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Sökning: WFRF:(Ip W) > (2015-2019)

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  • Ruilope, LM, et al. (författare)
  • Design and Baseline Characteristics of the Finerenone in Reducing Cardiovascular Mortality and Morbidity in Diabetic Kidney Disease Trial
  • 2019
  • Ingår i: American journal of nephrology. - : S. Karger AG. - 1421-9670 .- 0250-8095. ; 50:5, s. 345-356
  • Tidskriftsartikel (refereegranskat)abstract
    • <b><i>Background:</i></b> Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials. <b><i>Patients and</i></b> <b><i>Methods:</i></b> The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate ≥25 mL/min/1.73 m<sup>2</sup> and albuminuria (urinary albumin-to-creatinine ratio ≥30 to ≤5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level α = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure. <b><i>Conclusions:</i></b> FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen. Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049.
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  • Kasliwal, M. M., et al. (författare)
  • Illuminating gravitational waves : A concordant picture of photons from a neutron star merger
  • 2017
  • Ingår i: Science. - : American Association for the Advancement of Science (AAAS). - 0036-8075 .- 1095-9203. ; 358:6370, s. 1559-
  • Tidskriftsartikel (refereegranskat)abstract
    • Merging neutron stars offer an excellent laboratory for simultaneously studying strong-field gravity and matter in extreme environments. We establish the physical association of an electromagnetic counterpart (EM170817) with gravitational waves (GW170817) detected from merging neutron stars. By synthesizing a panchromatic data set, we demonstrate that merging neutron stars are a long-sought production site forging heavy elements by r-process nucleosynthesis. The weak gamma rays seen in EM170817 are dissimilar to classical short gamma-ray bursts with ultrarelativistic jets. Instead, we suggest that breakout of a wide-angle, mildly relativistic cocoon engulfing the jet explains the low-luminosity gamma rays, the high-luminosity ultraviolet-optical-infrared, and the delayed radio and x-ray emission. We posit that all neutron star mergers may lead to a wide-angle cocoon breakout, sometimes accompanied by a successful jet and sometimes by a choked jet.
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  • Zhou, XP, et al. (författare)
  • Non-coding variability at the APOE locus contributes to the Alzheimer's risk
  • 2019
  • Ingår i: Nature communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 10:1, s. 3310-
  • Tidskriftsartikel (refereegranskat)abstract
    • Alzheimer’s disease (AD) is a leading cause of mortality in the elderly. While the coding change of APOE-ε4 is a key risk factor for late-onset AD and has been believed to be the only risk factor in the APOE locus, it does not fully explain the risk effect conferred by the locus. Here, we report the identification of AD causal variants in PVRL2 and APOC1 regions in proximity to APOE and define common risk haplotypes independent of APOE-ε4 coding change. These risk haplotypes are associated with changes of AD-related endophenotypes including cognitive performance, and altered expression of APOE and its nearby genes in the human brain and blood. High-throughput genome-wide chromosome conformation capture analysis further supports the roles of these risk haplotypes in modulating chromatin states and gene expression in the brain. Our findings provide compelling evidence for additional risk factors in the APOE locus that contribute to AD pathogenesis.
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  • Waite, J. H., Jr., et al. (författare)
  • Chemical interactions between Saturn's atmosphere and its rings
  • 2018
  • Ingår i: Science. - : AMER ASSOC ADVANCEMENT SCIENCE. - 0036-8075 .- 1095-9203. ; 362:6410
  • Tidskriftsartikel (refereegranskat)abstract
    • The Pioneer and Voyager spacecraft made close-up measurements of Saturn's ionosphere and upper atmosphere in the 1970s and 1980s that suggested a chemical interaction between the rings and atmosphere. Exploring this interaction provides information on ring composition and the influence on Saturn's atmosphere from infalling material. The Cassini Ion Neutral Mass Spectrometer sampled in situ the region between the D ring and Saturn during the spacecraft's Grand Finale phase. We used these measurements to characterize the atmospheric structure and material influx from the rings. The atmospheric He/H-2 ratio is 10 to 16%. Volatile compounds from the rings (methane; carbon monoxide and/or molecular nitrogen), as well as larger organic-bearing grains, are flowing inward at a rate of 4800 to 45,000 kilograms per second.
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  • Gutierrez, P. J., et al. (författare)
  • Possible interpretation of the precession of comet 67P/Churyumov-Gerasimenko
  • 2016
  • Ingår i: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 590
  • Tidskriftsartikel (refereegranskat)abstract
    • Context. Data derived from the reconstruction of the nucleus shape of comet 67P/Churyumov-Gerasimenko (67P) from images of the OSIRIS camera onboard ROSETTA show evidence that the nucleus rotates in complex mode. First, the orientation of the spin axis is not fixed in an inertial reference frame, which suggests a precessing motion around the angular momentum vector with a periodicity of approximately 257 h +/- 12 h. Second, periodograms of the right ascension and declination (RA/Dec) coordinates of the body-frame Z axis show a very significant (higher than 99.99%) periodicity at 276 h +/- 12 h, different from the rotational period of 12.40 h as previously determined from light-curve analysis. Aims. The main goal is to interpret the data and associated periodicities of the spin axis orientation in space. Methods. We analyzed the spin axis orientation in space and associated periodicities and compared them with solutions of Euler equations under the assumption that the body rotates in torque-free conditions. Statistical tests comparing the observationally derived spin axis orientation with the outcome from simulations were applied to determine the most likely inertia moments, excitation level, and periods. Results. Under the assumption that the body is solid-rigid and rotates in torque-free conditions, the most likely interpretation is that 67P is spinning around the principal axis with the highest inertia moment with a period of about 13 h. At the same time, the comet precesses around the angular momentum vector with a period of about 6.35 h. While the rotating period of such a body would be about 12.4 h, RA/Dec coordinates of the spin axis would have a periodicity of about 270 h as a result of the combination of the two aforementioned motions. Conclusions. The most direct and simple interpretation of the complex rotation of 67P requires a ratio of inertia moments significantly higher than that of a homogeneous body.
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  • Hasselmann, P. H., et al. (författare)
  • The opposition effect of 67P/Churyumov-Gerasimenko on post-perihelion Rosetta images
  • 2017
  • Ingår i: Monthly notices of the Royal Astronomical Society. - : OXFORD UNIV PRESS. - 0035-8711 .- 1365-2966. ; 469, s. S550-S567
  • Tidskriftsartikel (refereegranskat)abstract
    • High-resolution OSIRIS/Rosetta images of 67P/Churyumov-Gerasimenko acquired on the night run of 2016 April 9-10 show, at large scale, an opposition effect (OE) spot sweeping across Imhotep as the phase angle ranges from 0 degrees to 17 degrees. In this work, we fitted the phase curve of the whole surface imaged as well as three particular features using both the linear-exponential and Hapke models. These features encompass different types of spectral behaviour: a circular mesa, one venous structure and an assemblage of bright spots, going from red to blue colours. Both the Hapke and linear-exponential parameters indicate a stepwise sharpening of the OE from bright spots to circular mesa. Yet a very broad nonlinear phase curve is verified and no sign of sharp OE associated with a coherent-backscattering mechanism is observed. We estimate that the 67P surface is dominated by opaque, desiccated and larger-than-wavelength irregular grains. Veins and bright spots display photometric properties consistent with surfaces becoming slightly brighter as they are enriched by high-albedo ice grains. We also report the estimation of normal albedo for all cometary regions observed throughout the image sequence. Comparison to pre-perihelion results indicates that far better insolation of northern brighter regions, i.e. Hapi, Hathor and Seth, is sufficient to explain mismatches on the photometric parameters. However, metre-scale photometric analysis of the Imhotep-Ash boundary area advocates for mild darkening (<7 per cent) of the surface at local scale.
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  • Agarwal, Jessica, et al. (författare)
  • Acceleration of individual, decimetre-sized aggregates in the lower coma of comet 67P/Churyumov-Gerasimenko
  • 2016
  • Ingår i: Monthly notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 462, s. S78-S88
  • Tidskriftsartikel (refereegranskat)abstract
    • We present observations of decimetre-sized, likely ice-containing aggregates ejected from a confined region on the surface of comet 67P/Churyumov-Gerasimenko. The images were obtained with the narrow angle camera of the Optical, Spectroscopic, and Infrared Remote Imaging System on board the Rosetta spacecraft in 2016 January when the comet was at 2 au from the Sun outbound from perihelion. We measure the acceleration of individual aggregates through a 2 h image series. Approximately 50 per cent of the aggregates are accelerated away from the nucleus, and 50 per cent towards it, and likewise towards either horizontal direction. The accelerations are up to one order of magnitude stronger than local gravity, and are most simply explained by the combined effect of gas drag accelerating all aggregates upwards, and the recoil force from asymmetric outgassing, either from rotating aggregates with randomly oriented spin axes and sufficient thermal inertia to shift the temperature maximum away from an aggregate's subsolar region, or from aggregates with variable ice content. At least 10 per cent of the aggregates will escape the gravity field of the nucleus and feed the comet's debris trail, while others may fall back to the surface and contribute to the deposits covering parts of the Northern hemisphere. The rocket force plays a crucial role in pushing these aggregates back towards the surface. Our observations show the future back fall material in the process of ejection, and provide the first direct measurement of the acceleration of aggregates in the innermost coma (<2 km) of a comet, where gas drag is still significant.
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  • Attree, N., et al. (författare)
  • Tensile strength of 67P/Churyumov-Gerasimenko nucleus material from overhangs
  • 2018
  • Ingår i: Astronomy and Astrophysics. - : EDP SCIENCES S A. - 0004-6361 .- 1432-0746. ; 611
  • Tidskriftsartikel (refereegranskat)abstract
    • We directly measured twenty overhanging cliffs on the surface of comet 67P/Churyumov-Gerasimenko extracted from the latest shape model and estimated the minimum tensile strengths needed to support them against collapse under the comet's gravity. We find extremely low strengths of around 1 Pa or less (1 to 5 Pa, when scaled to a metre length). The presence of eroded material at the base of most overhangs, as well as the observed collapse of two features and the implied previous collapse of another, suggests that they are prone to failure and that the true material strengths are close to these lower limits (although we only consider static stresses and not dynamic stress from, for example, cometary activity). Thus, a tensile strength of a few pascals is a good approximation for the tensile strength of the 67P nucleus material, which is in agreement with previous work. We find no particular trends in overhang properties either with size over the similar to 10-100 m range studied here or location on the nucleus. There are no obvious differences, in terms of strength, height or evidence of collapse, between the populations of overhangs on the two cometary lobes, suggesting that 67P is relatively homogenous in terms of tensile strength. Low material strengths are supportive of cometary formation as a primordial rubble pile or by collisional fragmentation of a small body (tens of km).
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  • Auger, A. -T, et al. (författare)
  • Geomorphology of the Imhotep region on comet 67P/Churyumov-Gerasimenko from OSIRIS observations
  • 2015
  • Ingår i: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 583
  • Tidskriftsartikel (refereegranskat)abstract
    • Context. Since August 2014, the OSIRIS Narrow Angle Camera (NAC) onboard the Rosetta spacecraft has acquired high spatial resolution images of the nucleus of comet 67P/Churyumov-Gerasimenko, down to the decimeter scale. This paper focuses on the Imhotep region, located on the largest lobe of the nucleus, near the equator. Aims. We map, inventory, and describe the geomorphology of the Imhotep region. We propose and discuss some processes to explain the formation and ongoing evolution of this region. Methods. We used OSIRIS NAC images, gravitational heights and slopes, and digital terrain models to map and measure the morphologies of Imhotep. Results. The Imhotep region presents a wide variety of terrains and morphologies: smooth and rocky terrains, bright areas, linear features, roundish features, and boulders. Gravity processes such as mass wasting and collapse play a significant role in the geomorphological evolution of this region. Cometary processes initiate erosion and are responsible for the formation of degassing conduits that are revealed by elevated roundish features on the surface. We also propose a scenario for the formation and evolution of the Imhotep region; this implies the presence of large primordial voids inside the nucleus, resulting from its formation process.
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