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Sökning: WFRF:(Olsson Lars Erik)

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  • Ahlberg, Erik, et al. (författare)
  • "Vi klimatforskare stödjer Greta och skolungdomarna"
  • 2019
  • Ingår i: Dagens nyheter (DN debatt). - 1101-2447.
  • Tidskriftsartikel (populärvet., debatt m.m.)abstract
    • DN DEBATT 15/3. Sedan industrialiseringens början har vi använt omkring fyra femtedelar av den mängd fossilt kol som får förbrännas för att vi ska klara Parisavtalet. Vi har bara en femtedel kvar och det är bråttom att kraftigt reducera utsläppen. Det har Greta Thunberg och de strejkande ungdomarna förstått. Därför stödjer vi deras krav, skriver 270 klimatforskare.
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  • Blennberger, Erik, 1948-, et al. (författare)
  • Social ekonomi och mervärde
  • 1999
  • Ingår i: Social ekonomi. - Stockholm : Fakta info direkt. - 9176107078
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)
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  • Escaned, Javier, et al. (författare)
  • Safety of the Deferral of Coronary Revascularization on the Basis of Instantaneous Wave-Free Ratio and Fractional Flow Reserve Measurements in Stable Coronary Artery Disease and Acute Coronary Syndromes
  • 2018
  • Ingår i: JACC. - : Elsevier. - 1936-8798 .- 1876-7605. ; 11:15, s. 1437-1449
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVES The aim of this study was to investigate the clinical outcomes of patients deferred from coronary revascularization on the basis of instantaneous wave-free ratio (iFR) or fractional flow reserve (FFR) measurements in stable angina pectoris (SAP) and acute coronary syndromes (ACS). BACKGROUND Assessment of coronary stenosis severity with pressure guidewires is recommended to determine the need for myocardial revascularization. METHODS The safety of deferral of coronary revascularization in the pooled per-protocol population (n = 4,486) of the DEFINE-FLAIR (Functional Lesion Assessment of Intermediate Stenosis to Guide Revascularisation) and iFR-SWEDEHEART (Instantaneous Wave-Free Ratio Versus Fractional Flow Reserve in Patients With Stable Angina Pectoris or Acute Coronary Syndrome) randomized clinical trials was investigated. Patients were stratified according to revascularization decision making on the basis of iFR or FFR and to clinical presentation (SAP or ACS). The primary endpoint was major adverse cardiac events (MACE), defined as the composite of all-cause death, nonfatal myocardial infarction, or unplanned revascularization at 1 year. RESULTS Coronary revascularization was deferred in 2,130 patients. Deferral was performed in 1,117 patients (50%) in the iFR group and 1,013 patients (45%) in the FFR group (p < 0.01). At 1 year, the MACE rate in the deferred population was similar between the iFR and FFR groups (4.12% vs. 4.05%; fully adjusted hazard ratio: 1.13; 95% confidence interval: 0.72 to 1.79; p = 0.60). A clinical presentation with ACS was associated with a higher MACE rate compared with SAP in deferred patients (5.91% vs. 3.64% in ACS and SAP, respectively; fully adjusted hazard ratio: 0.61 in favor of SAP; 95% confidence interval: 0.38 to 0.99; p = 0.04). CONCLUSIONS Overall, deferral of revascularization is equally safe with both iFR and FFR, with a low MACE rate of about 4%. Lesions were more frequently deferred when iFR was used to assess physiological significance. In deferred patients presenting with ACS, the event rate was significantly increased compared with SAP at 1 year. (C) 2018 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.
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  • Gjirja, Savo, 1945, et al. (författare)
  • Experimental Investigation on the Hydrogen Peroxide Fumigation Into the Inlet Duct of a Diesel Engine
  • 2000
  • Ingår i: SAE Technical Papers. - 0148-7191 .- 2688-3627. ; SP-1551:2000-01-1919, s. 12-
  • Konferensbidrag (refereegranskat)abstract
    • Believed to have a potential in reducing the NOxemission level, hydrogen peroxide was fumigated into theinlet duct of the AVL single cylinder research engine via astandard gasoline injector, normally used in the Volvo850-car engine. A small metallic sphere installed 3 cmdownstream the injector tip, improved the spray formationand the uniform distribution of the fumigated peroxidefluid upstream the intake valve. The hydrogen peroxideflow was varied according to the desired value via anelectronic pulse frequency generator.The engine, equipped with an electronic unit injector, wasinitially run without any fumigation fluid until thespecifications of the engine test point were reached andremained very stable. Further, the hydrogen peroxideinjection was activated with three different injection flows,and the engine performance, including emission levels,was compared to reference performance. To avoidsecondary effects on combustion processes andemission levels, the engine was run with the same fuel/airratio.The most expected effect of the hydrogen peroxidefumigation would be on the NOx emission reduction.However, it was observed that other emissions such asCO and HC were remarkably affected as well.Experimental results have shown that the hydrogenperoxide fumigation affects the engine thermochemistry,but not necessarily the fuel consumption and otherenergetic parameters of the engine. However, theincrease of the fumigation flow above a certain limit coulddeteriorate the combustion quality, thereby increase HC,CO and soot formation levels.Nevertheless, heat release and ignition delay, (evaluatedaccording to the “Dragon” software program andacquisition from “Burst to File” PC based samplingsystem)[1], [3] show that the optimal fumigated flow of thehydrogen peroxide might reduce the ignition delay, andthereby significantly improve the engine thermochemistryoutput.Verified effective possibilities for using hydrogen peroxidefumigation, would lead to a proper version of the intakemanifold design, which would bring to another solution forlow emission level diesel engines
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  • Götberg, Matthias, et al. (författare)
  • 5-Year Outcomes of PCI Guided by Measurement of Instantaneous Wave-Free Ratio Versus Fractional Flow Reserve
  • 2022
  • Ingår i: Journal of the American College of Cardiology. - : Elsevier. - 0735-1097 .- 1558-3597. ; 79:10, s. 965-974
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Instantaneous wave-free ratio (iFR) is a coronary physiology index used to assess the severity of coronary artery stenosis to guide revascularization. iFR has previously demonstrated noninferior short-term outcome compared to fractional flow reserve (FFR), but data on longer-term outcome have been lacking.OBJECTIVES: The purpose of this study was to investigate the prespecified 5-year follow-up of the primary composite outcome of all-cause mortality, myocardial infarction, and unplanned revascularization of the iFR-SWEDEHEART trial comparing iFR vs FFR in patients with chronic and acute coronary syndromes.METHODS: iFR-SWEDEHEART was a multicenter, controlled, open-label, registry-based randomized clinical trial using the Swedish Coronary Angiography and Angioplasty Registry for enrollment. A total of 2,037 patients were randomized to undergo revascularization guided by iFR or FFR.RESULTS: No patients were lost to follow-up. At 5 years, the rate of the primary composite endpoint was 21.5% in the iFR group and 19.9% in the FFR group (HR: 1.09; 95% CI: 0.90-1.33). The rates of all-cause death (9.4% vs 7.9%; HR: 1.20; 95% CI: 0.89-1.62), nonfatal myocardial infarction (5.7% vs 5.8%; HR: 1.00; 95% CI: 0.70-1.44), and unplanned revascularization (11.6% vs 11.3%; HR: 1.02; 95% CI: 0.79-1.32) were also not different between the 2 groups. The outcomes were consistent across prespecified subgroups.CONCLUSIONS: In patients with chronic or acute coronary syndromes, an iFR-guided revascularization strategy was associated with no difference in the 5-year composite outcome of death, myocardial infarction, and unplanned revascularization compared with an FFR-guided revascularization strategy. (Evaluation of iFR vs FFR in Stable Angina or Acute Coronary Syndrome [iFR SWEDEHEART]; NCT02166736)
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