| 1. |
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| 2. |
- Abbott, Rebecca, et al.
(författare)
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The qualitative grading of muscle fat infiltration in whiplash using fat and water magnetic resonance imaging
- 2018
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Ingår i: The spine journal. - : ELSEVIER SCIENCE INC. - 1529-9430 .- 1878-1632. ; 18:5, s. 717-725
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND CONTEXT: The development of muscle fat infiltration (MFI) in the neck muscles is associated with poor functional recovery following whiplash injury. Custom software and time-consuming manual segmentation of magnetic resonance imaging (MRI) is required for quantitative analysis and presents as a barrier for clinical translation. PURPOSE: The purpose of this work was to establish a qualitative MRI measure for MFI and evaluate its ability to differentiate between individuals with severe whiplash-associated disorder (WAD), mild or moderate WAD, and healthy controls. STUDY DESIGN/SETTING: This is a cross-sectional study. PATIENT SAMPLE: Thirty-one subjects with WAD and 31 age-and sex-matched controls were recruited from an ongoing randomized controlled trial. OUTCOME MEASURES: The cervical multifidus was visually identified and segmented into eighths in the axial fat/water images (C4-C7). Muscle fat infiltration was assessed on a visual scale: 0 for no or marginal MFI, 1 for light MFI, and 2 for distinct MFI. The participants with WAD were divided in two groups: mild or moderate and severe based on Neck Disability Index % scores. METHODS: The mean regional MFI was compared between the healthy controls and each of the WAD groups using the Mann-Whitney U test. Receiver operator characteristic (ROC) analyses were carried out to evaluate the validity of the qualitative method. RESULTS: Twenty (65%) patients had mild or moderate disability and 11 (35%) were considered severe. Inter- and intra-rater reliability was excellent when grading was averaged by level or when frequency of grade II was considered. Statistically significant differences (pamp;lt;.05) in regional MFI were particularly notable between the severe WAD group and healthy controls. The ROC curve, based on detection of distinct MFI, showed an area-under-the curve of 0.768 (95% confidence interval 0.59-0.94) for discrimination of WAD participants. CONCLUSIONS: These preliminary results suggest a qualitative MRI measure for MFI is reliable and valid, and may prove useful toward the classification of WAD in radiology practice. (C) 2017 Elsevier Inc. All rights reserved.
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| 3. |
- Acharya, Shikha, 1986, et al.
(författare)
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Reduced sialyl-Lewis(x) on salivary MUC7 from patients with burning mouth syndrome
- 2019
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Ingår i: Molecular Omics. - : Royal Society of Chemistry (RSC). - 2515-4184. ; 15:5, s. 331-339
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Tidskriftsartikel (refereegranskat)abstract
- We analysed and compared MUC7 O-glycosylation and inflammatory biomarkers in saliva from female patients with burning mouth syndrome (BMS) and gender/age-matched controls. Oligosaccharides from salivary MUC7 from BMS and controls were released. Inflammatory mediators were measured by multiplex proximity extension assay. Presence of sialyl-Lewis(x) (Si-Le(x)) epitope on MUC7 was confirmed using Western blot. MUC7 O-glycans and measured inflammatory biomarkers were found to be similar between BMS and controls. However, oligosaccharides sialyl-Lewis(x) (Si-Le(x)) was found to be reduced in samples from BMS patients. Positive correlation (combined patients and controls) was found between levels of C-C motif chemokine 19 (CCL-19) and the amount of core-2 oligosaccharides on MUC7 as well as fractalkine (CX3CL1) and level of sialylation. Patients with BMS were shown to represent a heterogeneous group in terms of inflammatory biomarkers. This indicates that BMS patients could be further stratified on the basis of low-level inflammation. The results furthermore indicate that reduced sialylation of MUC7, particularly Si-Le(x), may be an important feature in patients with BMS. However, the functional aspects and potential involvement in immune regulation of Si-Le(x) remains unclear. Our data suggests a chemokine driven alteration of MUC7 glycosylation.
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| 4. |
- Andersson, Thord, et al.
(författare)
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Consistent intensity inhomogeneity correction in water-fat MRI
- 2015
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Ingår i: Journal of Magnetic Resonance Imaging. - : Wiley-Blackwell. - 1053-1807 .- 1522-2586. ; 42:2
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To quantitatively and qualitatively evaluate the water-signal performance of the consistent intensity inhomogeneity correction (CIIC) method to correct for intensity inhomogeneitiesMETHODS: Water-fat volumes were acquired using 1.5 Tesla (T) and 3.0T symmetrically sampled 2-point Dixon three-dimensional MRI. Two datasets: (i) 10 muscle tissue regions of interest (ROIs) from 10 subjects acquired with both 1.5T and 3.0T whole-body MRI. (ii) Seven liver tissue ROIs from 36 patients imaged using 1.5T MRI at six time points after Gd-EOB-DTPA injection. The performance of CIIC was evaluated quantitatively by analyzing its impact on the dispersion and bias of the water image ROI intensities, and qualitatively using side-by-side image comparisons.RESULTS: CIIC significantly ( P1.5T≤2.3×10-4,P3.0T≤1.0×10-6) decreased the nonphysiological intensity variance while preserving the average intensity levels. The side-by-side comparisons showed improved intensity consistency ( Pint≤10-6) while not introducing artifacts ( Part=0.024) nor changed appearances ( Papp≤10-6).CONCLUSION: CIIC improves the spatiotemporal intensity consistency in regions of a homogenous tissue type.
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| 5. |
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| 6. |
- Bergqvist, Anette, et al.
(författare)
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Preventing the development of metabolic syndrome in people with psychotic disorders-difficult, but possible : experiences of staff working in psychosis outpatient care in sweden
- 2013
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Ingår i: Issues in Mental Health Nursing. - : Informa Healthcare. - 0161-2840 .- 1096-4673. ; 34:5, s. 350-358
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore mental health staffs' experiences of assisting people with psychotic disorders to implement lifestyle changes in an effort to prevent metabolic syndrome. Qualitative interviews were conducted with 12 health care professionals working in psychosis outpatient care in Sweden. Data were analysed using a qualitative content analysis. The results illustrate that implementation of lifestyle changes among people with psychotic disorders was experienced as difficult, but possible. The greatest obstacles experienced in this work were difficulties due to the reduction of cognitive functions associated with the disease. Guidelines available to staff in order to help them identify and prevent physical health problems in the group were not always followed and the content was not always relevant. Staff further described feelings of uncertainty about having to motivate people to take anti-psychotic medication while simultaneously being aware of the risks of metabolic deviations. Nursing interventions focusing on organising daily routines before conducting a more active prevention of metabolic syndrome, including information and practical support, were experienced as necessary. The importance of healthy eating and physical activity needs to be communicated in such a way that it is adjusted to the person's cognitive ability, and should be repeated over time, both verbally and in writing. Such efforts, in combination with empathic and seriously committed community-based social support, were experienced as having the best effect over time. Permanent lifestyle changes were experienced as having to be carried out on the patient's terms and in his or her home environment.
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| 7. |
- Brodin, Håkan, 1969-
(författare)
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Failure of thermal barrier coatings under thermal and mechanical fatigue loading : microstructural observations and modelling aspects
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Industrial and air-borne gas turbine hot components suffer from creep, oxidation, corrosion and microstructural degradation if not shielded from the hot and aggressive combustion gases. Two major strategies commercially available are adopted; film cooling by pressurised air and application of protective coatings. Protective coatings form a slow-growing oxide that protects from oxidation and corrosion. By application of a thermal insulator, a thermal barrier coating, the material will be protected from high temperature through good insulation properties of the coating system.If thermal barrier coatings are to be used in situations where capabilities and possibilities for inspections are limited, better knowledge of the fatigue properties of the coatings is also needed. Therefore development of a reliable fatigue life model is needed. The present work aims at serving as a basis from which a general physically founded thermal barrier coating life model can be formulated. The effects of exposure to high temperatures and mechanical loads on thermal barrier coatings under service like conditions have been investigated in the present thesis. Emphasis is put on the coupling between materials science and solid mechanics approaches in order to establish a better knowledge concerning degradation mechanisms and fatigue life issues than what is common if only one discipline is explored.Investigations of material exposed to isothermal oxidation and thermal cyclic fatigue were performed on plasma-sprayed systems with NiCoCrAIY or NiCrAIY bond coats and yttria partially stabilised zirconia top coats. It has been shown that the thermally grown oxide that will form upon high temperature exposure influences the failure behaviour. If the oxide is composed mainly of alumina, the fatigue properties are good since the adhesion between the ceramic top coat and the metallic bond coat is good. This is also shown in a comparison between different plasma sprayed thermal barrier coating systems. If the oxide formed is based on alurnina and spinel is avoided the fatigue properties benefit from a relatively flat interface where out-of plane stresses are low in comparison to a rough interface between top- and bond coat. These findings indicate that the bonding in air-plasma sprayed systems is dependent on so called chemical bonding if the thermally grown oxide is not voluminous with high growth stresses.It is possible to establish a fatigue life model for thermal barrier coatings. This has been shown with a model based on a modified Paris law formulation. The formulation needs to be modified with regards to mode rnixity of growth. Results achieved in the present project show that it is possible to extract crack growth data for interfacial crack growth. However a combination of mechanical testing and finite element modelling is needed since the load situation in critical areas cannot be measured. Crack growth results are presented and crack growth data are compared to predictions with good agreement.
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| 8. |
- Börjesson, Mikaela, 1987, et al.
(författare)
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Arabinoxylan and Nanocellulose from a Kilogram-scale Extraction of Barley Husk
- 2019
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Ingår i: BioResources. - : BioResources. - 1930-2126 .- 1930-2126. ; 13:3, s. 6201-6220
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Tidskriftsartikel (refereegranskat)abstract
- Processes of extracting hemicellulose from annual plants usually neglect the cellulose fraction. This study explored the possibility of obtaining both a hemicellulose and a cellulose fraction of sufficient quality for further use, with barley husks used as the raw material. An alkaline extraction was used to isolate the biopolymers by a process in which sodium dithionite replaced the traditional sodium borohydride as the reducing agent. The cellulose fraction was successfully transformed into nanocellulose by sulfuric acid hydrolysis, and the obtained hemicellulose (i.e., arabinoxylan) displayed carbohydrate composition characteristics similar to those previously reported in the literature for processes of extracting hemicellulose from barley husks. Using this methodology, both the cellulose and hemicellulose can be isolated in high quantities of dry material and used for transformation into new bio-based materials.
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| 9. |
- Chiu, D T, et al.
(författare)
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Chemical transformations in individual ultrasmall biomimetic containers
- 1999
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Ingår i: Science. - Stanford Univ, Dept Chem, Stanford, CA 94305 USA. Univ Gothenburg, Dept Chem, S-41296 Gothenburg, Sweden. Pomona Coll, Dept Chem, Claremont, CA 91711 USA. : AMER ASSOC ADVANCEMENT SCIENCE. - 0036-8075 .- 1095-9203. ; 283:5409, s. 1892-1895
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Tidskriftsartikel (refereegranskat)abstract
- Individual phospholipid vesicles, 1 to 5 micrometers in diameter, containing a single reagent or a complete reaction system, were immobilized with an infrared laser optical trap or by adhesion to modified borosilicate glass surfaces. Chemical transformations were initiated either by electroporation or by electrofusion, in each case through application of a short (10-microsecond), intense (20 to 50 kilovolts per centimeter) electric pulse delivered across ultramicroelectrodes. Product formation was monitored by far-field laser fluorescence microscopy. The ultrasmall characteristic of this reaction volume led to rapid diffusional mixing that permits the study of fast chemical kinetics. This technique is also well suited for the study of reaction dynamics of biological molecules within lipid-enclosed nanoenvironments that mimic cell membranes.
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| 10. |
- Chiu, D T, et al.
(författare)
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Manipulating the biochemical nanoenvironment around single molecules contained within vesicles
- 1999
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Ingår i: Chemical Physics. - Univ Gothenburg, Dept Chem, SE-41296 Gothenburg, Sweden. Stanford Univ, Dept Chem, Stanford, CA 94305 USA. : ELSEVIER. - 0301-0104 .- 1873-4421. ; 247:1, s. 133-139
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Tidskriftsartikel (refereegranskat)abstract
- A method to study single-molecule reactions confined in a biomimetic container is described. The technique combines rapid vesicle preparation, optical trapping and fluorescence confocal microscopy for performing simultaneous single-vesicle trapping and single-molecule detection experiments. The collisional environment between a single enzyme and substrate inside a vesicle is characterized by a Brownian dynamics Monte Carlo simulation. (C) 1999 Elsevier Science B.V. All rights reserved.
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| 11. |
- Coradeschi, Silvia, et al.
(författare)
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GiraffPlus : A System for Monitoring Activities and Physiological Parameters and Promoting Social Interaction for Elderly
- 2014
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Ingår i: Human-Computer Systems Interaction. - Cham : Springer. - 2194-5357. - 9783319084909 - 9783319084916 ; , s. 261-271
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Bokkapitel (refereegranskat)abstract
- This chapter presents a telehealth system called GiraffPlus supporting independent living of elderly in their own home. GiraffPlus system is a complex system which monitors activities and physiological parameters in the home using a network of sensors. The elaborated information is presented to the primary user, the elderly, and to secondary users like health care and home care providers and possibly to family members as a help to assess possible health and wellbeing deterioration, provide acute alarms, and support health procedure. The secondary users can also visit the elderly via the Giraff, a teleoperated robot that can communicate and move in the home under the control of the secondary user. The chapter focusses in particular on the deployment of the system in six real homes in Sweden, Italy and Spain. The chapter outlines the technological various components used, the expectations of the users and the evaluation method.
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| 12. |
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| 13. |
- Damm, Henrik, et al.
(författare)
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Prevalence and morbidity of neck pain: a cross-sectional study of 3000 elderly men
- 2023
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Ingår i: Journal of Orthopaedic Surgery and Research. - : Springer Science and Business Media LLC. - 1749-799X. ; 18:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe purpose of this study is to determine the prevalence and morbidity of neck pain with or without cervical rhizopathy, upper extremity motor deficit and/or thoracolumbar pain in elderly men.MethodsWe conducted a cross-sectional questionnaire study of 3,000 community-dwelling older men with a mean age of 75.4 +/- 3.2 years (range 69-81) to determine if they had experienced neck pain with or without cervical rhizopathy/upper extremity motor deficit/thoracolumbar pain (yes/no) during the preceding 12 months, and if so, morbidity with the condition (no/minor/moderate/severe).ResultsAmong the participants, 865 (29%) reported they had experienced neck and 1,619 (54%) thoracolumbar pain. Among the men with neck pain, 59% had experienced only neck pain, 17% neck pain and cervical rhizopathy and 24% neck pain, rhizopathy and motor deficit. For men with only neck pain, the morbidity was severe in 13%, for men with neck pain and rhizopathy it was 24%, and for men with pain, rhizopathy and motor deficit it was 46% (p < 0.001). Among the men with neck pain, 23% had experienced only neck pain and no thoracolumbar pain; the remaining 77% had both neck and thoracolumbar pain. The morbidity was severe in 10% of the men with neck pain but no thoracolumbar pain and 30% in men with neck and thoracolumbar pain (p < 0.001).ConclusionNeck pain in elderly men is common but symptoms and morbidity vary. For men who only have neck pain, 1/8 rated their morbidity as severe, while almost half who also had cervical rhizopathy and motor deficit and almost 1/3 of those who also had thoracolumbar pain reported severe morbidity.
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| 14. |
- Edstedt, Johan, et al.
(författare)
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VidHarm: A Clip Based Dataset for Harmful Content Detection
- 2022
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Ingår i: 2022 26th International Conference on Pattern Recognition (ICPR). - : Institute of Electrical and Electronics Engineers (IEEE). - 9781665490627 - 9781665490634 ; , s. 1543-1549
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Konferensbidrag (refereegranskat)abstract
- Automatically identifying harmful content in video is an important task with a wide range of applications. However, there is a lack of professionally labeled open datasets available. In this work VidHarm, an open dataset of 3589 video clips from film trailers annotated by professionals, is presented. An analysis of the dataset is performed, revealing among other things the relation between clip and trailer level annotations. Audiovisual models are trained on the dataset and an in-depth study of modeling choices conducted. The results show that performance is greatly improved by combining the visual and audio modality, pre-training on large-scale video recognition datasets, and class balanced sampling. Lastly, biases of the trained models are investigated using discrimination probing.VidHarm is openly available, and further details are available at the webpage https://vidharm.github.io/
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| 15. |
- Eek-Karlsson, Liselotte, 1955-, et al.
(författare)
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Normalised diversity : educator's beliefs about children's belonging in Swedish early childhood education
- 2023
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Ingår i: Early years. - : Taylor & Francis Group. - 0957-5146 .- 1472-4421. ; 43:2, s. 317-331
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Tidskriftsartikel (refereegranskat)abstract
- The aim is to contribute knowledge about educators' beliefs about children's belonging in early childhood education. The study applies parts of Nira Yuval Davis's theory about the politics of belonging. Six group interviews were conducted with educators from four Swedish preschools. A content analysis is used as a first step, followed by a theoretical analysis. Two main beliefs were identified regarding the ECE 'community' and 'diversity'. The belief in the community included ideas related to both the collective and the individual child. Togetherness and safety appeared as collective oriented aspects while the emphasis on a caring and loving approach, and protecting the child's integrity were individual oriented. To balance between the collective and the individual oriented beliefs emerged as a challenge. The belief in diversity contained aspects related to learning from each other and that different cultures enrich practice. Culture clashes emerged regarding time, outdoor activity, sexuality and identity.
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| 16. |
- Emilson, Anette, 1964-, et al.
(författare)
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Doing belonging in early childhood settings in Sweden
- 2022
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Ingår i: Early Child Development and Care. - : Taylor & Francis Group. - 0300-4430 .- 1476-8275. ; 192:14, s. 2234-2245
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to contribute knowledge about the politics of belonging that is embedded in the educational practice of early childhood institutions in Sweden, with the focus on children's doing of belonging. The research questions are: What appears as important aspects for belonging in everyday children's interactions in the ECE practice? How are positions and borders for belonging negotiated, produced, and reproduced among the children? Yuval-Davis's [(2011). The politics of belonging: Intersectional contestations. London: Sage] theory about the politics of belonging is used as a framework. Data consists of 13 h of video-film of interactions among children at two Swedish ECE institutions. The findings show how the doing of belonging involves an ongoing positioning process among the children, and how the borders for being inside or outside the community are continually constructed and reconstructed. One suggestion is to talk about a glimpse or moments of a sense of belonging.
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| 17. |
- Engdahl, Ingrid, 1952-, et al.
(författare)
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Lärande för hållbar utveckling - är det någonting för förskolan, eller? : Rapport om OMEP:s projekt Lärande för hållbar utveckling i praktiken
- 2012
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Rapport (populärvet., debatt m.m.)abstract
- Hur kan förskolan i Sverige bidra till arbetet för hållbar utveckling? Hur kan barns delaktighet i det arbetet öka? Vad kan vara lämpliga strategier och metoder för barns lärande för hållbar utveckling i förskolan? Detta är frågor som Svenska OMEP (Organisation Mondiale pour l´Éducation Préscolaire) tillsammans med förskolebarn och förskolepersonal försökt att svara på genom projektet Lärande för hållbar utveckling i praktiken under 2011. Projektarbeten från sex förskolor presenteras här kortfattat med förhoppning om att inspirera till utvecklingsarbete runt om i Sveriges förskolor.
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| 18. |
- Engstrand, Per O., 1955-, et al.
(författare)
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Mekmassainitiativet för energieffektivitet, e2mp-i
- 2015
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Projektet har drivits som ett program för finansiering av forskning som ska utveckla ochdemonstrera tekniker som reducerar elenergiförbrukningen med 50% vid tillverkning avTMP och CTMP med bibehållna slutproduktegenskaper hos tryckpapper och kartong.Programmet är en del av skogsindustrins initiativ att under en tioårsperiod tillsammansmed svenska och norska finansiärer investera minst 200 Mkr för att nå detta radikalaeffektiviseringsmål. Ett uttalat mål för industriinitiativet är också att befästaforskningsnoderna vid FSCN i Sundsvall och PFI i Trondheim.Parallellt med Energimyndighetens finansiering, 30 Mkr, har Norges Forskningsråd satsat25 MNOK (2010‐14) i industriinitiativet, KK‐stiftelsen 36 MSEK (2011‐17) ochMittuniversitetet har finansierat12 MSEK. Industrins totala satsning kommer att överstiga100 MSEK redan vid utgången av 2017.Resultat från benchmarkingstudien BAT2012 av industrins modernaste TMP‐ och CTMPlinjersamt från demonstrationsskaleprojekt visas i rapporten. Projekten baseras delvis pågrundläggande forskningsprojekt genomförda inom FSCN´s KK‐stiftelse‐finansieradeforskningsprofil och projektet ”Filling the Gap” 31676‐, ISSN 1650‐5387 2014:57. Resultaten visar följande reduktionsnivåer; 28% TMP för news (Braviken), 14% TMP för SC(Kvarnsveden) och 21% CTMP för kartong (Skoghall).Utöver demoprojekten finns ytterligare tydliga potentialer beskrivna i övriga delprojekt:Processintensifiering och processmodifiering > 15%Processtabilitet via avancerad processanalys och reglering > 15%Kombinera effektivaste processavsnitt från benchmarking ca 25%Detta gör det troligt att det kommer att gå att i fullskaliga demonstrationsförsök validera50% elenergireduktion inom de tre produktområdena, förutsatt att fortsattforskningsfinansiering finns tillgänglig. Tre av de idéer till avknoppningsprojekt somframkommit under projektets gång har redan erhållit beslut om finansiering frånEnergimyndigheten 2015. Ytterligare projektförslag baserade på den här redovisadeforskningen kommer att ingå i ansökningar under 2016. Utöver energireduktion i själva TMP‐ och CTMP‐processerna har forskare vid FSCN lagt forskningsgrunden för hur manska kunna tillverka mycket starka förpackningsmaterial från dessa massatyper på ettenergieffektivt sätt. Även inom detta område kommer en ansökning omuppskalningsprojekt att skickas in.
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| 19. |
- Erikson, Anette, et al.
(författare)
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The lived experience of memory impairment in daily occupation after acquired brain injury
- 2007
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Ingår i: OTJR (Thorofare, N.J.). - : SAGE Publications. - 1539-4492 .- 1938-2383. ; 27:3, s. 84-94
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Tidskriftsartikel (refereegranskat)abstract
- The objective of this study was to identify what characterized the lived experience of memory impairment in daily occupations during the first year after acquired brain injury. Four participants were interviewed on four occasions during the year after the brain injury. The data were collected and analyzed using the Empirical Phenomenological Psychological method. The findings revealed four main characteristics that described the individual's experiences during the year of rehabilitation: a chaotic life-world, struggling for coherent doing in new contexts, conscious strategies in new contexts, and achieving new habits. After the brain injury, the life-world changed from a taken-for-granted existence to a chaotic world that was difficult to understand. The routine performance of daily activities and the habit patterns had broken down, so it was mostly the familiar activities that were already integrated in the ""habit-body"" that enabled coherent doings in everyday life during the year. The findings contribute to an understanding of how to use familiar and meaningful occupations as a therapeutic medium in the rehabilitation of clients with memory impairment following acquired brain injury.
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| 20. |
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| 21. |
- Flodbring Larsson, Per, et al.
(författare)
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FcγRIIIa receptor interacts with androgen receptor and PIP5K1α to promote growth and metastasis of prostate cancer
- 2022
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Ingår i: Molecular Oncology. - : John Wiley & Sons. - 1574-7891 .- 1878-0261.
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Tidskriftsartikel (refereegranskat)abstract
- Low-affinity immunoglobulin gamma Fc region receptor III-A (FcγRIIIa) is a cell surface protein that belongs to a family of Fc receptors that facilitate the protective function of the immune system against pathogens. However, the role of FcγRIIIa in prostate cancer (PCa) progression remained unknown. In this study, we found that FcγRIIIa expression was present in PCa cells and its level was significantly higher in metastatic lesions than in primary tumors from the PCa cohort (P = 0.006). PCa patients with an elevated level of FcγRIIIa expression had poorer biochemical recurrence (BCR)-free survival compared with those with lower FcγRIIIa expression, suggesting that FcγRIIIa is of clinical importance in PCa. We demonstrated that overexpression of FcγRIIIa increased the proliferative ability of PCa cell line C4-2 cells, which was accompanied by the upregulation of androgen receptor (AR) and phosphatidylinositol-4-phosphate 5-kinase alpha (PIP5Kα), which are the key players in controlling PCa progression. Conversely, targeted inhibition of FcγRIIIa via siRNA-mediated knockdown or using its inhibitory antibody suppressed growth of xenograft PC-3 and PC-3M prostate tumors and reduced distant metastasis in xenograft mouse models. We further showed that elevated expression of AR enhanced FcγRIIIa expression, whereas inhibition of AR activity using enzalutamide led to a significant downregulation of FcγRIIIa protein expression. Similarly, inhibition of PIP5K1α decreased FcγRIIIa expression in PCa cells. FcγRIIIa physically interacted with PIP5K1α and AR via formation of protein-protein complexes, suggesting that FcγRIIIa is functionally associated with AR and PIP5K1α in PCa cells. Our study identified FcγRIIIa as an important factor in promoting PCa growth and invasion. Further, the elevated activation of FcγRIII and AR and PIP5K1α pathways may cooperatively promote PCa growth and invasion. Thus, FcγRIIIa may serve as a potential new target for improved treatment of metastatic and castration-resistant PCa.
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| 22. |
- Forsberg, Anna, et al.
(författare)
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The core of after death in relation to organ donation : A grounded theory study
- 2014
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Ingår i: Intensive & Critical Care Nursing. - : Churchill Livingstone. - 0964-3397 .- 1532-4036. ; 30:5, s. 275-282
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: The aim of this study was to investigate how intensive and critical care nurses experience and deal with after death care i.e. the period from notification of a possible braindead person, and thereby a possible organ donor, to the time of post-mortem farewell. Research methodology: Grounded theory, based on Charmaz' framework, was used to explore what characterises the ICU-nurses concerns during the process of after death and how they handle it. Data was collected from open-ended interviews. Findings: The core category: achieving a basis for organ donation through dignified and respectful care of the deceased person and the close relatives highlights the main concern of the 29informants. This concern is categorised into four main areas: safe guarding the dignity of the deceased person, respecting the relatives, dignified and respectful care, enabling a dignified farewell. Conclusion: After death care requires the provision of intense, technical, medical and nursing interventions to enable organ donation from a deceased person. It is achieved by extensive nursing efforts to preserve and safeguard the dignity of and respect for the deceased person and the close relatives, within an atmosphere of peace and tranquillity.
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| 23. |
- Gerdle, Björn, et al.
(författare)
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Decreased muscle concentrations of ATP and PCR in the quadriceps muscle of fibromyalgia patients – A 31P-MRS study
- 2013
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Ingår i: European Journal of Pain. - : John Wiley & Sons. - 1090-3801 .- 1532-2149. ; 17:8, s. 1205-1215
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND METHODS:Fibromyalgia (FMS) has a prevalence of approximately 2% in the population. Central alterations have been described in FMS, but there is not consensus with respect to the role of peripheral factors for the maintenance of FMS. 31P magnetic resonance spectroscopy (31P-MRS) has been used to investigate the metabolism of phosphagens in muscles of FMS patients, but the results in the literature are not in consensus. The aim was to investigate the quantitative content of phosphagens and pH in resting quadriceps muscle of patients with FMS (n = 19) and in healthy controls (Controls; n = 14) using (31) P-MRS. It was also investigated whether the concentrations of these substances correlated with measures of pain and/or physical capacity.RESULTS:Significantly lower concentrations of adenosine triphosphate (ATP) and phosphocreatinine (PCr; 28-29% lower) were found in FMS. No significant group differences existed with respect to inorganic phosphate (Pi), Pi/PCr and pH. The quadriceps muscle fat content was significantly higher in FMS than in Controls [FMS: 9.0 ± 0.5% vs. Controls: 6.6 ± 0.6%; (mean ± standard error); P = 0.005]. FMS had significantly lower hand and leg capacity according to specific physical test, but there were no group differences in body mass index, subjective activity level and in aerobic fitness. In FMS, the specific physical capacity in the leg and the hand correlated positively with the concentrations of ATP and PCr; no significant correlations were found with pain intensities.CONCLUSIONS:Alterations in intramuscular ATP, PCr and fat content in FMS probably reflect a combination of inactivity related to pain and dysfunction of muscle mitochondria.
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| 24. |
- Giambini, Hugo, et al.
(författare)
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INTRAMUSCULAR FAT INFILTRATION EVALUATED BY MAGNETIC RESONANCE IMAGING PREDICTS THE EXTENSIBILITY OF THE SUPRASPINATUS MUSCLE
- 2018
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Ingår i: Muscle and Nerve. - : WILEY. - 0148-639X .- 1097-4598. ; 57:1, s. 129-135
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Rotator cuff (RC) tears result in muscle atrophy and fat infiltration within the RC muscles. An estimation of muscle quality and deformation, or extensibility, is useful in selecting the most appropriate surgical procedure. We determined if noninvasive quantitative assessment of intramuscular fat using MRI could be used to predict extensibility of the supraspinatus muscle. Methods: Seventeen cadaveric shoulders were imaged to assess intramuscular fat infiltration. Extensibility and histological evaluations were then performed. Results: Quantitative fat infiltration positively correlated with histological findings and presented a positive correlation with muscle extensibility (r=0.69; P=0.002). Extensibility was not significantly different between shoulders graded with a higher fat content versus those with low fat when implementing qualitative methods. Discussion: A noninvasive prediction of whole-muscle extensibility may directly guide pre-operative planning to determine if the torn edge could efficiently cover the original footprint while aiding in postoperative evaluation of RC repair.
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| 25. |
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| 26. |
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| 27. |
- Haghighi, Mona, et al.
(författare)
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A Comparison of Rule-based Analysis with Regression Methods in Understanding the Risk Factors for Study Withdrawal in a Pediatric Study
- 2016
-
Ingår i: Scientific Reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 6
-
Tidskriftsartikel (refereegranskat)abstract
- Regression models are extensively used in many epidemiological studies to understand the linkage between specific outcomes of interest and their risk factors. However, regression models in general examine the average effects of the risk factors and ignore subgroups with different risk profiles. As a result, interventions are often geared towards the average member of the population, without consideration of the special health needs of different subgroups within the population. This paper demonstrates the value of using rule-based analysis methods that can identify subgroups with heterogeneous risk profiles in a population without imposing assumptions on the subgroups or method. The rules define the risk pattern of subsets of individuals by not only considering the interactions between the risk factors but also their ranges. We compared the rule-based analysis results with the results from a logistic regression model in The Environmental Determinants of Diabetes in the Young (TEDDY) study. Both methods detected a similar suite of risk factors, but the rule-based analysis was superior at detecting multiple interactions between the risk factors that characterize the subgroups. A further investigation of the particular characteristics of each subgroup may detect the special health needs of the subgroup and lead to tailored interventions.
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| 28. |
- Hanson, Elizabeth, et al.
(författare)
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Brukarens roll i välfärdsforskning och utvecklingsarbete
- 2011
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- På 1980-talet blev ”brukare” ett modeord i offentlig förvaltning och förvaltningsforskning. Termen betecknar den som använder sig av välfärdsservice (jfr. engelskans service user), eller ”slutmottagare” av offentlig nyttighet eller åtgärd. Brukare av välfärdstjänster vet hur hjälp och service fungerar i praktiken och kan därför ge synnerligen viktig återkoppling enligt devisen: ”Den som har skorna på fötterna vet var de skaver”. Välfärdsorganisationer har all anledning att involvera brukare i planering och policyarbete i syfte att utveckla förmågan att göra rätt saker. Det finns inte mycket dokumentation och forskning kring brukarmedverkan i utvecklingsarbete och forskning på välfärdsområdet. I synnerhet saknas kunskap om hur välfärdstjänster tas emot och realiseras i brukarens livssammanhang. En ambition i doktorandkursen ”brukarmedverkan i forskning och utvecklingsarbete inom hälso- och sjukvård, socialt arbete och omsorg” var att samla och presentera kunskaper på området. Kursen genomfördes våren 2009 i ett unikt samarbete mellan Karlstads Universitet, Sheffield University i England, Högskolan i Hedmark i Norge, Hälsohögskolan i Jönköping och Högskolan i Borås/FoU Sjuhärad Välfärd. Texterna i denna bok härrör från kursens föreläsningar och paperarbeten. De ger många exempel på hur brukare kan involveras i forskning och utvecklingsarbete, och presenterar en rad praktiska metoder för brukarsamverkan. Boken rekommenderas till välfärdens politiker och yrkespersoner, till studenter som förbereder sig för välfärdens yrken liksom till forskare och utvecklingsarbetare som vill utveckla samarbete med brukare och brukarorganisationer. Den vänder sig givetvis även till brukare och brukarorganisationer som vill engagera sig i forskning och utvecklingsarbete.
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| 29. |
- Heimdahl Vepsä, Karin, 1983-
(författare)
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Substance use, pregnancy, and parenthood : A study on problematizations and solutions
- 2021
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- With the starting point in the view that how we interpret a problem is decisive for how we think this problem should be dealt with, the overall aim of this dissertation is to explore problematizations of substance use in relation to pregnancy and parenthood within different settings. The dissertation consists of four studies, based on different empirical materials, that analyze problematizations of substance use, pregnancy, and parenthood from different perspectives. Elucidating how these constructions are made in social work related settings can in the long run contribute to improve the ways that pregnant women and parents with substance use problems are approached.Study I analyzes the Swedish discussion on the diagnosing of Fetal alcohol spectrum disorders (FASD). The data consists of a report from a Swedish authority and webpage material from an FASD interest organization. The results show that the interest organization and the authority have different views on whether FASD diagnoses should be used. The analysis suggests that the discussion on FASD is structured by three main discourses; a scientific discourse, a pragmatic discourse, and an ethical discourse.Study II analyzes professional accounts of substance-using pregnant women’s transitions into parenthood. Professionals within maternity care were interviewed in focus groups. The results show that the professionals related to two, sometimes contradictory, ideals of, on the one hand, “believing in the patient” and on the other hand “being realistic” when reflecting on the patients’ prospects to function well as parents.Study III is carried out as a scoping review aimed to give an overview of research on psychosocial interventions targeting parents with substance use problems. It has a focus on underlying assumptions motivating these interventions. The results show that all studies but one focused on women as parents. Most of the interventions were primarily concerned with the psychological deficits of these mothers, while only seldom addressing broader social and structural factors.Study IV aims to explore how parents with previous substance use problems narrated their experiences of becoming and being parents. The study participants were all active in the 12-step movement. The results show that the way they narrated their experiences of substance use problems, recovery, and parenthood was structured by a classic 12-step storyline. The participants described how their recovery processes had made them more emotionally present and skilled in handling their own feelings – competences they described as important resources for them as parents. The four studies, taken together, show some patterns in how substance use, pregnancy, and parenthood were problematized in relation to each other. The problematizations tended to portray parents, and especially mothers, with substance use problems as posing risks towards their children’s psychological and physical wellbeing. Furthermore, there was a tendency to define these parents solely based on their substance use problems, without acknowledging potential individual variation in parenting capacity. Finally, the solutions presented had a clear individualistic focus, emphasizing, for example, the importance of individual motivation and the willingness to comply with treatment, but only occasionally taking contextual and structural factors into account.
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| 30. |
- Hirsh, Åsa, 1968, et al.
(författare)
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Far from the generalised norm: Recognising the interplay between contextual particularities and principals’ leadership in schools in low-socio-economic status communities
- 2023
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Ingår i: Educational Management, Administration & Leadership. - 1741-1432.
-
Tidskriftsartikel (refereegranskat)abstract
- Focusing on the interplay between community context and principals’ leadership, this study contributes knowledge of the situated dimensions of school leadership. Based on qualitative content analysis of the statements of 20 principals leading schools in low-socio-economic status communities in a highly segregated Swedish city, we address the research questions: (1) Which context-related characteristics of low-socio-economic status schools emerge, and what challenges do they entail? and (2) How do such characteristics and challenges affect and contribute to shaping the principals’ leadership? The findings indicate four community-context characteristics, which also characterise or affect the schools’ student and parent base and, in some respects, also the staff of the schools: high mobility, comprehensive linguistic and cultural diversity, comprehensive knowledge diversity, and extensive problem complexity. The analysis reveals that these characteristics entail work-related challenges with implications of both quantitative and qualitative nature, contributing to shaping a leadership that is present, gatekeeping, sheltering, collaborative, and compensatory and aimed at maintaining a resilient organisation. Considering the findings, the importance of recognising the particularities of context and the context-specific knowledge required is highlighted, as well as the potential value of tailored context-sensitive training and support for principals from local education administrations and universities.
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| 31. |
- Holm, Anna, et al.
(författare)
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Nurses' communication with mechanically ventilated patients in the intensive care unit : Umbrella reviewLINA
- 2020
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Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 76:11, s. 2909-2920
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To conduct a review summarizing evidence concerning communication with mechanically ventilated patients in the intensive care unit (ICU).BACKGROUND: ICU patients undergoing mechanical ventilation are unable to communicate verbally, causing many negative emotions. Due to changes in sedation practice, a growing number of patients are conscious and experience communication difficulties.DESIGN: The umbrella review method guided by the Joanna Briggs Institute was applied.DATA SOURCES: A systematic search was done in the Cochrane Library, the Joanna Briggs Institute database, Cinahl, Pubmed, PsycINFO and Scopus between January -April 2019. Search terms were 'nurse-patient communication', 'mechanical ventilation', 'intensive care', and 'reviews as publication type'. Literature from 2009-2019 was included.REVIEW METHODS: Following recommendations by the Joanna Briggs Institute, a quality appraisal, data extraction, and synthesis were done.RESULTS: Seven research syntheses were included. There were two main themes and six subthemes: (1) Characterization of the nurse-patient communication: (a) Patients' communication; (b) Nurses' communication; (2) Nursing interventions that facilitate communication: (a) Communication assessment and documentation; (b) Communication methods and approaches; (c) Education and training of nurses; and (d) Augmentative and alternative communication.CONCLUSION: Nurse-patient communication was characterized by an unequal power relationship with a common experience - frustration. Four key interventions were identified and an integration of these may be key to designing and implementing future ICU communication packages.IMPACT: Nurse-patient communication is characterized by an unequal power relationship with one joint experience - frustration. Four key interventions should be integrated when designing and implementing communication packages in the ICU. Findings are transferable to ICU practices where patients are conscious and experience communication difficulties.
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| 32. |
- Härdelin, Linda, 1977, et al.
(författare)
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Hemicellulose foam
- 2014
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Ingår i: Proc Materials for Tomorrow. ; , s. Nr 24-
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 33. |
- Högberg, Ida, et al.
(författare)
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Brightness development of a hydrogen peroxide bleached spruce TMP. Comparisons of pre-treatments with DTPA and a separable chelating surfactant
- 2012
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Ingår i: Nordic Pulp & Paper Research Journal. - 0283-2631 .- 2000-0669. ; 27:1, s. 50-55
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Tidskriftsartikel (refereegranskat)abstract
- In this investigation a new type of recoverable complexing agent (chelating surfactant) has been compared with a conventional complexing agent; diethylenetriamine pentaacetic acid (DTPA), in the metal ion sequestering of thermomechanical pulps (TMP) to be hydrogen peroxide bleached. After different degrees of washing of the pulps, bleaching experiments at different total alkali charges were performed with and without sodium silicate additions, and the ISO brightness of hand-made sheets was measured. The residual hydrogen peroxide in the bleaching liquor was also determined. No significant difference in either the brightness development or the residual hydrogen peroxide content could be detected between the pulps treated with equivalent molar ratios of the different complexing agents. Furthermore, the recovery of the chelating surfactant-manganese complexes from laboratory made white water by froth flotation was also studied. Two different foaming agents; sodium dodecyl sulphonate (SDS) and dimethyldodecylamine oxide (DDAO), were tested in the froth generation. After an addition of 160 ppm of DDAO, more than 80% of the manganese chelates could be recovered in the foam, containing 3% of the initial water mass.
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| 34. |
- Högberg, Ida, et al.
(författare)
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Use of chelating surfactants as complexing agents for removal of manganese from mechanical pulp fibres prior to hydrogen peroxide bleaching.
- 2011
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Ingår i: 16th International Symposium on Wood, Fiber and Pulping Chemistry - Proceedings, ISWFPC. - Tianjin : China Light Industry Press. ; , s. 682-686
-
Konferensbidrag (refereegranskat)abstract
- In this investigation a new type of recoverable complexing agent (chelating surfactant) has been compared with a conventional complexing agent (DTPA) in the metal ion management of thermomechanical pulps (TMP) to be hydrogen peroxide bleached. After different degrees of washing of the pulps, bleaching experiments at different total alkali charges were performed with and without sodium silicate additions, and the ISO brightness of hand-made sheets was measured. The residual hydrogen peroxide in the bleaching liquor was also determined. No significant difference in either the brightness development or the residual hydrogen peroxide content could be detected between the pulps treated with equivalent molar ratios of the different complexing agents. Furthermore, the recovery of the surfactant-manganese complexes from laboratory made white water by foam flotation was also studied. Two different foaming agents, SDS and DDAO, were tested. After an addition of 160 ppm of the latter surfactant, about 80% of the manganese chelates could be recovered in the foam, containing 3% of the initial water mass.
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| 35. |
- Jerdhaf, Oskar, et al.
(författare)
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Focused Terminology Extraction for CPSs The Case of "Implant Terms" in Electronic Medical Records
- 2021
-
Ingår i: 2021 IEEE International Conference on Communications Workshops (ICC Workshops). - : Institute of Electrical and Electronics Engineers (IEEE).
-
Konferensbidrag (refereegranskat)abstract
- Language Technology is an essential component of many Cyber-Physical Systems (CPSs) because specialized linguistic knowledge is indispensable to prevent fatal errors. We present the case of automatic identification of implant terms. The need of an automatic identification of implant terms spurs from safety reasons because patients who have an implant may or may be not submitted to Magnetic Resonance Imaging (MRI). Normally, MRI scans are safe. However, in some cases an MRI scan may not be recommended. It is important to know if a patient has an implant, because MRI scanning is incompatible with some implants. At present, the process of ascertain whether a patient could be at risk is lengthy, manual, and based on the specialized knowledge of medical staff. We argue that this process can be sped up, streamlined and become safer by sieving through patients’ medical records. In this paper, we explore how to discover implant terms in electronic medical records (EMRs) written in Swedish with an unsupervised approach. To this aim we use BERT, a state-of-the-art deep learning algorithm based on pre-trained word embeddings. We observe that BERT discovers a solid proportion of terms that are indicative of implants.
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| 36. |
- Jerdhaf, Oskar, et al.
(författare)
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Implant Terms: Focused Terminology Extraction with Swedish BERT - Preliminary Results
- 2020
-
Konferensbidrag (refereegranskat)abstract
- Certain implants are imperative to detect be-fore MRI scans. However, implant terms, like‘pacemaker’ or ‘stent’, are sparse and difficultto identify in noisy and hastily written elec-tronic medical records (EMRs). In this pa-per, we explore how to discover implant termsin Swedish EMRs with an unsupervised ap-proach.To this purpose, we use BERT, astate-of-the-art deep learning algorithm, andfine-tune a model built on pre-trained SwedishBERT. We observe that BERT discovers asolid proportion of indicative implant terms.
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| 37. |
- Jiang, Zheshun, et al.
(författare)
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P-205 THE SAFECHROM PROJECT - EVIDENCE FROM A CROSS-SECTIONAL STUDY SHOWS THAT HEXAVALENT CHROMIUM IS STILL A CONCERN IN SWEDEN
- 2024
-
Ingår i: Occupational Medicine. - 0962-7480. ; 74:Suppl 1, s. 291-292
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Hexavalent chromium Cr(VI) is a human carcinogen, but the current exposure to Cr(VI) at Swedish workplaces is unknown.Recruitment of 113 workers with potential Cr(VI) exposure and 72 controls was combined with measurements of inhalable Cr(VI) (only exposed workers) and total Cr in urine and red blood cells (RBC), Bayesian analysis of occupational exposure limit (OEL) compliance was used, as well as the Swedish job-exposure-matrix.Exposed workers performed processing of metal products, steel production, welding, and plating. The geometric mean concentration of inhalable Cr(VI) in exposed workers was 0.15 μg/m3. Eight workers (7\ exceeded the Swedish OEL (5 μg/m3), and the share of OEL exceedances was estimated to be up to 19.6\ and RBC-Cr were significantly higher in exposed workers compared with controls. Workers with inferred non-acceptable local exhaustion ventilation showed significantly higher inhalable Cr(VI), urine- and RBC-Cr than those with acceptable ventilation. Workers with inferred correct use of respiratory protection had higher inhalable Cr(VI), and, paradoxically, higher urine- and RBC-Cr concentrations than workers with incorrect use. We estimate that ~17 900 Swedish workers are occupationally exposed to Cr(VI) today.Our study showed that although most air measurements were relatively low, 7\ and particularly stainless steel workers are at risk for exceeding the OEL. The existing protective measures implemented at workplaces are still inadequate and insufficient.Some workers in Sweden are exposed to high levels of the non-threshold carcinogen Cr(VI). National strategies aligned with European strategies are needed to eliminate occupational cancer.
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| 38. |
- Johansson, Anette, et al.
(författare)
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Valuable aspects of home rehabilitation in Sweden : Experiences from older adults
- 2021
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Ingår i: Health Science Reports. - : Wiley. - 2398-8835. ; 4:1
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Tidskriftsartikel (refereegranskat)abstract
- Background and aim: Home rehabilitation is an increasing service in many countries due to the aging population. The body of knowledge in home rehabilitation is growing but results are inconsistent, and there is still lack of knowledge from user perspectives to guide practice and home rehabilitation programs. The purpose of this study was to explore valuable aspects of home rehabilitation experienced by older adults. Methods: Fourteen older persons (nine older adults and five next of kins) were interviewed about their experiences of receiving rehabilitation in their homes. Nine de-identified interviews were analyzed as secondary data and with qualitative content analysis. Results: A familiar home environment, inclusive collaboration, and the mastering of everyday life were aspects of value for older adults in home rehabilitation. Creating a tailor-made rehabilitation together with competent staff, building trust, and providing a sense of security in their homes were also considered valuable. Conclusion: When using the home as an arena for rehabilitation and collaboration, interventions can be planned based on the older adult's unique conditions and the knowledge and skills of the multidisciplinary team, including the older adult and their next of kin. A valuable home rehabilitation can then be achieved that creates motivation, which in the long term probably also generates desired effects for the older adult. More research is needed on older adult's experiences of content in home rehabilitation programs so that practice develops in accordance with citizens' needs, individual resources, and relationships.
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| 39. |
- Johansson, Karl-Axel, et al.
(författare)
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The quality assurance process for the ARTSCAN head and neck study - a practical interactive approach for QA in 3DCRT and IMRT.
- 2008
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Ingår i: Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology. - : Elsevier BV. - 0167-8140 .- 1879-0887. ; 87:2, s. 290-9
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Tidskriftsartikel (refereegranskat)abstract
- AIM: This paper describes the quality assurance (QA) work performed in the Swedish multicenter ARTSCAN (Accelerated RadioTherapy of Squamous cell CArcinomas in the head and Neck) trial to guarantee high quality in a multicenter study which involved modern radiotherapy such as 3DCRT or IMRT. MATERIALS AND METHODS: The study was closed in June 2006 with 750 randomised patients. Radiation therapy-related data for every patient were sent by each participating centre to the QA office where all trial data were reviewed, analysed and stored. In case of any deviation from the protocol, an interactive process was started between the QA office and the local responsible clinician and/or physicist to increase the compliance to the protocol for future randomised patients. Meetings and workshops were held on a regular basis for discussions on various trial-related issues and for the QA office to report on updated results. RESULTS AND DISCUSSION: This review covers the 734 patients out of a total of 750 who had entered the study. Deviations early in the study were corrected so that the overall compliance to the protocol was very high. There were only negligible variations in doses and dose distributions to target volumes for each specific site and stage. The quality of the treatments was high. Furthermore, an extensive database of treatment parameters was accumulated for future dose-volume vs. endpoint evaluations. CONCLUSIONS: This comprehensive QA programme increased the probability to draw firm conclusions from our study and may serve as a concept for QA work in future radiotherapy trials where comparatively small effects are searched for in a heterogeneous tumour population.
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| 40. |
- Johnson, Randi K., et al.
(författare)
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Metabolite-related dietary patterns and the development of islet autoimmunity
- 2019
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Ingår i: Scientific Reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 9:1
-
Tidskriftsartikel (refereegranskat)abstract
- The role of diet in type 1 diabetes development is poorly understood. Metabolites, which reflect dietary response, may help elucidate this role. We explored metabolomics and lipidomics differences between 352 cases of islet autoimmunity (IA) and controls in the TEDDY (The Environmental Determinants of Diabetes in the Young) study. We created dietary patterns reflecting pre-IA metabolite differences between groups and examined their association with IA. Secondary outcomes included IA cases positive for multiple autoantibodies (mAb+). The association of 853 plasma metabolites with outcomes was tested at seroconversion to IA, just prior to seroconversion, and during infancy. Key compounds in enriched metabolite sets were used to create dietary patterns reflecting metabolite composition, which were then tested for association with outcomes in the nested case-control subset and the full TEDDY cohort. Unsaturated phosphatidylcholines, sphingomyelins, phosphatidylethanolamines, glucosylceramides, and phospholipid ethers in infancy were inversely associated with mAb+ risk, while dicarboxylic acids were associated with an increased risk. An infancy dietary pattern representing higher levels of unsaturated phosphatidylcholines and phospholipid ethers, and lower sphingomyelins was protective for mAb+ in the nested case-control study only. Characterization of this high-risk infant metabolomics profile may help shape the future of early diagnosis or prevention efforts. © 2019, The Author(s).
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| 41. |
- Jönsson, Anette, et al.
(författare)
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In old men Scheuermann's disease is not associated with neck or back pain: a Swedish cohort study
- 2023
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Ingår i: Acta Orthopaedica. - 1745-3674. ; 94, s. 236-242
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Tidskriftsartikel (refereegranskat)abstract
- Background and purpose - Scheuermann's disease is characterized by kyphosis and frequently mild back pain. As the level of kyphosis may progress over time, also the level of pain may increase. We evaluated the prevalence of Scheuer-mann's disease, and their pain, in Swedish elderly men. Patients and methods - The Osteoporotic Fractures in Men (MrOS) Study Sweden (n = 3,014) is a population -based prospective observational study of community-living men aged 69-81 years. At baseline, participants answered a questionnaire including history of neck/back pain during the preceding year and characteristics of any pain (severity, sciatica, and neurological deficits). Lateral thoracic/lumbar spine radiographs were taken of 1,453 men. We included the 1,417 men with readable radiographs. Scheuermann's dis-ease was defined as 3 or more consecutive vertebrae with > 5 & DEG; wedging with no other explanation for the deformity. Results - 92 of the 1,417 men (6.5%, 95% confidence interval 5.3-7.9) had Scheuermann's disease. 31% of men with and 31% without Scheuermann's disease reported neck pain (P = 0.90) and 51% with and 55% without the disease reported back pain (P = 0.4). Among men with Scheuer-mann's disease and back pain, none reported severe pain, 57% moderate, and 43% mild, compared with 7%, 50%, and 44% in those without Scheuermann's disease (P = 0.2). In those with Scheuermann's disease 63% reported no sciatica, 15% sciatica without neurological deficits, and 22% sciatica with neurological deficits, compared with 56%, 16%, and 28% in those without the disease (P = 0.6). Conclusion - The prevalence of Scheuermann's disease in elderly Swedish men is between 5.3% and 7.9%. The con-dition seems at this age not to be associated with neck or back pain.
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| 42. |
- Karlsson, Anette, et al.
(författare)
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An Investigation of Fat Infiltration of the Multifidus Muscle in Patients With Severe Neck Symptoms Associated With Chronic Whiplash-Associated Disorder
- 2016
-
Ingår i: Journal of Orthopaedic and Sports Physical Therapy. - : Journal of Orthopaedic & Sports Physical Therapy (JOSPT). - 0190-6011 .- 1938-1344. ; 46:10, s. 886-893
-
Tidskriftsartikel (refereegranskat)abstract
- STUDY DESIGN: Cross-sectional study. BACKGROUND: Findings of fat infiltration in cervical spine multifidus, as a sign of degenerative morphometric changes due to whiplash injury, need to be verified. OBJECTIVES: To develop a method using water/fat magnetic resonance imaging (MRI) to investigate fat infiltration and cross-sectional area of multifidus muscle in individuals with whiplash associated disorders (WADS) compared to healthy controls. METHODS: Fat infiltration and cross-sectional area in the multifidus muscles spanning the C4 to C7 segmental levels were investigated by manual segmentation using water/fat-separated MRI in 31 participants with WAD and 31 controls, matched for age and sex. RESULTS: Based on average values for data spanning C4 to C7, participants with severe disability related to WAD had 38% greater muscular fat infiltration compared to healthy controls (P = .03) and 45% greater fat infiltration compared to those with mild to moderate disability related to WAD (P = .02). There were no significant differences between those with mild to moderate disability and healthy controls. No significant differences between groups were found for multifidus cross-sectional area. Significant differences were observed for both cross-sectional area and fat infiltration between segmental levels. CONCLUSION: Participants with severe disability after a whiplash injury had higher fat infiltration in the multifidus compared to controls and to those with mild/moderate disability secondary to WAD. Earlier reported findings using T1-weighted MRI were reproduced using refined imaging technology. The results of the study also indicate a risk when segmenting single cross-sectional slices, as both cross-sectional area and fat infiltration differ between cervical levels.
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| 43. |
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| 44. |
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| 45. |
- Karlsson, Anette, et al.
(författare)
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Automatic and quantitative assessment of regional muscle volume by multi-atlas segmentation using whole-body water–fat MRI
- 2015
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Ingår i: Journal of Magnetic Resonance Imaging. - : John Wiley & Sons. - 1053-1807 .- 1522-2586. ; 41:6, s. 1558-1569
-
Tidskriftsartikel (refereegranskat)abstract
- PurposeTo develop and demonstrate a rapid whole-body magnetic resonance imaging (MRI) method for automatic quantification of total and regional skeletal muscle volume.Materials and MethodsThe method was based on a multi-atlas segmentation of intensity corrected water–fat separated image volumes. Automatic lean muscle tissue segmentations were achieved by nonrigid registration of atlas datasets with 10 different manually segmented muscle groups. Ten subjects scanned at 1.5 T and 3.0 T were used as atlases, initial validation and optimization. Further validation used 11 subjects scanned at 3.0 T. The automated and manual segmentations were compared using intraclass correlation, true positive volume fractions, and delta volumes.ResultsFor the 1.5 T datasets, the intraclass correlation, true positive volume fractions (mean ± standard deviation, SD), and delta volumes (mean ± SD) were 0.99, 0.91 ± 0.02, −0.10 ± 0.70L (whole body), 0.99, 0.93 ± 0.02, 0.01 ± 0.07L (left anterior thigh), and 0.98, 0.80 ± 0.07, −0.08 ± 0.15L (left abdomen). The corresponding values at 3.0 T were 0.97, 0.92 ± 0.03, −0.17 ± 1.37L (whole body), 0.99, 0.93 ± 0.03, 0.03 ± 0.08L (left anterior thigh), and 0.89, 0.90 ± 0.04, −0.03 ± 0.42L (left abdomen). The validation datasets showed similar results.ConclusionThe method accurately quantified the whole-body skeletal muscle volume and the volume of separate muscle groups independent of field strength and image resolution.
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| 46. |
- Karlsson, Anette, et al.
(författare)
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Automatic and Quantitative Assessment of Total and Regional Muscle Tissue Volume using Multi-Atlas Segmentation
- 2015
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Ingår i: International Society for Magnetic Resonance in Medicince Annual Meeting. ; , s. 1558-1569
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The purpose is to develop and demonstrate a rapid whole-body MRI method for automatic quantification of total and regional lean skeletal muscle volume. Quantitative water and fat separated image volumes of the whole body are manually segmented and used as atlases. The atlases are non-rigidly registered onto to a new image volume and the muscle groups are classified using a voting scheme. A leave-one-out approach with subjects scanned in a 1.5 T and a 3.0 T scanner is used for validation. The method quantifies the whole-body skeletal muscle volumes and the volumes of separate muscle groups independently of image resolution.
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| 47. |
- Karlsson, Anette, et al.
(författare)
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Automatic and Quantitative Assessment of Total and Regional Muscle Tissue Volume using Multi-Atlas Segmentation
- 2014
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Accurate and precise assessment of human muscle tissue is important for further understanding of different muscle diseases and syndromes. We present a rapid whole body MR method for automatic quantification of total and regional muscle volume. The method is based on multi-atlas segmentation of intensity corrected water-fat separated images. The method was validated with a leave-one-out approach, using manually segmented atlases from 10 subjects as ground truth. The result gave a coefficient of variation on total muscle volume equal to 1.25±1.35 % (mean ± standard deviation). The method enables cost-efficient large-scale studies, investigating conditions such as sarcopenia and muscular dystrophies.
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| 48. |
- Karlsson, Anette, et al.
(författare)
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Defining Sarcopenia with MRI - Establishing Threshold Values within a Large-Scale Population Study
- 2016
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- PURPOSETo identify gender specific threshold values for sarcopenia detection for lean thigh muscle tissue volume quantified using MRI.METHOD AND MATERIALSCurrent gender-specific thresholds for sarcopenia detection are based on quantification on appendicular lean tissue normalized with height^2 using DXA (7.26 kg/m2 for men and 5.45 kg/m2 for women). In this study 3514 subjects (1548 males and 1966 females) in the imaging subcohort of UK Biobank with paired DXA and MRI scans were included. The age range was 45 to 78 years. The total lean thigh volume normalized with height2 (TTVi) was determined with a 6 minutes neck to knee 2-point Dixon MRI protocol using a 1.5T MR-scanner (Siemens, Germany) followed by analysis with AMRA® Profiler (AMRA, Sweden). The appendicular lean tissue mass normalized with height2 (ALTMi) was assessed using DXA (GE-Lunar iDXA). Subjects with ALTMi lower than the gender specific threshold were categorized as sarcopenic. Gender specific threshold values were determined for detection of sarcopenic subjects based on TTVi optimizing sensitivity and specificity. Area under receiver operator curve (AUROC) was calculated as well as the linear correlation between TTVi and ALTMi.RESULTSA threshold value of TTVi = 3.64 l/m2 provided a sensitivity and specificity of 0.88 for sarcopenia detection in males. The AUROC was 0.96. Similarly, a TTVi < 2.76 l/m2 identified sarcopenic female subjects with a sensitivity and specificity of 0.89. The corresponding AUROC was 0.96. The linear correlation between TTVi and ALTMi was 0.93 (99%CI: 0.93-0.94).CONCLUSIONMRI-based quantification of total lean thigh volume normalized with height^2 could be used to categorize sarcopenia in the study group. Threshold values are suggested.CLINICAL RELEVANCE/APPLICATIONThe study suggests that sarcopenia can be diagnosed using a rapid MRI scan with high sensitivity and specificity.
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| 49. |
- Karlsson, Anette, et al.
(författare)
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Determining optical properties of mechanical pulps : Sheetmaking procedure and investigation of different ways to evaluate light absorption
- 2012
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Ingår i: Nordic Pulp & Paper Research Journal. - 0283-2631 .- 2000-0669. ; 27:3, s. 531-541
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Tidskriftsartikel (refereegranskat)abstract
- A method to produce representative sheets for determination of optical properties of mechanical pulps has been developed. It reduces the risk of contamination and discoloration and can be used with small pulp quantities. The deviation from the expected linear behaviour of the light scattering coefficient, s, at wavelengths corresponding to strong light absorption, has been studied using the Kubelka-Munk model and the angular resolved DORT2002 radiative transfer solution method. This decrease in s could not be explained by errors introduced in the Kubelka-Munk modelling by anisotropic scattering. Linear extrapolation of s can therefore not be justified as a way to obtain a more correct light absorption coefficient, k. For thepulps studied, the decrease in s at short wavelengths had little effect on k at 457 nm.
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| 50. |
- Karlsson, Anette
(författare)
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High consistency hydrogen peroxide bleaching of a Norway spruce stone groundwood pulp : Influence of heat treatment and iron content
- 2011
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Ingår i: Nordic Pulp & Paper Research Journal. - 0283-2631 .- 2000-0669. ; 26:2, s. 186-196
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Tidskriftsartikel (refereegranskat)abstract
- The objective of this work was to improve the understanding on how thermal treatments of mechanical pulps containing iron influence the unbleached brightness and hydrogen peroxide bleachability at high brightness levels. An unbleached Norway spruce stone groundwood (SGW) pulp was subjected to heat and iron (Fe3+) treatments followed by a chelating stage and a high consistency hydrogen peroxide bleaching stage. The hydrogen peroxide bleachability was studied on pulps as a function of pre-treatment at elevated temperatures and strongly bound iron content prior to bleaching and the alkali charge during bleaching. The evaluation was done using an experimental design based on the MODDE software (Umetrics AB).Heat treatment of the unbleached SGW pulp at 110 or 140 degrees C did not induce a significant increase in light absorption coefficient. Increasing the heat treatment temperature to 170 degrees C did, however, result in an increased light absorption coefficient corresponding to a brightness loss of 3.5% ISO. The light scattering coefficient was found to be essentially unchanged regardless of the heat-treatment conditions applied. The brightness loss resulting from the heat treatment could only partly be regained by hydrogen peroxide bleaching.An increased amount of strongly bound iron in the unbleached SGW pulp increased the light absorption coefficient. This increase was slightly higher when heat pre-treatment was performed at 140 and 170 degrees C compared to when heating at 110 degrees C. Hydrogen peroxide bleaching was found to reduce the iron content of the pulps and thus regain some of the brightness that was lost. This effect was most pronounced at the higher alkali charge levels. It is thus important to minimise the processing temperature, the time at high temperature and the iron content of the pulp in order to improve the unbleached brightness and bleachability of mechanical pulps.
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