| 1. |
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| 2. |
- Svedberg, U. R. A., et al.
(författare)
-
Emission of hexanal and carbon monoxide from storage of wood pellets, a potential occupational and domestic health hazard
- 2004
-
Ingår i: Annals of Occupational Hygiene. - : Oxford University Press (OUP). - 0003-4878 .- 1475-3162. ; 48:4, s. 339-349
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives: The objective of the present study was to investigate and describe the emissions of volatile compounds, particularly hexanal and carbon monoxide, from large- and small-scale storage of wood pellets.Methods: Air sampling was performed with Fourier transform infrared spectroscopy and adsorbent sampling in pellet warehouses, domestic storage rooms, lumber kiln dryers and experimental set-ups. Literature studies were included to describe the formation of hexanal and carbon monoxide and the toxicology of hexanal.Results: A geometric mean aldehyde level of 111 +/- 32 mg/m(3) was found in one warehouse, with a peak reading of 156 mg/m(3). A maximum aldehyde reading of 457 mg/m(3) was recorded at the surface of a pellet pile. Hexanal (70-80% w/w) and pentanal (10-15% w/w) dominated, but acetone (821 +/- 24 mg/m(3)), methanol (18 7 mg/m(3)) and carbon monoxide (56 +/- 4 mg/m(3)) were also found. The emissions in a domestic storage room varied with the ambient temperature and peaked after 2 months storage in the midst of the warm season. Aldehyde levels of 98 +/- 4 mg/m(3) and carbon monoxide levels of 123 +/- 10 mg/m(3) were recorded inside such storage rooms. Elevated levels of hexanal (0.084 mg/m(3)) were recorded inside domestic housing and 6 mg/m(3) in a room adjacent to a poorly sealed storage area. Experimental laboratory studies confirmed the findings of the field studies. A field study of the emissions from industrial lumber drying also showed the formation of aldehydes and carbon monoxide.Conclusions: High levels of hexanal and carbon monoxide were strongly associated with storage of wood pellets and may constitute an occupational and domestic health hazard. The results from lumber drying show that the emissions of hexanal and carbon monoxide are not limited to wood pellets but are caused by general degradation processes of wood, facilitated by drying at elevated temperature. Emission of carbon monoxide from wood materials at low temperatures (<100degreesC) has not previously been reported in the literature. We postulate that carbon monoxide is formed due to autoxidative degradation of fats and fatty acids. A toxicological literature survey showed that the available scientific information on hexanal is insufficient to determine the potential risks to health. However, the data presented in this paper seem sufficient to undertake preventive measures to reduce exposure to hexanal.
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| 3. |
- Andersson, T, et al.
(författare)
-
Community-based prevention of perinatal deaths : lessons from nineteenth-century Sweden.
- 2000
-
Ingår i: International Journal of Epidemiology. - : Oxford University Press (OUP). - 0300-5771 .- 1464-3685. ; 29:3, s. 542-8
-
Tidskriftsartikel (refereegranskat)abstract
- Poor reproductive history, particularly previously high perinatal mortality, is associated with high perinatal mortality. Midwifery-assisted at home deliveries successfully reduced perinatal mortality.
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| 4. |
- Andersson, T, et al.
(författare)
-
Swedish maternal mortality in the 19th century by different definitions : previous stillbirths but not multiparity risk factor for maternal death.
- 2000
-
Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - : Wiley. - 0001-6349 .- 1600-0412. ; 79:8, s. 679-86
-
Tidskriftsartikel (refereegranskat)abstract
- In conclusion, this study shows that the mother's reproductive history was the most important risk factor measured for all definitions of maternal death. Grand multiparity did not increase the risk of maternal death. Maternal mortality ratio varied threefold in the study population, depending on the definition used. The high mortality ratios found in this study, only declining by the end of the century, should be interpreted as a general condition of the society since no significant differences could be perceived regarding social class, while unmarried women were more at risk.
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| 5. |
- Andersson, T, et al.
(författare)
-
The impact of neonatal mortality on subsequent survival in rural Ethiopia.
- 2002
-
Ingår i: Annals of Tropical Paediatrics. - 0272-4936 .- 1465-3281. ; 22:1, s. 25-32
-
Tidskriftsartikel (refereegranskat)abstract
- In countries where most deliveries occur at home and most available information is hospital-based, accurate information on neonatal mortality is difficult to obtain. This study was conducted in a rural community in Ethiopia that has been under monthly demographic surveillance since 1987. The analysis in this paper was based on data collected in the 1st decade (1987-96) and this database was used to calculate mortality incidence rates and analyse survival. The overall neonatal mortality rate was 27/1000 live births (95% CI 24.5-29.5). The rates in the early and late neonatal periods were 20 and 8/1000 live births, respectively (95% CIs 18.0-22.9 and 6.6-9.4). The mortality incidence rates show that, every day, three of every 1000 newborns die in their 1st week of life. Neonatal mortality accounted for 43% of infant mortality. If all neonates survived the 1st week of life, life expectancy would increase by 1 year. Increased risk of neonatal mortality was found to be associated with living in a rural lowland area, twin births and male gender. This paper also addresses the need for further identification of the complex environmental and behavioural risk factors for neonatal mortality and for instituting appropriate and affordable interventions to reduce neonatal mortality.
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| 6. |
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| 7. |
- Eklund, Per, et al.
(författare)
-
Comment on "Pulsed laser deposition and properties of M(n+1)AX(x) phase formulated Ti3SiC2 thin films''
- 2004
-
Ingår i: Tribology letters. - : Springer Science and Business Media LLC. - 1023-8883 .- 1573-2711. ; 17:4, s. 977-978
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- A recent paper by Hu et al. claimed synthesis of the MAX-phase Ti3SiC2 at 100 - 300 degreesC using pulsed laser deposition. In this comment, we find that the evidence presented by Hu et al. is insufficient to show Ti3SiC2 formation. In fact, there is a simpler interpretation of their results from X-ray diffraction and transmission electron microscopy, namely that the material produced is a cubic TiC-based compound.
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| 8. |
- Glimelius, B, et al.
(författare)
-
The Swedish Council on Technology Assessment in Health Care (SBU) systematic overview of chemotherapy effects in some major tumour types--summary and conclusions
- 2001
-
Ingår i: Acta oncologica (Stockholm, Sweden). - : Informa UK Limited. - 0284-186X. ; 40, s. 135-
-
Forskningsöversikt (refereegranskat)abstract
- This report by The Swedish Council on Technology Assessment in Health Care (SBU) reviews, classifies, and grades the scientific literature on cancer chemotherapy in some major tumour types, describes the practice of chemotherapy in Sweden, compares practice with scientific knowledge, and analyses the costs and cost-effectiveness of chemotherapy. The report is intended primarily for decision-makers at various levels, both practitioners and administrators. It is also of interest for the medical profession. The extensive body of scientific literature was reviewed according to strict criteria that reflected the scientific weight of the literature. Sixteen experts representing different disciplines (oncology, surgery, internal medicine, health economy and quality of life research) participated in the literature review. Each section was discussed within the project group and was reviewed by at least one, but usually two international researchers. Additional input was provided by national experts representing different scientific disciplines. For the final evaluation to be as close to the objective truth as possible, a concerted effort was made to guarantee objectivity and thorough assessment of current knowledge about the effects of chemotherapy on the selected cancers. The tumour types selected for this assessment include firstly those types where three investigations had shown an increased use of chemotherapy in Sweden during the latest decade. These were non-small cell lung cancer (NSCLC), gastric cancer, pancreatic cancer, colorectal cancer and urinary bladder cancer. Secondly, the two tumour types comprising the greatest number of patients treated with chemotherapy in Sweden, breast cancer and haematological malignancies, were included. Among the haematological malignancies, the most prevalent ones, acute myeloid leukaemia (AML), chronic lymphocytic leukaemia (CLL), Hodgkin's disease (HD), aggressive non-Hodgkin's lymphoma (NHL) of the large B-cell type and indolent NHL of follicular type were evaluated. These constitute about 75%, of all haematological malignancies. Thirdly, ovarian cancer was included since chemotherapy has been extensively used and since, at the time of the planning of this overview, a group of very expensive drugs, the taxanes, had preliminarily shown promising results. A wealth of scientific literature has been published on cancer therapy. The review presented in this report is limited to scientific studies judged to be important for evaluating chemotherapy efficacy. Assessments of the content and quality of these studies, and a critical summary of the results in all stages of the selected tumours, have never before been attempted in this way. However, similar comprehensive overviews of certain stages of the tumours have previously been made. These overviews were also critically evaluated. Totally 1,496 studies involving 558,743 patients were reviewed. The survey of practice of chemotherapy use involved all departments of surgery, urology, gynaecology, internal medicine including haematologic units, pulmonary medicine and general and gynaecologic oncology at 16 hospitals in two health care regions in Sweden, covering 39% of the Swedish population. During the 4 weeks of the survey, all patients with the diagnoses concerned who received chemotherapy were registered. The study included 1,590 patients. The working group's general conclusions are summarised in the following points: The literature on the effects of chemotherapy is extensive. Chemotherapy has a well-documented role in the curative and palliative treatment of patients with several types of cancer. The use of chemotherapy is of utmost importance for the possibility of cure in certain tumour types. In other tumours, chemotherapy increases the possibility of cure when added to local and regional treatments, particularly surgery. In the instances of no possibility of cure, chemotherapy may to a variable extent improve both patient survival and well-being. In Sweden chemotherapy is largely used in accordance with that documented in the scientific literature. The extent of both over- and under-treatment seems to be limited but cannot be excluded at the individual patient level. The literature-based knowledge is scientifically of lower quality in the most chemotherapy sensitive tumours than in tumours showing more limited sensitivity. In the more sensitive tumours, positive effects on a symptomatic stage and survival were seen several decades ago. In those days, clinical treatment studies did not fulfil the current high quality requirements. Small life-prolonging effects of chemotherapy are sometimes very well documented in large, high quality scientific studies. Some of these s
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| 9. |
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| 10. |
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| 11. |
- Högberg, Hans, et al.
(författare)
-
Deposition of epitaxial transition metal carbide films and superlattices by simultaneous direct current metal magnetron sputtering and C-60 evaporation
- 2001
-
Ingår i: Journal of Materials Research. - 0884-2914 .- 2044-5326. ; 16:3, s. 633-643
-
Tidskriftsartikel (refereegranskat)abstract
- Thin epitaxial TiC and VC films and superlattices have been deposited on MgO(001) by simultaneous sputtering of the metals and evaporation of C-60. It was found that epitaxial growth conditions for TiC could be maintained down to a temperature of 100 degreesC, while the epitaxial growth of VC required 200 degreesC, Epitaxial VC films were completely relaxed at all growth temperatures, while a change from a relaxed to a strained growth behavior was observed for TiC films. The structural quality of the TiC films was better than for the VC films. A general observation was that a plasma-assisted deposition process yields films with a higher quality and allows epitaxial growth at lower temperatures than for a pure coevaporation process.
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| 12. |
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| 13. |
- Högberg, J., et al.
(författare)
-
Creep behavior of the newly developed advanced heat resistant austenitic stainless steel grade UNS S31035
- 2010
-
Ingår i: Proceedings of the ASME Pressure Vessels And Piping Conference 2010. - : ASME Press. - 9780791849255 ; , s. 421-428
-
Konferensbidrag (refereegranskat)abstract
- The UNS S31035 austenitic stainless steel grade is a newly developed advanced heat resistant material for use in coal fired boilers at material temperatures up to about 700°C. This new grade has good resistance to oxidation and hot corrosion, and shows higher creep rupture strength than other austenitic stainless steels available today. This paper will mainly focus on the study of the creep mechanisms in this grade from 550?C up to 800°C by using TEM, SEM and LOM. the creep mechanisms at different temperatures and loading conditions have been identified. the interaction between dislocations and precipitates and their contribution on the creep rupture strength and fracture mechanisms have been discussed. In this paper, different models have been used to evaluate the long term creep behavior of the grade. A creep rupture strength near 100MPa at 700°C for 100 000h has been predicted. This makes it an interesting alternative for super-heaters and reheaters in future high-efficient coal fired boilers.
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| 14. |
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| 15. |
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| 16. |
- Högberg, U, et al.
(författare)
-
Maternal mortality in Sweden, 1980-1988.
- 1994
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Ingår i: Obstetrics and Gynecology. - 0029-7844 .- 1873-233X. ; 84:2, s. 240-4
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Tidskriftsartikel (refereegranskat)abstract
- Regular reviews of maternal mortality are still important in a country with a low rate of maternal deaths. The new classification of maternal deaths allows a better international comparison of mortality risks. Continuous surveillance of maternal deaths and pregnancy-related deaths requires record linkage of birth and death registrations.
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| 17. |
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| 18. |
- Högberg, U, et al.
(författare)
-
Prolonged labour attributed to large fetus.
- 2000
-
Ingår i: Gynecologic and Obstetric Investigation. - 0378-7346 .- 1423-002X. ; 49:3, s. 160-4
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to assess the interactive dynamics of power, passenger and passage in relation to an adverse course of labour. The design was a community-based follow-up of all women with singleton pregnancies experiencing spontaneous term labour. Median of first stage was 2.6 h for multiparas and 3.7 h for primiparas. Median of second stage was 20 min for multiparas and 91 min for primiparas. Heavy birth weight significantly influenced a prolonged late first stage OR 6.6 (CI 2.1-21) and second stage of labour OR 4. 5 (CI 1.5-14) among primiparas. The attributable proportions of heavy birth weight for prolonged labour were 19-21%. Large paediatric head circumference showed a positive correlation to prolonged late first stage OR 3.2 (CI 1.2-9) and intervention OR 7.2 (CI 1.8-35), with an attributable proportion of 22%. For multiparas no significant association were found. To conclude, this study indicates that heavy birth weight and large head circumference contribute to 1/5th of the prolongation of labour and interventions among primiparas.
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| 19. |
- Högberg, U, et al.
(författare)
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Suffocated prone : the iatrogenic tragedy of SIDS.
- 2000
-
Ingår i: American Journal of Public Health. - 0090-0036 .- 1541-0048. ; 90:4, s. 527-31
-
Tidskriftsartikel (refereegranskat)abstract
- Epidemiologic research has shown that prone sleeping is a major risk factor for sudden infant death syndrome (SIDS). In a public health review from Sweden, we explored the historical background of the SIDS epidemic, starting with the view of the Catholic Church that sudden infant deaths were infanticides and ending with the slowly disseminated recommendation of a prone sleeping position during the 1960s, 1970s, and 1980s. The story of the SIDS epidemic illustrates a pitfall of preventive medicine--the translation of health care routines for patients to general health advice that targets the whole population. False advice, as well as correct advice, may have a profound effect on public health because of the many individuals concerned. Preventive measures must be based on scientific evidence, and systematic supervision and evaluations are necessary to identify the benefits or the harm of the measures. The discovery of the link between prone sleeping and SIDS has been called a success story for epidemiology, but the slow acceptance of the causal relationship between prone sleeping and SIDS illustrates the weak position of epidemiology and public health within the health care system.
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| 20. |
- Lee, S. -K, et al.
(författare)
-
The formation and characterization of epitaxial titanium carbide contacts to 4H-SiC
- 2000
-
Ingår i: Materials Research Society Symposium - Proceedings. - San Francisco, CA. ; , s. T691-T696
-
Konferensbidrag (refereegranskat)abstract
- Epitaxial TiC Ohmic and Schottky contacts to 4H-SiC were formed by a new deposition method, UHV co-evaporation with Ti and C60, at low temperature (< 500°C). We achieved a contact resistivity of 2 × 10-5 Ωcm2 at 25°C for as deposited Ohmic contacts on Al ion implanted 4H-Silicon carbide. The rectifying behavior of TiC Schottky contacts was also investigated using I-V and C-V. The measured Schottky barrier height (SBH) was 1.26 eV for n-type and 1.65 eV for p-type 4H-SiC using C-V measurements for frequencies ranging from 1kHz to 1MHz. LEED, RBS, XPS, and XRD measurements were performed to analyze composition ratio, interface reaction, and structural properties of the TiC epitaxial layer.
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| 21. |
- Mogren, I, et al.
(författare)
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Characteristics of pregnancy and birth and malignancy in the offspring (Sweden).
- 1999
-
Ingår i: Cancer Causes and Control. - 0957-5243 .- 1573-7225. ; 10:1, s. 85-94
-
Tidskriftsartikel (refereegranskat)abstract
- Although some associations, the consistent pattern of non-association indicated a low impact of intrauterine environment or changed genetic material on the future development of malignancy in the offspring up to early middle-age.
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| 22. |
- Mogren, I, et al.
(författare)
-
Familial occurrence of preeclampsia.
- 1999
-
Ingår i: Epidemiology. - 1044-3983 .- 1531-5487. ; 10:5, s. 518-22
-
Tidskriftsartikel (refereegranskat)abstract
- We conducted a cohort study on whether preeclampsia during the pregnancy of a mother is a risk factor for preeclampsia during the pregnancy of her daughter. Data from the Medical Birth Registry were combined with data from a local registry of births from 1955 to 1990. We could identify the births of 22,768 elder daughters and 2,959 younger daughters. These daughters had also experienced at least one delivery. If the mother had preeclampsia during her pregnancy with an elder daughter, then the elder daughter had an increased risk for preeclampsia in her first pregnancy (relative risk (RR) = 1.7; 95% confidence interval (CI) = 1.3-2.2). This increased risk persisted into the elder daughter's second pregnancy (RR = 1.7; 95% CI = 1.1-2.6). The risks for the daughters were also increased to a similar level if the mother had experienced preeclampsia in any other pregnancy. Furthermore, the risks were similarly elevated if only mothers with firstborn children were included in the analyses. Hence, preeclampsia during the pregnancy of a mother was a risk factor for development of preeclampsia during the pregnancy of her daughters; however, owing to a relatively small population attributable proportion, genetic predisposition explained only a minor part of the occurrence of preeclampsia in this population.
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| 23. |
- Mogren, I, et al.
(författare)
-
Fetal exposure, heredity and risk indicators for cardiovascular disease in a Swedish welfare cohort.
- 2001
-
Ingår i: International Journal of Epidemiology. - 0300-5771 .- 1464-3685. ; 30:4, s. 853-62
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Tidskriftsartikel (refereegranskat)abstract
- Our interpretation is that the 'fetal origins' hypothesis' is valid for middle-age subjects who grow up in a welfare society. The population attributable proportions that result from different exposures to LBW were relatively small overall; from a public health perspective, heredity was more important than LBW for elevated SBP.
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| 24. |
- Mogren, I, et al.
(författare)
-
Long-term impact of reproductive factors on the risk of cervical, endometrial, ovarian and breast cancer.
- 2001
-
Ingår i: Acta Oncologica. - 0284-186X .- 1651-226X. ; 40:7, s. 849-54
-
Tidskriftsartikel (refereegranskat)abstract
- The influence of maternal age, parity, low or high birthweight, multiple births, and pre-eclampsia on the risk of cervical, endometrial, ovarian and breast cancers was studied. Data on 40951 women and the outcomes of their deliveries between 1955 and 1995 were obtained from birth registers. For the mothers, data from the Swedish Cancer Registry and the Cause of Death Register were added. The sample was evaluated using Cox's regression in univariate and bivariate analyses where the relative risk and its 95% confidence interval were calculated. Increasing maternal age at first birth was associated with an increasing relative risk of endometrial, ovarian, and breast cancers, and with a decreased risk of cervical cancer. Multiparity was a protective factor for all gynaecological cancers, including cervical and breast cancers. Multiple births were associated with an increased risk of endometrial cancer.
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| 25. |
- Mogren, I, et al.
(författare)
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Recurrence of prolonged pregnancy.
- 1999
-
Ingår i: International Journal of Epidemiology. - 0300-5771 .- 1464-3685. ; 28:2, s. 253-7
-
Tidskriftsartikel (refereegranskat)abstract
- Although moderate, prolonged pregnancy in mother may be a risk factor for prolonged pregnancy in daughter. A previous prolonged pregnancy increases the risk of prolonged pregnancy in a subsequent birth. However, the familial factor of prolonged pregnancy explains just a minor part of its occurrence in the population (due to small population attributable proportions).
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| 26. |
- Olsson, U, et al.
(författare)
-
The involvement of selenium in peroxisome proliferation caused by dietary administration of clofibrate to rats.
- 1992
-
Ingår i: Chemico-Biological Interactions. - 0009-2797 .- 1872-7786. ; 85:1
-
Tidskriftsartikel (refereegranskat)abstract
- The effects of dietary treatment with clofibrate (0.5% w/w for 10 days) on the livers of selenium-deficient male rats were examined. The peroxisome proliferation (as determined by electron microscopy) in the livers of selenium-deficient animals was much less pronounced than in the case of selenium-adequate rats and no increase in peroxisomal fatty acid beta-oxidation (assayed both as antimycin-insensitive palmitoyl-CoA oxidation and lauroyl-CoA oxidase activity) was observed in the deficient animals. On the other hand, in selenium-deficient rats clofibrate caused increases in the specific activity of microsomal lauric acid omega- and omega-1-hydroxylation and an apparent change in mitochondrial size, seen as a redistribution of mitochondria from the 600 x g(av) pellet to the 10,000 x g(av) pellet, which were approximately 50% as great as the corresponding effects on control animals. Obviously, then, these three different effects of clofibrate are not strictly coupled and may involve at least partially distinct underlying mechanisms. Initial experiments demonstrated that peroxisome proliferation could be obtained by exposing primary hepatocyte cultures derived from selenium-deficient rats to clofibric acid (an in vivo hydrolysis product of clofibrate which is the proximate peroxisome proliferator), nafenopin or mono(2-ethylhexyl)phthalate. This finding suggests that selenium deficiency does not have a direct influence on the basic process(es) underlying peroxisome proliferation, but rather has indirect effects, influencing, for example, the pharmacokinetics of clofibrate and/or hormonal factors.
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| 27. |
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| 28. |
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| 29. |
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| 30. |
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| 31. |
- Svedberg, U.R.A., et al.
(författare)
-
Emission of Hexanal and Carbon Monoxide from Storage of Wood Pellets
- 2004
-
Ingår i: Annals of Occupational Hygiene. - : Oxford University Press (OUP). - 0003-4878 .- 1475-3162. ; 48:4, s. 339-349
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives: The objective of the present study was to investigate and describe the emissions of volatile compounds, particularly hexanal and carbon monoxide, from large- and small-scale storage of wood pellets. Methods: Air sampling was performed with Fourier transform infrared spectroscopy and adsorbent sampling in pellet warehouses, domestic storage rooms, lumber kiln dryers and experimental set-ups. Literature studies were included to describe the formation of hexanal and carbon monoxide and the toxicology of hexanal. Results: A geometric mean aldehyde level of 111 ± 32 mg/m3 was found in one warehouse, with a peak reading of 156 mg/m3. A maximum aldehyde reading of 457 mg/m3 was recorded at the surface of a pellet pile. Hexanal (70-80% w/w) and pentanal (10-15% w/w) dominated, but acetone (83 ± 24 mg/m3), methanol (18 ± 7 mg/m3) and carbon monoxide (56 ± 4 mg/m3) were also found. The emissions in a domestic storage room varied with the ambient temperature and peaked after 2 months storage in the midst of the warm season. Aldehyde levels of 98 ± 4 mg/m3 and carbon monoxide levels of 123 ± 10 mg/m 3 were recorded inside such storage rooms. Elevated levels of hexanal (0.084 mg/m3) were recorded inside domestic housing and 6 mg/m 3 in a room adjacent to a poorly sealed storage area. Experimental laboratory studies confirmed the findings of the field studies. A field study of the emissions from industrial lumber drying also showed the formation of aldehydes and carbon monoxide. Conclusions: High levels of hexanal and carbon monoxide were strongly associated with storage of wood pellets and may constitute an occupational and domestic health hazard. The results from lumber drying show that the emissions of hexanal and carbon monoxide are not limited to wood pellets but are caused by general degradation processes of wood, facilitated by drying at elevated temperature. Emission of carbon monoxide from wood materials at low temperatures (
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| 32. |
- Tropé, C, et al.
(författare)
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Doxorubicin-melphalan with and without cisplatin in advanced ovarian cancer--ten-year survival results from a prospective randomized study by the Swedish Cooperative Ovarian Cancer Study Group
- 1996
-
Ingår i: Acta oncologica (Stockholm, Sweden). - : Informa UK Limited. - 0284-186X .- 1651-226X. ; 35 Suppl 8, s. 18-109
-
Tidskriftsartikel (refereegranskat)abstract
- In a controlled prospective randomized study the regimen doxorubicin (A) 40 mg/m2 + melphalan (M) 0.4 mg/kg was compared with A + M + cisplatin (C) 50 mg/m2 given every four weeks in advanced ovarian cancer, FIGO stage III or IV and with serous or anaplastic histology. From 1981 to 1983, 300 patients entered the study and 295 patients were evaluable for response, toxicity and long-term survival. All patients were followed for at least 10 years. The majority of patients had large residual tumours >2 cm. Patients treated with MAC had a higher response rate compared with patients treated with MA (76% vs. 50%, p < 0.01) and treatment with MAC resulted in significantly more pathological complete responders than MA. There was a significant difference in median duration of response (19 months vs. 13 months, p < 0.006) and in median survival time (26 months vs. 19 months, p = 0.05). After 5- and 10 years a significant difference in progression-free and overall survival was found. The independent prognostic factors in this study were residual tumour after primary surgery, treatment with MAC, tumour grade, ascites, and stage. Objective and subjective side effects were significantly worse with MAC, although tolerable. In conclusion, this study shows that incorporating C into MA improves the duration of progression-free survival and overall survival in women with incompletely resected Stage III or Stage IV ovarian epithelial cancer. A 5- and 10-year survival of 25% and 18%, respectively, is impressive.
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| 33. |
- Wiklund, H, et al.
(författare)
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Somalis giving birth in Sweden : a challenge to culture and gender specific values and behaviours.
- 2000
-
Ingår i: Midwifery. - : Elsevier BV. - 0266-6138 .- 1532-3099. ; 16:2, s. 105-15
-
Tidskriftsartikel (refereegranskat)abstract
- The Somalis' experiences of childbirth in Sweden can be understood by using the theoretical concept of gender, rather than culture. Our own and other studies show that women and men may have different frames of reference in childbirth, where the women mainly focus on biological circumstances and the men on the social and cultural aspects of birth. The Somali couple were found to be vulnerably positioned, with the professionals having the important role of supporting and empowering Somali parents.
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| 34. |
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| 35. |
- Wilhelmsson, O., et al.
(författare)
-
Deposition and characterization of ternary thin films within the Ti-Al-C system by DC magnetron sputtering
- 2006
-
Ingår i: Journal of Crystal Growth. - : Elsevier BV. - 0022-0248 .- 1873-5002. ; 291:1, s. 290-300
-
Tidskriftsartikel (refereegranskat)abstract
- The formation of ternary compounds within the Ti-Al-C system was studied by magnetron sputtering for thin-film deposition and first-principles calculations for phase stability. As-deposited films were characterized with X-ray diffraction (XRD) and high-resolution transmission electron microscopy (TEM). The hardness and Young's moduli of the material were studied by nanoindentation. Epitaxial and phase-pure films of Mn+1AXn phases Ti3AlC2 and Ti2AlC as well as the perovskite phase Ti3AlC were deposited on Al2O3(00l) wafers kept at temperatures between 800 and 900 °C. The only ternary phases observed at low temperatures (300 °C) were Ti3AlC and cubic (Ti,Al)C, the latter can be described as a metastable solid solution of Al in TiC similar to the more studied (Ti,Al)N system. The difficulties to form MAX phases at low substrate temperatures were attributed of requirement for a sufficient diffusivity to partition the elements corresponding to the relatively complex crystal structures with long c-axes. While MAX-phase synthesis at 800 °C is significantly lower than contemporary bulk sintering processes, a reduction of the substrate temperature towards 300 °C in the present thin-film deposition experiments resulted in stacking sequence variations and the intergrowth of (Ti,Al)C. © 2006 Elsevier B.V. All rights reserved.
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| 36. |
- Wilhelmsson, O., et al.
(författare)
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Structural, electrical and mechanical characterization of magnetron-sputtered V-Ge-C thin films
- 2008
-
Ingår i: Acta Materialia. - : Elsevier BV. - 1359-6454 .- 1873-2453. ; 56:11, s. 2563-2569
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Tidskriftsartikel (refereegranskat)abstract
- V2GeC MAX-phase thin films were deposited by DC magnetron sputter epitaxy in the temperature range 450-850 °C. The MAX-phase nucleates directly on (0 0 0 l)-oriented sapphire-wafer substrates without the need for a seed layer. The films contain, however, a small fraction of binary vanadium carbide (VCx) inclusions. X-ray diffraction analysis furthermore shows that these inclusions partly consist of the ordered superstructure V8C7. The amount of Ge in the films decreases at higher temperatures, which can be attributed to Ge evaporation. At temperatures below 450 °C the films consist of polycrystalline Ge and an X-ray amorphous carbide phase attributed to VCx or V2C. No MAX-phase was observed in this temperature region. The electrical and mechanical properties of the films were characterized. © 2008 Acta Materialia Inc.
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