| 1. |
- Andersson, Frida, et al.
(författare)
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Design for Manufacturing of Composite Structures for Commercial Aircraft : The Development of a DFM strategy at SAAB Aerostructures
- 2014
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Ingår i: Procedia CIRP. - : Elsevier. - 2212-8271. ; 17, s. 362-367
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Tidskriftsartikel (refereegranskat)abstract
- Within the aircraft industry, the use of composite materials such as carbon fiber reinforced plastics (CFRPs) is steadily increasing, especially in structural parts. Manufacturability needs to be considered in aircraft design to ensure a cost-effective manufacturing process. The aim of this paper is to describe the development of a new strategy for how SAAB Aerostructures addressing manufacturability issues during the development of airframe composite structures. Through literature review, benchmarking and company interviews, a design for manufacturing (DFM) strategy was developed. The strategy ensures that the important factors for successful DEM management are implemented on strategic, tactical and operational levels that contribute to a more cost-efficient product development process and aircraft design.
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| 2. |
- Björkman, Frida, et al.
(författare)
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Antiinflammatoriska medel troliga storsäljare i OS
- 2012
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Ingår i: Svensk Idrottsforskning. - 1103-4629. ; :2, s. 40-43
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Det är mycket vanligt att idrottare använder antiinflammatoriska läkemedel både för att behandla skador och döva smärta. Hur lämpligt är det att använda preparaten under hård träning och tävling, och vad kan medicineringen ha för konsekvenser?
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| 3. |
- Björkman, Frida, et al.
(författare)
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Hur farlig är multisport?
- 2011
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Ingår i: Svensk IdrottsMedicin. - 1103-7652. ; 30:4, s. 8-11
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Den övervägande delen av deltagarna i större multisporttävlingar drabbas av någon typ av skada som i de flesta fall är lindrig. Men det är ändå ingen tvekan om att multisport kan vara farligt. Det ställs höga krav på medicinsk personal att kunna hantera en mångfald av skador och sjukdomar.
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| 4. |
- Björkman, Frida Maria Eleonora
(författare)
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Validity and reliability of a submaximal cycle ergometer test for estimation of maximal oxygen uptake
- 2017
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Maximal oxygen uptake (VO2max) is the highest obtained rate of oxygen consumption during a physically intense dynamic whole-body activity. VO2max is an important factor for many types of physical performance, as well as a strong independent predictor of health and longevity. Thus, it is important to have accurate and precise methods for assessment of VO2max.A direct measurement of VO2max is often conducted via indirect calorimetry during maximal exercise. The demand for maximal effort from an individual, along with the need for laboratory equipment, makes direct measurements unsuitable in the general, non-athlete population. There are also a number of contraindications that limit the possibility to conduct direct measurements of VO2max in many settings. Instead, several other exercise tests have been developed in order to facilitate the procedure of determination and evaluation of cardiorespiratory fitness in different populations. These tests can be either of submaximal or maximal character. Commonly used work modes are stepping, walking, and cycling. The overall aim of this thesis was to describe the background to, and the development of, submaximal cycle ergometer tests for estimation of VO2max.The present thesis focuses on the validity and reliability of a new submaximal cycle ergometer test – the Ekblom-Bak test (EB test). The first study described the test procedure for the new cycle ergometer test and the creation of an accompanying mathematical model (prediction equation) for estimation of VO2max. The development of the test and its associated prediction equation was continued in study II, while it was further validated in adults and adolescents in study II and IV. Study III examined the ability to use a submaximal cycle ergometer test in order to detect changes in VO2max over time.The EB test comprises of 8 minutes of continuous cycling – 4 minutes at 0.5 kp, followed by 4 minutes at a higher, individually chosen work rate – with a pedalling rate of 60 revolutions per minute. The test measures the change in HR (ΔHR) between the two different work rates (ΔPO), and the variable ΔHR/ΔPO was obtained and linked to measured VO2max. In study I, the validity and reliability of the EB test and the associated prediction equation was tested in a mixed population with regard to sex, age, and physical activity status. The subjects performed repeated submaximal cycle ergometer tests and maximal running tests for direct determination of VO2max (reference value). There was a strong correlation between estimated and measured VO2max, with an adjusted R2 of 0.82 and a corresponding coefficient of variation (CV) of 9.3%. Although there was a relatively high precision in the estimation of VO2max by the prediction equation, it was evident that individuals with high VO2max were underestimated and individuals with low VO2max were overestimated. This issue was further addressed in study II.In study II, the size of the study population was increased, in order to broaden the valid range and evaluate the use of sex-specific prediction equations. The estimation error was slightly decreased, and the sex-specific prediction equations resulted in an adjusted R2 of 0.91 and a CV of 8.7% in the whole group. The new models were also evaluated in a cross-validation group, where the adjusted R2 was 0.90 and CV 9.4%.The relation between the estimation error and changes in VO2max over time was investigated in study III. Follow-up tests were conducted in 35 subjects, in order to examine the conformity between changes in measured and estimated VO2max over a timespan of 5 to 8 years. Results showed a moderate correlation between change in measured VO2max and change in estimated VO2max (r = 0.75). Changes in body mass or changes in work efficiency did not relate to the change in assessment error. In study IV, the aim was to determine the applicability and validity of the EB test in pre-pubertal and pubertal adolescents. Medical examinations and assessment of sexual maturity (according to the stages of Tanner) were performed in addition to the physical tests. The included subjects (n = 50) were 10 to 15 years old and in Tanner stages I–IV. The measurement error (the difference between measured and estimated VO2max) was related to maturity in boys, but not in girls. The measurement error decreased for the whole group when the equation developed for women was used for the boys in Tanner I and II. This modification in the calculations of VO2max resulted in an adjusted R2 of 0.83 and SEE 0.23 L/min. Hence, the most accurate prediction of VO2max from the EB test is generated if the test result is accompanied by ratings of sexual maturity in adolescents. Analysis of the test-retest values showed no significant change in estimated VO2max from repeated tests within two weeks of each other. In summary, the EB test proved to be a reliable and valid test throughout a wide range of ages (20 to 85 years) and fitness levels (1.33 to 3.94 L/min in women, and 1.67 to 5.97 L/min in men). The test was also found to be useful and reasonably valid for determination of VO2max in pre-pubertal and pubertal adolescents, preferably after adjustment for sexual maturity status in boys. Furthermore, it was shown that the EB test captured fairly well an actual change in VO2max during a period of 5 to 8 years. However, it is still unknown whether the test has an acceptable sensitivity for detection of a training-induced increase in VO2max. Further studies are needed to evaluate if the test can be used in diseased individuals with or without different medications. The EB test can be used in health-related clinical settings, sports and fitness clubs.
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| 5. |
- Björkman, Frida, et al.
(författare)
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Physical Exercise as Treatment for PTSD : A Systematic Review and Meta-Analysis.
- 2022
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Ingår i: Military medicine. - : Oxford University Press. - 0026-4075 .- 1930-613X. ; 187:9-10, s. 1103-e1113
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Forskningsöversikt (refereegranskat)abstract
- INTRODUCTION: Post-traumatic stress disorder (PTSD) is a cluster of physical and psychiatric symptoms following military or civilian trauma. The effect of exercise on PTSD symptoms has previously been investigated in several studies. However, it has not been fully determined what type of exercise most impacts PTSD symptoms. The aim of the present study was to systematically review the effects of different types of exercise on PTSD symptom severity and symptoms of coexisting conditions in adults.MATERIALS AND METHODS: Electronic searches were conducted in the databases PubMed, APA PsycInfo, and SportDiscus, from database inception up until February 1, 2021. Inclusion criteria were randomized controlled trials published in English, participants having a PTSD diagnosis or clinically relevant symptoms, and participants randomly allocated to either a non-exercising control group or an exercise group. Data concerning the number of participants, age, exercise type and duration, PTSD symptom severity (primary outcome), and symptoms of coexisting conditions (secondary outcomes) were extracted. The subgroup analysis included high or low training dose, military trauma versus non-military trauma, the type of intervention (yoga versus other exercise), active or passive control condition, group training versus individual exercise, and study quality. The study quality and risk of bias were assessed using grading of recommendation assessment, development and evaluation (GRADE) guidelines. A meta-analysis was performed with a mixed-effects model and restricted maximum likelihood as model estimator, and effect size was calculated as the standardized difference in mean and 95% CI.RESULTS: Eleven studies were included in the present review. Results showed a main random effect of exercise intervention (0.46; 95% CI: 0.18 to 0.74) and a borderline significant interaction between more voluminous (>20 hours in total) and less voluminous (≤20 hours in total) exercise interventions (P = .07). No significant findings from the subgroup analysis were reported. The secondary outcome analysis showed a small but significant effect of exercise on depressive symptoms (0.20, 95% CI: 0.01 to 0.38), and a larger effect on sleep (0.51, 95% CI: 0.29 to 0.73). For substance use (alcohol and drugs combined) and quality of life, we found significant effects of 0.52 (95% CI: 0.06 to 0.98) and 0.51 (95% CI: 0.34 to 0.69), respectively. No significant effect was found for anxiety (0.18, 95% CI: -0.15 to 0.51), and no sign of publication bias was found.CONCLUSIONS: Exercise can be an effective addition to PTSD treatment, and greater amounts of exercise may provide more benefits. However, as there were no differences found between exercise type, possibly due to the inclusion of a low number of studies using different methodologies, further research should aim to investigate the optimal type, dose, and duration of activity that are most beneficial to persons with PTSD.
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| 6. |
- Björkman, Frida, et al.
(författare)
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Regular moist snuff dipping does not affect endurance exercise performance
- 2017
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Ingår i: Plos One. - : Public Library of Science (PLoS). - 1932-6203. ; 12:7
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Tidskriftsartikel (refereegranskat)abstract
- Physiological and medical effects of snuff have previously been obtained either in cross-sectional studies or after snuff administration to non-tobacco users. The effects of snuff cessation after several years of daily use are unknown. 24 participants with >2 years of daily snuff-use were tested before and after >6 weeks snuff cessation (SCG). A control group (CO) of 11 snuff users kept their normal habits. Resting heart rate (HR) and blood pressure (BP) were significantly lower in SCG after snuff cessation, and body mass was increased by 1.4 +/- 1.7 kg. Total cholesterol increased from 4.12 +/- 0.54 (95% CI 3.89-4.35) to 4.46 +/- 0.70 (95% CI 4.16-4.75) mM L-1 in SCG, due to increased LDL, and this change was significantly different from CO. Resting values of HDL, C-reactive protein, and free fatty acids (FFA) remained unchanged in both groups. In SCG group, both HR and BP were reduced during a four-stage incremental cycling test (from 50 to 80% of VO(2)max) and a prolonged cycling test (60 min at 50% of VO(2)max). Oxygen uptake (VO2), respiratory exchange ratio, blood lactate (bLa) and blood glucose (bGlu) concentration, and rate of perceived exertion (RPE) were unchanged. In CO group, all measurements were unchanged. During the prolonged cycling test, FFA was reduced, but with no significant difference between groups. During the maximal treadmill running test peak values of VO2, pulmonary ventilation (VE), time to exhaustion and bLa were unchanged in both groups. In conclusion, endurance exercise performance (VO(2)dmax and maximal endurance time) does not seem to be affected by prolonged snuff use, while effects on cardiovascular risk factors are contradictory. HR and BP during rest and submaximal exercise are reduced after cessation of regular use of snuff. Evidently, the long-time adrenergic stress on circulation is reversible.
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| 7. |
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| 8. |
- Björkman, Frida, et al.
(författare)
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Sex and maturity status affected the validity of a submaximal cycle test in adolescents.
- 2018
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 107:1, s. 126-133
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Tidskriftsartikel (refereegranskat)abstract
- AIM: This study assessed the validity and reliability of the Ekblom-Bak (EB) submaximal cycle test in adolescents and identified any sex- or maturity-related factors for prediction errors.METHODS: We recruited 50 healthy subjects through a public announcement in Stockholm, Sweden, in 2016. The 27 boys and 23 girls were aged 10-15 years and in Tanner stages I-IV. They performed an EB test and incremental treadmill running test for direct measurement of maximal oxygen uptake (VO2 max).RESULTS: The estimation error of VO2 max was 0.09 L/min. The correlation (r) was 0.86, and the standard error of the estimate (SEE) was 0.29 L/min. The largest overestimation was seen in prepubertal boys (0.49 L/min). The best precision of the EB test was achieved when boys in Tanner stages I and II were re-calculated using the prediction equation developed for adult women. This yielded a mean difference of -0.05 L/min, r = 0.92 and SEE 0.23 L/min, in the entire sample. The prediction error was lowered in boys, but not girls, with increasing pubertal maturity.CONCLUSION: The EB test was reasonably valid in adolescents, seemed to be related to sex and maturity status, and our findings support its use.
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| 9. |
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| 10. |
- Björkman, Frida, et al.
(författare)
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The ability of a submaximal cycle ergometer test to detect longitudinal changes in VO2max.
- 2021
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Ingår i: BMC sports science, medicine & rehabilitation. - : BioMed Central. - 2052-1847. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The purpose of the present study was to examine the ability of a submaximal cycling test to detect longitudinal changes in maximal oxygen uptake (VO2max) and examine the conformity between changes in measured and estimated VO2max over a time span of 5-8 years.METHODS: A total of 35 participants (21 men and 14 women), aged 29 to 63 years, performed the Ekblom-Bak (EB) submaximal cycle test for estimation of VO2max and a maximal treadmill running test for direct measurement of VO2max. The baseline tests were conducted between 2009 and 2012, and the follow-up tests were completed 5 to 8 years later. Pearson's coefficient of correlation (r) and paired sample t-test were used to analyse the association between change in measured and estimated VO2max. Random and systematic errors between the measured and estimated VO2max were evaluated using Bland-Altman plots. Repeated measures ANOVA were used to test differences between changes over time.RESULTS: There was no significant change in mean measured VO2max between baseline and follow-up (p = 0.91), however large individual variations were noted (- 0.78 to 0.61 L/min). The correlation between individual change in measured and estimated VO2max was r = 0.75 (p < 0.05), and the unstandardised B-coefficient from linear regression modelling was 0.88 (95% CI 0.61 to 1.15), i.e., for each litre of change in estimated VO2max, the measured value had changed 0.88 L. The correlation between baseline and follow-up errors (the difference between estimated-measured VO2max at each occasion) was r = 0.84 (p < 0.05). With regard to the testing procedure, repeated measures ANOVA revealed that there was no significant difference between the group who exercised at the same work rates at baseline and follow-up (n = 25), and those who required a change in work rate (n = 10).CONCLUSIONS: The EB test detected a change in VO2max with reasonably good precision over a time span of 5-8 years. Further studies are needed to evaluate if the test can be used in clinical populations and in subjects with different medications.
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| 11. |
- Björkman, Frida, et al.
(författare)
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Validity of the revised Ekblom Bak cycle ergometer test in adults.
- 2016
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Ingår i: European Journal of Applied Physiology. - : Springer Science and Business Media LLC. - 1439-6319 .- 1439-6327. ; 116:9, s. 1627-1638
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To further develop the Ekblom Bak-test prediction equation for estimation of VO2max from submaximal cycle ergometry.METHODS: The model group (117 men and 100 women, aged 48.3 ± 15.7 and 46.1 ± 16.8 years, VO2max 46.6 ± 11.1 and 40.4 ± 9.6 mL kg(-1) min(-1), respectively) and the cross-validation group (60 men and 55 women, aged 40.6 ± 17.1 and 41.6 ± 16.7 years, VO2max 49.0 ± 12.1 and 43.2 ± 8.9 mL min(-1) kg(-1), respectively) performed 4 min of cycling on a standard work rate (30 W) directly followed by 4 min on a higher work rate. Heart rate (HR) at each work rate was recorded. Thereafter, participants completed a graded maximal treadmill test for direct measurement of oxygen uptake. The new prediction equation was cross-validated and accuracy compared with the original Ekblom Bak equation as well as by the Åstrand test method.RESULTS: The final sex-specific regression models included age, change in HR per-unit change in power (ΔHR/ΔPO), the difference in work rates (ΔPO), and HR at standard work rate as independent variables. The adjusted R (2) for the final models were 0.86 in men and 0.83 in women. The coefficient of variation (CV) was 8.7 % and SEE 0.28 L min(-1). The corresponding CV and SEE values for the EB-test2012 and the Åstrand tests were 10.9 and 18.1 % and 0.35 and 0.48 L min(-1), respectively.CONCLUSION: The new EB-test prediction equation provides an easy administered and valid estimation of VO2max for a wide variety of ages (20-86 years) and fitness levels (19-76 mL kg(-1) min(-1)).
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| 12. |
- Björkman, Ida, et al.
(författare)
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Gender differences when using sedative music during colonoscopy
- 2013
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Ingår i: Gastroenterology Nursing. - : Lippincott Williams & Wilkins. - 1042-895X .- 1538-9766. ; 36:1, s. 14-20
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Tidskriftsartikel (refereegranskat)abstract
- Colonoscopy is a procedure often experienced as uncomfortable and worrying. Music has been reported to reduce discomfort during colonoscopy; however, no study in a Swedish setting has been found. The purpose of this randomized controlled trial was to analyze the effects of sedative music on patients' experience of anxiety, pain, relaxation, and well-being during colonoscopy. Prior to colonoscopy, adult patients (n = 120), aged 18–80 years, were randomly assigned to either an intervention group (n = 60) who listened to sedative instrumental music with 60–80 beats per minute during the colonoscopy or a control group. After the colonoscopy, both groups completed a questionnaire on anxiety, the State Trait Anxiety Inventory, and an anxiety Visual Analogue Scale. Pain, relaxation, and well-being were also measured with Visual Analogue Scales. Women in the intervention group had a lower level of anxiety during the colonoscopy than those in the control group (p = .007) and well-being was significantly higher in the intervention group, especially among men, than in the controls (p = .006 and p = .025, respectively). Men in the intervention group were more relaxed during the colonoscopy than those in the control group (p = .065). Listening to sedative music decreased anxiety among women and increased well-being among men during colonoscopy.
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| 13. |
- Ekblom-Bak, Elin, et al.
(författare)
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A new submaximal cycle ergometer test for prediction of VO(2max).
- 2014
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Ingår i: Scandinavian Journal of Medicine and Science in Sports. - : Wiley. - 0905-7188 .- 1600-0838. ; 24:2, s. 319-326
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Tidskriftsartikel (refereegranskat)abstract
- Maximal oxygen uptake (VO(2max) ) is an important, independent predictor of cardiovascular health and mortality. Despite this, it is rarely measured in clinical practice. The aim of this study was to create and evaluate a submaximal cycle ergometry test based on change in heart rate (HR) between a lower standard work rate and an individually chosen higher work rate. In a mixed population (n = 143) with regard to sex (55% women), age (21-65 years), and activity status (inactive to highly active), a model included change in HR per unit change in power, sex, and age for the best estimate of VO(2max) . The association between estimated and observed VO(2max) for the mixed sample was r = 0.91, standard error of estimate = 0.302 L/min, and mean measured VO(2max) = 3.23 L/min. The corresponding coefficient of variation was 9.3%, a significantly improved precision compared with one of the most commonly used submaximal exercise tests, the Åstrand test, which in the present study was estimated to be 18.1%. Test-retest reliability analysis over 1 week revealed no mean difference in the estimated VO(2max) (-0.02 L/min, 95% confidence interval: -0.07-0.03). The new test is low-risk, easily administered, and valid for a wide capacity range, and is therefore suitable in situations as health evaluations in the general population.
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| 14. |
- El-Tawil, Asmaa, et al.
(författare)
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Influence of Modified Bio-Coals on Carbonization and Bio-Coke Reactivity
- 2021
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Ingår i: Metals. - : MDPI. - 2075-4701. ; 12:1
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Tidskriftsartikel (refereegranskat)abstract
- Substitution of coal in coking coal blend with bio-coal is a potential way to reduce fossil CO2 emissions from iron and steelmaking. The current study aims to explore possible means to counteract negative influence from bio-coal in cokemaking. Washing and kaolin coating of bio-coals were conducted to remove or bind part of the compounds in the bio-coal ash that catalyzes the gasification of coke with CO2. To further explore how the increase in coke reactivity is related to more reactive carbon in bio-coal or catalytic oxides in bio-coal ash, ash was produced from a corresponding amount of bio-coal and added to the coking coal blend for carbonization. The reaction behavior of coals and bio-coals under carbonization conditions was studied in a thermogravimetric analyzer equipped with a mass spectrometer during carbonization. The impact of the bio-coal addition on the fluidity of the coking coal blend was studied in optical dilatometer tests for coking coal blends with and without the addition of bio-coal or bio-coal ash. The result shows that the washing of bio-coal will result in lower or even negative dilatation. The washing of bio-coals containing a higher amount of catalytic components will reduce the negative effect on bio-coke reactivity, especially with acetic acid washing when the start of gasification temperature is less lowered. The addition of bio-coal coated with 5% kaolin do not significantly lower the dilatation-relative reference coking coal blend. The reactivity of bio-cokes containing bio-coal coated with kaolin-containing potassium oxide was higher in comparison to bio-coke containing the original bio-coal. The addition of ash from 5% of torrefied bio-coals has a moderate effect on lowering the start of gasification temperature, which indicates that the reactive carbon originating from bio-coal has a larger impact.
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| 15. |
- Elmendorf, Sarah C., et al.
(författare)
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Global assessment of experimental climate warming on tundra vegetation : heterogeneity over space and time
- 2012
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Ingår i: Ecology Letters. - : Wiley. - 1461-023X .- 1461-0248. ; 15:2, s. 164-175
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Forskningsöversikt (refereegranskat)abstract
- Understanding the sensitivity of tundra vegetation to climate warming is critical to forecasting future biodiversity and vegetation feedbacks to climate. In situ warming experiments accelerate climate change on a small scale to forecast responses of local plant communities. Limitations of this approach include the apparent site-specificity of results and uncertainty about the power of short-term studies to anticipate longer term change. We address these issues with a synthesis of 61 experimental warming studies, of up to 20 years duration, in tundra sites worldwide. The response of plant groups to warming often differed with ambient summer temperature, soil moisture and experimental duration. Shrubs increased with warming only where ambient temperature was high, whereas graminoids increased primarily in the coldest study sites. Linear increases in effect size over time were frequently observed. There was little indication of saturating or accelerating effects, as would be predicted if negative or positive vegetation feedbacks were common. These results indicate that tundra vegetation exhibits strong regional variation in response to warming, and that in vulnerable regions, cumulative effects of long-term warming on tundra vegetation and associated ecosystem consequences have the potential to be much greater than we have observed to date.
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| 16. |
- Kramshøj, Magnus, et al.
(författare)
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Volatile emissions from thawing permafrost soils are influenced by meltwater drainage conditions
- 2019
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Ingår i: Global Change Biology. - : Wiley. - 1354-1013 .- 1365-2486. ; 25:5, s. 1704-1716
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Tidskriftsartikel (refereegranskat)abstract
- © 2019 John Wiley & Sons Ltd Vast amounts of carbon are bound in both active layer and permafrost soils in the Arctic. As a consequence of climate warming, the depth of the active layer is increasing in size and permafrost soils are thawing. We hypothesize that pulses of biogenic volatile organic compounds are released from the near-surface active layer during spring, and during late summer season from thawing permafrost, while the subsequent biogeochemical processes occurring in thawed soils also lead to emissions. Biogenic volatile organic compounds are reactive gases that have both negative and positive climate forcing impacts when introduced to the Arctic atmosphere, and the knowledge of their emission magnitude and pattern is necessary to construct reliable climate models. However, it is unclear how different ecosystems and environmental factors such as drainage conditions upon permafrost thaw affect the emission and compound composition. Here we show that incubations of frozen B horizon of the active layer and permafrost soils collected from a High Arctic heath and fen release a range of biogenic volatile organic compounds upon thaw and during subsequent incubation experiments at temperatures of 10°C and 20°C. Meltwater drainage in the fen soils increased emission rates nine times, while having no effect in the drier heath soils. Emissions generally increased with temperature, and emission profiles for the fen soils were dominated by benzenoids and alkanes, while benzenoids, ketones, and alcohols dominated in heath soils. Our results emphasize that future changes affecting the drainage conditions of the Arctic tundra will have a large influence on volatile emissions from thawing permafrost soils – particularly in wetland/fen areas.
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| 17. |
- Lundin Gurné, Frida, et al.
(författare)
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District nurses' perspectives on health-promotive and disease-preventive work at primary health care centres: A qualitative study.
- 2023
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Ingår i: Scandinavian journal of caring sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 37:1, s. 153-162
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Tidskriftsartikel (refereegranskat)abstract
- Health promotion and disease prevention are of utmost importance for sustainable health care and primary health care. District nurses play a key role in primary health care centres, where they meet people suffering from, and/or having risk factors for, non-communicable diseases.The study aim was to describe district nurses' perspectives on their health-promotive/disease-preventive work at primary health care centres.Interviews were conducted with 16 district nurses at primary health care centres in Sweden. An interpretive descriptive approach was employed for the analysis.The district nurses integrated a focus on health-promotive and disease-preventive work into every patient encounter, which manifested through four intertwined themes: finding opportunities and striving for visibility; building relationships; considering patients' life situations; and inviting patients to share responsibility. Our findings show how, through a flexible approach, the district nurses strived for equal health and care for all, and how the care was built on a shared responsibility between the district nurse and patient, where district nurses aimed to empower patients to take action for their own health.The district nurses described health-promotive endeavours, in line with person-centred care in prioritising building relationships with patients, starting from their lived experience. They spoke of barriers, at both micro and macro levels, to health-promotive/disease-preventive work. These included language barriers, the impact of the media, and the overall organisation of primary health care. The work at primary health care centres should be restructured to clarify the district nurse's role, and to strengthen community outreach, and thereby improve individuals' access to support in lifestyle changes.
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| 18. |
- Lundin Gurné, Frida, et al.
(författare)
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Seeking lifestyle counselling at primary health care centres: a cross-sectional study in the Swedish population
- 2023
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Ingår i: BMC Primary Care. - : Springer Science and Business Media LLC. - 2731-4553. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Millions of people follow an unhealthy lifestyle in terms of tobacco consumption, hazardous use of alcohol, poor eating habits, and insufficient physical activity. Healthy lifestyles can to a large extent prevent and/or delay progression of non-communicable diseases. Factors influencing persons health-seeking behaviour regarding unhealthy lifestyles are of importance for sustainable health-promotive and disease-preventive work in primary health care. Generally, lifestyle interventions within primary health care are seen as feasible, but rarely reach all members of the general population. Few studies have been conducted about the likelihood among the general population to voluntarily contact a primary health care centre for support regarding lifestyle changes. The present study therefore aimed to investigate the general population’s likelihood of contacting a primary health care centre regarding their lifestyles, and factors associated with a lower such likelihood. Methods: A probability sample of adults living in Sweden (n = 3750) were invited to participate in a cross-sectional survey regarding how societal developments affect attitudes and behaviours of the adult Swedish population. Data were collected between September and December 2020. Participants completed a questionnaire about lifestyle changes, and the data were analysed using descriptive statistics, Chi-square test and logistic regression analysis. Results: The response rate was 52.0% (n = 1 896). Few persons responded that they would be likely to contact a primary health care centre for support regarding their lifestyles. Factors predicting a lower likelihood of contacting primary health care included few yearly visits to a primary health care centre, male sex, and living in a rural area. Conclusions: Primary health care centres are not the first choice for lifestyle counselling for the majority of adults living in Sweden. We have identified factors predicting low likelihood of using the support available at these centres. In order to work with sustainable and visible health-promotive and disease-preventive strategies at primary health care centres, these settings need to find valid methods to involve and collaborate with the members of the general community, to meet the needs of a population struggling with unhealthy lifestyles.
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| 19. |
- Malesevic, Nebojsa, et al.
(författare)
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Exploration of sensations evoked during electrical stimulation of the median nerve at the wrist level
- 2023
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Ingår i: Journal of Neural Engineering. - 1741-2560 .- 1741-2552. ; 20:6
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Tidskriftsartikel (refereegranskat)abstract
- Objective. Nerve rehabilitation following nerve injury or surgery at the wrist level is a lengthy process during which not only peripheral nerves regrow towards receptors and muscles, but also the brain undergoes plastic changes. As a result, at the time when nerves reach their targets, the brain might have already allocated some of the areas within the somatosensory cortex that originally processed hand signals to some other regions of the body. The aim of this study is to show that it is possible to evoke a variety of somatotopic sensations related to the hand while stimulating proximally to the injury, therefore, providing the brain with the relevant inputs from the hand regions affected by the nerve damage. Approach. This study included electrical stimulation of 28 able-bodied participants where an electrode that acted as a cathode was placed above the Median nerve at the wrist level. The parameters of electrical stimulation, amplitude, frequency, and pulse shape, were modulated within predefined ranges to evaluate their influence on the evoked sensations. Main results. Using this methodology, the participants reported a wide variety of somatotopic sensations from the hand regions distal to the stimulation electrode. Significance. Furthermore, to propose an accelerated stimulation tuning procedure that could be implemented in a clinical protocol and/or standalone device for providing meaningful sensations to the somatosensory cortex during nerve regeneration, we trained machine-learning techniques using the gathered data to predict the location/area, naturalness, and sensation type of the evoked sensations following different stimulation patterns.
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- Mattsson, C. Mikael, et al.
(författare)
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Regular moist snuff dipping does not affect endurance exercise performance
- 2013
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Konferensbidrag (refereegranskat)abstract
- Physiological and medical effects of snuff have previously been obtained either in cross-sectional studies or after snuff administration to non-tobacco users, but the effects of snuff cessation (SC) after several years of daily use on individual level are unknown. 24 participants with >2 years of daily snuff-use were tested before and after >6 weeks SC (SCG), together with a control group (CO) of 11 snuff users who kept their normal habits. Resting heart rate (HR) was significantly lower in SCG after SC. Body mass in SCG group increased by 1.4 ± 1.7 kg and blood pressure (BP) were reduced, but without significant differences between groups. Total cholesterol increased from 4.12 ± 0.54 (95% CI 3.89–4.35) to 4.46 ± 0.70 (95% CI 4.16–4.75) mM/L in SCG, due to increased LDL, and this change was significantly different from CO. Resting values of HDL, C-reactive protein, and free fatty acids (FFA) remained unchanged in both groups. During a four-stage incremental (from 50 to 80% of VO2max) and a prolonged (60 min at 50% of VO2max) cycling test HR and BP were reduced in SCG, while oxygen uptake (VO2), respiratory exchange ratio, blood lactate (bLa) and blood glucose (bGlu) concentration, and rate of perceived exertion were unchanged. All measurements were unchanged in CO. During the prolonged exercise FFA was reduced but there was no significant difference between groups. During the maximal treadmill running test peak values of VO2, pulmonary ventilation (VE), time to exhaustion and bLa were unchanged in both groups. In conclusion, endurance exercise performance (VO2max and maximal endurance time) does not seem to be affected by prolonged snuff use, while effects on cardiovascular risk factors are contradictory.
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