| 41. |
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| 42. |
- Al Musawi, Ahmed, et al.
(författare)
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Intervention for a correct medication list and medication use in older adults : a non-randomised feasibility study among inpatients and residents during care transitions
- 2024
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Ingår i: International Journal of Clinical Pharmacy. - : Springer. - 2210-7703 .- 2210-7711. ; 46, s. 639-647
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundMedication discrepancies in care transitions and medication non-adherence are problematic. Few interventions consider the entire process, from the hospital to the patient's medication use at home.AimIn preparation for randomised controlled trials (RCTs), this study aimed (1) to investigate the feasibility of recruitment and retention of patients, and data collection to reduce medication discrepancies at discharge and improve medication adherence, and (2) to explore the outcomes of the interventions.MethodParticipants were recruited from a hospital and a residential area. Hospital patients participated in a pharmacist-led intervention to establish a correct medication list upon discharge and a follow-up interview two weeks post-discharge. All participants received a person-centred adherence intervention for three to six months. Discrepancies in the medication lists, the Beliefs about Medicines Questionnaire (BMQ-S), and the Medication Adherence Report Scale (MARS-5) were assessed.ResultsOf 87 asked to participate, 35 were included, and 12 completed the study. Identifying discrepancies, discussing discrepancies with physicians, and performing follow-up interviews were possible. Conducting the adherence intervention was also possible using individual health plans for medication use. Among the seven hospital patients, 24 discrepancies were found. Discharging physicians agreed that all discrepancies were errors, but only ten were corrected in the discharge information. Ten participants decreased their total BMQ-S concern scores, and seven increased their total MARS-5 scores.ConclusionBased on this study, conducting the two RCTs separately may increase the inclusion rate. Data collection was feasible. Both interventions were feasible in many aspects but need to be optimised in upcoming RCTs.
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| 43. |
- Al-Najjar, Basim
(författare)
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Condition-Based Maintenance: Selection and Improvement of a Cost-Effective Vibration-Based Maintenance Policy for Rolling element Bearings
- 1997
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Modern machinery is expensive and therefore must run at high availability and effectiveness which cannot be achieved without an effective maintenance policy. Condition monitoring, (CM), techniques can be utilised to reduce or arrest the rate of deterioration of a component so increasing operating life. The main result reported in this thesis is that the rolling element bearing’s mean effective life could be extended appreciably if an existing vibration-based maintenance policy is used effectively. This result is achieved by a combination of data analysis and logical development. A new maintenance approach was developed to overcome some of the limitations of total productive maintenance, TPM, and reliability-centered maintenance, RCM, and is based upon the Deming managerial feedback cycle (Plan-Do-Check-Act). This method is called Total Quality Maintenance, (TQMain). It is a methodology to sustain and improve continuously the technical and economic effectiveness of the manufacturing process elements. It is shown logically that by using vibration-based monitoring, (VBM), program in the frame of a common database for a plant IT-system the causes behind quality deviations and failures can be identified and eliminated effectively at an early stage and the company’s economics would be improved. The condition-based maintenance effectiveness and accuracy are usually related to the ability of the CM system to detect failure causes and follow defect development. Criteria to select the most cost-effective VBM system and the most cost-effective vibration-based maintenance policy are developed. But, in most real cases, CM systems are not utilised effectively and companies are satisfied with the partial savings achieved in maintenance cost. It is shown, by two case studies, that improvements in vibration-based maintenance can be achieved by effective feedback of the results of failures, renewal condition and VBM history analysis. Unfortunately the data coverage and quality in these studies were not sufficient, among other reasons due to the low number of failures and long bearing lives, so the conclusions, although supported by the work results, remain strong qualitative indications, rather than statistical proof. Criteria to measure the effect of improvements to confirm whether it is economically beneficial and to identify the basic reasons why it is not, are developed. The contribution of this thesis is: The development of a sequential method for the selection and improvement of a cost-effective vibration-based maintenance policy. This methodology can be used to justify, on economic criteria, the use of VBM systems to indicate when rolling element bearings should be renewed. It is achieved through; Tools used in quality and maintenance technology and reliability analysis have either been modified or developed beyond their original concept such as; Maintenance cost equation, Total Time On Test-plots. Development of new tools to monitor maintenance effectiveness and accuracy, select the most informative CM parameter(s) and cost-effective vibration-based maintenance policy. A new maintenance approach, (TQMain), and a new envelope alarming method for VBM programs are also developed. Theoretical basis for improvements to the effectiveness of vibration-based maintenance of bearings in paper mill machines and two case studies which tend to confirm the theory.
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| 44. |
- Al-Najjar, Basim, 1954-, et al.
(författare)
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Selecting the Most Efficient Maintenance Approach Using Fuzzy Multiple Criteria Decision Making
- 2003
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Ingår i: International Journal of Production Economics. - 0925-5273 .- 1873-7579. ; 84:1, s. 85-100
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Tidskriftsartikel (refereegranskat)abstract
- We assess the most popular maintenance approaches, i.e. strategies, policies, or philosophies, using a fuzzy multiple criteria decision making (MCDM) evaluation methodology. We illustrate with two examples how the suggested evaluation methodology identifies the most informative approach. Using the fuzzy MCDM, it would be possible to select in advance, the most informative (efficient) maintenance approach. Consequently, this leads to less planned replacements, and failures would be reduced to approximately zero and higher utilization of component life can be achieved. Thus, the maintenance department could contribute more to the business objectives throughout participating effectively in adding value to the production activities.
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| 45. |
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| 46. |
- Albertazzi, S, et al.
(författare)
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The technical feasibility of biomass gasification for hydrogen production
- 2005
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Ingår i: Catalysis Today. - : Elsevier BV. - 0920-5861 .- 1873-4308. ; 106:1-4, s. 297-300
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Tidskriftsartikel (refereegranskat)abstract
- Biomass gasification for energy or hydrogen production is a field in continuous evolution, due to the fact that biomass is a renewable and CO2 neutral source. The ability to produce biomass-derived vehicle fuel on a large scale will help to reduce greenhouse gas and pollution, increase the security of European energy supplies, and enhance the use of renewable energy. The Varnamo, Biomass Gassification Centre in Sweden is a unique plant and an important site for the development of innovative technologies for biomass transformation. At the moment, the Varnamo plant is the heart of the CHRISGAS European project, that aims to convert the produced gas for further upgrading to liquid fuels as dimethyl ether (DME), methanol or Fischer-Tropsch (F-T) derived diesel. The present work is an attempt to highlight the conditions for the reforming unit and the problems related to working with streams having high contents of sulphur and alkali metals.
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| 47. |
- Albin, Björn, et al.
(författare)
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Comparison of Stroke Mortality in Finnish-Born Migrants Living in Sweden 1970-1999 and in Swedish-Born Individuals
- 2014
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Ingår i: Journal of Immigrant and Minority Health. - : Springer Science and Business Media LLC. - 1557-1912 .- 1557-1920. ; 16:1, s. 18-23
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Tidskriftsartikel (refereegranskat)abstract
- A limited number of studies have been found on stroke mortality in migrants showing higher mortality for some groups. Influence of time of residence has been studied by one research group. An earlier study showed a significantly higher number of deaths in Diseases of the circulatory system in Finnish migrants compared with native Swedes. To test the hypothesis of a higher mortality in and a decrease in mortality over time in stroke among Finnish migrants in Sweden. The study was based on National Population data, the study population included 321,407 Swedish and 307,174 foreign born persons living in Sweden 1987-1999. Mean age was lower at time for death for Finnish migrants than native Swedes, men 5.1 years difference and women 2.3 years. The difference decreased over time. The risk of death by stroke was higher for migrants with short time of residence than with long time (<= 10 years, OR 1.61-1.36 vs >= 11 year, OR 1.18). Migrants with short time of residence died 9.8-5.3 years earlier than native Swedes. The hypothesis was confirmed and an indication of adjustment to life in the new country was found. International studies show similar results for other migrant groups but further studies are needed to verify if the same pattern can be found in other migrants groups in Sweden and to generalise the findings.
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| 48. |
- Albin, Björn, 1951-, et al.
(författare)
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Lower prevalence of hip fractures in foreign-born individuals than in Swedish-born individuals during the period 1987-1999
- 2010
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Ingår i: BMC Musculoskeletal Disorders. - London, UK : BioMed Central (BMC). - 1471-2474. ; 11, s. 203-
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Tidskriftsartikel (refereegranskat)abstract
- Cultural background and environmental factors such as UV-radiation and lifestyle during childhood and adolescence may influence the risk of a hip fracture event later in life. Differences in prevalence might occur between the indigenous population and those who have migrated to a country.METHODS: The study was based on national population data. The study population consisted of 321,407 Swedish-born and 307,174 foreign-born persons living in Sweden during the period 1987-1999.RESULTS: Foreign-born persons had reduced risk of hip fracture, with odds ratios (ORs) of 0.47-0.77 for men and 0.42-0.88 for women respectively. Foreign-born women had the hip fracture event at a higher age on average, but a longer time spent in Sweden was associated with a small but significant increase in risk.CONCLUSIONS: There was a reduced risk of hip fracture in all foreign-born individuals, and that the hip fracture event generally happened at a higher age in foreign-born women. Migration must therefore be considered in relation to the prevalence and risk of hip fracture. Migration can therefore have a positive effect on one aspect of the health of a population, and can influence and lower the total cost of healthcare due to reduced risk and prevalence of hip fracture.
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| 49. |
- Albin, Björn
(författare)
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Morbidity and mortality among foreign-born Swedes
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Aims: The general aim of this thesis was to describe and compare the group of foreign-born persons living in Sweden and native Swedes with regard to health development over time, thus studying the influence of migration on health. Methods: All four studies are based on data from Statistics Sweden (SCB) and the National Board of Health and Welfare, Centre for Epidemiology covering the period 1970?1999. The database used included all foreign-born persons aged 16 years and upwards who were registered as living in Sweden in 1970. For each foreign-born person a Swedish matched control was chosen. The control was matched and was similar in age, sex, occupation, type of employment and county of residence in 1970. In total 906,564 people were included, 50 percent foreign-born persons. Information from the National Board of Health and Welfare, Centre for Epidemiology on date of death and death diagnosis was added to the database. Exclusion criteria were if no information was available or if a person had emigrated or migrated back (?re-migrated?). Persons were then also excluded if the information from the control subject was missing due to migration. The database used for analysis finally consisted of 723,948 persons, 361,974 foreign-born and 361,974 Swedish controls. All statistical analyses were carried out using the SPSS (Statistical Package for Social Sciences) program, version 11.5, and both descriptive and analytic statistic methods were used. Results: The results of the four studies show that foreign-born persons living in Sweden 1970?1999 have higher mortality, lower mean age at time of death and a different pattern of causes of death. The studies also found a tendency to less utilization of health care and that county of residence influences mortality among foreign-born persons. The most important finding was that migration has an influence on health. Conclusion: To explain the differences found in health among foreign-born persons, several different factors have to be taken into account. Health is influenced by economic situation, housing, working conditions, unemployment, social network and background before migration. Social and physical environment or inequalities in resources and utilization of health care are important. Migration is shown to have a negative influence on health and is an important factor to consider when studying mortality and health in a population.
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| 50. |
- Albin, Björn, 1951-, et al.
(författare)
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Residential mobility among foreign-born persons living in Sweden is associated with lower morbidity
- 2010
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Ingår i: Clinical Epidemiology. - Macclesfield, UK : Dove Medical Press Ltd.. - 1179-1349. ; 9:2, s. 187-194
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Tidskriftsartikel (refereegranskat)abstract
- Aim: to analyze the pattern of mortality in deceased foreign-born persons living in Sweden during the years 1970-1999 in relation to distance mobility.MEthods: Data from Statistics Sweden and the National Board of Health and Welfare was used, and the study population consisted of 281,412 foreign-born persons aged 16 years and over who were registered as living in Sweden in 1970.Results: Distance mobility did not have a negative effect on health. Total mortality was lower (OR 0.71; 95% CI 0.69-0.73) in foreign-born persons in Sweden who had changed their county of residence during the period 1970-1990. Higher death rates were observed, after adjustment for age, in three ICD diagnosis groups "Injury and poisoning", "External causes of injury and poisoning", and "Diseases of the digestive system" among persons who had changed county of residence.
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