| 1. |
- Ederle, Joerg, et al.
(author)
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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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In: The Lancet. - 1474-547X. ; 375:9719, s. 985-997
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Journal article (peer-reviewed)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. |
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| 3. |
- Cederwall, Bo, et al.
(author)
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Evidence for a spin-aligned neutron-proton paired phase from the level structure of 92Pd
- 2011
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In: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 469:7328, s. 68-71
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Journal article (peer-reviewed)abstract
- Shell structure and magic numbers in atomic nuclei were generally explained by pioneering work(1) that introduced a strong spin-orbit interaction to the nuclear shell model potential. However, knowledge of nuclear forces and the mechanisms governing the structure of nuclei, in particular far from stability, is still incomplete. In nuclei with equal neutron and proton numbers (N = Z), enhanced correlations arise between neutrons and protons (two distinct types of fermions) that occupy orbitals with the same quantum numbers. Such correlations have been predicted to favour an unusual type of nuclear superfluidity, termed isoscalar neutron-proton pairing(2-6), in addition to normal isovector pairing. Despite many experimental efforts, these predictions have not been confirmed. Here we report the experimental observation of excited states in the N = Z = 46 nucleus Pd-92. Gamma rays emitted following the Ni-58(Ar-36,2n)Pd-92 fusion-evaporation reaction were identified using a combination of state-of-the-art high-resolution c-ray, charged-particle and neutron detector systems. Our results reveal evidence for a spin-aligned, isoscalar neutron-proton coupling scheme, different from the previous prediction(2-6). We suggest that this coupling scheme replaces normal superfluidity (characterized by seniority coupling(7,8)) in the ground and low-lying excited states of the heaviest N = Z nuclei. Such strong, isoscalar neutron-proton correlations would have a considerable impact on the nuclear level structure and possibly influence the dynamics of rapid proton capture in stellar nucleosynthesis.
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| 4. |
- Wang, Zhaoming, et al.
(author)
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Imputation and subset-based association analysis across different cancer types identifies multiple independent risk loci in the TERT-CLPTM1L region on chromosome 5p15.33
- 2014
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In: Human Molecular Genetics. - : Oxford University Press (OUP). - 0964-6906 .- 1460-2083. ; 23:24, s. 6616-6633
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Journal article (peer-reviewed)abstract
- Genome-wide association studies (GWAS) have mapped risk alleles for at least 10 distinct cancers to a small region of 63 000 bp on chromosome 5p15.33. This region harbors the TERT and CLPTM1L genes; the former encodes the catalytic subunit of telomerase reverse transcriptase and the latter may play a role in apoptosis. To investigate further the genetic architecture of common susceptibility alleles in this region, we conducted an agnostic subset-based meta-analysis (association analysis based on subsets) across six distinct cancers in 34 248 cases and 45 036 controls. Based on sequential conditional analysis, we identified as many as six independent risk loci marked by common single-nucleotide polymorphisms: five in the TERT gene (Region 1: rs7726159, P = 2.10 × 10(-39); Region 3: rs2853677, P = 3.30 × 10(-36) and PConditional = 2.36 × 10(-8); Region 4: rs2736098, P = 3.87 × 10(-12) and PConditional = 5.19 × 10(-6), Region 5: rs13172201, P = 0.041 and PConditional = 2.04 × 10(-6); and Region 6: rs10069690, P = 7.49 × 10(-15) and PConditional = 5.35 × 10(-7)) and one in the neighboring CLPTM1L gene (Region 2: rs451360; P = 1.90 × 10(-18) and PConditional = 7.06 × 10(-16)). Between three and five cancers mapped to each independent locus with both risk-enhancing and protective effects. Allele-specific effects on DNA methylation were seen for a subset of risk loci, indicating that methylation and subsequent effects on gene expression may contribute to the biology of risk variants on 5p15.33. Our results provide strong support for extensive pleiotropy across this region of 5p15.33, to an extent not previously observed in other cancer susceptibility loci.
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| 5. |
- Anderson, Beverley H., et al.
(author)
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Mutations in CTC1, encoding conserved telomere maintenance component 1, cause Coats plus
- 2012
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In: Nature Genetics. - : Springer Science and Business Media LLC. - 1061-4036 .- 1546-1718. ; 44:3, s. 338-342
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Journal article (peer-reviewed)abstract
- Coats plus is a highly pleiotropic disorder particularly affecting the eye, brain, bone and gastrointestinal tract. Here, we show that Coats plus results from mutations in CTC1, encoding conserved telomere maintenance component 1, a member of the mammalian homolog of the yeast heterotrimeric CST telomeric capping complex. Consistent with the observation of shortened telomeres in an Arabidopsis CTC1 mutant and the phenotypic overlap of Coats plus with the telomeric maintenance disorders comprising dyskeratosis congenita, we observed shortened telomeres in three individuals with Coats plus and an increase in spontaneous gamma H2AX-positive cells in cell lines derived from two affected individuals. CTC1 is also a subunit of the alpha-accessory factor (AAF) complex, stimulating the activity of DNA polymerase-alpha primase, the only enzyme known to initiate DNA replication in eukaryotic cells. Thus, CTC1 may have a function in DNA metabolism that is necessary for but not specific to telomeric integrity.
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| 6. |
- Andreyev, A. N., et al.
(author)
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Signatures of the Z=82 shell closure in alpha-decay process
- 2013
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In: Physical Review Letters. - : American Physical Society (APS). - 0031-9007 .- 1079-7114. ; 110:24
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Journal article (peer-reviewed)abstract
- In recent experiments at the velocity filter Separator for Heavy Ion reaction Products (SHIP) (GSI, Darmstadt), an extended and improved set of α-decay data for more than 20 of the most neutron-deficient isotopes in the region from lead to thorium was obtained. The combined analysis of this newly available α-decay data, of which the Po186 decay is reported here, allowed us for the first time to clearly show that crossing the Z=82 shell to higher proton numbers strongly accelerates the α decay. From the experimental data, the α-particle formation probabilities are deduced following the Universal Decay Law approach. The formation probabilities are discussed in the framework of the pairing force acting among the protons and the neutrons forming the α particle. A striking resemblance between the phenomenological pairing gap deduced from experimental binding energies and the formation probabilities is noted. These findings support the conjecture that both the N=126 and Z=82 shell closures strongly influence the α-formation probability.
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| 7. |
- Ghazi Moradi, Farnaz, 1976-, et al.
(author)
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Character of particle-hole excitations in Ru-94 deduced from gamma-ray angular correlation and linear polarization measurements
- 2014
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In: Physical Review C. Nuclear Physics. - 0556-2813 .- 1089-490X. ; 89:1, s. 014301-
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Journal article (peer-reviewed)abstract
- Linear polarization and angular correlations of gamma-rays depopulating excited states in the neutron-deficient nucleus Ru-94(44)50 have been measured, enabling firm spin-parity assignments for several excited states in this nucleus. The deduced multipolarities of strong transitions in the yrast structure were found to be mostly of stretched M1, E1, and E2 types and, in most cases, in agreement with previous tentative assignments. The deduced multipolarity of the 1869 keV and the connecting 257 and 1641 keV transitions indicates that the state at 6358 keV excitation energy has spin parity 12(1)(-) rather than 12(3)(+) as proposed in previous works. The presence of a 12(1)(-) state is interpreted within the framework of large-scale shell-model calculations as a pure proton-hole state dominated by the pi(p(1/2)(-1)circle times g(9/2)(-5)) and pi(p(3/2)(-1) g(9/2)(-5)) configurations. A new positive-parity state is observed at 6103 keV and is tentatively assigned as 12(2)(+). The 14(1)(-) state proposed earlier is reassigned as 13(4)(-) and is interpreted as being dominated by neutron particle-hole core excitations. The strengths of several E1 transitions have been measured and are found to provide a signature of core-excited configurations.
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| 8. |
- Ghazi Moradi, Farnaz, et al.
(author)
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Spectroscopy of the neutron-deficient N=50 nucleus Rh-95
- 2014
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In: Physical Review C. Nuclear Physics. - 0556-2813 .- 1089-490X. ; 89:4, s. 044310-
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Journal article (peer-reviewed)abstract
- The neutron-deficient semimagic (neutron number N = 50) Rh-95 nucleus has been produced at high spins using the projectile-target system Ca-40 + Ni-58 at 125 MeV beam energy. The gamma-decays of levels populated by the 3p fusion evaporation reaction channel were studied using gamma-gamma coincidences, and 20 new gamma-ray transitions involving 15 new positive-and negative-parity states were observed. Spin and parity for many of the excited states were firmly deduced for the first time using the combined directional angular correlation and direction-polarization techniques. The observed structures are discussed within the framework of large-scale shell model calculations. E1 transition strengths were deduced and used together with the results of the shell model calculations to study the contribution of different particle-hole configurations, in particular for analyzing contributions from core-excited configurations.
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| 9. |
- Hadinia, B., et al.
(author)
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IN-BEAM gamma-RAY SPECTROSCOPY ABOVE THE HIGH-SPIN ISOMERIC STATE IN Lu-155
- 2013
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In: CAPTURE GAMMA-RAY SPECTROSCOPY AND RELATED TOPICS. - : WORLD SCIENTIFIC PUBL CO PTE LTD. ; , s. 139-144
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Conference paper (peer-reviewed)abstract
- Excited states in Lu-155 have been studied at the Accelerator Laboratory of the University of Jyvaskyla in Finland. The Lu-155 nuclei were populated using the reaction of Ni-58 on (102)pd at a beam energy of 280 MeV. The nuclei of interest were selected using the RITU gas filled recoil separator and the prompt gamma rays belonging to 155Lu were identified using the recoil-decay tagging technique. The gamma-ray transitions de-exciting the excited states above the high-spin isomeric a-decaying state in Lu-155 have been identified. A gamma-ray coincidence analysis shows that the previously reported level scheme for Lu-155 should be revised.
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| 10. |
- Procter, M. G., et al.
(author)
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Anomalous transition strength in the proton-unbound nucleus (109)(53)I56
- 2011
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In: Physics Letters B. - : Elsevier BV. - 0370-2693 .- 1873-2445. ; 704:3, s. 118-122
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Journal article (peer-reviewed)abstract
- A lifetime measurement has been made for the first excited 11/2(+) state in the proton-unbound nucleus (109)(53)I56 using the recoil-distance Doppler-shift method in conjunction with recoil-proton tagging. The experimental reduced transition probability is considerably smaller than the prediction of theoretical shell-model calculations using the CD-Bonn nucleon-nucleon potential. The discrepancy between the theoretical and experimental reduced transition strengths in this work most likely arises from the inability of the current shell-model calculations to accurately account for the behavior of the unbound nuclear states.
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