| 1. |
- Ferrando, Carlos, et al.
(författare)
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Effects of oxygen on post-surgical infections during an individualised perioperative open-lung ventilatory strategy : a randomised controlled trial
- 2020
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Ingår i: British Journal of Anaesthesia. - : ELSEVIER SCI LTD. - 0007-0912 .- 1471-6771. ; 124:1, s. 110-120
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Tidskriftsartikel (refereegranskat)abstract
- Background: We aimed to examine whether using a high fraction of inspired oxygen (FIO2) in the context of an individualised intra- and postoperative open-lung ventilation approach could decrease surgical site infection (SSI) in patients scheduled for abdominal surgery. Methods: We performed a multicentre, randomised controlled clinical trial in a network of 21 university hospitals from June 6, 2017 to July 19, 2018. Patients undergoing abdominal surgery were randomly assigned to receive a high (0.80) or conventional (0.3) FIO2 during the intraoperative period and during the first 3 postoperative hours. All patients were mechanically ventilated with an open-lung strategy, which included recruitment manoeuvres and individualised positive end-expiratory pressure for the best respiratory-system compliance, and individualised continuous postoperative airway pressure for adequate peripheral oxyhaemoglobin saturation. The primary outcome was the prevalence of SSI within the first 7 postoperative days. The secondary outcomes were composites of systemic complications, length of intensive care and hospital stay, and 6-month mortality. Results: We enrolled 740 subjects: 371 in the high FIO2 group and 369 in the low FIO2 group. Data from 717 subjects were available for final analysis. The rate of SSI during the first postoperative week did not differ between high (8.9%) and low (9.4%) FIO2 groups (relative risk [RR]: 0.94; 95% confidence interval [CI]: 0.59-1.50; P=0.90]). Secondary outcomes, such as atelectasis (7.7% vs 9.8%; RR: 0.77; 95% CI: 0.48-1.25; P=0.38) and myocardial ischaemia (0.6% [n=2] vs 0% [n=0]; P=0.47) did not differ between groups. Conclusions: An oxygenation strategy using high FIO2 compared with conventional FIO2 did not reduce postoperative SSIs in abdominal surgery. No differences in secondary outcomes or adverse events were found.
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| 2. |
- Axfors, Cathrine, et al.
(författare)
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Association between convalescent plasma treatment and mortality in COVID-19 : a collaborative systematic review and meta-analysis of randomized clinical trials
- 2021
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Ingår i: BMC Infectious Diseases. - : BioMed Central (BMC). - 1471-2334. ; 21:1
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Forskningsöversikt (refereegranskat)abstract
- Background: Convalescent plasma has been widely used to treat COVID-19 and is under investigation in numerous randomized clinical trials, but results are publicly available only for a small number of trials. The objective of this study was to assess the benefits of convalescent plasma treatment compared to placebo or no treatment and all-cause mortality in patients with COVID-19, using data from all available randomized clinical trials, including unpublished and ongoing trials (Open Science Framework, ). Methods: In this collaborative systematic review and meta-analysis, clinical trial registries (ClinicalTrials.gov, WHO International Clinical Trials Registry Platform), the Cochrane COVID-19 register, the LOVE database, and PubMed were searched until April 8, 2021. Investigators of trials registered by March 1, 2021, without published results were contacted via email. Eligible were ongoing, discontinued and completed randomized clinical trials that compared convalescent plasma with placebo or no treatment in COVID-19 patients, regardless of setting or treatment schedule. Aggregated mortality data were extracted from publications or provided by investigators of unpublished trials and combined using the Hartung-Knapp-Sidik-Jonkman random effects model. We investigated the contribution of unpublished trials to the overall evidence. Results: A total of 16,477 patients were included in 33 trials (20 unpublished with 3190 patients, 13 published with 13,287 patients). 32 trials enrolled only hospitalized patients (including 3 with only intensive care unit patients). Risk of bias was low for 29/33 trials. Of 8495 patients who received convalescent plasma, 1997 died (23%), and of 7982 control patients, 1952 died (24%). The combined risk ratio for all-cause mortality was 0.97 (95% confidence interval: 0.92; 1.02) with between-study heterogeneity not beyond chance (I-2 = 0%). The RECOVERY trial had 69.8% and the unpublished evidence 25.3% of the weight in the meta-analysis. Conclusions: Convalescent plasma treatment of patients with COVID-19 did not reduce all-cause mortality. These results provide strong evidence that convalescent plasma treatment for patients with COVID-19 should not be used outside of randomized trials. Evidence synthesis from collaborations among trial investigators can inform both evidence generation and evidence application in patient care.
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| 3. |
- Atia Abdalmalak, Kerlos, et al.
(författare)
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Ultrawideband Conical Log-Spiral Circularly Polarized Feed for Radio Astronomy
- 2020
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Ingår i: IEEE Transactions on Antennas and Propagation. - 0018-926X .- 1558-2221. ; 68:3, s. 1995-2007
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Tidskriftsartikel (refereegranskat)abstract
- In order to meet the requirements of the new generation of radio telescopes, we have developed a new topology called DYQSA, which stands for DYson Quad-Spiral Array. The design exhibits dual circular polarization contrary to dual linear polarization of state-of-the-art feeds. It covers the required ultrawideband (UWB) from 2 to 14 GHz with an almost constant and real input impedance which facilitates the design of the feeding structure and the low-noise amplifiers (LNAs). Different versions are investigated for enhancing feed performance, ensuring higher aperture efficiencies and mechanical stability. The simulation results of the reflector loaded by the proposed feed show an aperture efficiency of 65%±5% with a noise antenna temperature around 14 K and a system equivalent flux density (SEFD) of about 1300 Jy, both averaged over the required bandwidth at zenith. Measurements of the single-element and the four-element feeds are presented. Comparisons with other state-of-the-art feeds are shown in terms of total aperture efficiencies, design adaptability to different reflectors, calibration signal injection, and the required number of LNAs per feed, cost, and physical volume.
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| 4. |
- Breznau, Nate, et al.
(författare)
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Observing many researchers using the same data and hypothesis reveals a hidden universe of uncertainty
- 2022
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Ingår i: Proceedings of the National Academy of Sciences of the United States of America. - : National Academy of Sciences. - 0027-8424 .- 1091-6490. ; 119:44
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Tidskriftsartikel (refereegranskat)abstract
- This study explores how researchers analytical choices affect the reliability of scientific findings. Most discussions of reliability problems in science focus on systematic biases. We broaden the lens to emphasize the idiosyncrasy of conscious and unconscious decisions that researchers make during data analysis. We coordinated 161 researchers in 73 research teams and observed their research decisions as they used the same data to independently test the same prominent social science hypothesis: that greater immigration reduces support for social policies among the public. In this typical case of social science research, research teams reported both widely diverging numerical findings and substantive conclusions despite identical start conditions. Researchers expertise, prior beliefs, and expectations barely predict the wide variation in research outcomes. More than 95% of the total variance in numerical results remains unexplained even after qualitative coding of all identifiable decisions in each teams workflow. This reveals a universe of uncertainty that remains hidden when considering a single study in isolation. The idiosyncratic nature of how researchers results and conclusions varied is a previously underappreciated explanation for why many scientific hypotheses remain contested. These results call for greater epistemic humility and clarity in reporting scientific findings.
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| 5. |
- Gómez-Fernández, Paloma, et al.
(författare)
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The Rare IL22RA2 Signal Peptide Coding Variant rs28385692 Decreases Secretion of IL-22BP Isoform-1, -2 and -3 and Is Associated with Risk for Multiple Sclerosis
- 2020
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Ingår i: Cells. - : MDPI AG. - 2073-4409. ; 9:1
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Tidskriftsartikel (refereegranskat)abstract
- The IL22RA2 locus is associated with risk for multiple sclerosis (MS) but causative variants are yet to be determined. In a single nucleotide polymorphism (SNP) screen of this locus in a Basque population, rs28385692, a rare coding variant substituting Leu for Pro at position 16 emerged significantly (p = 0.02). This variant is located in the signal peptide (SP) shared by the three secreted protein isoforms produced by IL22RA2 (IL-22 binding protein-1(IL-22BPi1), IL-22BPi2 and IL-22BPi3). Genotyping was extended to a Europe-wide case-control dataset and yielded high significance in the full dataset (p = 3.17 × 10-4). Importantly, logistic regression analyses conditioning on the main known MS-associated SNP at this locus, rs17066096, revealed that this association was independent from the primary association signal in the full case-control dataset. In silico analysis predicted both disruption of the alpha helix of the H-region of the SP and decreased hydrophobicity of this region, ultimately affecting the SP cleavage site. We tested the effect of the p.Leu16Pro variant on the secretion of IL-22BPi1, IL-22BPi2 and IL-22BPi3 and observed that the Pro16 risk allele significantly lowers secretion levels of each of the isoforms to around 50%-60% in comparison to the Leu16 reference allele. Thus, our study suggests that genetically coded decreased levels of IL-22BP isoforms are associated with augmented risk for MS.
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| 6. |
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| 7. |
- Pérez, Javier, et al.
(författare)
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On-line learning applied to spiking neural network for antilock braking systems
- 2023
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Ingår i: Neurocomputing. - : Elsevier. - 0925-2312 .- 1872-8286. ; 559
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Tidskriftsartikel (refereegranskat)abstract
- Computationally replicating the behaviour of the cerebral cortex to perform the control tasks of daily life in a human being is a challenge today. First, it is necessary to know the structure and connections between the el- ements of the neural network that perform movement control. Next, a mathematical neural model that adequately resembles biological neurons has to be developed. Finally, a suitable learning model that allows adapting neural network response to changing conditions in the environment is also required. Spiking Neural Networks (SNN) are currently the closest approximation to biological neural networks. SNNs make use of temporal spike trains to deal with inputs and outputs, thus allowing a faster and more complex computation. In this paper, a controller based on an SNN is proposed to perform the control of an anti-lock braking system (ABS) in vehicles. To this end, two neural networks are used to regulate the braking force. The first one is devoted to estimating the optimal slip while the second one is in charge of setting the optimal braking pressure. The latter resembles biological reflex arcs to ensure stability during operation. This neural structure is used to control the fast regulation cycles that occur during ABS operation. Furthermore, an algorithm has been developed to train the network while driving. On-line learning is proposed to update the response of the controller. Hence, to cope with real conditions, a control algorithm based on neural networks that learn by making use of neural plasticity, similar to what occurs in biological systems, has been implemented. Neural connections are modulated using Spike-Timing-Dependent Plasticity (STDP) by means of a supervised learning structure using the slip error as input. Road-type detection has been included in the same neural structure. To validate and to evaluate the performance of the proposed algorithm, simulations as well as experiments in a real vehicle were carried out. The algorithm proved to be able to adapt to changes in adhesion conditions rapidly. This way, the capability of spiking neural networks to perform the full control logic of the ABS has been verified.
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| 8. |
- Poyanco, Jose-Manuel, et al.
(författare)
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Two-Dimensional Glide-Symmetric Dielectric Structures for Planar Graded-Index Lens Antennas
- 2021
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Ingår i: IEEE Antennas and Wireless Propagation Letters. - : Institute of Electrical and Electronics Engineers (IEEE). - 1536-1225 .- 1548-5757. ; 20:11, s. 2171-2175
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Tidskriftsartikel (refereegranskat)abstract
- In this letter, we propose and study a 2-D glide-symmetric dielectric periodic structure. We demonstrate that glide symmetry broadens the bandwidth of operation and achieves lower effective refractive indices when compared to non-glide configurations. These two properties are beneficial for producing graded-index lens antennas. To demonstrate the potential of the proposed unit cell, we designed a Luneburg lens operating in the K- and K-a-bands. The lens was manufactured with conventional additive manufacturing and it has a potential use for future wireless communications given its low-cost and low-profile.
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| 9. |
- Santander, Mylena D., et al.
(författare)
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New insights into the six decades of Mesa's hypothesis of chromosomal evolution in Ommexechinae grasshoppers (Orthoptera: Acridoidea)
- 2021
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Ingår i: Zoological Journal of the Linnean Society. - : Oxford University Press. - 0024-4082 .- 1096-3642. ; 193:4, s. 1141-1155
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Tidskriftsartikel (refereegranskat)abstract
- In Acridoidea grasshoppers, chromosomal rearrangements are frequently found as deviations from the standard acrocentric karyotype (2n = 23 male/24 female, FN = 23 male/24 female) in either phylogenetically unrelated species or shared by closely related ones, i.e. genus. In the South American subfamily Ommexechinae, most of the species show a unique karyotype (2n = 23 male/24 female, FN = 25 male/26 female) owing to the occurrence of a large autosomal pair (L-1) with submetacentric morphology. In the early 1960s, Alejo Mesa proposed the hypothesis of an ancestral pericentric inversion to explain this karyotype variation. Furthermore, in Ommexechinae, extra chromosomal rearrangements (e.g. centric fusions) are recorded between the ancestral X chromosome and autosomes that originated the so-called neo-sex chromosomes. However, the evolutionary significance of the pericentric inversions and centric fusions in Ommexechinae remains poorly explored. Aiming for a better understanding of chromosomal evolution in Ommexechinae, we performed a detailed cytogenetic analysis in five species. Our findings support the hypothesis about the occurrence of an early pericentric inversion in the ancestor of Ommexechinae. Moreover, our results show a complex karyotype diversification pattern due to several chromosome rearrangements, variations in heterochromatin and repetitive DNA dynamics. Finally, the chromosomal mapping of U2 snDNA in L-1 provided new insights about the morphological evolution of this autosomal pair and revealed unnoticed chromosome reorganizations.
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| 10. |
- Thorell, Kaisa, 1983, et al.
(författare)
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The Helicobacter pylori Genome Project: insights into H. pylori population structure from analysis of a worldwide collection of complete genomes
- 2023
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Ingår i: Nature Communications. - 2041-1723. ; 14:1
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Tidskriftsartikel (refereegranskat)abstract
- Helicobacter pylori, a dominant member of the gastric microbiota, shares co-evolutionary history with humans. This has led to the development of genetically distinct H. pylori subpopulations associated with the geographic origin of the host and with differential gastric disease risk. Here, we provide insights into H. pylori population structure as a part of the Helicobacter pylori Genome Project (HpGP), a multi-disciplinary initiative aimed at elucidating H. pylori pathogenesis and identifying new therapeutic targets. We collected 1011 well-characterized clinical strains from 50 countries and generated high-quality genome sequences. We analysed core genome diversity and population structure of the HpGP dataset and 255 worldwide reference genomes to outline the ancestral contribution to Eurasian, African, and American populations. We found evidence of substantial contribution of population hpNorthAsia and subpopulation hspUral in Northern European H. pylori. The genomes of H. pylori isolated from northern and southern Indigenous Americans differed in that bacteria isolated in northern Indigenous communities were more similar to North Asian H. pylori while the southern had higher relatedness to hpEastAsia. Notably, we also found a highly clonal yet geographically dispersed North American subpopulation, which is negative for the cag pathogenicity island, and present in 7% of sequenced US genomes. We expect the HpGP dataset and the corresponding strains to become a major asset for H. pylori genomics.
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