| 1. |
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| 2. |
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| 3. |
- Asano, H., et al.
(författare)
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Spectroscopic study of the Λ(1405) resonance via the d (K-, n) reaction at J-PARC
- 2019
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Ingår i: 13th International Conference on Hypernuclear and Strange Particle Physics, HYP 2018. - : AIP Publishing. - 9780735418721 ; 2130
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Konferensbidrag (refereegranskat)abstract
- The structure of the Λ(1405) hyperon is an important and long-standing issue related to the K̄-nucleus interaction. The J-PARC E31 experiment has been performed to investigate the Λ(1405) spectrum shape. Because it is hard to form the Λ(1405) directly by a K̄N scattering in free space, E31 uses the d(K-, n) reaction with an incident kaon momentum of 1 GeV/c. We will identify three final states - ς-π+, ς+π-, ς0π0-so that the isospin structure of hyperon resonance states produced can be decomposed. The first physics run of the E31 experiment was performed in 2016. To enhance the statistics of the data set, we have performed the second physics run in the beginning of 2018. During the second run of E31, around 3.9×1010 kaons impacted on the deuteron target.
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| 4. |
- Yamaga, Takumi, et al.
(författare)
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Study of the elementary (K -, n) reactions to search for the K NN bound state via the 3He (K -, n) reaction at J-PARC
- 2016
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Ingår i: XVIth International Conference on Hadron Spectroscopy, Hadron 2015. - : Author(s). - 9780735413894 ; 1735
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Konferensbidrag (refereegranskat)abstract
- We have searched for the simplest kaonic nuclear state, K̄NN, using the in-flight 3He (K-, n) reaction at the J-PARC hadron experimental facility. In the semi-inclusive neutron missing-mass spectrum at θnlab=0°, an excess of yield was observed just below the K- pp mass-threshold, which cannot be explained by any elementary reactions [PTEP 2015, 061D01]. To understand the missing-mass spectrum of 3He (K-, n) X, we investigated the elementary (K-, n) reactions using hydrogen and deuterium targets. The p (K-, n) X missing-mass spectrum was well described by the charge-exchange reaction. However, in the d (K-, n) X spectrum, we observed an excess of yield just below the K- p mass-threshold, which was similar to that in the 3He (K-, n) X spectrum.
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| 5. |
- Sada, Y., et al.
(författare)
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Structure near the K- + p + p threshold in the in-flight 3He(K-, Λp)n reaction
- 2016
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Ingår i: Progress of Theoretical and Experimental Physics. - : Oxford University Press (OUP). - 2050-3911. ; 2016:5
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Tidskriftsartikel (refereegranskat)abstract
- To search for an S = -1 di-baryonic state which decays toΛp, the 3He(K-,Λp)nmissing reaction was studied at 1.0 GeV/c. Unobserved neutrons were kinematically identified from the missing mass MX of the 3He (K-,Λp) X reaction in order to have a large acceptance for the Λpn final state. The observed Λpn events, distributed widely over the kinematically allowed region of the Dalitz plot, establish that the major component comes from a three-nucleon absorption process. A concentration of events at a specific neutron kinetic energy was observed in a region of low momentum transfer to the Λp. To account for the observed peak structure, the simplest S-wave polewas assumed to exist in the reaction channel, having a Breit-Wigner formin energy and with a Gaussian form factor. A minimum X2 method was applied to deduce its mass, MX = 2355+6 -8 (stat.) ±12 (syst.)MeV/c2, and decay width, γX = 110+19 -17 (stat.) ±27 (syst.)MeV/c2, respectively. The form factor parameter QX ∼ 400MeV/c implies that the range of the interaction is about 0.5 fm.
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| 6. |
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| 7. |
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| 8. |
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| 9. |
- Tang, C. A., et al.
(författare)
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Numerical investigation of particle breakage as applied to mechanical crushing—Part I: Single-particle breakage
- 2001
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Ingår i: International Journal of Rock Mechanics And Mining Sciences. - 1365-1609 .- 1873-4545. ; 38:8, s. 1147-1162
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Tidskriftsartikel (refereegranskat)abstract
- A numerical approach to particle breakage is applied using the Rock Failure Process Analysis code, RFPA (super 2D) . The numerical tool is validated by simulating the Brazilian test with a two-dimensional disk sample. Then two irregularly shaped particles with an exact geometry and exact mechanical properties are numerically modelled to investigate their breakage behaviour under unconfined and confined loading conditions. The numerical results indicate that the dominant mode of failure is catastrophic splitting and progressive crushing, which mainly depends on the loading conditions with respect to confinement. The analysis of the load-displacement curves obtained from the simulations suggests a brittle-ductile transition between the two cases. The lateral constraint increases the initial stiffness and the maximum breakage strength of the particle. Most of the energy released during the failure process comes from the crushing of highly stressed areas, particularly, in the vicinity of the contact points where a crushed zone forms. It is also found that the particle shape governs the breakage strength in addition to the material properties themselves, and that the heterogeneity of the particles governs the fracture propagation paths
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| 10. |
- Abudurexiti, A, et al.
(författare)
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Taxonomy of the order Bunyavirales: update 2019
- 2019
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Ingår i: Archives of virology. - : Springer Science and Business Media LLC. - 1432-8798 .- 0304-8608. ; 164:7, s. 1949-1965
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Tidskriftsartikel (refereegranskat)
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| 11. |
- Apers, Silke, et al.
(författare)
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Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease - International Study (APPROACH-IS) : Rationale, design, and methods
- 2015
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Ingår i: International Journal of Cardiology. - : Elsevier BV. - 0167-5273 .- 1874-1754. ; 179, s. 334-342
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Tidskriftsartikel (refereegranskat)abstract
- Background: Data on patient-reported outcomes (PROs) in adults with congenital heart disease (CHD) are inconsistent and vary across the world. Better understanding of PROs and their differences across cultural and geographic barriers can best be accomplished via international studies using uniform research methods. The APPROACH-IS consortium (Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease - International Study) was created for this purpose and investigates PROs in adults with CHD worldwide. This paper outlines the project rationale, design, and methods. Methods/design: APPROACH-IS is a cross-sectional study. The goal is to recruit 3500-4000 adults with CHD from 15 countries in five major regions of the world (Asia, Australia, Europe, North and South America). Self-report questionnaires are administered to capture information on PRO domains: (i) perceived health status (12-item Short-form Health Survey & EuroQOL-5D); (ii) psychological functioning (Hospital Anxiety and Depression Scale); (iii) health behaviors (Health-Behavior Scale-Congenital Heart Disease); and (iv) quality of life (Linear Analog Scale & Satisfaction With Life Scale). Additionally, potential explanatory variables are assessed: (i) socio-demographic variables; (ii) medical history (chart review); (iii) sense of coherence (Orientation to Life Questionnaire); and (iv) illness perceptions (Brief Illness Perception Questionnaire). Descriptive analyses and multilevel models will examine differences in PROs and investigate potential explanatory variables. Discussion: APPROACH-IS represents a global effort to increase research understanding and capacity in the field of CHD, and will have major implications for patient care. Results will generate valuable information for developing interventions to optimize patients' health and well-being.
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| 12. |
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| 13. |
- Callus, Edward, et al.
(författare)
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Phenotypes of adults with congenital heart disease around the globe : a cluster analysis.
- 2021
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Ingår i: Health and Quality of Life Outcomes. - : Springer Science and Business Media LLC. - 1477-7525. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To derive cluster analysis-based groupings for adults with congenital heart disease (ACHD) when it comes to perceived health, psychological functioning, health behaviours and quality of life (QoL).METHODS: This study was part of a larger worldwide multicentre study called APPROACH-IS; a cross sectional study which recruited 4028 patients (2013-2015) from 15 participating countries. A hierarchical cluster analysis was performed using Ward's method in order to group patients with similar psychological characteristics, which were defined by taking into consideration the scores of the following tests: Sense Of Coherence, Health Behavior Scale (physical exercise score), Hospital Anxiety Depression Scale, Illness Perception Questionnaire, Satisfaction with Life Scale and the Visual Analogue Scale scores of the EQ-5D perceived health scale and a linear analogue scale (0-100) measuring QoL.RESULTS: 3768 patients with complete data were divided into 3 clusters. The first and second clusters represented 89.6% of patients in the analysis who reported a good health perception, QoL, psychological functioning and the greatest amount of exercise. Patients in the third cluster reported substantially lower scores in all PROs. This cluster was characterised by a significantly higher proportion of females, a higher average age the lowest education level, more complex forms of congenital heart disease and more medical comorbidities.CONCLUSIONS: This study suggests that certain demographic and clinical characteristics may be linked to less favourable health perception, quality of life, psychological functioning, and health behaviours in ACHD. This information may be used to improve psychosocial screening and the timely provision of psychosocial care.
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| 14. |
- Daelman, Bo, et al.
(författare)
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Frailty and cognitive function in middle-aged and older adults with congenital heart disease
- 2024
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Ingår i: Journal of the American College of Cardiology. - : Elsevier. - 0735-1097 .- 1558-3597. ; 83:12, s. 1149-1159
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Tidskriftsartikel (refereegranskat)abstract
- Background: Life expectancy of patients with congenital heart disease (CHD) has increased rapidly, resulting in a growing and aging population. Recent studies have shown that older people with CHD have higher morbidity, health care use, and mortality. To maintain longevity and quality of life, understanding their evolving medical and psychosocial challenges is essential.Objectives: The authors describe the frailty and cognitive profile of middle-aged and older adults with CHD to identify predictor variables and to explore the relationship with hospital admissions and outpatient visits.Methods: Using a cross-sectional, multicentric design, we included 814 patients aged ≥40 years from 11 countries. Frailty phenotype was determined using the Fried method. Cognitive function was assessed by the Montreal Cognitive Assessment.Results: In this sample, 52.3% of patients were assessed as robust, 41.9% as prefrail, and 5.8% as frail; 38.8% had cognitive dysfunction. Multinomial regression showed that frailty was associated with older age, female sex, higher physiologic class, and comorbidities. Counterintuitively, patients with mild heart defects were more likely than those with complex lesions to be prefrail. Patients from middle-income countries displayed more prefrailty than those from higher-income countries. Logistic regression demonstrated that cognitive dysfunction was related to older age, comorbidities, and lower country-level income.Conclusions: Approximately one-half of included patients were (pre-)frail, and more than one-third experienced cognitive impairment. Frailty and cognitive dysfunction were identified in patients with mild CHD, indicating that these concerns extend beyond severe CHD. Assessing frailty and cognition routinely could offer valuable insights into this aging population.
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| 15. |
- Duarte, Margarida Taborda, et al.
(författare)
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Microstructural modeling approach applied to rock material
- 2005
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Ingår i: Journal of materials engineering and performance (Print). - : Springer Science and Business Media LLC. - 1059-9495 .- 1544-1024 .- 0000-0000. ; 14:1, s. 104-111
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Tidskriftsartikel (refereegranskat)abstract
- The importance of the microstructural parameters in rock mechanical behavior has been investigated by several authors. Moreover, the Weibull statistical model has been used to characterize the heterogeneity of several materials on the basis of the concept that the microscopic defects within the material determine their mechanical strength. The modeling of different rocks is a topic that is fundamental for the prediction of rock fragmentation. In this article, the analysis of rock microstructure is performed using the microstructural modeling approach, which consists of the simplification, quantification, and modeling of the main properties of rock microstructure. The grain size, grain shape, and microcracks are modeled by means of statistical density functions, namely, Cauchy, chi-squared, exponential, extreme value, gamma, Laplace, normal, uniform, and Weibull. It is found that the Weibull distribution is the most appropriate statistical model of the grain size and grain shape, when compared with the other eight statistical models. Regarding microcracks, the results show that the gamma distribution is the most appropriate model. The Weibull and gamma distributions are then used to analyze the heterogeneity of the microstructure. This is done by comparison of the statistical models of each microstructural property evaluated in several thin sections of the same rock. It is found that with respect to grain size and grain shape, the rock is homogeneous, while the size distribution of the microcracks shows a clear trend toward less homogeneity. The microstructural modeling approach is important for modeling, characterizing, and analyzing the microstructure of rock material. Among other applications, it can be used to explain differences in the mechanical behavior obtained in testing several specimens.
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| 16. |
- Einarsdottir, E., et al.
(författare)
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CELSR2 is a candidate susceptibility gene in idiopathic scoliosis
- 2017
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Ingår i: PLoS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 12:12
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Tidskriftsartikel (refereegranskat)abstract
- A Swedish pedigree with an autosomal dominant inheritance of idiopathic scoliosis was initially studied by genetic linkage analysis, prioritising genomic regions for further analysis. This revealed a locus on chromosome 1 with a putative risk haplotype shared by all affected individuals. Two affected individuals were subsequently exome-sequenced, identifying a rare, non-synonymous variant in the CELSR2 gene. This variant is rs141489111, a c. G6859A change in exon 21 (NM_001408), leading to a predicted p. V2287I (NP_001399.1) change. This variant was found in all affected members of the pedigree, but showed reduced penetrance. Analysis of tagging variants in CELSR1-3 in a set of 1739 Swedish-Danish scoliosis cases and 1812 controls revealed significant association (p = 0.0001) to rs2281894, a common synonymous variant in CELSR2. This association was not replicated in case-control cohorts from Japan and the US. No association was found to variants in CELSR1 or CELSR3. Our findings suggest a rare variant in CELSR2 as causative for idiopathic scoliosis in a family with dominant segregation and further highlight common variation in CELSR2 in general susceptibility to idiopathic scoliosis in the Swedish-Danish population. Both variants are located in the highly conserved GAIN protein domain, which is necessary for the auto-proteolysis of CELSR2, suggesting its functional importance.
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| 17. |
- Fan, W., et al.
(författare)
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Investigation of magnetization dynamics damping in Ni80Fe20/Nd-Cu bilayer at room temperature
- 2018
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Ingår i: AIP Advances. - : American Institute of Physics (AIP). - 2158-3226. ; 8:5
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Tidskriftsartikel (refereegranskat)abstract
- Focusing on the Ni80Fe20 (Py)/Nd-Cu bilayers, the magnetization dynamic damping from spin pumping effect is investigated systematically by doping itinerant Cu in rear earth metal Nd. Various Ta/Py/Nd1-xCux/Ta/Si films with x = 0%, 16%, 38%, 46% and 58% are prepared by magnetron sputtering. For every content of Cu, the thickness of Nd-Cu layer is changed from 1 nm to 32 nm. The damping coefficient increases with increasing the thickness of Nd-Cu layer, which shows the trend of the spin pumping behavior. Also, with increasing Cu concentration in the Nd-Cu layer, the damping coefficient decreases, implying that the spin-orbit coupling in Nd-Cu layer is indeed cut down by high itinerant of Cu dopants. It is interesting that the spin diffusion length (λSD) in the Nd-Cu layer for different Cu dopants is not found to increase monotonously.
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| 18. |
- Ko, Jong Mi, et al.
(författare)
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Differential impact of physical activity type on depression in adults with congenital heart disease : A multi-center international study
- 2019
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Ingår i: Journal of Psychosomatic Research. - : Elsevier BV. - 0022-3999 .- 1879-1360. ; 124
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: This study aimed to examine the association between physical activity (PA) and depression in a large international cohort of adults with congenital heart disease (ACHD) as data about the differential impact of PA type on depression in this population are lacking.METHODS: In 2018, we conducted a cross-sectional assessment of 3908 ACHD recruited from 24 ACHD-specialized centers in 15 countries between April 2013 to March 2015. The Hospital Anxiety and Depression Scale was used to assess self-reported depressive symptoms and the Health-Behavior Scale-Congenital Heart Disease was used to collect PA information. Cochran-Armitage tests were performed to assess trends between depressive symptom levels and PA participation. Chi-Square and Wilcoxon Rank Sum tests were utilized to examine relations between depressive symptom levels and patient characteristics. Stepwise multivariable models were then constructed to understand the independent impact of PA on depressive symptoms.RESULTS: The overall prevalence of elevated depressive symptoms in this sample was 12% with significant differences in rates between countries (p < .001). Physically active individuals were less likely to be depressed than those who were sedentary. Of the 2 PA domains examined, sport participation rather than active commute was significantly associated with reduced symptoms of depression. After adjustment in multivariable analysis, sport participation was still significantly associated with 38% decreased probability of depressive symptoms (p < .001).CONCLUSIONS: Sport participation is independently associated with reduced depressive symptoms. The development and promotion of sport-related exercise prescriptions uniquely designed for ACHD may improve depression status in this unique population.
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| 19. |
- Ko, Jong Mi, et al.
(författare)
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Physical Activity-Related Drivers of Perceived Health Status in Adults With Congenital Heart Disease
- 2018
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Ingår i: American Journal of Cardiology. - : Elsevier BV. - 0002-9149 .- 1879-1913. ; 122:8, s. 1437-1442
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Tidskriftsartikel (refereegranskat)abstract
- Data on the differential impact of physical activity on perceived health status (PHS) in a large adult congenital heart disease (ACHD) patient population are lacking. We conducted a cross-sectional assessment of 4,028 ACHD patients recruited from 24 ACHD-specialized centers in 15 countries across 5 continents to examine the association between physical activity and PHS in a large international cohort of ACHD patients. A linear analog scale of the EuroQol-5D 3 level version and the 12-item Short Form Health Survey-version 2 were used to assess self-reported health status and the Health-Behavior Scale-Congenital Heart Disease was used as a subjective measurement of physical activity type, participation, and level. Correlation analyses and Wilcoxon Rank Sum tests examined bivariate relations between sample characteristics and PHS scores. Then, multivariable models were constructed to understand the impact of physical activity on PHS. Only 30% of our sample achieved recommended physical activity levels. Physically active patients reported better PHS than sedentary patients; however, the amount of physical activity was not associated with PHS. Further statistical analyses demonstrated that specifically sport participation regardless of physical activity level was a predictor of PHS. In conclusion, the majority of ACHD patients across the world are physically inactive. Sport participation appears to be the primary physical activity-related driver of PHS. By promoting sport-related exercise ACHD specialists thus may improve PHS in ACHD patients.
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| 20. |
- Kou, I, et al.
(författare)
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A multi-ethnic meta-analysis confirms the association of rs6570507 with adolescent idiopathic scoliosis
- 2018
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Ingår i: Scientific reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 8:1, s. 11575-
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Tidskriftsartikel (refereegranskat)abstract
- Adolescent idiopathic scoliosis (AIS) is the most common type of spinal deformity and has a significant genetic background. Genome-wide association studies (GWASs) identified several susceptibility loci associated with AIS. Among them is a locus on chromosome 6q24.1 that we identified by a GWAS in a Japanese cohort. The locus is represented by rs6570507 located within GPR126. To ensure the association of rs6570507 with AIS, we conducted a meta-analysis using eight cohorts from East Asia, Northern Europe and USA. The analysis included a total of 6,873 cases and 38,916 controls and yielded significant association (combined P = 2.95 × 10−20; odds ratio = 1.22), providing convincing evidence of the worldwide association between rs6570507 and AIS susceptibility. In silico analyses strongly suggested that GPR126 is a susceptibility gene at this locus.
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| 21. |
- Kou, R. H., et al.
(author)
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Charge transfer-tuned magnetism in Nd-substituted Gd5Si4
- 2018
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In: AIP Advances. - : AIP Publishing. - 2158-3226. ; 8:12
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Journal article (peer-reviewed)abstract
- We report a charge-transfer mechanism in tuning of magnetism of Nd-substituted Gd5-xNdxSi4 (x=1 and 2.5) compounds. The X-ray absorption near edge structure measurements demonstrated that Nd substitutions for Gd induce charge transfer of 5d electrons from Gd to Nd. The charge transfer weakens spin-orbital coupling of Gd but strengthens that of Nd. Consequently, the magnetization responses of the substituted compounds to low magnetic fields are increased while their saturation magnetization is reduced. Electronic structure calculations showed that the charge transfer stabilizes a ferromagnetic and a ferrimagnetic structure in the compounds with x = 1 and 2.5, respectively, but that it does not change the 5d-3p hybridization significantly. It is suggested that the charge transfer of 5d electrons may occur in other rare earth-substituted Gd5Si4 compounds allowing for tuning of their magnetism.
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| 22. |
- Kou, Shao Quan, et al.
(author)
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Numerical investigation of particle breakage as applied to mechanical crushing—Part II: Interparticle breakage
- 2001
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In: International Journal of Rock Mechanics And Mining Sciences. - 1365-1609 .- 1873-4545. ; 38:8, s. 1163-1172
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Journal article (peer-reviewed)abstract
- A numerical approach to interparticle breakage is applied using the rock failure process analysis code, RFPA2D. A 2D particle assembly in a container is first numerically simulated to obtain the fringe patterns of stress fields that resemble the photoelastic test. Then, in addition, the interparticle breakage of the particle assembly in a chamber is conducted. The chamber consists of a steel container and a steel platen for transferring the load, and contains 15 particles of arbitrary sizes and irregular shapes. A plane strain condition is assumed. The particle bed is loaded under form conditions, in which the size reduction and the applied force are a function of the displacement. The numerical results indicate that, during the crushing process, three principal regimes appear: (i) the elastic deformation regime, where each particle deforms elastically; (ii) the fragmentation regime, where the particle assembly is crushed in a particle-by-particle fashion; and (iii) the assembly hardening regime, where the densified assembly recovers a significant stiffness. The dominant mode of failure is at first splitting, which is more or less parallel to the loading direction, and then progressive crushing, which mainly depends on the confinement from the chamber walls. The analysis of the load–displacement curves of the assembly obtained from the simulations reveals a high undulating load plateau, which suggests a macro-ductile behaviour.
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| 23. |
- Kou, Shao Quan, et al.
(author)
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Numerical simulation of the cutting of inhomogeneous rocks
- 1999
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In: International Journal of Rock Mechanics And Mining Sciences. - 1365-1609 .- 1873-4545. ; 36:5, s. 711-717
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Journal article (peer-reviewed)abstract
- In this study, the possible modes of crack initiation and propagation leading to chip formation in rock cutting are studied numerically by using a rock failure process analysis code referred to as RFPA. By using this approach, additional information is obtained on the tool-rock interaction and the failure mechanisms of rock under mechanical tools.
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| 24. |
- Larsson, Lena, et al.
(author)
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Geographical variation and predictors of physical activity level in adults with congenital heart disease
- 2019
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In: International Journal of Cardiology : Heart & Vasculature. - : Elsevier. - 2352-9067. ; 22, s. 20-25
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Journal article (peer-reviewed)abstract
- Physical activity is important to maintain and promote health. This is of particular interest in patients with congenital heart disease(CHD) where acquired heart disease should be prevented. The World Health Organization (WHO) recommends a minimum of 2.5 h/week of physical activity exceeding 3 metabolic equivalents (METS) to achieve positive health effects. It is unknown whether physical activity levels (PAL) in adult CHD patients differ by country of origin.Methods3896 adults with CHD recruited from 15 countries over 5 continents completed self-reported instruments, including the Health Behaviour Scale (HBS-CHD), within the APPROACH-IS project. For each patient, we calculated whether WHO recommendations were achieved or not. Associated factors were investigated using Generalized Linear Mixed Models.ResultsOn average, 31% reached the WHO recommendations but with a great variation between geographical areas (India: 10%–Norway: 53%). Predictors for physical activity level in line with the WHO recommendations, with country of residence as random effect, were male sex (OR 1.78, 95%CI 1.52–2.08), NYHA-class I (OR 3.10, 95%CI 1.71–5.62) and less complex disease (OR 1.46, 95%CI 1.16–1.83). In contrast, older age (OR 0.97, 95%CI 0.96–0.98), lower educational level (OR 0.41, 95%CI 0.26–0.64) and being unemployed (OR 0.57, 95%CI 0.42–0.77) were negatively associated with reaching WHO recommendations.ConclusionsA significant proportion of patients with CHD did not reach the WHO physical activity recommendations. There was a large variation in physical activity level by country of origin. Based on identified predictors, vulnerable patients may be identified and offered specific behavioral interventions.
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| 25. |
- Leibold, Allison, et al.
(author)
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Pain in adults with congenital heart disease : An international perspective
- 2021
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In: International Journal of Cardiology Congenital Heart Disease. - : Elsevier. - 2666-6685. ; 5
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Journal article (peer-reviewed)abstract
- Background: Patients with adult congenital heart disease (ACHD) have many risk factors for chronic pain such as prior cardiac interventions and adult comorbidities. However, the prevalence of chronic pain has not been well described in this population. We sought to determine the prevalence of pain in a large international cohort of patients with ACHD.Methods: Data from the APPROACH-IS dataset was utilized for this study which includes 4028 patients with ACHD from 15 different countries. The prevalence of pain was assessed under the health status patient reported outcome domain utilizing the EuroQol-5D 3 level version tool. Multivariable logistic regression was used to assess differences across countries in pain, taking into account country-level random effects for clustering across observations within each country.Results: A total of 3832 patients with ACHD met the study criteria, median age 32 years [IQR 25, 42], 52.6% females. The prevalence of at least moderate pain was reported by 28.9% (95% CO 27.5 = 30.3%) of participants. Pain was associated with country of origin, age, gender, background, education and marital status as well as several clinical variables including disease complexity, cardiac device presence, history of heart failure, psychiatric conditions and presence of other medical conditions. Those with pain had lower levels of perceived health and a lower quality of life score.Conclusion: Pain in patients with ACHD is common, impacting nearly one-third of patients. Given the far reaching implications of pain in patients with ACHD, further study of pain characteristics and treatment management appear warranted.
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| 26. |
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| 27. |
- Liu, H. Y., et al.
(author)
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Numerical modelling of the heterogeneous rock fracture process using various test techniques
- 2007
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In: Rock Mechanics and Rock Engineering. - : Springer Science and Business Media LLC. - 0723-2632 .- 1434-453X. ; 40:2, s. 107-144
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Journal article (peer-reviewed)abstract
- A series of numerical tests including both rock mechanics and fracture mechanics tests are conducted by the rock and tool (R-T2D) interaction code coupled with a heterogeneous masterial model to obtain the physical-mechanical properties and fracture toughness, as well as to simulate the crack initiation and propagation, and the fracture progressive process. The simulated results not only predict relatively accurate physical-mechanical parameters and fracture toughness, but also visually reproduce the fracture progressive process compared with the experimental and theoretical results. The detailed stress distribution and redistribution, crack nucleation and initiation, stable and unstable crack propagation, interaction and coalescence, and corresponding load-displacement curves can be proposed as benchmarks for experimental study and theoretical research on crack propagation. It is concluded that the heterogeneous material model is reasonable and the R-T2D code is stable, repeatable and a valuable numerical tool for research on the rock fracture process.
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| 28. |
- Liu, H.Y., et al.
(author)
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Numerical studies on bit-rock fragmentation mechanisms
- 2008
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In: International Journal of Geomechanics. - 1532-3641 .- 1943-5622. ; 8:1, s. 45-67
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Journal article (peer-reviewed)abstract
- The rock fragmentation process induced by a single button-bit, two neighboring button-bits, and multiple button-bits are numerically studied using the rock and tool interaction code (R-T2D). Through this study, a better understanding of the bit-rock fragmentation mechanisms is gained. It is found that side crack is initiated from the crushed zone or bifurcated from Hertzian crack to propagate approximately parallel to the free rock surface but in a curvilinear path driven by the tensile stress associated with the expansion of the crushed zone during the loading process. In the crushed zone, the mechanism of side crack is mixed tensile and shear failure, but outside the crushed zone, the dominant mechanism of side crack is tensile failure. A semiempirical and semitheoretical relationship among the side crack length, the drilled rock property, and the drilling force is formulated to approximately predict the side crack length. In the simultaneous loading, the interaction and coalescence of side cracks induced by the neighboring button-bits with an optimum line spacing enable formation of largest rock chips, control of the direction of subsurface cracks and a minimum total specific energy consumption. A formula is derived to determine the optimum line spacing on the basis of the drilled rock properties, the diameter and shape of the button-bit, and the drilling conditions. In the rock fragmentation by multiple button-bits, most of the rock between the neighboring button-bits is chipped as a result of the coalescence of side cracks. In the remaining rock, the intensely crushed zones and significant extensional cracks are observed adjacent to the sidewall and the inside of the borehole. Fragment side distribution shows more than 80% of the fragments are fines in the crushed zones as well as the cracked zones, the large fragments be indeed observed, which are the big chips caused by the coalescence of side cracks.
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| 29. |
- Liu, H.Y., et al.
(author)
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Numerical studies on the failure process and associated microseismicity in rock under triaxial compression
- 2004
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In: Tectonophysics. - : Elsevier BV. - 0040-1951 .- 1879-3266. ; 384:1-4, s. 149-174
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Journal article (peer-reviewed)abstract
- In this paper, firstly the mesoscopic elemental mechanical model for elastic damage is developed and implemented into the rock and tool interaction code (R-T (super 2D) ). Then the failure processes of a heterogeneous rock specimen subjected to a wide variety of confining pressures (0-80 MPa) are numerically investigated using the R-T (super 2D) code. According to the simulated results, on the one hand, the numerical simulation reproduced some of the well-known phenomena observed by previous researchers in triaxial tests. Under uniaxial compression, rock failure is caused by a combination of axial splitting and shearing. Dilatancy and a post-failure stage with a descending load bearing capacity are the prominent characteristics of the failure. As the confining pressure increases, the extension of the failed sites is suppressed, but the individual failure sites become dense and link with each other to form a shear fracture plane. Correspondingly, the peak strength, the residual strength and the shear fracture plane angle increase, but the brittleness decreases. When the confining pressure is high enough, the specimen behaves in a plastic manner and a narrow shear fracture plane leads to its failure. The prominent characteristics are volume condensation, ductile cataclastic failure, and a constant load bearing capacity with increasing strain. On the other hand, the numerical simulation revealed some new phenomena. The highest microseismicity events occur in the post-failure stage instead of the maximal stress, and most of the microseismicity energies are released in the failure localization process. As the confining pressure increases, the microseismicity events in the non-linear deformation stage increase dramatically and the ratio between the energies dissipated at the non-linear deformation stage and those dissipated in the whole loading process increases correspondingly. Therefore, it is concluded that the developed mesoscopic elemental mechanical model for elastic damage is able to reproduce accurately the failure characteristics in loading rock specimens under triaxial conditions, and the numerical modelling can furthermore obtain some new clarifications of the rock fracture process.
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| 30. |
- Lu, Chun-Wei, et al.
(author)
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Heart Failure and Patient-Reported Outcomes in Adults With Congenital Heart Disease from 15 Countries
- 2022
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In: Journal of the American Heart Association. - : American Heart Association. - 2047-9980. ; 11:9
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Journal article (peer-reviewed)abstract
- Background: Heart failure (HF) is the leading cause of mortality and associated with significant morbidity in adults with congenital heart disease. We sought to assess the association between HF and patient-report outcomes in adults with congenital heart disease.Methods and Results: As part of the APPROACH-IS (Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease-International Study), we collected data on HF status and patient-reported outcomes in 3959 patients from 15 countries across 5 continents. Patient-report outcomes were: perceived health status (12-item Short Form Health Survey), quality of life (Linear Analogue Scale and Satisfaction with Life Scale), sense of coherence-13, psychological distress (Hospital Anxiety and Depression Scale), and illness perception (Brief Illness Perception Questionnaire). In this sample, 137 (3.5%) had HF at the time of investigation, 298 (7.5%) had a history of HF, and 3524 (89.0%) had no current or past episode of HF. Patients with current or past HF were older and had a higher prevalence of complex congenital heart disease, arrhythmias, implantable cardioverter-defibrillators, other clinical comorbidities, and mood disorders than those who never had HF. Patients with HF had worse physical functioning, mental functioning, quality of life, satisfaction with life, sense of coherence, depressive symptoms, and illness perception scores. Magnitudes of differences were large for physical functioning and illness perception and moderate for mental functioning, quality of life, and depressive symptoms.Conclusions: HF in adults with congenital heart disease is associated with poorer patient-reported outcomes, with large effect sizes for physical functioning and illness perception.
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| 31. |
- Moons, Philip, 1968, et al.
(author)
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Patient-Reported Outcomes in Adults With Congenital Heart Disease Following Hospitalization (from APPROACH-IS).
- 2021
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In: American Journal of Cardiology. - : Elsevier BV. - 0002-9149 .- 1879-1913. ; 145, s. 135-142
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Journal article (peer-reviewed)abstract
- In this international study, we (1) compared patient-reported outcomes (PROs) in adults with congenital heart disease (CHD) who had versus had not been hospitalized during the previous 12 month, (2) contrasted PROs in patients who had been hospitalized for cardiac surgery versus nonsurgical reasons, (3) assessed the magnitude of differences between the groups (i.e., effect sizes), and (4) explored differential effect sizes between countries. APPROACH-IS was a cross-sectional, observational study that enrolled 4,028 patients from 15 countries (median age 32 years; 53% females). Self-report questionnaires were administered to measure PROs: health status; anxiety and depression; and quality of life. Overall, 668 patients (17%) had been hospitalized in the previous 12 months. These patients reported poorer outcomes on all PROs, with the exception of anxiety. Patients who underwent cardiac surgery demonstrated a better quality of life compared with those who were hospitalized for nonsurgical reasons. For significant differences, the effect sizes were small, whereas they were negligible in nonsignificant comparisons. Substantial intercountry differences were observed. For various PROs, moderate to large effect sizes were found comparing different countries. In conclusion, adults with CHD who had undergone hospitalization in the previous year had poorer PROs than those who were medically stable. Researchers ought to account for the timing of recruitment when conducting PRO research as hospitalization can impact results.
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| 32. |
- Moons, Philip, 1968, et al.
(author)
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Sense of coherence in adults with congenital heart disease in 15 countries : patient characteristics, cultural dimensions and quality of life
- 2021
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In: European Journal of Cardiovascular Nursing. - : Oxford University Press. - 1474-5151 .- 1873-1953. ; 20:1, s. 48-55
-
Journal article (peer-reviewed)abstract
- Background: Previous studies have found that sense of coherence (SOC) is positively related to quality of life (QoL) in persons with chronic conditions. In congenital heart disease (CHD), the evidence is scant.Aims: We investigated (i) intercountry variation in SOC in a large international sample of adults with CHD; (ii) the relationship between demographic and clinical characteristics and SOC; (iii) the relationship between cultural dimensions of countries and SOC; and (iv) variation in relative importance of SOC in explaining QoL across the countries.Methods: APPROACH-IS was a cross-sectional, observational study, with 4028 patients from 15 countries enrolled. SOC was measured using the 13-item SOC scale (range 13–91) and QoL was assessed by a linear analog scale (range 0–100).Results: The mean SOC score was 65.5±13.2. Large intercountry variation was observed with the strongest SOC in Switzerland (68.8±11.1) and the lowest SOC in Japan (59.9±14.5). A lower SOC was associated with a younger age; lower educational level; with job seeking, being unemployed or disabled; unmarried, divorced or widowed; from a worse functional class; and simple CHD. Power distance index and individualism vs collectivism were cultural dimensions significantly related to SOC. SOC was positively associated with QoL in all participating countries and in the total sample, with an explained variance ranging from 5.8% in Argentina to 30.4% in Japan.Conclusion: In adults with CHD, SOC is positively associated with QoL. The implementation of SOC-enhancing interventions might improve QoL, but strategies would likely differ across countries given the substantial variation in explained variance.
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| 33. |
- Ogura, Y, et al.
(author)
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An international meta-analysis confirms the association of BNC2 with adolescent idiopathic scoliosis
- 2018
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In: Scientific reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 8:1, s. 4730-
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Journal article (peer-reviewed)abstract
- Adolescent idiopathic scoliosis (AIS) is a common spinal deformity with the prevalence of approximately 3%. We previously conducted a genome-wide association study (GWAS) using a Japanese cohort and identified a novel locus on chromosome 9p22.2. However, a replication study using multi-population cohorts has not been conducted. To confirm the association of 9p22.2 locus with AIS in multi-ethnic populations, we conducted international meta-analysis using eight cohorts. In total, we analyzed 8,756 cases and 27,822 controls. The analysis showed a convincing evidence of association between rs3904778 and AIS. Seven out of eight cohorts had significant P value, and remaining one cohort also had the same trend as the seven. The combined P was 3.28 × 10−18 (odds ratio = 1.19, 95% confidence interval = 1.14–1.24). In silico analyses suggested that BNC2 is the AIS susceptibility gene in this locus.
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| 34. |
- Rassart, Jessica, et al.
(author)
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Illness perceptions in adult congenital heart disease : A multi-center international study.
- 2017
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In: International Journal of Cardiology. - : Elsevier BV. - 0167-5273 .- 1874-1754. ; 244, s. 130-138
-
Journal article (peer-reviewed)abstract
- BACKGROUND: Illness perceptions are cognitive frameworks that patients construct to make sense of their illness. Although the importance of these perceptions has been demonstrated in other chronic illness populations, few studies have focused on the illness perceptions of adults with congenital heart disease (CHD). This study examined (1) inter-country variation in illness perceptions, (2) associations between patient characteristics and illness perceptions, and (3) associations between illness perceptions and patient-reported outcomes.METHODS: Our sample, taken from APPROACH-IS, consisted of 3258 adults with CHD from 15 different countries. Patients completed questionnaires on illness perceptions and patient-reported outcomes (i.e., quality of life, perceived health status, and symptoms of depression and anxiety). Patient characteristics included sex, age, marital status, educational level, employment status, CHD complexity, functional class, and ethnicity. Linear mixed models were applied.RESULTS: The inter-country variation in illness perceptions was generally small, yet patients from different countries differed in the extent to which they perceived their illness as chronic and worried about their illness. Patient characteristics that were linked to illness perceptions were sex, age, employment status, CHD complexity, functional class, and ethnicity. Higher scores on consequences, identity, and emotional representation, as well as lower scores on illness coherence and personal and treatment control, were associated with poorer patient-reported outcomes.CONCLUSIONS: This study emphasizes that, in order to gain a deeper understanding of patients' functioning, health-care providers should focus not only on objective indicators of illness severity such as the complexity of the heart defect, but also on subjective illness experiences.
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| 35. |
- Tang, C A, et al.
(author)
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Fracture spacing in layered materials and pattern transition from parallel to polygonal fractures
- 2006
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In: Physical Review E. Statistical, Nonlinear, and Soft Matter Physics. - 1539-3755 .- 1550-2376. ; 73:5, s. 056120-28
-
Journal article (peer-reviewed)abstract
- We perform three-dimensional simulations of fracture growth in a three-layered plate model with an embedded heterogeneous layer under horizontal biaxial stretch (representing stretch from directional to isotropic) by the finite element approach. The fractures develop under a quasistatical, slowly increasing biaxial strain. The material inhomogeneities are accounted for by assigning each element a failure threshold that is defined by a given statistical distribution. A universal scale law of fracture spacing to biaxial strain in terms of principal stress ratio is well demonstrated in a three-dimensional fashion. The numerically obtained fracture patterns show a continuous pattern transition from parallel fractures, laddering fracture to polygonal fractures, which depends strongly on the far-field loading conditions in terms of principal stress ratio ......
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| 36. |
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| 37. |
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| 38. |
- Van Bulck, Liesbet, et al.
(author)
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Patient-reported outcomes of adults with congenital heart disease from eight European countries : scrutinising the association with healthcare system performance
- 2019
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In: European Journal of Cardiovascular Nursing. - : Sage Publications. - 1474-5151 .- 1873-1953. ; 18:6, s. 465-473
-
Journal article (peer-reviewed)abstract
- Background: Inter-country variation in patient-reported outcomes of adults with congenital heart disease has been observed. Country-specific characteristics may play a role. A previous study found an association between healthcare system performance and patient-reported outcomes. However, it remains unknown which specific components of the countries’ healthcare system performance are of importance for patient-reported outcomes.Aims: The aim of this study was to investigate the relationship between components of healthcare system performance and patient-reported outcomes in a large sample of adults with congenital heart disease.Methods: A total of 1591 adults with congenital heart disease (median age 34 years; 51% men; 32% simple, 48% moderate and 20% complex defects) from eight European countries were included in this cross-sectional study. The following patient-reported outcomes were measured: perceived physical and mental health, psychological distress, health behaviours and quality of life. The Euro Health Consumer Index 2015 and the Euro Heart Index 2016 were used as measures of healthcare system performance. General linear mixed models were conducted, adjusting for patient-specific variables and unmeasured country differences.Results: Health risk behaviours were associated with the Euro Health Consumer Index subdomains about patient rights and information, health outcomes and financing and access to pharmaceuticals. Perceived physical health was associated with the Euro Health Consumer Index subdomain about prevention of chronic diseases. Subscales of the Euro Heart Index were not associated with patient-reported outcomes.Conclusion: Several features of healthcare system performance are associated with perceived physical health and health risk behaviour in adults with congenital heart disease. Before recommendations for policy-makers and clinicians can be conducted, future research ought to investigate the impact of the healthcare system performance on outcomes further.
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| 39. |
- Van Bulck, Liesbet, et al.
(author)
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Rationale, design and methodology of APPROACH-IS II: International study of patient-reported outcomes and frailty phenotyping in adults with congenital heart disease.
- 2022
-
In: International journal of cardiology. - : Elsevier BV. - 1874-1754 .- 0167-5273. ; 363, s. 30-39
-
Journal article (peer-reviewed)abstract
- In recent years, patient-reported outcomes (PROs) have received increasing prominence in cardiovascular research and clinical care. An understanding of the variability and global experience of PROs in adults with congenital heart disease (CHD), however, is still lacking. Moreover, information on epidemiological characteristics and the frailty phenotype of older adults with CHD is minimal. The APPROACH-IS II study was established to address these knowledge gaps. This paper presents the design and methodology of APPROACH-IS II.APPROACH-IS II is a cross-sectional global multicentric study that includes Part 1 (assessing PROs) and Part 2 (investigating the frailty phenotype of older adults). With 53 participating centers, located in 32 countries across six continents, the aim is to enroll 8000 patients with CHD. In Part 1, self-report surveys are used to collect data on PROs (e.g., quality of life, perceived health, depressive symptoms, autonomy support), and explanatory variables (e.g., social support, stigma, illness identity, empowerment). In Part 2, the cognitive functioning and frailty phenotype of older adults are measured using validated assessments.APPROACH-IS II will generate a rich dataset representing the international experience of individuals in adult CHD care. The results of this project will provide a global view of PROs and the frailty phenotype of adults with CHD and will thereby address important knowledge gaps. Undoubtedly, the project will contribute to the overarching aim of improving optimal living and care provision for adults with CHD.
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| 40. |
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| 41. |
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| 42. |
- Wang, ZC, et al.
(author)
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Extraction and analysis of signatures from the Gene Expression Omnibus by the crowd
- 2016
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In: Nature communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 7, s. 12846-
-
Journal article (peer-reviewed)abstract
- Gene expression data are accumulating exponentially in public repositories. Reanalysis and integration of themed collections from these studies may provide new insights, but requires further human curation. Here we report a crowdsourcing project to annotate and reanalyse a large number of gene expression profiles from Gene Expression Omnibus (GEO). Through a massive open online course on Coursera, over 70 participants from over 25 countries identify and annotate 2,460 single-gene perturbation signatures, 839 disease versus normal signatures, and 906 drug perturbation signatures. All these signatures are unique and are manually validated for quality. Global analysis of these signatures confirms known associations and identifies novel associations between genes, diseases and drugs. The manually curated signatures are used as a training set to develop classifiers for extracting similar signatures from the entire GEO repository. We develop a web portal to serve these signatures for query, download and visualization.
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| 43. |
- Zhang, J., et al.
(author)
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Design and analysis of flexure revolute joint based on four-bar mechanism
- 2018
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In: Acta Astronautica. - : Elsevier. - 0094-5765 .- 1879-2030. ; 151, s. 420-431
-
Journal article (peer-reviewed)abstract
- In order to avoid the stress concentration and increase rotational angle of a flexure joint, the method of partial separation of storage elements in the motion transmission elements is proposed. A type of flexure revolute joint with large rotational angle is designed based on the block approach. By setting a 4-bar mechanism as the intermediate block which connects the outer ring and the inner ring of the revolute joint, and replacing the rigid bar by a flexible beam, large rotational angles of the joint can be achieved. The basic size of the joint is designed by setting the initial and the constraint condition of the 4-bar mechanism. Then, influence analyses of the size of the linkage joint and large flexible beam on the stress, the torque, and the torsional stiffness are conducted by using nonlinear static analysis method. Based on the requirements for torque and rotational stiffness, the size of the flexure revolute joint is defined. Experiments on the joint, which can rotate 90° are conducted.
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| 44. |
- Zhang, J., et al.
(author)
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Design of flexure revolute joint based on compliance and stiffness ellipsoids
- 2021
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In: Proceedings of the Institution of Mechanical Engineers. Part G, Journal of Aerospace Engineering. - : SAGE Publications. - 0954-4100 .- 2041-3025.
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Journal article (peer-reviewed)abstract
- In view of the problems of low accuracy, small rotational angle, and large impact caused by flexure joints during the deployment process, an integrated flexure revolute (FR) joint for folding mechanisms was designed. The design was based on the method of compliance and stiffness ellipsoids, using a compliant dyad building block as its flexible unit. Using the single-point synthesis method, the parameterized model of the flexible unit was established to achieve a reasonable allocation of flexibility in different directions. Based on the single-parameter error analysis, two error models were established to evaluate the designed flexure joint. The rotational stiffness, the translational stiffness, and the maximum rotational angle of the joints were analyzed by nonlinear finite element analyses. The rotational angle of one joint can reach 25.5° in one direction. The rotational angle of the series FR joint can achieve 50° in one direction. Experiments on single and series flexure joints were carried out to verify the correctness of the design and analysis of the flexure joint.
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