| 1. |
- Jung, Christian, et al.
(författare)
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A comparison of very old patients admitted to intensive care unit after acute versus elective surgery or intervention
- 2019
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Ingår i: Journal of critical care. - : W B SAUNDERS CO-ELSEVIER INC. - 0883-9441 .- 1557-8615. ; 52, s. 141-148
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Tidskriftsartikel (refereegranskat)abstract
- Background: We aimed to evaluate differences in outcome between patients admitted to intensive care unit (ICU) after elective versus acute surgery in a multinational cohort of very old patients (80 years; VIP). Predictors of mortality, with special emphasis on frailty, were assessed.Methods: In total, 5063 VIPs were induded in this analysis, 922 were admitted after elective surgery or intervention, 4141 acutely, with 402 after acute surgery. Differences were calculated using Mann-Whitney-U test and Wilcoxon test. Univariate and multivariable logistic regression were used to assess associations with mortality.Results: Compared patients admitted after acute surgery, patients admitted after elective surgery suffered less often from frailty as defined as CFS (28% vs 46%; p < 0.001), evidenced lower SOFA scores (4 +/- 5 vs 7 +/- 7; p < 0.001). Presence of frailty (CFS >4) was associated with significantly increased mortality both in elective surgery patients (7% vs 12%; p = 0.01), in acute surgery (7% vs 12%; p = 0.02).Conclusions: VIPs admitted to ICU after elective surgery evidenced favorable outcome over patients after acute surgery even after correction for relevant confounders. Frailty might be used to guide clinicians in risk stratification in both patients admitted after elective and acute surgery.
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| 2. |
- Ohman, Marcus C., et al.
(författare)
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Offshore windmills and the effects electromagnetic fields an fish
- 2007
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Ingår i: Ambio. - 0044-7447 .- 1654-7209. ; 36:8, s. 630-633
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Tidskriftsartikel (refereegranskat)abstract
- With the large scale developments of offshore windpower the number of underwater electric cables is increasing with various technologies applied. A wind farm is associated with different types of cables used for intraturbine, array-to-transformer, and transformer-to-shore transmissions. As the electric currents in submarine cables induce electromagnetic fields there is a concern of how they may influence fishes. Studies have shown that there are fish species that are magneto-sensitive using geomagnetic field information for the purpose of orientation. Thin implies that if the geomagnetic field is locally altered it could influence spatial patterns in fish. There are also physiological aspects to consider, especially for species that are less inclined to move as the exposure could be persistent in a particular area. Even though studies have shown that magnetic fields could affect fish, there is at present limited evidence that fish are influenced by the electromagnetic fields that underwater cables from wind-mills generate. Studies on European eel in the Baltic Sea have indicated some minor effects. In this article we give an overview on the type of submarine cables that are used for electric transmissions in the sea. We also describe the character of the magnetic fields they induce. The effects of magnetic fields on fish are reviewed and how this may relate to the cables used for offshore wind power is discussed.
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| 3. |
- Pruim, Peter, et al.
(författare)
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Methacrylate monolithic stationary phases for gradient elution separations in microfluidic devices
- 2011
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Ingår i: Journal of Chromatography A. - : Elsevier BV. - 0021-9673 .- 1873-3778. ; 1218:31, s. 5292-5297
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Tidskriftsartikel (refereegranskat)abstract
- Methacrylate monolithic stationary phases were produced in fused-silica chips by UV initiation. Poly(butyl methacrylate-co-ethylene dimethacrylate) (BMA) and poly(lauryl methacrylate-co-ethylene dimethacrylate) (LMA) monoliths containing 30, 35 and 40% monomers were evaluated for the separation of peptides under gradient conditions. The peak capacity was used as an objective tool for the evaluation of the separation performance. LMA monoliths of the highest density gave the highest peak capacities (approximate to 40) in gradients of 15 min and all LMA monoliths gave higher peak capacities than the BMA monoliths with the same percentage of monomers. Increasing the gradient duration to 30 min did not increase the peak capacity significantly. However, running fast (5 min) gradients provides moderate peak capacities (approximate to 20) in a short time. Due to the system dead volume of 1 mu L and the low bed volume of the chip, early eluting peptides migrated over a significant part of the column during the dwell time under isocratic conditions. It was shown that this could explain an increased band broadening on the monolithic stationary phase materials used. The effect is stronger with BMA monoliths, which partly explains the inferior performance of this material with respect to peak capacity. The configuration of the connections on the chip appeared to be critical when fast analyses were performed at pressures above 20 bar. (C) 2011 Elsevier B.V. All rights reserved.
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