| 1. |
- Aad, G, et al.
(författare)
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- 2015
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swepub:Mat__t
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| 2. |
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| 3. |
- Glasbey, JC, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 4. |
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| 5. |
- Thoma, B, et al.
(författare)
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An international, interprofessional investigation of the self-reported podcast listening habits of emergency clinicians: A METRIQ Study
- 2020
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Ingår i: CJEM. - : Springer Science and Business Media LLC. - 1481-8043 .- 1481-8035. ; 22:1, s. 112-117
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Tidskriftsartikel (refereegranskat)abstract
- ObjectivesPodcasts are increasingly being used for medical education. A deeper understanding of usage patterns would inform both producers and researchers of medical podcasts. We aimed to determine how and why podcasts are used by emergency medicine and critical care clinicians.MethodsAn international interprofessional sample (medical students, residents, physicians, nurses, physician assistants, and paramedics) was recruited through direct contact and a multimodal social media (Twitter and Facebook) campaign. Each participant completed a survey outlining how and why they utilize medical podcasts. Recruitment materials included an infographic and study website.Results390 participants from 33 countries and 4 professions (medicine, nursing, paramedicine, physician assistant) completed the survey. Participants most frequently listened to medical podcasts to review new literature (75.8%), learn core material (75.1%), and refresh memory (71.8%). The majority (62.6%) were aware of the ability to listen at increased speeds, but most (76.9%) listened at 1.0 x (normal) speed. All but 25 (6.4%) participants concurrently performed other tasks while listening. Driving (72.3%), exercising (39.7%), and completing chores (39.2%) were the most common. A minority of participants used active learning techniques such as pausing, rewinding, and replaying segments of the podcast. Very few listened to podcasts multiple times.ConclusionsAn international cohort of emergency clinicians use medical podcasts predominantly for learning. Their listening habits (rarely employing active learning strategies and frequently performing concurrent tasks) may not support this goal. Further exploration of the impact of these activities on learning from podcasts is warranted.
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| 6. |
- Ademuyiwa, Adesoji O., et al.
(författare)
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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
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Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results: This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions: Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.
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| 7. |
- Bigler, Christian, et al.
(författare)
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Diatoms as indicators of climatic and limnological change in Swedish Lapland: A 100-lake calibration set and its validation for paleoecological reconstructions
- 2002
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Ingår i: Journal of Paleolimnology. - 0921-2728 .- 1573-0417. ; 27:1, s. 97-115
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Tidskriftsartikel (refereegranskat)abstract
- This study investigated the distribution of subfossil diatom assemblages in surficial sediments of 100 lakes along steep ecological and climatic gradients in northernmost Sweden (Abisko region, 67.07degrees N to 68.48degrees N latitude, 17.67degrees E to 23.52degrees E longitude) to develop and cross-validate transfer functions for paleoenvironmental reconstruction. Of 19 environmental variables determined for each site, 15 were included in the statistical analysis. Lake-water pH (8.0%), sedimentary loss-on-ignition (LOI, 5.9%) and estimated mean July air temperature (July T, 4.8%) explained the greatest amounts of variation in the distribution of diatom taxa among the 100 lakes. Temperature and pH optima and tolerances were calculated for abundant taxa. Transfer functions, based on WA-PLS (weighted averaging partial least squares), were developed for pH (r(2) = 0.77, root-mean-square-error of prediction (RMSEP) = 0.19 pH units, maximum bias = 0.31, as assessed by leave-one-out cross-validation) based on 99 lakes and for July T (r(2) = 0.75, RMSEP = 0.96 degreesC, max. bias = 1.37 degreesC) based on the full 100 lake set. We subsequently assessed the ability of the diatom transfer functions to estimate lake-water pH and July T using a form of independent cross-validation. To do this, the 100-lake set was divided in two subsets. An 85-lake training-set (based on single limnological measurements) was used to develop transfer functions with similar performance as those based on the full 100 lakes, and a 15-lake test-set (with 2 years of monthly limnological measurements throughout the ice-free seasons) was used to test the transfer functions developed from the 85-lake training-set. Results from the intra-set cross-validation exercise demonstrated that lake-specific prediction errors (RMSEP) for the 15-lake test-set corresponded closely with the median measured values (pH) and the estimations based on spatial interpolations of data from weather stations (July T). The prediction errors associated with diatom inferences were usually within the range of seasonal and interannual variability. Overall, our results confirm that diatoms can provide reliable and robust estimates of lake-water pH and July T, that WA-PLS is a robust calibration method and that long-term environmental data are needed for further improvement of paleolimnological transfer functions.
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| 8. |
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| 9. |
- Bigler, Christian, et al.
(författare)
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Holocene environmental change at Lake Njulla (999 m asl), northern Sweden : a comparison with four small nearby lakes along an altitudinal gradient
- 2003
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Ingår i: Journal of Paleolimnology. - 0921-2728 .- 1573-0417. ; 29:1, s. 13-29
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Tidskriftsartikel (refereegranskat)abstract
- We assess Holocene environmental change at alpine Lake Njulla (68degrees22'N, 18degrees42'E, 999 m a.s.l.) in northernmost Sweden using sedimentary remains of chironomid head capsules and diatoms. We apply regional calibration sets to quantitatively reconstruct mean July air temperature (using chironomids and diatoms) and lake-water pH (using diatoms). Both chironomids and diatoms infer highest temperatures (1.7-2.3degreesC above present-day estimates, including, a correction for glacio-isostatic land up-lift by 0.6degreesC) during the early Holocene (c. 9,500-8,500 cal. yrs BP). Diatoms suggest a decreasing lake-water pH trend (c. 0.6 pH units) since the early Holocene. Using detrended canonical correspondence analysis (DCCA), we compare the Holocene development of diatom communities in Lake Njulla with four other nearby lakes (Lake 850, Lake Tibetanus, Vuoskkujavri, Vuolep Njakajaure) located along an altitudinal gradient. All five lakes show similar initial DCCA scores after deglaciation, suggesting that similar environmental processes such as high erosion rates and low light availability associated with high summer temperature appear to have regulated the diatom community, favouring high abundances of Fragilaria species. Subsequently, the diatom assemblages develop in a directional manner, but timing and scale of development differ substantially between lakes. This is attributed primarily to differences in the local geology, which is controlling the lake-water pH. Imposed on the basic geological setting, site-specific processes such as vegetation development, climate, hydrological setting and in-lake processes appear to control lake development in northern Sweden.
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| 10. |
- Bigler, Christian, et al.
(författare)
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Holocene environmental history of Lake Vuolep Njakajaure (Abisko National Park, Northern Sweden) reconstructed using biological proxy indicators
- 2006
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Ingår i: Vegetation History and Archaeobotany. - : Springer Science and Business Media LLC. - 0939-6314 .- 1617-6278. ; 15:4, s. 309-320
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Tidskriftsartikel (refereegranskat)abstract
- Holocene environmental and climatic changes are reconstructed using analyses of biological proxies in lake sediments from Vuolep Njakajaure, a lake located near the altitudinal treeline in northern Sweden (68 degrees 20' N, 18 degrees 47' E). We analysed biological proxy indicators from both aquatic and terrestrial ecosystems, including diatoms, pollen and chironomid head capsules, in order to reconstruct regional Holocene climate and the development of the lake and its catchment. During the early Holocene and after 2500 cal B.P., Fragilaria taxa dominated the diatom assemblages, whereas planktonic Cyclotella taxa prevailed during the major part of the Holocene (7800-2300 cal B.P.), indicating the importance of the pelagic habitat for diatom assemblage composition. The planktonic diatoms appeared at the same time as Alnus became established in the catchment, probably altering nutrient availability and catchment stability. The pollen record is dominated by mountain birch (Betula pubescens ssp. tortuosa) pollen throughout the Holocene, but high percentage abundances of Scots pine (Pinus sylvestris) pollen suggest the presence of a mixed pine-birch forest during the mid-Holocene (6800-2300 cal B.P.). Head capsules of Tanytarsini and Psectrocladius dominated the chironomid assemblage composition throughout the Holocene, in combination with Corynocera ambigua after 2300 cal B.P. A quantitative, diatom-based reconstruction of mean July air temperature indicated a relatively cold temperature during the early Holocene (9000-8000 cal B.P.) and after ca. 2300 cal B.P., whereas the mid-Holocene period is characterised by stable and warm temperatures. The overall patterns of Holocene climate and environmental conditions are similarly described by all biological proxy-indicators, suggesting relatively warm conditions during the mid-Holocene (ca. 7800-2300 cal B.P.), with a subsequent colder climate after 2300 cal B.P. However, the onset and magnitude of the inferred changes differ slightly among the proxies, illustrating different responses to lake development phases, land-uplift, and climate forcing (e.g., insolation patterns) during the Holocene in northern Sweden.
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