| 11. |
- Siiskonen, T., et al.
(författare)
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Establishing the European diagnostic reference levels for interventional cardiology
- 2018
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Ingår i: Physica medica (Testo stampato). - : ELSEVIER SCI LTD. - 1120-1797 .- 1724-191X. ; 54, s. 42-48
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Tidskriftsartikel (refereegranskat)abstract
- Interventional cardiac procedures may be associated with high patient doses and therefore require special attention to protect the patients from radiation injuries such as skin erythema, cardiovascular tissue reactions or radiation-induced cancer. In this study, patient exposure data is collected from 13 countries (37 clinics and nearly 50 interventional rooms) and for 10 different procedures. Dose data was collected from a total of 14,922 interventional cardiology procedures. Based on these data European diagnostic reference levels (DRL) for air kerma-area product are suggested for coronary angiography (CA, DRL = 35 Gy cm(2)), percutaneous coronary intervention (PCI, 85 Gy cm(2)), transcatheter aortic valve implantation (TAVI, 130 Gy cm(2)), electrophysiological procedures (12 Gy cm(2)) and pacemaker implantations Pacemaker implantations were further divided into single-chamber (2.5 Gy cm(2)) and dual chamber (3.5 Gy cm(2)) procedures and implantations of cardiac resynchronization therapy pacemaker (18 Gy cm(2)). Results show that relatively new techniques such as TAVI and treatment of chronic total occlusion (CTO) often produce relatively high doses, and thus emphasises the need for use of an optimization tool such as DRL to assist in reducing patient exposure. The generic DRL presented here facilitate comparison of patient exposure in interventional cardiology.
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| 12. |
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| 13. |
- Livesey, Geoffrey, et al.
(författare)
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Dietary Glycemic Index and Load and the Risk of Type 2 Diabetes : A Systematic Review and Updated Meta-Analyses of Prospective Cohort Studies
- 2019
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Ingår i: Nutrients. - : MDPI AG. - 2072-6643. ; 11:6
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Forskningsöversikt (refereegranskat)abstract
- Published meta-analyses indicate significant but inconsistent incident type-2 diabetes(T2D)-dietary glycemic index (GI) and glycemic load (GL) risk ratios or risk relations (RR). It is nowover a decade ago that a published meta-analysis used a predefined standard to identify validstudies. Considering valid studies only, and using random effects dose-response meta-analysis(DRM) while withdrawing spurious results (p < 0.05), we ascertained whether these relationswould support nutrition guidance, specifically for an RR > 1.20 with a lower 95% confidence limit>1.10 across typical intakes (approximately 10th to 90th percentiles of population intakes). Thecombined T2D-GI RR was 1.27 (1.15-1.40) (p < 0.001, n = 10 studies) per 10 units GI, while that forthe T2D-GL RR was 1.26 (1.15-1.37) (p < 0.001, n = 15) per 80 g/d GL in a 2000 kcal (8400 kJ) diet.The corresponding global DRM using restricted cubic splines were 1.87 (1.56-2.25) (p < 0.001, n =10) and 1.89 (1.66-2.16) (p < 0.001, n = 15) from 47.6 to 76.1 units GI and 73 to 257 g/d GL in a 2000kcal diet, respectively. In conclusion, among adults initially in good health, diets higher in GI or GLwere robustly associated with incident T2D. Together with mechanistic and other data, thissupports that consideration should be given to these dietary risk factors in nutrition advice.Concerning the public health relevance at the global level, our evidence indicates that GI and GLare substantial food markers predicting the development of T2D worldwide, for persons ofEuropean ancestry and of East Asian ancestry.
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| 14. |
- Livesey, Geoffrey, et al.
(författare)
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Dietary Glycemic Index and Load and the Risk of Type 2 Diabetes : Assessment of Causal Relations
- 2019
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Ingår i: Nutrients. - : MDPI AG. - 2072-6643. ; 11:6
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Forskningsöversikt (refereegranskat)abstract
- While dietary factors are important modifiable risk factors for type 2 diabetes (T2D), the causal role of carbohydrate quality in nutrition remains controversial. Dietary glycemic index (GI) and glycemic load (GL) have been examined in relation to the risk of T2D in multiple prospective cohort studies. Previous meta-analyses indicate significant relations but consideration of causality has been minimal. Here, the results of our recent meta-analyses of prospective cohort studies of 4 to 26-y follow-up are interpreted in the context of the nine Bradford-Hill criteria for causality, that is: (1) Strength of Association, (2) Consistency, (3) Specificity, (4) Temporality, (5) Biological Gradient, (6) Plausibility, (7) Experimental evidence, (8) Analogy, and (9) Coherence. These criteria necessitated referral to a body of literature wider than prospective cohort studies alone, especially in criteria 6 to 9. In this analysis, all nine of the Hill's criteria were met for GI and GL indicating that we can be confident of a role for GI and GL as causal factors contributing to incident T2D. In addition, neither dietary fiber nor cereal fiber nor wholegrain were found to be reliable or effective surrogate measures of GI or GL. Finally, our cost-benefit analysis suggests food and nutrition advice favors lower GI or GL and would produce significant potential cost savings in national healthcare budgets. The high confidence in causal associations for incident T2D is sufficient to consider inclusion of GI and GL in food and nutrient-based recommendations.
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| 15. |
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| 16. |
- Altuna, Facundo I., et al.
(författare)
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Effect of an Anhydride Excess on the Curing Kinetics and Dynamic Mechanical Properties of Synthetic and Biogenic Epoxy Resins
- 2019
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Ingår i: International Journal of Polymer Science. - : HINDAWI LTD. - 1687-9422 .- 1687-9430.
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Tidskriftsartikel (refereegranskat)abstract
- This work analyzes the effect of the anhydride excess on the nonisothermal curing kinetics and on the final properties of synthetic and biobased epoxy resins. Diglycidyl ether of bisphenol A (DGEBA) and epoxidized soybean oil (ESO) were crosslinked using methyltetrahydrophthalic anhydride (MTHPA) as a curing agent and 1-methylimidazole (1MI) as an initiator. It was shown that the ESO/MTHPA/1MI system reacts slower than the DGEBA/MTHPA/1MI system, giving place to a more significant evaporation of the curing agent during the reaction. As a result, an excess of anhydride improves the final thermal properties of the ESO/MTHPA/1MI network, contrary to the behavior observed for DGEBA/MTHPA/1MI. The knowledge of the kinetics of the curing process and the optimal amount of the curing agent for each system is of critical importance for a more efficient processing of these materials.
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| 17. |
- Hirai, T., et al.
(författare)
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R&D on full tungsten divertor and beryllium wall for JET ITER-like wall project
- 2007
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Ingår i: Fusion engineering and design. - : Elsevier BV. - 0920-3796 .- 1873-7196. ; 82:15-24, s. 1839-1845
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Tidskriftsartikel (refereegranskat)abstract
- The ITER reference materials have been tested separately in tokamaks, plasma simulators, ion beams and high heat flux test beds. In order to perform a fully integrated material test JET has launched the ITER-like Wall Project with the aim of installing a full metal wall during the next major shutdown. As a result of R&D projects in 2005-2006, bulk tungsten tiles are foreseen at the outer horizontal target and tungsten coating at the other divertor tiles. In some regions of the main chamber, beryllium coated Inconel tiles and bulk beryllium tiles are utilised which include marker tiles as erosion diagnostics. This paper gives an overview of the R&D carried out in the frame of the ITER-like Wall Project on the development of an inertially cooled bulk tungsten tile design and the characterization of tungsten and beryllium coating technologies.
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| 18. |
- Liotta, G, et al.
(författare)
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Exploratory Factor Analysis (EFA) of the Short Functional Geriatric Evaluation (SFGE) to Assess the Multidimensionality of Frailty in Community-Dwelling Older Adults
- 2023
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Ingår i: International journal of environmental research and public health. - : MDPI AG. - 1660-4601. ; 20:5
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Tidskriftsartikel (refereegranskat)abstract
- The Short Functional Geriatric Evaluation (SFGE) is a multidimensional and short questionnaire to assess biopsychosocial frailty in older adults. This paper aims to clarify the latent factors of SFGE. Data were collected from January 2016 to December 2020 from 8800 community-dwelling older adults participating in the “Long Live the Elderly!” program. Social operators administered the questionnaire through phone calls. Exploratory factor analysis (EFA) was carried out to identify the quality of the structure of the SFGE. Principal component analysis was also performed. According to the SFGE score, 37.7% of our sample comprised robust, 24.0% prefrail, 29.3% frail, and 9.0% very frail individuals. Using the EFA, we identified three main factors: psychophysical frailty, the need for social and economic support, and the lack of social relationships. The Kaiser–Meyer–Olkin measure of sampling adequacy was 0.792, and Bartlett’s test of sphericity had a statistically significant result (p-value < 0.001). The three constructs that emerged explain the multidimensionality of biopsychosocial frailty. The SFGE score, 40% of which is social questions, underlines the crucial relevance of the social domain in determining the risk of adverse health outcomes in community-dwelling older adults.
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| 19. |
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| 20. |
- Maier, H., et al.
(författare)
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Tungsten and beryllium armour development for the JET ITER-like wall project
- 2007
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Ingår i: Nuclear Fusion. - : IOP Publishing. - 0029-5515 .- 1741-4326. ; 47:3, s. 222-227
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Tidskriftsartikel (refereegranskat)abstract
- For the ITER-like wall project at JET the present main chamber CFC tiles will be exchanged with Be tiles and in parallel a fully tungsten-clad divertor will be prepared. Therefore three R&D programmes were initiated: Be coatings on Inconel as well as Be erosion markers were developed for the first wall of the main chamber. High heat flux screening and cyclic loading tests carried out on the Be coatings on Inconel showed excellent performance, above the required power and energy density. For the divertor a conceptual design for a bulk W horizontal target plate was investigated, with the emphasis on minimizing electromagnetic forces. The design consisted of stacks of W lamellae of 6 mm width that were insulated in the toroidal direction. High heat flux tests of a test module were performed with an electron beam at an absorbed power density Up to 9 MW m(-2) for more than 150 pulses and finally with increasing power loads leading to surface temperatures in excess of 3000 degrees C. No macroscopic failure occurred during the test while SEM showed the development of micro-cracks on the loaded surface. For all other divertor parts R&D was performed to provide the technology to coat the 2-directional CFC material used at JET with thin tungsten coatings. The W-coated CFC tiles were subjected to heat loads with power densities ranging up to 23.5 MW m(-2) and exposed to cyclic heat loading for 200 pulses at 10.5 MW m(-2). All coatings developed cracks perpendicular to the CFC fibres due to the stronger contraction of the coating upon cool-down after the heat pulses.
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