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- Lennon, Matthew J., et al.
(författare)
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Use of Antihypertensives, Blood Pressure, and Estimated Risk of Dementia in Late Life An Individual Participant Data Meta-Analysis
- 2023
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Ingår i: JAMA NETWORK OPEN. - 2574-3805. ; 6:9
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Tidskriftsartikel (refereegranskat)abstract
- IMPORTANCE The utility of antihypertensives and ideal blood pressure (BP) for dementia prevention in late life remains unclear and highly contested. OBJECTIVES To assess the associations of hypertension history, antihypertensive use, and baseline measured BP in late life (age >60 years) with dementia and the moderating factors of age, sex, and racial group. DATA SOURCE AND STUDY SELECTION Longitudinal, population-based studies of aging participating in the Cohort Studies of Memory in an International Consortium (COSMIC) group were included. Participants were individuals without dementia at baseline aged 60 to 110 years and were based in 15 different countries (US, Brazil, Australia, China, Korea, Singapore, Central African Republic, Republic of Congo, Nigeria, Germany, Spain, Italy, France, Sweden, and Greece). DATA EXTRACTION AND SYNTHESIS Participants were grouped in 3 categories based on previous diagnosis of hypertension and baseline antihypertensive use: healthy controls, treated hypertension, and untreated hypertension. Baseline systolic BP (SBP) and diastolic BP (DBP) were treated as continuous variables. Reporting followed the Preferred Reporting Items for Systematic Review and Meta-Analyses of Individual Participant Data reporting guidelines. MAIN OUTCOMES AND MEASURES The key outcome was all-cause dementia. Mixed-effects Cox proportional hazards models were used to assess the associations between the exposures and the key outcome variable. The association between dementia and baseline BP was modeled using nonlinear natural splines. The main analysis was a partially adjusted Cox proportional hazards model controlling for age, age squared, sex, education, racial group, and a random effect for study. Sensitivity analyses included a fully adjusted analysis, a restricted analysis of those individuals with more than 5 years of follow-up data, and models examining the moderating factors of age, sex, and racial group. RESULTS The analysis included 17 studies with 34 519 community dwelling older adults (20 160 [58.4%] female) with a mean (SD) age of 72.5 (7.5) years and a mean (SD) follow-up of 4.3 (4.3) years. In the main, partially adjusted analysis including 14 studies, individuals with untreated hypertension had a 42% increased risk of dementia compared with healthy controls (hazard ratio [HR], 1.42; 95% CI 1.15-1.76; P =.001) and 26% increased risk compared with individuals with treated hypertension (HR, 1.26; 95% CI, 1.03-1.53; P =.02). Individuals with treated hypertension had no significant increased dementia risk compared with healthy controls (HR, 1.13; 95% CI, 0.99-1.28; P =.07). The association of antihypertensive use or hypertension status with dementia did not vary with baseline BP. There was no significant association of baseline SBP or DBP with dementia risk in any of the analyses. There were no significant interactions with age, sex, or racial group for any of the analyses. CONCLUSIONS AND RELEVANCE This individual patient data meta-analysis of longitudinal cohort studies found that antihypertensive usewas associated with decreased dementia risk compared with individuals with untreated hypertension through all ages in late life. Individuals with treated hypertension had no increased risk of dementia compared with healthy controls.
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| 2. |
- Rajendra Babu Kalai Arasi, Azega, 1995, et al.
(författare)
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Effect of plasma treatment on electrochemical performance of lignin-based carbon fibers
- 2023
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Ingår i: Journal of Electroanalytical Chemistry. - 1572-6657. ; 946
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Tidskriftsartikel (refereegranskat)abstract
- The abundant and renewable nature of lignin obtained from wood renders it as a sustainable carbon resource for energy storage applications. However, their environmentally unfavorable processing conditions and limited energy storage performance prohibit the use of lignin-based carbon materials' use as supercapacitor electrodes. The material's properties require advancement to overcome the limitation of low specific capacitances. In this study, we report on the impact on the electrochemical performance of inherently hydrophobic lignin-based carbon fibers (LCF) by subjecting them to a mild plasma treatment. The electrode’s capacitance was thus increased by 20%, with better rate capability and energy-power performance (11 Wh/kg and 0.8 kW/kg) in the KOH electrolyte. The quantified improvements were attributed to the capacitive functional groups, and enhanced surface wettability, which increased ion accessibility to active surface area improving charge-transfer ability to the surface with more additional functional groups. Remarkably, the selected plasma conditions introduced mostly desirable functional groups that limited any parasitic faradaic reactions prone to affect the device's long-term cycling stability and self-discharge characteristics. Furthermore, the impact of different inherent and introduced oxygen surface functional groups, including COO−, COH, CO, and CO, on the capacitive performance of these fibers at different device conditions (such as cycling and electrochemical activation) was investigated in different aqueous electrolytes. To ensure environmental favorability, the electrospinning of lignin fibers was conducted using a high molecular fraction of lignin without the inclusion of any fossil-based co-spinning polymers.
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