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- Peters, Ruth, et al.
(författare)
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An investigation of antihypertensive class, dementia, and cognitive decline: A meta-analysis.
- 2020
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Ingår i: Neurology. - 1526-632X. ; 94:3
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Tidskriftsartikel (refereegranskat)abstract
- High blood pressure is one of the main modifiable risk factors for dementia. However, there is conflicting evidence regarding the best antihypertensive class for optimizing cognition. Our objective was to determine whether any particular antihypertensive class was associated with a reduced risk of cognitive decline or dementia using comprehensive meta-analysis including reanalysis of original participant data.To identify suitable studies, MEDLINE, Embase, and PsycINFO and preexisting study consortia were searched from inception to December 2017. Authors of prospective longitudinal human studies or trials of antihypertensives were contacted for data sharing and collaboration. Outcome measures were incident dementia or incident cognitive decline (classified using the reliable change index method). Data were separated into mid and late-life (>65 years) and each antihypertensive class was compared to no treatment and to treatment with other antihypertensives. Meta-analysis was used to synthesize data.Over 50,000 participants from 27 studies were included. Among those aged >65 years, with the exception of diuretics, we found no relationship by class with incident cognitive decline or dementia. Diuretic use was suggestive of benefit in some analyses but results were not consistent across follow-up time, comparator group, and outcome. Limited data precluded meaningful analyses in those ≤65 years of age.Our findings, drawn from the current evidence base, support clinical freedom in the selection of antihypertensive regimens to achieve blood pressure goals.The review was registered with the international prospective register of systematic reviews (PROSPERO), registration number CRD42016045454.
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| 2. |
- Bossini, D., et al.
(författare)
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Magnetoelectrics and multiferroics : theory, synthesis, characterisation, preliminary results and perspectives for all-optical manipulations
- 2023
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Ingår i: Journal of Physics D. - : IOP Publishing. - 0022-3727 .- 1361-6463. ; 56:27
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Forskningsöversikt (refereegranskat)abstract
- Solid state compounds exhibiting multiple and coupled macroscopic orders, named multiferroics, represent a challenge for both theoretical and experimental modern condensed-matter physics. Spins and the electric polarisation in conventional magnetic and ferroelectric materials can be manipulated on their fundamental timescales, by means of femtosecond laser pulses. In view of the resounding success and popularity of the all-optical approach, it is only natural to wonder about the application of this scheme to study the intrinsic coupling between spins and charges in multiferroics. Deeply fundamental questions arise: can ultrashort laser pulses deterministically activate, enhance or suppress the magnetoelectric coupling on the femtosecond timescale? Can these processes be triggered in a fully coherent fashion, thus being unrestrained by any thermal load? Which mechanism of spin-charge coupling is most favourable to overcome these overarching and daunting challenges? This problem is interdisciplinary in nature, requiring contributions from materials science and condensed matter physics from both theoretical and experimental perspectives. High-quality materials suitable for optical investigations have to be identified, synthetized and characterised. General and valid models offer then a guide to the plethora of possible light-induced processes, resulting in the desired ultrafast multiferroic manipulations. Finally, healthy experimental schemes, able to unambiguously track the ultrafast dynamics of either the ferroelectric or the magnetic order parameter have to be developed and implemented. Our motivation to write this review is to lay a broad and multidisciplinary foundation, which may be employed as a starting point for non-equilibrium approaches to the manipulation of the multiferroicity on the femtosecond timescale. This was also one of the main goals of the COST Action MAGNETOFON, whose network constitutes the core of the authors of this review. The present work thus represents a part of the scientific legacy of MAGNETOFON itself.
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