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- Kleiboer, A, et al.
(författare)
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European COMPARative Effectiveness research on blended Depression treatment versus treatment-as-usual (E-COMPARED): study protocol for a randomized controlled, non-inferiority trial in eight European countries
- 2016
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Ingår i: Trials. - London : BioMed Central. - 1745-6215. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Effective, accessible, and affordable depression treatment is of high importance considering the large personal and economic burden of depression. Internet-based treatment is considered a promising clinical and cost-effective alternative to current routine depression treatment strategies such as face-to-face psychotherapy. However, it is not clear whether research findings translate to routine clinical practice such as primary or specialized mental health care. The E-COMPARED project aims to gain knowledge on the clinical and cost-effectiveness of blended depression treatment compared to treatment-as-usual in routine care.Methods/design: E-COMPARED will employ a pragmatic, multinational, randomized controlled, non-inferiority trial in eight European countries. Adults diagnosed with major depressive disorder (MDD) will be recruited in primary care (Germany, Poland, Spain, Sweden, and the United Kingdom) or specialized mental health care (France, The Netherlands, and Switzerland). Regular care for depression is compared to "blended" service delivery combining mobile and Internet technologies with face-to-face treatment in one treatment protocol. Participants will be followed up at 3, 6, and 12 months after baseline to determine clinical improvements in symptoms of depression (primary outcome: Patient Health Questionnaire-9), remission of depression, and cost-effectiveness. Main analyses will be conducted on the pooled data from the eight countries (n = 1200 in total, 150 participants in each country).Discussion: The E-COMPARED project will provide mental health care stakeholders with evidence-based information and recommendations on the clinical and cost-effectiveness of blended depression treatment.Trial Registration: France: ClinicalTrials.gov NCT02542891 . Registered on 4 September 2015; Germany: German Clinical Trials Register DRKS00006866 . Registered on 2 December 2014; The Netherlands: Netherlands Trials Register NTR4962 . Registered on 5 January 2015; Poland: ClinicalTrials.Gov NCT02389660 . Registered on 18 February 2015; Spain: ClinicalTrials.gov NCT02361684 . Registered on 8 January 2015; Sweden: ClinicalTrials.gov NCT02449447 . Registered on 30 March 2015; Switzerland: ClinicalTrials.gov NCT02410616 . Registered on 2 April 2015; United Kingdom: ISRCTN registry, ISRCTN12388725 . Registered on 20 March 2015.
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- Krawczynska, A. T., et al.
(författare)
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Impact of high pressure torsion processing on helium ion irradiation resistance of molybdenum
- 2022
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Ingår i: Materials Characterization. - : Elsevier BV. - 1044-5803 .- 1873-4189. ; 191, s. 112151-
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Tidskriftsartikel (refereegranskat)abstract
- The microstructure of Mo was significantly refined by high pressure torsion to verify its irradiation tolerance in comparison with its micrograined counterpart. After deformation microhardness increased from 231 Hv0.2 for a microgarined sample to 542 and 558 Hv0.2, respectively after one and five rotations. Concurrently, the grain refinement was observed, as the grain size decreased with the increase of the deformation degree down to 480 and 110 nm, respectively for one and five rotations. Subsequently, deformed Mo and a micrograined one were irradiated by He ions to the dose of 8 x 1016/cm 2 to verify their potential application as fusion mirrors. Irra-diations were followed by reflectivity measurements in the 300-2400 nm range with a dual beam spectrometer. The measurements revealed that the applied dose causes a decrease in total reflectivity of the micrograined sample, whereas the total reflectivity of deformed samples decreases by additional 2.5%. Nanohardness mea-surements, detailed microscopy observations using focused ion beam and scanning transmission electron mi-croscope as well as positron annihilation spectroscopy investigations were performed to elucidate changes in the microstructure and understand the different mechanisms of bubble creation after irradiation in micrograined and high pressure torsion processed samples.
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