| 1. |
- Johansson, Birgitta, et al.
(författare)
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Atrial function after left atrial epicardial cryoablation for atrial fibrillation in patients undergoing mitral valve surgery
- 2012
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Ingår i: Journal of Interventional Cardiac Electrophysiology. - : Springer Science+Business Media B.V.. - 1383-875X .- 1572-8595. ; 33:1, s. 85-91
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To explore the effects on atrial and ventricular function of restoring sinus rhythm (SR) after epicardial cryoablation and closure of the left atrial appendage (LAA) in patients with mitral valve disease and atrial fibrillation (AF) undergoing surgery.METHODS: Sixty-five patients with permanent AF were randomized to mitral valve surgery combined with left atrial epicardial cryoablation and LAA closure (ABL group, n = 30) or to mitral valve surgery alone (control group, n = 35). Two-dimensional and Doppler echocardiography were performed before and 6 months after surgery.RESULTS: At 6 months, 73% of the patients in the ABL group and 46% of the controls were in SR. Patients in SR at 6 months had a reduction in their left ventricular diastolic diameter while the left ventricular ejection fraction was unchanged. In patients remaining in AF, the left ventricular ejection fraction was lower than at baseline. The left atrial diastolic volume was reduced after surgery, more in patients with SR than AF. In patients in SR, the peak velocity during the atrial contraction and the reservoir function were lower in the ABL group than in the control group.CONCLUSIONS: In patients in SR, signs of atrial dysfunction were observed in the ABL but not the control group. Atrial dysfunction may have existed before surgery, but the difference between the groups implies that the cryoablation procedure and/or closure of the LAA might have contributed.
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| 2. |
- Rohlin, Anna, et al.
(författare)
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A mutation in POLE predisposing to a multi-tumour phenotype
- 2014
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Ingår i: International Journal of Oncology. - : Spandidos Publications. - 1019-6439 .- 1791-2423. ; 45:1, s. 77-81
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Tidskriftsartikel (refereegranskat)abstract
- Somatic mutations in the POLE gene encoding the catalytic subunit of DNA polymerase epsilon have been found in sporadic colorectal cancers (CRCs) and are most likely of importance in tumour development and/or progression. Recently, families with dominantly inherited colorectal adenomas and colorectal cancer were shown to have a causative heterozygous germline mutation in the proofreading exonuclease domain of POLE. The highly penetrant mutation was associated with predisposition to CRC only and no extra-colonic tumours were observed. We have identified a mutation in a large family in which the carriers not only developed CRC, they also demonstrate a highly penetrant predisposition to extra-intestinal tumours such as ovarian, endometrial and brain tumours. The mutation, NM_006231.2:c.1089C>A, p.Asn363Lys, also located in the proofreading exonuclease domain is directly involved in DNA binding. Theoretical prediction of the amino acid substitution suggests a profound effect of the substrate binding capability and a more severe impairment of the catalytic activity compared to the previously reported germline mutation. A possible genotype to phenotype correlation for deleterious mutations in POLE might exist that needs to be considered in the follow-up of mutation carriers.
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| 3. |
- Wennergren, Mattias, 1993, et al.
(författare)
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Swedish Child Health Services Register: a quality register for child health services and children's well-being.
- 2023
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Ingår i: BMJ paediatrics open. - : BMJ. - 2399-9772. ; 7:1
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Tidskriftsartikel (refereegranskat)abstract
- Swedish child health services (CHS) is a free-of-charge healthcare system that reaches almost all children under the age of 6. The aim for the CHS is to improve children's physical, psychological and social health by promoting health and development, preventing illness and detecting emerging problems early in the child's life. The services are defined in a national programme divided into three parts: universal interventions, targeted interventions and indicated interventions.The Swedish Child Health Services Register (BHVQ) is a national Quality Register developed in 2013. The register extracts data from the child's health record and automatically presents current data in real time. At present, the register includes 21 variables.We aim to describe data available in the BHVQ and the completeness of data in BHVQ across variables.Child-specific data were exported from the register, and data for children born in the regions were retrieved from Statistics Sweden to calculate coverage.The register includes over 110000 children born between 2011 and 2022 from 221 child healthcare centres in eight of Sweden's 21 regions. In seven of the eight regions, 100% of centres report data.The completeness of data differs between participating regions and birth cohorts. The average coverage for children born in 2021 is 71%.The BHVQ is a valuable resource for evaluating Child Health Services nationally, with high coverage for the youngest children. As a result of continuous improvement of the services, the possibility to follow the development of children's health in Sweden is possible through the register. When fully expanded, the register will be a natural and essential part of developing preventive services, improving healthcare for children below 6years of age and a tool for developing evidence-based child health interventions.
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| 4. |
- Baghdadchi, Amir, 1994-
(författare)
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Directed Energy Deposition Additive Manufacturing and Welding of Duplex Stainless Steel using Laser Beam
- 2024
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Duplex stainless steels (DSSs), with a ferritic-austenitic microstructure, are used in a wide range of applications thanks to their high corrosion resistance and good mechanical properties. However, efficient and successful production and joining of DSS require precise control of processes and an in-depth understanding of the relations between composition, processing thermal cycles, resulting microstructures and properties. In this study welding and direct energy deposition of DSS using a laser beam, resulting weld and component microstructures, and properties are explored.In the first part a lean FDX 27 DSS, showing the transformation-induced plasticity (TRIP) effect, was autogenously laser welded and laser reheated using pure argon or pure nitrogen as shielding gas. The weld metal austenite fraction was 22% for argon-shielding and 39% for nitrogen-shielding in the as-welded conditions. Less nitrides were found with nitrogen-shielding compared to argon-shielding. Laser reheating did not significantly affect nitride content or austenite fraction for argon-shielding. However, laser reheating of the nitrogen shielded weld removed nitrides and increased the austenite fraction to 57% illustrating the effectiveness of this approach.Phase fraction analysis is important for DSS since the balance between ferrite and austenite affects the properties. For TRIP steels the risk of austenite-to-martensite transformation during sample preparation also has to be considered. Ferrite, austenite and martensite were identified and quantified using light optical microscopy (LOM) and electron backscatter diffraction (EBSD) analysis. It was found that mechanical polishing produced up to 26% strain-induced martensite, while no martensite was observed after electrolytic polishing.In the second part a systematic four-stage methodology was applied to develop procedures for additive manufacturing of standard 22% Cr DSS components employing direct energy deposition using a laser beam and wire feedstock (DED-LB/w) combined with the hot wire technology. In the four stages, single-bead passes, a single-bead wall, a block, and finally a cylinder with an inner diameter of 160 mm, thickness of 30 mm, and height of 140 mm were produced. Implementing this methodology with a stepwise increase in the deposited volume and geometrical complexity can successfully be used when developing additive manufacturing procedures for significantly sized metallic components. The as-deposited microstructure was inhomogeneous and repetitive including highly ferritic regions with nitrides and regions with high fractions of austenite. Heat treatment for 1 hour at 1100°C homogenized the microstructure, dissolved the nitrides, and almost balanced the ferrite and austenite phase fractions. Strength, ductility, and toughness were at a high level for the cylinder, comparable to those of wrought type 2205 steel, both as-deposited and after heat treatment. The pitting corrosion resistance revealed that microstructural differences, including ferrite-to-austenite ratio, alloying element distribution in ferrite and austenite , and the presence of nitrides, affected the corrosion resistance of DED-LB/w DSS. It was also shown that alongside the decomposition of ferrite into Fe-rich (α) and Cr-rich (αʹ) phases, clustering of Ni, Mn, and Si atoms are contributing to the 475°C -embrittlement of DSS manufactured by DED-LB/w.This study has illustrated that a laser beam can successfully be used as heat source in processing of DSS both for welding and additive manufacturing. However, challenges like nitrogen loss, low austenite fractions and nitride formation have to be handled by precise process control and/or heat treatment.
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| 5. |
- Baghdadchi, Amir, 1994-, et al.
(författare)
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Identification and quantification of martensite in ferritic-austenitic stainless steels and welds
- 2021
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Ingår i: Journal of Materials Research and Technology. - : Elsevier Editora Ltda. - 2238-7854. ; 15, s. 3610-3621
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Tidskriftsartikel (refereegranskat)abstract
- This paper aims at the phase identification and quantification in transformation induced plasticity duplex stainless steel (TDSS) base and weld metal containing ferrite, austenite, and martensite. Light optical microscopy (LOM) and electron backscatter diffraction (EBSD) analysis were employed to analyze phases. Samples were either mechanically or electrolytically polished to study the effect of the preparation technique. Mechanical polishing produced up to 26% strain-induced martensite. Electrolytic polishing with 150 g citric acid, 300 g distilled water, 600 mL H3PO4, and 450 mL H2SO4 resulted in martensite free surfaces, providing high-quality samples for EBSD analysis. Martensite identification was challenging both with LOM, due to the similar etching response of ferrite and martensite, and with EBSD, due to the similar lattice structures of ferrite and martensite. An optimized Beraha color etching procedure was developed that etched martensite distinctively. A novel step-by-step EBSD methodology was also introduced considering grain size and orientation, which successfully identified and quantified martensite as well as ferrite and austenite in the studied TDSS. Although here applied to a TDSS, the presented EBSD methodology is general and can, in combination with knowledge of the metallurgy of the specific material and with suitable adaption, be applied to a multitude of multiphase materials. It is also general in the sense that it can be used for base material and weld metals as well as additive manufactured materials.
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| 6. |
- Baghdadchi, Amir, 1994-
(författare)
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Laser Welding and Additive Manufacturing of Duplex Stainless Steels : Properties and Microstructure Characterization
- 2022
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Duplex stainless steels (DSS), with a ferritic-austenitic microstructure, are used ina wide range of applications thanks to their high corrosion resistance and excellent mechanical properties. However, efficient and successful production and joining of DSS require precise control of processes and an in-depth understanding o frelations between composition, processing thermal cycles, resulting microstructures and properties. In this study laser welding, laser reheating, and laser additive manufacturing using Laser Metal Deposition with Wire (LMDw) ofDSS and resulting weld and component microstructures and properties are explored.In the first part a lean FDX 27 duplex stainless steel, showing the transformation induced plasticity (TRIP) effect, was autogenously laser welded and laser reheated using pure argon or pure nitrogen as shielding gas. The weld metal austenite fraction was 22% for argon-shielding and 39% for nitrogen-shielding in as-welded conditions. Less nitrides were found with nitrogen-shielding compared to argonshielding. Laser reheating did not significantly affect nitride content or austenite fraction for argon-shielding. However, laser reheating of the nitrogen shieldedweld removed nitrides and increased the austenite fraction to 57% illustrating the effectiveness of this approach.Phase fraction analysis is important for DSS since the balance between ferrite and austenite affects properties. For TRIP steels the possibility of austenite tomartensite transformation during sample preparation also has to be considered. Phases in the laser welded and reheated FDX 27 DSS were identified and quantified using light optical microscopy (LOM) and electron backscatter diffraction (EBSD) analysis. An optimized Beraha color etching procedure was developed for identification of martensite by LOM. A novel step-by-step EBSD methodology was also introduced, which successfully identified and quantified martensite as well as ferrite and austenite. It was found that mechanical polishing produced up to 26% strain-induced martensite, while no martensite was observed after electrolytic polishing.In the second part a systematic four-stage methodology was applied to develop procedures for additive manufacturing of standard 22% Cr duplex stainless steel components using LMDw combined with the hot wire technology. In the four stages, single-bead passes, a single-bead wall, a block, and finally a cylinder with an inner diameter of 160 mm, thickness of 30 mm, and height of 140 mm were produced. The as-deposited microstructure was inhomogeneous and repetitive including highly ferritic regions with nitrides and regions with high fractions ofaustenite. Heat treatment for 1 hour at 1100 ̊C homogenized the microstructure, removed nitrides, and produced an austenite fraction of about 50%. Strength, ductility, and toughness were at a high level for the cylinder, comparable to those of wrought type 2205 steel, both as-deposited and after heat treatment. The highest strength was achieved for the as-deposited condition with a yield strength of 765 MPa and a tensile strength of 865 MPa, while the highest elongation of 35% was found after heat treatment. Epitaxial growth of ferrite during solidification, giving elongated grains along the build direction, resulted in anisotropy of toughness properties. The highest impact toughness energies were measured for specimens with the notch perpendicular to the build direction after heat treatment with close to 300 J at -10oC. It was concluded that implementing a systematic methodology with a stepwise increase in the deposited volume and geometrical complexity can successfully be used when developing additive manufacturing procedures for significantly sized metallic components.This study has illustrated that a laser beam can successfully be used as heat source in processing of duplex stainless steel both for welding and additive manufacturing. However, challenges like nitrogen loss, low austenite fractions and nitride formation have to be handled by precise process control and/or heat treatment.
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| 7. |
- Baghdadchi, Amir, 1994-, et al.
(författare)
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Promoting austenite formation in laser welding of duplex stainless steel-impact of shielding gas and laser reheating
- 2021
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Ingår i: Welding in the World. - : Springer Science and Business Media LLC. - 0043-2288 .- 1878-6669. ; 65, s. 499-511
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Tidskriftsartikel (refereegranskat)abstract
- Avoiding low austenite fractions and nitride formation are major challenges in laser welding of duplex stainless steels (DSS). The present research aims at investigating efficient means of promoting austenite formation during autogenous laser welding of DSS without sacrificing productivity. In this study, effects of shielding gas and laser reheating were investigated in welding of 1.5-mm-thick FDX 27 (UNS S82031) DSS. Four conditions were investigated: Ar-shielded welding, N2-shielded welding, Ar-shielded welding followed by Ar-shielded laser reheating, and N2-shielded welding followed by N2-shielded laser reheating. Optical microscopy, thermodynamic calculations, and Gleeble heat treatment were performed to study the evolution of microstructure and chemical composition. The austenite fraction was 22% for Ar-shielded and 39% for N2-shielded as-welded conditions. Interestingly, laser reheating did not significantly affect the austenite fraction for Ar shielding, while the austenite fraction increased to 57% for N2-shielding. The amount of nitrides was lower in N2-shielded samples compared to in Ar-shielded samples. The same trends were also observed in the heat-affected zone. The nitrogen content of weld metals, evaluated from calculated equilibrium phase diagrams and austenite fractions after Gleeble equilibrating heat treatments at 1100 °C, was 0.16% for N2-shielded and 0.11% for Ar-shielded welds, confirming the importance of nitrogen for promoting the austenite formation during welding and especially reheating. Finally, it is recommended that combining welding with pure nitrogen as shielding gas and a laser reheating pass can significantly improve austenite formation and reduce nitride formation in DSS laser welds. © 2020, The Author(s).
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| 8. |
- Baghdadchi, Amir, 1994-, et al.
(författare)
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Wire laser metal deposition additive manufacturing of duplex stainless steel components -Development of a systematic methodology
- 2021
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Ingår i: Materials. - : MDPI. - 1996-1944. ; 14:23
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Tidskriftsartikel (refereegranskat)abstract
- A systematic four-stage methodology was developed and applied to the Laser Metal Deposition with Wire (LMDw) of a duplex stainless steel (DSS) cylinder > 20 kg. In the four stages, single-bead passes, a single-bead wall, a block, and finally a cylinder were produced. This stepwise approach allowed the development of LMDw process parameters and control systems while the volume of deposited material and the geometrical complexity of components increased. The as-deposited microstructure was inhomogeneous and repetitive, consisting of highly ferritic regions with nitrides and regions with high fractions of austenite. However, there were no cracks or lack of fusion defects; there were only some small pores, and strength and toughness were comparable to those of the corresponding steel grade. A heat treatment for 1 h at 1100 degrees (C) was performed to homogenize the microstructure, remove nitrides, and balance the ferrite and austenite fractions compensating for nitrogen loss occurring during LMDw. The heat treatment increased toughness and ductility and decreased strength, but these still matched steel properties. It was concluded that implementing a systematic methodology with a stepwise increase in the deposited volume and geometrical complexity is a cost-effective way of developing additive manufacturing procedures for the production of significantly sized metallic components.
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| 9. |
- Baghdadchi, Amir, 1994-, et al.
(författare)
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Wire laser metal deposition of 22% Cr duplex stainless steel : as-deposited and heat-treated microstructure and mechanical properties
- 2022
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Ingår i: Journal of Materials Science. - : Springer Science and Business Media LLC. - 0022-2461 .- 1573-4803. ; 57:21, s. 9556-9575
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Tidskriftsartikel (refereegranskat)abstract
- Duplex stainless steel (DSS) blocks with dimensions of 150 × 70x30 mm3 were fabricated by Laser Metal Deposition with Wire (LMDw). Implementation of a programmable logic control system and the hot-wire technology provided a stable and consistent process producing high-quality and virtually defect-free deposits. Microstructure and mechanical properties were studied for as-deposited (AD) material and when heat-treated (HT) for 1 h at 1100 °C. The AD microstructure was inhomogeneous with highly ferritic areas with nitrides and austenitic regions with fine secondary austenite occurring in a periodic manner. Heat treatment produced a homogenized microstructure, free from nitrides and fine secondary austenite, with balanced ferrite and austenite fractions. Although some nitrogen was lost during LMDw, heat treatment or reheating by subsequent passes in AD allowed the formation of about 50% austenite. Mechanical properties fulfilled common requirements on strength and toughness in both as-deposited and heat-treated conditions achieving the highest strength in AD condition and best toughness and ductility in HT condition. Epitaxial ferrite growth, giving elongated grains along the build direction, resulted in somewhat higher toughness in both AD and HT conditions when cracks propagated perpendicular to the build direction. It was concluded that high-quality components can be produced by LMDw and that deposits can be used in either AD or HT conditions. The findings of this research provide valuable input for the fabrication of high-performance DSS AM components
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| 10. |
- Cederberg, Emil, et al.
(författare)
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Physical simulation of additively manufactured super duplex stainless steels : microstructure and properties
- 2020
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Ingår i: Additive Manufacturing. - : Elsevier. - 2214-8604 .- 2214-7810. ; 34
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Tidskriftsartikel (refereegranskat)abstract
- The behavior of high performance super duplex stainless steel (SDSS) during additive manufacturing (AM) has been investigated using a novel arc heat treatment technique. Tungsten inert gas (TIG) arc pulses were applied on a disc shaped sample mounted on a water-cooled chamber to physically simulate AM thermal cycles. SDSS base metal and a duplicated additively manufactured structure (DAMS) were used as initial microstructures. Samples were melted one, five, or 15 times by arc heat treatment. Samples were also produced with a controlled slope down of the current to create slower cooling compared to pulsing. Microstructure characterization and modelling were performed to study the evolution of microstructure and properties with successive AM cycles. Microstructural changes were dependent on the number of reheating cycles, cooling rate, and peak temperature. In particular, the DAMS austenite morphology and fraction changed after reheating to peak temperatures above 700 °C. Nitrides and sigma were observed in the high and low temperature heat affected zones, respectively. Sensitization to corrosion was more pronounced in reheated DAMS than in the base metal. Hardness was increased more by multiple remelting/reheating than by slow cooling. It was found that AM thermal cycles significantly affect SDSS properties especially for an initial microstructure similar to that produced by AM. © 2020 Elsevier B.V.
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