| 1. |
- Bjursten, Henrik, et al.
(författare)
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Characteristics and Outcomes of Patients Receiving a Second Rescue Valve During Transcatheter Aortic Valve Implantation
- 2024
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Ingår i: Structural Heart. - : Elsevier. - 2474-8706 .- 2474-8714. ; 8:2
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Tidskriftsartikel (refereegranskat)abstract
- Background: Transcatheter aortic valve implantation (TAVI) has become a safe procedure. However, complications occur, including uncommon complications such as valve malposition, which requires the implantation of an additional rescue valve (rescue-AV). The aim was to study the occurrence and outcomes of rescue-AV in a nationwide registry. Methods: The Swedish national TAVI registry was used as the primary data source, where all 6706 TAVI procedures from 2016 to 2021 were retrieved. Nontransfemoral access and planned valve-in-valve were excluded. In total, 79 patients were identified as having had a rescue-AV, and additional detailed data were collected for these patients. This dataset was analyzed for any characteristics that could predispose patients to a rescue-AV. The outcome of patients receiving rescue-AV also was studied. Results: Of the 5948 patients in the study, 1.3% had a rescue-AV. There were few differences between patients receiving 1 valve and rescue-AV patients. For patients receiving a rescue-AV, the 30-day mortality was 15.2% compared to 1.6% in the control group. A poor outcome after rescue-AV was often associated with a second complication; for example, stroke, need for emergency surgery, or heart failure. Among the patients with rescue-AV who survived at least 30 days, landmark analyses showed similar survival rates compared to the control group. Conclusions: Among TAVI patients in a nationwide register, rescue-AV occurred in 1.3% of patients. The 30-day mortality in patients receiving rescue-AV was high, but long-term outcome among 30-day survivors was similar to the control group.
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| 2. |
- Bjursten, Henrik, et al.
(författare)
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Characteristics and Outcomes of Patients Receiving a Second Rescue Valve During Transcatheter Aortic Valve Implantation
- 2024
-
Ingår i: Structural Heart. - : Elsevier. - 2474-8706 .- 2474-8714. ; 8:2
-
Tidskriftsartikel (refereegranskat)abstract
- BackgroundTranscatheter aortic valve implantation (TAVI) has become a safe procedure. However, complications occur, including uncommon complications such as valve malposition, which requires the implantation of an additional rescue valve (rescue-AV). The aim was to study the occurrence and outcomes of rescue-AV in a nationwide registry.MethodsThe Swedish national TAVI registry was used as the primary data source, where all 6706 TAVI procedures from 2016 to 2021 were retrieved. Nontransfemoral access and planned valve-in-valve were excluded. In total, 79 patients were identified as having had a rescue-AV, and additional detailed data were collected for these patients. This dataset was analyzed for any characteristics that could predispose patients to a rescue-AV. The outcome of patients receiving rescue-AV also was studied.ResultsOf the 5948 patients in the study, 1.3% had a rescue-AV. There were few differences between patients receiving 1 valve and rescue-AV patients. For patients receiving a rescue-AV, the 30-day mortality was 15.2% compared to 1.6% in the control group. A poor outcome after rescue-AV was often associated with a second complication; for example, stroke, need for emergency surgery, or heart failure. Among the patients with rescue-AV who survived at least 30 days, landmark analyses showed similar survival rates compared to the control group.ConclusionsAmong TAVI patients in a nationwide register, rescue-AV occurred in 1.3% of patients. The 30-day mortality in patients receiving rescue-AV was high, but long-term outcome among 30-day survivors was similar to the control group.
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| 3. |
- Hane Hagström, Malin, 1971, et al.
(författare)
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BARRIERS FROM A SOCIO-TECHNICAL PERSPECTIVE TO IMPLEMENT DIGITALISATION IN INDUSTRIAL ENGINEERING PROCESSES - A LITERATURE REVIEW
- 2023
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Ingår i: Proceedings of the Design Society. - 2732-527X. ; 3, s. 737-745
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Konferensbidrag (refereegranskat)abstract
- With the paradigm shift towards Industry 4.0 and digitalisation, manufacturing engineers face several unexplored challenges; in the products for which they are designing production, in the equipment they are designing to realise production systems and in the digitalisation impact on engineering processes. Today's manufacturing system design processes are still based on traditional engineering methods and have difficulties to cope with increased complexity. The aim of this systematic literature review is to explore drivers and barriers to implement digitalisation in engineering processes from a socio-technical perspective. The identified general barriers were cyber security, lack of competence, lack of standards, large investments and resistance to change. For the engineering processes the main drivers were increased product complexity, servitisation, data driven design and engineering productivity, with the main barriers culture, excess amount of data, integration of tools. cyber security and data quality. The study shows the complexity of the challenge, and that it is not only the technology that is the top barrier. Further research is recommended to develop approaches of successful engineering digitalisation implementations.
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| 4. |
- Nilsson, Konrad, et al.
(författare)
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Regional assessment of availability for transcatheter aortic valve implantation in Sweden : a long-term observational study
- 2023
-
Ingår i: European Heart Journal - Quality of Care and Clinical Outcomes. - : Oxford University Press. - 2058-5225 .- 2058-1742.
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Transcatheter aortic valve implantation (TAVI) is an increasingly important treatment option for patients with severe aortic stenosis. Its best implementation is debated, as few centres with high volumes are associated with better outcomes, while centralisation might lead to an inferior availability of treatment for patients living far away. The aim of this study was to investigate the implementation of TAVI in Sweden with a focus on regional differences in terms of availability, short-term mortality and waiting times.METHODS: All patients undergoing TAVI between 2008 and 2020 from the Swedish Transcatheter Cardiac Intervention Registry (SWENTRY) were included. SWENTRY was linked to the National Cause of Death Registry and to publicly available geospatial data from Statistics Sweden.RESULTS: A total of 7280 patients were included. Over time, TAVI interventions increased markedly, while surgical aortic valve replacement (SAVR) remained constant. There were no statistically significant regional differences in incidence between counties with or without a local TAVI centre (p = 0.7) and no clustering tendencies around regions with a local TAVI centre (p = 0.99). Thirty-day mortality improved over time without evidence of regional differences. No regional differences in waiting time from decision to intervention were found for TAVI centre regions and non-TAVI centre regions (p = 0.7).CONCLUSION: This nationwide study indicated no regional differences in terms of availability, short-term mortality or waiting times. An organisation with a few specialised centres was found to be sufficient to provide national coverage of TAVI interventions.
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| 5. |
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| 6. |
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| 7. |
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| 8. |
- Bollano, Entela, 1970, et al.
(författare)
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Temporal trends in characteristics and outcome of heart failure patients with and without significant coronary artery disease
- 2022
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Ingår i: ESC Heart Failure. - Oxford, United Kingdom : John Wiley & Sons. - 2055-5822. ; 9:3, s. 1812-1822
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Tidskriftsartikel (refereegranskat)abstract
- Aims: Ischaemic coronary artery disease (CAD) remains the leading cause of mortality globally due to sudden death and heart failure (HF). Invasive coronary angiography (CAG) is the gold standard for evaluating the presence and severity of CAD. Our objective was to assess temporal trends in CAG utilization, patient characteristics, and prognosis in HF patients undergoing CAG at a national level.Methods and results: We used data from the Swedish Coronary Angiography and Angioplasty Registry. Data on all patients undergoing CAG for HF indication in Sweden between 2000 and 2018 were collected and analysed. Long-term survival was estimated with multivariable Cox proportional hazards regression adjusted for differences in patient characteristics. In total, 22 457 patients (73% men) with mean age 64.2 ± 11.3 years were included in the study. The patients were increasingly older with more comorbidities over time. The number of CAG specifically for HF indication increased by 5.5% per calendar year (P < 0.001). No such increase was seen for indications angina pectoris and ST-elevation myocardial infarction. A normal CAG or non-obstructive CAD was reported in 63.2% (HF-NCAD), and 36.8% had >50% diameter stenosis in one or more coronary arteries (HF-CAD). The median follow-up time was 3.6 years in HF-CAD and 5 years in HF-NCAD. Age and sex-adjusted survival improved linearly by 1.3% per calendar year in all patients. Compared with HF-NCAD, long-term mortality was higher in HF-CAD patients. The risk of death increased with the increasing severity of CAD. Compared with HF-NCAD, the risk estimate in patients with a single-vessel disease was higher [hazard ratio (HR) 1.3; 95% confidence interval (CI) 1.20–1.41; P < 0.001], a multivessel disease without the involvement of left main coronary artery (HR 1.72; 95% CI 1.58–1.88; P < 0.001), and with left main disease (HR 2.02; 95% CI 1.88–2.18; P < 0.001). The number of HF patients undergoing revascularization with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) increased by 7.5% (P < 0.001) per calendar year. The majority (53.4%) of HF-CAD patients were treated medically, while a minority (46.6%) were referred for revascularization with PCI or CABG. Compared with patients treated with PCI, the proportion of patients treated medically or with CABG decreased substantially (P < 0.001).Conclusions: Over 18 years, the number of patients with HF undergoing CAG has increased substantially. Expanded utilization of CAG increased the number of HF patients treated with percutaneous coronary intervention and coronary artery bypass surgery. Long-term survival improved in all HF patients despite a steady increase of elderly patients with comorbidities.
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| 9. |
- Cedervall, Jessica, et al.
(författare)
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Neutrophil extracellular traps promote cancer-associated inflammation and myocardial stress.
- 2022
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Ingår i: Oncoimmunology. - : Informa UK Limited. - 2162-4011 .- 2162-402X. ; 213, s. S2-S3
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Tidskriftsartikel (refereegranskat)abstract
- Cancer is associated with systemic pathologies that contribute to mortality, such as thrombosis and distant organ failure. The aim of this study was to investigate the potential role of neutrophil extracellular traps (NETs) in myocardial inflammation and tissue damage in treatment-naïve individuals with cancer. Mice with mammary carcinoma (MMTV-PyMT) had increased plasma levels of NETs measured as H3Cit-DNA complexes, paralleled with elevated coagulation, compared to healthy littermates. MMTV-PyMT mice displayed upregulation of pro-inflammatory markers in the heart, myocardial hypertrophy and elevated cardiac disease biomarkers in the blood, but not echocardiographic heart failure. Moreover, increased endothelial proliferation was observed in hearts from tumor-bearing mice. Removal of NETs by DNase I treatment suppressed the myocardial inflammation, expression of cardiac disease biomarkers and endothelial proliferation. Compared to a healthy control group, treatment-naïve cancer patients with different malignant disorders had increased NET formation, which correlated to plasma levels of the inflammatory marker CRP and the cardiac disease biomarkers NT-proBNP and sTNFR1, in agreement with the mouse data. Altogether, our data indicate that NETs contribute to inflammation and myocardial stress during malignancy. These findings suggest NETs as potential therapeutic targets to prevent cardiac inflammation and dysfunction in cancer patients.
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| 10. |
- Chapellier, Marion, et al.
(författare)
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Arrayed molecular barcoding identifies TNFSF13 as a positive regulator of acute myeloid leukemia-initiating cells
- 2019
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Ingår i: Haematologica. - : Ferrata Storti Foundation (Haematologica). - 1592-8721 .- 0390-6078. ; 104:10, s. 2006-2016
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Tidskriftsartikel (refereegranskat)abstract
- Dysregulation of cytokines in the bone marrow microenvironment promotes acute myeloid leukemia cell growth. Due to the complexity and low throughput of in vivo stem-cell based assays, studying the role of cytokines in the bone marrow niche in a screening setting is challenging. Herein, we developed an ex vivo cytokine screen using 11 arrayed molecular barcodes, allowing for a competitive in vivo readout of leukemia-initiating capacity. With this approach, we assessed the effect of 114 murine cytokines on MLL-AF9 acute myeloid leukemia mouse cells and identified the tumor necrosis factor ligand superfamily member 13 (TNFSF13) as a positive regulator of leukemia-initiating cells. By using Tnfsf13-/- recipient mice, we confirmed that TNFSF13 supports leukemia-initiation also under physiological conditions. TNFSF13 was secreted by normal myeloid cells but not by leukemia mouse cells, suggesting that mature myeloid bone marrow cells support leukemia cells by secreting TNFSF13. TNFSF13 supported leukemia cell proliferation in an NF-κB-dependent manner by binding TNFRSF17 and suppressed apoptosis. Moreover, TNFSF13 supported the growth and survival of several human myeloid leukemia cell lines, demonstrating that our findings translate to human disease. Taken together, using arrayed molecular barcoding, we identified a previously unrecognized role of TNFSF13 as a positive regulator of acute myeloid leukemia-initiating cells. The arrayed barcoded screening methodology is not limited to cytokines and leukemia, but can be extended to other types of ex vivo screens, where a multiplexed in vivo read-out of stem cell functionality is needed.
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| 11. |
- Davidsson, Kent, 1967, et al.
(författare)
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Potassium, chlorine, and sulfur in ash, particles, deposits, and corrosion during wood combustion in a circulating fluidized-bed boiler
- 2007
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Ingår i: Energy & Fuels. - : American Chemical Society (ACS). - 1520-5029 .- 0887-0624. ; 21:1, s. 71-81
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Tidskriftsartikel (refereegranskat)abstract
- The effect of the addition of chlorine and/or sulfur to the fuel on fly ash composition, deposit formation, and superheater corrosion has been studied during biomass combustion in a circulating fluidized-bed boiler. The chlorine (HCl (aq)) and sulfur (SO2 (g)) were added in proportions of relevance for the potassium chemistry. The composition of the bottom and the fly ashes was analyzed. Gas and particle measurements were performed downstream of the cyclone before the convection pass and the flue gas composition was recorded in the stack with a series of standard instruments and an FTIR analyzer. At the position downstream of the cyclone, a deposit probe was situated, simulating a superheater tube. Deposits on the probe and initial corrosion were examined. It is concluded that addition of sulfur and chlorine increases the formation of submicron particles leading to deposition of potassium sulfate and chloride. The results compare well with earlier work based on laboratory-scale experiments concerning effects of chlorine and sulfur on potassium chemistry.
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| 12. |
- Frisk, U., et al.
(författare)
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The Odin satellite - I. Radiometer design and test
- 2003
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Ingår i: Astronomy and Astrophysics. - 0004-6361 .- 1432-0746. ; 402:3, s. L27-L34
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Tidskriftsartikel (refereegranskat)abstract
- The Sub-millimetre and Millimetre Radiometer (SMR) is the main instrument on the Swedish, Canadian, Finnish and French spacecraft Odin. It consists of a 1.1 metre diameter telescope with four tuneable heterodyne receivers covering the ranges 486-504 GHz and 541-581 GHz, and one fixed at 118.75 GHz together with backends that provide spectral resolution from 150 kHz to 1 MHz. This Letter describes the Odin radiometer, its operation and performance with the data processing and calibration described in Paper II.
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| 13. |
- Gudmundsson, Thorsteinn, et al.
(författare)
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Importance of hospital and clinical factors for early mortality in Takotsubo syndrome: Insights from the Swedish Coronary Angiography and Angioplasty Registry.
- 2024
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Ingår i: BMC Cardiovascular Disorders. - : BMC. - 1471-2261. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- Takotsubo syndrome (TTS) is an acute heart failure syndrome with symptoms similar to acute myocardial infarction. TTS is often triggered by acute emotional or physical stress and is a significant cause of morbidity and mortality. Predictors of mortality in patients with TS are not well understood, and there is a need to identify high-risk patients and tailor treatment accordingly. This study aimed to assess the importance of various clinical factors in predicting 30-day mortality in TTS patients using a machine learning algorithm.We analyzed data from the nationwide Swedish Coronary Angiography and Angioplasty Registry (SCAAR) for all patients with TTS in Sweden between 2015 and 2022. Gradient boosting was used to assess the relative importance of variables in predicting 30-day mortality in TTS patients.Of 3,180 patients hospitalized with TTS, 76.0% were women. The median age was 71.0 years (interquartile range 62-77). The crude all-cause mortality rate was 3.2% at 30 days. Machine learning algorithms by gradient boosting identified treating hospitals as the most important predictor of 30-day mortality. This factor was followed in significance by the clinical indication for angiography, creatinine level, Killip class, and age. Other less important factors included weight, height, and certain medical conditions such as hyperlipidemia and smoking status.Using machine learning with gradient boosting, we analyzed all Swedish patients diagnosed with TTS over seven years and found that the treating hospital was the most significant predictor of 30-day mortality.
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| 14. |
- Hagström, Charlotte, et al.
(författare)
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Vanor, vardagsliv och vetenskap : Folklivsarkivets frågelistor och den etnologiska forskningen
- 2020
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Ingår i: I Pallas Athenas huvud : Hundra år av humaniora - Hundra år av humaniora. - 0347-1772. - 9789170612770 ; 98, s. 186-193
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- I syfte att samla material kring vardagsliv, vanor och värderingar har Folklivsarkivet i Lund under lång tid skickat ut så kallade frågelistor. Varje lista utgår från ett särskilt ämne, svaren skrivs i löpande text och materialet används i forskning och för dokumentation. Men vad som anses intressant och relevant är inte detsamma idag som då den första listan sändes ut. Vilka ämnen som blir teman för frågelistor vid olika tider, liksom vilka frågor som ställs, speglar såväl förändring som kontinuitet inom etnologisk forskning.
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| 15. |
- Hagström, Henrik, et al.
(författare)
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Low carbohydrate high fat-diet in real life assessed by diet history interviews
- 2023
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Ingår i: Nutrition Journal. - : BioMed Central (BMC). - 1475-2891. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Low carbohydrate high fat (LCHF) diet has been a popular low carbohydrate diet in Sweden for 15 years. Many people choose LCHF to lose weight or control diabetes, but there are concerns about the effect on long-term cardiovascular risks. There is little data on how a LCHF diet is composed in real-life. The aim of this study was to evaluate the dietary intake in a population with self-reported adherence to a LCHF diet.Methods: A cross-sectional study of 100 volunteers that considered themselves eating LCHF was conducted. Diet history interviews (DHIs) and physical activity monitoring for validation of the DHIs were performed.Results: The validation shows acceptable agreement of measured energy expenditure and reported energy intake. Median carbohydrate intake was 8.7 E% and 63% reported carbohydrate intake at potentially ketogenic levels. Median protein intake was 16.9 E%. The main source of energy was dietary fats (72.0 E%). Intake of saturated fat was 32 E% and cholesterol was 700 mg per day, both of which exceeded the recommended upper limits according to nutritional guidelines. Intake of dietary fiber was very low in our population. The use of dietary supplements was high, and it was more common to exceed the recommended upper limits of micronutrients than to have an intake below the lower limits.Conclusions: Our study indicates that in a well-motivated population, a diet with very low carbohydrate intake can be sustained over time and without apparent risk of deficiencies. High intake of saturated fats and cholesterol as well as low intake of dietary fiber remains a concern.
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| 16. |
- Hagström, Josefin, et al.
(författare)
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Heeding the psychological concerns of young cancer survivors : A single-arm feasibility trial of CBT and a cognitive behavioral conceptualization of distress
- 2020
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Ingår i: PeerJ. - : PeerJ. - 2167-8359. ; 8
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundA subgroup of adolescent and young adult (AYA) survivors of cancer during adolescence report high levels of psychological distress. To date, evidence-based psychological interventions tailored to the cancer-related concerns experienced by this population are lacking. The present study aimed to (1) examine the feasibility and preliminary efficacy of an individualized cognitive behavioral therapy (CBT) intervention for AYA survivors of cancer during adolescence; and (2) identify and conceptualize cancer-related concerns as well as maintaining factors using cognitive-behavioral theory.MethodsA single-arm trial, whereby AYA survivors of cancer during adolescence (aged 17–25 years) were provided individualized face-to-face CBT at a maximum of 15 sessions. Clinical outcomes were assessed at baseline, post-intervention, and three-month follow-up. Intervention uptake, retention, intervention delivery, and reliable change index scores were examined. An embedded qualitative study consisted of two unstructured interviews with each participant pre-intervention. Along with individual behavioral case formulations developed to guide the intervention, interview data was analyzed to identify and conceptualize cancer-related concerns and potential maintaining factors.ResultsTen out of 213 potential participants invited into the study were included, resulting in an overall participation rate of 4.7%. Nine participants completed the intervention, with respectively seven and eight participants completing the post-intervention and three month follow-up assessment. The majority of reported cancer-related concerns and maintaining factors were conceptualized into four themes: social avoidance, fear of emotions and bodily symptoms, imbalance in activity, and worry and rumination.ConclusionsGiven significant recruitment difficulties, further research is required to examine barriers to help-seeking in the AYA cancer survivor population. However, the conceptualization of cancer-related concerns and maintaining factors experienced by the population may represent an important first step in the development of psychological support tailored toward AYA cancer survivors’ unique needs.
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| 17. |
- Hane Hagström, Malin, 1971, et al.
(författare)
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A proposed framework using systems engineering to design human-centric manufacturing systems for novel products to reduce complexity and risk
- 2024
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Ingår i: Proceedings of the Design Society. - 2732-527X. ; 4, s. 2595-2604
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Konferensbidrag (refereegranskat)abstract
- The environment for powertrain production system engineers is changing radically. This initial prescriptive study proposes a systems engineering framework based on two previous case studies which are under review for publication concerning design of battery plants. The framework was developed based on ISO/IEC/IEEE 15288 standard using Concept of Operations and Model-Based Systems Engineering in a workshop setting, with a focus on visualisation to understand the practical and emotional needs of the humans in the system. The framework was validated by twelve senior project members.
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| 18. |
- Hane Hagström, Malin, 1971, et al.
(författare)
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Comparing the quality of documentation used in production equipment acquisitions and the impact on the performance of the acquired equipment – a pre study
- 2022
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Ingår i: Proceedings of NordDesign 2022: How Product and Manufacturing Design Enable Sustainable Companies and Societies.
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Konferensbidrag (refereegranskat)abstract
- There are often problems with design documentation, such as incomplete or missing and quality of input. A pre study within an engineering department for advanced machinery investigates the quality of production equipment acquisition documents used with the performance of the acquired equipment in terms of maintenance costs.The study shows indications that incomplete or missing input as well as the quality of the input could have an impact on the performance of the acquired machines and the project performance.
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| 19. |
- Hane Hagström, Malin, 1971, et al.
(författare)
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Evaluating the effectiveness of machine acquisitions and design by the impact on maintenance cost – a case study
- 2020
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Ingår i: IFAC-PapersOnLine. - : Elsevier BV. - 2405-8963. ; 53:3, s. 25-30
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Konferensbidrag (refereegranskat)abstract
- Industry 4.0 and circular economy are paradigm shifts for the industry. More and more machines will be used and the capability to maintain the machines becomes vital. The maintainability of a machine is to a large extent set already in the design phase; the goal of this article is to use a case study to investigate the quality of the machine design from a maintenance perspective. The results show that maintenance cost is gradually increasing in the initial part of the machine life cycle, that the new machines have higher maintenance costs than the machines approaching end of life, and that design weakness is a significant contributor to the maintenance cost. To understand more clearly why, further research in knowledge management, complementary qualitative interviews and smart maintenance is suggested.
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| 20. |
- Hane Hagström, Malin, 1971, et al.
(författare)
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Quantifying and visualising wastes and losses in automotive production flows (across multiple plants and organisations) for increased accuracy in improvement prioritisations
- 2023
-
Ingår i: International Journal of Product Development. - 1477-9056 .- 1741-8178. ; 27:3, s. 245-264
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Tidskriftsartikel (refereegranskat)abstract
- Many companies are making use of continuous improvement in order to stay competitive. In businesses, the focus of continuous improvement efforts has often been on optimising the manufacturing processes within the company's own factory or scope of control. Therefore, they have not considered the impacts on and from other areas, because they have failed to see the entire system or manufacturing network of the enterprise. This paper is by using end end-to-end cost deployment identifying the major types of problems in an end-to-end production process within a large manufacturing firm to be able to guide the company how to direct their improvement efforts. The study is designed as a retrospective longitudinal case study using field data which was intended to be a representative flow within the heavy automotive industry. The study shows that, after normalisation, manual operating waste, planned maintenance and machine breakdowns are significant cost factors for the process studied, regardless of the size of the organisation or the complexity of the product.
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| 21. |
- Hane Hagström, Malin, 1971, et al.
(författare)
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Reducing professional maintenance losses in production by efficient knowledge management in machine acquisitions
- 2022
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Ingår i: International Journal of Product Lifecycle Management. - 1743-5129 .- 1743-5110. ; 14:1, s. 70-101
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Tidskriftsartikel (refereegranskat)abstract
- Research in product development has shown the importance of reusing knowledge to eliminate future design weaknesses. Previous research has shown that maintenance- and equipment breakdown-related losses are the second and third largest losses in a specific studied automotive flow and that the losses are originating from the design phase. This paper presents a case study performed on four industrial acquisition projects where the case company already had one machine and was buying more machines of the same type. The study focuses on how knowledge about the existing machine is re-used in the new acquisition process. Potential barriers that hinder reusing the engineering knowledge are identified. The main conclusions are that there is a need for increased focus on the importance of knowledge transfer, more emphasis on maturing knowledge, increase the diversity in the engineering teams, ensure the design model is applying lean concepts, and to improve the documentation interface with suppliers.
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| 22. |
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| 23. |
- Ito, Adriana, 1985, et al.
(författare)
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Improved root cause analysis supporting resilient production systems
- 2022
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Ingår i: Journal of Manufacturing Systems. - : Elsevier BV. - 0278-6125. ; 64, s. 468-478
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Forskningsöversikt (refereegranskat)abstract
- Manufacturing companies struggle to be efficient and effective when conducting root cause analyses of production disturbances; a fact which hinders them from creating and developing resilient production systems. This article aims to describe the challenges and enablers identified in current research relating to the different phases of root cause analysis. A systematic literature review was conducted, in which a total of 14 challenges and 17 enablers are identified and described. These correlate to the different phases of root cause analysis. Examples of challenges are “need for expertise”, “employee bias”, “poor data quality” and “lack of data integration”, among others. Examples of enablers are “visualisation tools”, “collaborative platforms”, “thesaurus” and “machine learning techniques”. Based on these findings, the authors also propose potential areas for further research and then design inputs for new solutions to improve root cause analysis. This article provides a theoretical contribution in that it describes the challenges and enablers of root cause analysis and their correlation to the creation of resilient production systems. The article also provides practical contributions, with an overview of current research to support practitioners in gaining insights into potential solutions to be implemented and further developed, with the aim of improving root cause analysis in production systems.
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| 24. |
- Larsson, Bengt, et al.
(författare)
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Molecular oxygen in the rho Ophiuchi cloud
- 2007
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Ingår i: Astronomy & Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 466:3, s. 5-
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Tidskriftsartikel (refereegranskat)abstract
- Context: Molecular oxygen, O2, has been expected historically to be an abundant component of the chemical species in molecular clouds and, as such, an important coolant of the dense interstellar medium. However, a number of attempts from both ground and from space have failed to detect O2 emission.Aims: The work described here uses heterodyne spectroscopy from space to search for molecular oxygen in the interstellar medium. Methods: The Odin satellite carries a 1.1 m sub-millimeter dish and a dedicated 119 GHz receiver for the ground state line of O2. Starting in 2002, the star forming molecular cloud core ρ Oph A was observed with Odin for 34 days during several observing runs.Results: We detect a spectral line at v_LSR =+3.5 km s-1 with Δ v_FWHM=1.5 km s-1, parameters which are also common to other species associated with ρ Oph A. This feature is identified as the O2 (NJ = 11 - 1_0) transition at 118 750.343 MHz.Conclusions: The abundance of molecular oxygen, relative to H{2} , is 5 × 10-8 averaged over the Odin beam. This abundance is consistently lower than previously reported upper limits.Based on observations with Odin, a Swedish-led satellite project funded jointly by the Swedish National Space Board (SNSB), the Canadian Space Agency (CSA), the National Technology Agency of Finland (Tekes) and Centre National d'Étude Spatiale (CNES). The Swedish Space Corporation has been the industrial prime contractor and also is operating the satellite. Appendix A is only available in electronic form at http://www.aanda.org
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| 25. |
- Lilljebjörn, Henrik, et al.
(författare)
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Transcriptomics paving the way for improved diagnostics and precision medicine of acute leukemia
- 2022
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Ingår i: Seminars in Cancer Biology. - : Elsevier BV. - 1044-579X. ; 84, s. 40-49
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Tidskriftsartikel (refereegranskat)abstract
- Transcriptional profiling of acute leukemia, specifically by RNA-sequencing or whole transcriptome sequencing (WTS), has provided fundamental insights into its underlying disease biology and allows unbiased detection of oncogenic gene fusions, as well as of gene expression signatures that can be used for improved disease classification. While used as a research tool for many years, RNA-sequencing is becoming increasingly used in clinical diagnostics. Here, we highlight key transcriptomic studies of acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML) that have improved our biological understanding of these heterogeneous malignant disorders and have paved the way for translation into clinical diagnostics. Recent single-cell transcriptomic studies of ALL and AML, which provide new insights into the cellular ecosystem of acute leukemia and point to future clinical utility, are also reviewed. Finally, we discuss current challenges that need to be overcome for a more wide-spread adoption of RNA-sequencing in clinical diagnostics and how this technology significantly can aid the identification of genetic alterations in current guidelines and of newly emerging disease entities, some of which are critical to identify because of the availability of targeted therapies, thereby paving the way for improved precision medicine of acute leukemia.
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