| 1. |
- Averfalk, Helge, 1988-
(författare)
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Enhanced District Heating Technology : Maintaining Future System Feasibility
- 2017
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- When heat demand and high temperature heat supply gradually decreases in the future, then it will effect district heating systems ability to compete on the heat market. A good way to mitigate less district heating feasibility is to operate systems with lower temperature levels and the most conceivable way to achieve lower temperature levels is to decrease return temperatures.Thus, this thesis emphasise temperature errors embedded in district heating systems. Only a selection of temperature errors are analysed in this thesis. First, the temperature error that occurs due to recirculation in distribution networks at low heat demands. Second, the temperature error that occurs due to hot water circulation in multi-family buildings. Third, the temperature error that occurs due to less than possible heat transfer in heat exchangers, i.e. too short thermal lengths.In order to address these temperature errors three technology changes have been proposed (i) three-pipe distribution network to separate the recirculation return flow from the delivery return flow, (ii) apartment substations to eliminate hot water circulation utilisation, and (iii) improved heat exchangers for lower return temperatures at a constant scenario. Analysis of proposed changes has resulted in annual average return temperatures between 17-21 °C.Furthermore, rapid introduction of intermittent renewable electricity supply in the energy system has prompted an increased necessity of power system balancing capacities. Large-scale conversion of power-to-heat in electric boilers and heat pumps is a feasible alternative to achieve such balancing capacities. Analysis of the unique Swedish experience with utilisation of large heat pumps installations connected to district heating systems show that since the 1980s 1527 MW of heat power has been installed, about 80 % of the capacity was still in use by 2013. Thus, a cumulative value of over three decades of operation and maintenance exists within Swedish district heating systems.The two papers presented in this thesis are related to future district heating systems through the five abilities of fourth generation district heating (4GDH), which are documented in the definition paper of 4GDH.
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| 2. |
- Vestergren, Johan, 1968-
(författare)
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Analysis and speciation of organic phosphorus in environmental matrices : Development of methods to improve 31P NMR analysis
- 2014
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Phosphorus (P) is an essential element for life on our planet. It is central in numerous biochemical processes in terrestrial and aqueous ecosystems including food production; and it is the primary growth-limiting nutrient in some of the world’s biomes. The main source of P for use as agricultural fertilizer is mining of non-renewable mineral phosphate. In terrestrial ecosystems the main source is soil P, where the largest fraction is organic P, composed of many species with widely differing properties. This fraction controls the utilization of P by plants and microorganisms and influences ecosystem development and productivity. However, there is only scarce knowledge about the molecular composition of the organic P pool, about the processes controlling its bioavailability, and about its changes as soils develop. Therefore, the aim of this thesis was to develop robust solution- and solid-state 31P nuclear magnetic resonance spectroscopy (NMR) methods to provide molecular information about speciation of the organic P pool, and to study its dynamics in boreal and tropical soils. By studying humus soils of a groundwater recharge/discharge productivity gradient in a Fennoscandian boreal forest by solution- and solid-state NMR, it was found that P speciation changed with productivity. In particular, the level of orthophosphate diesters decreased with increasing productivity while mono-esters such as inositol phosphates increased. Because the use of solution NMR on conventional NaOH/EDTA extracts of soils was limited due to severe line broadening caused by the presence of paramagnetic metal ions, a new extraction method was developed and validated. Based on the removal of these paramagnetic impurities by sulfide precipitation, a dramatic decrease in NMR linewidths was obtained, allowing for the first time to apply modern multi-dimensional solution NMR techniques to soil extracts. Identification of individual soil P-species, and tracking changes in the organic P pools during soil development provided information for connecting P-speciation to bioavailability and ecosystem properties. Using this NMR approach we studied the transformation of organic P in humus soils along a chronosequence (7800 years) in Northern Sweden. While total P varied little, the composition of the soil P pool changed particularly among young sites, where also the largest shift in the composition of the plant community and of soil microorganisms was observed. Very old soils, such as found Africa, are thought to strongly adsorb P, limiting plant productivity. I used NMR to study the effect of scattered agroforestry trees on P speciation in two semi-arid tropical woodlands with different soil mineralogy (Burkina Faso). While the total P concentration was low, under the tree canopies higher amounts of P and higher diversity of P-species were found, presumably reflecting higher microbial activity.
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| 3. |
- Bengtsson, Åsa, 1974-
(författare)
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Solubility and Surface Complexation Studies of Apatites
- 2007
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Apatites are a diverse class of phosphate minerals that are important in a great variety of natural and industrial processes. They are, for example, used as raw material in fertiliser production and in the remediation of metal-contaminated soils. Hydroxyapatite Ca5(PO4)3OH, (HAP) and fluorapatite Ca5(PO4)3F, (FAP) are similar to the biological apatite that is the main constituent of mammalian bone and teeth, and they are therefore promising materials for artificial bone and tooth implants. This thesis is a summary of four papers with focus on dissolution and surface complexation reactions of HAP and FAP in the absence and presence of both organic ligands and the natural and commonly occurring iron oxide goethite (α-FeOOH). The dissolution and surface complexation of HAP and FAP was investigated with a combination of different techniques. Potentiometric acid/base titrations and batch experiments were combined with X-ray Photoelectron Spectroscopy (XPS) and Attenuated Total Reflectance Fourier Transform Infrared (ATR-FTIR) Spectroscopy to generate dissolution and surface complexation models for both apatites. The results from these studies showed that both apatites form surface layers that are different from their bulk compositions when equilibrated in aqueous solutions. The modeling efforts predicted speciation of these surfaces as well as the concentration of the dissolution products in the solution. The interaction between organic ligands and the apatite surfaces was also investigated and the results from this study show that the organic ligands form outer-sphere complexes on the apatite surfaces over a large pH interval, and that this adsorption enhances the dissolution of apatites. The presence of goethite also enhances the dissolution of FAP as it acts as a sink for the phosphate released from FAP. Phase transformation in this system was detected using ATR-FTIR as the phosphate adsorbed to the goethite surface precipitates as FePO4 (s) after approximately 15 days of reaction time. This changes the speciation, and possibly also the bioavailability of phosphate in this two-mineral system.
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| 4. |
- Bodin, Hristina, 1977-
(författare)
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Wastewater treatment in constructed wetlands : Effects of vegetation, hydraulics and data analysis methods
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Degradation of water resources has become one of the most pressing global concerns currently facing mankind. Constructed Wetlands (CWs) represent a concept to combat deterioration of water resources by acting as buffers between wastewater and receiving water bodies. Still, constructing wetlands for the sole purpose of wastewater treatment is a challenging task. To contribute to this research area, the fundamental question raised in this doctorate thesis was: how do factors such as vegetation and residing water movements (hydraulics) influence wastewater treatment in CWs? Also, effects of different data analysis methods for results of CW hydraulics and wastewater treatment were investigated. Research was focused on phosphorus (P), ammonium-nitrogen (NH4+-N) and solids (TSS) in wastewater and o n P in macrophyte biomass. Studies were performed in pilot-scale free water surface (FWS) CW systems in Kenya (Chemelil) and Sweden (Halmstad) and as computer simulations.Results from the Chemelil CWs demonstrated that meeting effluent concentration standards simultaneously for all water quality parameters in one CW was difficult. Vegetation harvest, and thus nutrient uptake by young growing macrophytes, was important for maintaining low effluents of NH4+-N and P, especially during dry seasons. On the other hand, mature and dense vegetation growing for at least 4 months secured meeting TSS standards. Phosphorus in above-ground green biomass accounted for almost 1/3 of the total P mass removal, demonstrating high potential for P removal through macrophyte harvest in CWs. Also, results suggested that harvest should be species-specific to achieve high P removal by macrophytes and overall acceptable wastewater treatment in CWs. Still, different methods to estimate evapotranspiration (ET) from the Chemelil CWs showed that water balance calculations greatly impacted estimations of wastewater treatment results.Hydraulic tracer studies performed in the Chemelil and Halmstad CWs showed that mature and dense emergent vegetation in CWs could reduce effective treatment volumes (e-values), which emphasized the importance of regulating this type of vegetation. Also, it was shown that hydraulic tracer studies with lithium chloride performed in CWs with dense emergent vegetation had problems with low tracer recoveries. This problem could be reduced by promoting the distribution of incoming tracer solution into the CW using a barrier near the CW inlet pipe. Computer simulation results showed that the choice of tracer data analysis method greatly influenced quantifications of CW hydraulics and pollutant removal. The e-value could be 50% higher and the pollutant removal 13% higher depending upon used method. Moreover, unrealistic evalues (above 100%) in published literature could to some extent be explained by tracer data analysis method. Hence, to obtain more reliable hydraulic data and wastewater treatment results from CWs, more attention should be paid to the choice of tracer data analysis method.
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| 5. |
- Brodtkorb, Thor-Henrik, 1976-
(författare)
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Cost-effectiveness analysis of health technologies when evidence is scarce
- 2010
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Given the increasing pressures on health care budgets, economic evaluation is used in many countries to assist decision-making regarding the optimal use of competing health care technologies. Although the standard methods of estimating cost-effectiveness underpinning these decisions have gained widespread acceptance, concerns have been raised that many technologies would not be considered for funding, due to scarcity of evidence. However, as long as the amount and quality of evidence used for the analysis are properly characterized, scarce evidence per se should not be seen as a hindrance to perform cost-effectiveness analyses. Characterizing uncertainty appropriately, though, may pose a challenge even when there is a large body of evidence available, and even more so when evidence is scarce. The aims of this thesis are to apply a methodological framework of cost-effectiveness analysis and explore methods for characterising uncertainty when evidence is scarce. Three case studies associated with limited evidence provide economic evaluations on current decision problems, investigate the feasibility of using the framework, and explore methods for characterizing uncertainty when evidence is scarce.The results of the case studies showed that, given current information, providing transfemoral amputees with C-Leg and Airsonett Airshower to patients with perennial allergic asthma could be considered cost-effective whereas screening for hyperthrophic cardiomyopathy among young athletes is unlikely to be cost-effective. In the cases of C-Leg and Airsonett Airshower conducting further research is likely to be cost-effective. The case studies indicate that it is feasible to apply methods of cost-effectiveness in health care for technologies not commonly evaluated due to lack of evidence. The analysis showed that failing to account for individual experts’ might have a substantial effect on the interpretation of the results of cost-effectiveness analysis. Formal expert elicitation is a promising method of characterizing uncertainty when evidence is missing, and thus enable cost-effectiveness and value of further research to be appropriately estimated in such situations.In conclusion, this thesis shows that scarcity of evidence should not preclude the use of cost-effectiveness analysis. On the contrary, in such cases it is probably more important than ever to use a framework that enable us to define key parameters for a decision problem and identify available evidence in order to determine cost-effectiveness given current information and provide guidance on further data collection.
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| 6. |
- Engström, Gunnar, et al.
(författare)
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Pulmonary function and atherosclerosis in the general population : causal associations and clinical implications
- 2024
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Ingår i: European Journal of Epidemiology. - : Springer Nature. - 0393-2990 .- 1573-7284. ; 39:1, s. 35-49
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Tidskriftsartikel (refereegranskat)abstract
- Reduced lung function is associated with cardiovascular mortality, but the relationships with atherosclerosis are unclear. The population-based Swedish CArdioPulmonary BioImage study measured lung function, emphysema, coronary CT angiography, coronary calcium, carotid plaques and ankle-brachial index in 29,593 men and women aged 50–64 years. The results were confirmed using 2-sample Mendelian randomization. Lower lung function and emphysema were associated with more atherosclerosis, but these relationships were attenuated after adjustment for cardiovascular risk factors. Lung function was not associated with coronary atherosclerosis in 14,524 never-smokers. No potentially causal effect of lung function on atherosclerosis, or vice versa, was found in the 2-sample Mendelian randomization analysis. Here we show that reduced lung function and atherosclerosis are correlated in the population, but probably not causally related. Assessing lung function in addition to conventional cardiovascular risk factors to gauge risk of subclinical atherosclerosis is probably not meaningful, but low lung function found by chance should alert for atherosclerosis.
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| 7. |
- Fraser, Magdalena
(författare)
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People of the Dolmens and Stone Cists : An archaeogenetic Investigation of Megalithic Graves from the Neolithic Period on Gotland
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The study of ancient genomics of pre-historic human remains has in recent years offered unprecedented knowledge regarding pre-historic migration and population structure on the European continent which has fundamentally altered the current views in the archaeological community. However, the merging of the two fields, archaeology and genetics, is still in its infancy and much work is still needed in order for these fields to integrate. In this thesis I explore how genetic analyses, in combination with contextual radiocarbon dating and isotopic analyses for diet and mobility can be used to investigate demographic events on a local and regional level. This is done through the investigation of people buried in five previously excavated megalithic tombs on the Island of Gotland dated to the Neolithic period. I present the genomic population structure and archaeological background for the pre-historic European reference data and show how this is used to investigate population continuity, demographic shifts, cultural duality, and admixture for local and regional contexts. I present new data and explore the Strontium-baseline for the Gotland biosphere which is used for the mobility analyses. I show that mitochondrial haplogroup data is especially useful in combination with isotopic data, and radiocarbon dating for investigation of demographic shifts on a larger scale. I also show that genomic data gives unique insights into the individuals’ life history which, together with the established demographic background allows for fine scale investigation of population demographic events within and between different archaeological contexts. Finally I show that the different Neolithic contexts on Gotland to a large extent involves immigration of new groups to the island, and that the contextual breaks seen in the archaeological record during the Neolithic period are connected with cultural and population demographic shifts. This dissertation demonstrates that genomic analyses, in combination with archaeology and isotopic analyses, as well as contextual osteological analyses and radiocarbon dating, present unique insights into the life history of the actual people who lived the lives we try to understand.
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| 8. |
- Jonsson, Sofi, 1984-
(författare)
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Unraveling the importance of solid and adsorbed phase mercury speciation for methylmercury formation, evasion and bioaccumulation
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Monomethylmercury, MeHg, is formed under anoxic conditions in waters, sediments and soils and then bioaccumulated and biomagnified in aquatic food webs, negatively effecting both human and wildlife health. It is generally accepted that precipitation of mercury, Hg, and adsorption of Hg to e.g. organic matter and mineral surfaces are important processes limiting the reactivity of Hg mobilized in the environment by natural and anthropogenic activities. However, knowledge concerning the role of different solid and adsorbed chemical forms of Hg for MeHg formation, evasion and bioaccumulation is missing. Such information is vital for the understanding of environmental processes controlling MeHg formation and bioaccumulation, as well as for predicting how changes in e.g. loading rates of atmospheric Hg and the outcome of climate change scenarios and anthropogenic land use could alter Hg concentrations in biota.In this thesis, a novel experimental approach, using isotopically enriched solid and adsorbed phases of inorganic Hg, HgII, as tracers, was developed. Using this approach, we successfully determined rates of MeHg formation from solid and adsorbed Hg species in sediment slurries and in mesocosm systems under conditions closely resembling those in field. We conclude that the solid/adsorbed phase speciation of HgII is a major controlling factor for MeHg net formation rates. Microcosm experiments revealed that newly formed MeHg was a major contributor to the evasion of MeHg from the water‒sediment system, emphasizing the importance of MeHg formation rate, rather than MeHg concentration, in the sediment for this process. From mesocosm systems, we provide experimental evidence, as well as quantitate data, for that terrestrial and atmospheric sources of HgII and MeHg are more available for methylation and bioaccumulation processes than HgII and MeHg stored and formed in sediments. This suggests that the contribution from terrestrial and atmospheric sources to the accumulation of Hg in fish may have been underestimated. As a consequence, in regions where climate change is expected to further increase land runoff, terrestrial MeHg sources may have even higher negative effects on biota than previously thought. Data and concepts presented in this thesis lay the basis for unprecedented in-depth modeling of processes in the Hg biogeochemical cycle that will improve our understanding and the predicting power on how aquatic ecosystems may respond to environmental changes or differences in loading rates for atmospheric Hg.
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| 9. |
- Lindegren, Malin, 1975-
(författare)
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Aqueous surface chemistry of Goethite : adsorption and desorption reactions involving phosphate and carboxylic acids
- 2009
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Phosphorus is an essential element for all known forms of life. In the form of phosphate, this nutrient is retained in soils and sediments by sorption on mineral particles, clays and other soil constituents. In addition, phosphate precipitates with metal ions to form a range of phosphate containing minerals, and only a minor part of phosphate is found dissolved in soil solution. One way of releasing sorbed phosphate is through ligand exchange reactions with for example carboxylic acids. This thesis summarizes five papers and focuses on the interactions of phosphate and carboxylates at the water-goethite interface. Quantitative adsorption data and spectroscopic evaluations of the surface complexation were used collectively to gain a better understanding of these processes. In agreement with previous studies, it was found that the number of carboxylic groups is important to the competitive ability of the organic acids towards phosphate. However, it was also shown that the positions of the functional groups are highly relevant to this ability. Furthermore, partially protonated species were – because of hydrogen bond interactions - shown to be more competitive than fully deprotonated equivalents. Another central finding in this work is that competitive interactions do not necessarily involve ligand-exchange reactions between inner sphere surface complexes. To study the lability of the complexes, desorption experiments were performed. Among the benzenecarboxylates, the order of increased lability matched that of the decreased ability to compete with phosphate for surface sites on the goethite. Also shown in this thesis is the ability of goethite to increase the dissolution of fluorapatite mainly through the high affinity of phosphate ions for the goethite surface.
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| 10. |
- Lundgren, Linda, 1973-
(författare)
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Incidental Gallbladder Cancer : Incidence, predictors, management and outcome in a Swedish population
- 2019
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Cholecystectomy is a common surgical procedure and incidental gallbladder cancer is a rare and unexpected finding at a cholecystectomy performed upon benign indications. Whether to perform routine or selective histopathology of the gallbladder specimen is still a subject for discussion. The prognosis of gallbladder cancer is largely affected by tumour stage and treatment.Aims: The overall aim was to study whether routine histological examination of the gallbladder specimen is of clinical and health economic value; determine if there are any predictive factors of incidental gallbladder cancer at benign cholecystectomy and compare the management and outcome of incidental gallbladder cancer patients in Sweden.Methods: All studies were based on registry data from GallRiks (The Swedish Registry for Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography) between 2007 and 2016, with some modifications between studies. Complemental cross-linkage was made to national registries, and medical records were reviewed. Papers I, II and III were population-based observational studies with prospectively and retrospectively collected data. Paper IV was a health economic evaluation based on the results from papers I and III.Results and conclusions: Hospitals submitting >75 per cent of gallbladder specimens diagnosed a higher proportion of incidental gallbladder cancer than did hospitals submitting ≤25 per cent of samples (paper I). Incidental gallbladder cancer was more prevalent in older patients, women and patients with acute or previous cholecystitis, as well as ongoing jaundice. The risk model based on predictive preoperative factors was further improved by adding a macroscopic assessment of the gallbladder (paper II). Predictive factors for gallbladder cancer appeared to have an impact on which specimens were submitted in hospitals with a selective approach of histopathology (paper I). For pT2 and pT3 patients, re-resection improved diseasespecific survival, although these groups differed in terms of age and comorbidity (paper III). Residual disease was an independent factor for impaired survival. A change to routine histopathology of gallbladder specimens in Sweden would lead to increased costs with little improved health outcomes. Instead, a more standardized approach to selective histology would be needed (paper IV).
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