| 1. |
- Alijagic, Andi, 1992-, et al.
(författare)
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A Novel Nanosafety Approach Using Cell Painting, Metabolomics, and Lipidomics Captures the Cellular and Molecular Phenotypes Induced by the Unintentionally Formed Metal-Based (Nano)Particles
- 2023
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Ingår i: Cells. - : MDPI. - 2073-4409. ; 12:2
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Tidskriftsartikel (refereegranskat)abstract
- Additive manufacturing (AM) or industrial 3D printing uses cutting-edge technologies and materials to produce a variety of complex products. However, the effects of the unintentionally emitted AM (nano)particles (AMPs) on human cells following inhalation, require further investigations. The physicochemical characterization of the AMPs, extracted from the filter of a Laser Powder Bed Fusion (L-PBF) 3D printer of iron-based materials, disclosed their complexity, in terms of size, shape, and chemistry. Cell Painting, a high-content screening (HCS) assay, was used to detect the subtle morphological changes elicited by the AMPs at the single cell resolution. The profiling of the cell morphological phenotypes, disclosed prominent concentration-dependent effects on the cytoskeleton, mitochondria, and the membranous structures of the cell. Furthermore, lipidomics confirmed that the AMPs induced the extensive membrane remodeling in the lung epithelial and macrophage co-culture cell model. To further elucidate the biological mechanisms of action, the targeted metabolomics unveiled several inflammation-related metabolites regulating the cell response to the AMP exposure. Overall, the AMP exposure led to the internalization, oxidative stress, cytoskeleton disruption, mitochondrial activation, membrane remodeling, and metabolic reprogramming of the lung epithelial cells and macrophages. We propose the approach of integrating Cell Painting with metabolomics and lipidomics, as an advanced nanosafety methodology, increasing the ability to capture the cellular and molecular phenotypes and the relevant biological mechanisms to the (nano)particle exposure.
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| 2. |
- Alijagic, Andi, 1992-, et al.
(författare)
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Particle Safety Assessment in Additive Manufacturing : From Exposure Risks to Advanced Toxicology Testing.
- 2022
-
Ingår i: Frontiers in Toxicology. - : Frontiers Media S.A.. - 2673-3080. ; 4
-
Forskningsöversikt (refereegranskat)abstract
- Additive manufacturing (AM) or industrial three-dimensional (3D) printing drives a new spectrum of design and production possibilities; pushing the boundaries both in the application by production of sophisticated products as well as the development of next-generation materials. AM technologies apply a diversity of feedstocks, including plastic, metallic, and ceramic particle powders with distinct size, shape, and surface chemistry. In addition, powders are often reused, which may change the particles' physicochemical properties and by that alter their toxic potential. The AM production technology commonly relies on a laser or electron beam to selectively melt or sinter particle powders. Large energy input on feedstock powders generates several byproducts, including varying amounts of virgin microparticles, nanoparticles, spatter, and volatile chemicals that are emitted in the working environment; throughout the production and processing phases. The micro and nanoscale size may enable particles to interact with and to cross biological barriers, which could, in turn, give rise to unexpected adverse outcomes, including inflammation, oxidative stress, activation of signaling pathways, genotoxicity, and carcinogenicity. Another important aspect of AM-associated risks is emission/leakage of mono- and oligomers due to polymer breakdown and high temperature transformation of chemicals from polymeric particles, both during production, use, and in vivo, including in target cells. These chemicals are potential inducers of direct toxicity, genotoxicity, and endocrine disruption. Nevertheless, understanding whether AM particle powders and their byproducts may exert adverse effects in humans is largely lacking and urges comprehensive safety assessment across the entire AM lifecycle-spanning from virgin and reused to airborne particles. Therefore, this review will detail: 1) brief overview of the AM feedstock powders, impact of reuse on particle physicochemical properties, main exposure pathways and protective measures in AM industry, 2) role of particle biological identity and key toxicological endpoints in the particle safety assessment, and 3) next-generation toxicology approaches in nanosafety for safety assessment in AM. Altogether, the proposed testing approach will enable a deeper understanding of existing and emerging particle and chemical safety challenges and provide a strategy for the development of cutting-edge methodologies for hazard identification and risk assessment in the AM industry.
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| 3. |
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| 4. |
- Björkelund, Cecilia, 1948, et al.
(författare)
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Secular trends in cardiovascular risk factors with a 36-year perspective: observations from 38- and 50-year-olds in the Population Study of women in Gothenburg
- 2008
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 1502-7724 .- 0281-3432. ; 26:3, s. 140-6
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Tidskriftsartikel (refereegranskat)abstract
- Department of Public Health and Community Medicine/Primary Health Care, The Sahlgrenska Academy, University of Gothenburg, Sweden. cecilia.bjorkelund@allmed.gu.se OBJECTIVES: To study secular trends in cardiovascular risk factors in four different cohorts of women examined in 1968-1969, 1980-1981, 1992-1993 and 2004-2005. DESIGN: Comparison of four representative cohorts of 38- and 50-year-old women over a period of 36 years. SETTING: Gothenburg, Sweden with approximately 450,000 inhabitants. SUBJECTS: Four representative samples of 38- and 50-year-old women were invited to free health examinations (participation rate 59-90%, n =1901). MAIN OUTCOME MEASURES: Body mass index (BMI), systolic and diastolic blood pressure (SBP, DBP), leisure time exercise, use of antihypertensive medication, smoking, levels of haemoglobin, b-glucose, s-cholesterol, s-triglycerides and HDL-cholesterol. RESULTS: There was no significant difference in mean BMI from 1968-1969 versus 2004-2005. Mean leisure time exercise was significantly higher in later born cohorts; in 1968, around 15% were physically active compared with 40% in 2004. SBP and DBP, mean s-cholesterol and s-triglyceride levels were significantly lower in both 38- and 50-year-old cohorts in 2004-2005 versus 1968-1969. HDL-cholesterol (not measured until 1992-1993), showed a significantly higher mean level in 2004-2005. Reduction of risk factors was apparent in women with a high as well as low level of physical activity. Smoking declined most in women with high levels of physical activity. CONCLUSIONS: Several cardiovascular risk factors related to lifestyle have improved in middle-aged women from the 1960s until today. Most of the positive trends are observed in women with both low and high physical activity.
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| 5. |
- Rhedin, S. A., et al.
(författare)
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Protocol Introducing a New Algorithm for Classification of Etiology in Studies on Pediatric Pneumonia: Protocol for the Trial of Respiratory Infections in Children for Enhanced Diagnostics Study
- 2019
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Ingår i: Journal of Medical Internet Research. - : JMIR Publications Inc.. - 1438-8871. ; 21:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: There is a need to better distinguish viral infections from antibiotic-requiring bacterial infections in children presenting with clinical community-acquired pneumonia (CAP) to assist health care workers in decision making and to improve the rational use of antibiotics. Objective: The overall aim of the Trial of Respiratory infections in children for ENhanced Diagnostics (TREND) study is to improve the differential diagnosis of bacterial and viral etiologies in children aged below 5 years with clinical CAP, by evaluating myxovirus resistance protein A (MxA) as a biomarker for viral CAP and by evaluating an existing (multianalyte point-of-care antigen detection test system [mariPOC respi] ArcDia International Oy Ltd.) and a potential future point-of-care test for respiratory pathogens. Methods: Children aged 1 to 59 months with clinical CAP as well as healthy, hospital-based, asymptomatic controls will be included at a pediatric emergency hospital in Stockholm, Sweden. Blood (analyzed for MxA and C-reactive protein) and nasopharyngeal samples (analyzed with real-time polymerase chain reaction as the gold standard and antigen-based mariPOC respi test as well as saved for future analyses of a novel recombinase polymerase amplification-based point-of-care test for respiratory pathogens) will be collected. A newly developed algorithm for the classification of CAP etiology will be used as the reference standard. Results: A pilot study was performed from June to August 2017. The enrollment of study subjects started in November 2017. Results are expected by the end of 2019.Conclusions: The findings from the TREND study can be an important step to improve the management of children with clinical. © 2019 Journal of Medical Internet Research. All rights reserved.
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| 6. |
- Andersson, Dan, 1966, et al.
(författare)
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Wave-breaking-free pulses in nonlinear-optical fibers
- 1993
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Ingår i: Journal of the Optical Society of America B: Optical Physics. - 1520-8540 .- 0740-3224. ; 10:7, s. 1185-1190
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Tidskriftsartikel (refereegranskat)abstract
- A qualitative as well as quantitative investigation is made of the conditions for avoiding wave breaking during pulse propagation in optical fibers. In particular, it is shown that pulses having a parabolic intensity variation are approximate wave-breaking-free solutions of the nonlinear Schrodinger equation in the high-intensity limit. A simple expression for the compression factor of a fiber-grating compressor based on parabolic pulses is also derived.
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| 7. |
- Andersson, Hans, et al.
(författare)
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Complete regioselective addition of grignard reagents to pyrazine N-oxides, toward an efficient enantioselective synthesis of substituted piperazines.
- 2010
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Ingår i: Organic letters. - : American Chemical Society (ACS). - 1523-7052 .- 1523-7060. ; 12:2, s. 284-6
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Tidskriftsartikel (refereegranskat)abstract
- A conceptually new one-pot strategy for the synthesis of protected substituted piperazines via the addition of Grignard reagents to pyrazine N-oxides is presented. This strategy is high yielding (33-91% over three steps), step-efficient, and fast. The synthesized N,N-diprotected piperazines are convenient to handle and allow for orthogonal deprotection at either nitrogen for selective transformations. In addition, this is a synthetic route to enantiomerically enriched piperazines by using a combination of phenyl magnesium chloride and (-)-sparteine, which resulted in enantiomeric excesses up to 83%.
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| 8. |
- Andersson, Henric, 1963-, et al.
(författare)
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Towards Configuration Support for Collaborative Simulator Development : A Product Line Approach in Model Based Systems Engineering
- 2011
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Ingår i: Proceedings of the 2011 20th IEEE International Workshops on Enabling Technologies, WETICE 2011. - : IEEE conference proceedings. - 9780769544106 - 9781457701344 ; , s. 185-192
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- In development and support of complex products such as power plants, automotive vehicles, or aircrafts, modeling and simulation has become an important activity as a basis for knowledge capture. Simulation is used in several steps of the product lifecycle; for evaluation of early design, for system verification, and for user training. With emerging techniques such as tools for high-level modeling, multi-core computing, and visualization, the number of useful models is growing. This paper focuses on reuse of multipurpose models and configuration support in a product line context. A configurator prototype system is presented. The simulator set created from validated models is considered to be a secondary product line. The product set which the simulation models represent is considered to be the primary product line. The Saab Gripen fighter aircraft, together with simulators in which the aircraft behavior, performance, and handling qualities are represented, is used to exemplify application. Integration principles of the systems for simulator configuration, Software Configuration Management, and Product Data Management (PDM) are studied. Preliminary results show that a configurator tool can be used, but there is need to map structures between the simulation and PDM domains.
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| 9. |
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| 10. |
- Andersson, Magnus, 1963-, et al.
(författare)
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A quality process for assessing mathematics in a study programme
- 2018
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Ingår i: Proceedings från 6:e utvecklingskonferensen för Sveriges ingenjörsutbildningar. - 9789188041111
-
Konferensbidrag (refereegranskat)abstract
- We present two methodologies to assess the use of mathematics in a study programme. Firstly, we use a relatively simple methodology to assess how students show their ability to use mathematics in their degree project reports. Secondly, we present a methodology to assess how mathematics is used during a study programme. We have applied the first methodology on the mathematics content in 114 randomly chosen bachelor degree reports from 6 different study programmes within the fields of electrical engineering and computer engineering at KTH. For the 3-year bachelor degree programmes in computer engineering, we find clear deficits in the way students use mathematics in their bachelor degree reports as compared to the other programmes in our study. Through the second methodology, we were able to relate the deficits in the bachelor degree reports to a programme structure where skills in mathematics have not been sufficiently demanded in the engineering courses of the programme.
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| 11. |
- Andersson, Maria, et al.
(författare)
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Coinfection with Enteric Pathogens in East African Children with Acute Gastroenteritis-Associations and Interpretations
- 2018
-
Ingår i: American Journal of Tropical Medicine and Hygiene. - : American Society of Tropical Medicine and Hygiene. - 0002-9637 .- 1476-1645. ; 98:6, s. 1566-1570
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Tidskriftsartikel (refereegranskat)abstract
- Enteric coinfections among children in low-income countries are very common, but it is not well known if specific pathogen combinations are associated or have clinical importance. In this analysis, feces samples from children in Rwanda and Zanzibar less than 5 years of age, with (N = 994) or without (N = 324) acute diarrhea, were analyzed by realtime polymerase chain reaction targeting a wide range of pathogens. Associations were investigated by comparing codetection and mono-detection frequencies for all pairwise pathogen combinations. More than one pathogen was detected in 840 samples (65%). A negative association (coinfections being less common than expected from probability) was observed for rotavirus in combination with Shigella, Campylobacter, or norovirus genogroup II, but only in patients, which is statistically expected for agents that independently cause diarrhea. A positive correlation was observed, in both patients and controls, between Ct (threshold cycle) values for certain virulence factor genes in enteropathogenic Escherichia coli (EPEC) (eae and bfpA) and toxin genes in enterotoxigenic E. coli (eltB and estA), allowing estimation of how often these genes were present in the same bacteria. A significant positive association in patients only was observed for Shigella andEPEC-eae, suggesting that this coinfection might interact in a manner that enhances symptoms. Although interaction between pathogens that affect symptoms is rare, this work emphasizes the importance and difference in interpretation of coinfections depending on whether they are positively or negatively associated.
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| 12. |
- Andersson, Maria Eva, et al.
(författare)
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Rapid Clearance and Frequent Reinfection With Enteric Pathogens Among Children With Acute Diarrhea in Zanzibar.
- 2017
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Ingår i: Clinical Infectious Diseases. - : Oxford University Press (OUP). - 1058-4838 .- 1537-6591. ; 65:8, s. 1371-1377
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Tidskriftsartikel (refereegranskat)abstract
- Background: Acute infectious gastroenteritis is an important cause of illness and death among children in low-income countries. In addition to rotavirus vaccination, actions to improve nutrition status, sanitation, and water quality are important to reduce enteric infections, which are frequent also among asymptomatic children. The aim of this study was to investigate if the high prevalence of these infections reflects that they often are not cleared properly by the immune response or rather is due to frequent pathogen exposure.Methods: Rectal swabs were collected at time of acute diarrhea and 14 days later from 127 children, aged 2-59 months and living in rural Zanzibar, and were analyzed by real-time polymerase chain reaction targeting multiple pathogens.Results: At baseline, detection rates >20% were found for each of enterotoxigenic Escherichia coli, Shigella, Campylobacter, Cryptosporidium, norovirus GII, and adenovirus. At follow-up, a large proportion of the infections had become cleared (34-100%), or the pathogen load reduced, and this was observed also for agents that were presumably unrelated to diarrhea. Still, the detection frequencies at follow-up were for most agents as high as at baseline, because new infections had been acquired. Neither clearance nor reinfection was associated with moderate malnutrition, which was present in 21% of the children.Conclusions: Children residing in poor socioeconomic conditions, as in Zanzibar, are heavily exposed to enteric pathogens, but capable of rapidly clearing causative and coinfecting pathogens.
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| 13. |
- Andersson, M., et al.
(författare)
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Evaluation of response in patients with hepatocellular carcinoma treated with intratumoral dendritic cell vaccination using intravoxel incoherent motion (IVIM) MRI and histogram analysis
- 2023
-
Ingår i: Acta Radiologica. - : SAGE Publications. - 0284-1851 .- 1600-0455. ; 64:1, s. 32-41
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Tidskriftsartikel (refereegranskat)abstract
- Background Immunotherapy of hepatocellular carcinoma (HCC) is an emerging method with promising results. Immunotherapy can have an antitumor effect without affecting tumor size, calling for functional imaging methods for response evaluation. Purpose To evaluate the response to intratumoral injections with the immune primer ilixadencel in HCCs with diffusion-weighted magnetic resonance imaging (DW-MRI) using intravoxel incoherent motion (IVIM) and histogram analysis. Material and Methods A total of 17 patients with advanced HCC were treated with intratumoral injections with ilixadencel on three occasions 2-5 weeks apart. The patients were examined with IVIM before each injection as well as approximately three months after the first injection. Results The 10th percentile of perfusion-related parameter D* decreased significantly after the first and second intratumoral injections of ilixadencel compared to baseline (P < 0.05). There was a non-significant trend of lower median region of interest f (perfusion fraction) before injection 2 compared to baseline (P = 0.07). There were significant correlations between the 10th percentile and median of D at baseline and change in tumor size after three months (r = 0.79, P < 0.01 and r = 0.72, P < 0.05, respectively). Conclusion DW-MRI with IVIM and histogram analysis revealed significant reductions of D* early after treatment as well as an association between D at baseline and smaller tumor growth at three months. The lower percentiles (10th and 50th) were found more important. Further research is needed to confirm our preliminary findings of reduced perfusion after ilixadencel vaccinations, suggesting a treatment effect on HCC.
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| 14. |
- Andersson, Magnus, 1963-
(författare)
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Helt orimliga förhoppningar
- 2012
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Ingår i: Forskning och framsteg. - Stockholm. - 0015-7937. ; :2, s. 72-72
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 15. |
- Andersson, Magnus, 1963-
(författare)
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Hur får vi studenter i grundläggande kurser att lägga ned det arbete som krävs?
- 2020
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Ingår i: Bidrag från 7:e Utvecklingskonferensen för Sveriges ingenjörsutbildningar. ; , s. 203-204
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Konferensbidrag (refereegranskat)abstract
- Jag och mina kollegor upplever att många studenter idag inte går på föreläsningar eller deltar i annan undervisning på grundkurser. När de sedan efter kursens slut tillfrågas hur många timmar de har lagt ned på densamma, är det många som anger ett timantal som ligger under det som förväntas av dem enligt kursens poängtal. Samtidigt ser vi att tentamensresultaten försämras. Detta leder i sin tur till en låg genomströmning eller i allra värsta fall till att kurskraven sänks. Här visar jag ett illustrativa exempel på hur kursaktivitet korrelarar med tentamensresultat, redovisar vad jag har funnit i forskningslitteraturen om detta samt ställer frågan vad vi som lärare bör göra för att förbättra situationen.
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| 16. |
- Andersson, Magnus, 1963-
(författare)
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Networking Change Leader : New Role for a Program Director in Engineering Education
- 2023
-
Ingår i: 19th CDIO International Conference, CDIO 2023 - Proceedings. - : Chalmers University of Technology. ; , s. 669-678
-
Konferensbidrag (refereegranskat)abstract
- Calls for changes in higher education are omnipresent and motivated by major challenges for society. Several of these challenges, for example those related to digitalization and sustainability, falls into the category of emerging and transformative challenges. The breadth and width of such challenges is too large to be handled by a single individual or even a small group of individuals. Instead, their solution requires an adaptive leadership with relevant activities at all organizational levels. From research literature and previous successful change processes, it is known that change leaders in the middle are key players during such transformations. In engineering education (and in fact in any other education aiming for a profession), it is natural that this role is taken by a program director who already has a responsibility for the quality and the development of an engineering program. In this work, I will approach the role of a program director from a logical perspective using arguments based on a simple comparison between available time and total time required to create the desired change. It is obvious that large challenges demand a substantial amount of time to find an acceptable solution, which is outside of the reach for any single individual. I will also discuss the crucial role of persons in the middle for obtaining successful change related to large challenges. Based on my own case, I will try to give some advice about how a program director in the role as a person in the middle can handle this pressing situation. I will point towards the needs of personal time management, a basic understanding of agile change management, the ability to create structures and collaborative efforts that promote agile actions, the need for making coherence and using inclusion strategies and the necessity of networking. I will also emphasize the importance that universities support internal and external networking structures.
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| 17. |
- Andersson, Magnus, 1963-
(författare)
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Networking change leader - a new role for a program director in engineering education
- 2023
-
Ingår i: Proceedings of the 19th International CDIO Conference. - Trondheim : NTNU SEED. ; , s. 669-678
-
Konferensbidrag (refereegranskat)abstract
- Calls for changes in higher education are omnipresent and motivated by major challenges for society. Several of these challenges, for example those related to digitalization and sustainability, falls into the category of emerging and transformative challenges. The breadth and width of such challenges is too large to be handled by a single individual or even a small group of individuals. Instead, their solution requires an adaptive leadership with relevant activities at all organizational levels. From research literature and previous successful change processes, it is known that change leaders in the middle are key players during such transformations. In engineering education (and in fact in any other education aiming for a profession), it is natural that this role is taken by a program director who already has a responsibility for the quality and the development of an engineering program. In this work, I will approach the role of a program director from a logical perspective using arguments based on a simple comparison between available time and total time required to create the desired change. It is obvious that large challenges demand a substantial amount of time to find an acceptable solution, which is outside of the reach for any single individual, I will also discuss the crucial role of persons in the middle for obtaining successful change related to large challenges. Finally, I will also try to give some answers to the question how a program director in the role as a person in the middle can survive in this pressing situation. I will point towards the needs for some competence in agile change management, the ability to create structures and collaborative efforts that promote agile actions, the need for making coherence and using inclusion strategies and the necessity of networking. I will also emphasize the importance that universities support internal and external networking structures.
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| 18. |
- Andersson, Magnus, 1963-
(författare)
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Non-proctored home exams - is there a solution?
- 2022
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Ingår i: Bidrag från 8:e Utvecklingskonferensen för Sveriges ingenjörsutbildningar. - Karlstad. ; , s. 143-144
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Konferensbidrag (refereegranskat)abstract
- Restrictions during the pandemic has forced teachers to replace traditional classroom exams with home exams, which are either proctored by digital tools or non-proctored. In this work, I describe the student response from using non-proctored digital home exams in two university courses in physics. In particular, the advantages and disadvantages of this approach will be discussed, since there are major concern about grading students based on non-proctored exams due to issues related to authenticity and cheating. Finally, I will reflect on the future use of non- proctored exams to evaluate knowledge in physics.
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| 19. |
- Andersson, Magnus, 1963-
(författare)
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Towards an engineering approach to quality in engineering education
- 2015
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Ingår i: Proceedings of 5:e Utvecklingskonferensen för Sveriges ingenjörsutbildningar. ; , s. 13-14
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Education quality is handled at many different levels in an education system, ranging all the way from external reviews of education programs at the top university level to the creation of effective learning conditions for students at the practitioners level. Each level has its own processes for quality assurance, and those processes are usually quite different. Here, I suggest one way of joining the different quality processes into a coherent model, which at the same time retain the main conceptual ideas of the already existing quality processes. The proposed model is presented as a flow diagram of an education system together with an idea about how to create both a trouble- shooting and a quality enhancement scheme based on this model. The model is inspired by the way engineers look at quality assurance in engineering systems and it can, hence, be particularly interesting for engineering educations.
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| 20. |
- Andersson, Markus, 1981, et al.
(författare)
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Vinylimidazole copolymers: coordination chemistry, solubility, and cross-linking as function of Cu2+ and Zn2+ complexation
- 2011
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Ingår i: Colloid and Polymer Science. - : Springer Science and Business Media LLC. - 0303-402X .- 1435-1536. ; 289:12, s. 1361-1372
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Tidskriftsartikel (refereegranskat)abstract
- P(1-VIm-co-MMA) copolymers with 4 or 44 wt.% 1-VIm (abbreviated PVM-4 and PVM-44) where polymerized from 1-VIm (1-vinylimidazole) and methylmethacrylate with azobisisobutyronitrile as initiator and reacted with either Cu(2+) or Zn(2+). The resulting coordinated polymer complexes were studied using ICP-AES, CP/MAS (13)C NMR, conductivity measurements, vibrational spectroscopy (mid-FTIR and far-FTIR), DSC, and EPR. It was established by ICP-AES, CP/MAS (13)C NMR, conductivity, mid-FTIR and EPR measurements that the transition metal ions in the complexes were exclusively coordinated by the imidazole ligand. The coordination geometry is square planar with regard to Cu(II) complexes. The strong interaction between the polymeric imidazole ligand and the transition metal ion cross-links the system, resulting in augmentation of T (g) (the glass transition temperature), especially for copolymers with high relative amount of 1-VIm. The effect of changing metal ion is more complicated and depends on both the strength of the coordinate interaction as well as the coordination number. The solubility of the coordinate polymer complex in conventional solvents is low due to the coordinate cross-links. However, the coordinate polymer complexes are soluble in strongly coordinating solvents such as acetonitrile and dimethylsulfoxide.
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| 21. |
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| 22. |
- Berglund, Anders, 1974-, et al.
(författare)
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THE PEDAGOGICAL DEVELOPERS INITIATIVE : SYSTEMATIC SHIFTS, SERENDIPITIES, AND SETBACKS
- 2017
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Ingår i: 13th International CDIO Conference in Calgary, Canada, June 18-22, 2017.
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Konferensbidrag (refereegranskat)abstract
- Pedagogical projects have often, at KTH Royal Institute of Technology, as well as elsewhere, been initiated and managed by individual enthusiasts rather than dedicated teams. This generally decreases the possibility of successful implementation of more ambitious ideas, e.g., changing educational programs, implementing the CDIO syllabus, or strengthening the pedagogical development of larger parts of the faculty. To enable wider and more effective change, KTH top management therefore launched a universityencompassing three-year project in 2014, in which a group of highly motivated teachers from all schools at KTH were appointed part-time pedagogical developers (PDs). The PDs were given the task of promoting pedagogical development and facilitate cooperation and knowledge exchange among faculty members, as described in two previous papers at CDIO conferences. From 2017, the outcomes of this project are supposed to be integrated parts of the KTH line organization. The project has led to numerous actions, which would have been difficult to set in motion unless given the freedom in time to explore and to develop into a collective effort rather than a myriad of individual “stand-alone” examples. By addressing key areas for pedagogical development, our group of dedicated faculty have tried to surpass the suboptimal "lock-in" of strict individual reasoning and to deal with surfaced questions and relevant issues in a broader collective manner. A major insight confirmed by the project and its many sub-projects has indeed been the fundamental importance of collegial discussions and the creation of processes that facilitate and support teacher cooperation. We have also, through discussions with faculty at KTH, confirmed the need for clearly defined, tangible incentives for teachers, motivating them to participate in pedagogical development activities, even if this means less time left for the traditional pathway to rewards within academia, i.e. research. In this paper, we chart changes that have occurred in the educational practices at KTH by describing and discussing the project’s focus on pedagogical development of faculty, actual execution of changes in the engineering educations, lessons learned along the way, and visions yet to be realised.
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| 23. |
- Berglund, Staffan K., et al.
(författare)
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Hepcidin is a relevant iron status indicator in infancy : results from a randomized trial of early vs. delayed cord clamping
- 2021
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Ingår i: Pediatric Research. - : Nature Publishing Group. - 0031-3998 .- 1530-0447. ; 89:5, s. 1216-1221
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Tidskriftsartikel (refereegranskat)abstract
- Background: We aimed to evaluate whether serum hepcidin is a useful indicator of iron status in infants.Methods: Term infants (n = 400) were randomized to delayed (≥180 s) or early (≤10 s) cord clamping (CC). Iron status was assessed at 4 and 12 months. In all cases with iron depletion or iron deficiency (ID) (as defined in “Methods”) (n = 30) and 97 randomly selected iron-replete infants, we analyzed hepcidin and explored its correlation to the intervention, iron status, and perinatal factors.Results: Serum hepcidin concentrations were significantly lower in the early CC group at both time points and in ID infants at 4 months. Median (2.5th–97.5th percentile) hepcidin in non-ID infants in the delayed CC group (suggested reference) was 64.5 (10.9–142.1), 39.5 (3.5–157.7), and 32.9 (11.2–124.2) ng/mL in the cord blood and at 4 and 12 months, respectively. The value of 16 ng/mL was a threshold detecting all cases of iron depletion/ID at 4 months. No similar threshold for ID was observed at 12 months. The strongest predictor of hepcidin at both ages was ferritin.Conclusions: Hepcidin is relevant as iron status indicator in early infancy and may be useful to detect ID. Levels <16 ng/mL at 4 months of age indicates ID.ImpactSerum hepcidin is a relevant indicator of iron status in early infancy.Normal reference in healthy infants is suggested in this study.Serum hepcidin may be useful in clinical practice to detect iron deficiency.
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| 24. |
- Broström, Markus, 1977-, et al.
(författare)
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Sulfation of corrosive alkali chlorides by ammonium sulfate in a biomass fired CFB boiler
- 2007
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Ingår i: Fuel processing technology. - Amsterdam : Elsevier Bv. - 0378-3820 .- 1873-7188. ; 88:11-12, s. 1171-1177
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Tidskriftsartikel (refereegranskat)abstract
- Biomass and waste derived fuels contain relatively high amounts of alkali and chlorine, but contain very little sulfur. Combustion of such fuels can result in increased deposit formation and superheater corrosion. These problems can be reduced by using a sulfur containing additive, such as ammonium sulfate, which reacts with the alkali chlorides and forms less corrosive sulfates. Ammonium sulfate injection together with a so-called in situ alkali chloride monitor (IACM) is patented and known as "ChlorOut". IACM measures the concentrations of alkali chlorides (mainly KCl in biomass combustion) at superheater temperatures. Tests with and without spraying ammonium sulfate into the flue gases have been performed in a 96MW(th)/25MW(e) circulating fluidized bed (CFB) boiler. The boiler was fired mainly with bark and a chlorine containing waste. KCl concentration was reduced from more than 15 ppm to approximately 2 ppm. during injection of ammonium sulfate. Corrosion probe measurements indicated that both deposit formation and material loss due to corrosion were decreased using the additive. Analysis of the deposits showed significantly higher concentration of sulfur and almost no chlorine in the case with ammonium sulfate. Results from impactor measurements supported that KCl was sulfated to potassium sulfate by the additive. (C) 2007 Elsevier B.V. All rights reserved.
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| 25. |
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| 26. |
- Carlsson, Per-Anders, 1972, et al.
(författare)
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Induced low temperature catalytic ignition by transient changes in the gas composition
- 2002
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Ingår i: Catalysis Today. - 0920-5861. ; 73:3-4, s. 307-313
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Tidskriftsartikel (refereegranskat)abstract
- The effect of gas composition changes on the low temperature activity for supported platinum model catalysts has been studied. By introducing well-controlled periodic O2 pulses to a simple diluted gas mixture of CO and O2, a substantial improvement of the low temperature oxidation activity was observed. The reason for low activity on noble metals at low temperatures is often attributed to self-poisoning by CO. The improved catalytic performance observed is proposed to origin from the transients causing a surface reactant composition that is favourable for the reaction rate, i.e. lower degree of self-poisoning. This was also confirmed by in situ Fourier transform infrared spectroscopy in combination with mass spectrometry measurements, which gave evidence for the existence of a strong interplay between the gas phase concentration and the adsorbate composition for these catalysts.
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| 27. |
- Carlsson, Per-Anders, 1972, et al.
(författare)
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Periodic control for improved low-temperature catalytic activity
- 2001
-
Ingår i: Topics in Catalysis. - 1572-9028 .- 1022-5528. ; 16-17:1-4, s. 343-347
-
Tidskriftsartikel (refereegranskat)abstract
- The influence of transient changes in the gas composition on the low-temperature activity of a commercial three-way catalyst and a Pt/Al2O3 model catalyst has been studied. By introducing well-controlled periodic O2 pulses to simple gas mixtures of CO or C3H6 (in N2), a substantial improvement of the low temperature oxidation activity was observed for both catalysts. The reason for low activity at low temperatures is normally attributed to self-poisoning by CO or hydrocarbons. The improved catalytic performance observed here is suggested to origin from the transients causing a surface reactant composition that is favourable for the reaction rate.
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| 28. |
- Carlsson, Ylva, 1975, et al.
(författare)
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COVID-19 in Pregnancy and Early Childhood (COPE): study protocol for a prospective, multicentre biobank, survey and database cohort study.
- 2021
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Ingår i: BMJ open. - : BMJ. - 2044-6055. ; 11:9
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Tidskriftsartikel (refereegranskat)abstract
- There is limited knowledge on how the SARS-CoV-2 affects pregnancy outcomes. Studies investigating the impact of COVID-19 in early pregnancy are scarce and information on long-term follow-up is lacking.The purpose of this project is to study the impact of COVID-19 on pregnancy outcomes and long-term maternal and child health by: (1) establishing a database and biobank from pregnant women with COVID-19 and presumably non-infected women and their infants and (2) examining how women and their partners experience pregnancy, childbirth and early parenthood in the COVID-19 pandemic.This is a national, multicentre, prospective cohort study involving 27 Swedish maternity units accounting for over 86000 deliveries/year. Pregnant women are included when they: (1) test positive for SARS-CoV-2 (COVID-19 group) or (2) are non-infected and seek healthcare at one of their routine antenatal visits (screening group). Blood, as well as other biological samples, are collected at different time points during and after pregnancy. Child health up to 4years of age and parent experience of pregnancy, delivery, early parenthood, healthcare and society in general will be examined using web-based questionnaires based on validated instruments. Short- and long-term health outcomes will be collected from Swedish health registers and the parents' experiences will be studied by performing qualitative interviews.Confidentiality aspects such as data encryption and storage comply with the General Data Protection Regulation and with ethical committee requirements. This study has been granted national ethical approval by the Swedish Ethical Review Authority (dnr 2020-02189 and amendments 2020-02848, 2020-05016, 2020-06696 and 2021-00870) and national biobank approval by the Biobank Väst (dnr B2000526:970). Results from the project will be published in peer-reviewed journals.NCT04433364.
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| 29. |
- Danielsson, Henrik, et al.
(författare)
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A Systematic Review of Longitudinal Trajectories of Mental Health Problems in Children with Neurodevelopmental Disabilities
- 2024
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Ingår i: Journal of Developmental and Physical Disabilities. - : Springer. - 1056-263X .- 1573-3580. ; 36, s. 203-242
-
Forskningsöversikt (refereegranskat)abstract
- To review the longitudinal trajectories - and the factors influencing their development - of mental health problems in children with neurodevelopmental disabilities. Systematic review methods were employed. Searches of six databases used keywords and MeSH terms related to children with neurodevelopmental disabilities, mental health problems, and longitudinal research. After the removal of duplicates, reviewers independently screened records for inclusion, extracted data (outcomes and influencing factors), and evaluated the risk of bias. Findings were tabulated and synthesized using graphs and a narrative. Searches identified 94,662 unique records, from which 49 publications were included. The median publication year was 2015. Children with attention deficit hyperactivity disorder were the most commonly included population in retrieved studies. In almost 50% of studies, trajectories of mental health problems changed by < 10% between the first and last time point. Despite multiple studies reporting longitudinal trajectories of mental health problems, greater conceptual clarity and consideration of the measures included in research is needed, along with the inclusion of a more diverse range of populations of children with neurodevelopmental disabilities.
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| 30. |
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| 31. |
- Davidsson, Sabina, 1972-, et al.
(författare)
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Frequency and typing of Propionibacterium acnes in prostate tissue obtained from men with and without prostate cancer
- 2016
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Ingår i: Infectious Agents and Cancer. - London, United Kingdom : BioMed Central (BMC). - 1750-9378. ; 11
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Prostate cancer is the most common cancer among men in Western countries but the exact pathogenic mechanism of the disease is still largely unknown. An infectious etiology and infection-induced inflammation has been suggested to play a role in prostate carcinogenesis and Propionibacterium acnes has been reported as the most prevalent microorganism in prostatic tissue. We investigated the frequency and types of P. acnes isolated from prostate tissue samples from men with prostate cancer and from control patients without the disease.Methods: We included 100 cases and 50 controls in this study. Cases were men diagnosed with prostate cancer undergoing radical prostatectomy and controls were men undergoing surgery for bladder cancer without any histological findings of prostate cancer. Six biopsies taken from each patient's prostate gland at the time of surgery were used for cultivation and further characterization of P. acnes.Results: The results revealed that P. acnes was more common in men with prostate carcinoma than in controls, with the bacteria cultured in 60 % of the cases vs. 26 % of the controls (p = 0.001). In multivariable analyses, men with P. acnes had a 4-fold increase in odds of a prostate cancer diagnosis after adjustment for age, calendar year of surgery and smoking status (OR: 4.46; 95 % CI: 1.93-11.26). To further support the biologic plausibility for a P. acnes infection as a contributing factor in prostate cancer development, we subsequently conducted cell-based experiments. P. acnes- isolates were co-cultured with the prostate cell line PNT1A. An increased cell proliferation and cytokine/chemokine secretion in infected cells was observed.Conclusion: The present study provides further evidence for a role of P. acnes in prostate cancer development.
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| 32. |
- Eismark, Jan, 1962, et al.
(författare)
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Role of fuel properties and piston shape in influencing soot oxidation in heavy-duty low swirl diesel engine combustion
- 2019
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Ingår i: Fuel. - : Elsevier BV. - 0016-2361. ; 254
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Tidskriftsartikel (refereegranskat)abstract
- The presented study evaluated effects on soot emissions of important diesel fuel properties (e.g. volatility T95, hydrogen to-carbon ratio H/C and oxygen content O/C) in a heavy-duty, low-swirl, direct injection diesel engine operated with cooled exhaust gas recirculation to control the emissions of nitrogen oxides. Variation of injection pressure was conducted in three representative operation points in the single-cylinder engine including conventional and wave piston bowl types. Additionally, detailed optical combustion studies were performed in a high pressure/high temperature combustion chamber with an engine-like flame-wall interaction geometry. The fuel properties mainly influenced parameters relating to events near the nozzle, such as the ignition delay, flame lift-off distance and spray air entrainment. Oxygenation of the fuel reduced soot formation (a known effect of spray-jet dilution), but the fuels’ H/C and T95 also influenced soot emissions. Viscosity, heating value and density, treated as secondary fuel parameters, affected the injected fuel's kinetic energy, and hence mean flow field and local turbulent mixing late in the combustion cycle. The results suggested that fuel effects on soot oxidation during late phases of combustion are mainly governed by parameters related to the fuel injection profile under the specific cylinder gas conditions. With an oxygenated fuel, flow structures (local turbulent side vortices) which are typical for the investigated engine type were found to form in a similar way as with a reference fuel. Hence, improved internal flow using a wave piston in combination with a low-sooting oxygenated fuel gave additional reductions in net soot emissions.
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| 33. |
- Eismark, Jan, 1962, et al.
(författare)
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Role of Piston Bowl Shape to Enhance Late-Cycle Soot Oxidation in Low-Swirl Diesel Combustion
- 2019
-
Ingår i: SAE International Journal of Engines. - : SAE International. - 1946-3944 .- 1946-3936. ; 12:3
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Tidskriftsartikel (refereegranskat)abstract
- Late-cycle soot oxidation in heavy-duty (HD) diesel engine low-swirl combustion was investigated using single-cylinder engine and spray chamber experiments together with engine combustion simulations. The in-cylinder flow during interactions between adjacent flames (flame-flame events) was shown to have a large impact on late-cycle combustion. To modify the flame-flame, a new piston bowl shape with a protrusion (wave) was designed to guide the near-wall flow. This design significantly reduced soot emissions and increased engine thermodynamic efficiency. The wave’s main effect was to enhance late-cycle mixing, as demonstrated by apparent rate of heat release after the termination of fuel injection. Combustion simulations showed that the increased mixing is driven by enhanced flow re-circulation, which produces a radial mixing zone (RMZ). The leading edge of the RMZ extends toward the center of the piston bowl, where unused ambient gas is available, promoting oxidation. The wave also enhances mixing in the trailing edge of the RMZ when it detaches from the wall, accelerating the burn-out of the RMZ. This flame interaction effect was isolated and studied further using a new optical setup in a spray chamber with a 2-hole nozzle fuel injector. A conceptual model relating piston bowl geometry to soot oxidation efficiency was developed to explain late-cycle soot oxidation in low-swirl HD engines.
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| 34. |
- Eklundh, A., et al.
(författare)
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Etiology of Clinical Community-Acquired Pneumonia in Swedish Children Aged 1-59 Months with High Pneumococcal Vaccine Coverage-The TREND Study
- 2021
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Ingår i: Vaccines. - : MDPI AG. - 2076-393X. ; 9:4
-
Tidskriftsartikel (refereegranskat)abstract
- (1) Immunization with pneumococcal conjugate vaccines has decreased the burden of community-acquired pneumonia (CAP) in children and likely led to a shift in CAP etiology. (2) The Trial of Respiratory infections in children for ENhanced Diagnostics (TREND) enrolled children 1-59 months with clinical CAP according to the World Health Organization (WHO) criteria at Sachs' Children and Youth Hospital, Stockholm, Sweden. Children with rhonchi and indrawing underwent "bronchodilator challenge". C-reactive protein and nasopharyngeal PCR detecting 20 respiratory pathogens, were collected from all children. Etiology was defined according to an a priori defined algorithm based on microbiological, biochemical, and radiological findings. (3) Of 327 enrolled children, 107 (32%) required hospitalization; 91 (28%) received antibiotic treatment; 77 (24%) had a chest X-ray performed; and 60 (18%) responded to bronchodilator challenge. 243 (74%) episodes were classified as viral, 11 (3%) as mixed viral-bacterial, five (2%) as bacterial, two (0.6%) as atypical bacterial and 66 (20%) as undetermined etiology. After exclusion of children responding to bronchodilator challenge, the proportion of bacterial and mixed viral-bacterial etiology was 1% and 4%, respectively. (4) The novel TREND etiology algorithm classified the majority of clinical CAP episodes as of viral etiology, whereas bacterial etiology was uncommon. Defining CAP in children <5 years is challenging, and the WHO definition of clinical CAP is not suitable for use in children immunized with pneumococcal conjugate vaccines.
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| 35. |
- Elfving, Kristina, et al.
(författare)
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Acute Uncomplicated Febrile Illness in Children Aged 2-59 months in Zanzibar : Aetiologies, Antibiotic Treatment and Outcome
- 2016
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 11:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Despite the fact that a large proportion of children with fever in Africa present at primary health care facilities, few studies have been designed to specifically study the causes of uncomplicated childhood febrile illness at this level of care, especially in areas like Zanzibar that has recently undergone a dramatic change from high to low malaria transmission.METHODS: We prospectively studied the aetiology of febrile illness in 677 children aged 2-59 months with acute uncomplicated fever managed by IMCI (Integrated Management of Childhood Illness) guidelines in Zanzibar, using point-of-care tests, urine culture, blood-PCR, chest X-ray (CXR) of IMCI-pneumonia classified patients, and multiple quantitative (q)PCR investigations of nasopharyngeal (NPH) (all patients) and rectal (GE) swabs (diarrhoea patients). For comparison, we also performed NPH and GE qPCR analyses in 167 healthy community controls. Final fever diagnoses were retrospectively established based on all clinical and laboratory data. Clinical outcome was assessed during a 14-day follow-up. The utility of IMCI for identifying infections presumed to require antibiotics was evaluated.FINDINGS: NPH-qPCR and GE-qPCR detected ≥1 pathogen in 657/672 (98%) and 153/164 (93%) of patients and 158/166 (95%) and 144/165 (87%) of controls, respectively. Overall, 57% (387/677) had IMCI-pneumonia, but only 12% (42/342) had CXR-confirmed pneumonia. Two patients were positive for Plasmodium falciparum. Respiratory syncytial virus (24.5%), influenza A/B (22.3%), rhinovirus (10.5%) and group-A streptococci (6.4%), CXR-confirmed pneumonia (6.2%), Shigella (4.3%) were the most common viral and bacterial fever diagnoses, respectively. Blood-PCR conducted in a sub-group of patients (n = 83) without defined fever diagnosis was negative for rickettsiae, chikungunya, dengue, Rift Valley fever and West Nile viruses. Antibiotics were prescribed to 500 (74%) patients, but only 152 (22%) had an infection retrospectively considered to require antibiotics. Clinical outcome was generally good. However, two children died. Only 68 (11%) patients remained febrile on day 3 and three of them had verified fever on day 14. An additional 29 (4.5%) children had fever relapse on day 14. Regression analysis determined C-reactive Protein (CRP) as the only independent variable significantly associated with CXR-confirmed pneumonia.CONCLUSIONS: This is the first study on uncomplicated febrile illness in African children that both applied a comprehensive laboratory panel and a healthy control group. A majority of patients had viral respiratory tract infection. Pathogens were frequently detected by qPCR also in asymptomatic children, demonstrating the importance of incorporating controls in fever aetiology studies. The precision of IMCI for identifying infections requiring antibiotics was low.
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| 36. |
- Elfving, Kristina, et al.
(författare)
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Pathogen Clearance and New Respiratory Tract Infections Among Febrile Children in Zanzibar Investigated With Multitargeting Real-Time Polymerase Chain Reaction on Paired Nasopharyngeal Swab Samples
- 2018
-
Ingår i: The Pediatric Infectious Disease Journal. - 0891-3668 .- 1532-0987. ; 37:7, s. 643-648
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: New molecular methods have revealed frequent and often polymicrobial respiratory infections in children in low-income settings. It is not known whether presence of multiple pathogens is due to prolonged infections or to frequent exposure. The aim of this study was to analyze short-term pathogen clearance from nasopharynx and the rate of new respiratory tract infections in febrile preschool children.METHODS: Children (n = 207) with uncomplicated acute febrile illness 2-59 months of age presenting to a health center in Zanzibar, Tanzania, April-July 2011, were included. Paired nasopharyngeal swab samples, collected at enrolment and after 14 days, were analyzed by multiple real-time polymerase chain reaction for Adenovirus, bocavirus, Bordetella pertussis, Chlamydophila pneumoniae, Coronaviruses, Enterovirus, influenza A and B virus, metapneumovirus, measles virus, Mycoplasma pneumoniae, parainfluenza virus, Parechovirus, respiratory syncytial virus and Rhinovirus. An age-matched and geographically matched healthy control group (n = 166) underwent nasopharyngeal sampling on 1 occasion.RESULTS: At baseline, 157/207 (76%) patients had at least 1 pathogen detected, in total 199 infections. At follow-up (day 14), 162/199 (81%) of these infections were not detected, including >95% of the previously detected infections with Enterovirus, influenza A virus, influenza B virus, metapneumovirus or parainfluenza virus. Still 115 (56%) children were positive for at least 1 pathogen at follow-up, of which 95/115 (83%) were not found at baseline. Detection of influenza B on day 14 was significantly associated with fever during follow-up.CONCLUSION: The results suggest that children with acute febrile illness in Zanzibar rapidly clear respiratory tract infections but frequently acquire new infections within 14 days.
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| 37. |
- Elfving, Kristina, et al.
(författare)
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Pneumococcal concentration and serotype distribution in preschool children with radiologically confirmed pneumonia compared to healthy controls prior to introduction of pneumococcal vaccination in Zanzibar : an observational study
- 2022
-
Ingår i: BMC Infectious Diseases. - : BioMed Central (BMC). - 1471-2334. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: The World Health Organization recommends pneumococcal vaccination (PCV) in the first year of life. We investigated pneumococcal serotypes in children with clinical or radiologically confirmed pneumonia and healthy controls prior to PCV13 vaccine introduction in Zanzibar. Methods: Children (n = 677) with non-severe acute febrile illness aged 2-59 months presenting to a health centre in Zanzibar, Tanzania April-July 2011 were included. Nasopharyngeal swabs collected at enrolment were analysed by real-time PCR to detect and quantify pneumococcal serotypes in patients (n = 648) and in healthy asymptomatic community controls (n = 161). Children with clinical signs of pneumonia according to the Integrated Management of Childhood illness guidelines ( "IMCI pneumonia ") were subjected to a chest-X-ray. Consolidation on chest X-ray was considered "radiological pneumonia ". Results: Pneumococcal DNA was detected in the nasopharynx of 562/809 (69%) children (70% in patients and 64% in healthy controls), with no significant difference in proportions between patients with or without presence of fever, malnutrition, IMCI pneumonia or radiological pneumonia. The mean pneumococcal concentration was similar in children with and without radiological pneumonia (Ct value 26.3 versus 27.0, respectively, p = 0.3115). At least one serotype could be determined in 423 (75%) participants positive for pneumococci of which 33% had multiple serotypes detected. A total of 23 different serotypes were identified. One serotype (19F) was more common in children with fever (86/648, 13%) than in healthy controls (12/161, 7%), (p = 0.043). Logistic regression adjusting for age and gender showed that serotype 9A/V [aOR = 10.9 (CI 2.0-60.0, p = 0.006)] and 14 [aOR = 3.9 (CI 1.4-11.0, p = 0.012)] were associated with radiological pneumonia. The serotypes included in the PCV13 vaccine were found in 376 (89%) of the 423 serotype positive participants. Conclusion: The PCV13 vaccine introduced in 2012 targets a great majority of the identified serotypes. Infections with multiple serotypes are common. PCR-determined concentrations of pneumococci in nasopharynx were not associated with radiologically confirmed pneumonia.
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| 38. |
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| 39. |
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| 40. |
- Fu, Michael, 1963, et al.
(författare)
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Optimizing the Management of Heart Failure with Preserved Ejection Fraction in the Elderly by Targeting Comorbidities (OPTIMIZE-HFPEF).
- 2016
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Ingår i: Journal of cardiac failure. - : Elsevier BV. - 1532-8414 .- 1071-9164. ; 22:7, s. 539-544
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Tidskriftsartikel (refereegranskat)abstract
- The pathophysiology of heart failure with preserved ejection fraction (HFPEF) is not fully understood. A recently proposed mechanism for HFPEF is that it is a systemic pro-inflammatory state induced by comorbidities, leading to microvascular endothelial dysfunction and subsequent cardiac remodelling and dysfunction. We hypothesize that targeting comorbidities will improve outcomes in elderly patients with HFPEF. Thus, the aim of this study is to determine whether the combination of systematic screening of patients with HFPEF and optimal management of comorbidities associated with HFPEF improves outcomes.
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| 41. |
- Graf, Wilhelm, et al.
(författare)
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Long-term outcome after surgery for Crohn's anal fistula
- 2016
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Ingår i: Colorectal Disease. - : Wiley. - 1462-8910 .- 1463-1318. ; 18, s. 80-85
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Tidskriftsartikel (refereegranskat)abstract
- AIM: Treatment of Crohn's anal fistula remains challenging and little is known about factors associated with healing. The aim of this study was to assess the rate of healing after surgical treatment and analyse clinical variables related to healing.METHOD: 119 patients (63 female, mean age 36 (±13.7) years with histopathologically verified Crohn's disease underwent a surgical procedure for anal fistula at four main referral centres in Sweden, January 1998 - December 2009. Baseline and treatment-related variables were recorded and analysed for correlation with fistula healing at a final follow-up at a mean 7.2 (median 7.1, 1.0-17.5) years.RESULTS: Of the 119 patients 62 (52%) were healed at final follow-up. Fourteen healed after one procedure and the remaining 48 healed after a further median of 4.0 (2-20) procedures. Ten (8%) patients were subjected to a proctectomy. Final healing was more common in patients operated with a procedure aiming at eradicating the fistula (P=0.0001), without proctitis (P=0.02), and a shorter duration of Crohn' disease (P=.0019).CONCLUSION: Long-term healing of a Crohn's anal fistula can be expected in about half of the patients, usually after repeated surgical treatment. The probability for cure was higher when a curative operation was performed in a patient without proctitis and a shorter duration of Crohn's disease. An attempt to close a Crohn's anal fistula is thus often worthwhile. This article is protected by copyright. All rights reserved.
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| 42. |
- Granlund, Mats, 1954-, et al.
(författare)
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Definitions and operationalization of mental health problems, wellbeing and participation constructs in children with ndd : Distinctions and clarifications
- 2021
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Ingår i: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 18:4, s. 1-19
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Tidskriftsartikel (refereegranskat)abstract
- Children with impairments are known to experience more restricted participation than other children. It also appears that low levels of participation are related to a higher prevalence of mental health problems in children with neurodevelopmental disorders (NDD). The purpose of this conceptual paper is to describe and define the constructs mental health problems, mental health, and participation to ensure that future research investigating participation as a means to mental health in children and adolescents with NDD is founded on conceptual clarity. We first discuss the difference between two aspects of mental health problems, namely mental disorder and mental illness. This discussion serves to highlight three areas of conceptual difficulty and their consequences for understanding the mental health of children with NDD that we then consider in the article: (1) how to define mental health problems, (2) how to define and assess mental health problems and mental health, i.e., wellbeing as separate constructs, and (3) how to describe the relationship between participation and wellbeing. We then discuss the implications of our propositions for measurement and the use of participation interventions as a means to enhance mental health (defined as wellbeing). Conclusions: Mental disorders include both diagnoses related to impairments in the developmental period, i.e., NDD and diagnoses related to mental illness. These two types of mental disorders must be separated. Children with NDD, just like other people, may exhibit aspects of both mental health problems and wellbeing simultaneously. Measures of wellbeing defined as a continuum from flourishing to languishing for children with NDD need to be designed and evaluated. Wellbeing can lead to further participation and act to protect from mental health problems.
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| 43. |
- Hellström, Ann, 1959, et al.
(författare)
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Effect of Enteral Lipid Supplement on Severe Retinopathy of Prematurity A Randomized Clinical Trial
- 2021
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Ingår i: JAMA Pediatrics. - : American Medical Association (AMA). - 2168-6203 .- 2168-6211. ; 175:4, s. 359-367
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Tidskriftsartikel (refereegranskat)abstract
- IMPORTANCE Lack of arachidonic acid (AA) and docosahexaenoic acid (DHA) after extremely preterm birth may contribute to preterm morbidity, including retinopathy of prematurity (ROP). OBJECTIVE To determine whether enteral supplementation with fatty acids from birth to 40 weeks' postmenstrual age reduces ROP in extremely preterm infants. DESIGN, SETTING, AND PARTICIPANTS The Mega Donna Mega trial, a randomized clinical trial, was a multicenter study performed at 3 university hospitals in Sweden from December 15, 2016, to December 15, 2019. The screening pediatric ophthalmologists were masked to patient groupings. A total of 209 infants born at less than 27 weeks' gestation were tested for eligibility, and 206 infants were included. Efficacy analyses were performed on as-randomized groups on the intention-to-treat population and on the per-protocol population using as-treated groups. Statistical analyses were performed from February to April 2020. INTERVENTIONS Infants received either supplementation with an enteral oil providing AA (100mg/kg/d) and DHA (50mg/kg/d) (AA:DHA group) or no supplementation within 3 days after birth until 40 weeks' postmenstrual age. MAIN OUTCOMES AND MEASURES The primary outcomewas severe ROP (stage 3 and/or type 1). The secondary outcomes were AA and DHA serum levels and rates of other complications of preterm birth. RESULTS A total of 101 infants (58 boys [57.4%]; mean [SD] gestational age, 25.5 [1.5] weeks) were included in the AA:DHA group, and 105 infants (59 boys [56.2%]; mean [SD] gestational age, 25.5 [1.4] weeks) were included in the control group. Treatment with AA and DHA reduced severe ROP compared with the standard of care (16 of 101 [15.8%] in the AA:DHA group vs 35 of 105 [33.3%] in the control group; adjusted relative risk, 0.50 [95% CI, 0.28-0.91]; P =.02). The AA:DHA group had significantly higher fractions of AA and DHA in serum phospholipids compared with controls (overall mean difference in AA:DHA group, 0.82 mol% [95% CI, 0.46-1.18 mol%]; P <.001; overall mean difference in control group, 0.13 mol% [95% CI, 0.01-0.24 mol%]; P =.03). There were no significant differences between the AA:DHA group and the control group in the rates of bronchopulmonary dysplasia (48 of 101 [47.5%] vs 48 of 105 [45.7%]) and of any grade of intraventricular hemorrhage (43 of 101 [42.6%] vs 42 of 105 [40.0%]). In the AA:DHA group and control group, respectively, sepsis occurred in 42 of 101 infants (41.6%) and 53 of 105 infants (50.5%), serious adverse events occurred in 26 of 101 infants (25.7%) and 26 of 105 infants (24.8%), and 16 of 101 infants (15.8%) and 13 of 106 infants (12.3%) died. CONCLUSIONS AND RELEVANCE This study found that, compared with standard of care, enteral AA:DHA supplementation lowered the risk of severe ROP by 50% and showed overall higher serum levels of both AA and DHA. Enteral lipid supplementation with AA:DHA is a novel preventive strategy to decrease severe ROP in extremely preterm infants.
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| 44. |
- Hinz, Andreas, et al.
(författare)
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An investigation of the reaction mechanism for the promotion of propane oxidation over Pt/Al2O3 by SO2
- 2001
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Ingår i: Journal of Catalysis. - : Elsevier BV. - 0021-9517 .- 1090-2694. ; 201:2, s. 247-257
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Tidskriftsartikel (refereegranskat)abstract
- Total oxidation of propane with oxygen in the absence and the respective presence of SO2 in the feed gas was studied over 1 wt% Pt on gamma-Al2O3 using transient experiments with TAP (temporal analysis of products) and in situ DRIFT spectroscopy. The TAP experiments confirm the promoting role of SO2 on the conversion of propane and, moreover, show an inhibiting effect from SO2 on the conversion of the intermediate products propene and CO. In situ DRIFT spectroscopy reveals the formation of sulphate species on the catalyst surface and indicates the formation of an allylic intermediate in the absence of SO2 only. Interaction between hydrocarbon intermediates and the sulphate species is confirmed by the appearance of thiol fragments in the mass spectra. The transient experiments show that propane in the first step is irreversibly adsorbed at the surface. Analysis of the surface residence times of the products formed at the propane pulse in pump-probe experiments provides information about the reaction pathways. Without S02 in the feed gas, propane reacts consecutively in the sequence propane --> propene -->. ethane --> CO --> CO2. In the presence of SO2 the first step of the main route is the breaking of a C-C bond in propane producing ethane and a C-1 fragment, which then form CO and eventually CO2. It is suggested that the promoting effect by SO2 on the conversion of propane is due to the formation of an acidic site at the Pt/Al2O3/SO42-interface.
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| 45. |
- Högfeldt, Anna-Karin, et al.
(författare)
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Pedagogisk meritering på KTH - Samarbete, excellens och utbildningsinnovation
- 2019
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Ingår i: Bidrag från 7:e Utvecklingskonferensen för Sveriges ingenjörsutbildningar. - Luleå : Luleå University of Technology. ; , s. 76-81
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Konferensbidrag (refereegranskat)abstract
- Detta bidrag beskriver och analyserar förberedelsefasen inför implementeringen av ett högskolepedagogiskt excellensprogram vid Kungliga Tekniska Högskolan, KTH. Programmet syftar till att ytterligare stärka värdet av pedagogiska meriter och samtidigt bidra till lärosätets fortsatta och fördjupade utveckling av utbildningarna och organisationen. De tydligaste riskerna som har identifierats med befintliga pedagogiska meriteringsmodeller är att de kan skapa ett A- och B-lag (mellan en karriär som forskare och en karriär som lärare). Dessutom är det ofta oklart hur personer som har utnämnts till excellenta lärare ska kunna bidra till organisationens och utbildningens utveckling ur ett kortsiktigt såväl som ett långsiktigt perspektiv. En tydlig svaghet med befintliga pedagogiska meriteringsmodeller är att de inte explicit nog ger emfas till aktivt och relevant utvecklingsarbete, utan fokuserar på egenhändigt skrivna pedagogiska portföljer som sällan är framtidsinriktade. KTH:s högskolepedagogiska excellensprogram siktar på att försöka möta dessa risker och svagheter. KTH har, alltjämt sedan det nationella obligatoriet om 15 hp Högskolepedagogik infördes, kvarhållit detta obligatorium. Stora satsningar har gjorts på den högskolepedagogiska verksamheten. Ett gediget utbud av fortbildningsmöjligheter samt arenor för nätverkande har utvecklats. Samtidigt råder svagheter i systemet gällande prövande och tillvaratagande av pedagogisk skicklighet, och det är tydligt att KTH behöver ytterligare utveckling i området. Författarna menar också att i och med att de utmaningar vi står inför gällande pedagogisk meritering ser relativt lika ut vid landets lärosäten, bör ett stärkt nationellt samarbete och nätverkande inom landets ingenjörsutbildningar främjas inom området. Artikelförfattarna representerar KTH:s övergripande ledning, utbildningsledning samt ledningen för den högskolepedagogiska verksamheten.
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| 46. |
- Ivarsson, Magnus, et al.
(författare)
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Self-rating via video communication in children with disability - a feasibility study
- 2023
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Ingår i: Frontiers in Psychology. - : FRONTIERS MEDIA SA. - 1664-1078. ; 14
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundDifferent barriers may hinder children with developmental disabilities (DD) from having a voice in research and clinical interventions concerning fundamentally subjective phenomena, such as participation. It is not well-investigated if video communication tools have the potential to reduce these barriers. AimThis study investigated the feasibility of administering a self-rating instrument measuring participation, Picture My Participation (PmP), via a video communication tool (Zoom), to children with DD. Materials and methodsPmP was administered to 17 children with DD (mean age 13 years). The pictorial representations of activities and response options in PmP were displayed in a shared PowerPoint presentation, enabling nonverbal responses with the annotate function in Zoom. Child and interviewer perceptions of the interview were measured through questionnaires developed for the purpose. ResultsAll the children completed the interview. Most PmP questions were answered, and no adverse events were registered. Technical issues could generally be solved. No special training or expensive equipment was needed for the interviews. ConclusionInterviewer-guided self-ratings of participation and related constructs through video communication may be a feasible procedure to use with children with DD from age 11. SignificanceOffering video communication may increase children's chances to contribute subjective experiences in research and clinical practice.
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| 47. |
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| 48. |
- Kjellgren, Björn, et al.
(författare)
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Gärna pedagogisk utveckling - men inte utan tid och erkännande: Lärares syn på pedagogik och utvecklingsarbete
- 2020
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Konferensbidrag (refereegranskat)abstract
- Kvalitet i högre utbildning förutsätter ett kontinuerligt och hållbart engagemang för pedagogiskutveckling bland lärare och ledning. Universitetsledningens intentioner framgår i de styrdokument,handlingsplaner och visioner som tas fram på lärosätet och innehåller som regel fina ord omutbildningens betydelse även vid forskningstunga institutioner. Det är svårare att skaffa sig en bild avden undervisande personalens bild av detta, dels för att de flesta av dem inte är inkluderade idiskussionerna och dels för att det kan finnas ett gap mellan de frågor som lärare ser som relevantaoch de frågor ledningen är intresserad av att driva.Åren 2014-2016 genomförde KTH en satsning för att bredda det pedagogiska engagemanget ochminska avståndet mellan universitetets högskolepedagoger och övriga lärare genom att utsepedagogiskt intresserade lärare till pedagogiska utvecklare på deltid. Några av dessa pedagogiskautvecklare utvecklade en enkät för att undersöka hur den undervisande personalen såg på en radfrågor relaterade till arbetssituation, förutsättningar för eget och kollegialt lärande, undervisningensmeritvärde och tankar om nuvarande och framtida pedagogik. Undersökningen var också tänkt attutifrån ett kollegialt perspektiv utforska hur lärarna såg på den faktiska situationen jämfört med derasidealbild av universitetspedagogik och universitetsarbete. Tanken var även att följa utvecklingenlongitudinellt för att identifiera trender och resultat av pedagogiska satsningar. Enkäten har hittillsskickats ut två gånger, 2016 (2240 respondenter, 20,0% svarsfrekvens) och 2019 (2534 respondenter,16,8% svarsfrekvens).Vi kommer i vårt bidrag att redovisa några av de intressantare resultaten från undersökningarna ochdiskutera implikationerna av dessa både för lärare och för universitetsledning. Vi finner att det blandrespondenterna finns ett starkt pedagogiskt intresse och en tendens till ökat kollegialt samarbete kringpedagogik, något som i litteraturen lyfts fram som ett tecken på framgångsrika mikrokulturer. Det finnsockså en konstant syn på att universitetet inte gör tillräckligt för att stödja och premiera pedagogisktarbete och ett relativt svagt förtroende för universitetets pedagogiska ledarskap men också förstudenternas pedagogiska engagemang. Vi kommer också att lyfta fram studien som en potentiellmodell för gräsrotsdrivna pedagogiska initiativ och redogöra för den speciella arbetsgång som liggerbakom vårt arbete. Inför framtiden visar vi också på de effekter det kan tänkas få, exempelvis genomatt permanentas som en del av universitetets kvalitetssäkringsarbete. Sist men inte minst kommer viatt betona vikten av att lärarnas åsikter kopplas till studenternas upplevelser av lärmiljöer och till derasmöjligheter att reellt bidra till det pedagogiska förändringsarbetet vid universitetet.
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| 49. |
- Kjellgren, Björn, et al.
(författare)
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Looking from the inside: Peer-exploration of teaching and learning experiences and attitudes among faculty at a technical university
- 2020
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Ingår i: Proceedings of the 2020 IEEE Frontiers in Education Conference (FIE). - Uppsala : Institute of Electrical and Electronics Engineers (IEEE).
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Konferensbidrag (refereegranskat)abstract
- This full paper presentation starts with the understanding that in the present-day audit society, in which most academics also find themselves, assessment and probing are usually done from positions of higher authority, and not always with quality improvement as the main driving force. In the context of teaching and learning in higher education, this can result in pedagogical evaluations that seem to take uncalled-for interest in areas of little concern to teachers, potentially omitting areas of greater interest to them. In contrast, this paper describes the process and outcomes of a grass-roots initiative to assess the experiences and attitudes toward teaching and learning at the university among peers. In 2014, a university-financed project was launched at KTH Royal Institute of Technology to engage more teachers in the university’s educational development work. The university initially selected 24 self-nominated teachers who were given relatively free reins to work on educational development projects. This project was one of them.The assessment took the form of a survey targeting all teaching – or potentially teaching – faculty at the university, carried out first in 2016 and then repeated in 2019. The first survey was sent out to 2,204 respondents, and the second to 2,534 respondents, with response rates of 20% and 17% respectively. This paper will describe the process of designing these surveys, looking at what was asked about and what was not asked about, as well as the process of getting internal approval for sending them out to a survey-fatigued faculty. The paper also reports on the results in terms of both some key findings and in terms of the effect of the survey work itself on different stakeholders and potential agents of change at the university. Most importantly, however, this paper will discuss the conditions and prerequisites for grass-roots initiatives such as this to succeed, based on the literature and on the experiences gained through the survey work. Grounded in this discussion, we will suggest strategies to help teachers at other universities successfully repeat this or similar endeavours.
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| 50. |
- Kjellgren, Björn, et al.
(författare)
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The Pedagogical Developers Initiative – Sustainable Impact of Falling into Oblivion?
- 2018
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Ingår i: Proceedings of the 14th International CDIO Conference. - Kanazawa : Kanazawa Institute of Technology. ; , s. 738-747
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Konferensbidrag (refereegranskat)abstract
- Between 2014-16, KTH Royal Institute of Technology set aside considerable resources in its biggest pedagogical project to date, the Pedagogical Developers Initiative. The project has been continuously reported on at recent CDIO conferences. While aimed primarily at CDIO Standard 10, enhancement of faculty teaching competence, the project managed, by design as much as through accident, to strengthen many CDIO standards and syllabus items. With the conclusion of the project, the constructive practices and ideas that emerged from the initiative were meant to be incorporated into the regular operations of the university, a task that was delegated to each of KTH’s ten schools. However, even though KTH officially labelled the project a success, the schools have taken a non-uniform approach to this endeavour, as they indeed had done to the project as a whole during its duration. Following up on our earlier reports, and primarily using data from interviews and our own observations, the paper looks at which of the initiative’s ideas and practices have survived the end of the project, in what forms, by what means, and what insights and lessons one can draw from this when designing mechanisms for continuous and sustainable improvement of pedagogical practices at a technical university.
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