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  • Aasa, M, et al. (författare)
  • Cost and health outcome of primary percutaneous coronary intervention versus thrombolysis in acute ST-segment elevation myocardial infarction-Results of the Swedish Early Decision reperfusion Study (SWEDES) trial.
  • 2010
  • Ingår i: American heart journal. - 1097-6744. ; 160:2, s. 322-8
  • Tidskriftsartikel (refereegranskat)abstract
    • Background In ST-elevation myocardial infarction, primary percutaneous coronary intervention (PCI) has a superior clinical outcome, but it may increase costs in comparison to thrombolysis. The aim of the study was to compare costs, clinical outcome, and quality-adjusted survival between primary PCI and thrombolysis. Methods Patients with ST-elevation myocardial infarction were randomized to primary PCI with adjunctive enoxaparin and abciximab (n = 101), or to enoxaparin followed by reteplase (n = 104). Data on the use of health care resources, work loss, and health-related quality of life were collected during a 1-year period. Cost-effectiveness was determined by comparing costs and quality-adjusted survival. The joint distribution of incremental costs and quality-adjusted survival was analyzed using a nonparametric bootstrap approach. Results Clinical outcome did not differ significantly between the groups. Compared with the group treated with thrombolysis, the cost of interventions was higher in the PCI-treated group ($4,602 vs $3,807; P = .047), as well as the cost of drugs ($1,309 vs $1,202; P = .001), whereas the cost of hospitalization was lower ($7,344 vs $9,278; P = .025). The cost of investigations, outpatient care, and loss of production did not differ significantly between the 2 treatment arms. Total cost and quality-adjusted survival were $25,315 and 0.759 vs $27,819 and 0.728 (both not significant) for the primary PCI and thrombolysis groups, respectively. Based on the 1-year follow-up, bootstrap analysis revealed that in 80%, 88%, and 89% of the replications, the cost per health outcome gained for PCI will be andlt;$0, $50,000, and $100,000 respectively. Conclusion In a 1-year perspective, there was a tendency toward lower costs and better health outcome after primary PCI, resulting in costs for PCI in comparison to thrombolysis that will be below the conventional threshold for cost-effectiveness in 88% of bootstrap replications.
  • Abarenkov, Kessy, et al. (författare)
  • PlutoF—a web based workbench for ecological and taxonomic research, with an online implementation for fungal ITS sequences
  • 2010
  • Ingår i: Evolutionary Bioinformatics. - 11769343. ; 6, s. 189-196
  • Tidskriftsartikel (refereegranskat)abstract
    • DNA sequences accumulating in the International Nucleotide Sequence Databases (INSD) form a rich source of information for taxonomic and ecological meta-analyses. However, these databases include many erroneous entries, and the data itself is poorly annotated with metadata, making it difficult to target and extract entries of interest with any degree of precision. Here we describe the web-based workbench PlutoF, which is designed to bridge the gap between the needs of contemporary research in biology and the existing software resources and databases. Built on a relational database, PlutoF allows remote-access rapid submission, retrieval, and analysis of study, specimen, and sequence data in INSD as well as for private datasets though web-based thin clients. In contrast to INSD, PlutoF supports internationally standardized terminology to allow very specific annotation and linking of interacting specimens and species. The sequence analysis module is optimized for identification and analysis of environmental ITS sequences of fungi, but it can be modified to operate on any genetic marker and group of organisms. The workbench is available at http://plutof.ut.ee.
  • Abdalrahim, Maysoon S, 1962-, et al. (författare)
  • Jordanian surgical nurses' experiences in caring for patients with postoperative pain
  • 2010
  • Ingår i: APPLIED NURSING RESEARCH. - 0897-1897. ; 23:3, s. 164-170
  • Tidskriftsartikel (refereegranskat)abstract
    • This qualitative study aimed to describe surgical nurses' experiences in caring for patients with postoperative pain. Twelve expert Jordanian surgical nurses participated to provide data for this study. Texts were analyzed using Kvale's guidelines for analyzing qualitative data. Five themes emerged from the texts: being faced with patients' suffering, being caught between ideals and work conditions, facing neglect and misconceptions, being confronted with families' concerns and hostility, and facing the feelings of the necessity to change. Results suggested that health care organizations need to understand and empower nurses so that effective quality care can be delivered to patients.
  • Abdeldaim, Guma, 1969-, et al. (författare)
  • Multiplex quantitative PCR for detection of lower respiratory tract infection and meningitis caused by Streptococcus pneumoniae, Haemophilus influenzae and Neisseria meningitidis
  • 2010
  • Ingår i: BMC Microbiology. - 1471-2180. ; 10, s. 310
  • Tidskriftsartikel (refereegranskat)abstract
    • Background. Streptococcus pneumoniae and Haemophilus influenzae cause pneumonia and as Neisseria meningitidis they are important agents of meningitis. Although several PCR methods have been described for these bacteria the specificity is an underestimated problem. Here we present a quantitative multiplex real-time PCR (qmPCR) for detection of S. pneumoniae (9802 gene fragment), H. influenzae (omp P6 gene) and N. meningitidis (ctrA gene). The method was evaluated on bronchoalveolar lavage (BAL) samples from 156 adults with lower respiratory tract infection (LRTI) and 31 controls, and on 87 cerebrospinal fluid (CSF) samples from meningitis patients.Results. The analytical sensitivity was not affected by using a combined mixture of reagents and a combined DNA standard (S. pneumoniae/H. influenzae/N. meningitidis) in single tubes. By blood- and BAL-culture and S. pneumoniae urinary antigen test, S. pneumoniae and H. influenzae were aetiological agents in 21 and 31 of the LTRI patients, respectively. These pathogens were identified by qmPCR in 52 and 72 of the cases, respectively, yielding sensitivities and specificities of 95% and 75% for S. pneumoniae, and 90% and 65% for H. influenzae, respectively. When using a cut-off of 105 genome copies/mL for clinical positivity the sensitivities and specificities were 90% and 80% for S. pneumoniae, and 81% and 85% for H. influenzae, respectively. Of 44 culture negative but qmPCR positive for H. influenzae, 41 were confirmed by fucK PCR as H. influenzae. Of the 103 patients who had taken antibiotics prior to sampling, S. pneumoniae and H. influenzae were identified by culture in 6% and 20% of the cases, respectively, and by the qmPCR in 36% and 53% of the cases, respectively. In 87 CSF samples S. pneumoniae and N. meningitidis were identified by culture and/or 16 S rRNA in 14 and 10 samples and by qmPCR in 14 and 10 samples, respectively, giving a sensitivity of 100% and a specificity of 100% for both bacteria.Conclusions. The PCR provides increased sensitivity and the multiplex format facilitates diagnosis of S. pneumoniae, H. influenzae and N. meningitidis and the assay enable detection after antibiotic treatment has been installed. Quantification increases the specificity of the etiology for pneumonia.
  • Abdelkader, Amal F., 1969-, et al. (författare)
  • Prolonged salt stress alters the ratios of protochlorophyllide spectral forms in dark-grown wheat (Triticum aestivum) and influences chlorophyll a accumulation following irradiation
  • 2010
  • Ingår i: ACTA PHYSIOLOGIAE PLANTARUM. - 0137-5881. ; 32:5, s. 971-978
  • Tidskriftsartikel (refereegranskat)abstract
    • To examine the effects of salt stress on darkgrown wheat (Triticum aestivum), seedlings of the salt-tolerant cultivar Sids 1 and the susceptible cultivar Giza 168 were grown in darkness for 14 days in nutrient solution with and without 200 mM of supplementary salt (100 mM of NaCl and 100 mM of KCl). During this time, we monitored their protochlorophyllide (Pchlide) contents, ratios of photoactive to non-photoactive forms of Pchlide (from 655/633-nm emission ratios in their 77 K fluorescence emission spectra) and (following flash irradiation) ratios of newly formed chlorophyllide (Chlide) to non-photoactive Pchlide. In addition, the accumulation of chlorophyll a in leaf sections was monitored during prolonged (24 h) irradiation. The results depended on the developmental state of the seedlings. However, the salt stress treatment caused marked increases in both Pchlide contents in dark-grown leaves and in Chlide contents following irradiation of leaf sections of both cultivars. The ratio of phototransformable to non-phototransformable Pchlide and the abundance of newly formed Chlide were also increased by the salt stress. Further, leaves of salt-stressed seedlings consistently accumulated more chlorophyll a than leaves of unstressed seedlings when floating on the nutrient solution (with or without supplementary salt) in continuous white light. The findings are consistent with the hypothesis that increased levels of the long-wavelength form of Pchlide contribute to protective mechanisms against salt stress.
  • Abelin, Åsa, 1953- (författare)
  • Expression of emotions in spoken Swedish - a corpus study
  • 2010
  • Ingår i: Proceedings of Fonetik 2010.
  • Tidskriftsartikel (refereegranskat)abstract
    • How are emotions expressed in spoken interaction? Prosodic emotional expressions and emotional words were searched for in the Gothenburg Spoken Language Corpus. Analyses were also made with respect to different activities, e.g. business negotiation, lecture and discussion. Some emotions are expressed with prosody, e.g. surprise, while other emotions are more often expressed with adjectives, e.g. anger and fear. Different emotional expressions are displayed in different social activities. Analyses were also made of prosodic emotional expressions in relation to carrier phrase, showing that the linguistic meaning of some words cannot be determined without the prosody. Preliminary acoustic analyses were made.
  • Abouzeedan, A, 1955- (författare)
  • The factorial mirror (FAM) concept of small and medium-sized enterprises (SMEs) and the firm impact sphere (FIP): The connection to the business bridging tactics
  • 2010
  • Ingår i: Global Business Review. - 0973-0664. ; 11:1, s. 35-64
  • Tidskriftsartikel (refereegranskat)abstract
    • E-globalization is a terminology of high significance when focusing on smaller firm mechanisms of survival and growth in the new IT-based economy. One of the new approaches to understanding the interaction between the firms’ activities and their environments is the concept of the ‘Firm Impact Sphere’. The ‘Firm Impact Sphere’ (or FIP) concept was initially proposed by Abouzeedan and Busler (2002a, 2006a). The FIP concept facilitates better perception of the business environment of today. In relation to that, it is worth recalling that scholars made an effort to categorize a firm’s performance factors related to internal environments versus the ones related to the external environment of the firm, by arranging the various factors of impact into individual groups, such as the SPF classification system (see Abouzeedan 2002). In that paper, the equivalency between the sub-groups within the SPF-classification system was established. That work was developed further by a later paper by Abouzeedan (2003), where the author discussed how to relate equivalent groups of parameters. To do this, he introduced the concept of the mirror effect using the ‘Factorial Mirror’ concept (see Abouzeedan 2003). In this article, I try to illustrate how the ‘Factorial Mirror’ (or FAM) concept can be utilized to understand the relationship between the external and internal parameters incorporated in the firm performance models and relate that concept to the Firm Impact Sphere (FIP) framework of analysis. I then proceed to connect that analysis to bridging tactics and alliances’ formation. In the context of this discussion, I introduce the BFF Triangle as an abstract presentation to the said. By understanding how manipulating parameters of the external environment would alter the internal environment of the firm, scholars should be able to build a better perception of the dynamism behind the ability of firm bridging tactics to transfer themselves into workable alliances.
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