| 1. |
- Ederle, Joerg, et al.
(författare)
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Carotid artery stenting compared with endarterectomy in patients with symptomatic carotid stenosis (International Carotid Stenting Study): an interim analysis of a randomised controlled trial
- 2010
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Ingår i: The Lancet. - 1474-547X. ; 375:9719, s. 985-997
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Tidskriftsartikel (refereegranskat)abstract
- Background Stents are an alternative treatment to carotid endarterectomy for symptomatic carotid stenosis, but previous trials have not established equivalent safety and efficacy. We compared the safety of carotid artery stenting with that of carotid endarterectomy. Methods The International Carotid Stenting Study (ICSS) is a multicentre, international, randomised controlled trial with blinded adjudication of outcomes. Patients with recently symptomatic carotid artery stenosis were randomly assigned in a 1:1 ratio to receive carotid artery stenting or carotid endarterectomy. Randomisation was by telephone call or fax to a central computerised service and was stratified by centre with minimisation for sex, age, contralateral occlusion, and side of the randomised artery. Patients and investigators were not masked to treatment assignment. Patients were followed up by independent clinicians not directly involved in delivering the randomised treatment. The primary outcome measure of the trial is the 3-year rate of fatal or disabling stroke in any territory, which has not been analysed yet. The main outcome measure for the interim safety analysis was the 120-day rate of stroke, death, or procedural myocardial infarction. Analysis was by intention to treat (ITT). This study is registered, number ISRCTN25337470. Findings The trial enrolled 1713 patients (stenting group, n=855; endarterectomy group, n=858). Two patients in the stenting group and one in the endarterectomy group withdrew immediately after randomisation, and were not included in the ITT analysis. Between randomisation and 120 days, there were 34 (Kaplan-Meier estimate 4.0%) events of disabling stroke or death in the stenting group compared with 27 (3.2%) events in the endarterectomy group (hazard ratio [HR] 1.28, 95% CI 0.77-2.11). The incidence of stroke, death, or procedural myocardial infarction was 8.5% in the stenting group compared with 5.2% in the endarterectomy group (72 vs 44 events; HR 1.69, 1.16-2.45, p=0.006), Risks of any stroke (65 vs 35 events; HR 1.92, 1.27-2.89) and all-cause death (19 vs seven events; HR 2.76, 1.16-6.56) were higher in the stenting group than in the endarterectomy group. Three procedural myocardial infarctions were recorded in the stenting group, all of which were fatal, compared with four, all non-fatal, in the endarterectomy group. There was one event of cranial nerve palsy in the stenting group compared with 45 in the endarterectomy group. There were also fewer haematomas of any severity in the stenting group than in the endarterectomy group (31 vs 50 events; p=0.0197). Interpretation Completion of long-term follow-up is needed to establish the efficacy of carotid artery stenting compared with endarterectomy. In the meantime, carotid endarterectomy should remain the treatment of choice for patients suitable for surgery.
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| 2. |
- Akkoyun, S., et al.
(författare)
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AGATA - Advanced GAmma Tracking Array
- 2012
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Ingår i: Nuclear Instruments and Methods in Physics Research, Section A: Accelerators, Spectrometers, Detectors and Associated Equipment. - : Elsevier BV. - 0168-9002 .- 0167-5087 .- 1872-9576. ; 668, s. 26-58
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Tidskriftsartikel (refereegranskat)abstract
- The Advanced GAmma Tracking Array (AGATA) is a European project to develop and operate the next generation γ-ray spectrometer. AGATA is based on the technique of γ-ray energy tracking in electrically segmented high-purity germanium crystals. This technique requires the accurate determination of the energy, time and position of every interaction as a γ ray deposits its energy within the detector volume. Reconstruction of the full interaction path results in a detector with very high efficiency and excellent spectral response. The realisation of γ-ray tracking and AGATA is a result of many technical advances. These include the development of encapsulated highly segmented germanium detectors assembled in a triple cluster detector cryostat, an electronics system with fast digital sampling and a data acquisition system to process the data at a high rate. The full characterisation of the crystals was measured and compared with detector- response simulations. This enabled pulse-shape analysis algorithms, to extract energy, time and position, to be employed. In addition, tracking algorithms for event reconstruction were developed. The first phase of AGATA is now complete and operational in its first physics campaign. In the future AGATA will be moved between laboratories in Europe and operated in a series of campaigns to take advantage of the different beams and facilities available to maximise its science output. The paper reviews all the achievements made in the AGATA project including all the necessary infrastructure to operate and support the spectrometer. © 2011 Elsevier B.V. All rights reserved.
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| 3. |
- Bruggmann, P., et al.
(författare)
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Historical epidemiology of hepatitis C virus (HCV) in selected countries
- 2014
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Ingår i: Journal of Viral Hepatitis. - Hoboken : Wiley-Blackwell. - 1352-0504 .- 1365-2893. ; 21, s. 5-33
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Tidskriftsartikel (refereegranskat)abstract
- Chronic infection with hepatitis C virus (HCV) is a leading indicator for liver disease. New treatment options are becoming available, and there is a need to characterize the epidemiology and disease burden of HCV. Data for prevalence, viremia, genotype, diagnosis and treatment were obtained through literature searches and expert consensus for 16 countries. For some countries, data from centralized registries were used to estimate diagnosis and treatment rates. Data for the number of liver transplants and the proportion attributable to HCV were obtained from centralized databases. Viremic prevalence estimates varied widely between countries, ranging from 0.3% in Austria, England and Germany to 8.5% in Egypt. The largest viremic populations were in Egypt, with 6358000 cases in 2008 and Brazil with 2106000 cases in 2007. The age distribution of cases differed between countries. In most countries, prevalence rates were higher among males, reflecting higher rates of injection drug use. Diagnosis, treatment and transplant levels also differed considerably between countries. Reliable estimates characterizing HCV-infected populations are critical for addressing HCV-related morbidity and mortality. There is a need to quantify the burden of chronic HCV infection at the national level.
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| 4. |
- Razavi, H., et al.
(författare)
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The present and future disease burden of hepatitis C virus (HCV) infection with today's treatment paradigm
- 2014
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Ingår i: Journal of Viral Hepatitis. - Hoboken : Wiley-Blackwell. - 1352-0504 .- 1365-2893. ; 21:Suppl. 1, s. 34-59
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Tidskriftsartikel (refereegranskat)abstract
- The disease burden of hepatitis C virus (HCV) is expected to increase as the infected population ages. A modelling approach was used to estimate the total number of viremic infections, diagnosed, treated and new infections in 2013. In addition, the model was used to estimate the change in the total number of HCV infections, the disease progression and mortality in 2013-2030. Finally, expert panel consensus was used to capture current treatment practices in each country. Using today's treatment paradigm, the total number of HCV infections is projected to decline or remain flat in all countries studied. However, in the same time period, the number of individuals with late-stage liver disease is projected to increase. This study concluded that the current treatment rate and efficacy are not sufficient to manage the disease burden of HCV. Thus, alternative strategies are required to keep the number of HCV individuals with advanced liver disease and liver-related deaths from increasing.
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| 5. |
- Wedemeyer, H., et al.
(författare)
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Strategies to manage hepatitis C virus (HCV) disease burden
- 2014
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Ingår i: Journal of Viral Hepatitis. - Hoboken : Wiley-Blackwell. - 1352-0504 .- 1365-2893. ; 21, s. 60-89
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Tidskriftsartikel (refereegranskat)abstract
- The number of hepatitis C virus (HCV) infections is projected to decline while those with advanced liver disease will increase. A modeling approach was used to forecast two treatment scenarios: (i) the impact of increased treatment efficacy while keeping the number of treated patients constant and (ii) increasing efficacy and treatment rate. This analysis suggests that successful diagnosis and treatment of a small proportion of patients can contribute significantly to the reduction of disease burden in the countries studied. The largest reduction in HCV-related morbidity and mortality occurs when increased treatment is combined with higher efficacy therapies, generally in combination with increased diagnosis. With a treatment rate of approximately 10%, this analysis suggests it is possible to achieve elimination of HCV (defined as a >90% decline in total infections by 2030). However, for most countries presented, this will require a 3-5 fold increase in diagnosis and/or treatment. Thus, building the public health and clinical provider capacity for improved diagnosis and treatment will be critical.
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| 6. |
- Blasco-Herrera, J., et al.
(författare)
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H alpha kinematics of 11 starburst galaxies selected from the Sloan Digital Sky Survey
- 2013
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Ingår i: Monthly notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 435:3, s. 1958-1983
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Tidskriftsartikel (refereegranskat)abstract
- We present analysis of Fabry-Perot interferometric observations for a sample of 11 starburst galaxies with redshift z less than or similar to 0.03 selected from the Sloan Digital Sky Survey. We have targeted the H alpha lambda 6562.78 emission line at spatial sampling of 0.2arcsec-0.4 arcsec and at spectral resolution of R similar to 16 000. Studying two-dimensional maps for the velocity, velocity dispersion, line emission and continuum deliver new insights into the nature of starburst and postburst galaxies. The velocity fields are fitted to an exponential disc model, providing scalelengths and masses, to be compared with the photometric scalelength and the mass estimated from the velocity dispersions. From the line emission, the star formation rates are also calculated and compared with values in the literature. We have found that between 55 and 64 per cent of our sample show large-scale dominating rotation, while 27 per cent show local rotation typically restricted to the central part of each system. The morphology and line profiles in the centre of eight objects are consistent with a recent merger, while another two seem to be involved in a accretion process which, for the moment, has not disrupted their kinematics.
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| 7. |
- Blasco-Herrera, Javier, et al.
(författare)
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An improved method for statistical studies of the internal kinematics of H ii regions : the case of M83
- 2010
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Ingår i: Monthly notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 407:4, s. 2519-2529
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Tidskriftsartikel (refereegranskat)abstract
- We present the integrated H alpha emission line profile for 157 H ii regions in the central 3.4 x 3.4 arcmin2 of the galaxy M83 (NGC 5236). Using the Fabry-Perot interferometer GH alpha FaS, on the 4.2-m William Herschel Telescope on La Palma, we show the importance of a good characterization of the instrumental response function for the study of line profile shapes. The luminosity-velocity dispersion relation is also studied, and in the log(L)-log(Sigma) plane we do not find a linear relation, but an upper envelope with equation log(L-H alpha) = 0.9 log(Sigma) + 38.1. For the adopted distance of 4.5 Mpc, the upper envelope appears at the luminosity L = 1038.5 erg s-1, in full agreement with previous studies of other galaxies, reinforcing the idea of using H ii regions as standard candles.
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| 8. |
- Blasco-Herrera, Javier, 1981-, et al.
(författare)
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Halpha kinematics of 11 starburst galaxies selected from the Sloan Digital Sky Survey
- 2012
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- We present analysis of Fabry-Perot interferometric observations for a sample of 11starburst galaxies with redshift z . 0.03 selected from the Sloan Digital Sky Survey.We have targeted the H 6562.78 emission line at spatial sampling of 0.002−0.004 andat spectral resolution of R 16000, and studying two-dimensional velocity, velocitydispersion, line emission and continuum maps deliver new insights into the nature ofstarburst and postburst galaxies. The velocity fields are fitted to an exponential discmodel, providing scale lengths and masses, to be compared with the photometric scalelength and the mass estimated from the velocity dispersions. From the line emissionthe star formation rates are also calculated and compared with values in the literature.We have found that between 55% and 64% of our sample show large scale dominatingrotation, while 27% show local rotation typically restricted to the central part of eachsystem. The morphology and line profiles in the centre of eight objects are consistentwith a recent merger, while another two seem to be involved in a accretion processwhich has not disrupted their kin
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| 9. |
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| 10. |
- Font, J., et al.
(författare)
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INTERLOCKING RESONANCE PATTERNS IN GALAXY DISKS
- 2014
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Ingår i: Astrophysical Journal Supplement Series. - : American Astronomical Society. - 0067-0049 .- 1538-4365. ; 210:1
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Tidskriftsartikel (refereegranskat)abstract
- We have developed a method for finding dynamical resonances in disk galaxies using the change in sense of the radial component of the in-plane velocity at a resonance radius. Using simulations we show that we would expect to find these changes at corotation radii with a weaker effect at the Lindblad resonances. The method works well with observations at high spectral and angular resolutions, and is suited to the analysis of two-dimensional velocity fields in Ha from Fabry-Perot spectroscopy. We find clear indications of resonance effects in the disk velocity fields of virtually all of the 104 galaxies. The number of resonance radii detected ranges from one to seven, with a median of four. The frequency curves Omega, Omega +/- kappa/2, Omega +/- kappa/4 against radius for all the galaxies led us to discover a pattern in over 70% of the sample: given two pattern speeds, say Omega(1) and Omega(2), the OLR of Omega(1) coincides with the corotation of Omega(2), and the inner 4: 1 resonance of Omega(2) coincides with the corotation of Omega(1). Although the second coincidence has been predicted, a prediction of this double coincidence is not found in the literature. This pattern is found once in 42 of the galaxies, twice in a further 26, three times in 5, and even four times in 1 galaxy. We also compute the ratio of corotation radius to bar length where we have sufficient image quality, finding a mean value of 1.3, and a shallow increase toward later type galaxies.
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