| 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. |
- Feroci, M., et al.
(författare)
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The large observatory for x-ray timing
- 2014
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Ingår i: Proceedings of SPIE - The International Society for Optical Engineering. - : SPIE. - 9780819496126
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Konferensbidrag (refereegranskat)abstract
- The Large Observatory For x-ray Timing (LOFT) was studied within ESA M3 Cosmic Vision framework and participated in the final downselection for a launch slot in 2022-2024. Thanks to the unprecedented combination of effective area and spectral resolution of its main instrument, LOFT will study the behaviour of matter under extreme conditions, such as the strong gravitational field in the innermost regions of accretion flows close to black holes and neutron stars, and the supranuclear densities in the interior of neutron stars. The science payload is based on a Large Area Detector (LAD, 10 m2 effective area, 2-30 keV, 240 eV spectral resolution, 1° collimated field of view) and a Wide Field Monitor (WFM, 2-50 keV, 4 steradian field of view, 1 arcmin source location accuracy, 300 eV spectral resolution). The WFM is equipped with an on-board system for bright events (e.g. GRB) localization. The trigger time and position of these events are broadcast to the ground within 30 s from discovery. In this paper we present the status of the mission at the end of its Phase A study.
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| 3. |
- Holman, Rury R., et al.
(författare)
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Effect of Nateglinide on the Incidence of Diabetes and Cardiovascular Events
- 2010
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Ingår i: New England Journal of Medicine. - 0028-4793 .- 1533-4406. ; 362:16, s. 1463-1476
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND The ability of short-acting insulin secretagogues to reduce the risk of diabetes or cardiovascular events in people with impaired glucose tolerance is unknown. METHODS In a double-blind, randomized clinical trial, we assigned 9306 participants with impaired glucose tolerance and either cardiovascular disease or cardiovascular risk factors to receive nateglinide (up to 60 mg three times daily) or placebo, in a 2-by-2 factorial design with valsartan or placebo, in addition to participation in a lifestyle modification program. We followed the participants for a median of 5.0 years for incident diabetes (and a median of 6.5 years for vital status). We evaluated the effect of nateglinide on the occurrence of three coprimary outcomes: the development of diabetes; a core cardiovascular outcome that was a composite of death from cardiovascular causes, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure; and an extended cardiovascular outcome that was a composite of the individual components of the core composite cardiovascular outcome, hospitalization for unstable angina, or arterial revascularization. RESULTS After adjustment for multiple testing, nateglinide, as compared with placebo, did not significantly reduce the cumulative incidence of diabetes (36% and 34%, respectively; hazard ratio, 1.07; 95% confidence interval [CI], 1.00 to 1.15; P = 0.05), the core composite cardiovascular outcome (7.9% and 8.3%, respectively; hazard ratio, 0.94, 95% CI, 0.82 to 1.09; P = 0.43), or the extended composite cardiovascular outcome (14.2% and 15.2%, respectively; hazard ratio, 0.93, 95% CI, 0.83 to 1.03; P = 0.16). Nateglinide did, however, increase the risk of hypoglycemia. CONCLUSIONS Among persons with impaired glucose tolerance and established cardiovascular disease or cardiovascular risk factors, assignment to nateglinide for 5 years did not reduce the incidence of diabetes or the coprimary composite cardiovascular outcomes. (ClinicalTrials.gov number, NCT00097786.)
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| 4. |
- McMurray, John J, et al.
(författare)
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Effect of valsartan on the incidence of diabetes and cardiovascular events
- 2010
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Ingår i: New England Journal of Medicine. - 0028-4793 .- 1533-4406. ; 362:16, s. 1477-1490
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: It is not known whether drugs that block the renin-angiotensin system reduce the risk of diabetes and cardiovascular events in patients with impaired glucose tolerance. METHODS: In this double-blind, randomized clinical trial with a 2-by-2 factorial design, we assigned 9306 patients with impaired glucose tolerance and established cardiovascular disease or cardiovascular risk factors to receive valsartan (up to 160 mg daily) or placebo (and nateglinide or placebo) in addition to lifestyle modification. We then followed the patients for a median of 5.0 years for the development of diabetes (6.5 years for vital status). We studied the effects of valsartan on the occurrence of three coprimary outcomes: the development of diabetes; an extended composite outcome of death from cardiovascular causes, nonfatal myocardial infarction, nonfatal stroke, hospitalization for heart failure, arterial revascularization, or hospitalization for unstable angina; and a core composite outcome that excluded unstable angina and revascularization. RESULTS: The cumulative incidence of diabetes was 33.1% in the valsartan group, as compared with 36.8% in the placebo group (hazard ratio in the valsartan group, 0.86; 95% confidence interval [CI], 0.80 to 0.92; P<0.001). Valsartan, as compared with placebo, did not significantly reduce the incidence of either the extended cardiovascular outcome (14.5% vs. 14.8%; hazard ratio, 0.96; 95% CI, 0.86 to 1.07; P=0.43) or the core cardiovascular outcome (8.1% vs. 8.1%; hazard ratio, 0.99; 95% CI, 0.86 to 1.14; P=0.85). CONCLUSIONS: Among patients with impaired glucose tolerance and cardiovascular disease or risk factors, the use of valsartan for 5 years, along with lifestyle modification, led to a relative reduction of 14% in the incidence of diabetes but did not reduce the rate of cardiovascular events. (ClinicalTrials.gov number, NCT00097786.)
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| 5. |
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| 6. |
- Krastins, B., et al.
(författare)
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Rapid development of sensitive, high-throughput, quantitative and highly selective mass spectrometric targeted immunoassays for clinically important proteins in human plasma and serum
- 2013
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Ingår i: Clinical Biochemistry. - : Elsevier BV. - 0009-9120. ; 46:6, s. 399-410
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Tidskriftsartikel (refereegranskat)abstract
- Objectives The aim of this study was to develop high-throughput, quantitative and highly selective mass spectrometric, targeted immunoassays for clinically important proteins in human plasma or serum. Design and methods The described method coupled mass spectrometric immunoassay (MSIA), a previously developed technique for immunoenrichment on a monolithic microcolumn activated with an anti-protein antibody and fixed in a pipette tip, to selected reaction monitoring (SRM) detection and accurate quantification of targeted peptides, including clinically relevant sequence or truncated variants. Results In this report, we demonstrate the rapid development of MSIA-SRM assays for sixteen different target proteins spanning seven different clinically important areas (including neurological, Alzheimer's, cardiovascular, endocrine function, cancer and other diseases) and ranging in concentration from pg/mL to mg/mL. The reported MSIA-SRM assays demonstrated high sensitivity (within published clinical ranges), precision, robustness and high-throughput as well as specific detection of clinically relevant isoforms for many of the target proteins. Most of the assays were tested with bona-fide clinical samples. In addition, positive correlations, (R2 0.67–0.87, depending on the target peptide), were demonstrated for MSIA-SRM assay data with clinical analyzer measurements of parathyroid hormone (PTH) and insulin growth factor 1 (IGF1) in clinical sample cohorts. Conclusions We have presented a practical and scalable method for rapid development and deployment of MS-based SRM assays for clinically relevant proteins and measured levels of the target analytes in bona fide clinical samples. The method permits the specific quantification of individual protein isoforms and addresses the difficult problem of protein heterogeneity in clinical proteomics applications.
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| 7. |
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| 9. |
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| 10. |
- Hyde, Kevin D., et al.
(författare)
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One stop shop: backbones trees for important phytopathogenic genera: I (2014)
- 2014
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Ingår i: Fungal diversity. - : Springer Science and Business Media LLC. - 1560-2745 .- 1878-9129. ; 67:1, s. 21-125
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Tidskriftsartikel (refereegranskat)abstract
- Many fungi are pathogenic on plants and cause significant damage in agriculture and forestry. They are also part of the natural ecosystem and may play a role in regulating plant numbers/density. Morphological identification and analysis of plant pathogenic fungi, while important, is often hampered by the scarcity of discriminatory taxonomic characters and the endophytic or inconspicuous nature of these fungi. Molecular (DNA sequence) data for plant pathogenic fungi have emerged as key information for diagnostic and classification studies, although hampered in part by non-standard laboratory practices and analytical methods. To facilitate current and future research, this study provides phylogenetic synopses for 25 groups of plant pathogenic fungi in the Ascomycota, Basidiomycota, Mucormycotina (Fungi), and Oomycota, using recent molecular data, up-to-date names, and the latest taxonomic insights. Lineage-specific laboratory protocols together with advice on their application, as well as general observations, are also provided. We hope to maintain updated backbone trees of these fungal lineages over time and to publish them jointly as new data emerge. Researchers of plant pathogenic fungi not covered by the present study are invited to join this future effort. Bipolaris, Botryosphaeriaceae, Botryosphaeria, Botrytis, Choanephora, Colletotrichum, Curvularia, Diaporthe, Diplodia, Dothiorella, Fusarium, Gilbertella, Lasiodiplodia, Mucor, Neofusicoccum, Pestalotiopsis, Phyllosticta, Phytophthora, Puccinia, Pyrenophora, Pythium, Rhizopus, Stagonosporopsis, Ustilago and Verticillium are dealt with in this paper.
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| 11. |
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| 12. |
- Johansson, Jens, et al.
(författare)
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Effects of gear oil properties on pitting life in rolling four-ball test configuration
- 2013
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Ingår i: Tribology Transactions. - : Informa UK Limited. - 1040-2004 .- 1547-397X. ; 57:1, s. 104-113
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Tidskriftsartikel (refereegranskat)abstract
- There is a connection between the efficiency of oils and their wear and/or surface damage protective properties, an area not so well described in the literature. One such damage mode is macroscale contact fatigue on gear tooth flank surfaces, also called pitting. The present study is aimed at investigating the correlation between gear oils' physical properties, important in terms of gear transmission losses, and pitting life. Eight gear oils were formulated giving different combinations of base oil, viscosity, and concentration of friction modifiers. All eight oils also contained an additive package designed to meet GL-5 specifications. This study consists of three parts. In the first, the oils' physical properties were measured using a set of bench tests. In the second, the pitting lives of the oils were evaluated using rolling four-ball tests. The third part deals with the correlation between the measured physical properties of the oils and their pitting lives. This is achieved through multiple linear regression, with a view to finding the salient properties that have a significant influence on pitting life. The results show that gear oils' physical properties do have a large influence on the pitting lives. Oil properties that lower interfacial tangential stresses are beneficial in enhancing pitting life.
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| 13. |
- Johansson, Jens, et al.
(författare)
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Pit formation mechanisms in lubricated rolling four-ball tests
- 2012
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Ingår i: 15th Nordic Symposium on Tribology - NordTrib 2012. - Trondheim : Department of Geography, Norwegian University of Science and Technology.
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Konferensbidrag (refereegranskat)abstract
- Pitting due to rolling contact fatigue is a complex phenomenon and several factors influence its occurrence, particularly under lubricated conditions. A deeper understanding of pit formation mechanisms is needed in order to effectively evaluate the pitting behaviour of different lubricants. The present work focuses on investigating the events that lead to pit formation in the lubricated rolling four -ball test by analysing surface degradation, wear mode, material changes and crack initiation sites etc. These investigations have been conducted using two API - GL5 gear oils. These analyses of pitted balls revealed the formation of a low hardness region beneath the surface of the rolling track due to martensite decay. The formation rate and expans ion of this region was found to differ for the two lubricating oils. Examination of the pitted ball has also indicated that the initial rolling contact fatigue cracks were initiated at or close to the surface.
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| 14. |
- Liu, Chia-Chuan, et al.
(författare)
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Geochemical characteristics of the mud volcano fluids in southwestern Taiwan and their possible linkage to elevated arsenic concentration in Chianan plain groundwater
- 2012
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Ingår i: ENVIRONMENTAL EARTH SCIENCES. - : Springer Science and Business Media LLC. - 1866-6280 .- 1866-6299. ; 66:5, s. 1513-1523
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Tidskriftsartikel (refereegranskat)abstract
- Fluid and mud samples were collected from Wushanting (WST), Hsiaokunshui (HKS), Yenshuikeng (YSK), Kuantzeling (KZL), and Kunshuiping (KSP) mud volcanoes of southwestern Taiwan. Concentrations of major ions and trace elements in mud volcanic fluids were analyzed to find the possible linkage to elevated arsenic (As) concentrations in the Chianan plain groundwater. The elevated Na+, K+, and Cl- concentrations indicated possible marine origin of the fluids. The trace element concentrations in the mud volcanic fluids were generally low, but the As concentrations were up to 0.12 mg/L. High contents of As, Fe, and Mn were observed in the mud samples. Saturation index calculations indicated that both carbonate and oxide minerals acted as potential sinks for As in the mud volcanic fluids. Arsenic in the dewatering fluids and muds may be transported by the subsurface flow and surface streams as suspended solids and eventually deposited in the Chianan plain aquifers. Under reducing conditions, As may be released from the host minerals (such as Fe- and Mn-oxides/hydroxides), thereby causing widespread groundwater As pollution.
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| 15. |
- Martinez Avila, Hector, 1985, et al.
(författare)
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Bioprinting of 3D patient-specific auricular scaffolds
- 2012
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Ingår i: Journal of tissue engineering and regenerative medicine. - 1932-6254 .- 1932-7005. ; 6, s. 153-153
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 16. |
- Mofidi, M., et al.
(författare)
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Frictional behaviour of some sealing elastomers in lubricated sliding
- 2012
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Ingår i: 15th Nordic Symposium on Tribology - NordTrib 2012. - Trondheim : Department of Geography, Norwegian University of Science and Technology.
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Konferensbidrag (refereegranskat)abstract
- Frictional behaviour of four sealing elastomers, including an acrylonitrile butadienerubber (NBR), a hydrogenated acrylonitrile butadiene rubber (HNBR), an acrylate rubber(ACM) and a fluoroelastomer (FKM), sliding against a steel surface under unidirectionallubricated conditions have been studied. The lubricant used in this study was paraffinic oilwith no additive and the experiments were conducted under a block-on-ring testconfiguration. The friction coefficients of the elastomers have been measured at differentsliding velocities in boundary and fluid film lubrication regimes. In the first part of each test,the sliding velocity varied from low to high values and then, in the second part, the slidingvelocity varied from high to low values repeating the same conditions in reverse order. Theresults show that the friction coefficients at low speeds are different for the two parts whichcan be due to the oil absorption or possibly dissolution of some elastomer constituents in theoil. The NBR and the ACM were the least and the most affected elastomer by the lubricantrespectively. The friction coefficients of NBR and ACM at low speeds decreased in thesecond part of the tests (in which the interaction of oil and elastomer was for longerdurations) but the friction coefficient of HNBR and FKM increased in the second part of thetests.
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| 17. |
- Pujante, J., et al.
(författare)
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Investigations into wear and galling mechanism of aluminium alloy-tool steel tribopair at different temperatures
- 2013
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Ingår i: Wear. - : Elsevier BV. - 0043-1648 .- 1873-2577. ; 308:1-2, s. 193-198
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Tidskriftsartikel (refereegranskat)abstract
- Aluminium alloys show poor formability at room temperature, and the production of complex components requires a series of high temperature forming processes, such as warm and hot forging, extrusion and hot sheet metal forming. Forming aluminium in these conditions subjects the tools to severe adhesive wear and galling, leading to increased energy needs, shorter tool life, lower part quality and increased cost. In this work, the wear mechanisms generated by aluminium alloys on forming tools have been studied by means of linear reciprocating sliding tests. Aluminium alloy AA2017 balls were slid against DIN 1.2344 (AISI H13) tool steel samples with various surface finishes at temperatures up to 450 °C. The main results show that the observed wear mechanisms are extremely dependent on the system temperature, ranging from pure abrasive wear to formation of layers of compacted aluminium debris and gross aluminium transfer in the form of lumps. On the other hand, tool surface finish has a limited effect on gross material transfer, but does affect the material transfer micromechanisms
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| 18. |
- Tomala, A., et al.
(författare)
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Tribological performance of some solid lubricants for hot forming through laboratory simulative tests
- 2014
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Ingår i: Tribology International. - : Elsevier BV. - 0301-679X .- 1879-2464. ; 74, s. 164-173
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Tidskriftsartikel (refereegranskat)abstract
- Tribological research concerning sliding contacts at temperatures of 500–1000 °C has received limited attention. Industrial systems operating under high temperatures can be readily found in sheet metal forming processes. The control of friction during the tool-workpiece interaction and minimization of tool wear are both crucial in maintaining the products quality. The application of solid lubricants can be a possible approach in accomplishing these goals.The objective of this work is to investigate the reliability of combined model and component tests under solid lubricating conditions. The laboratory tests showed that both methodologies provide consistent results in exploring potential of the solid lubricants
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