MRI: results from the I-SPY 2 TRIAL
- 2020
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Ingår i: NPJ breast cancer. - : Springer Science and Business Media LLC. - 2374-4677. ; 6:1, s. 63-
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Tidskriftsartikel (refereegranskat)abstract
- Dynamic contrast-enhanced (DCE) MRI provides both morphological and functional information regarding breast tumor response to neoadjuvant chemotherapy (NAC). The purpose of this retrospective study is to test if prediction models combining multiple MRI features outperform models with single features. Four features were quantitatively calculated in each MRI exam: functional tumor volume, longest diameter, sphericity, and contralateral background parenchymal enhancement. Logistic regression analysis was used to study the relationship between MRI variables and pathologic complete response (pCR). Predictive performance was estimated using the area under the receiver operating characteristic curve (AUC). The full cohort was stratified by hormone receptor (HR) and human epidermal growth factor receptor 2 (HER2) status (positive or negative). A total of 384 patients (median age: 49 y/o) were included. Results showed analysis with combined features achieved higher AUCs than analysis with any feature alone. AUCs estimated for the combined versus highest AUCs among single features were 0.81 (95% confidence interval [CI]: 0.76, 0.86) versus 0.79 (95% CI: 0.73, 0.85) in the full cohort, 0.83 (95% CI: 0.77, 0.92) versus 0.73 (95% CI: 0.61, 0.84) in HR-positive/HER2-negative, 0.88 (95% CI: 0.79, 0.97) versus 0.78 (95% CI: 0.63, 0.89) in HR-positive/HER2-positive, 0.83 (95% CI not available) versus 0.75 (95% CI: 0.46, 0.81) in HR-negative/HER2-positive, and 0.82 (95% CI: 0.74, 0.91) versus 0.75 (95% CI: 0.64, 0.83) in triple negatives. Multi-feature MRI analysis improved pCR prediction over analysis of any individual feature that we examined. Additionally, the improvements in prediction were more notable when analysis was conducted according to cancer subtype.
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| 8. |
- Mathsson Alm, Linda, et al.
(författare)
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The performance of anti-cyclic citrullinated peptide assays in diagnosing rheumatoid arthritis : a systematic review and meta-analysis
- 2018
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Ingår i: Clinical and Experimental Rheumatology. - 0392-856X .- 1593-098X. ; 36:1, s. 144-152
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Forskningsöversikt (refereegranskat)abstract
- Objective. We assessed the ability of anti-cyclic citrullinated peptide (CCP) tests to diagnose rheumatoid arthritis (RA), comparing the effect of manufacturer assay type, study design (single-and two-gated) and duration of disease (early vs. established). Methods. We searched seven data-bases for relevant diagnostic studies containing data on CCP tests in known or suspected RA patients. We used a bi-variate model to produce summary estimates for test sensitivity, specificity, and positive and negative likelihood ratios. Summary Receiver Operating Characteristic (sROC) curves were derived to compare early versus established RA. Results. 83 studies were identified and included. For individual manufacturer tests there was considerable variation in both pooled sensitivity (range 67-83%) and specificity (range 90-96%) estimates. This heterogeneity was also observed when grouping studies into two-gated and single-gated designs. Study design and disease duration impacted on sensitivity, with single-gated study designs and early RA patients resulting in lower estimates than two-gated and established disease, respectively. Conclusion. This review highlights the large number of CCP tests that are now commercially available and the considerable variation in their diagnostic performance. This variation, although partly influenced in this analysis by the study design (single-gated vs. two-gated), seems to have different levels of impact depending on the manufacturers. The Thermo Fisher Scientific EliA and Inova Diagnostics Quanta Lite (CCP2) tests showed the least between-study variation in sensitivity and specificity suggesting they have the most consistent diagnostic performance overall.
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| 9. |
- Pfeffer, W. Tad, et al.
(författare)
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The Randolph Glacier Inventory : a globally complete inventory of glaciers
- 2014
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Ingår i: Journal of Glaciology. - 0022-1430 .- 1727-5652. ; 60:221, s. 537-552
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Tidskriftsartikel (refereegranskat)abstract
- The Randolph Glacier Inventory (RGI) is a globally complete collection of digital outlines of glaciers, excluding the ice sheets, developed to meet the needs of the Fifth Assessment of the Intergovernmental Panel on Climate Change for estimates of past and future mass balance. The RGI was created with limited resources in a short period. Priority was given to completeness of coverage, but a limited, uniform set of attributes is attached to each of the similar to 198 000 glaciers in its latest version, 3.2. Satellite imagery from 1999-2010 provided most of the outlines. Their total extent is estimated as 726 800 +/- 34 000 km(2). The uncertainty, about +/- 5%, is derived from careful single-glacier and basin-scale uncertainty estimates and comparisons with inventories that were not sources for the RGI. The main contributors to uncertainty are probably misinterpretation of seasonal snow cover and debris cover. These errors appear not to be normally distributed, and quantifying them reliably is an unsolved problem. Combined with digital elevation models, the RGI glacier outlines yield hypsometries that can be combined with atmospheric data or model outputs for analysis of the impacts of climatic change on glaciers. The RGI has already proved its value in the generation of significantly improved aggregate estimates of glacier mass changes and total volume, and thus actual and potential contributions to sea-level rise.
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| 10. |
- Fountain, Toby, et al.
(författare)
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A Linkage Map and QTL Analysis for Pyrethroid Resistance in the Bed Bug Cimex lectularius
- 2016
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Ingår i: G3-Genes Genomes Genetics. - : Oxford University Press (OUP). - 2160-1836. ; 6:12, s. 4059-4066
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Tidskriftsartikel (refereegranskat)abstract
- The rapid evolution of insecticide resistance remains one of the biggest challenges in the control of medically and economically important pests. Insects have evolved a diverse range of mechanisms to reduce the efficacy of the commonly used classes of insecticides, and finding the genetic basis of resistance is a major aid to management. In a previously unstudied population, we performed an F-2 resistance mapping cross for the common bed bug, Cimex lectularius, for which insecticide resistance is increasingly widespread. Using 334 SNP markers obtained through RAD-sequencing, we constructed the first linkage map for the species, consisting of 14 putative linkage groups (LG), with a length of 407 cM and an average marker spacing of 1.3 cM. The linkage map was used to reassemble the recently published reference genome, facilitating refinement and validation of the current genome assembly. We detected a major QTL on LG12 associated with insecticide resistance, occurring in close proximity (1.2 Mb) to a carboxylesterase encoding candidate gene for pyrethroid resistance. This provides another example of this candidate gene playing a major role in determining survival in a bed bug population following pesticide resistance evolution. The recent availability of the bed bug genome, complete with a full list of potential candidate genes related to insecticide resistance, in addition to the linkage map generated here, provides an excellent resource for future research on the development and spread of insecticide resistance in this resurging pest species.
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| 11. |
- Fountain, T., et al.
(författare)
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Outbreeding effects in an inbreeding insect, Cimex lectularius
- 2015
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Ingår i: Ecology and Evolution. - : Wiley. - 2045-7758. ; 5:2, s. 409-418
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Tidskriftsartikel (refereegranskat)abstract
- In some species, populations with few founding individuals can be resilient to extreme inbreeding. Inbreeding seems to be the norm in the common bed bug, Cimex lectularius, a flightless insect that, nevertheless, can reach large deme sizes and persist successfully. However, bed bugs can also be dispersed passively by humans, exposing inbred populations to gene flow from genetically distant populations. The introduction of genetic variation through this outbreeding could lead to increased fitness (heterosis) or be costly by causing a loss of local adaptation or exposing genetic incompatibility between populations (outbreeding depression). Here, we addressed how inbreeding within demes and outbreeding between distant populations impact fitness over two generations in this re-emerging public health pest. We compared fitness traits of families that were inbred (mimicking reproduction following a founder event) or outbred (mimicking reproduction following a gene flow event). We found that outbreeding led to increased starvation resistance compared to inbred families, but this benefit was lost after two generations of outbreeding. No other fitness benefits of outbreeding were observed in either generation, including no differences in fecundity between the two treatments. Resilience to inbreeding is likely to result from the history of small founder events in the bed bug. Outbreeding benefits may only be detectable under stress and when heterozygosity is maximized without disruption of coadaptation. We discuss the consequences of these results both in terms of inbreeding and outbreeding in populations with genetic and spatial structuring, as well as for the recent resurgence of bed bug populations.
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| 12. |
- Garratt, Michael P D, et al.
(författare)
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Opportunities to reduce pollination deficits and address production shortfalls in an important insect pollinated crop
- 2021
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Ingår i: Ecological Applications. - : Wiley. - 1051-0761 .- 1939-5582.
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Tidskriftsartikel (refereegranskat)abstract
- Pollinators face multiple pressures and there is evidence of populations in decline. As demand for insect-pollinated crops increases, crop production is threatened by shortfalls in pollination services. Understanding the extent of current yield deficits due to pollination and identifying opportunities to protect or improve crop yield and quality through pollination management is therefore of international importance. To explore the extent of 'pollination deficits', where maximum yield is not being achieved due to insufficient pollination, we use an extensive dataset on a globally important crop, apples. We quantified how these deficits vary between orchards and countries as well as compare 'pollinator dependence' across different apple varieties. We found evidence of pollination deficits and in some cases, risks of over-pollination were even apparent where fruit quality could be reduced by too much pollination. In almost all regions studied we found some orchards performing significantly better than others, in terms of avoiding a pollination deficit and crop yield shortfalls due to sub-optimal pollination. This represents an opportunity to improve production through better pollinator and crop management. Our findings also demonstrate that pollinator dependence varies considerably between apple varieties in terms of fruit number and fruit quality. We propose that assessments of pollination service and deficits in crops can be used to quantify supply and demand for pollinators and help target local management to address deficits although crop variety has a strong influence on the role of pollinators.
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| 13. |
- Islim, Abdurrahman I, et al.
(författare)
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External validation and recalibration of an incidental meningioma prognostic model - IMPACT: protocol for an international multicentre retrospective cohort study.
- 2022
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Ingår i: BMJ open. - : BMJ. - 2044-6055. ; 12:1
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Tidskriftsartikel (refereegranskat)abstract
- Due to the increased use of CT and MRI, the prevalence of incidental findings on brain scans is increasing. Meningioma, the most common primary brain tumour, is a frequently encountered incidental finding, with an estimated prevalence of 3/1000. The management of incidental meningioma varies widely with active clinical-radiological monitoring being the most accepted method by clinicians. Duration of monitoring and time intervals for assessment, however, are not well defined. To this end, we have recently developed a statistical model of progression risk based on single-centre retrospective data. The model Incidental Meningioma: Prognostic Analysis Using Patient Comorbidity and MRI Tests (IMPACT) employs baseline clinical and imaging features to categorise the patient with an incidental meningioma into one of three risk groups: low, medium and high risk with a proposed active monitoring strategy based on the risk and temporal trajectory of progression, accounting for actuarial life expectancy. The primary aim of this study is to assess the external validity of this model.IMPACT is a retrospective multicentre study which will aim to include 1500 patients with an incidental intracranial meningioma, powered to detect a 10% progression risk. Adult patients ≥16 years diagnosed with an incidental meningioma between 1 January 2009 and 31 December 2010 will be included. Clinical and radiological data will be collected longitudinally until the patient reaches one of the study endpoints: intervention (surgery, stereotactic radiosurgery or fractionated radiotherapy), mortality or last date of follow-up. Data will be uploaded to an online Research Electronic Data Capture database with no unique identifiers. External validity of IMPACT will be tested using established statistical methods.Local institutional approval at each participating centre will be required. Results of the study will be reported through peer-reviewed articles and conferences and disseminated to participating centres, patients and the public using social media.
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| 14. |
- Levy, J. S., et al.
(författare)
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Decadal topographic change in the McMurdo Dry Valleys of Antarctica : Thermokarst subsidence, glacier thinning, and transfer of water storage from the cryosphere to the hydrosphere
- 2018
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Ingår i: Geomorphology. - : Elsevier BV. - 0169-555X .- 1872-695X. ; 323, s. 80-97
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Tidskriftsartikel (refereegranskat)abstract
- Recent local-scale observations of glaciers, streams, and soil surfaces in the McMurdo Dry Valleys of Antarctica (MDV) have documented evidence for rapid ice loss, glacial thinning, and ground surface subsidence associated with melting of ground ice. To evaluate the extent, magnitude, and location of decadal-scale landscape change in the MDV, we collected airborne lidar elevation data in 2014-2015 and compared these data to a 2001-2002 airborne lidar campaign. This regional assessment of elevation change spans the recent acceleration of warming and melting observed by long-term meteorological and ecosystem response experiments, allowing us to assess the response of MDV surfaces to warming and potential thawing feedbacks. We find that locations of thermokarst subsidence are strongly associated with the presence of excess ground ice and with proximity to surface or shallow subsurface (active layer) water. Subsidence occurs across soil types and landforms, in low-lying, low-slope areas with impeded drainage and also high on steep valley walls. Glacier thinning is widespread and is associated with the growth of fine-scale roughness. Pond levels are rising in most closed-basin lakes in the MDV, across all microclimate zones. These observations highlight the continued importance of insolation-driven melting in the MDV. The regional melt pattern is consistent with an overall transition of water storage from the local cryosphere (glaciers, permafrost) to the hydrosphere (dosed basin lakes and ponds as well as the Ross Sea). We interpret this regional melting pattern to reflect a transition to Arctic and alpine-style, hydrologically mediated permafrost and glacial melt.
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| 15. |
- Pearce, Carolyn I., et al.
(författare)
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Reducing risk and uncertainty associated with nuclear waste processing and disposal : a Hanfort tank waste study
- 2018
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Konferensbidrag (refereegranskat)abstract
- The Department of Energy’s Environmental Management cleanup effort is focused on developing and implementing innovative and high impact technologies and solutions that positively impact the overall mission lifecycle by: (1) reducing lifecycle costs; (2) accelerating lifecycle schedules; (3) mitigating mission uncertainties, vulnerabilities, and risks; and (4) minimizing the mortgage associated with long-term, post-closure and post-completion stewardship. Pacific Northwest National Laboratory and its partnering institutions, are focused on reducing risk and uncertainty across the integrated flowsheet which includes safe waste storage, retrieval, pretreatment, immobilization, disposal, and tank closure. In this presentation, an overview of the major Hanford flowsheet unit operations will be provided and examples of specific projects focused on reducing risks and uncertainties will be explored. For example, a key issue of Hanford tank waste processing and disposal is that, although radionuclides (e.g., technetium) drive the disposal risk for the low-activity flowsheet, the presence of ‘benign’ elements (e.g., aluminum) dictate processing limits or rates in both retrieval and pretreatment unit operations and have other potential downstream negative impacts. Thus, safe, cost-effective, and efficient waste processing depends on a fundamental understanding of aluminum chemistry in high ionic strength, highly alkaline solutions where water activity is low. Once the waste has been retrieved, processed, and immobilized, controlling the behavior of risk driving elements (e.g., Tc and/or I for low-activity waste) in the waste form and the environment becomes essential for waste form disposal or tank closure.With respect to low-activity waste form disposal, material solutions must demonstrate that the risk driving radioactive elements will be contained in a manner wholly consistent with statutory requirements. Modelling future performance remains a challenge for performance assessment (PA) formalism. An appealing option is to perform an inverse PA (IPA) and look far into the past. Archeological artifacts, analogous to wasteform materials (i.e. glass and concrete) that have been left by our ancestors and exposed to the environment for thousands of years can be used to check for comprehensiveness as well as to validate and refine predicted wasteform durability. An IPA describes the features, events and processes that have influenced the corrosion of a material over time and can help establish the most likely scenarios that should be included in PA for the future. An IPA for ancient glass from a hillfort at Broborg, Sweden (ca. 400-575 AD), used to fortify the fort walls will also be one of the key focal points of this presentation.
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