| 1. |
- Ahl, Magnus, et al.
(författare)
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Effects of orthognathic surgery on respiratory function during sleep : A prospective longitudinal study
- 2024
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Ingår i: Orthodontics & craniofacial research. - : John Wiley & Sons. - 1601-6335 .- 1601-6343.
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Tidskriftsartikel (refereegranskat)abstract
- When treating patients with orthognathic surgery, there might be a risk of obstructive sleep apnoea (OSA) due to soft tissue changes in the upper airways, especially in patients treated with isolated mandibular setback or mandibular setback in combination with maxillary advancement. In the present study, we assessed respiratory function during sleep with home cardiorespiratory polygraphy in 62 patients who had not been previously been diagnosed with OSA at three times: prior to orthognathic surgery for aesthetic and functional indications, and then 3 months and 1 year after surgery. We evaluated surgical displacement based on measurements in three dimensions using pre- and post-operative computed tomography. There were only minor changes in the respiratory parameters such as the apnoea-hypopnoea index (AHI), the apnoea-hypopnoea index in the supine position (AHIsup), the oxygen saturation index (ODI) and the snore index. There was no significant correlation between surgical displacement and the AHI, AHIsup and ODI. There was a weak but significant correlation between vertical displacement of the anterior mandible and the snore index. Within the limitations of the present study, the risk for iatrogenic obstruction of the upper airways seems to be low in patients without OSA treated with orthognathic surgery.
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| 2. |
- Ahl, Magnus, et al.
(författare)
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Translation and validation of the English-language instrument Orthognathic Quality of Life Questionair into Swedish
- 2021
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Ingår i: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 79:1, s. 19-24
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: In orthognathic surgery, understanding the patient’s motives for treatment is a key factor for postoperative patient satisfaction and treatment success. In countries/systems where orthognathic surgery is funded by public means, patients are referred mainly due to functional problems, although studies of quality of life related changes after treatment indicate that psychosocial and aesthetic reasons might be equal or more important for the patient. There is no available validated condition specific instruments in the Swedish language for quality of life evaluation of patients with dentofacial deformities. Aims/objectives: Cross cultural translation and adaptation of the English-language instrument ‘Orthognathic Quality of Life Questionnaire’ (OQLQ) into Swedish. Methods: OQLQ was translated into Swedish. A total of 121 patients in four groups were recruited and the Swedish version of the OQLQ (OQLQ-S) was tested by psychometric methods. Reliability was assessed by internal consistency and test–retest reliability. Validity was evaluated by face, convergent and discriminant validity. Results/findings and conclusions: OQLQ-S is reliable and showed good construct validity and internal consistency and can be used in a Swedish speaking population as a complement to clinical variables to evaluate patients with dentofacial deformity. © 2020, © 2020 Acta Odontologica Scandinavica Society.
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| 3. |
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| 4. |
- Ankel, Martin, 1996, et al.
(författare)
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Bistatic noise radar: Demonstration of correlation noise suppression
- 2023
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Ingår i: IET Radar, Sonar and Navigation. - : Institution of Engineering and Technology (IET). - 1751-8792 .- 1751-8784. ; 17:3, s. 351-361
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Tidskriftsartikel (refereegranskat)abstract
- In this study, spatial separation of the radar transmitter and receiver units is considered, as a means of reducing the masking effect in noise radars. A bistatic radar system is constructed, with emphasis on a lightweight transmitter unit that can be mounted on a commercial Unmanned Aerial Vehicle (UAV). The system uses pseudo-random noise, generated digitally at the receiver and transmitter units. Correlation losses, due to non-linearities in the transmitter and receiver units, are measured to 0.1 dB. This study shows that by separating the transmitter and receiver unit the masking effect is significantly reduced, compared to a monostatic setup. This reduction is enough for the system to detect a slow flying UAV. Thus, bistatic separation should be considered as a practical tool to reduce the masking effect. By processing clutter with an extended CLEAN algorithm, the correlation noise floor is further suppressed.
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| 5. |
- Ankel, Martin, 1996, et al.
(författare)
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Experimental Evaluation of Moving Target Compensation in High Time-Bandwidth Noise Radar
- 2023
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Ingår i: 20th European Radar Conference, EuRAD 2023. ; , s. 213-216
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Konferensbidrag (refereegranskat)abstract
- In this article, the effect a moving target has on the signal-to-interference-plus-noise-ratio (SINR) for high time-bandwidth noise radars is investigated. To compensate for cell migration we apply a computationally efficient stretch processing algorithm that is tailored for batched processing and suitable for implementation onto a real-time radar processor. The performance of the algorithm is studied using experimental data. In the experiment, pseudorandom noise, with a bandwidth of 100 MHz, is generated and transmitted in real-time. An unmanned aerial vehicle (UAV), flown at a speed of 11.5 m/s, is acting as a target. For an integration time of 1 s, the algorithm is shown to yield an increase in SINR of roughly 13 dB, compared to no compensation. It is also shown that coherent integration times of 2.5 s can be achieved.
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| 6. |
- Ankel, Martin, et al.
(författare)
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Experimental Evaluation of Moving Target Compensation in High Time-Bandwidth Noise Radar
- 2023
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Ingår i: Proceedings 20th European Radar Conference (EuRAD). - : Institute of Electrical and Electronics Engineers (IEEE). ; , s. 213-216
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Konferensbidrag (refereegranskat)abstract
- In this article, the effect a moving target has on the signal-to-interference-plus-noise-ratio (SINR) for high time-bandwidth noise radars is investigated. To compensate for cell migration we apply a computationally efficient stretch processing algorithm that is tailored for batched processing and suitable for implementation onto a real-time radar processor. The performance of the algorithm is studied using experimental data. In the experiment, pseudorandom noise, with a bandwidth of 100 MHz, is generated and transmitted in real-time. An unmanned aerial vehicle (UAV), flown at a speed of 11.5 m/s, is acting as a target. For an integration time of 1 s, the algorithm is shown to yield an increase in SINR of roughly 13 dB, compared to no compensation. It is also shown that coherent integration times of 2.5 s can be achieved.
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| 7. |
- Ankel, Martin, 1996, et al.
(författare)
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Implementation of a coherent real‐time noise radar system
- 2023
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Ingår i: IET radar, sonar & navigation. - : Institution of Engineering and Technology (IET). - 1751-8784 .- 1751-8792.
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Tidskriftsartikel (refereegranskat)abstract
- The utilisation of continuous random waveforms for radar, that is, noise radar, has been extensively studied as a candidate for low probability of intercept operation. However, compared with the more traditional pulse-Doppler radar, noise radar systems are significantly more complicated to implement, which is likely why few systems exist. If noise radar systems are to see the light of day, system design, implementation, limitations etc., must be investigated. Therefore, the authors examine and detail the implementation of a real-time noise radar system on a field programmable gate array. The system is capable of operating with 100% duty cycle, 200 MHz bandwidth, and 268 ms integration time while processing a range of about 8.5 km. Additionally, the system can perform real-time moving target compensation to reduce cell migration. System performance is primarily limited by the memory bandwidth of the off-chip dynamic random access memory.
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| 8. |
- Baldimtsi, Evangelia, 1981-, et al.
(författare)
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HbA1c and the risk of developing peripheral neuropathy in childhood-onset type 1 diabetes : A follow-up study over 3 decades
- 2024
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Ingår i: Diabetes/Metabolism Research Reviews. - : John Wiley & Sons. - 1520-7552 .- 1520-7560. ; 40:5
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Tidskriftsartikel (refereegranskat)abstract
- AIMS: We have evaluated long-term weighted mean HbA1c (wHbA1c), HbA1c variability, diabetes duration, and lipid profiles in relation to the development of diabetic peripheral neuropathy (DPN), nephropathy, and retinopathy in childhood-onset type 1 diabetes.MATERIALS AND METHODS: In a longitudinal cohort study, 49 patients (21 women) with childhood-onset type 1 diabetes were investigated with neurophysiological measurements, blood tests, and clinical examinations after a diabetes duration of 7.7 (±3.3) years (baseline) and followed with repeated examinations for 30.6 (±5.2) years. We calculated wHbA1c by integrating the area under all HbA1c values since the diabetes diagnosis. Lipid profiles were analysed in relation to the presence of DPN. Long-term fluctuations of HbA1c variability were computed as the standard deviation of all HbA1c measurements. Data regarding the presence of other diabetes complications were retrieved from medical records.RESULTS: In this follow-up study, 51% (25/49) of the patients fulfilled electrophysiological criteria for DPN. In nerve conduction studies, there was a deterioration in the amplitudes and conduction velocities for the median, peroneal, and sural nerves over time. Patients with DPN had a longer duration of diabetes, higher wHbA1c, and increased HbA1c variability. The lowest wHbA1c value associated with the development of DPN was 62 mmol/mol (7.8%). The presence of albuminuria and retinopathy was positively correlated with the presence of neuropathy.CONCLUSIONS: More than half of the patients had developed DPN after 30 years. None of the patients who developed DPN had a wHbA1c of less than 62 mmol/mol (7.8%).
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| 9. |
- Björk, Maria, et al.
(författare)
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Validation of two brief instruments (the SURE and CollaboRATE) to measure shared decision-making in patients with restless legs syndrome
- 2024
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Ingår i: Journal of Sleep Research. - : John Wiley & Sons. - 0962-1105 .- 1365-2869. ; 33:4
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Tidskriftsartikel (refereegranskat)abstract
- Restless legs syndrome (RLS) is a common neurological disorder characterised by an urge to move arms and legs, usually associated with discomfort, pain, motor restlessness, and sleep disturbance. An individually adapted treatment is needed but difficult to optimise, which makes shared decision-making (SDM) important. However, brief validated instruments on how patients with RLS perceive their involvement in treatment decisions are lacking. Therefore, the aim was to validate two instruments, SURE (Sure of myself, Understand information, Risk-benefit ratio, Encouragement, i.e., to assess decisional conflict) and CollaboRATE (brief patient survey focused on SDM, i.e., to assess SDM), in patients with RLS. A cross-sectional design, including 788 participants with RLS (65% females, mean [SD] age 70.8 [11.4] years) from a national patient organisation for RLS, was used. A postal survey was sent out to collect data regarding weight, height, comorbidities, demographics, and RLS-related treatment data. The following instruments were included: the SURE, CollaboRATE, Restless Legs Syndrome-6 Scale, and eHealth Literacy Scale. Confirmatory factor analysis and Rasch models were used to assess the validity and reliability of the SURE and CollaboRATE. Measurement invariance, unidimensionality, and differential item functioning (DIF) across age, gender, and medication groups were assessed. The SURE and CollaboRATE were both identified as unidimensional instruments with satisfactory internal consistency. No DIF across age and gender was identified, while significant DIF was observed for both the SURE and CollaboRATE regarding medication use categories. However, both the SURE and CollaboRATE are potential instruments to be used in research, but also as reflection tools by healthcare professionals, patients, and students to explore and assess SDM, and support its development in clinical care.
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| 10. |
- Broström, Anders, et al.
(författare)
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A mixed method evaluation of a group-based educational programme for CPAP use in patients with obstructive sleep apnea
- 2013
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Ingår i: Journal of Evaluation In Clinical Practice. - : Wiley. - 1356-1294 .- 1365-2753. ; 19:1, s. 173-184
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Tidskriftsartikel (refereegranskat)abstract
- Rationale, aims and objectives Continuous positive airway pressure (CPAP) treatment of obstructive sleep apnea (OSA) has a low long-term adherence. Educational interventions are few and sparsely described regarding content, pedagogical approach and participants' perceptions. The aim was to describe adherence to CPAP treatment, knowledge about OSA/CPAP, as well as OSA patients' perceptions of participating in a group-based programme using problem-based learning (PBL) for CPAP initiation.Educational programme The PBL programme incorporated elements from theories and models concerning motivation and habits. Tutorial groups consisting of four to eight patients met at six sessions during 6 months.Methods A sequential explanatory mixed method design was used on 25 strategically selected patients. Quantitative data regarding, clinical variables, OSA severity, CPAP use, and knowledge were collected at baseline, after 2 weeks and 6 months. Qualitative data regarding patients' perceptions of participation were collected after 6 months by semi-structured interviews using a phenomenographic approach.Results 72% of the patients were adherent to CPAP treatment after 2 weeks and 6 months. All patients improved their baseline knowledge about OSA and CPAP after 2 weeks and sustained it after 6 months. Anxiety and fear, as well as difficulties and needs were motivational factors for participation. Patients described the difficulties of behavioural change, an awareness that improvements do not occur immediately, a realization of the importance of both technical and emotional support and the need for a healthier lifestyle.Conclusion and practice implications A group-based programme using PBL seems to facilitate adaptive and developmental learning and result in acceptable CPAP adherence levels.
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