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- Guiraud, J., et al.
(författare)
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Sodium Oxybate for Alcohol Dependence: A Network Meta-Regression Analysis Considering Population Severity at Baseline and Treatment Duration
- 2023
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Ingår i: Alcohol and Alcoholism. - : Oxford University Press (OUP). - 0735-0414 .- 1464-3502. ; 58:2, s. 125-133
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Tidskriftsartikel (refereegranskat)abstract
- Aims: The estimated effect of sodium oxybate (SMO) in the treatment of alcohol dependence is heterogeneous. Population severity and treatment duration have been identified as potential effect modifiers. Population severity distinguishes heavy drinking patients with <14 days of abstinence before treatment initiation (high-severity population) from other patients (mild-severity population). Treatment duration reflects the planned treatment duration. This study aimed to systematically investigate the effect of these potential effect moderators on SMO efficacy in alcohol-dependent patients. Methods: Network meta-regression allows for testing potential effect modifiers. It was selected to investigate the effect of the above factors on SMO efficacy defined as continuous abstinence (abstinence rate) and the percentage of days abstinent (PDA). Randomized controlled trials for alcohol dependence with at least one SMO group conducted in high-severity and mild-severity populations were assigned to a high-severity and mild-severity group of studies, respectively. Results: Eight studies (1082 patients) were retained: four in the high-severity group and four in the mild-severity group. The high-severity group was associated with larger SMO effect sizes than the mild-severity group: abstinence rate risk ratio (RR) 3.16, P = 0.004; PDA +26.9%, P < 0.001. For PDA, longer treatment duration was associated with larger SMO effect size: +11.3% per extra month, P < 0.001. In the high-severity group, SMO showed benefit: abstinence rate RR 2.91, P = 0.03; PDA +16.9%, P < 0.001. In the mild-severity group, SMO showed benefit only in PDA for longer treatment duration: +23.9%, P < 0.001. Conclusions: In the retained studies with alcohol-dependent patients, high-severity population and longer treatment duration were associated with larger SMO effect sizes.
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| 2. |
- Mangini, F., et al.
(författare)
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Self-imaging dynamics in nonlinear GRIN multimode optical fibers
- 2020
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Ingår i: Optics InfoBase Conference Papers. - : Optica Publishing Group. - 9781943580804
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Konferensbidrag (refereegranskat)abstract
- We study nonlinear self-imaging dynamics in graded-index multimode optical fibers. Side-scattering of light that accompanies the propagation of intense femtosecond pulses permits us to directly measure the self-imaging period.
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| 3. |
- Sindi, S., et al.
(författare)
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Multimodal Preventive Trial for Alzheimer’s Disease : MIND-ADmini Pilot Trial Study Design and Progress
- 2022
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Ingår i: The Journal of Prevention of Alzheimer's Disease. - : Serdi-Editions. - 2274-5807 .- 2426-0266. ; 9:1, s. 30-39
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Tidskriftsartikel (refereegranskat)abstract
- Background: Interventions simultaneously targeting multiple risk factors and mechanisms are most likely to be effective in preventing cognitive impairment. This was indicated in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) testing a multidomain lifestyle intervention among at-risk individuals. The importance of medical food at the early symptomatic disease stage, prodromal Alzheimer’s disease (AD), was emphasized in the LipiDiDiet trial. The feasibility and effects of multimodal interventions in prodromal AD are unclear. Objectives: To evaluate the feasibility of an adapted FINGER-based multimodal lifestyle intervention, with or without medical food, among individuals with prodromal AD. Methods: MIND-ADmini is a multinational proof-of-concept 6-month randomized controlled trial (RCT), with four trial sites (Sweden, Finland, Germany, France). The trial targeted individuals with prodromal AD defined using the International Working Group-1 criteria, and with vascular or lifestyle-related risk factors. The parallel-group RCT includes three arms: 1) multimodal lifestyle intervention (nutritional guidance, exercise, cognitive training, vascular/metabolic risk management and social stimulation); 2) multimodal lifestyle intervention+medical food (Fortasyn Connect); and 3) regular health advice/ care (control group). Primary outcomes are feasibility and adherence. Secondary outcomes are adherence to the individual intervention domains and healthy lifestyle changes. Results: Screening began on 28 September 2017 and was completed on 21 May 2019. Altogether 93 participants were randomized and enrolled. The intervention proceeded as planned. Conclusions: For the first time, this pilot trial tests the feasibility and adherence to a multimodal lifestyle intervention, alone or combined with medical food, among individuals with prodromal AD. It can serve as a model for combination therapy trials (non-pharma, nutrition-based and/or pharmacological interventions).
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| 4. |
- Zitelli, M., et al.
(författare)
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Spatiotemporal guided bullets in multimode fiber
- 2021
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Ingår i: NONLINEAR FREQUENCY GENERATION AND CONVERSION: MATERIALS AND DEVICES XX. - : SPIE-INT SOC OPTICAL ENGINEERING. - 9781510641761
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Konferensbidrag (refereegranskat)abstract
- Beam self-imaging of ultrashort pulses in nonlinear graded-index (GRIN) multimode optical fibers is of interest for many applications, including spatiotemporal mode-locking in fiber lasers. We obtained a new analytical description for the nonlinear evolution of a laser beam of arbitrary transverse shape propagating in a GRIN fiber. The longitudinal beam evolution could be directly visualized by means of femtosecond laser pulses, propagating in the anomalous or in the normal dispersion regime, leading to light scattering out of the fiber core via the emission of blue photo-luminescence. As the critical power for self-focusing is approached and even surpassed, a host of previously undisclosed nonlinear effects is revealed, including strong multiphoton absorption by oxygen-deficiency center defects and Germanium inclusions, splitting and shifting of the self-imaging period, filamentation, and conical emission of the guided light bullets. We discovered that nonlinear loss has a profound influence on the process of high-order spatiotemporal soliton fission. The beam energy carried by the fiber is clamped to a fixed value, and nonlinear bullet attractors with suppressed Raman frequency shift and fixed temporal duration are generated, leading to highly efficient frequency conversion of the input near-infrared femtosecond pulses into mid-infrared multimode solitons.
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