| 1. |
- Broberg, C. S., et al.
(författare)
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Long-Term Outcomes After Atrial Switch Operation for Transposition of the Great Arteries
- 2022
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Ingår i: Journal of the American College of Cardiology. - : Elsevier BV. - 0735-1097. ; 80:10, s. 951-963
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Tidskriftsartikel (refereegranskat)abstract
- Background: For patients with d-loop transposition of the great arteries (d-TGA) with a systemic right ventricle after an atrial switch operation, there is a need to identify risks for end-stage heart failure outcomes. Objectives: The authors aimed to determine factors associated with survival in a large cohort of such individuals. Methods: This multicenter, retrospective cohort study included adults with d-TGA and prior atrial switch surgery seen at a congenital heart center. Clinical data from initial and most recent visits were obtained. The composite primary outcome was death, transplantation, or mechanical circulatory support (MCS). Results: From 1,168 patients (38% female, age at first visit 29 ± 7.2 years) during a median 9.2 years of follow-up, 91 (8.8% per 10 person-years) met the outcome (66 deaths, 19 transplantations, 6 MCS). Patients experiencing sudden/arrhythmic death were younger than those dying of other causes (32.6 ± 6.4 years vs 42.4 ± 6.8 years; P < 0.001). There was a long duration between sentinel clinical events and end-stage heart failure. Age, atrial arrhythmia, pacemaker, biventricular enlargement, systolic dysfunction, and tricuspid regurgitation were all associated with the primary outcome. Independent 5-year predictors of primary outcome were prior ventricular arrhythmia, heart failure admission, complex anatomy, QRS duration >120 ms, and severe right ventricle dysfunction based on echocardiography. Conclusions: For most adults with d-TGA after atrial switch, progress to end-stage heart failure or death is slow. A simplified prediction score for 5-year adverse outcome is derived to help identify those at greatest risk.
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| 2. |
- van Dissel, A. C., et al.
(författare)
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End-stage heart failure in congenitally corrected transposition of the great arteries: a multicentre study
- 2023
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Ingår i: European Heart Journal. - 0195-668X. ; 44:34, s. 3278-3291
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Tidskriftsartikel (refereegranskat)abstract
- Background and Aims For patients with congenitally corrected transposition of the great arteries (ccTGA), factors associated with progression to end-stage congestive heart failure (CHF) remain largely unclear. Methods This multicentre, retrospective cohort study included adults with ccTGA seen at a congenital heart disease centre. Clinical data from initial and most recent visits were obtained. The composite primary outcome was mechanical circulatory support, heart transplantation, or death. Results From 558 patients (48% female, age at first visit 36 & PLUSMN; 14.2 years, median follow-up 8.7 years), the event rate of the primary outcome was 15.4 per 1000 person-years (11 mechanical circulatory support implantations, 12 transplantations, and 52 deaths). Patients experiencing the primary outcome were older and more likely to have a history of atrial arrhythmia. The primary outcome was highest in those with both moderate/severe right ventricular (RV) dysfunction and tricuspid regurgitation (n = 110, 31 events) and uncommon in those with mild/less RV dysfunction and tricuspid regurgitation (n = 181, 13 events, P < .001). Outcomes were not different based on anatomic complexity and history of tricuspid valve surgery or of subpulmonic obstruction. New CHF admission or ventricular arrhythmia was associated with the primary outcome. Individuals who underwent childhood surgery had more adverse outcomes than age- and sex-matched controls. Multivariable Cox regression analysis identified older age, prior CHF admission, and severe RV dysfunction as independent predictors for the primary outcome. Conclusions Patients with ccTGA have variable deterioration to end-stage heart failure or death over time, commonly between their fifth and sixth decades. Predictors include arrhythmic and CHF events and severe RV dysfunction but not anatomy or need for tricuspid valve surgery.
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| 3. |
- Goodwin, L. V., et al.
(författare)
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Swarm in situ observations of F region polar cap patches created by cusp precipitation
- 2015
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Ingår i: Geophysical Research Letters. - 0094-8276 .- 1944-8007. ; 42:4, s. 996-1003
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Tidskriftsartikel (refereegranskat)abstract
- High-resolution in situ measurements from the three Swarm spacecraft, in a string-of-pearls configuration, provide new insights about the combined role of flow channel events and particle impact ionization in creating F region electron density structures in the northern Scandinavian dayside cusp. We present a case of polar cap patch formation where a reconnection-driven low-density relative westward flow channel is eroding the dayside solar-ionized plasma but where particle impact ionization in the cusp dominates the initial plasma structuring. In the cusp, density features are observed which are twice as dense as the solar-ionized background. These features then follow the polar cap convection and become less structured and lower in amplitude. These are the first in situ observations tracking polar cap patch evolution from creation by plasma transport and enhancement by cusp precipitation, through entrainment in the polar cap flow and relaxation into smooth patches as they approach the nightside auroral oval.
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| 4. |
- Zou, Ying, et al.
(författare)
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Localized field-aligned currents in the polar cap associated with airglow patches
- 2016
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Ingår i: Journal of Geophysical Research - Space Physics. - 2169-9380 .- 2169-9402. ; 121:10, s. 10172-10189
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Tidskriftsartikel (refereegranskat)abstract
- Airglow patches have been recently associated with channels of enhanced antisunward ionospheric flows propagating across the polar cap from the dayside to nightside auroral ovals. However, how these flows maintain their localized nature without diffusing away remains unsolved. We examine whether patches and collocated flows are associated with localized field-aligned currents (FACs) in the polar cap by using coordinated observations of the Swarm spacecraft, a polar cap all-sky imager, and Super Dual Auroral Radar Network (SuperDARN) radars. We commonly (66% of cases) identify substantial FAC enhancements around patches, particularly near the patches' leading edge and center, in contrast to what is seen in the otherwise quiet polar cap. These FACs have densities of 0.1-0.2 mu A/m(-2) and have a distribution of width peaking at similar to 75 km. They can be approximated as infinite current sheets that are orientated roughly parallel to patches. They usually exhibit a Region 1 sense, i.e., a downward FAC lying eastward of an upward FAC. With the addition of Resolute Bay Incoherent Scatter radar data, we find that the FACs can close through Pedersen currents in the ionosphere, consistent with the locally enhanced dawn-dusk electric field across the patch. Our results suggest that ionospheric polar cap flow channels are imposed by structures in the magnetospheric lobe via FACs, and thus manifest mesoscale magnetosphere-ionosphere coupling embedded in large-scale convection.
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| 5. |
- Knudsen, D. J., et al.
(författare)
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Thermal ion imagers and Langmuir probes in the Swarm electric field instruments
- 2017
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Ingår i: Journal of Geophysical Research - Space Physics. - : AMER GEOPHYSICAL UNION. - 2169-9380 .- 2169-9402. ; 122:2, s. 2655-2673
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Tidskriftsartikel (refereegranskat)abstract
- The European Space Agency's three Swarm satellites were launched on 22 November 2013 into nearly polar, circular orbits, eventually reaching altitudes of 460 km (Swarm A and C) and 510 km (Swarm B). Swarm's multiyear mission is to make precision, multipoint measurements of low-frequency magnetic and electric fields in Earth's ionosphere for the purpose of characterizing magnetic fields generated both inside and external to the Earth, along with the electric fields and other plasma parameters associated with electric current systems in the ionosphere and magnetosphere. Electric fields perpendicular to the magnetic field.B are determined through ion drift velocity v(i) and magnetic field measurements via the relation.E. = -.vi x.B. Ion drift is derived from two-dimensional images of low-energy ion distribution functions provided by two Thermal Ion Imager (TII) sensors viewing in the horizontal and vertical planes;v(i) is corrected for spacecraft potential as determined by two Langmuir probes (LPs) which also measure plasma density ne and electron temperature T-e. The TII sensors use a microchannel-plate-intensified phosphor screen imaged by a charge-coupled device to generate high-resolution distribution images (66 x 40 pixels) at a rate of 16 s(-1). Images are partially processed on board and further on the ground to generate calibrated data products at a rate of 2 s(-1); these include.vi,.E., and ion temperature T-i in addition to electron temperature Te and plasma density n(e) from the LPs.
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| 6. |
- Balabanski, Anna H., et al.
(författare)
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Incidence of stroke in indigenous populations of countries with a very high human development index : a systematic review
- 2024
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Ingår i: Neurology. - : American Academy of Neurology. - 0028-3878 .- 1526-632X. ; 102:5
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Forskningsöversikt (refereegranskat)abstract
- Background and objectives: Cardiovascular disease contributes significantly to disease burden among many Indigenous populations. However, data on stroke incidence in Indigenous populations are sparse. We aimed to investigate what is known of stroke incidence in Indigenous populations of countries with a very high Human Development Index (HDI), locating the research in the broader context of Indigenous health.Methods: We identified population-based stroke incidence studies published between 1990 and 2022 among Indigenous adult populations of developed countries using PubMed, Embase, and Global Health databases, without language restriction. We excluded non-peer-reviewed sources, studies with fewer than 10 Indigenous people, or not covering a 35- to 64-year minimum age range. Two reviewers independently screened titles, abstracts, and full-text articles and extracted data. We assessed quality using "gold standard" criteria for population-based stroke incidence studies, the Newcastle-Ottawa Scale for risk of bias, and CONSIDER criteria for reporting of Indigenous health research. An Indigenous Advisory Board provided oversight for the study.Results: From 13,041 publications screened, 24 studies (19 full-text articles, 5 abstracts) from 7 countries met the inclusion criteria. Age-standardized stroke incidence rate ratios were greater in Aboriginal and Torres Strait Islander Australians (1.7-3.2), American Indians (1.2), Sámi of Sweden/Norway (1.08-2.14), and Singaporean Malay (1.7-1.9), compared with respective non-Indigenous populations. Studies had substantial heterogeneity in design and risk of bias. Attack rates, male-female rate ratios, and time trends are reported where available. Few investigators reported Indigenous stakeholder involvement, with few studies meeting any of the CONSIDER criteria for research among Indigenous populations.Discussion: In countries with a very high HDI, there are notable, albeit varying, disparities in stroke incidence between Indigenous and non-Indigenous populations, although there are gaps in data availability and quality. A greater understanding of stroke incidence is imperative for informing effective societal responses to socioeconomic and health disparities in these populations. Future studies into stroke incidence in Indigenous populations should be designed and conducted with Indigenous oversight and governance to facilitate improved outcomes and capacity building.
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| 7. |
- Balabanski, Anna H., et al.
(författare)
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The Incidence of Stroke in Indigenous Populations of Countries With a Very High Human Development Index : A Systematic Review Protocol
- 2021
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Ingår i: Frontiers in Neurology. - : Frontiers Media S.A.. - 1664-2295. ; 12
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Forskningsöversikt (refereegranskat)abstract
- Background and Aims: Despite known Indigenous health and socioeconomic disadvantage in countries with a Very High Human Development Index, data on the incidence of stroke in these populations are sparse. With oversight from an Indigenous Advisory Board, we will undertake a systematic review of the incidence of stroke in Indigenous populations of developed countries or regions, with comparisons between Indigenous and non-Indigenous populations of the same region, though not between different Indigenous populations.Methods: Using PubMed, OVID-EMBASE, and Global Health databases, we will examine population-based incidence studies of stroke in Indigenous adult populations of developed countries published 1990-current, without language restriction. Non-peer-reviewed sources, studies including <10 Indigenous People, or with insufficient data to determine incidence, will be excluded. Two reviewers will independently validate the search strategies, screen titles and abstracts, and record reasons for rejection. Relevant articles will undergo full-text screening, with standard data extracted for all studies included. Quality assessment will include Sudlow and Warlow's criteria for population-based stroke incidence studies, the Newcastle-Ottawa Scale for risk of bias, and the CONSIDER checklist for Indigenous research.Results: Primary outcomes include crude, age-specific and/or age-standardized incidence of stroke. Secondary outcomes include overall stroke rates, incidence rate ratio and case-fatality. Results will be synthesized in figures and tables, describing data sources, populations, methodology, and findings. Within-population meta-analysis will be performed if, and where, methodologically sound and comparable studies allow this.Conclusion: We will undertake the first systematic review assessing disparities in stroke incidence in Indigenous populations of developed countries. Data outputs will be disseminated to relevant Indigenous stakeholders to inform public health and policy research.
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| 8. |
- Kovar, Heinrich, et al.
(författare)
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The first European interdisciplinary ewing sarcoma research summit.
- 2012
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Ingår i: Frontiers in oncology. - : Frontiers Media SA. - 2234-943X. ; 2
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Tidskriftsartikel (refereegranskat)abstract
- The European Network for Cancer Research in Children and Adolescents (ENCCA) provides an interaction platform for stakeholders in research and care of children with cancer. Among ENCCA objectives is the establishment of biology-based prioritization mechanisms for the selection of innovative targets, drugs, and prognostic markers for validation in clinical trials. Specifically for sarcomas, there is a burning need for novel treatment options, since current chemotherapeutic treatment protocols have met their limits. This is most obvious for metastatic Ewing sarcoma (ES), where long term survival rates are still below 20%. Despite significant progress in our understanding of ES biology, clinical translation of promising laboratory results has not yet taken place due to fragmentation of research and lack of an institutionalized discussion forum. To fill this gap, ENCCA assembled 30 European expert scientists and five North American opinion leaders in December 2011 to exchange thoughts and discuss the state of the art in ES research and latest results from the bench, and to propose biological studies and novel promising therapeutics for the upcoming European EWING2008 and EWING2012 clinical trials.
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| 9. |
- Lomidze, Levan, et al.
(författare)
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Calibration and Validation of Swarm Plasma Densities and Electron Temperatures Using Ground-Based Radars and Satellite Radio Occultation Measurements
- 2018
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Ingår i: Radio Science. - 0048-6604 .- 1944-799X. ; 53:1, s. 15-36
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Tidskriftsartikel (refereegranskat)abstract
- In this study we calibrate and validate in situ ionospheric electron density (N-e) and temperature (T-e) measured with Langmuir probes (LPs) on the three Swarm satellites orbiting the Earth in circular, nearly polar orbits at similar to 500km altitude. We assess the accuracy and reliability of the LP data (December 2013 to June 2016) by using nearly coincident measurements from low- and middle-latitude incoherent scatter radars (ISRs), low-latitude ionosondes, and Constellation Observing System for Meteorology, Ionosphere, and Climate (COSMIC) satellites, covering all latitudes. The comparison results for plasma frequency (f alpha root Ne) for each Swarm satellite are consistent across these three, principally different measurement techniques. It shows that the Swarm LPs systematically underestimate plasma frequency by about 10% (0.5-0.6MHz). The correlation coefficients are high (0.97), indicating accurate relative variation in the Swarm LP densities. The comparison of T-e from high-gain LPs and those from ISRs reveals that all three satellites overestimate it by 300-400K but exhibit high correlations (0.92-0.97) against the validation data. The low-gain LP T-e data show larger overestimation (similar to 700K) and lower correlation (0.86-0.90). The adjustment of the Swarm LP data based on Swarm-ISR comparison results removes the systematic biases in the Swarm data and gives plasma frequencies and high- and low-gain electron temperatures that are precise within about 0.4MHz (8%), 150-230K, and 260-360K, respectively. We demonstrate that the applied correction significantly improves the agreement between (1) the plasma densities from Swarm, and from ionosondes and COSMIC, and (2) the T-e from Swarm LPs and International Reference Ionosphere 2016.
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| 10. |
- Rehman, S., et al.
(författare)
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Earth magnetic field effects on Swarm electric field instrument
- 2012
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Ingår i: Planetary and Space Science. - : Elsevier BV. - 0032-0633 .- 1873-5088. ; 73:1, s. 145-150
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Tidskriftsartikel (refereegranskat)abstract
- Earth magnetic field effects on the particle sensors carried by the Swarm satellites are investigated using particle in cell (PIC) and test-particle modelling. In the reference frame of the spacecraft in which plasma flows at relative velocity plasma flows at relative velocity (V) over right arrow, Earth magnetic field leads to an ambient electric field, Earth magnetic field leads to an ambient electric field (E) over right arrow = -(V) over right arrow x (B) over right arrow, which affects the shape of particle distribution functions at the particle sensors. This in turn impacts the distribution of particle fluxes on the microchannel plate (MCP) in the ram face mounted thermal ion imagers (TIIs). Shifts in the centroid of these distributions depend on the direction and magnitude of the local magnetic field and, as such, are expected to vary periodically along the spacecraft orbit. The magnitude of these shifts is estimated quantitatively, and the effect of their variation on the calibration and interpretation of the electric field instrument (EFI) are also discussed.
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