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  • Open Access English
    Authors: 
    Cline, James M.; Kainulainen, Kimmo;
    Project: AKA | Dark Universe (318319), NSERC

    It is widely believed that electroweak baryogenesis should be suppressed in strong phase transitions with fast-moving bubble walls, but this effect has never been quantitatively studied. We rederive fluid equations describing transport of particle asymmetries near the bubble wall without making the small-wall-velocity approximation. We show that the suppression of the baryon asymmetry is a smooth function of the wall speed and that there is no special behavior when crossing the sound speed barrier. Electroweak baryogenesis can thus be efficient also with strong detonations, generically associated with models with observably large gravitational waves. We also make a systematic and critical comparison of our improved transport equations to another one commonly used in the literature, based on the VEV-insertion formalism. Comment: 15 pages, 6 figures

  • Open Access
    Authors: 
    James M. Cline; Kimmo Kainulainen;
    Publisher: American Physical Society (APS)
    Country: Finland
    Project: AKA | Dark Universe (318319), NSERC

    It is widely believed that electroweak baryogenesis should be suppressed in strong phase transitions with fast-moving bubble walls, but this effect has never been quantitatively studied. We rederive fluid equations describing transport of particle asymmetries near the bubble wall without making the small-wall-velocity approximation. We show that the suppression of the baryon asymmetry is a smooth function of the wall speed and that there is no special behavior when crossing the sound speed barrier. Electroweak baryogenesis can thus be efficient also with strong detonations, generically associated with models with observably large gravitational waves. We also make a systematic and critical comparison of our improved transport equations to another one commonly used in the literature, based on the vacuum expectation value (VEV)-insertion formalism. Peer reviewed

  • Open Access English
    Authors: 
    Moreno-Ibáñez, Manuel; Gritsevich, Maria; Trigo-Rodríguez, Josep M.; Silber, Elizabeth A.;
    Project: AKA | Planetary spectrometry / ... (325806)

    Meteoroids impacting the Earth atmosphere are commonly classified using the PE criterion. This criterion was introduced to support the identification of the fireball type by empirically linking its orbital origin and composition characteristics. Additionally, it is used as an indicator of the meteoroid tensile strength and its ability to penetrate the atmosphere. However, the level of classification accuracy of the PE criterion depends on the ability to constrain the value of the input data, retrieved from the fireball observation, required to derive the PE value. To overcome these uncertainties and achieve a greater classification detail we propose a new formulation using scaling laws and dimensionless variables that groups all the input variables into two parameters that are directly obtained from the fireball observations. These two parameters, ${\alpha}$ and ${\beta}$, represent the drag and the mass loss rates along the luminous part of the trajectory, respectively, and are linked to the shape, strength, ablation efficiency, mineralogical nature of the projectile, and duration of the fireball. Thus, the new formulation relies on a physical basis. This work shows the mathematical equivalence between the PE criterion and the logarithm of $2{\alpha}{\beta}$ under the same PE-criterion assumptions. We demonstrate that $log(2{\alpha}{\beta})$ offers a more general formulation which does not require any preliminary constraint on the meteor flight scenario and discuss the suitability of the new formulation for expanding the classification beyond fully disintegrating fireballs to larger impactors including meteorite-dropping fireballs. The reliability of the new formulation is validated using the Prairie Network meteor observations. Comment: 15 pages, 2 figures, 1 table

  • Open Access English
    Authors: 
    Schymanski, Emma L.; Ruttkies, Christoph; Krauss, Martin; Brouard, Céline; Kind, Tobias; Dührkop, Kai; Allen, Felicity; Vaniya, Arpana; Verdegem, Dries; Böcker, Sebastian; +7 more
    Publisher: Springer International Publishing
    Countries: France, United States, Belgium
    Project: EC | SOLUTIONS (603437), AKA | Metabolite Identification... (268874), CIHR , NSERC

    Background The fourth round of the Critical Assessment of Small Molecule Identification (CASMI) Contest (www.casmi-contest.org) was held in 2016, with two new categories for automated methods. This article covers the 208 challenges in Categories 2 and 3, without and with metadata, from organization, participation, results and post-contest evaluation of CASMI 2016 through to perspectives for future contests and small molecule annotation/identification. Results The Input Output Kernel Regression (CSI:IOKR) machine learning approach performed best in “Category 2: Best Automatic Structural Identification—In Silico Fragmentation Only”, won by Team Brouard with 41% challenge wins. The winner of “Category 3: Best Automatic Structural Identification—Full Information” was Team Kind (MS-FINDER), with 76% challenge wins. The best methods were able to achieve over 30% Top 1 ranks in Category 2, with all methods ranking the correct candidate in the Top 10 in around 50% of challenges. This success rate rose to 70% Top 1 ranks in Category 3, with candidates in the Top 10 in over 80% of the challenges. The machine learning and chemistry-based approaches are shown to perform in complementary ways. Conclusions The improvement in (semi-)automated fragmentation methods for small molecule identification has been substantial. The achieved high rates of correct candidates in the Top 1 and Top 10, despite large candidate numbers, open up great possibilities for high-throughput annotation of untargeted analysis for “known unknowns”. As more high quality training data becomes available, the improvements in machine learning methods will likely continue, but the alternative approaches still provide valuable complementary information. Improved integration of experimental context will also improve identification success further for “real life” annotations. The true “unknown unknowns” remain to be evaluated in future CASMI contests. Graphical abstract . Electronic supplementary material The online version of this article (doi:10.1186/s13321-017-0207-1) contains supplementary material, which is available to authorized users.

  • Open Access
    Authors: 
    Nakanishi, Tomoko; Pigazzini, Sara; Degenhardt, Frauke; Cordioli, Mattia; Butler-Laporte, Guillaume; Maya-Miles, Douglas; Nafria Jimenez, Beatriz; Bouysran, Youssef; Niemi, Mari; Palom, Adriana; +39 more
    Publisher: Cold Spring Harbor Laboratory
    Country: Spain
    Project: AKA | A privacy-aware approach ... (323116), AKA | Prediction tools and earl... (340541), EC | REVEAL (101016726), NIH | Predictive utility of pol... (1K25DK128563-01), WT , NIH | Clinical and Translationa... (2UL1TR001873-06), CIHR , EC | LITMUS (777377)

    AG has received support by NordForsk Nordic Trial Alliance (NTA) grant, by Academy of Finland Fellow grant N. 323116 and the Academy of Finland for PREDICT consortium N. 340541. The Richards research group is supported by the Canadian Institutes of Health Research (CIHR) (365825 and 409511), the Lady Davis Institute of the Jewish General Hospital, the Canadian Foundation for Innovation (CFI), the NIH Foundation, Cancer Research UK, Genome Quebec, the Public Health Agency of Canada, the McGill Interdisciplinary Initiative in Infection and Immunity and the Fonds de Recherche Quebec Sante (FRQS). TN is supported by a research fellowship of the Japan Society for the Promotion of Science for Young Scientists. GBL is supported by a CIHR scholarship and a joint FRQS and Quebec Ministry of Health and Social Services scholarship. JBR is supported by an FRQS Clinical Research Scholarship. Support from Calcul Quebec and Compute Canada is acknowledged. TwinsUK is funded by the Welcome Trust, the Medical Research Council, the European Union, the National Institute for Health Research-funded BioResource and the Clinical Research Facility and Biomedical Research Centre based at Guy's and St. Thomas' NHS Foundation Trust in partnership with King's College London. The Biobanque Quebec COVID19 is funded by FRQS, Genome Quebec and the Public Health Agency of Canada, the McGill Interdisciplinary Initiative in Infection and Immunity and the Fonds de Recherche Quebec Sante. These funding agencies had no role in the design, implementation or interpretation of this study. The COVID19-Host(a)ge study received infrastructure support from the DFG Cluster of Excellence 2167 Precision Medicine in Chronic Inflammation (PMI) (DFG Grant: EXC2167). The COVID19-Host(a)ge study was supported by the German Federal Ministry of Education and Research (BMBF) within the framework of the Computational Life Sciences funding concept (CompLS grant 031L0165). Genotyping in COVID19-Host(a)ge was supported by a philantropic donation from Stein Erik Hagen. The COVID GWAs, Premed COVID-19 study (COVID19-Host(a)ge_3) was supported by Grupo de Trabajo en Medicina Personalizada contra el COVID-19 de Andalucia and also by the Instituto de Salud Carlos III (CIBERehd and CIBERER). Funding comes from COVID-19-GWAS, COVID-PREMED initiatives. Both of them are supported by Consejeria de Salud y Familias of the Andalusian Government. DMM is currently funded by the the Andalussian government (Proyectos Estrategicos-Fondos Feder PE-0451-2018). The Columbia University Biobank was supported by Columbia University and the National Center for Advancing Translational Sciences, NIH, through Grant Number UL1TR001873. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or Columbia University. The SPGRX study was supported by the Consejeria de Economia, Conocimiento, Empresas y Universidad #CV20-10150. The GEN-COVID study was funded by: the MIUR grant Dipartimenti di Eccellenza 2018-2020 to the Department of Medical Biotechnologies University of Siena, Italy; the Intesa San Paolo 2020 charity fund dedicated to the project NB/2020/0119; and philanthropic donations to the Department of Medical Biotechnologies, University of Siena for the COVID-19 host genetics research project (D.L n.18 of March 17, 2020). Part of this research project is also funded by Tuscany Region Bando Ricerca COVID-19 Toscana grant to the Azienda Ospedaliero Universitaria Senese (CUP I49C20000280002). Authors are grateful to: the CINECA consortium for providing computational resources; the Network for Italian Genomes (NIG) (http://www.nig.cineca.it) for its support; the COVID-19 Host Genetics Initiative (https://www.covid19hg.org/); the Genetic Biobank of Siena, member of BBMRI-IT, Telethon Network of Genetic Biobanks (project no. GTB18001), EuroBioBank, and RD-Connect, for managing specimens. Genetics against coronavirus (GENIUS), Humanitas University (COVID19-Host(a)ge_4) was supported by Ricerca Corrente (Italian Ministry of Health), intramural funding (Fondazione Humanitas per la Ricerca). The generous contribution of Banca Intesa San Paolo and of the Dolce&Gabbana Fashion Firm is gratefully acknowledged. Data acquisition and sample processing was supported by COVID-19 Biobank, Fondazione IRCCS Ca Granda Milano; LV group was supported by MyFirst Grant AIRC n.16888, Ricerca Finalizzata Ministero della Salute RF-2016-02364358, Ricerca corrente Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, the European Union (EU) Programme Horizon 2020 (under grant agreement No. 777377) for the project LITMUS- Liver Investigation: Testing Marker Utility in Steatohepatitis, Programme Photonics under grant agreement 101016726 for the project REVEAL: Neuronal microscopy for cell behavioural examination and manipulation, Fondazione Patrimonio Ca' Granda Liver Bible PR-0361. DP was supported by Ricerca corrente Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, CV PREVITAL Strategie di prevenzione primaria nella popolazione Italiana Ministero della Salute, and Associazione Italiana per la Prevenzione dell'Epatite Virale (COPEV). Genetic modifiers for COVID-19 related illness (BeLCovid_1) was supported by the Fonds Erasme. The Host genetics and immune response in SARS-Cov-2 infection (BelCovid_2) study was supported by grants from Fondation Leon Fredericq and from Fonds de la Recherche Scientifique (FNRS). The INMUNGEN-CoV2 study was funded by the Consejo Superior de Investigaciones Cientificas. KUL is supported by the German Research Foundation (LU 1944/3-1) SweCovid is funded by the SciLifeLab/KAW national COVID-19 research program project grant to Michael Hultstrom (KAW 2020.0182) and the Swedish Research Council to Robert Frithiof (2014-02569 and 2014-07606). HZ is supported by Jeansson Stiftelser, Magnus Bergvalls Stiftelse. The COMRI cohort is funded by Technical University of Munich, Munich, Germany. Genotyping for the COMRI cohort was performed and funded by the Genotyping Laboratory of Institute for Molecular Medicine Finland FIMM Technology Centre, University of Helsinki, Helsinki, Finland. Background There is considerable variability in COVID-19 outcomes amongst younger adults—and some of this variation may be due to genetic predisposition. We characterized the clinical implications of the major genetic risk factor for COVID-19 severity, and its age-dependent effect, using individual-level data in a large international multi-centre consortium. Method The major common COVID-19 genetic risk factor is a chromosome 3 locus, tagged by the marker rs10490770. We combined individual level data for 13,424 COVID-19 positive patients (N=6,689 hospitalized) from 17 cohorts in nine countries to assess the association of this genetic marker with mortality, COVID-19-related complications and laboratory values. We next examined if the magnitude of these associations varied by age and were independent from known clinical COVID-19 risk factors. Findings We found that rs10490770 risk allele carriers experienced an increased risk of all-cause mortality (hazard ratio [HR] 1·4, 95% confidence interval [CI] 1·2–1·6) and COVID-19 related mortality (HR 1·5, 95%CI 1·3–1·8). Risk allele carriers had increased odds of several COVID-19 complications: severe respiratory failure (odds ratio [OR] 2·0, 95%CI 1·6-2·6), venous thromboembolism (OR 1·7, 95%CI 1·2-2·4), and hepatic injury (OR 1·6, 95%CI 1·2-2·0). Risk allele carriers ≤ 60 years had higher odds of death or severe respiratory failure (OR 2·6, 95%CI 1·8-3·9) compared to those > 60 years OR 1·5 (95%CI 1·3-1·9, interaction p-value=0·04). Amongst individuals ≤ 60 years who died or experienced severe respiratory COVID-19 outcome, we found that 31·8% (95%CI 27·6-36·2) were risk variant carriers, compared to 13·9% (95%CI 12·6-15·2%) of those not experiencing these outcomes. Prediction of death or severe respiratory failure among those ≤ 60 years improved when including the risk allele (AUC 0·82 vs 0·84, p=0·016) and the prediction ability of rs10490770 risk allele was similar to, or better than, most established clinical risk factors. Interpretation The major common COVID-19 risk locus on chromosome 3 is associated with increased risks of morbidity and mortality—and these are more pronounced amongst individuals ≤ 60 years. The effect on COVID-19 severity was similar to, or larger than most established risk factors, suggesting potential implications for clinical risk management. No

  • Open Access
    Authors: 
    Elli Jalo; Hanna Konttinen; Henna Vepsäläinen; Jean-Philippe Chaput; Gang Hu; Carol Maher; José Maia; Olga L. Sarmiento; Martyn Standage; Catrine Tudor-Locke; +2 more
    Publisher: MDPI AG
    Countries: Australia, Finland, United Kingdom
    Project: AKA | Psychosocial determinants... (309157), AKA | Psychosocial determinants... (314135)

    Eating in response to negative emotions (emotional eating, EE) may predispose an individual to obesity. Yet, it is not well known how EE in children is associated with body mass index (BMI) and health behaviours (i.e., diet, physical activity, sleep, and TV-viewing). In the present study, we examined these associations in a cross-sectional sample of 5426 (54% girls) 9⁻11-year-old children from 12 countries and five continents. EE, food consumption, and TV-viewing were measured using self-administered questionnaires, and physical activity and nocturnal sleep duration were measured with accelerometers. BMI was calculated using measured weights and heights. EE factor scores were computed using confirmatory factor analysis, and dietary patterns were identified using principal components analysis. The associations of EE with health behaviours and BMI z-scores were analyzed using multilevel models including age, gender, and household income as covariates. EE was positively and consistently (across 12 study sites) associated with an unhealthy dietary pattern (β = 0.29, SE = 0.02, p < 0.0001), suggesting that the association is not restricted to Western countries. Positive associations between EE and physical activity and TV viewing were not consistent across sites. Results tended to be similar in boys and girls. EE was unrelated to BMI in this sample, but prospective studies are needed to determine whether higher EE in children predicts the development of undesirable dietary patterns and obesity over time.

  • Closed Access
    Authors: 
    Yahong Chen; Andreas Norrman; Sergey A. Ponomarenko; Ari T. Friberg;
    Publisher: American Physical Society (APS)
    Project: NSERC , AKA | Photonics Research and In... (320166), AKA | Emerging surface plasmon ... (310511)

    We examine the spin angular momentum (SAM) density associated with the recently introduced [Phys. Rev. A 100, 053833 (2019)], partially coherent surface-plasmon-polariton (SPP) vortex fields at a metal-air interface. We show that the vortices appearing in such structured SPP fields induce a SAM density both in the interface plane and in the direction normal to the interface. We find that the radial and azimuthal SAM densities are caused solely by the SPP electric-field correlations. However, besides the intrinsic spin component induced by the complex SPP wave vector, the azimuthal SAM density remarkably carries also a spin component created by the elementary SPPs comprising the partially coherent vortex field. The normal SAM density, on the other hand, arises mainly due to the SPP magnetic-field correlations. Our analysis specifically demonstrates that the state of coherence of the partially coherent SPP vortex field plays an essential role in shaping the SAM density distributions. Our findings can find applications to near-field particle manipulation and in spin-based integrated photonic circuit design.

  • Open Access
    Authors: 
    Franke, Barbara; Stein, Jason L; McIntosh, Andrew M; Eichhammer, Peter; Eriksson, Johan; Escott-Price, Valentina; Essioux, Laurent; Fanous, Ayman H; Farrell, Martilias S; Frank, Josef; +270 more
    Publisher: Springer Science and Business Media LLC
    Countries: United States, United Kingdom, Belgium, Netherlands, Netherlands, Finland, Netherlands, Netherlands, United Kingdom, France ...
    Project: NIH | Empowering Personalized M... (1R01MH097268-01), NIH | 2/2-A Large-Scale Schizop... (1R01MH095034-01A1), NIH | Integration of Genomics &... (5RC2MH089951-02), WT | WTCCC2 core activities (085475), NIH | Alzheimers Disease Neuroi... (1U01AG024904-01), EC | GMI (230374), CIHR , NIH | Alzheimer's disease risk ... (5R01AG040060-04), NIH | THE GENETIC EPIDEMIOLOGY ... (5R01MH041953-05), WT | WTCCC Part Two (083948),...

    Schizophrenia is a devastating psychiatric illness with high heritability. Brain structure and function differ, on average, between people with schizophrenia and healthy individuals. As common genetic associations are emerging for both schizophrenia and brain imaging phenotypes, we can now use genome-wide data to investigate genetic overlap. Here we integrated results from common variant studies of schizophrenia (33,636 cases, 43,008 controls) and volumes of several (mainly subcortical) brain structures (11,840 subjects). We did not find evidence of genetic overlap between schizophrenia risk and subcortical volume measures either at the level of common variant genetic architecture or for single genetic markers. These results provide a proof of concept (albeit based on a limited set of structural brain measures) and define a roadmap for future studies investigating the genetic covariance between structural or functional brain phenotypes and risk for psychiatric disorders. peerReviewed final draft Article

  • Open Access
    Authors: 
    Caio Graco‐Roza; Sonja Aarnio; Nerea Abrego; Alicia T. R. Acosta; Janne Alahuhta; Jan Altman; Claudia Angiolini; Jukka Aroviita; Fabio Attorre; Lars Baastrup‐Spohr; +82 more
    Publisher: Wiley
    Countries: Spain, Italy, Spain, Bulgaria, Spain, Finland, Denmark, Spain, Finland, Switzerland
    Project: EC | LIFEPLAN (856506), EC | CAWEB (882221), AKA | Modern statistical toolbo... (309581)

    Aim: Understanding the variation in community composition and species abundances (i.e., β-diversity) is at the heart of community ecology. A common approach to examine β-diversity is to evaluate directional variation in community composition by measuring the decay in the similarity among pairs of communities along spatial or environmental distance. We provide the first global synthesis of taxonomic and functional distance decay along spatial and environmental distance by analysing 148 datasets comprising different types of organisms and environments. Location: Global. Time period: 1990 to present. Major taxa studied: From diatoms to mammals. Method: We measured the strength of the decay using ranked Mantel tests (Mantel r) and the rate of distance decay as the slope of an exponential fit using generalized linear models. We used null models to test whether functional similarity decays faster or slower than expected given the taxonomic decay along the spatial and environmental distance. We also unveiled the factors driving the rate of decay across the datasets, including latitude, spatial extent, realm and organismal features. Results: Taxonomic distance decay was stronger than functional distance decay along both spatial and environmental distance. Functional distance decay was random given the taxonomic distance decay. The rate of taxonomic and functional spatial distance decay was fastest in the datasets from mid-latitudes. Overall, datasets covering larger spatial extents showed a lower rate of decay along spatial distance but a higher rate of decay along environmental distance. Marine ecosystems had the slowest rate of decay along environmental distances. Main conclusions: In general, taxonomic distance decay is a useful tool for biogeographical research because it reflects dispersal-related factors in addition to species responses to climatic and environmental variables. Moreover, functional distance decay might be a cost-effective option for investigating community changes in heterogeneous environments. Caio Graco-Roza was funded by the Coordination for the Improvement of Higher Education Personnel (CAPES), the Carlos Chagas Filho Research Support Foundation (FAPERJ) and the Ella and Georg Erhnrooth Foundation; Jan Altman by research grants INTER-EXCELLENCE LTAUSA19137 provided by Czech Ministry of Education, Youth and Sports, 20-05840Y of the Czech Science Foundation, and long-term research development project no. RVO 67985939 of the Czech Academy of Sciences; Otso Ovaskainen was funded by Academy of Finland (grant no. 309581), Jane and Aatos Erkko Foundation, Research Council of Norway through its Centres of Excellence Funding Scheme (223257), and the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation programme (grant agreement no. 856506; ERC-synergy project LIFEPLAN); and Jianjun Wang was funded by CAS Key Research Program of Frontier Sciences (QYZDB-SSW-DQC043) and National Natural Science Foundation of China (91851117). The "sPlot" project was initiated by sDiv, the Synthesis Centre of the German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, funded by the German Research Foundation (DFG FZT 118), and is now a platform of iDiv. The study was supported by the TRY initiative on plant traits (). We are also grateful to Jens Kattge and TRY database. TRY is hosted, developed and maintained at the Max Planck Institute for Biogeochemistry (MPI-BGC) in Jena, Germany, in collaboration with the German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig. The CESTES database of metacommunities is also an initiative of iDiv led by Alienor Jeliazkov. We thank sDiv for supporting the open science initiative. Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) Fundacao Carlos Chagas Filho de Amparo a Pesquisa do Estado do Rio De Janeiro (FAPERJ) Ministry of Education, Youth & Sports - Czech Republic LTAUSA19137 Grant Agency of the Czech Republic 20-05840Y Czech Academy of Sciences RVO 67985939 Research Council of Norway through its Centres of Excellence Funding Scheme 223257 CAS Key Research Program of Frontier Sciences QYZDB-SSW-DQC043 National Natural Science Foundation of China (NSFC) 91851117 German Research Foundation (DFG) DFG FZT 118 European Research Council (ERC) 856506 Ella and Georg Erhnrooth Foundation Jane and Aatos Erkko Foundation TRY initiative on plant traits Academy of Finland 309581

  • Open Access
    Authors: 
    David Waltregny;
    Publisher: Elsevier BV
    Project: AKA | Clinical Urology and Epid... (276046)

    Context Stress urinary incontinence (SUI) and urgency urinary incontinence (UUI) are associated with physical and psychological morbidity, and large societal costs. The long-term effects of delivery modes on each kind of incontinence remain uncertain. Objective To investigate the long-term impact of delivery mode on SUI and UUI. Evidence acquisition We searched Medline, Scopus, CINAHL, and relevant major conference abstracts up to October 31, 2014, including any observational study with adjusted analyses or any randomized trial addressing the association between delivery mode and SUI or UUI ≥1 yr after delivery. Two reviewers extracted data, including incidence/prevalence of SUI and UUI by delivery modes, and assessed risk of bias. Evidence synthesis Pooled estimates from 15 eligible studies demonstrated an increased risk of SUI after vaginal delivery versus cesarean section (adjusted odds ratio [aOR]: 1.85; 95% confidence interval [CI], 1.56–2.19; I2 = 57%; risk difference: 8.2%). Metaregression demonstrated a larger effect of vaginal delivery among younger women (p = 0.005). Four studies suggested no difference in the risk of SUI between spontaneous vaginal and instrumental delivery (aOR: 1.11; 95% CI, 0.84–1.45; I2 = 50%). Eight studies suggested an elevated risk of UUI after vaginal delivery versus cesarean section (aOR: 1.30; 95% CI, 1.02–1.65; I2 = 37%; risk difference: 2.6%). Conclusions Compared with cesarean section, vaginal delivery is associated with an almost twofold increase in the risk of long-term SUI, with an absolute increase of 8%, and an effect that is largest in younger women. There is also an increased risk of UUI, with an absolute increase of approximately 3%. Patient summary In this systematic review we looked for the long-term effects of childbirth on urinary leakage. We found that vaginal delivery is associated with an almost twofold increase in the risk of developing leakage with exertion, compared with cesarean section, with a smaller effect on leakage in association with urgency. Take Home Message We found that over the long term, vaginal delivery is associated with an almost twofold increase in the risk of developing leakage with exertion, compared with cesarean section, with a smaller effect of leakage in association with urgency.

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The following results are related to Canada. Are you interested to view more results? Visit OpenAIRE - Explore.
1,539 Research products, page 1 of 154
  • Open Access English
    Authors: 
    Cline, James M.; Kainulainen, Kimmo;
    Project: AKA | Dark Universe (318319), NSERC

    It is widely believed that electroweak baryogenesis should be suppressed in strong phase transitions with fast-moving bubble walls, but this effect has never been quantitatively studied. We rederive fluid equations describing transport of particle asymmetries near the bubble wall without making the small-wall-velocity approximation. We show that the suppression of the baryon asymmetry is a smooth function of the wall speed and that there is no special behavior when crossing the sound speed barrier. Electroweak baryogenesis can thus be efficient also with strong detonations, generically associated with models with observably large gravitational waves. We also make a systematic and critical comparison of our improved transport equations to another one commonly used in the literature, based on the VEV-insertion formalism. Comment: 15 pages, 6 figures

  • Open Access
    Authors: 
    James M. Cline; Kimmo Kainulainen;
    Publisher: American Physical Society (APS)
    Country: Finland
    Project: AKA | Dark Universe (318319), NSERC

    It is widely believed that electroweak baryogenesis should be suppressed in strong phase transitions with fast-moving bubble walls, but this effect has never been quantitatively studied. We rederive fluid equations describing transport of particle asymmetries near the bubble wall without making the small-wall-velocity approximation. We show that the suppression of the baryon asymmetry is a smooth function of the wall speed and that there is no special behavior when crossing the sound speed barrier. Electroweak baryogenesis can thus be efficient also with strong detonations, generically associated with models with observably large gravitational waves. We also make a systematic and critical comparison of our improved transport equations to another one commonly used in the literature, based on the vacuum expectation value (VEV)-insertion formalism. Peer reviewed

  • Open Access English
    Authors: 
    Moreno-Ibáñez, Manuel; Gritsevich, Maria; Trigo-Rodríguez, Josep M.; Silber, Elizabeth A.;
    Project: AKA | Planetary spectrometry / ... (325806)

    Meteoroids impacting the Earth atmosphere are commonly classified using the PE criterion. This criterion was introduced to support the identification of the fireball type by empirically linking its orbital origin and composition characteristics. Additionally, it is used as an indicator of the meteoroid tensile strength and its ability to penetrate the atmosphere. However, the level of classification accuracy of the PE criterion depends on the ability to constrain the value of the input data, retrieved from the fireball observation, required to derive the PE value. To overcome these uncertainties and achieve a greater classification detail we propose a new formulation using scaling laws and dimensionless variables that groups all the input variables into two parameters that are directly obtained from the fireball observations. These two parameters, ${\alpha}$ and ${\beta}$, represent the drag and the mass loss rates along the luminous part of the trajectory, respectively, and are linked to the shape, strength, ablation efficiency, mineralogical nature of the projectile, and duration of the fireball. Thus, the new formulation relies on a physical basis. This work shows the mathematical equivalence between the PE criterion and the logarithm of $2{\alpha}{\beta}$ under the same PE-criterion assumptions. We demonstrate that $log(2{\alpha}{\beta})$ offers a more general formulation which does not require any preliminary constraint on the meteor flight scenario and discuss the suitability of the new formulation for expanding the classification beyond fully disintegrating fireballs to larger impactors including meteorite-dropping fireballs. The reliability of the new formulation is validated using the Prairie Network meteor observations. Comment: 15 pages, 2 figures, 1 table

  • Open Access English
    Authors: 
    Schymanski, Emma L.; Ruttkies, Christoph; Krauss, Martin; Brouard, Céline; Kind, Tobias; Dührkop, Kai; Allen, Felicity; Vaniya, Arpana; Verdegem, Dries; Böcker, Sebastian; +7 more
    Publisher: Springer International Publishing
    Countries: France, United States, Belgium
    Project: EC | SOLUTIONS (603437), AKA | Metabolite Identification... (268874), CIHR , NSERC

    Background The fourth round of the Critical Assessment of Small Molecule Identification (CASMI) Contest (www.casmi-contest.org) was held in 2016, with two new categories for automated methods. This article covers the 208 challenges in Categories 2 and 3, without and with metadata, from organization, participation, results and post-contest evaluation of CASMI 2016 through to perspectives for future contests and small molecule annotation/identification. Results The Input Output Kernel Regression (CSI:IOKR) machine learning approach performed best in “Category 2: Best Automatic Structural Identification—In Silico Fragmentation Only”, won by Team Brouard with 41% challenge wins. The winner of “Category 3: Best Automatic Structural Identification—Full Information” was Team Kind (MS-FINDER), with 76% challenge wins. The best methods were able to achieve over 30% Top 1 ranks in Category 2, with all methods ranking the correct candidate in the Top 10 in around 50% of challenges. This success rate rose to 70% Top 1 ranks in Category 3, with candidates in the Top 10 in over 80% of the challenges. The machine learning and chemistry-based approaches are shown to perform in complementary ways. Conclusions The improvement in (semi-)automated fragmentation methods for small molecule identification has been substantial. The achieved high rates of correct candidates in the Top 1 and Top 10, despite large candidate numbers, open up great possibilities for high-throughput annotation of untargeted analysis for “known unknowns”. As more high quality training data becomes available, the improvements in machine learning methods will likely continue, but the alternative approaches still provide valuable complementary information. Improved integration of experimental context will also improve identification success further for “real life” annotations. The true “unknown unknowns” remain to be evaluated in future CASMI contests. Graphical abstract . Electronic supplementary material The online version of this article (doi:10.1186/s13321-017-0207-1) contains supplementary material, which is available to authorized users.

  • Open Access
    Authors: 
    Nakanishi, Tomoko; Pigazzini, Sara; Degenhardt, Frauke; Cordioli, Mattia; Butler-Laporte, Guillaume; Maya-Miles, Douglas; Nafria Jimenez, Beatriz; Bouysran, Youssef; Niemi, Mari; Palom, Adriana; +39 more
    Publisher: Cold Spring Harbor Laboratory
    Country: Spain
    Project: AKA | A privacy-aware approach ... (323116), AKA | Prediction tools and earl... (340541), EC | REVEAL (101016726), NIH | Predictive utility of pol... (1K25DK128563-01), WT , NIH | Clinical and Translationa... (2UL1TR001873-06), CIHR , EC | LITMUS (777377)

    AG has received support by NordForsk Nordic Trial Alliance (NTA) grant, by Academy of Finland Fellow grant N. 323116 and the Academy of Finland for PREDICT consortium N. 340541. The Richards research group is supported by the Canadian Institutes of Health Research (CIHR) (365825 and 409511), the Lady Davis Institute of the Jewish General Hospital, the Canadian Foundation for Innovation (CFI), the NIH Foundation, Cancer Research UK, Genome Quebec, the Public Health Agency of Canada, the McGill Interdisciplinary Initiative in Infection and Immunity and the Fonds de Recherche Quebec Sante (FRQS). TN is supported by a research fellowship of the Japan Society for the Promotion of Science for Young Scientists. GBL is supported by a CIHR scholarship and a joint FRQS and Quebec Ministry of Health and Social Services scholarship. JBR is supported by an FRQS Clinical Research Scholarship. Support from Calcul Quebec and Compute Canada is acknowledged. TwinsUK is funded by the Welcome Trust, the Medical Research Council, the European Union, the National Institute for Health Research-funded BioResource and the Clinical Research Facility and Biomedical Research Centre based at Guy's and St. Thomas' NHS Foundation Trust in partnership with King's College London. The Biobanque Quebec COVID19 is funded by FRQS, Genome Quebec and the Public Health Agency of Canada, the McGill Interdisciplinary Initiative in Infection and Immunity and the Fonds de Recherche Quebec Sante. These funding agencies had no role in the design, implementation or interpretation of this study. The COVID19-Host(a)ge study received infrastructure support from the DFG Cluster of Excellence 2167 Precision Medicine in Chronic Inflammation (PMI) (DFG Grant: EXC2167). The COVID19-Host(a)ge study was supported by the German Federal Ministry of Education and Research (BMBF) within the framework of the Computational Life Sciences funding concept (CompLS grant 031L0165). Genotyping in COVID19-Host(a)ge was supported by a philantropic donation from Stein Erik Hagen. The COVID GWAs, Premed COVID-19 study (COVID19-Host(a)ge_3) was supported by Grupo de Trabajo en Medicina Personalizada contra el COVID-19 de Andalucia and also by the Instituto de Salud Carlos III (CIBERehd and CIBERER). Funding comes from COVID-19-GWAS, COVID-PREMED initiatives. Both of them are supported by Consejeria de Salud y Familias of the Andalusian Government. DMM is currently funded by the the Andalussian government (Proyectos Estrategicos-Fondos Feder PE-0451-2018). The Columbia University Biobank was supported by Columbia University and the National Center for Advancing Translational Sciences, NIH, through Grant Number UL1TR001873. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or Columbia University. The SPGRX study was supported by the Consejeria de Economia, Conocimiento, Empresas y Universidad #CV20-10150. The GEN-COVID study was funded by: the MIUR grant Dipartimenti di Eccellenza 2018-2020 to the Department of Medical Biotechnologies University of Siena, Italy; the Intesa San Paolo 2020 charity fund dedicated to the project NB/2020/0119; and philanthropic donations to the Department of Medical Biotechnologies, University of Siena for the COVID-19 host genetics research project (D.L n.18 of March 17, 2020). Part of this research project is also funded by Tuscany Region Bando Ricerca COVID-19 Toscana grant to the Azienda Ospedaliero Universitaria Senese (CUP I49C20000280002). Authors are grateful to: the CINECA consortium for providing computational resources; the Network for Italian Genomes (NIG) (http://www.nig.cineca.it) for its support; the COVID-19 Host Genetics Initiative (https://www.covid19hg.org/); the Genetic Biobank of Siena, member of BBMRI-IT, Telethon Network of Genetic Biobanks (project no. GTB18001), EuroBioBank, and RD-Connect, for managing specimens. Genetics against coronavirus (GENIUS), Humanitas University (COVID19-Host(a)ge_4) was supported by Ricerca Corrente (Italian Ministry of Health), intramural funding (Fondazione Humanitas per la Ricerca). The generous contribution of Banca Intesa San Paolo and of the Dolce&Gabbana Fashion Firm is gratefully acknowledged. Data acquisition and sample processing was supported by COVID-19 Biobank, Fondazione IRCCS Ca Granda Milano; LV group was supported by MyFirst Grant AIRC n.16888, Ricerca Finalizzata Ministero della Salute RF-2016-02364358, Ricerca corrente Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, the European Union (EU) Programme Horizon 2020 (under grant agreement No. 777377) for the project LITMUS- Liver Investigation: Testing Marker Utility in Steatohepatitis, Programme Photonics under grant agreement 101016726 for the project REVEAL: Neuronal microscopy for cell behavioural examination and manipulation, Fondazione Patrimonio Ca' Granda Liver Bible PR-0361. DP was supported by Ricerca corrente Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, CV PREVITAL Strategie di prevenzione primaria nella popolazione Italiana Ministero della Salute, and Associazione Italiana per la Prevenzione dell'Epatite Virale (COPEV). Genetic modifiers for COVID-19 related illness (BeLCovid_1) was supported by the Fonds Erasme. The Host genetics and immune response in SARS-Cov-2 infection (BelCovid_2) study was supported by grants from Fondation Leon Fredericq and from Fonds de la Recherche Scientifique (FNRS). The INMUNGEN-CoV2 study was funded by the Consejo Superior de Investigaciones Cientificas. KUL is supported by the German Research Foundation (LU 1944/3-1) SweCovid is funded by the SciLifeLab/KAW national COVID-19 research program project grant to Michael Hultstrom (KAW 2020.0182) and the Swedish Research Council to Robert Frithiof (2014-02569 and 2014-07606). HZ is supported by Jeansson Stiftelser, Magnus Bergvalls Stiftelse. The COMRI cohort is funded by Technical University of Munich, Munich, Germany. Genotyping for the COMRI cohort was performed and funded by the Genotyping Laboratory of Institute for Molecular Medicine Finland FIMM Technology Centre, University of Helsinki, Helsinki, Finland. Background There is considerable variability in COVID-19 outcomes amongst younger adults—and some of this variation may be due to genetic predisposition. We characterized the clinical implications of the major genetic risk factor for COVID-19 severity, and its age-dependent effect, using individual-level data in a large international multi-centre consortium. Method The major common COVID-19 genetic risk factor is a chromosome 3 locus, tagged by the marker rs10490770. We combined individual level data for 13,424 COVID-19 positive patients (N=6,689 hospitalized) from 17 cohorts in nine countries to assess the association of this genetic marker with mortality, COVID-19-related complications and laboratory values. We next examined if the magnitude of these associations varied by age and were independent from known clinical COVID-19 risk factors. Findings We found that rs10490770 risk allele carriers experienced an increased risk of all-cause mortality (hazard ratio [HR] 1·4, 95% confidence interval [CI] 1·2–1·6) and COVID-19 related mortality (HR 1·5, 95%CI 1·3–1·8). Risk allele carriers had increased odds of several COVID-19 complications: severe respiratory failure (odds ratio [OR] 2·0, 95%CI 1·6-2·6), venous thromboembolism (OR 1·7, 95%CI 1·2-2·4), and hepatic injury (OR 1·6, 95%CI 1·2-2·0). Risk allele carriers ≤ 60 years had higher odds of death or severe respiratory failure (OR 2·6, 95%CI 1·8-3·9) compared to those > 60 years OR 1·5 (95%CI 1·3-1·9, interaction p-value=0·04). Amongst individuals ≤ 60 years who died or experienced severe respiratory COVID-19 outcome, we found that 31·8% (95%CI 27·6-36·2) were risk variant carriers, compared to 13·9% (95%CI 12·6-15·2%) of those not experiencing these outcomes. Prediction of death or severe respiratory failure among those ≤ 60 years improved when including the risk allele (AUC 0·82 vs 0·84, p=0·016) and the prediction ability of rs10490770 risk allele was similar to, or better than, most established clinical risk factors. Interpretation The major common COVID-19 risk locus on chromosome 3 is associated with increased risks of morbidity and mortality—and these are more pronounced amongst individuals ≤ 60 years. The effect on COVID-19 severity was similar to, or larger than most established risk factors, suggesting potential implications for clinical risk management. No

  • Open Access
    Authors: 
    Elli Jalo; Hanna Konttinen; Henna Vepsäläinen; Jean-Philippe Chaput; Gang Hu; Carol Maher; José Maia; Olga L. Sarmiento; Martyn Standage; Catrine Tudor-Locke; +2 more
    Publisher: MDPI AG
    Countries: Australia, Finland, United Kingdom
    Project: AKA | Psychosocial determinants... (309157), AKA | Psychosocial determinants... (314135)

    Eating in response to negative emotions (emotional eating, EE) may predispose an individual to obesity. Yet, it is not well known how EE in children is associated with body mass index (BMI) and health behaviours (i.e., diet, physical activity, sleep, and TV-viewing). In the present study, we examined these associations in a cross-sectional sample of 5426 (54% girls) 9⁻11-year-old children from 12 countries and five continents. EE, food consumption, and TV-viewing were measured using self-administered questionnaires, and physical activity and nocturnal sleep duration were measured with accelerometers. BMI was calculated using measured weights and heights. EE factor scores were computed using confirmatory factor analysis, and dietary patterns were identified using principal components analysis. The associations of EE with health behaviours and BMI z-scores were analyzed using multilevel models including age, gender, and household income as covariates. EE was positively and consistently (across 12 study sites) associated with an unhealthy dietary pattern (β = 0.29, SE = 0.02, p < 0.0001), suggesting that the association is not restricted to Western countries. Positive associations between EE and physical activity and TV viewing were not consistent across sites. Results tended to be similar in boys and girls. EE was unrelated to BMI in this sample, but prospective studies are needed to determine whether higher EE in children predicts the development of undesirable dietary patterns and obesity over time.

  • Closed Access
    Authors: 
    Yahong Chen; Andreas Norrman; Sergey A. Ponomarenko; Ari T. Friberg;
    Publisher: American Physical Society (APS)
    Project: NSERC , AKA | Photonics Research and In... (320166), AKA | Emerging surface plasmon ... (310511)

    We examine the spin angular momentum (SAM) density associated with the recently introduced [Phys. Rev. A 100, 053833 (2019)], partially coherent surface-plasmon-polariton (SPP) vortex fields at a metal-air interface. We show that the vortices appearing in such structured SPP fields induce a SAM density both in the interface plane and in the direction normal to the interface. We find that the radial and azimuthal SAM densities are caused solely by the SPP electric-field correlations. However, besides the intrinsic spin component induced by the complex SPP wave vector, the azimuthal SAM density remarkably carries also a spin component created by the elementary SPPs comprising the partially coherent vortex field. The normal SAM density, on the other hand, arises mainly due to the SPP magnetic-field correlations. Our analysis specifically demonstrates that the state of coherence of the partially coherent SPP vortex field plays an essential role in shaping the SAM density distributions. Our findings can find applications to near-field particle manipulation and in spin-based integrated photonic circuit design.

  • Open Access
    Authors: 
    Franke, Barbara; Stein, Jason L; McIntosh, Andrew M; Eichhammer, Peter; Eriksson, Johan; Escott-Price, Valentina; Essioux, Laurent; Fanous, Ayman H; Farrell, Martilias S; Frank, Josef; +270 more
    Publisher: Springer Science and Business Media LLC
    Countries: United States, United Kingdom, Belgium, Netherlands, Netherlands, Finland, Netherlands, Netherlands, United Kingdom, France ...
    Project: NIH | Empowering Personalized M... (1R01MH097268-01), NIH | 2/2-A Large-Scale Schizop... (1R01MH095034-01A1), NIH | Integration of Genomics &... (5RC2MH089951-02), WT | WTCCC2 core activities (085475), NIH | Alzheimers Disease Neuroi... (1U01AG024904-01), EC | GMI (230374), CIHR , NIH | Alzheimer's disease risk ... (5R01AG040060-04), NIH | THE GENETIC EPIDEMIOLOGY ... (5R01MH041953-05), WT | WTCCC Part Two (083948),...

    Schizophrenia is a devastating psychiatric illness with high heritability. Brain structure and function differ, on average, between people with schizophrenia and healthy individuals. As common genetic associations are emerging for both schizophrenia and brain imaging phenotypes, we can now use genome-wide data to investigate genetic overlap. Here we integrated results from common variant studies of schizophrenia (33,636 cases, 43,008 controls) and volumes of several (mainly subcortical) brain structures (11,840 subjects). We did not find evidence of genetic overlap between schizophrenia risk and subcortical volume measures either at the level of common variant genetic architecture or for single genetic markers. These results provide a proof of concept (albeit based on a limited set of structural brain measures) and define a roadmap for future studies investigating the genetic covariance between structural or functional brain phenotypes and risk for psychiatric disorders. peerReviewed final draft Article

  • Open Access
    Authors: 
    Caio Graco‐Roza; Sonja Aarnio; Nerea Abrego; Alicia T. R. Acosta; Janne Alahuhta; Jan Altman; Claudia Angiolini; Jukka Aroviita; Fabio Attorre; Lars Baastrup‐Spohr; +82 more
    Publisher: Wiley
    Countries: Spain, Italy, Spain, Bulgaria, Spain, Finland, Denmark, Spain, Finland, Switzerland
    Project: EC | LIFEPLAN (856506), EC | CAWEB (882221), AKA | Modern statistical toolbo... (309581)

    Aim: Understanding the variation in community composition and species abundances (i.e., β-diversity) is at the heart of community ecology. A common approach to examine β-diversity is to evaluate directional variation in community composition by measuring the decay in the similarity among pairs of communities along spatial or environmental distance. We provide the first global synthesis of taxonomic and functional distance decay along spatial and environmental distance by analysing 148 datasets comprising different types of organisms and environments. Location: Global. Time period: 1990 to present. Major taxa studied: From diatoms to mammals. Method: We measured the strength of the decay using ranked Mantel tests (Mantel r) and the rate of distance decay as the slope of an exponential fit using generalized linear models. We used null models to test whether functional similarity decays faster or slower than expected given the taxonomic decay along the spatial and environmental distance. We also unveiled the factors driving the rate of decay across the datasets, including latitude, spatial extent, realm and organismal features. Results: Taxonomic distance decay was stronger than functional distance decay along both spatial and environmental distance. Functional distance decay was random given the taxonomic distance decay. The rate of taxonomic and functional spatial distance decay was fastest in the datasets from mid-latitudes. Overall, datasets covering larger spatial extents showed a lower rate of decay along spatial distance but a higher rate of decay along environmental distance. Marine ecosystems had the slowest rate of decay along environmental distances. Main conclusions: In general, taxonomic distance decay is a useful tool for biogeographical research because it reflects dispersal-related factors in addition to species responses to climatic and environmental variables. Moreover, functional distance decay might be a cost-effective option for investigating community changes in heterogeneous environments. Caio Graco-Roza was funded by the Coordination for the Improvement of Higher Education Personnel (CAPES), the Carlos Chagas Filho Research Support Foundation (FAPERJ) and the Ella and Georg Erhnrooth Foundation; Jan Altman by research grants INTER-EXCELLENCE LTAUSA19137 provided by Czech Ministry of Education, Youth and Sports, 20-05840Y of the Czech Science Foundation, and long-term research development project no. RVO 67985939 of the Czech Academy of Sciences; Otso Ovaskainen was funded by Academy of Finland (grant no. 309581), Jane and Aatos Erkko Foundation, Research Council of Norway through its Centres of Excellence Funding Scheme (223257), and the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation programme (grant agreement no. 856506; ERC-synergy project LIFEPLAN); and Jianjun Wang was funded by CAS Key Research Program of Frontier Sciences (QYZDB-SSW-DQC043) and National Natural Science Foundation of China (91851117). The "sPlot" project was initiated by sDiv, the Synthesis Centre of the German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, funded by the German Research Foundation (DFG FZT 118), and is now a platform of iDiv. The study was supported by the TRY initiative on plant traits (). We are also grateful to Jens Kattge and TRY database. TRY is hosted, developed and maintained at the Max Planck Institute for Biogeochemistry (MPI-BGC) in Jena, Germany, in collaboration with the German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig. The CESTES database of metacommunities is also an initiative of iDiv led by Alienor Jeliazkov. We thank sDiv for supporting the open science initiative. Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) Fundacao Carlos Chagas Filho de Amparo a Pesquisa do Estado do Rio De Janeiro (FAPERJ) Ministry of Education, Youth & Sports - Czech Republic LTAUSA19137 Grant Agency of the Czech Republic 20-05840Y Czech Academy of Sciences RVO 67985939 Research Council of Norway through its Centres of Excellence Funding Scheme 223257 CAS Key Research Program of Frontier Sciences QYZDB-SSW-DQC043 National Natural Science Foundation of China (NSFC) 91851117 German Research Foundation (DFG) DFG FZT 118 European Research Council (ERC) 856506 Ella and Georg Erhnrooth Foundation Jane and Aatos Erkko Foundation TRY initiative on plant traits Academy of Finland 309581

  • Open Access
    Authors: 
    David Waltregny;
    Publisher: Elsevier BV
    Project: AKA | Clinical Urology and Epid... (276046)

    Context Stress urinary incontinence (SUI) and urgency urinary incontinence (UUI) are associated with physical and psychological morbidity, and large societal costs. The long-term effects of delivery modes on each kind of incontinence remain uncertain. Objective To investigate the long-term impact of delivery mode on SUI and UUI. Evidence acquisition We searched Medline, Scopus, CINAHL, and relevant major conference abstracts up to October 31, 2014, including any observational study with adjusted analyses or any randomized trial addressing the association between delivery mode and SUI or UUI ≥1 yr after delivery. Two reviewers extracted data, including incidence/prevalence of SUI and UUI by delivery modes, and assessed risk of bias. Evidence synthesis Pooled estimates from 15 eligible studies demonstrated an increased risk of SUI after vaginal delivery versus cesarean section (adjusted odds ratio [aOR]: 1.85; 95% confidence interval [CI], 1.56–2.19; I2 = 57%; risk difference: 8.2%). Metaregression demonstrated a larger effect of vaginal delivery among younger women (p = 0.005). Four studies suggested no difference in the risk of SUI between spontaneous vaginal and instrumental delivery (aOR: 1.11; 95% CI, 0.84–1.45; I2 = 50%). Eight studies suggested an elevated risk of UUI after vaginal delivery versus cesarean section (aOR: 1.30; 95% CI, 1.02–1.65; I2 = 37%; risk difference: 2.6%). Conclusions Compared with cesarean section, vaginal delivery is associated with an almost twofold increase in the risk of long-term SUI, with an absolute increase of 8%, and an effect that is largest in younger women. There is also an increased risk of UUI, with an absolute increase of approximately 3%. Patient summary In this systematic review we looked for the long-term effects of childbirth on urinary leakage. We found that vaginal delivery is associated with an almost twofold increase in the risk of developing leakage with exertion, compared with cesarean section, with a smaller effect on leakage in association with urgency. Take Home Message We found that over the long term, vaginal delivery is associated with an almost twofold increase in the risk of developing leakage with exertion, compared with cesarean section, with a smaller effect of leakage in association with urgency.