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- Hibar, D. P., et al.
(författare)
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Cortical abnormalities in bipolar disorder: An MRI analysis of 6503 individuals from the ENIGMA Bipolar Disorder Working Group
- 2018
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Ingår i: Molecular Psychiatry. - : Springer Science and Business Media LLC. - 1359-4184 .- 1476-5578. ; 23:4, s. 932-942
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Tidskriftsartikel (refereegranskat)abstract
- Despite decades of research, the pathophysiology of bipolar disorder (BD) is still not well understood. Structural brain differences have been associated with BD, but results from neuroimaging studies have been inconsistent. To address this, we performed the largest study to date of cortical gray matter thickness and surface area measures from brain magnetic resonance imaging scans of 6503 individuals including 1837 unrelated adults with BD and 2582 unrelated healthy controls for group differences while also examining the effects of commonly prescribed medications, age of illness onset, history of psychosis, mood state, age and sex differences on cortical regions. In BD, cortical gray matter was thinner in frontal, temporal and parietal regions of both brain hemispheres. BD had the strongest effects on left pars opercularis (Cohen's d='0.293; P=1.71 × 10 '21), left fusiform gyrus (d='0.288; P=8.25 × 10 '21) and left rostral middle frontal cortex (d='0.276; P=2.99 × 10 '19). Longer duration of illness (after accounting for age at the time of scanning) was associated with reduced cortical thickness in frontal, medial parietal and occipital regions. We found that several commonly prescribed medications, including lithium, antiepileptic and antipsychotic treatment showed significant associations with cortical thickness and surface area, even after accounting for patients who received multiple medications. We found evidence of reduced cortical surface area associated with a history of psychosis but no associations with mood state at the time of scanning. Our analysis revealed previously undetected associations and provides an extensive analysis of potential confounding variables in neuroimaging studies of BD. © 2018 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.
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| 2. |
- Wiesen, S., et al.
(författare)
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On the role of finite grid extent in SOLPS-ITER edge plasma simulations for JET H-mode discharges with metallic wall
- 2018
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Ingår i: Nuclear Materials and Energy. - : ELSEVIER. - 2352-1791. ; 17, s. 174-181
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Tidskriftsartikel (refereegranskat)abstract
- The impact of the finite grid size in SOLPS-ITER edge plasma simulations is assessed for JET H-mode discharges with a metal wall. For a semi-horizontal divertor configuration it is shown that the separatrix density is at least 30% higher when a narrow scrape-off layer (SOL) grid width is chosen in SOLPS-ITER compared to the case for which the SOL grid width is maximised. The density increase is caused by kinetic neutrals being not confined inside the divertor region because of the reduced extent of the plasma grid. In this case, an enhanced level of reflections of energetic neutrals at the low-field side (LFS) metal divertor wall is observed. This leads to a shift of the ionisation source further upstream which must be accounted for as a numerical artefact. An overestimate in the cooling at the divertor entrance is observed in this case, identified by a reduced heat flux decay parameters lambda(div)(q). Otherwise and further upstream the mid-plane heat decay length lambda(q) parameter is not affected by any change in divertor dissipation. This confirms the assumptions made for the ITER divertor design studies, i.e. that lambda(q) upstream is essentially set by the assumptions for the ratio radial to parallel heat conductivity. It is also shown that even for attached conditions the decay length relations lambda(ne)>lambda(Te)>lambda(q) hold in the near-SOL upstream. Thus for interpretative edge plasma simulations one must take the (experimental) value of lambda(ne) into account, rather than lambda(q), as the former actually defines the required minimum upstream SOL grid extent.
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