| 1. |
- Petroff, E., et al.
(författare)
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A polarized fast radio burst at low Galactic latitude
- 2017
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Ingår i: Monthly notices of the Royal Astronomical Society. - : Oxford Academic. - 0035-8711 .- 1365-2966. ; 469:4, s. 4465-4482
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Tidskriftsartikel (refereegranskat)abstract
- We report on the discovery of a new fast radio burst (FRB), FRB 150215, with the Parkes radio telescope on 2015 February 15. The burst was detected in real time with a dispersion measure (DM) of 1105.6 +/- 0.8 pc cm(-3), a pulse duration of 2.8(-0.5)(+1.2) ms, and a measured peak flux density assuming that the burst was at beam centre of 0.7(-0.1)(+0.2) Jy. The FRB originated at a Galactic longitude and latitude of 24.66 degrees, 5.28 degrees and 25 degrees away from the Galactic Center. The burst was found to be 43 +/- 5 per cent linearly polarized with a rotation measure (RM) in the range -9 < RM < 12 rad m(-2) (95 per cent confidence level), consistent with zero. The burst was followed up with 11 telescopes to search for radio, optical, X-ray, gamma-ray and neutrino emission. Neither transient nor variable emission was found to be associated with the burst and no repeat pulses have been observed in 17.25 h of observing. The sightline to the burst is close to the Galactic plane and the observed physical properties of FRB 150215 demonstrate the existence of sight lines of anomalously low RM for a given electron column density. The Galactic RM foreground may approach a null value due to magnetic field reversals along the line of sight, a decreased total electron column density from the Milky Way, or some combination of these effects. A lower Galactic DM contribution might explain why this burst was detectable whereas previous searches at low latitude have had lower detection rates than those out of the plane.
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| 2. |
- Navarrini, A., et al.
(författare)
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Design of PHAROS2 Phased Array Feed
- 2018
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Ingår i: 2018 2nd URSI Atlantic Radio Science Meeting, AT-RASC 2018.
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Konferensbidrag (refereegranskat)abstract
- We describe the design and architecture of PHAROS2, a cryogenically cooled 4-8 GHz Phased Array Feed (PAF) demonstrator with digital beamformer for radio astronomy application. The instrument will be capable of synthesizing four independent single-polarization beams by combining 24 active elements of an array of Vivaldi antennas. PHAROS2, the upgrade of PHAROS (PHased Arrays for Reflector Observing Systems), features: a) commercial cryogenic LNAs with state-of-the-art performance, b) a 'Warm Section' for signal filtering, conditioning and single downconversion to select a≈275 MHz: Intermediate Frequency (IF) bandwidth within the 4-8 GHz Radio Frequency (RF) band, c) an IF signal transportation by analog WDM (Wavelength Division Mutiplexing) fiber-optic link, and d) a FPGA-based Italian Tile Processing Module (iTPM) digital backend. PHAROS2 will be mounted at the primary focus of the 76-m diameter Lovell radio telescope (Jodrell Bank Observatory, UK) for technical and scientific validation.
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| 3. |
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| 4. |
- Egron, E., et al.
(författare)
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Single-dish and VLBI observations of Cygnus X-3 during the 2016 giant flare episode
- 2017
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Ingår i: Monthly Notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 471:3, s. 2703-2714
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Tidskriftsartikel (refereegranskat)abstract
- In 2016 September, the microquasar Cygnus X-3 underwent a giant radio flare, which was monitored for 6 d with the Medicina Radio Astronomical Station and the Sardinia Radio Telescope. Long observations were performed in order to follow the evolution of the flare on an hourly scale, covering six frequency ranges from 1.5 to 25.6 GHz. The radio emission reached a maximum of 13.2 +/- 0.7 Jy at 7.2 GHz and 10 +/- 1 Jy at 18.6 GHz. Rapid flux variations were observed at high radio frequencies at the peak of the flare, together with rapid evolution of the spectral index: a steepened from 0.3 to 0.6 (with S-nu alpha nu(-alpha)) within 5 h. This is the first time that such fast variations are observed, giving support to the evolution from optically thick to optically thin plasmons in expansion moving outward from the core. Based on the Italian network (Noto, Medicina and SRT) and extended to the European antennas (Torun, Yebes, Onsala), very long baseline interferometry (VLBI) observations were triggered at 22 GHz on five different occasions, four times prior to the giant flare, and once during its decay phase. Flux variations of 2 h duration were recorded during the first session. They correspond to a mini-flare that occurred close to the core 10 d before the onset of the giant flare. From the latest VLBI observation we infer that 4 d after the flare peak the jet emission was extended over 30 mas.
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| 5. |
- Fantini, R, et al.
(författare)
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EU FP7 INFSO-ICT-317669 METIS, D3.2 First performance results for multi-node/multi-antenna transmission technologies
- 2014
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- This deliverable describes the current results of the multi-node/multi-antenna technologies investigated within METIS and analyses the interactions within and outside Work Package 3. Furthermore, it identifies the most promising technologies based on the current state of obtained results. This document provides a brief overview of the results in its first part. The second part, namely the Appendix, further details the results, describes the simulation alignment efforts conducted in the Work Package and the interaction of the Test Cases. The results described here show that the investigations conducted in Work Package 3 are maturing resulting in valuable innovative solutions for future 5G systems.
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| 6. |
- Ruggeri, Kai, et al.
(författare)
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The globalizability of temporal discounting
- 2022
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Ingår i: Nature Human Behaviour. - : Springer Nature. - 2397-3374. ; 6:10, s. 1386-1397
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Tidskriftsartikel (refereegranskat)abstract
- Economic inequality is associated with preferences for smaller, immediate gains over larger, delayed ones. Such temporal discounting may feed into rising global inequality, yet it is unclear whether it is a function of choice preferences or norms, or rather the absence of sufficient resources for immediate needs. It is also not clear whether these reflect true differences in choice patterns between income groups. We tested temporal discounting and five intertemporal choice anomalies using local currencies and value standards in 61 countries (N = 13,629). Across a diverse sample, we found consistent, robust rates of choice anomalies. Lower-income groups were not significantly different, but economic inequality and broader financial circumstances were clearly correlated with population choice patterns. Ruggeri et al. find in a study of 61 countries that temporal discounting patterns are globally generalizable. Worse financial environments, greater inequality and high inflation are associated with extreme or inconsistent long-term decisions.
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| 7. |
- Carvalho, E. de, et al.
(författare)
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EU FP7 INFSO-ICT-317669 METIS, D3.1 Positioning of multi-node/multi-antenna technologies
- 2013
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- This document describes the research activity in multi-node/multi-antenna technologies within METIS and positions it with respect to the state-of-the-art in the academic literature and in the standardization bodies. Based on the state-of-the-art and as well as on the METIS objectives,we set the research objectives and we group the different activities (or technology components) into research clusters with similar research objectives. The technologycomponents and the research objectives have been set to achieve an ambidextrous purpose. On one side we aim at providing the METIS system with those technological components that are a natural but non-trivial evolution of 4G. On the other side, we aim at seeking for disruptivetechnologies that could radically change 5G with respect to 4G. Moreover, we mapped the different technology components to METIS’ other activities and to the overall goals of theproject.
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| 8. |
- Daemen, A., et al.
(författare)
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Improving the preoperative classification of adnexal masses as benign or malignant by second-stage tests
- 2011
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Ingår i: Ultrasound in Obstetrics & Gynecology. - : Wiley. - 1469-0705 .- 0960-7692. ; 37:1, s. 100-106
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Tidskriftsartikel (refereegranskat)abstract
- Objective The aim of this study was to establish when a second-stage diagnostic test may be of value in cases where a primary diagnostic test has given an uncertain diagnosis of the benign or malignant nature of an adnexal mass. Methods The diagnostic performance with regard to discrimination between benign and malignant adnexal masses for mathematical models including ultrasound variables and for subjective evaluation of ultrasound findings by an experienced ultrasound examiner was expressed as area under the receiver-operating characteristics curve (AUC), sensitivity and specificity. These were calculated for the total study population of 1938 patients with an adnexal mass as well as for sub-populations defined by the certainty with which the diagnosis of benignity or malignancy was made. The effect of applying a second-stage test to the tumors where risk estimation was uncertain was determined. Results The best mathematical model (LR1) had an AUC of 0.95, sensitivity of 92% and specificity of 84% when applied to all tumors. When model LR1 was applied to the 10% of tumors in which the calculated risk fell closest to the risk cut-off of the model, the AUC was 0.59, sensitivity 90% and specificity 21%. A strategy where subjective evaluation was used to classify these 10% of tumors for which LR1 performed poorly and where LR1 was used in the other 90% of tumors resulted in a sensitivity of 91% and specificity of 90%. Applying subjective evaluation to all tumors yielded an AUC of 0.95, sensitivity of 90% and specificity of 93%. Sensitivity was 81% and specificity 47% for those patients where the ultrasound examiner was uncertain about the diagnosis (n = 115; 5.9%). No mathematical model performed better than did subjective evaluation among the 115 tumors where the ultrasound examiner was uncertain. Conclusion When model LR1 is used as a primary test for discriminating between benign and malignant adnexal masses, the use of subjective evaluation of ultrasound findings by an experienced examiner as a second-stage test in the 10% of cases for which the model yields a risk of malignancy closest to its risk cut-off will improve specificity without substantially decreasing sensitivity. However, none of the models tested proved suitable as a second-stage test in tumors where subjective evaluation yielded an uncertain result. Copyright (C) 2010 ISUOG. Published by John Wiley & Sons, Ltd.
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| 9. |
- Keasar, Chen, et al.
(författare)
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An analysis and evaluation of the WeFold collaborative for protein structure prediction and its pipelines in CASP11 and CASP12
- 2018
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Ingår i: Scientific Reports. - : NATURE PUBLISHING GROUP. - 2045-2322. ; 8
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Tidskriftsartikel (refereegranskat)abstract
- Every two years groups worldwide participate in the Critical Assessment of Protein Structure Prediction (CASP) experiment to blindly test the strengths and weaknesses of their computational methods. CASP has significantly advanced the field but many hurdles still remain, which may require new ideas and collaborations. In 2012 a web-based effort called WeFold, was initiated to promote collaboration within the CASP community and attract researchers from other fields to contribute new ideas to CASP. Members of the WeFold coopetition (cooperation and competition) participated in CASP as individual teams, but also shared components of their methods to create hybrid pipelines and actively contributed to this effort. We assert that the scale and diversity of integrative prediction pipelines could not have been achieved by any individual lab or even by any collaboration among a few partners. The models contributed by the participating groups and generated by the pipelines are publicly available at the WeFold website providing a wealth of data that remains to be tapped. Here, we analyze the results of the 2014 and 2016 pipelines showing improvements according to the CASP assessment as well as areas that require further adjustments and research.
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| 10. |
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| 11. |
- Mahalingam, G., et al.
(författare)
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Social connections and risk of incident mild cognitive impairment, dementia, and mortality in 13 longitudinal cohort studies of ageing
- 2023
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Ingår i: Alzheimers & Dementia. - 1552-5260. ; 19:11, s. 5114-5128
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Tidskriftsartikel (refereegranskat)abstract
- IntroductionPrevious meta-analyses have linked social connections and mild cognitive impairment, dementia, and mortality. However, these used aggregate data from North America and Europe and examined a limited number of social connection markers. MethodsWe used individual participant data (N = 39271, M-age = 70.67 (40-102), 58.86% female, M-education = 8.43 years, Mfollow-up = 3.22 years) from 13 longitudinal ageing studies. A two-stage meta-analysis of Cox regression models examined the association between social connection markers with our primary outcomes. ResultsWe found associations between good social connections structure and quality and lower risk of incident mild cognitive impairment (MCI); between social structure and function and lower risk of incident dementia and mortality. Only in Asian cohorts, being married/in a relationship was associated with reduced risk of dementia, and having a confidante was associated with reduced risk of dementia and mortality. DiscussionDifferent aspects of social connections - structure, function, and quality - are associated with benefits for healthy aging internationally. HighlightsSocial connection structure (being married/in a relationship, weekly community group engagement, weekly family/friend interactions) and quality (never lonely) were associated with lower risk of incident MCI.Social connection structure (monthly/weekly friend/family interactions) and function (having a confidante) were associated with lower risk of incident dementia.Social connection structure (living with others, yearly/monthly/weekly community group engagement) and function (having a confidante) were associated with lower risk of mortality.Evidence from 13 longitudinal cohort studies of ageing indicates that social connections are important targets for reducing risk of incident MCI, incident dementia, and mortality.Only in Asian cohorts, being married/in a relationship was associated with reduced risk of dementia, and having a confidante was associated with reduced risk of dementia and mortality.
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| 12. |
- Samtani, S., et al.
(författare)
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Associations between social connections and cognition: a global collaborative individual participant data meta-analysis
- 2022
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Ingår i: The Lancet Healthy Longevity. - 2666-7568. ; 3:11
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Tidskriftsartikel (refereegranskat)abstract
- Background: Poor social connections (eg, small networks, infrequent interactions, and loneliness) are modifiable risk factors for cognitive decline. Existing meta-analyses are limited by reporting aggregate responses, a focus on global cognition, and combining social measures into single constructs. We aimed to investigate the association between social connection markers and the rate of annual change in cognition (ie, global and domain-specific), as well as sex differences, using an individual participant data meta-analysis. Methods: We harmonised data from 13 longitudinal cohort studies of ageing in North America, South America, Europe, Africa, Asia, and Australia. Studies were eligible for inclusion if they had baseline data for social connection markers and at least two waves of cognitive scores. Follow-up periods ranged from 0 years to 15 years across cohorts. We included participants with cognitive data for at least two waves and social connection data for at least one wave. We then identified and excluded people with dementia at baseline. Primary outcomes were annual rates of change in global cognition and cognitive domain scores over time until final follow-up within each cohort study analysed by use of an individual participant data meta-analysis. Linear mixed models within cohorts used baseline social connection markers as predictors of the primary outcomes. Effects were pooled in two stages using random-effects meta-analyses. We assessed the primary outcomes in the main (partially adjusted) and fully adjusted models. Partially adjusted models controlled for age, sex, and education; fully adjusted models additionally controlled for diabetes, hypertension, smoking, cardiovascular risk, and depression. Findings: Of the 40 006 participants in the 13 cohort studies, we excluded 1392 people with dementia at baseline. 38 614 individual participants were included in our analyses. For the main models, being in a relationship or married predicted slower global cognitive decline (b=0·010, 95% CI 0·000–0·019) than did being single or never married; living with others predicted slower global cognitive (b=0·007, 0·002–0·012), memory (b=0·017, 0·006–0·028), and language (b=0·008, 0·000–0·015) decline than did living alone; and weekly interactions with family and friends (b=0·016, 0·006–0·026) and weekly community group engagement (b=0·030, 0·007–0·052) predicted slower memory decline than did no interactions and no engagement. Never feeling lonely predicted slower global cognitive (b=0·047, 95% CI 0·018–0·075) and executive function (b=0·047, 0·017–0·077) decline than did often feeling lonely. Degree of social support, having a confidante, and relationship satisfaction did not predict cognitive decline across global cognition or cognitive domains. Heterogeneity was low (I2=0·00–15·11%) for all but two of the significant findings (association between slower memory decline and living with others [I2=58·33%] and community group engagement, I2=37·54–72·19%), suggesting robust results across studies. Interpretation: Good social connections (ie, living with others, weekly community group engagement, interacting weekly with family and friends, and never feeling lonely) are associated with slower cognitive decline.
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| 13. |
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| 14. |
- Lenart-Bugla, Marta, et al.
(författare)
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What Do We Know about Social and Non-Social Factors Influencing the Pathway from Cognitive Health to Dementia? A Systematic Review of Reviews
- 2022
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Ingår i: Brain Sciences. - : MDPI AG. - 2076-3425. ; 12:9
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Forskningsöversikt (refereegranskat)abstract
- The heterogeneous and multi-factorial nature of dementia requires the consideration of all health aspects when predicting the risk of its development and planning strategies for its prevention. This systematic review of reviews provides a comprehensive synthesis of those factors associated with cognition in the context of dementia, identifying the role of social aspects and evidencing knowledge gaps in this area of research. Systematic reviews and meta-analyses from 2009–2021 were searched for within Medline, PsycINFO, CINAHL Complete, Cochrane, and Epistemonikos. Reviewers independently screened, reviewed, and assessed the records, following the PRISMA-2020 guidelines. From 314 included studies, 624 cognitive-related factors were identified, most of them risk factors (61.2%), mainly belonging to the group of ‘somatic comorbidities’ (cardiovascular disease and diabetes) and ‘genetic predispositions’. The protective factors (20%) were mainly related to lifestyle, pointing to the Mediterranean diet, regular physical activity, and cognitively stimulating activities. Social factors constituted 9.6% of all identified factors. Research on biological and medical factors dominates the reviewed literature. Greater social support and frequent contact may confer some protection against cognitive decline and dementia by delaying its onset or reducing the overall risk; however, overall, our findings are inconsistent. Further research is needed in the fields of lifestyle, psychology, social health, and the protective factors against cognitive decline and dementia.
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| 15. |
- Ruggeri, Kai, et al.
(författare)
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The general fault in our fault lines
- 2021
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Ingår i: Nature Human Behaviour. - : Springer Nature. - 2397-3374. ; 5:10, s. 1369-1380
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Tidskriftsartikel (refereegranskat)abstract
- Pervading global narratives suggest that political polarization is increasing, yet the accuracy of such group meta-perceptions has been drawn into question. A recent US study suggests that these beliefs are inaccurate and drive polarized beliefs about out-groups. However, it also found that informing people of inaccuracies reduces those negative beliefs. In this work, we explore whether these results generalize to other countries. To achieve this, we replicate two of the original experiments with 10,207 participants across 26 countries. We focus on local group divisions, which we refer to as fault lines. We find broad generalizability for both inaccurate meta-perceptions and reduced negative motive attribution through a simple disclosure intervention. We conclude that inaccurate and negative group meta-perceptions are exhibited in myriad contexts and that informing individuals of their misperceptions can yield positive benefits for intergroup relations. Such generalizability highlights a robust phenomenon with implications for political discourse worldwide.
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| 16. |
- Sandoval-Castellanos, Edson, et al.
(författare)
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Ancient mitogenomes from Pre-Pottery Neolithic Central Anatolia and the effects of a Late Neolithic bottleneck in sheep (Ovis aries)
- 2024
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Ingår i: SCIENCE ADVANCES. - 2375-2548. ; 10:15
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Tidskriftsartikel (refereegranskat)abstract
- Occupied between similar to 10,300 and 9300 years ago, the Pre-Pottery Neolithic site of Asikli Hoyuk in Central Anatolia went through early phases of sheep domestication. Analysis of 629 mitochondrial genomes from this and numerous sites in Anatolia, southwest Asia, Europe, and Africa produced a phylogenetic tree with excessive coalescences (nodes) around the Neolithic, a potential signature of a domestication bottleneck. This is consistent with archeological evidence of sheep management at Asikli Hoyuk which transitioned from residential stabling to open pasturing over a millennium of site occupation. However, unexpectedly, we detected high genetic diversity throughout Asikli Hoyuk's occupation rather than a bottleneck. Instead, we detected a tenfold demographic bottleneck later in the Neolithic, which caused the fixation of mitochondrial haplogroup B in southwestern Anatolia. The mitochondrial genetic makeup that emerged was carried from the core region of early Neolithic sheep management into Europe and dominates the matrilineal diversity of both its ancient and the billion-strong modern sheep populations.
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| 17. |
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| 18. |
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| 19. |
- Burris, William A., et al.
(författare)
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IRAS 00450+7401 and the Mid-infrared Fade/Burst Cycle of R Coronae Borealis-type Stars
- 2023
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Ingår i: Astronomical Journal. - 1538-3881 .- 0004-6256. ; 166:2
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Tidskriftsartikel (refereegranskat)abstract
- We present optical and infrared imaging and spectroscopy of the R Coronae Borealis-type (R Cor Bor) star IRAS 00450+7401. Optical spectra further confirm its classification as a cool R Cor Bor system, having a hydrogen-deficient carbon star spectral subclass of HdC5 or later. Mid-infrared spectroscopy reveals the typical ∼8 μm “hump” seen in other R Cor Bor stars and no other features. A modern-epoch spectral energy distribution shows bright emission from hot dust having T dust > 600 K. Historical infrared data reveal generally cooler dust color temperatures combined with long-term fading trends, but provide no discernible correlation between flux level and temperature. Investigating the most mid-infrared variable R Cor Bor stars found in IRAS, AKARI, and WISE data reveals similar fading trends, bursts that can show a factor of up to 10 change in flux density between epochs, and blackbody-fit dust color temperatures that span 400-1300 K. While some R Cor Bor stars such as IRAS 00450+7401 appear to undergo fade/burst cycles in the mid-infrared, significant gaps in temporal coverage prevent conclusively identifying any preferred timescale for their mid-infrared variability and circumstellar dust temperature changes.
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| 20. |
- Calderón-Larrañaga, Amaia, et al.
(författare)
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Assessing and Measuring Chronic Multimorbidity in the Older Population : A Proposal for Its Operationalization
- 2017
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Ingår i: The journals of gerontology. Series A, Biological sciences and medical sciences. - : Oxford University Press (OUP). - 1079-5006 .- 1758-535X. ; 72:10, s. 1417-1423
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundAlthough the definition of multimorbidity as the simultaneous presence of two or more chronic diseases is well established, its operationalization is not yet agreed. This study aims to provide a clinically driven comprehensive list of chronic conditions to be included when measuring multimorbidity. MethodsBased on a consensus definition of chronic disease, all four-digit level codes from the International Classification of Diseases, 10th revision (ICD-10) were classified as chronic or not by an international and multidisciplinary team. Chronic ICD-10 codes were subsequently grouped into broader categories according to clinical criteria. Last, we showed proof of concept by applying the classification to older adults from the Swedish National study of Aging and Care in Kungsholmen (SNAC-K) using also inpatient data from the Swedish National Patient Register.ResultsA disease or condition was considered to be chronic if it had a prolonged duration and either (a) left residual disability or worsening quality of life or (b) required a long period of care, treatment, or rehabilitation. After applying this definition in relation to populations of older adults, 918 chronic ICD-10 codes were identified and grouped into 60 chronic disease categories. In SNAC-K, 88.6% had >= 2 of these 60 disease categories, 73.2% had >= 3, and 55.8% had >= 4.ConclusionsThis operational measure of multimorbidity, which can be implemented using either or both clinical and administrative data, may facilitate its monitoring and international comparison. Once validated, it may enable the advancement and evolution of conceptual and theoretical aspects of multimorbidity that will eventually lead to better care.
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| 21. |
- Fabritz, Larissa, et al.
(författare)
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Dynamic risk assessment to improve quality of care in patients with atrial fibrillation : the 7th AFNET/EHRA Consensus Conference
- 2021
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Ingår i: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 23:3, s. 329-344
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Tidskriftsartikel (refereegranskat)abstract
- AimsThe risk of developing atrial fibrillation (AF) and its complications continues to increase, despite good progress in preventing AF-related strokes.Methods and resultsThis article summarizes the outcomes of the 7th Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA) held in Lisbon in March 2019. Sixty-five international AF specialists met to present new data and find consensus on pressing issues in AF prevention, management and future research to improve care for patients with AF and prevent AF-related complications. This article is the main outcome of an interactive, iterative discussion between breakout specialist groups and the meeting plenary. AF patients have dynamic risk profiles requiring repeated assessment and risk-based therapy stratification to optimize quality of care. Interrogation of deeply phenotyped datasets with outcomes will lead to a better understanding of the cardiac and systemic effects of AF, interacting with comorbidities and predisposing factors, enabling stratified therapy. New proposals include an algorithm for the acute management of patients with AF and heart failure, a call for a refined, data-driven assessment of stroke risk, suggestions for anticoagulation use in special populations, and a call for rhythm control therapy selection based on risk of AF recurrence.ConclusionThe remaining morbidity and mortality in patients with AF needs better characterization. Likely drivers of the remaining AF-related problems are AF burden, potentially treatable by rhythm control therapy, and concomitant conditions, potentially treatable by treating these conditions. Identifying the drivers of AF-related complications holds promise for stratified therapy.
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| 22. |
- Kumar, Abhinav, et al.
(författare)
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Differences in the coronal proteome acquired by particles depositing in the lungs of asthmatic versus healthy humans
- 2017
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Ingår i: Nanomedicine. - : Elsevier BV. - 1549-9634 .- 1549-9642. ; 13:8, s. 2517-2521
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Tidskriftsartikel (refereegranskat)abstract
- Most inhaled nanomedicines in development are for the treatment of lung disease, yet little is known about their interaction with the respiratory tract lining fluids (RTLFs). Here we combined the use of nano-silica, as a protein concentrator, with label-free snapshot proteomics (LC-MS/MS; key findings confirmed by ELISA) to generate a quantitative profile of the RTLF proteome and provided insight into the evolved corona; information that may be used in future to improve drug targeting to the lungs by inhaled medicines. The asthmatic coronal proteome displayed a reduced contribution of surfactant proteins (SP-A and B) and a higher contribution of α1-antitrypsin. Pathway analysis suggested that asthmatic RTLFs may also be deficient in proteins related to metal handling (e.g. lactoferrin). This study demonstrates how the composition of the corona acquired by inhaled nanoparticles is modified in asthma and suggests depressed mucosal immunity even in mild airway disease.
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| 23. |
- Kumar, Abhinav, et al.
(författare)
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Enrichment of immunoregulatory proteins in the biomolecular corona of nanoparticles within human respiratory tract lining fluid
- 2016
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Ingår i: Nanomedicine. - : Elsevier BV. - 1549-9634 .- 1549-9642. ; 12:4, s. 1033-1043
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Tidskriftsartikel (refereegranskat)abstract
- When inhaled nanoparticles deposit in the lungs, they transit through respiratory tract lining fluid (RTLF) acquiring a biomolecular corona reflecting the interaction of the RTLF with the nanomaterial surface. Label-free snapshot proteomics was used to generate semiquantitative profiles of corona proteins formed around silica (SiO2) and poly(vinyl) acetate (PVAc) nanoparticles in RTLF, the latter employed as an archetype drug delivery vehicle. The evolved PVAc corona was significantly enriched compared to that observed on SiO2 nanoparticles (698 vs. 429 proteins identified); however both coronas contained a substantial contribution from innate immunity proteins, including surfactant protein A, napsin A and complement (C1q and C3) proteins. Functional protein classification supports the hypothesis that corona formation in RTLF constitutes opsonisation, preparing particles for phagocytosis and clearance from the lungs. These data highlight how an understanding of the evolved corona is necessary for the design of inhaled nanomedicines with acceptable safety and tailored clearance profiles. From the Clinical Editor: Inhaled nanoparticles often acquire a layer of protein corona while they go through the respiratory tract. Here, the authors investigated the identity of these proteins. The proper identification would improve the understanding of the use of inhaled nanoparticles in future therapeutics. (C) 2016 Published by Elsevier Inc.
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| 24. |
- Ligthart-Melis, Gerdien C., et al.
(författare)
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Frailty, Sarcopenia, and Malnutrition Frequently (Co-)occur in Hospitalized Older Adults : A Systematic Review and Meta-analysis
- 2020
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Ingår i: Journal of the American Medical Directors Association. - : ELSEVIER SCIENCE INC. - 1525-8610 .- 1538-9375. ; 21:9, s. 1216-1228
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Forskningsöversikt (refereegranskat)abstract
- Objectives: The purpose of this systematic review and meta-analysis was to summarize the prevalence of, and association between, physical frailty or sarcopenia and malnutrition in older hospitalized adults.Design: A systematic literature search was performed in 10 databases.Setting and Participants: Articles were selected that evaluated physical frailty or sarcopenia and malnutrition according to predefined criteria and cutoffs in older hospitalized patients.Measures: Data were pooled in a meta-analysis to evaluate the prevalence of prefrailty and frailty [together (pre-)frailty], sarcopenia, and risk of malnutrition and malnutrition [together (risk of) malnutrition], and the association between either (pre-)frailty or sarcopenia and (risk of) malnutrition.Results: Forty-seven articles with 18,039 patients (55% female) were included in the systematic review, and 39 articles (8868 patients, 62% female) were eligible for the meta-analysis. Pooling 11 studies (2725 patients) revealed that 84% [95% confidence interval (CI): 77%, 91%, I-2 = 98.4%] of patients were physically (pre-)frail. Pooling 15 studies (4014 patients) revealed that 37% (95% CI: 26%, 48%, I-2 = 98.6%) of patients had sarcopenia. Pooling 28 studies (7256 patients) revealed a prevalence of 66% (95% CI: 58%, 73%, I-2 = 98.6%) (risk of) malnutrition. Pooling 10 studies (2427 patients) revealed a high association [odds ratio (OR): 5.77 (95% CI: 3.88, 8.58), P < .0001, I-2 = 42.3%] and considerable overlap (49.7%) between physical (pre-)frailty and (risk of) malnutrition. Pooling 7 studies (2506 patients) revealed a high association [OR: 4.06 (95% CI: 2.43, 6.80), P < .0001, I-2 = 71.4%] and considerable overlap (41.6%) between sarcopenia and (risk of) malnutrition.Conclusions and Implications: The association between and prevalence of (pre-)frailty or sarcopenia and (risk of) malnutrition in older hospitalized adults is substantial. About half of the hospitalized older adults suffer from 2 and perhaps 3 of these debilitating conditions. Therefore, standardized screening for these conditions at hospital admission is highly warranted to guide targeted nutritional and physical interventions.
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| 25. |
- Linz, Dominik, et al.
(författare)
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Longer and better lives for patients with atrial fibrillation : the 9th AFNET/EHRA consensus conference
- 2024
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Ingår i: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 26:4
-
Tidskriftsartikel (refereegranskat)abstract
- Aims: Recent trial data demonstrate beneficial effects of active rhythm management in patients with atrial fibrillation (AF) and support the concept that a low arrhythmia burden is associated with a low risk of AF-related complications. The aim of this document is to summarize the key outcomes of the 9th AFNET/EHRA Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA).Methods and results: Eighty-three international experts met in Munster for 2 days in September 2023. Key findings are as follows: (i) Active rhythm management should be part of the default initial treatment for all suitable patients with AF. (ii) Patients with device-detected AF have a low burden of AF and a low risk of stroke. Anticoagulation prevents some strokes and also increases major but non-lethal bleeding. (iii) More research is needed to improve stroke risk prediction in patients with AF, especially in those with a low AF burden. Biomolecules, genetics, and imaging can support this. (iv) The presence of AF should trigger systematic workup and comprehensive treatment of concomitant cardiovascular conditions. (v) Machine learning algorithms have been used to improve detection or likely development of AF. Cooperation between clinicians and data scientists is needed to leverage the potential of data science applications for patients with AF.Conclusions: Patients with AF and a low arrhythmia burden have a lower risk of stroke and other cardiovascular events than those with a high arrhythmia burden. Combining active rhythm control, anticoagulation, rate control, and therapy of concomitant cardiovascular conditions can improve the lives of patients with AF. Graphical Abstract
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| 26. |
- Lobo, Vivian, et al.
(författare)
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Loss of Lamin A leads to the nuclear translocation of AGO2 and compromised RNA interference
- 2024
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Ingår i: NUCLEIC ACIDS RESEARCH. - 0305-1048 .- 1362-4962.
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Tidskriftsartikel (refereegranskat)abstract
- In mammals, RNA interference (RNAi) was historically studied as a cytoplasmic event; however, in the last decade, a growing number of reports convincingly show the nuclear localization of the Argonaute (AGO) proteins. Nevertheless, the extent of nuclear RNAi and its implication in biological mechanisms remain to be elucidated. We found that reduced Lamin A levels significantly induce nuclear influx of AGO2 in SHSY5Y neuroblastoma and A375 melanoma cancer cell lines, which normally have no nuclear AGO2. Lamin A KO manifested a more pronounced effect in SHSY5Y cells compared to A375 cells, evident by changes in cell morphology, increased cell proliferation, and oncogenic miRNA expression. Moreover, AGO fPAR-CLIP in Lamin A KO SHSY5Y cells revealed significantly reduced RNAi activity. Further exploration of the nuclear AGO interactome by mass spectrometry identified FAM120A, an RNA-binding protein and known interactor of AGO2. Subsequent FAM120A fPAR-CLIP, revealed that FAM120A co-binds AGO targets and that this competition reduces the RNAi activity. Therefore, loss of Lamin A triggers nuclear AGO2 translocation, FAM120A mediated RNAi impairment, and upregulation of oncogenic miRNAs, facilitating cancer cell proliferation.
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| 27. |
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| 28. |
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| 29. |
- Nystedt, Björn, et al.
(författare)
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The Norway spruce genome sequence and conifer genome evolution
- 2013
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Ingår i: Nature. - : Nature Publishing Group. - 0028-0836 .- 1476-4687. ; 497:7451, s. 579-584
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Tidskriftsartikel (refereegranskat)abstract
- Conifers have dominated forests for more than 200 million years and are of huge ecological and economic importance. Here we present the draft assembly of the 20-gigabase genome of Norway spruce (Picea abies), the first available for any gymnosperm. The number of well-supported genes (28,354) is similar to the >100 times smaller genome of Arabidopsis thaliana, and there is no evidence of a recent whole-genome duplication in the gymnosperm lineage. Instead, the large genome size seems to result from the slow and steady accumulation of a diverse set of long-terminal repeat transposable elements, possibly owing to the lack of an efficient elimination mechanism. Comparative sequencing of Pinus sylvestris, Abies sibirica, Juniperus communis, Taxus baccata and Gnetum gnemon reveals that the transposable element diversity is shared among extant conifers. Expression of 24-nucleotide small RNAs, previously implicated in transposable element silencing, is tissue-specific and much lower than in other plants. We further identify numerous long (>10,000 base pairs) introns, gene-like fragments, uncharacterized long non-coding RNAs and short RNAs. This opens up new genomic avenues for conifer forestry and breeding.
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| 30. |
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| 31. |
- Pham, Tuan A., et al.
(författare)
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A Simplified Method for Bearing-Capacity Analysis of Energy Piles Integrating Temperature-Dependent Model of Soil–Water Characteristic Curve
- 2023
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Ingår i: Journal of Geotechnical and Geoenvironmental Engineering. - : American Society of Civil Engineers (ASCE). - 1090-0241 .- 1943-5606. ; 149:9
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Tidskriftsartikel (refereegranskat)abstract
- The bearing resistance of energy piles in the presence of temperature effects has not been thoroughly investigated, preventing the perfecting of energy pile design methods. Quantifying the relationship between soil suction and the temperature of unsaturated soils therefore becomes an important step in predicting the bearing resistance of energy piles. A new constitutive model based on interfacial energy and thermodynamic theories is therefore presented to predict the effect of temperature on soil suction as well as the soil–water characteristic curve (SWCC) in this paper. The analytical model for the nonisothermal matric suction was developed by combining five different temperature-dependent functions for the surface tension, air–water contact angle, void ratio, and thermal expansion of solid and water density, thereby providing a more complete approach than the one that considers surface tension only. The proposed formulation was expressed under a simplified form which is believed to be a useful and convenient tool to apply to a range of possible field situations. The temperature-dependent relationship of soil suction was then used to extend existing isothermal SWCCs to nonisothermal conditions that allow obtaining the SWCC at any temperature. The validity of the proposed model was verified by comparison to several test data sets for five different soils: swelling clay, hard clay, clayey–silty soil, ceramic material, and sand. The satisfactory agreement between predicted and measured curves proved that the proposed model had good performance in predicting the effect of temperature on the SWCCs of unsaturated soils. The nonisothermal SWCC model was then coupled with bearing resistance theory to produce a simplified method for analysis of energy piles. The results showed that the proposed method successfully predicted pile resistance at various temperatures when compared to experimental data. The pile resistance reduced as the temperature rose for a specific degree of saturation or if the soil was in an undrained condition. However, water evaporation may cause a decrease in water content and an increase in matric suction as the temperature increases. Therefore, as soils dry out, pile resistance may increase with increasing temperature.
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| 32. |
- Pham, Tuan A., et al.
(författare)
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An analytical model for predicting the shear strength of unsaturated soils
- 2023
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Ingår i: Proceedings of the Institution of Civil Engeneers. - : Emerald. - 1353-2618 .- 1751-8563. ; 176:4, s. 369-387
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Tidskriftsartikel (refereegranskat)abstract
- The prediction of shear strength of unsaturated soils remains a significant challenge due to their complex multi-phase nature. In this paper, a review of prior experimental studies is first presented in order to outline important pieces of evidence, limitations and some design considerations. Then, an overview of existing shear strength equations is summarised, with a brief discussion. A micromechanical model with stress equilibrium conditions and multi-phase interaction considerations is presented to provide a new equation for predicting the shear strength of unsaturated soils. The validity of the proposed model is examined using published shear strength data for different soil types. The shear strength predicted by the analytical model was found to be in good agreement with the experimental data and to provide high performance in comparison with existing models. Evaluation of the results using two criteria – the average relative error and the normalised sum of squared error – proved the effectiveness and validity of the proposed equation. Using the proposed model, a non-linear relationship between shear strength, saturation degree, volumetric water content and matric suction was observed.
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| 33. |
- Pham, Tuan A., et al.
(författare)
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Density-Dependent Model of Soil–Water Characteristic Curves and Application in Predicting Unsaturated Soil–Structure Bearing Resistance
- 2023
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Ingår i: International Journal of Geomechanics. - : American Society of Civil Engineers (ASCE). - 1532-3641 .- 1943-5622. ; 23:4
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Tidskriftsartikel (refereegranskat)abstract
- The effect of soil density on the soil–water characteristic curve (SWCC) is becoming a topic of universal interest due to the heterogeneity of soils and environmental variables. In this study, a simple and effective model based on the idea of translating the particle-size distribution curve to the SWCC is proposed for predicting SWCC change with initial density. There is only one new parameter introduced, and it is easily calibrated using two SWCCs obtained from test data. The SWCCs for the same soil at different initial void ratios can be estimated using the developed model. Several existing models are also thoroughly examined, with an emphasis on the advantages and disadvantages of each model. The validity of the proposed model was then verified by comparing it to three other models and experimental data for eight different types of soils. The proposed model also outperforms other existing models in this extensive study, providing good and consistent prediction performance across various soils. The proposed model is then applied to different engineering challenges involving the estimation of bearing resistance of unsaturated soils. Three typical examples chosen for illustration in this paper are the effect of soil density variation on unsaturated shear strength, bearing capacity of a shallow foundation, and ultimate bearing resistance of an energy pile. The findings of the investigation reveal that the proposed model can be utilized to solve a variety of problems involving soil–structure interaction in unsaturated soils.
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| 34. |
- Pham, Tuan A., et al.
(författare)
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Disturbed state concept and non-isothermal shear strength model for unsaturated soils
- 2022
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Ingår i: Bulletin of Engineering Geology and the Environment. - : Springer Nature. - 1435-9529 .- 1435-9537. ; 81:5
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Tidskriftsartikel (refereegranskat)abstract
- Shear strength of unsaturated soils is an important engineering property that is required for addressing geotechnical problems, the prediction of which remains to be a challenging task for design engineers due to the complex interaction problem. This study presents a new shear strength equation based on the micromechanical model and the disturbed state concept for unsaturated soils. The original point of this study is considering the solid contact area ratio which was neglected in most of the existing equations. Using the proposed model, the non-linear relationship between the matric suction, saturation degree, and the shear strength of unsaturated soils are described. Validation of the shear strength model was verified against the experimental data and several current models on six different types of soils. The results indicate that the proposed model has a good performance in predicting the shear strength of unsaturated soils, and generally is better than other existing models. In response to varying climatic conditions, the analytical model was then extended to consider the effect of temperature on the shear strength of unsaturated soils. The comparison between predicted and measured results was carried out on compacted silt for three different temperatures. The results show that the proposed model is capable of accurately predicting changes in unsaturated shear strength as a function of temperature.
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| 35. |
- Pham, Tuan A., et al.
(författare)
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Effect of temperature on the soil–water retention characteristics in unsaturated soils: Analytical and experimental approaches
- 2023
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Ingår i: Soils and Foundations. - : Elsevier BV. - 0038-0806 .- 2524-1788. ; 63:3, s. 101301-101301
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Tidskriftsartikel (refereegranskat)abstract
- In unsaturated soil mechanics, the soil–water retention curve (SWRC) continues to play an important role, since it provides the necessary links between the properties and behaviour of unsaturated soils with a variety of engineering challenges. The temperature has been identified as the main factor influencing SWRC as compared to a variety of other parameters. The goal of this research is to describe theoretical and experimental aspects of the temperature effect on unsaturated soil water retention phenomena. Theoretically, a brief review of the constitutive laws governing the thermal-hydro-mechanical (THM) behaviour of unsaturated soils is presented, along with links between variations in suction with water content, temperature, and void ratio. It also provides a broad framework that would to be well adapted to describing many specific circumstances. Through a closed-form predictive relationship that is developed in this framework, the effect of temperature is examined. By using this relationship, the soil–water retention curve at arbitrary temperature could be determined from one at a reference temperature, therefore significantly decreasing the number of tests necessary to describe the thermo-hydro-mechanical behaviour of a soil. Besides, the SWRC of kaolinite clay was also measured at three different temperatures in an experimental program. The test findings reveal that when the temperature rises, the SWRC decreases significantly. The experimental results were then integrated with sixteen other available data sets covering a wide range of soil types, densities, and suction to create a complete verification program for analytical models. The proposed model has a good performance and reliability in forecasting the fluctuation of non-isothermal SWRC than any existing model, according to statistical assessment results. The analytical model can be used to examine the thermo-hydro-mechanical characteristics of unsaturated soils in numerical simulations.
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| 36. |
- Pham, Tuan A., et al.
(författare)
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Modeling the combined effect of initial density and temperature on the soil–water characteristic curve of unsaturated soils
- 2023
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Ingår i: Acta Geotechnica. - : Springer Nature. - 1861-1125 .- 1861-1133. ; 18:12, s. 6427-6455
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Tidskriftsartikel (refereegranskat)abstract
- The soil–water characteristic curve (SWCC) plays an important role in solving the stability and deformation problems of unsaturated soils. In many practical situations, soils are usually experienced by both deformations and thermal conditions. In this interest, the paper proposes a simple and effective model to predict the combined effect of initial density and temperature on the SWCC and to be able to quantify the changes in thermal-hydro-mechanical behavior of unsaturated soils. In the first step, an initial density-dependent SWCC model is presented using the translation principle between particle-size distribution curve and soil–water characteristic curve. In the second part, a non-isothermal model is proposed to predict the effect of temperature on the SWCC. The key to the non-isothermal model is considering five different temperature-dependent functions, which are surface tension, contact angle, particle-size expansion, void ratio, and water density. On the basis of 22 data sets of thermal volume change, this study also developed further a theoretical correlation between void ratio and temperature that is directly related to soil plasticity. It was observed that the value of the thermal void ratio increases as soil plasticity increases, and there is a nonlinear relationship between the plasticity index and the void ratio. Because of this, soils with high plasticity are more susceptible to volume changes caused by temperature fluctuations than soils with low plasticity. A coupled mechanical–thermal model is then produced which is capable to predict separately or simultaneously the effect of temperature and initial density on SWCC. The proposed model is validated against several test data sets available in the literature. The results show that the proposed model has a good performance in predicting the variation in SWCC with arbitrary temperature and initial density.
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| 37. |
- Pham, Tuan A., et al.
(författare)
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Softening-based interface model and nonlinear load-settlement response analysis of piles in saturated and unsaturated multi-layered soils
- 2024
-
Ingår i: Computers and geotechnics. - : Elsevier BV. - 0266-352X .- 1873-7633. ; 171
-
Tidskriftsartikel (refereegranskat)abstract
- This work presents a simplified method for the nonlinear analysis of the load–displacement response of piles in multi-layered soils. As a starting step, a new interface model based on the disturbed state concept (DSC) is put forth to simulate the interface shear stress-displacement relationship by considering the nonlinear hardening–softening behaviour. In the new model, input parameters can be conveniently calibrated using conventional interface shear tests or on-site tests. The good agreement between predictions and experimental data from interface direct shear tests validated the performance of the proposed DSC model. The DSC model performed better in terms of predictions when compared to the hyperbolic one. Next, the soil-structure interface model and bearing capacity theory are coupled to provide a theoretical framework for the analysis of pile load-transfer in saturated and unsaturated multi-layered soils, where the DSC model is employed to represent base resistance as well as skin friction. This work also discusses the profile of steady-state in-situ matric suction, soil–water characteristic curve, and pore-water pressure of unsaturated soils. The proposed method has the advantage of being used in practice as it is simple to obtain input parameters from laboratory tests, as well as Standard Penetration or Cone Penetration Tests. The proposed framework is finally applied to the analysis of five well-documented case studies. The proposed approach and the static load test results from the field measurements are found to be in satisfactory agreement, indicating that the proposed method performs well. The proposed method is suggested to be utilised for preliminary analysis, planning a suitable programme of loading tests, as well as optimizing the pile design by back analysis of the load test results.
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| 38. |
- Pham, Tuan A., et al.
(författare)
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Thermo-hydro-mechanical coupling model of elastic modulus characteristic curve for unsaturated soils
- 2023
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Ingår i: Computers and geotechnics. - : Elsevier BV. - 0266-352X .- 1873-7633. ; 162, s. 105704-105704
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Tidskriftsartikel (refereegranskat)abstract
- The settlement has been reported to regularly be a fundamental factor in controlling the stability of geotechnical structures. Because the theory of elasto-plasticity is widely employed to predict the settlement, the elastic modulus is a vital parameter that is regularly utilized for theoretical calculation. Moreover, thermomechanical behaviour of unsaturated soils has recently received considerable attention because its importance in various energy geostructures applications, as well as in relation to climate change. This paper presents a coupled thermo-hydro-mechanical model of the elastic modulus characteristic curve (EMCC) that was developed based on the effective stress theories of unsaturated soils. The proposed model uses the soil–water characteristic curve (SWCC) and the modulus of elasticity under saturated conditions to predict the variation of modulus of elasticity with matric suction for unsaturated soils. The successful prediction performance of the proposed model is demonstrated by the comparison of measured and predicted outcomes for various published data sets in the literature related to different soil types. The proposed method was then used to present a parametric study considering the coupled impact of some important parameters on SWCC and EMCC. The analysis results indicated that the normalized elastic modulus rate increases with increasing matric suction, hydraulic conductivity, soil density, and with decreasing flow rates, temperatures, and normal stresses.
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| 39. |
- Pham, Tuan A., et al.
(författare)
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Validation, Reliability, and Performance of Shear Strength Models for Unsaturated Soils
- 2023
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Ingår i: Geotechnical and Geological Engineering. - : Springer Nature. - 0960-3182 .- 1573-1529. ; 41:7, s. 4271-4309
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Tidskriftsartikel (refereegranskat)abstract
- Soil shear strength is the most fundamental property when designing structures in the ground and should be carefully assessed and understood. Several empirical models were introduced to predict the shear strength of unsaturated soils. However, there is uncertainty regarding the applicability and sensitivity of these prediction models. This paper presents a comprehensive verification study to assess the reliability and validity of the existing theoretical models. The results obtained from the prediction models are compared to measured data using thirty experimental data sets. A performance classification program is also conducted to assess the suitability of the analytical models for different soil types as well as over a wide range of matric suctions, saturation degrees, soil densities, soil plasticity, and clay activity. The impact of each single parameter is clarified by the microstructure studies, which also provides insight into the mechanics of unsaturated soils. The results indicated that the applicability of models is more appropriate for sandy soils rather than for clayey ones. The performance of shear strength models tends to decrease with an increase in matric suction, initial density, plasticity index, and clay activity. It is, therefore, recommended that the shear strength estimation models should be carefully selected depending on the soil type and properties. Besides, the analysed results pointed out that the choice to assume the factor ? in the equation of Bishop equals the saturation degree is only suitable for medium-dense soils with low matric suction. This assumption is particularly not effective for clayey soils, or dense soils with high matric suction.
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| 40. |
- Proserpio, Valentina, et al.
(författare)
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Single-cell analysis of CD4+ T-cell differentiation reveals three major cell states and progressive acceleration of proliferation
- 2016
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Ingår i: Genome Biology. - : BioMed Central. - 1465-6906 .- 1474-760X. ; 17
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Differentiation of lymphocytes is frequently accompanied by cell cycle changes, interplay that is of central importance for immunity but is still incompletely understood. Here, we interrogate and quantitatively model how proliferation is linked to differentiation in CD4+ T cells.RESULTS: We perform ex vivo single-cell RNA-sequencing of CD4+ T cells during a mouse model of infection that elicits a type 2 immune response and infer that the differentiated, cytokine-producing cells cycle faster than early activated precursor cells. To dissect this phenomenon quantitatively, we determine expression profiles across consecutive generations of differentiated and undifferentiated cells during Th2 polarization in vitro. We predict three discrete cell states, which we verify by single-cell quantitative PCR. Based on these three states, we extract rates of death, division and differentiation with a branching state Markov model to describe the cell population dynamics. From this multi-scale modelling, we infer a significant acceleration in proliferation from the intermediate activated cell state to the mature cytokine-secreting effector state. We confirm this acceleration both by live imaging of single Th2 cells and in an ex vivo Th1 malaria model by single-cell RNA-sequencing.CONCLUSION: The link between cytokine secretion and proliferation rate holds both in Th1 and Th2 cells in vivo and in vitro, indicating that this is likely a general phenomenon in adaptive immunity.
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| 41. |
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| 42. |
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| 43. |
- Saiz-Vivo, Javier, et al.
(författare)
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Atrial Fibrillatory Rate Characterization Extracted from Implanted Cardiac Monitor Data
- 2021
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Ingår i: 2021 Computing in Cardiology, CinC 2021. - 2325-8861 .- 2325-887X. - 9781665479165 ; 48
-
Konferensbidrag (refereegranskat)abstract
- The aim of this study is to characterize atrial fibrillatory rate (AFR) extracted from a cohort of continuously monitored atrial fibrillation (AF) patients as function of episode duration and onset time. The f-wave signal used to compute the AFR was extracted from a single lead ECG strip of the AF episodes stored in an Implantable Cardiac Monitor (ICM) in a cohort of 99 patients. The f-wave signals were obtained from 1400 AF episodes using a spatiotemporal QRST cancellation process and the AFR was estimated as the fundamental frequency of a model fitted to the extracted f-waves. We studied the relationship between AFR and episode duration and episode onset time, respectively. AFR (median (interquartile range)) was significantly lower (p-value<0.05) in short episodes (<20 min) (5.15 (0.66) Hz) than in longer episodes (5.30 (0.74) Hz). AFR was significantly higher for episodes with onset time at night (00-06) (5.34 (0.82) Hz) than for episodes with onset during the day (10-20) (5.21 (0.70) Hz). Significant differences were also found between the relative AFR (ratio between the AFR and the average AFR of the patient) and episode duration (Short: 99.2 (9.3) %; Long: 100.0 (8.9) %). Data extracted from ICMs shows that that nighttime AF onset and longer duration AF episodes are more common in patients with higher AFR.
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| 44. |
- Saiz-Vivo, Javier, et al.
(författare)
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Heart rate characteristic based modelling of atrial fibrillatory rate using implanted cardiac monitor data
- 2023
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Ingår i: Physiological Measurement. - : IOP Publishing. - 0967-3334 .- 1361-6579. ; 44:3
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The objective of the present study is to investigate the feasibility of using heart rate characteristics to estimate atrial fibrillatory rate (AFR) in a cohort of atrial fibrillation (AF) patients continuously monitored with an implantable cardiac monitor (ICM). We will use a mixed model approach to investigate population effect and patient specific effects of heart rate characteristics on AFR, and will correct for the effect of previous ablations, episode duration, and onset date and time.APPROACH: The f-wave signals, from which AFR is estimated, were extracted using a QRST cancellation process of the AF episodes in a cohort of 99 patients (67% male; 57±12 years) monitored for 9.2(0.2-24.3) months as median(min-max). The AFR from 2453 f-wave signals included in the analysis was estimated using a model-based approach. The association between AFR and heart rate characteristics, prior ablations, and episode-related features were modelled using fixed-effect and mixed-effect modelling approaches.MAIN RESULTS: The mixed-effect models had a better fit to the data than fixed-effect models showing higher coefficients of determination (R2=0.49 vs R2=0.04) when relating the variations of AFR to the heart rate features. However, when correcting for the other factors, the mixed-effect model showed the best fit (R2=0.56). AFR was found to be significantly affected by previous catheter ablations (p<0.05), episode duration (p<0.05), and irregularity of the RR interval series (p<0.05).SIGNIFICANCE: Mixed-effect models are more suitable for AFR modelling. AFR was shown to be faster in episodes with longer duration, less organized RR intervals and after several ablation procedures.
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| 45. |
- Schnabel, Renate B, et al.
(författare)
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Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation : the 8th AFNET/EHRA consensus conference
- 2023
-
Ingår i: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 25:1, s. 6-27
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Tidskriftsartikel (refereegranskat)abstract
- Despite marked progress in the management of atrial fibrillation (AF), detecting AF remains difficult and AF-related complications cause unacceptable morbidity and mortality even on optimal current therapy. This document summarizes the key outcomes of the 8th AFNET/EHRA Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA). Eighty-three international experts met in Hamburg for 2 days in October 2021. Results of the interdisciplinary, hybrid discussions in breakout groups and the plenary based on recently published and unpublished observations are summarized in this consensus paper to support improved care for patients with AF by guiding prevention, individualized management, and research strategies. The main outcomes are (i) new evidence supports a simple, scalable, and pragmatic population-based AF screening pathway; (ii) rhythm management is evolving from therapy aimed at improving symptoms to an integrated domain in the prevention of AF-related outcomes, especially in patients with recently diagnosed AF; (iii) improved characterization of atrial cardiomyopathy may help to identify patients in need for therapy; (iv) standardized assessment of cognitive function in patients with AF could lead to improvement in patient outcomes; and (v) artificial intelligence (AI) can support all of the above aims, but requires advanced interdisciplinary knowledge and collaboration as well as a better medico-legal framework. Implementation of new evidence-based approaches to AF screening and rhythm management can improve outcomes in patients with AF. Additional benefits are possible with further efforts to identify and target atrial cardiomyopathy and cognitive impairment, which can be facilitated by AI.
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| 46. |
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| 47. |
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| 48. |
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| 49. |
- Verlaan, Sjors, et al.
(författare)
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High Prevalence of Physical Frailty Among Community-Dwelling Malnourished Older Adults : A Systematic Review and Meta-Analysis
- 2017
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Ingår i: Journal of the American Medical Directors Association. - : Elsevier BV. - 1525-8610 .- 1538-9375. ; 18:5, s. 374-382
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Forskningsöversikt (refereegranskat)abstract
- Background: Malnutrition and frailty are two geriatric syndromes that significantly affect independent living and health in community-dwelling older adults. Although the pathophysiology of malnutrition and physical frailty share common pathways, it is unknown to what extent these syndromes overlap and how they relate to each other. Methods: A systematic review was performed resulting in a selection of 28 studies that assessed both malnutrition and frailty in community-dwelling older adults. Furthermore, a meta-analysis was performed on 10 studies that used Mini-Nutritional Assessment and the Fried frailty phenotype to estimate the prevalence of malnutrition within physical frailty and vice versa. Results: In the systematic review, 25 of the 28 studies used the Mini-Nutritional Assessment (long or short form) for malnutrition screening. For frailty assessment, 23 of the 28 studies focused on the physical frailty phenotype, of which 19 followed the original Fried phenotype. Fifteen studies analyzed the association between malnutrition and frailty, which was significant in 12 of these. The meta-analysis included 10 studies with a total of 5447 older adults. In this pooled population of community-dwelling older adults [ mean (standard deviation) age: 77.2 (6.7) years], 2.3% was characterized as malnourished and 19.1% as physically frail. The prevalence of malnutrition was significantly associated with the prevalence of physical frailty (P < .0001). However, the syndromes were not interchangeable: 68% of the malnourished older adults was physically frail, whereas only 8.4% of the physical frail population was malnourished. Conclusions: The systematic review and meta-analysis revealed that malnutrition and physical frailty in community-dwelling older adults are related, but not interchangeable geriatric syndromes. Two out of 3 malnourished older adults were physically frail, whereas close to 10% of the physically frail older adults was identified as malnourished.
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