| 1. |
- Feigin, Valery L., et al.
(författare)
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Global, regional, and national burden of neurological disorders, 1990–2016 : a systematic analysis for the Global Burden of Disease Study 2016
- 2019
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Ingår i: Lancet Neurology. - : Elsevier. - 1474-4422 .- 1474-4465. ; 18:5, s. 459-480
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Tidskriftsartikel (refereegranskat)abstract
- Background: Neurological disorders are increasingly recognised as major causes of death and disability worldwide. The aim of this analysis from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 is to provide the most comprehensive and up-to-date estimates of the global, regional, and national burden from neurological disorders.Methods: We estimated prevalence, incidence, deaths, and disability-adjusted life-years (DALYs; the sum of years of life lost [YLLs] and years lived with disability [YLDs]) by age and sex for 15 neurological disorder categories (tetanus, meningitis, encephalitis, stroke, brain and other CNS cancers, traumatic brain injury, spinal cord injury, Alzheimer's disease and other dementias, Parkinson's disease, multiple sclerosis, motor neuron diseases, idiopathic epilepsy, migraine, tension-type headache, and a residual category for other less common neurological disorders) in 195 countries from 1990 to 2016. DisMod-MR 2.1, a Bayesian meta-regression tool, was the main method of estimation of prevalence and incidence, and the Cause of Death Ensemble model (CODEm) was used for mortality estimation. We quantified the contribution of 84 risks and combinations of risk to the disease estimates for the 15 neurological disorder categories using the GBD comparative risk assessment approach.Findings: Globally, in 2016, neurological disorders were the leading cause of DALYs (276 million [95% UI 247–308]) and second leading cause of deaths (9·0 million [8·8–9·4]). The absolute number of deaths and DALYs from all neurological disorders combined increased (deaths by 39% [34–44] and DALYs by 15% [9–21]) whereas their age-standardised rates decreased (deaths by 28% [26–30] and DALYs by 27% [24–31]) between 1990 and 2016. The only neurological disorders that had a decrease in rates and absolute numbers of deaths and DALYs were tetanus, meningitis, and encephalitis. The four largest contributors of neurological DALYs were stroke (42·2% [38·6–46·1]), migraine (16·3% [11·7–20·8]), Alzheimer's and other dementias (10·4% [9·0–12·1]), and meningitis (7·9% [6·6–10·4]). For the combined neurological disorders, age-standardised DALY rates were significantly higher in males than in females (male-to-female ratio 1·12 [1·05–1·20]), but migraine, multiple sclerosis, and tension-type headache were more common and caused more burden in females, with male-to-female ratios of less than 0·7. The 84 risks quantified in GBD explain less than 10% of neurological disorder DALY burdens, except stroke, for which 88·8% (86·5–90·9) of DALYs are attributable to risk factors, and to a lesser extent Alzheimer's disease and other dementias (22·3% [11·8–35·1] of DALYs are risk attributable) and idiopathic epilepsy (14·1% [10·8–17·5] of DALYs are risk attributable).Interpretation: Globally, the burden of neurological disorders, as measured by the absolute number of DALYs, continues to increase. As populations are growing and ageing, and the prevalence of major disabling neurological disorders steeply increases with age, governments will face increasing demand for treatment, rehabilitation, and support services for neurological disorders. The scarcity of established modifiable risks for most of the neurological burden demonstrates that new knowledge is required to develop effective prevention and treatment strategies.Funding: Bill & Melinda Gates Foundation.
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| 2. |
- Salehi, Alireza M., et al.
(författare)
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Serum profiling of anorexia nervosa : A 1H NMR-based metabolomics study
- 2021
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Ingår i: European Neuropsychopharmacology. - : Elsevier. - 0924-977X .- 1873-7862. ; 49, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- Our understanding of pathophysiological mechanisms underlying anorexia nervosa (AN) is incomplete. The aim was to conduct a metabolomics profiling of serum samples from women with AN (n = 65), women who have recovered from AN (AN-REC, n = 65), and age-matched healthy female controls (HC, n = 65). Serum concentrations of 21 metabolites were measured using proton nuclear magnetic resonance (1H NMR). We used orthogonal partial least-squares discriminant analysis (OPLS-DA) modeling to assign group classification based on the metabolites. Analysis of variance (ANOVA) was used to test for metabolite concentration differences across groups. The OPLS-DA model could distinguish between the AN and HC groups (p = 9.05 × 10–11 R2Y = 0.36, Q2 = 0.37) and between the AN-REC and HC groups (p = 8.47 × 10–6, R2Y = 0.36, Q2 = 0.24,), but not between the AN and AN-REC groups (p = 0.63). Lower methanol concentration in the AN and AN-REC group explained most of the variance. Likewise, the strongest finding in the univariate analyses was lower serum methanol concentration in both AN and AN-REC compared with HC, which withstood adjustment for body mass index (BMI). We report for the first time lower serum concentrations of methanol in AN. The fact that low methanol was also found in recovered AN suggests that low serum concentration of methanol could either be trait marker or a scar effect of AN.
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| 3. |
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| 4. |
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| 5. |
- Salehi M., Alireza
(författare)
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Chemical Interactions between Fatty Acids and Wood Components during Oxidation Processes
- 2012
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Fatty acids auto-oxidation on wood is proposed to follow a complex free radical interaction mechanism. The aim of this study was to analyze the effect of wood constituents on oxidation of fatty acids and thereby the entire drying process, and to characterize the fatty acids-wood interaction by using analytical instruments such as RT-IR and NMR.The auto-oxidation process of polyunsaturated fatty acids was analyzed in combination with wood model compounds, softwood and hardwood. The results showed that the oxidative drying process of unsaturated fatty acids was indeed affected by wood constituents. Wood morphology is heterogeneous and porous. A problematic issue in fatty acid-wood system is its heterogeneity and complexity.The most hydrophobic polymer of the main constituents of wood is lignin and it interacted with the oxidation process and lignin structures inhibited or retarded the reaction. However, wood carbohydrates such as lactose and sucrose increased the rate of fatty acids oxidation, thus carbohydrates may function as catalysts.The fatty acids pattern affects not only the structure of the dried oil itself but also the surrounding wood materials. Not only the oil structures were affected but also the lignin was to some extent oxidized as a competing reaction with the oil oxidation. Further, a formation of chemical bonds between the oil and the lignin structures was not observed, i.e. the oils were not immobilized on lignin by covalent bond formation to any significant extent. The analysis on oils in wood using NMR and FTIR demonstrated that highly reactive linoleic acid interacted in wood significantly, while it was not immobilized to the same extent. Oleic acid on the other hand interacted more slowly but was immobilized in the wood structure.A number of wood species (hardwood and softwood) were tested for how they affected the drying process, where Norway spruce dried the fastest and hazelwood the slowest. Generally it appeared to be a connection between high density and slow drying. It can thus be concluded that different wood components affect the oil drying process in different ways. According to the results, it can also be concluded that the structure of the oil and different wood species are crucial in the overall protective performance of the system.
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| 6. |
- Salehi Movahed, Alireza, et al.
(författare)
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Effect of model lignin structures on the oxidation of unsaturated fatty acids
- 2010
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Ingår i: Polymers from Renewable Resources. - : SAGE Publications. - 2041-2479 .- 2045-1377. ; 1:2
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to better understand vegetable oils as raw materials in the application of wood protection in order to obtain improved durability of exterior wood materials in an environmentally friendly way. This was done by studying the effect of lignin model compounds on the auto-oxidation rate of methyl linoleate. The auto-oxidation process of methyl linoleate was measured by itself and in combination with 1 wt% phenolic and non-phenolic lignin model compounds at 70°C. The effect of lignin compounds on the methyl linoleate auto-oxidation process was monitored by 1H-NMR, size exclusion chromatography (SEC), and real-time infrared spectroscopy (RT-IR). It was observed that phenolic groups and radical conjugation are the main contributors to an antioxidant effect of lignin compounds on the oxidation rate of the methyl linoleate. Ferulic acid, which is phenolic and contains a carboxylic group, has the largest antioxidant effect on methyl linoleate. It was also found that the antioxidant effect existed, despite the low solubility of ferulic acid in methyl linoleate. This research demonstrates that it is possible to follow the auto-oxidation process in real time to uncover the effects of wood constituents on the fatty acid auto-oxidation process. Additionally, this knowledge that drying rate of oil can be tuned with the addition of lignin compounds can be used to predict drying times when this oil is applied to different species of wood.
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| 7. |
- Smedler, Erik, et al.
(författare)
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Metabolomics analysis of cerebrospinal fluid suggests citric acid cycle aberrations in bipolar disorder
- 2022
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Ingår i: Neuroscience Applied. - : Elsevier BV. - 2772-4085. ; 1
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Tidskriftsartikel (refereegranskat)abstract
- Mounting evidence indicates mitochondrial dysfunction in bipolar disorder pathophysiology. Here, we employed Proton Nuclear Magnetic Resonance Spectroscopy (1H NMR) of cerebrospinal fluid (CSF) samples from well-characterized bipolar disorder patients (n = 67) and healthy controls (n = 55) in order to measure absolute concentrations of multiple metabolites. Focusing on four citric acid cycle metabolites — citrate, glucose, lactate, and pyruvate — we found higher concentrations of both citrate and glucose in patients compared with controls after correcting for age, sex and body mass index, but only the difference in CSF citrate survived correction for multiple comparisons. Within the patient group, CSF citrate concentrations were higher among lithium users than non-users. In conclusion, this report adds further evidence for a mitochondrial dysfunction in bipolar disorder.
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