| 1. |
- Anderson, P., et al.
(author)
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Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
- 2016
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In: Addiction. - : Wiley. - 1360-0443 .- 0965-2140. ; 111:11, s. 1935-1945
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Journal article (peer-reviewed)abstract
- Aim: To test if training and support, financial reimbursement and option of referring screen-positive patients to an internet-based method of giving advice (eBI) can increase primary health-care providers' delivery of Alcohol Use Disorders Identification Test (AUDIT)-C-based screening and advice to heavy drinkers. Design: Cluster randomized factorial trial with 12-week implementation and measurement period. Setting: Primary health-care units (PHCU) in different locations throughout Catalonia, England, the Netherlands, Poland and Sweden. Participants: A total of 120 PHCU, 24 in each of Catalonia, England, the Netherlands, Poland and Sweden. Interventions: PHCUs were randomized to one of eight groups: care as usual, training and support (TS), financial reimbursement (FR) and eBI; paired combinations of TS, FR and eBI, and all of FR, TS and eBI. Measurements: The primary outcome measure was the proportion of eligible adult (age 18+ years) patients screened during a 12-week implementation period. Secondary outcome measures were proportion of screen-positive patients advised; and proportion of consulting adult patients given an intervention (screening and advice to screen-positives) during the same 12-week implementation period. Findings: During a 4-week baseline measurement period, the proportion of consulting adult patients who were screened for their alcohol consumption was 0.059 per PHCU (95% CI 0.034 to 0.084). Based on the factorial design, the ratio of the logged proportion screened during the 12-week implementation period was 1.48 (95% CI=1.13–1.95) in PHCU that received TS versus PHCU that did not receive TS; for FR, the ratio was 2.00 (95% CI=1.56–2.56). The option of referral to eBI did not lead to a higher proportion of patients screened. The ratio for TS plus FR was 2.34 (95% CI=1.77–3.10), and the ratio for TS plus FR plus eBI was1.68 (95% CI=1.11–2.53). Conclusions: Providing primary health-care units with training, support and financial reimbursement for delivering Alcohol Use Disorders Identification Test-C-based screening and advice to heavy drinkers increases screening for alcohol consumption. Providing primary health-care units with the option of referring screen-positive patients to an internet-based method of giving advice does not appear to increase screening for alcohol consumption. © 2016 Society for the Study of Addiction
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| 2. |
- Bendtsen, Preben, et al.
(author)
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Professional's Attitudes Do Not Influence Screening and Brief Interventions Rates for Hazardous and Harmful Drinkers: Results from ODHIN Study
- 2015
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In: Alcohol and Alcoholism. - : Oxford University Press (OUP). - 0735-0414 .- 1464-3502. ; 50:4, s. 430-437
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Journal article (peer-reviewed)abstract
- To determine the relation between existing levels of alcohol screening and brief intervention rates in five European jurisdictions and role security and therapeutic commitment by the participating primary healthcare professionals. Health care professionals consisting of, 409 GPs, 282 nurses and 55 other staff including psychologists, social workers and nurse aids from 120 primary health care centres participated in a cross-sectional 4-week survey. The participants registered all screening and brief intervention activities as part of their normal routine. The participants also completed the Shortened Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ), which measure role security and therapeutic commitment. The only significant but small relationship was found between role security and screening rate in a multilevel logistic regression analysis adjusted for occupation of the provider, number of eligible patients and the random effects of jurisdictions and primary health care units (PHCU). No significant relationship was found between role security and brief intervention rate nor between therapeutic commitment and screening rate/brief intervention rate. The proportion of patients screened varied across jurisdictions between 2 and 10%. The findings show that the studied factors (role security and therapeutic commitment) are not of great importance for alcohol screening and BI rates. Given the fact that screening and brief intervention implementation rate has not changed much in the last decade in spite of increased policy emphasis, training initiatives and more research being published, this raises a question about what else is needed to enhance implementation.
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| 3. |
- Keurhorst, M., et al.
(author)
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Impact of primary healthcare providers' initial role security and therapeutic commitment on implementing brief interventions in managing risky alcohol consumption: a cluster randomised factorial trial
- 2016
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In: Implementation Science. - : Springer Science and Business Media LLC. - 1748-5908. ; 11
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Journal article (peer-reviewed)abstract
- Background: Brief interventions in primary healthcare are cost-effective in reducing drinking problems but poorly implemented in routine practice. Although evidence about implementing brief interventions is growing, knowledge is limited with regard to impact of initial role security and therapeutic commitment on brief intervention implementation. Methods: In a cluster randomised factorial trial, 120 primary healthcare units (PHCUs) were randomised to eight groups: care as usual, training and support, financial reimbursement, and the opportunity to refer patients to an internet-based brief intervention (e-BI); paired combinations of these three strategies, and all three strategies combined. To explore the impact of initial role security and therapeutic commitment on implementing brief interventions, we performed multilevel linear regression analyses adapted to the factorial design. Results: Data from 746 providers from 120 PHCUs were included in the analyses. Baseline role security and therapeutic commitment were found not to influence implementation of brief interventions. Furthermore, there were no significant interactions between these characteristics and allocated implementation groups. Conclusions: The extent to which providers changed their brief intervention delivery following experience of different implementation strategies was not determined by their initial attitudes towards alcohol problems. In future research, more attention is needed to unravel the causal relation between practitioners' attitudes, their actual behaviour and care improvement strategies to enhance implementation science.
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| 6. |
- Arboleda-Velasquez, Joseph F, et al.
(author)
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Resistance to autosomal dominant Alzheimer's disease in an APOE3 Christchurch homozygote: a case report.
- 2019
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In: Nature medicine. - : Springer Science and Business Media LLC. - 1546-170X .- 1078-8956. ; 25:11, s. 1680-1683
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Journal article (peer-reviewed)abstract
- We identified a PSEN1 (presenilin 1) mutation carrier from the world's largest autosomal dominant Alzheimer's disease kindred, who did not develop mild cognitive impairment until her seventies, three decades after the expected age of clinical onset. The individual had two copies of the APOE3 Christchurch (R136S) mutation, unusually high brain amyloid levels and limited tau and neurodegenerative measurements. Our findings have implications for the role of APOE in the pathogenesis, treatment and prevention of Alzheimer's disease.
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| 7. |
- Philippe, Bertrand, 1986-, et al.
(author)
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Chemical Distribution of Multiple Cation (Rb+, Cs+, MA(+), and FA(+)) Perovskite Materials by Photoelectron Spectroscopy
- 2017
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In: Chemistry of Materials. - : American Chemical Society (ACS). - 0897-4756 .- 1520-5002. ; 29:8, s. 3589-3596
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Journal article (peer-reviewed)abstract
- Lead-based mixed perovskite materials have emerged in the last couple of years as promising photovoltaic materials. Recently, it was shown that improved material stability can be achieved by incorporating small amounts of inorganic cations (Cs+ and Rb+), partially replacing the more common organic cations (e.g., methylammonium, MA, and formamidinium, FA). Especially, a mixed cation composition containing Rb+, Cs+, MA(+), and FA(+) was recently shown to have beneficial optoelectronic properties and was stable at elevated temperature. This work focuses on the composition of this material using synchrotron-based photoelectron spectroscopy. Different probing depths were considered by changing the photon energy of the X-ray source providing insights on the chemical composition and the chemical distribution near the surface of the samples. Perovskite materials containing two, three, or four monovalent cations were analyzed and compared. The presence of Cs and Rb was observed both at the sample surface and toward the bulk, and we found that in the presence of three or four cations, less unreacted PbI2 remains in the sample. Interestingly, Rb and Cs appear to act jointly resulting in a different cation depth profile compared to that of the triple counterparts. Our findings provide significant understanding of the intricate depth-dependent chemical composition in perovskite materials using the common practice of cation mixing.
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| 8. |
- Philippe, Bertrand, Dr. 1986-, et al.
(author)
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Valence Level Character in a Mixed Perovskite Material and Determination of the Valence Band Maximum from Photoelectron Spectroscopy : Variation with Photon Energy
- 2017
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In: The Journal of Physical Chemistry C. - : American Chemical Society (ACS). - 1932-7447 .- 1932-7455. ; 121:48, s. 26655-26666
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Journal article (peer-reviewed)abstract
- A better understanding of the electronic structure of perovskite materials used in photovoltaic devices is essential for their development and optimization. In this investigation, synchrotron-based photoelectron spectroscopy (PES) was used to experimentally delineate the character and energy position of the valence band structures of a mixed perovskite. The valence band was measured using PES with photon energies ranging from ultraviolet photoelectron spectroscopy (21.2 eV) to hard X-rays (up to 4000 eV), and by taking the variation of the photoionization cross sections into account, we could experimentally determine the inorganic and organic contributions. The experiments were compared to theoretical calculations to further distinguish the role of the different anions in the electronic structure. This work also includes a thorough study of the valence band maximum and its position in relation to the Fermi level, which is crucial for the design and optimization of complete solar cells and their functional properties.
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| 9. |
- Sveinbjörnsson, Kári, et al.
(author)
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Ambient air-processed mixed-ion perovskites for high-efficiency solar cells
- 2016
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In: Journal of Materials Chemistry A. - : Royal Society of Chemistry (RSC). - 2050-7488 .- 2050-7496. ; 4:42, s. 16536-16545
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Journal article (peer-reviewed)abstract
- Mixed-ion (FAPbI(3))(1-x)(MAPbBr(3))(x) perovskite solar cells have achieved power conversion efficiencies surpassing 20%. However, in order to obtain these high efficiencies the preparation is performed in a controlled inert atmosphere. Here, we report a procedure for manufacturing highly efficient solar cells with a mixed-ion perovskite in ambient atmosphere. By including a heating step at moderate temperatures of the mesoporous titanium dioxide substrates, and spin-coating the perovskite solution on the warm substrates in ambient air, a red intermediate phase is obtained. Annealing the red phase at 100 degrees C results in a uniform and crystalline perovskite film, whose thickness is dependent on the substrate temperature prior to spin-coating. The temperature was optimized between 20 and 100 degrees C and it was observed that 50 degrees C substrate temperature yielded the best solar cell performances. The average efficiency of the best device was 17.6%, accounting for current-voltage (I-V) measurement hysteresis, with 18.8% performance in the backward scan direction and 16.4% in the forward scan direction. Our results show that it is possible to manufacture high-efficiency mixed-ion perovskite solar cells under ambient conditions, which is relevant for large-scale and low-cost device manufacturing processing.
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