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Sökning: WFRF:(Scandurra M.)

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1.
  • Abat, E., et al. (författare)
  • The ATLAS Transition Radiation Tracker (TRT) proportional drift tube: design and performance
  • 2008
  • Ingår i: Journal of Instrumentation. - 1748-0221. ; 3:2
  • Tidskriftsartikel (refereegranskat)abstract
    • A straw proportional counter is the basic element of the ATLAS Transition Radiation Tracker (TRT). Its detailed properties as well as the main properties of a few TRT operating gas mixtures are described. Particular attention is paid to straw tube performance in high radiation conditions and to its operational stability.
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2.
  • Abat, E., et al. (författare)
  • The ATLAS TRT electronics
  • 2008
  • Ingår i: Journal of Instrumentation. - 1748-0221. ; 3:6
  • Tidskriftsartikel (refereegranskat)abstract
    • The ATLAS inner detector consists of three sub-systems: the pixel detector spanning the radius range 4cm-20cm, the semiconductor tracker at radii from 30 to 52 cm, and the transition radiation tracker (TRT), tracking from 56 to 107 cm. The TRT provides a combination of continuous tracking with many projective measurements based on individual drift tubes (or straws) and of electron identification based on transition radiation from fibres or foils interleaved between the straws themselves. This paper describes the on and off detector electronics for the TRT as well as the TRT portion of the data acquisition (DAQ) system.
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3.
  • Abat, E., et al. (författare)
  • The ATLAS TRT end-cap detectors
  • 2008
  • Ingår i: Journal of Instrumentation. - 1748-0221. ; 3
  • Tidskriftsartikel (refereegranskat)abstract
    • The ATLAS TRT end-cap is a tracking drift chamber using 245,760 individual tubular drift tubes. It is a part of the TRT tracker which consist of the barrel and two end-caps. The TRT end-caps cover the forward and backward pseudo-rapidity region 1.0 < vertical bar eta vertical bar < 2.0, while the TRT barrel central eta region vertical bar eta vertical bar < 1.0. The TRT system provides a combination of continuous tracking with many measurements in individual drift tubes ( or straws) and of electron identification based on transition radiation from fibers or foils interleaved between the straws themselves. Along with other two sub-systems, namely the Pixel detector and Semi Conductor Tracker (SCT), the TRT constitutes the ATLAS Inner Detector. This paper describes the recently completed and installed TRT end-cap detectors, their design, assembly, integration and the acceptance tests applied during the construction.
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4.
  • Abat, E., et al. (författare)
  • The ATLAS TRT barrel detector
  • 2008
  • Ingår i: Journal of Instrumentation. - 1748-0221. ; 3
  • Tidskriftsartikel (refereegranskat)abstract
    • The ATLAS TRT barrel is a tracking drift chamber using 52,544 individual tubular drift tubes. It is one part of the ATLAS Inner Detector, which consists of three sub-systems: the pixel detector spanning the radius range 4 to 20 cm, the semiconductor tracker (SCT) from 30 to 52 cm, and the transition radiation tracker ( TRT) from 56 to 108 cm. The TRT barrel covers the central pseudo-rapidity region |eta| < 1, while the TRT endcaps cover the forward and backward eta regions. These TRT systems provide a combination of continuous tracking with many measurements in individual drift tubes ( or straws) and of electron identification based on transition radiation from fibers or foils interleaved between the straws themselves. This paper describes the recently-completed construction of the TRT Barrel detector, including the quality control procedures used in the fabrication of the detector.
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5.
  • Tillmann, J., et al. (författare)
  • Evaluating Sex and Age Differences in ADI-R and ADOS Scores in a Large European Multi-site Sample of Individuals with Autism Spectrum Disorder
  • 2018
  • Ingår i: Journal of Autism and Developmental Disorders. - : Springer Science and Business Media LLC. - 0162-3257 .- 1573-3432. ; 48:7, s. 2490-2505
  • Tidskriftsartikel (refereegranskat)abstract
    • Research on sex-related differences in Autism Spectrum Disorder (ASD) has been impeded by small samples. We pooled 28 datasets from 18 sites across nine European countries to examine sex differences in the ASD phenotype on the ADI-R (376 females, 1763 males) and ADOS (233 females, 1187 males). On the ADI-R, early childhood restricted and repetitive behaviours were lower in females than males, alongside comparable levels of social interaction and communication difficulties in females and males. Current ADI-R and ADOS scores showed no sex differences for ASD severity. There were lower socio-communicative symptoms in older compared to younger individuals. This large European ASD sample adds to the literature on sex and age variations of ASD symptomatology.
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6.
  • Fagerlund, A. J., et al. (författare)
  • Experiences from patients in mental healthcare accessing their electronic health records : results from a cross-national survey in Estonia, Finland, Norway, and Sweden
  • 2024
  • Ingår i: BMC Psychiatry. - : BioMed Central (BMC). - 1471-244X. ; 24:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Patients' online record access (ORA) enables patients to read and use their health data through online digital solutions. One such solution, patient-accessible electronic health records (PAEHRs) have been implemented in Estonia, Finland, Norway, and Sweden. While accumulated research has pointed to many potential benefits of ORA, its application in mental healthcare (MHC) continues to be contested. The present study aimed to describe MHC users' overall experiences with national PAEHR services.METHODS: The study analysed the MHC-part of the NORDeHEALTH 2022 Patient Survey, a large-scale multi-country survey. The survey consisted of 45 questions, including demographic variables and questions related to users' experiences with ORA. We focused on the questions concerning positive experiences (benefits), negative experiences (errors, omissions, offence), and breaches of security and privacy. Participants were included in this analysis if they reported receiving mental healthcare within the past two years. Descriptive statistics were used to summarise data, and percentages were calculated on available data.RESULTS: 6,157 respondents were included. In line with previous research, almost half (45%) reported very positive experiences with ORA. A majority in each country also reported improved trust (at least 69%) and communication (at least 71%) with healthcare providers. One-third (29.5%) reported very negative experiences with ORA. In total, half of the respondents (47.9%) found errors and a third (35.5%) found omissions in their medical documentation. One-third (34.8%) of all respondents also reported being offended by the content. When errors or omissions were identified, about half (46.5%) reported that they took no action. There seems to be differences in how patients experience errors, omissions, and missing information between the countries. A small proportion reported instances where family or others demanded access to their records (3.1%), and about one in ten (10.7%) noted that unauthorised individuals had seen their health information.CONCLUSIONS: Overall, MHC patients reported more positive experiences than negative, but a large portion of respondents reported problems with the content of the PAEHR. Further research on best practice in implementation of ORA in MHC is therefore needed, to ensure that all patients may reap the benefits while limiting potential negative consequences.
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9.
  • Echeverria, N. I., et al. (författare)
  • Análisis de la fotopletismografía para determinación de variaciones en el tono vascular y la presión arterial : Estudio basado en redes neuronales [Photoplethysmography waveform analysis for classification of vascular tone andarterial blood pressure: Study based on neural networks]
  • 2023
  • Ingår i: REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION. - : Elsevier BV. - 0034-9356 .- 2340-3284. ; 70:4, s. 209-217
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: To test whether a Shallow Neural Network (S-NN) can detect and classify vasculartone dependent changes in arterial blood pressure (ABP) by advanced photopletysmographic(PPG) waveform analysis.Methods: PPG and invasive ABP signals were recorded in 26 patients undergoing scheduled general surgery. We studied the occurrence of episodes of hypertension (systolic arterial pressure(SAP) > 140 mmHg), normotension and hypotension (SAP < 90 mmHg). Vascular tone accordingto PPG was classified in two ways: 1) By visual inspection of changes in PPG waveform amplitude and dichrotic notch position; where Classes I-II represent vasoconstriction (notch placed> 50% of PPG amplitude in small amplitude waves), Class III normal vascular tone (notch placedbetween 20-50% of PPG amplitude in normal waves) and Classes IV-V-VI vasodilation (notch <20% of PPG amplitude in large waves). 2) By an automated analysis, using S-NN trained andvalidated system that combines seven PPG derived parameters.Results: The visual assessment was precise in detecting hypotension (sensitivity 91%, specificity86% and accuracy 88%) and hypertension (sensitivity 93%, specificity 88% and accuracy 90%). Normotension presented as a visual Class III (III-III) (median and 1st-3rdquartiles), hypotensionas a Class V (IV-VI) and hypertension as a Class II (I-III); all p < 0.0001. The automated S-NNperformed well in classifying ABP conditions. The percentage of data with correct classificationby S-ANN was 83% for normotension, 94% for hypotension, and 90% for hypertension.Conclusions: Changes in ABP were correctly classified automatically by S-NN analysis of the PPGwaveform contour.
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11.
  • Hägglund, M., et al. (författare)
  • Reinventing Heuristic Evaluations : Exploring Methods to Engage Clinicians in Usability Evaluations
  • 2017
  • Ingår i: Informatics for health: Connected Citizen-Led Wellness and Population Health.
  • Konferensbidrag (refereegranskat)abstract
    • Usability evaluations are essential to the success of health information system implementation, but are often costly and dependent on right expertise being available. Heuristic Evaluation (HE) is considered a straightforward method consisting of clear stages. Involving clinicians in HE may facilitate usability evaluations in healthcare, yet there are challenges. Many questions remain unanswered regarding how to implement user involvement in HE; where and how could clinicians best be involved in this process? To what level of autonomy and with what added benefit? In this workshop, we will explore experiences of involving clinical users in HE, discuss challenges and best practice.
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12.
  • Hägglund, Maria, Lektor, 1975-, et al. (författare)
  • Världsbäst på eHälsa kräver internationellt samarbete
  • 2017
  • Ingår i: Svenska dagbladet. - Stockholm, Sweden : Svenska Dagbladet AB & Co.. - 1101-2412.
  • Tidskriftsartikel (populärvet., debatt m.m.)abstract
    • Det är glädjande att myndigheter nu äntligen tittar mer på internationellt delade detaljerade dokumentationsmodeller för innehåll i journaler. Vi hoppas att de ger tillräckligt kraftfulla och tydliga budskap så att de upphandlande vårdgivarna också ser vikten av detta. Om vi ska bli världsbäst på eHälsa krävs internationellt samarbete, skriver flera forskare i medicinsk informatik.
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14.
  • Tusman, Gerardo, et al. (författare)
  • Multimodal non-invasive monitoring to apply an open lung approach strategy in morbidly obese patients during bariatric surgery
  • 2020
  • Ingår i: Journal of clinical monitoring and computing. - : SPRINGER HEIDELBERG. - 1387-1307 .- 1573-2614. ; 34:5, s. 1015-1024
  • Tidskriftsartikel (refereegranskat)abstract
    • To evaluate the use of non-invasive variables for monitoring an open-lung approach (OLA) strategy in bariatric surgery. Twelve morbidly obese patients undergoing bariatric surgery received a baseline protective ventilation with 8 cmH(2)O of positive-end expiratory pressure (PEEP). Then, the OLA strategy was applied consisting in lung recruitment followed by a decremental PEEP trial, from 20 to 8 cmH(2)O, in steps of 2 cmH(2)O to find the lung's closing pressure. Baseline ventilation was then resumed setting open lung PEEP (OL-PEEP) at 2 cmH(2)O above this pressure. The multimodal non-invasive variables used for monitoring OLA consisted in pulse oximetry (SpO(2)), respiratory compliance (Crs), end-expiratory lung volume measured by a capnodynamic method (EELVCO2), and esophageal manometry. OL-PEEP was detected at 15.9 +/- 1.7 cmH(2)O corresponding to a positive end-expiratory transpulmonary pressure (P-L,P-ee) of 0.9 +/- 1.1 cmH(2)O. ROC analysis showed that SpO(2) was more accurate (AUC 0.92, IC95% 0.87-0.97) than Crs (AUC 0.76, IC95% 0.87-0.97) and EELVCO2 (AUC 0.73, IC95% 0.64-0.82) to detect the lung's closing pressure according to the change of P-L,P-ee from positive to negative values. Compared to baseline ventilation with 8 cmH(2)O of PEEP, OLA increased EELVCO2 (1309 +/- 517 vs. 2177 +/- 679 mL) and decreased driving pressure (18.3 +/- 2.2 vs. 10.1 +/- 1.7 cmH(2)O), estimated shunt (17.7 +/- 3.4 vs. 4.2 +/- 1.4%), lung strain (0.39 +/- 0.07 vs. 0.22 +/- 0.06) and lung elastance (28.4 +/- 5.8 vs. 15.3 +/- 4.3 cmH(2)O/L), respectively; all p < 0.0001. The OLA strategy can be monitored using noninvasive variables during bariatric surgery. This strategy decreased lung strain, elastance and driving pressure compared with standard protective ventilatory settings. Clinical trial number NTC03694665.
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15.
  • Tusman, Gerardo, et al. (författare)
  • Photoplethysmographic characterization of vascular tone mediated changes in arterial pressure : an observational study
  • 2019
  • Ingår i: Journal of clinical monitoring and computing. - : SPRINGER HEIDELBERG. - 1387-1307 .- 1573-2614. ; 33:5, s. 815-824
  • Tidskriftsartikel (refereegranskat)abstract
    • To determine whether a classification based on the contour of the photoplethysmography signal (PPGc) can detect changes in systolic arterial blood pressure (SAP) and vascular tone. Episodes of normotension (SAP 90-140 mmHg), hypertension (SAP > 140 mmHg) and hypotension (SAP < 90 mmHg) were analyzed in 15 cardiac surgery patients. SAP and two surrogates of the vascular tone, systemic vascular resistance (SVR) and vascular compliance (Cvasc = stroke volume/pulse pressure) were compared with PPGc. Changes in PPG amplitude (foot-to-peak distance) and dicrotic notch position were used to define 6 classes taking class III as a normal vascular tone with a notch placed between 20 and 50% of the PPG amplitude. Class I-to-II represented vasoconstriction with notch placed > 50% in a small PPG, while class IV-to-VI described vasodilation with a notch placed < 20% in a tall PPG wave. 190 datasets were analyzed including 61 episodes of hypertension [SAP = 159 (151-170) mmHg (median 1st-3rd quartiles)], 84 of normotension, SAP = 124 (113-131) mmHg and 45 of hypotension SAP = 85(80-87) mmHg. SAP were well correlated with SVR (r = 0.78, p < 0.0001) and Cvasc (r = 0.84, p < 0.0001). The PPG-based classification correlated well with SAP (r = - 0.90, p < 0.0001), SVR (r = - 0.72, p < 0.0001) and Cvasc (r = 0.82, p < 0.0001). The PPGc misclassified 7 out of the 190 episodes, presenting good accuracy (98.4% and 97.8%), sensitivity (100% and 94.9%) and specificity (97.9% and 99.2%) for detecting episodes of hypotension and hypertension, respectively. Changes in arterial pressure and vascular tone were closely related to the proposed classification based on PPG waveform. Clinical Trial Registration NTC02854852.
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