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- Bravo, L, et al.
(författare)
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- 2021
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swepub:Mat__t
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- Tabiri, S, et al.
(författare)
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- 2021
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swepub:Mat__t
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- Glasbey, JC, et al.
(författare)
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- 2021
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swepub:Mat__t
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- Drake, TM, et al.
(författare)
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Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study
- 2020
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Ingår i: BMJ global health. - : BMJ. - 2059-7908. ; 5:12
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Tidskriftsartikel (refereegranskat)abstract
- Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings.MethodsA multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI).ResultsOf 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI.ConclusionThe odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.
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11. |
- Chumak, A. V., et al.
(författare)
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Advances in Magnetics Roadmap on Spin-Wave Computing
- 2022
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Ingår i: IEEE Transactions on Magnetics. - 0018-9464. ; 58:6
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Tidskriftsartikel (refereegranskat)abstract
- Magnonics addresses the physical properties of spin waves and utilizes them for data processing. Scalability down to atomic dimensions, operation in the GHz-to-THz frequency range, utilization of nonlinear and nonreciprocal phenomena, and compatibility with CMOS are just a few of many advantages offered by magnons. Although magnonics is still primarily positioned in the academic domain, the scientific and technological challenges of the field are being extensively investigated, and many proof-of-concept prototypes have already been realized in laboratories. This roadmap is a product of the collective work of many authors that covers versatile spin-wave computing approaches, conceptual building blocks, and underlying physical phenomena. In particular, the roadmap discusses the computation operations with Boolean digital data, unconventional approaches like neuromorphic computing, and the progress towards magnon-based quantum computing. The article is organized as a collection of sub-sections grouped into seven large thematic sections. Each sub-section is prepared by one or a group of authors and concludes with a brief description of current challenges and the outlook of further development for each research direction. Author
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13. |
- Aleman, A., et al.
(författare)
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Phase and frequency-resolved microscopy of operating spin Hall nano-oscillator arrays
- 2024
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Ingår i: NANOSCALE HORIZONS. - 2055-6756 .- 2055-6764.
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Tidskriftsartikel (refereegranskat)abstract
- Coherent optical detection is a powerful technique for characterizing a wide range of physical excitations. Here, we use two optical approaches (fundamental and parametric pumping) to microscopically characterize the high-frequency auto-oscillations of single and multiple nano-constriction spin Hall nano-oscillators (SHNOs). To validate the technique and demonstrate its robustness, we study SHNOs made from two different material stacks, NiFe/Pt and W/CoFeB/MgO, and investigate the influence of both the RF injection power and the laser power on the measurements, comparing the optical results to conventional electrical measurements. To demonstrate the key features of direct, non-invasive, submicron, spatial, and phase-resolved characterization of the SHNO magnetodynamics, we map out the auto-oscillation magnitude and phase of two phase-binarized SHNOs used in Ising machines. This proof-of-concept platform establishes a strong foundation for further extensions, contributing to the ongoing development of crucial characterization techniques for emerging computing technologies based on spintronics devices. An efficient platform to perform phase imaging and individual nano-addressing for application in novel SHNO-based computing devices.
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- Dankiewicz, Josef, et al.
(författare)
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Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest
- 2021
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Ingår i: New England Journal of Medicine. - : MASSACHUSETTS MEDICAL SOC. - 0028-4793 .- 1533-4406. ; 384:24, s. 2283-2294
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Tidskriftsartikel (refereegranskat)abstract
- Hypothermia or Normothermia after Cardiac Arrest This trial randomly assigned patients with coma after out-of-hospital cardiac arrest to undergo targeted hypothermia at 33 degrees C or normothermia with treatment of fever. At 6 months, there were no significant between-group differences regarding death or functional outcomes. Background Targeted temperature management is recommended for patients after cardiac arrest, but the supporting evidence is of low certainty. Methods In an open-label trial with blinded assessment of outcomes, we randomly assigned 1900 adults with coma who had had an out-of-hospital cardiac arrest of presumed cardiac or unknown cause to undergo targeted hypothermia at 33 degrees C, followed by controlled rewarming, or targeted normothermia with early treatment of fever (body temperature, >= 37.8 degrees C). The primary outcome was death from any cause at 6 months. Secondary outcomes included functional outcome at 6 months as assessed with the modified Rankin scale. Prespecified subgroups were defined according to sex, age, initial cardiac rhythm, time to return of spontaneous circulation, and presence or absence of shock on admission. Prespecified adverse events were pneumonia, sepsis, bleeding, arrhythmia resulting in hemodynamic compromise, and skin complications related to the temperature management device. Results A total of 1850 patients were evaluated for the primary outcome. At 6 months, 465 of 925 patients (50%) in the hypothermia group had died, as compared with 446 of 925 (48%) in the normothermia group (relative risk with hypothermia, 1.04; 95% confidence interval [CI], 0.94 to 1.14; P=0.37). Of the 1747 patients in whom the functional outcome was assessed, 488 of 881 (55%) in the hypothermia group had moderately severe disability or worse (modified Rankin scale score >= 4), as compared with 479 of 866 (55%) in the normothermia group (relative risk with hypothermia, 1.00; 95% CI, 0.92 to 1.09). Outcomes were consistent in the prespecified subgroups. Arrhythmia resulting in hemodynamic compromise was more common in the hypothermia group than in the normothermia group (24% vs. 17%, P<0.001). The incidence of other adverse events did not differ significantly between the two groups. Conclusions In patients with coma after out-of-hospital cardiac arrest, targeted hypothermia did not lead to a lower incidence of death by 6 months than targeted normothermia. (Funded by the Swedish Research Council and others; TTM2 ClinicalTrials.gov number, .)
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16. |
- El-Seedi, Hesham, et al.
(författare)
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A Spotlight on the Egyptian Honeybee (Apis mellifera lamarckii)
- 2022
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Ingår i: Animals. - : MDPI AG. - 2076-2615. ; 12:20
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Forskningsöversikt (refereegranskat)abstract
- Egypt has an ongoing long history with beekeeping, which started with the ancient Egyptians making various reliefs and inscriptions of beekeeping on their tombs and temples. The Egyptian honeybee (Apis mellifera lamarckii) is an authentic Egyptian honeybee subspecies utilized in apiculture. A. m. lamarckii is a distinct honeybee subspecies that has a particular body color, size, and high levels of hygienic behavior. Additionally, it has distinctive characteristics; including the presence of the half-queens, an excessive number of swarm cells, high adaptability to climatic conditions, good resistance to specific bee diseases, including the Varro disorder, and continuous breeding during the whole year despite low productivity, using very little propolis, and tending to abscond readily. This review discusses the history of beekeeping in Egypt and its current situation in addition to its morphology, genetic analysis, and distinctive characters, and the defensive behaviors of native A. m. lamarckii subspecies.
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17. |
- El-Seedi, Hesham, et al.
(författare)
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Saudi Arabian Plants : A Powerful Weapon against a Plethora of Diseases
- 2022
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Ingår i: PLANTS. - : MDPI AG. - 2223-7747. ; 11:24
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Forskningsöversikt (refereegranskat)abstract
- The kingdom of Saudi Arabia (SA) ranks fifth in Asia in terms of area. It features broad biodiversity, including interesting flora, and was the historical origin of Islam. It is endowed with a large variety of plants, including many herbs, shrubs, and trees. Many of these plants have a long history of use in traditional medicine. The aim of this review is to evaluate the present knowledge on the plants growing in SA regarding their pharmacological and biological activities and the identification of their bioactive compounds to determine which plants could be of interest for further studies. A systematic summary of the plants’ history, distribution, various pharmacological activities, bioactive compounds, and clinical trials are presented in this paper to facilitate future exploration of their therapeutic potential. The literature was obtained from several scientific search engines, including Sci-Finder, PubMed, Web of Science, Google Scholar, Scopus, MDPI, Wiley publications, and Springer Link. Plant names and their synonyms were validated by ‘The Plant List’ on 1 October 2021. SA is home to approximately 2247 plant species, including native and introduced plants that belong to 142 families and 837 genera. It shares the flora of three continents, with many unique features due to its extreme climate and geographical and geological conditions. As plants remain the leading supplier of new therapeutic agents to treat various ailments, Saudi Arabian plants may play a significant role in the fight against cancer, inflammation, and antibiotic-resistant bacteria. To date, 102 active compounds have been identified in plants from different sites in SA. Plants from the western and southwestern regions have been evaluated for various biological activities, including antioxidant, anti-cancer, antimicrobial, antimalarial, anti-inflammatory, anti-glycation, and cytotoxic activities. The aerial parts of the plants, especially the leaves, have yielded most of the bioactive compounds. Most bioactivity tests involve in vitro assessments for the inhibition of the growth of tumour cell lines, and several compounds with in vitro antitumour activity have been reported. More in-depth studies to evaluate the mode of action of the compounds are necessary to pave the way for clinical trials. Ecological and taxonomical studies are needed to evaluate the flora of SA, and a plan for the conservation of wild plants should be implemented, including the management of the protection of endemic plants.
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18. |
- Algethami, Jari S., et al.
(författare)
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Bee Pollen : Clinical Trials and Patent Applications
- 2022
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Ingår i: Nutrients. - : MDPI AG. - 2072-6643. ; 14:14
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Forskningsöversikt (refereegranskat)abstract
- Bee pollen is a natural cocktail of floral nectar, flower pollen, enzymes, and salivary secretions produced by honeybees. Bee pollen is one of the bee products most enriched in proteins, polysaccharides, polyphenols, lipids, minerals, and vitamins. It has a significant health and medicinal impact and provides protection against many diseases, including diabetes, cancer, infectious, and cardiovascular. Bee pollen is commonly promoted as a cost-effective functional food. In particular, bee pollen has been applied in clinical trials for allergies and prostate illnesses, with a few investigations on cancer and skin problems. However, it is involved in several patents and health recipes to combat chronic health problems. This review aimed to highlight the clinical trials and patents involving bee pollen for different cases and to present the role of bee pollen as a supplementary food and a potential product in cosmetic applications.
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19. |
- Pick, Cari M., et al.
(författare)
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Fundamental social motives measured across forty-two cultures in two waves
- 2022
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Ingår i: Scientific Data. - : Springer Nature. - 2052-4463. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- How does psychology vary across human societies? The fundamental social motives framework adopts an evolutionary approach to capture the broad range of human social goals within a taxonomy of ancestrally recurring threats and opportunities. These motives-self-protection, disease avoidance, affiliation, status, mate acquisition, mate retention, and kin care-are high in fitness relevance and everyday salience, yet understudied cross-culturally. Here, we gathered data on these motives in 42 countries (N = 15,915) in two cross-sectional waves, including 19 countries (N = 10,907) for which data were gathered in both waves. Wave 1 was collected from mid-2016 through late 2019 (32 countries, N = 8,998; 3,302 male, 5,585 female; M-age = 24.43, SD = 7.91). Wave 2 was collected from April through November 2020, during the COVID-19 pandemic (29 countries, N = 6,917; 2,249 male, 4,218 female; M-age = 28.59, SD = 11.31). These data can be used to assess differences and similarities in people's fundamental social motives both across and within cultures, at different time points, and in relation to other commonly studied cultural indicators and outcomes.
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22. |
- Dawod, Ahmed, et al.
(författare)
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Efficacy of Ficus sycomorus (Sycamore Fig) Extract on Intestinal Coccidiosis in Experimentally Infected Rabbits
- 2022
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Ingår i: Life. - : MDPI. - 2075-1729. ; 12:6
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Tidskriftsartikel (refereegranskat)abstract
- This study was conducted to investigate the effect of the Ficus sycomorus extract on Eimeria intestinalis in experimentally infected rabbits. For this purpose, forty male 30-day-old rabbits (Blanc de Bouscat) were divided into four groups (n = 10 in each group). Rabbits kept in the first group served as negative control (non-treated-non-infected). Rabbits kept in the second, third, and fourth groups were challenged at 10 weeks old with 3 x 10(4) E. intestinalis sporulated oocysts. The third and fourth groups were treated orally with diclazuril 10% (0.05 mg/kg body weight) and F. sycomorus (100 mg/Kg) for three consecutive days, respectively. The efficacy was assessed based on the growth performance parameters, clinical symptoms, oocyst shedding, histopathological findings, and hematological parameters for 16 days post challenge. The study revealed that rabbits treated with F. sycomorus methanolic extract and diclazuril showed mild clinical symptoms with a significant decrease in oocyst shedding compared with the positive control. Moreover, the diclazuril-treated group showed the highest leukocytic count and the lowest monocytes percentage compared with other groups. Furthermore, the lowest lymphocytes percentage was recorded in the control positive group. Histopathologically, moderate coccidia infestation in the intestinal mucosa and moderate hydropic degeneration of hepatocytes were observed in the diclazuril treated group compared with the negative control. However, mild coccidia infestation in the intestinal mucosa and slight coagulative necrosis of hepatocytes was found in the F. sycomorus treated group. In conclusion, F. sycomorus methanolic extract had promising effects on the live performance, oocyst count, and blood variables, while it possesses adverse consequences on the hepatic tissues. Further studies are required to optimize the dose and extraction method to mitigate its side effects.
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23. |
- Dawod, Ahmed, et al.
(författare)
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UPLC-QToF Nanospray MS and NMR Analysis of Ficus sycomorus Stem Bark and Its Effects on Rabbit
- 2021
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Ingår i: Processes. - : MDPI. - 2227-9717. ; 9:7
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Tidskriftsartikel (refereegranskat)abstract
- In the present study, a phytochemical of Ficus sycomorus (Moraceae family) was screened, and the effect of this extract on rabbit performance indices, immunity, and carcass quality measures was determined. Ficus sycomorus samples were collected, air-dried, and extracted with 70% methanol to prepare a solution of 100 mg/mL concentration. The extract was subjected to high-resolution mass spectrometric measurements via ultra-high performance liquid chromatography-quadrupole time-of-flight-nanospray mass spectrometry (UPLC-QToF-MS) and 1H NMR analysis. Forty-eight male rabbits, one-month-old, belonging to the Blanc de Bouscat and New Zealand White breeds were selected and distributed equally in a 2 x 3 factorial trial. The rabbits within each breed received F. sycomorus extract at the dose of 0, 100, and 200 mg/kg for 60 days. Blood samples were collected and serum obtained for the detection of liver enzymes, serum lipids, and proteins. The results of UPLC-QToF-MS and molecular networking analysis revealed the presence of procyanidin B2, procyanidin A1, genistein, eriodyctiol, catechin, luteolin, biochanin A, and chlorogenic acid that might exhibit various pharmaceutical activities. However, the F. sycomorus extract reduced rabbit performance indices and carcass quality measures. In addition, this extract significantly depressed the low-density lipoprotein and triglycerides, which may indicate the antidyslipidemia effect of this extract on rabbits.
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24. |
- Mamdouh, Moustafa, et al.
(författare)
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Authentication and Identity Management of IoHT Devices : Achievements, Challenges, and Future Directions
- 2021
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Ingår i: Computers & security (Print). - : Elsevier. - 0167-4048 .- 1872-6208. ; 111
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Forskningsöversikt (refereegranskat)abstract
- The Internet of Things (IoT) paradigm serves as an enabler technology in several domains. Healthcare is one of the domains in which the IoT plays a vital role in increasing quality of life. On the one hand, the Internet of Healthcare Things (IoHT) creates smart environments and increases the efficiency and intelligence of the provided services. On the other hand, unfortunately, it suffers from security vulnerabilities inside and outside. There are various techniques used to identify, access, and securely manage IoT devices. Additionally, sensors, monitoring, key confidentiality management, integrity, and sensitive data accessibility are required. This study focuses on the IoT perception layer and offers a comprehensive review of the IoHT or the Internet of Medical Things (IoMT). The paper covers the current trends and open challenges in IoHT device authentication mechanisms, such as the physically unclonable function (PUF) and blockchain-based techniques. In addition, IoT simulators and verification tools are included. Finally, a future vision regarding the evolution of IoHT device authentication in terms of the utilization of different technologies, such as artificial intelligence, cloud computing, and 5G, is provided at end of this review.
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25. |
- Mamdouh, Moustafa, et al.
(författare)
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Outlook on Security and Privacy in IoHT : Key Challenges and Future Vision
- 2020
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Ingår i: Proceedings of the International Conference on Artificial Intelligence and Computer Vision (AICV2020). - Cham : Springer. - 9783030442880 - 9783030442897 ; , s. 721-730
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The Internet of Things (IoT) security and privacy have received considerable research attention due to the IoT applicability in various domains. IoT systems have several applications, such as smart homes, smart cities, e-Health, industry, agriculture, and environmental monitoring. One of the most important applications is the Internet of Healthcare Things (IoHT) because it helps humans and patients obtain rapid diagnoses, remote monitoring, and home rehabilitation. IoHT security can be classified into four categories: applications, architecture, communication, and data security. This paper presents a short, but focused, review on IoHT security and privacy. It also explores recent security algorithms and protocols that are used to secure personal patient data, clinicians, and healthcare information. The future vision of IoHT challenges and countermeasures is given at the end of this study. Blockchain healthcare technology provides secure digital payment and privileged data access.
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26. |
- Naakka, E, et al.
(författare)
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miR-22 and miR-205 Drive Tumor Aggressiveness of Mucoepidermoid Carcinomas of Salivary Glands
- 2022
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Ingår i: Frontiers in oncology. - : Frontiers Media SA. - 2234-943X. ; 11, s. 786150-
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Tidskriftsartikel (refereegranskat)abstract
- To integrate mRNA and miRNA expression profiles of mucoepidermoid carcinomas (MECs) and normal salivary gland (NSGs) tissue samples and identify potential drivers.Material and MethodsGene and miRNA expression arrays were performed in 35 MECs and six NSGs.ResultsWe found 46 differentially expressed (DE) miRNAs and 3,162 DE mRNAs. Supervised hierarchical clustering analysis of the DE transcripts revealed two clusters in both miRNA and mRNA profiles, which distinguished MEC from NSG samples. The integrative miRNA-mRNA analysis revealed a network comprising 696 negatively correlated interactions (44 miRNAs and 444 mRNAs) involving cell signaling, cell cycle, and cancer-related pathways. Increased expression levels of miR-205-5p and miR-224-5p and decreased expression levels of miR-139-3p, miR-145-3p, miR-148a-3p, miR-186-5p, miR-338-3p, miR-363-3p, and miR-4324 were significantly related to worse overall survival in MEC patients. Two overexpressed miRNAs in MEC (miR-22 and miR-205) were selected for inhibition by the CRISPR-Cas9 method. Cell viability, migration, and invasion assays were performed using an intermediate grade MEC cell line. Knockout of miR-205 reduced cell viability and enhanced ZEB2 expression, while miR-22 knockout reduced cell migration and invasion and enhanced ESR1 expression. Our results indicate a distinct transcriptomic profile of MEC compared to NSG, and the integrative analysis highlighted miRNA-mRNA interactions involving cancer-related pathways, including PTEN and PI3K/AKT.ConclusionThe in vitro functional studies revealed that miR-22 and miR-205 deficiencies reduced the viability, migration, and invasion of the MEC cells suggesting they are potential oncogenic drivers in MEC.
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27. |
- Shah, Vishank A., et al.
(författare)
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One-Year Outcome Trajectories and Factors Associated with Functional Recovery among Survivors of Intracerebral and Intraventricular Hemorrhage with Initial Severe Disability
- 2022
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Ingår i: JAMA Neurology. - : American Medical Association (AMA). - 2168-6149. ; 79:9, s. 856-868
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Tidskriftsartikel (refereegranskat)abstract
- Importance: Patients who survive severe intracerebral hemorrhage (ICH) and intraventricular hemorrhage (IVH) typically have poor functional outcome in the short term and understanding of future recovery is limited. Objective: To describe 1-year recovery trajectories among ICH and IVH survivors with initial severe disability and assess the association of hospital events with long-term recovery. Design, Setting, and Participants: This post hoc analysis pooled all individual patient data from the Clot Lysis: Evaluating Accelerated Resolution of Intraventricular Hemorrhage phase 3 trial (CLEAR-III) and the Minimally Invasive Surgery Plus Alteplase for Intracerebral Hemorrhage Evacuation (MISTIE-III) phase 3 trial in multiple centers across the US, Canada, Europe, and Asia. Patients were enrolled from August 1, 2010, to September 30, 2018, with a follow-up duration of 1 year. Of 999 enrolled patients, 724 survived with a day 30 modified Rankin Scale score (mRS) of 4 to 5 after excluding 13 participants with missing day 30 mRS. An additional 9 patients were excluded because of missing 1-year mRS. The final pooled cohort included 715 patients (71.6%) with day 30 mRS 4 to 5. Data were analyzed from July 2019 to January 2022. Exposures: CLEAR-III participants randomized to intraventricular alteplase vs placebo. MISTIE-III participants randomized to stereotactic thrombolysis of hematoma vs standard medical care. Main Outcomes and Measures: Primary outcome was 1-year mRS. Patients were dichotomized into good outcome at 1 year (mRS 0 to 3) vs poor outcome at 1 year (mRS 4 to 6). Multivariable logistic regression models assessed associations between prospectively adjudicated hospital events and 1-year good outcome after adjusting for demographic characteristics, ICH and IVH severity, and trial cohort. Results: Of 715 survivors, 417 (58%) were male, and the overall mean (SD) age was 60.3 (11.7) years. Overall, 174 participants (24.3%) were Black, 491 (68.6%) were White, and 49 (6.9%) were of other races (including Asian, Native American, and Pacific Islander, consolidated owing to small numbers); 98 (13.7%) were of Hispanic ethnicity. By 1 year, 129 participants (18%) had died and 308 (43%) had achieved mRS 0 to 3. In adjusted models for the combined cohort, diabetes (adjusted odds ratio [aOR], 0.50; 95% CI, 0.26-0.96), National Institutes of Health Stroke Scale (aOR, 0.93; 95% CI, 0.90-0.96), severe leukoaraiosis (aOR, 0.30; 95% CI, 0.16-0.54), pineal gland shift (aOR, 0.87; 95% CI, 0.76-0.99]), acute ischemic stroke (aOR, 0.44; 95% CI, 0.21-0.94), gastrostomy (aOR, 0.30; 95% CI, 0.17-0.50), and persistent hydrocephalus by day 30 (aOR, 0.37; 95% CI, 0.14-0.98) were associated with lack of recovery. Resolution of ICH (aOR, 1.82; 95% CI, 1.08-3.04) and IVH (aOR, 2.19; 95% CI, 1.02-4.68) by day 30 were associated with recovery to good outcome. In the CLEAR-III model, cerebral perfusion pressure less than 60 mm Hg (aOR, 0.30; 95% CI, 0.13-0.71), sepsis (aOR, 0.05; 95% CI, 0.00-0.80), and prolonged mechanical ventilation (aOR, 0.96; 95% CI, 0.92-1.00 per day), and in MISTIE-III, need for intracranial pressure monitoring (aOR, 0.35; 95% CI, 0.12-0.98), were additional factors associated with poor outcome. Thirty-day event-based models strongly predicted 1-year outcome (area under the receiver operating characteristic curve [AUC], 0.87; 95% CI, 0.83-0.90), with significantly improved discrimination over models using baseline severity factors alone (AUC, 0.76; 95% CI, 0.71-0.80; P <.001). Conclusions and Relevance: Among survivors of severe ICH and IVH with initial poor functional outcome, more than 40% recovered to good outcome by 1 year. Hospital events were strongly associated with long-term functional recovery and may be potential targets for intervention. Avoiding early pessimistic prognostication and delaying prognostication until after treatment may improve ability to predict future recovery..
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28. |
- Shehata, Awad A., et al.
(författare)
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Probiotics, Prebiotics, and Phytogenic Substances for Optimizing Gut Health in Poultry
- 2022
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Ingår i: Microorganisms. - : MDPI AG. - 2076-2607. ; 10:2
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Forskningsöversikt (refereegranskat)abstract
- The gut microbiota has been designated as a hidden metabolic 'organ' because of its enormous impact on host metabolism, physiology, nutrition, and immune function. The connection between the intestinal microbiota and their respective host animals is dynamic and, in general, mutually beneficial. This complicated interaction is seen as a determinant of health and disease; thus, intestinal dysbiosis is linked with several metabolic diseases. Therefore, tractable strategies targeting the regulation of intestinal microbiota can control several diseases that are closely related to inflammatory and metabolic disorders. As a result, animal health and performance are improved. One of these strategies is related to dietary supplementation with prebiotics, probiotics, and phytogenic substances. These supplements exert their effects indirectly through manipulation of gut microbiota quality and improvement in intestinal epithelial barrier. Several phytogenic substances, such as berberine, resveratrol, curcumin, carvacrol, thymol, isoflavones and hydrolyzed fibers, have been identified as potential supplements that may also act as welcome means to reduce the usage of antibiotics in feedstock, including poultry farming, through manipulation of the gut microbiome. In addition, these compounds may improve the integrity of tight junctions by controlling tight junction-related proteins and inflammatory signaling pathways in the host animals. In this review, we discuss the role of probiotics, prebiotics, and phytogenic substances in optimizing gut function in poultry.
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30. |
- AbdElKhalek, Y. M., et al.
(författare)
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Trajectory-based fast ball detection and tracking for an autonomous industrial robot system
- 2021
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Ingår i: International Journal of Intelligent Systems Technologies and Applications. - : Inderscience Publishers. - 1740-8865 .- 1740-8873. ; 20:2, s. 126-145
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Tidskriftsartikel (refereegranskat)abstract
- Autonomising industrial robots is the main goal in this paper; imagine humanoid robots that have several degrees of freedom (DOF) mechanisms as their arms. What if the humanoid's arms could be programmed to be responsive to their surrounding environment, without any hard-coding assigned? This paper presents the idea of an autonomous system, where the system observes the surrounding environment and takes action on its observation. The application here is that of rebuffing an object that is thrown towards a robotic arm's workspace. This application mimics the idea of high dynamic responsiveness of a robot's arm. This paper will present a trajectory generation framework for rebuffing incoming flying objects. The framework bases its assumptions on inputs acquired through image processing and object detection. After extensive testing, it can be said that the proposed framework managed to fulfil the real-time system requirements for this application, with an 80% successful rebuffing rate.
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31. |
- Amirah Hamzah, Hamizah, et al.
(författare)
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Heavy metal speciation in surface sediments and their impact on the bioaccumulation of green mussels (Perna viridis) from the eastern part of the Straits of Johor, Malaysia
- 2023
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Ingår i: Total Environment Research Themes. - : Elsevier. - 2772-8099. ; 7
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Tidskriftsartikel (refereegranskat)abstract
- Many aquatic ecosystems are vulnerable to many pollutants, particularly heavy metals that are now a threat to public health. It may be more effective to manage pollution in waterways if we can better understand the connection between heavy metals in sediments and their accumulation in green mussels. In this study, lead levels in green mussels (Perna viridis) were above the permissible maximum level (WHO, Malaysia Food Regulation, and the FAO). Moreover, zinc levels exceeded the FAO's maximum recommended range. The fractionate of heavy metals in surface sediment from the eastern part of the Johore Straits was investigated using the sequential extraction techniques (SET) method. In the majority of sampling stations, copper's chemical speciation followed the following order: residual > oxidisable-organic > exchangeable > acid reducible, while zinc's and lead's chemical speciation followed the following pattern: residual > oxidisable-organic > acid reducible > exchangeable. The results of Pearson's correlation studies demonstrated a substantial association between Zn concentration in the tissues of green mussels and total Zinc, exchangeable (F1), acid-reducible (F2), and residual (F4) Zn in surface sediment. Green mussel Cu content and surface sediment Cu of exchangeable (F1), residual (F4), and total Cu were found to correlate. As a result, green mussels are being used as a biomonitoring agent for heavy metal contamination on the eastern side of the Straits of Johor in Malaysia.
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32. |
- Andersson White, Pär, et al.
(författare)
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Household income and maternal education in early childhood and risk of overweight and obesity in late childhood : Findings from seven birth cohort studies in six high-income countries
- 2022
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Ingår i: International Journal of Obesity. - : Springer Nature. - 0307-0565 .- 1476-5497. ; 46, s. 1703-1711
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Tidskriftsartikel (refereegranskat)abstract
- Background/objectives This study analysed the relationship between early childhood socioeconomic status (SES) measured by maternal education and household income and the subsequent development of childhood overweight and obesity. Subjects/methods Data from seven population-representative prospective child cohorts in six high-income countries: United Kingdom, Australia, the Netherlands, Canada (one national cohort and one from the province of Quebec), USA, Sweden. Children were included at birth or within the first 2 years of life. Pooled estimates relate to a total of N = 26,565 included children. Overweight and obesity were defined using International Obesity Task Force (IOTF) cut-offs and measured in late childhood (8-11 years). Risk ratios (RRs) and pooled risk estimates were adjusted for potential confounders (maternal age, ethnicity, child sex). Slope Indexes of Inequality (SII) were estimated to quantify absolute inequality for maternal education and household income. Results Prevalence ranged from 15.0% overweight and 2.4% obese in the Swedish cohort to 37.6% overweight and 15.8% obese in the US cohort. Overall, across cohorts, social gradients were observed for risk of obesity for both low maternal education (pooled RR: 2.99, 95% CI: 2.07, 4.31) and low household income (pooled RR: 2.69, 95% CI: 1.68, 4.30); between-cohort heterogeneity ranged from negligible to moderate (p: 0.300 to < 0.001). The association between RRs of obesity by income was lowest in Sweden than in other cohorts. Conclusions There was a social gradient by maternal education on the risk of childhood obesity in all included cohorts. The SES associations measured by income were more heterogeneous and differed between Sweden versus the other national cohorts; these findings may be attributable to policy differences, including preschool policies, maternity leave, a ban on advertising to children, and universal free school meals.
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33. |
- Awad, A., et al.
(författare)
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Catalytic decomposition of 2% methanol in methane over metallic catalyst by fixed-bed catalytic reactor
- 2021
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Ingår i: Energies. - : MDPI. - 1996-1073. ; 14:8
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Tidskriftsartikel (refereegranskat)abstract
- The structure and performance of promoted Ni/Al2O3 with Cu via thermocatalytic decomposition (TCD) of CH4 mixture (2% CH3OH) were studied. Mesoporous Cat-1 and Cat-2 were synthesized by the impregnation method. The corresponding peaks of nickel oxide and copper oxide in the XRD showed the presence of nickel and copper oxides as a mixed alloy in the calcined catalyst. Temperature program reduction (TPR) showed that Cu enhanced the reducibility of the catalyst as the peak of nickel oxide shifted toward a lower temperature due to the interaction strength of the metal particles and support. The impregnation of 10% Cu on Cat-1 drastically improved the catalytic performance and exhibited 68% CH4 conversion, and endured its activity for 6 h compared with Cat-1, which deactivated after 4 h. The investigation of the spent carbon showed that various forms of carbon were obtained as a by-product of TCD, including graphene fiber (GF), carbon nanofiber (CNF), and multi-wall carbon nanofibers (MWCNFs) on the active sites of Cat-2 and Cat-1, following various kinds of growth mechanisms. The presence of the D and G bands in the Raman spectroscopy confirmed the mixture of amorphous and crystalline morphology of the deposited carbon.
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34. |
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35. |
- Awad-Allah, Eman F. A., et al.
(författare)
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Phosphorus protects against cadmium-induced phytotoxicity by stimulating plasma membrane H+-ATPase activity
- 2023
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Ingår i: Journal of plant nutrition. - 0190-4167 .- 1532-4087. ; 46:16, s. 3918-3932
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Tidskriftsartikel (refereegranskat)abstract
- Proper plant nutrition can be an effective strategy to alleviate the phytotoxicity and damaging effects of Cd stress on plants and to avoid its entry into the food chain. This study aimed to investigate effects of phosphorus concentrations, and pH levels in the nutrient solution on Cd uptake, growth, photosynthetic characters, total phytochelatins (PCs), and plasma membrane ATPase activity of sugar beet (Beta vulgaris L.) plants grown in sand culture. Two successive experimental studies were carried out under controlled conditions. In the first study, 10-day-old sugar beet seedlings were irrigated with a half-strength Hoagland and Arnon nutrient solution, adjusted to different pH (3.5, 5.0, 6.0, 7.0, or 8.0), and containing 0, 0.15, or 0.30 mg Cd L−1 as CdCl2. In the second study, 10-day-old sugar beet seedlings were irrigated with the same nutrient solution (pH 6), but combined with different phosphorus concentrations (0, 10, 25 and 50 µg P ml−1 as KH2PO4) and Cd levels (0, 0.15, and 0.30 mg Cd L−1 as CdCl2). The first study revealed that pH had a strong influence on Cd uptake by sugar beet roots. Cd stress significantly decreased sugar beet growth and Mg2+-ATPase activity, whereas it increased total phytochelatins (PCs). Second study indicated an antagonistic effect between P and Cd. Furthermore, phosphorus had the potential to stimulate Mg2+-ATPase activity and synthesis of photosynthetic pigments and to promote growth of sugar beet seedlings. Cadmium induced phytotoxicity in sugar beet seedlings can be alleviated by a proper pH and phosphorus nutrition.
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36. |
- Basiouni, Shereen, et al.
(författare)
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Anti-Inflammatory and Antioxidative Phytogenic Substances against Secret Killers in Poultry : Current Status and Prospects
- 2023
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Ingår i: Veterinary Sciences. - : MDPI. - 2306-7381. ; 10:1
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Forskningsöversikt (refereegranskat)abstract
- Chronic stress is recognized as a secret killer in poultry. It is associated with systemic inflammation due to cytokine release, dysbiosis, and the so-called leaky gut syndrome, which mainly results from oxidative stress reactions that damage the barrier function of the cells lining the gut wall. Poultry, especially the genetically selected broiler breeds, frequently suffer from these chronic stress symptoms when exposed to multiple stressors in their growing environments. Since oxidative stress reactions and inflammatory damages are multi-stage and long-term processes, overshooting immune reactions and their down-stream effects also negatively affect the animal’s microbiota, and finally impair its performance and commercial value. Means to counteract oxidative stress in poultry and other animals are, therefore, highly welcome. Many phytogenic substances, including flavonoids and phenolic compounds, are known to exert anti-inflammatory and antioxidant effects. In this review, firstly, the main stressors in poultry, such as heat stress, mycotoxins, dysbiosis and diets that contain oxidized lipids that trigger oxidative stress and inflammation, are discussed, along with the key transcription factors involved in the related signal transduction pathways. Secondly, the most promising phytogenic substances and their current applications to ameliorate oxidative stress and inflammation in poultry are highlighted.Simple SummaryChronic stress and inflammation, known also as “secret killers” in animals, can lead to lipid peroxidation, protein oxidation and nitration, DNA damage, and finally apoptosis. This is due to an imbalance between free radical generation and endogenous antioxidant defense, which in turn possess detrimental impacts on the health and performance of animals. In this review, we discuss the mechanistic pathways of oxidative stress and inflammation associated with the main secret killers in poultry, namely heat stress, dysbiosis, leaky gut syndrome, and mycotoxins. Additionally, we shed light on the potential use, challenges, and future prospects of phytogenic bioactive substances in mitigating oxidative stress and inflammation in poultry.
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37. |
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38. |
- Khanji, Mohammed Y., et al.
(författare)
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Management of aortic stenosis : A systematic review of clinical practice guidelines and recommendations
- 2021
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Ingår i: European Heart Journal - Quality of Care and Clinical Outcomes. - : Oxford University Press (OUP). - 2058-5225 .- 2058-1742. ; 7:4, s. 340-353
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Forskningsöversikt (refereegranskat)abstract
- Multiple guidelines exist for the management of aortic stenosis (AS). We systematically reviewed current guidelines and recommendations, developed by national or international medical organizations, on management of AS to aid clinical decision-making. Publications in MEDLINE and EMBASE between 1 June 2010 and 15 January 2021 were identified. Additionally, the International Guideline Library, National Guideline Clearinghouse, National Library for Health Guidelines Finder, Canadian Medical Association Clinical Practice Guidelines Infobase, and websites of relevant organizations were searched. Two reviewers independently screened titles and abstracts. Two reviewers assessed rigour of guideline development and extracted the recommendations. Of the seven guidelines and recommendations retrieved, five showed considerable rigour of development. Those rigourously developed, agreed on the definition of severe AS and diverse haemodynamic phenotypes, indications and contraindications for intervention in symptomatic severe AS, surveillance intervals in asymptomatic severe AS, and the importance of multidisciplinary teams (MDTs) and shared decision-making. Discrepancies exist in age and surgical risk cut-offs for recommending surgical aortic valve replacement (SAVR) vs. transcatheter aortic valve implantation (TAVI), the use of biomarkers and complementary multimodality imaging for decision-making in asymptomatic patients and surveillance intervals for non-severe AS. Contemporary guidelines for AS management agree on the importance of MDT involvement and shared decision-making for individualized treatment and unanimously indicate valve replacement in severe, symptomatic AS. Discrepancies exist in thresholds for age and procedural risk used in choosing between SAVR and TAVI, role of biomarkers and complementary imaging modalities to define AS severity and risk of progression in asymptomatic patients.
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39. |
- Kärrman, Anna, 1975-, et al.
(författare)
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Can determination of extractable organofluorine (EOF) be standardized? First interlaboratory comparisons of EOF and fluorine mass balance in sludge and water matrices
- 2021
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Ingår i: Environmental Science. - : Royal Society of Chemistry. - 2050-7887 .- 2050-7895. ; 23:10, s. 1458-1465
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Tidskriftsartikel (refereegranskat)abstract
- The high proportion of unidentified extractable organofluorine (EOF) observed globally in humans and the environment indicates widespread occurrence of unknown per- and polyfluoroalkyl substances (PFAS). However, efforts to standardize or assess the reproducibility of EOF methods are currently lacking. Here we present the first EOF interlaboratory comparison in water and sludge. Three participants (four organizations) analyzed unfortified and PFAS-fortified ultrapure water, two unfortified groundwater samples, unfortified wastewater treatment plant effluent and sludge, and an unfortified groundwater extract. Participants adopted common sample handling strategies and target lists for EOF mass balance but used in-house combustion ion-chromatography (CIC) and liquid chromatography-tandem mass spectrometry (LC-MS/MS) methods. EOF accuracy ranged from 85-101% and 76-109% for the 60 and 334 ng L-1 fluorine (F) - fortified water samples, respectively, with between-laboratory variation of 9-19%, and within-laboratory variation of 3-27%. In unfortified sludge and aqueous samples, between-laboratory variation ranged from 21-37%. The contribution from sum concentrations of 16 individual PFAS (∑PFAS-16) to EOF ranged from 2.2-60% but extended analysis showed that other targets were prevalent, in particular ultra-short-chain perfluoroalkyl acids (e.g. trifluoroacetic acid) in aqueous samples and perfluoroalkyl acid-precursors (e.g. polyfluoroalkyl phosphate diesters) in sludge. The EOF-CIC method demonstrated promising accuracy, robustness and reporting limits but poor extraction efficiency was observed for some targets (e.g. trifluoroacetic acid).
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40. |
- Litvinenko, Artem, 1989, et al.
(författare)
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A spinwave Ising machine
- 2023
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Ingår i: Communications Physics. - 2399-3650. ; 6:1
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Tidskriftsartikel (refereegranskat)abstract
- Time-multiplexed Coherent Ising Machines (CIMs) have demonstrated promising results in rapidly solving large-scale combinatorial problems. However, CIMs remain relatively large and power-demanding. Here, we demonstrate a spinwave-based Ising machine (SWIM) that due to the low spinwave group velocity allows for sufficient miniaturization and reduced power consumption. The SWIM is implemented using a 10-mm-long 5-mu m-thick Yttrium Iron Garnet film with off-the-shelf microwave components and can support an 8-spin MAX-CUT problem and solve it in less than 4 mu s consuming only 7 mu J. As the SWIM minimizes its energy, we observe that the spin states can demonstrate both uniform and domain-propagation-like switching. The developed SWIM has the potential for substantial further miniaturization with reduction of power consumption, scalability in the number of supported spins, increase of operational speed, and may become a versatile platform for commercially feasible high-performance solvers of combinatorial optimization problems.
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41. |
- Miranda, Daniele A., et al.
(författare)
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Bioaccumulation of Per- and polyfluoroalkyl substances (PFASs) in a tropical estuarine food web
- 2021
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Ingår i: Science of the Total Environment. - : Elsevier BV. - 0048-9697 .- 1879-1026. ; 754
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Tidskriftsartikel (refereegranskat)abstract
- The biomagnification of per- and polyfluoroalkyl substances (PFASs) was investigated in a tropical mangrove food web from an estuary in Bahia, Brazil. Samples of 44 organisms (21 taxa), along with biofilm, leaves, sediment and suspended particulate matter were analyzed. Sum (Sigma) PFAS concentrations in biota samples were dominated by perfluorooctane sulfonate (PFOS, 93% detection frequency in tissues; 0.05 to 1.97 ng g(-1) ww whole-body (wb)), followed by perfluorotridecanoate (PFTrDA, 57%; 0.01 to 0.28 ng g(-1) ww wb). PFOS precursors such as perfluorooctane sulfonamide (FOSA, 54%; 0.01 to 0.32 ng g(-1) ww wb) and N-ethyl perfluorooctane sulfonamide (EtFOSA; 30%; 0.01 to 0.21 ng g(-1) ww wb) were also detected. PFAS accumulation profiles revealed different routes of exposure among bivalve, crustacean and fish groups. Statistics for left-censored data were used in order to minimize bias on trophic magnification factors (TMFs) calculations. TMFs >1 were observed for PFOS (linear + branched isomers), EtFOSA (linear + branched isomers), and perfluorononanoate (PFNA), and in all cases, dissimilar accumulation patterns were observed among different trophic positions. The apparent biodilution of some long-chain PFCAs through the food chain (TMF < 1) may be due to exposure from multiple PFAS sources. This is the first study investigating bioaccumulation of PFASs in a tropical food web and provides new insight on the behavior of this ubiquitous class of contaminants.
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42. |
- Saber, Abeer, et al.
(författare)
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Adapting the pre-trained convolutional neural networks to improve the anomaly detection and classification in mammographic images
- 2023
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Ingår i: Scientific Reports. - : NATURE PORTFOLIO. - 2045-2322. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- Mortality from breast cancer (BC) is among the top causes of cancer death in women. BC can be effectively treated when diagnosed early, improving the likelihood that a patient will survive. BC masses and calcification clusters must be identified by mammography in order to prevent disease effects and commence therapy at an early stage. A mammography misinterpretation may result in an unnecessary biopsy of the false-positive results, lowering the patients odds of survival. This study intends to improve breast mass detection and identification in order to provide better therapy and reduce mortality risk. A new deep-learning (DL) model based on a combination of transfer-learning (TL) and long short-term memory (LSTM) is proposed in this study to adequately facilitate the automatic detection and diagnosis of the BC suspicious region using the 80-20 method. Since DL designs are modelled to be problem-specific, TL applies the knowledge gained during the solution of one problem to another relevant problem. In the presented model, the learning features from the pre-trained networks such as the squeezeNet and DenseNet are extracted and transferred with the features that have been extracted from the INbreast dataset. To measure the proposed model performance, we selected accuracy, sensitivity, specificity, precision, and area under the ROC curve (AUC) as our metrics of choice. The classification of mammographic data using the suggested model yielded overall accuracy, sensitivity, specificity, precision, and AUC values of 99.236%, 98.8%, 99.1%, 96%, and 0.998, respectively, demonstrating the models efficacy in detecting breast tumors.
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43. |
- Shokry, Mostafa, et al.
(författare)
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CORAS Model for Security Risk Assessment in Advanced Metering Infrastructure Systems
- 2023
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Ingår i: Proceedings of the 8th International Conference on Advanced Intelligent Systems and Informatics 2022. - Cham : Springer Nature. ; , s. 449-459
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Konferensbidrag (refereegranskat)abstract
- The risk assessment process is one of the most important tasks that must be performed on critical infrastructure systems to detect security vulnerabilities and risks. The risk assessment task is used to evaluate the likelihood and the impact of the potential threats on the critical assets of any system by determining the threats, the unwanted incidents, and the mitigation techniques to reduce these risks. The advanced metering infrastructure (AMI) system is considered one of the critical infrastructure systems and part of the smart grid system. AMI collects electricity consumption data from the customer’s residence to the electricity data center through bidirectional communication channels to be analyzed. This paper conducts a risk assessment process on the AMI system using the CORAS risk assessment model and CORAS risk assessment tool v1.4 to identify possible risks. The study applies the eight steps of the CORAS model to the AMI system from determining the critical assets in the AMI system to determining the mitigation techniques that can be applied to overcome the existing security vulnerabilities. In the end, this study provides a better understanding of the AMI security risks toward identifying adequate security perimeters for AMI systems.
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44. |
- Shokry, Mostafa, et al.
(författare)
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Systematic survey of advanced metering infrastructure security: Vulnerabilities, attacks, countermeasures, and future vision
- 2022
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Ingår i: Future Generation Computer Systems. - : Elsevier. - 0167-739X .- 1872-7115. ; 136, s. 358-377
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Forskningsöversikt (refereegranskat)abstract
- There is a paradigm shift from traditional power distribution systems to smart grids (SGs) due to advances in information and communication technology. An advanced metering infrastructure (AMI) is one of the main components in an SG. Its relevance comes from its ability to collect, process, and transfer data through the internet. Although the advances in AMI and SG techniques have brought new operational benefits, they introduce new security and privacy challenges. Security has emerged as an imperative requirement to protect an AMI from attack. Currently, ensuring security is a major challenge in the design and deployment of an AMI. This study provides a systematic survey of the security of AMI systems from diverse perspectives. It focuses on attacks, mitigation approaches, and future visions. The contributions of this article are fourfold: First, the vulnerabilities that may exist in all components of an AMI are described and analyzed. Second, it considers attacks that exploit these vulnerabilities and the impact they can have on the performance of individual components and the overall AMI system. Third, it discusses various countermeasures that can protect an AMI system. Fourth, it presents the open challenges relating to AMI security as well as future research directions. The uniqueness of this review is its comprehensive coverage of AMI components with respect to their security vulnerabilities, attacks, and countermeasures. The future vision is described at the end.
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45. |
- Spencer, Nicholas James, et al.
(författare)
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Social gradients in ADHD by household income and maternal education exposure during early childhood : Findings from birth cohort studies across six countries
- 2022
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Ingår i: PLOS ONE. - : Public Library of Science. - 1932-6203. ; 17:3
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThis study aimed to examine social gradients in ADHD during late childhood (age 9-11 years) using absolute and relative relationships with socioeconomic status exposure (household income, maternal education) during early childhood (<5 years) in seven cohorts from six industrialised countries (UK, Australia, Canada, The Netherlands, USA, Sweden). MethodsSecondary analyses were conducted for each birth cohort. Risk ratios, pooled risk estimates, and absolute inequality, measured by the Slope Index of Inequality (SII), were estimated to quantify social gradients in ADHD during late childhood by household income and maternal education measured during early childhood. Estimates were adjusted for child sex, mother age at birth, mother ethnicity, and multiple births. FindingsAll cohorts demonstrated social gradients by household income and maternal education in early childhood, except for maternal education in Quebec. Pooled risk estimates, relating to 44,925 children, yielded expected gradients (income: low 1.83(CI 1.38,2.41), middle 1.42(1.13,1.79), high (reference); maternal education: low 2.13(1.39,3.25), middle 1.42(1.13,1.79)). Estimates of absolute inequality using SII showed that the largest differences in ADHD prevalence between the highest and lowest levels of maternal education were observed in Australia (4% lower) and Sweden (3% lower); for household income, the largest differences were observed in Quebec (6% lower) and Canada (all provinces: 5% lower). ConclusionFindings indicate that children in families with high household income or maternal education are less likely to have ADHD at age 9-11. Absolute inequality, in combination with relative inequality, provides a more complete account of the socioeconomic status and ADHD relationship in different high-income countries. While the study design precludes causal inference, the linear relation between early childhood social circumstances and later ADHD suggests a potential role for policies that promote high levels of education, especially among women, and adequate levels of household income over childrens early years in reducing risk of later ADHD.
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