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Sökning: WFRF:(Singhal S)

  • Resultat 111-120 av 139
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111.
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112.
  • Lopez-Garcia, SC, et al. (författare)
  • Treatment and long-term outcome in primary distal renal tubular acidosis
  • 2019
  • Ingår i: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association. - : Oxford University Press (OUP). - 1460-2385. ; 34:6, s. 981-991
  • Tidskriftsartikel (refereegranskat)
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113.
  • Nguyen, Thanh N, et al. (författare)
  • Global Impact of the COVID-19 Pandemic on Stroke Volumes and Cerebrovascular Events: A 1-Year Follow-up.
  • 2023
  • Ingår i: Neurology. - 1526-632X. ; 100:4, s. e408-e421
  • Tidskriftsartikel (refereegranskat)abstract
    • Declines in stroke admission, IV thrombolysis (IVT), and mechanical thrombectomy volumes were reported during the first wave of the COVID-19 pandemic. There is a paucity of data on the longer-term effect of the pandemic on stroke volumes over the course of a year and through the second wave of the pandemic. We sought to measure the effect of the COVID-19 pandemic on the volumes of stroke admissions, intracranial hemorrhage (ICH), IVT, and mechanical thrombectomy over a 1-year period at the onset of the pandemic (March 1, 2020, to February 28, 2021) compared with the immediately preceding year (March 1, 2019, to February 29, 2020).We conducted a longitudinal retrospective study across 6 continents, 56 countries, and 275 stroke centers. We collected volume data for COVID-19 admissions and 4 stroke metrics: ischemic stroke admissions, ICH admissions, IVT treatments, and mechanical thrombectomy procedures. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases.There were 148,895 stroke admissions in the 1 year immediately before compared with 138,453 admissions during the 1-year pandemic, representing a 7% decline (95% CI [95% CI 7.1-6.9]; p < 0.0001). ICH volumes declined from 29,585 to 28,156 (4.8% [5.1-4.6]; p < 0.0001) and IVT volume from 24,584 to 23,077 (6.1% [6.4-5.8]; p < 0.0001). Larger declines were observed at high-volume compared with low-volume centers (all p < 0.0001). There was no significant change in mechanical thrombectomy volumes (0.7% [0.6-0.9]; p = 0.49). Stroke was diagnosed in 1.3% [1.31-1.38] of 406,792 COVID-19 hospitalizations. SARS-CoV-2 infection was present in 2.9% ([2.82-2.97], 5,656/195,539) of all stroke hospitalizations.There was a global decline and shift to lower-volume centers of stroke admission volumes, ICH volumes, and IVT volumes during the 1st year of the COVID-19 pandemic compared with the prior year. Mechanical thrombectomy volumes were preserved. These results suggest preservation in the stroke care of higher severity of disease through the first pandemic year.This study is registered under NCT04934020.
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114.
  • Wang, Anqi, et al. (författare)
  • Characterizing prostate cancer risk through multi-ancestry genome-wide discovery of 187 novel risk variants
  • 2023
  • Ingår i: Nature Genetics. - : Springer Nature. - 1061-4036 .- 1546-1718. ; 55:12, s. 2065-2074
  • Tidskriftsartikel (refereegranskat)abstract
    • The transferability and clinical value of genetic risk scores (GRSs) across populations remain limited due to an imbalance in genetic studies across ancestrally diverse populations. Here we conducted a multi-ancestry genome-wide association study of 156,319 prostate cancer cases and 788,443 controls of European, African, Asian and Hispanic men, reflecting a 57% increase in the number of non-European cases over previous prostate cancer genome-wide association studies. We identified 187 novel risk variants for prostate cancer, increasing the total number of risk variants to 451. An externally replicated multi-ancestry GRS was associated with risk that ranged from 1.8 (per standard deviation) in African ancestry men to 2.2 in European ancestry men. The GRS was associated with a greater risk of aggressive versus non-aggressive disease in men of African ancestry (P = 0.03). Our study presents novel prostate cancer susceptibility loci and a GRS with effective risk stratification across ancestry groups.
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115.
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116.
  • Wheelwright, S, et al. (författare)
  • International validation of the EORTC QLQ-ELD14 questionnaire for assessment of health-related quality of life elderly patients with cancer.
  • 2013
  • Ingår i: British journal of cancer. - : Springer Science and Business Media LLC. - 1532-1827 .- 0007-0920. ; 109:4, s. 852-8
  • Tidskriftsartikel (refereegranskat)abstract
    • Background:Older people represent the majority of cancer patients but their specific needs are often ignored in the development of health-related quality of life (HRQOL) instruments. The European Organisation for Research and Treatment of Cancer (EORTC) QLQ-ELD15 was developed to supplement the EORTC's core questionnaire, the QLQ-C30, for measuring HRQOL in patients aged >70 years in oncology studies.Methods:Patients (n=518) from 10 countries completed the QLQ-C30, QLQ-ELD15 and a debriefing interview. Eighty two clinically stable patients repeated the questionnaires 1 week later (test-retest analysis) and 107 others, with an expected change in clinical status, repeated the questionnaires 3 months later (response to change analysis, RCA).Results:Information from the debriefing interview, factor analysis and item response theory analysis resulted in the removal of one item (QLQ-ELD15QLQ-ELD14) and revision of the proposed scale structure to five scales (mobility, worries about others, future worries, maintaining purpose and illness burden) and two single items (joint stiffness and family support). Convergent validity was good. In known-group comparisons, the QLQ-ELD14 differentiated between patients with different disease stage, treatment intention, number of comorbidities, performance status and geriatric screening scores. Test-retest and RCA analyses were equivocal.Conclusion:The QLQ-ELD14 is a validated HRQOL questionnaire for cancer patients aged 70 years. Changes in elderly patients' self-reported HRQOL may be related to both cancer evolution and non-clinical events.
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117.
  • Singhal, R., et al. (författare)
  • Reynolds Stress Gradient and Vorticity Fluxes in Axisymmetric Turbulent Jet and Plume
  • 2021
  • Ingår i: Lect. Notes Mech. Eng.. - Singapore : Springer Nature. ; , s. 403-411
  • Konferensbidrag (refereegranskat)abstract
    • The relation between the Reynolds stress gradient and the vorticity fluxes in a turbulent shear flow has been known since the time of G. I. Taylor. With recent advances in scientific computing, this question has received a renewed attention. In this work, we present results from a well-resolved direct numerical simulation of an axisymmetric turbulent jet and plume. The simulation reproduces the self-preserving features of the two flows reported in the literature and satisfies the identity relating the Reynolds stress derivative to the vorticity fluxes, to a reasonably good degree, establishing the veracity of the simulation. The axial derivative term in the identity is shown to be negligibly small, particularly when the jet/plume is in a self-preserving state. The radial profiles of the two vorticity fluxes for the jet and plume are nearly identical, suggesting a similarity of the underlying structure. The significant result is that the vorticity flux term involving the radial vorticity and azimuthal velocity is non-zero in the core of the jet as well as plume, while it is zero in the outer region of these flows. Furthermore, this term, in the core of the flow, is equal in magnitude (but opposite in sign) to the second flux term relating azimuthal vorticity and radial velocity. Coherent vorticity in the outer region of the jet/plume is in the form of hairpin vortices whereas in the core of these flows it shows a more complex shape.
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118.
  • Singhal, R., et al. (författare)
  • Virus transmission by aerosol transport during short conversations
  • 2022
  • Ingår i: Flow. - : Cambridge University Press (CUP). - 2633-4259. ; 2
  • Tidskriftsartikel (refereegranskat)abstract
    • The SARS-CoV-2 is transmitted not only through coughing, but also through breathing, speaking or singing. We perform direct numerical simulations of the turbulent transport of potentially infectious aerosols in short conversations, involving repetitive phrases separated by quiescent intervals. We estimate that buoyancy effects due to droplet evaporation are small, and neglect them. A two-way conversation is shown to significantly reduce the aerosol exposure compared with a relative monologue by one person and relative silence of the other. This is because of the 'cancelling' effect produced by the two interacting speech jets. Unequal conversation is shown to significantly increase the infection risk to the person who talks less. Interestingly, a small height difference is worse for infection spread, due to reduced interference between the speech jets, than two faces at the same level. For small axial separation, speech jets show large oscillations and reach the other person intermittently. We suggest a range of lateral separations between two people to minimize transmission risk. A realistic estimate of the infection probability is provided by including exposure through the eyes and mouth, in addition to the more common method of using inhaled virions alone. We expect that our results will provide useful inputs to epidemiological models and to disease management. 
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119.
  • Kasliwal, M. M., et al. (författare)
  • iPTF SEARCH FOR AN OPTICAL COUNTERPART TO GRAVITATIONAL- WAVE TRANSIENT GW150914
  • 2016
  • Ingår i: Astrophysical Journal Letters. - 2041-8205 .- 2041-8213. ; 824:2
  • Tidskriftsartikel (refereegranskat)abstract
    • The intermediate Palomar Transient Factory (iPTF) autonomously responded to and promptly tiled the error region of the first gravitational-wave event GW150914 to search for an optical counterpart. Only a small fraction of the total localized region was immediately visible in the northern night sky, due both to Sun-angle and elevation constraints. Here, we report on the transient candidates identified and rapid follow-up undertaken to determine the nature of each candidate. Even in the small area imaged of 126 deg(2), after extensive filtering, eight candidates were deemed worthy of additional follow-up. Within two hours, all eight were spectroscopically classified by the Keck II telescope. Curiously, even though such events are rare, one of our candidates was a superluminous supernova. We obtained radio data with the Jansky Very Large Array and X-ray follow-up with the Swift satellite for this transient. None of our candidates appear to be associated with the gravitational-wave trigger, which is unsurprising given that GW150914 came from the merger of two stellar-mass black holes. This end-to-end discovery and follow-up campaign bodes well for future searches in this post-detection era of gravitational waves.
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120.
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