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1.
  • A Asif, Farazee M, 1980- (författare)
  • Circular Manufacturing Systems : A development framework with analysis methods and tools for implementation
  • 2017
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The society today lives on the philosophy of ‘take-make-use-dispose.’ In the long run, this is not sustainable as the natural resources and the waste carrying capacity of the earth are limited. Therefore, it is essential to reduce dependency on the natural resources by decoupling the growth from the consumption. In this venture, both the society and the manufacturing industry have a vital role to play. The society needs to shift towards Circular Economy that rests upon the philosophy of ‘take-make-use-reuse’ and the manufacturing industry has to be a major stakeholder in this shift. Despite being proven to be both economically and environmentally beneficial, successful examples of circular systems are few today. This is primarily due to two reasons; firstly, there is a lack of systemic and systematic approach to guide industries and secondly, there is a lack of analysis methods and tools that are capable of assessing different aspects of circular manufacturing systems. Taking on to these challenges, the objective of this research is to bring forward a framework with methods and decision support tools that are essential to implement circular manufacturing systems. The initial conceptual framework with the systemic approach is developed based on extensive review and analysis of research, which is further adapted for industrial implementation. Systematic analysis methods, decision support and implementation tools are developed to facilitate this adaptation. This development has been supported by four cases from diverse manufacturing sectors. Behind each decision support tool, there are analysis methods built upon mainly system dynamics principles. These tools are based on simulation platforms called Stella and Anylogic. Among other things, these tools are capable of assessing the performance of closed-loop supply chains, consequences of resource scarcity, potential gains from resource conservation and overall economic and environmental performance of circular manufacturing systems.
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2.
  • A. M. Naiini, Maziar, 1980- (författare)
  • Horizontal Slot Waveguides for Silicon Photonics Back-End Integration
  • 2014
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • This thesis presents the development of integrated silicon photonic devices. These devices are compatible with the present and near future CMOS technology. High-khorizontal grating couplers and waveguides are proposed. This work consists of simulations and device design, as well as the layout for the fabrication process, device fabrication, process development, characterization instrument development and electro-optical characterizations.The work demonstrates an alternative solution to costly silicon-on-insulator photonics. The proposed solution uses bulk silicon wafers and thin film deposited waveguides. Back-end deposited horizontal slot grating couplers and waveguides are realized by multi-layers of amorphous silicon and high-k materials.The achievements of this work include: A theoretical study of fully etched slot grating couplers with Al2O3, HfO2 and AIN, an optical study of the high-k films with spectroscopic ellipsometry, an experimental demonstration of fully etched SiO2 single slot grating couplers and double slot Al2O3 grating couplers, a practical demonstration of horizontal double slot high-k waveguides, partially etched Al2O3 single slot grating couplers, a study of a scheme for integration of the double slot Al2O3  waveguides with selectively grown germanium PIN photodetectors, realization of test chips for the integrated germanium photodetectors, and study of integration with graphene photodetectors through embedding the graphene into a high-k slot layer.From an application point of view, these high-k slot waveguides add more functionality to the current silicon photonics. The presented devices can be used for low cost photonics applications. Also alternative optical materials can be used in the context of this photonics platform.With the robust design, the grating couplers result in improved yield and a more cost effective solution is realized for integration of the waveguides with the germanium and graphene photodetectors.    
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3.
  • A. Manneh, Ilana, 1970- (författare)
  • Supporting Learning and Teaching of Chemistry in the Undergraduate Classroom
  • 2019
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • There is agreement in research about the need to find better ways of teaching chemistry to enhance students’ understanding. This thesis aims to contribute to the understanding of how we better support teaching and learning of undergraduate chemistry to make it meaningful and intelligible for students from the outset. The thesis is concerned with examining the interactions between student, specific content and teacher in the undergraduate chemistry classroom; that is, the processes making up the three relations of the didactic triangle. The data consists of observations of students and tutors during problem-solving activities in an introductory chemistry course and interviews with graduate students.Systematic analyses of the different interactions between the student, the chemistry content, and the tutor are made using the analytical tool of practical epistemology analysis. The main findings of the thesis include detailed insights into how undergraduate chemistry students deal with newly encountered content together with didactic models and concrete suggestions for improved teaching and for supporting continuity and progression in the undergraduate chemistry classroom. Specifically, I show how students deal with the chemistry content through a complex interaction of knowledge, experiences, and purposes on different levels invoked by both students and tutors as they interact with each other. Whether these interactions have a positive or negative effect on students’ learning depends on the nature of knowledge, experiences and purposes that were invoked. Moreover, the tutor sometimes invoked other purposes than the ones related to the task at hand for connecting the activity to the subject matter in general. These purposes were not always made continuous with the activity which resulting in confusion among students. The results from these analyses were used for producing hypotheses and models that could support continuity and progression during the activity. The suggested models aim to make the content more manageable and meaningful to students, enabling connections to other experiences and purposes, and helping teachers and tutors to analyze and reflect on their teaching. Moreover, a purpose- and activity-based progression is suggested that gives attention to purposes in chemistry education other than providing explanations of chemical phenomena. The aim of this ‘progression in action’ is to engage students in activities were they can see the meaning of chemical concepts and ideas through their use to accomplish different chemical tasks. A general conclusion is that detailed knowledge about the processes of teaching and learning is important for providing adequate support to both undergraduate students and university teachers in the chemistry classroom.
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4.
  • A Monfared, Behzad, 1983- (författare)
  • Magnetic Refrigeration for Near Room-Temperature Applications
  • 2018
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Refrigeration plays a crucial role in many different sectors and consumes about 17% of the electricity produced globally. This significant energy consumption implies large share of refrigeration in primary energy consumption and other environmental impacts. In addition to the environmental impacts associated with energy consumption, the vapor-compression systems contribute in global warming due to the release of their gaseous refrigerants into the atmosphere. As an alternative technology for near room-temperature applications, magnetic refrigeration is proposed by some researchers to eliminate the release of gaseous refrigerants into the atmosphere and to reduce the energy consumption. This thesis is a compilation of a number of studies done on magnetic refrigeration for room-temperature applications.In the first study, the environmental impacts associated to magnetic refrigeration are looked at closely through a life cycle assessment. The life cycle assessment indicates that because of the environmental burdens related to the rare-earth materials used in magnetic refrigeration, the reduction in the environmental impacts is not guaranteed by switching to magnetic refrigeration technology. Accordingly to avoid the extra environmental impacts the magnetic refrigeration systems should use magnetic materials frugally, which requires an optimized design. In addition, operation with higher efficiency compared to vapor-compression systems is necessary to have environmental advantages, at least in some impact categories.A practical method to optimize the design of magnetic refrigeration systems, e.g. to have a compact design or high efficiency, is utilizing a flexible software model, with which the effect of varying different parameters on the performance of the system can be simulated. Such a software model of the magnetic refrigeration system is developed and validated in this project. In developing the model one goal is to add to the precision of the simulated results by taking more details into consideration. This goal is achieved by an innovative way of modeling the parasitic heat transfer and including the effect of the presence of magnetocaloric materials on the strength of the field created by the magnet assembly. In addition, some efforts are made to modify or correct the existing correlations to include the effect of binding agents used in some active magnetic regenerators. Validation of the developed software model is done using the experimental results obtained from the prototype existing at the Department of Energy Technology, KTH Royal Institute of Technology.One of the parameters that can be modified by the developed software model is the choice of the magnetocaloric materials for each layer in a layered active magnetic regenerator. Utilizing the software model for optimizing the choice of the materials for the layers reveals that materials with critical temperatures equal to the cyclic average temperature of the layers in which they are used do not necessarily result in the desired optimum performance. In addition, for maximizing different outputs of the models, such as energy efficiency or temperature lift sustained at the two ends of the regenerators, different choice of materials for the layers are needed. Therefore, in other studies seeking to improve one of the outputs of a system, the choice of the transition or critical temperatures of the materials for each layer is an additional parameter to be optimized.The prototype existing at the Department of Energy Technology, KTH Royal Institute of Technology, was initially designed for replacing the vapor-compression system of a professional refrigerator. However, it could not fulfil the requirements for which it was initially designed. The aforementioned developed simulation model is used to see how much the choice of the materials, size of the particles, and number of layers can enhance the performance while the operation frequency and flow rate of the heat transfer fluid are at their optimum values. In other words, in that study the room for improvement in the performance without applying major changes in the system such as the geometry of the regenerator, which implies redesigning the whole magnet assembly, is investigated. In the redesign process the effect of binding agent and the limitations associated to different properties of it is also investigated theoretically. Nevertheless, the study did not show that with keeping the geometry of the regenerators and the currently existing magnetocaloric materials the initial goals of the prototype can be achieved.In the next study more flexible choice of geometries and magnetocaloric materials are considered. In fact, in this study it is investigated how much the magnetocaloric materials need to be improved so that magnetic refrigeration systems can compete with vapor-compression ones in terms of performance. For the two investigated cases, the magnetic-field dependent properties of the currently existing materials are enough provided that some other issues such as low mechanical stability and inhomogeneity of the properties are solved. Nevertheless, for more demanding design criteria, such as delivering large cooling capacity over a considerable temperature span while the magnetic materials are used sparingly, the magnetic-field dependent properties need to be enhanced, as well.A less explored area in room-temperature magnetic refrigeration is the subject of another study included in the thesis. In this study, solid-state magnetic refrigeration systems with Peltier elements as heat switches are modeled. Since the Peltier elements consume electricity to pump heat, the modeled systems can be considered hybrid magnetocaloric-Peltier cooling systems. For such systems the detailed transient behavior of the Peltier elements together with layers of magnetocaloric materials are modeled. The mathematical model is suitable for implementation in programing languages without the need for commercial modeling platforms. The parameters affecting the performance of the modeled system are numerous, and optimization of them requires a separate study. However, the preliminary attempts on optimizing the modeled system does not give promising results. Accordingly, focusing on passive heat switches can be more beneficial.
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5.
  • Aaboen, Lise, 1978 (författare)
  • Incubators and incubation -Resources and activities in relation to different actors
  • 2008
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • ABSTRACTIncubators prepare new technology-based firms (NTBFs) for the obstacles ahead, they complement and develop the entrepreneurial ability of the firm founder, advise regarding financing, as well as providing structure and credibility to the firm. Incubators accelerate the development of the firms towards growth, create an entrepreneurial and innovative climate in the region, and contribute to the commercialization of research results from the university. There are many descriptions but still there remains the difficulty of understanding what an incubator is, and what it does. There is a great difference between incubators due to them having been formed in relation to different actors who have varying histories. Based on the appended papers the principal actors in relation to incubators are: the incubator, the NTBFs, the university, the policy actors and the financial actors. Moreover, the part played by the incubator differs depending on the roles in relation to the different actors, and they often have more than one role in relation to the same actor. Hence, the purpose of this thesis is to explore incubation in relation to different actors. The exploration includes five appended papers. Three of the papers focus on the role of the incubators when helping the NTBFs find and utilize resources. The three types of resources are knowledge, financing and relationships. The two remaining papers focus on the incubator as an organization with particular interest in value creation and efficiency. All five appended papers are written using the resource-based view. In the cover paper the findings in the appended papers are reflected upon using the industrial network approach in order to provide another perspective, focusing on relationships as opportunities leading to an understanding of incubators and incubation. In the cover paper principal actors, activities and resources are explored. The NTBFs are developed through the incubation with the help of resources contributed by the other actors. Additional to the development, the cover paper discussed other activities included in the incubation, i.e. mediation, innovation and acceleration. These activities enable actors to access and combine resources, within and across firm boundaries, that they would otherwise have difficulties combining at that point in time, as quickly or in that way. The relationships of the incubator enable mediation of contacts between actors who are otherwise reluctant to collaborate. Through these collaborations new resource combinations may be found. Resource combinations in already existing relationship can be found using experience from other relationships. In other words, the relationships of the incubator contribute to innovation among the actors. Furthermore, the relationships of the incubator contribute to the acceleration of the NTBFs’ development by being a trusted third party actor, and by contributing to the coordination of actors aiming at improving the innovative climate. Hence, relationships are a special kind of resource for the incubators. The importance of the relationships for the incubators implies that the critical issues might not be to pick NTBFs based on criteria for growth potential, but rather on the ability to form and develop relationships for themselves, as well as the NTBF, in order to develop the firm. Furthermore, arguments regarding the increasing homogeneity among Swedish incubators are based on the rather formalized relationships with the policy actors where incubators tend to play rather similar roles. The heterogeneity is likely to be perceived as larger from the perspective of relationships that are more context specific. Moreover, the relationships, activities and combination of resources cross-fertilize each other without a natural or manageable direction that cannot be controlled by one or a few of the actors involved. After the concluding discussion there is a retrospection of the development of the thesis and the empirical material, which is based on qualitative and quantitative data that has been gathered within the Swedish incubator program mainly during 1999, 2005 and 2006.
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8.
  • Aagaard, Philip (författare)
  • Cardiovascular assessment in middle-aged male long distance runners
  • 2012
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Endurance events such as long distance running races are increasing in popularity and convey multiple health benefits. However, such exercise forms also represent a major challenge to human cardiovascular physiology and are associated with a momentarily increased risk for adverse cardiac events. Using the world’s largest cross-country running race Lidingöloppet as a model of endurance events, this thesis aims to: 1) investigate male and female participation and performance trends 2) detail the cardiovascular findings of a comprehensive cardiovascular preparticipation evaluation in novice male race participants aged 45 years and older 3) study the impact of race participation on cardiac autonomic tone and 4) assess features of cardiovascular function and vectorcardiography (VCG), and their response to endurance exercise in individuals with early repolarisation (ER). Study I: Participation and performance trends were investigated in >120,000 runners partaking in the Lidingöloppet between 1993 and 2007. In a subgroup of 249 middle-aged males, the association between the cardiac biomarker NT-proBNP and runtime was also studied. Participation increased over the study period, particularly in females and older males, while participants’ fitness deteriorated, as measured by an average increase in runtime of 21 ± 31 min. Longer runtimes were independently associated with higher levels of NT-proBNP. Study II: A preparticipation cardiovascular exam was performed in 153 middle-aged male first-time Lidingöloppet race participants. Runners were assessed by medical history and physical exam, 12-lead ECG, echocardiography, and blood tests. 9 % of runners required further diagnostic work-up and 2 % were discouraged from race participation due to cardiac abnormalities that could increase their risk of exercise- related cardiac events. Study III: Heart rate (HR) and heart rate variability (HRV) was continuously measured from 48 hours before until 96 hours after a Lidingöloppet 30km race. Compared to pre-race values, HR was elevated during the night after the race while HRV remained depressed for 64 [51 - 96] hours after the race. A reduced HR recovery and a greater fall in HRV post race were associated with higher levels of high-sensitivity troponin T (hsTnT). Study IV: The prevalence and associated cardiac features of ER, characterized by ST-segment elevation (STE) and/or J-waves, was investigated in 153 middle-aged males registered for first-time participation in the Lidingöloppet 10, 15 or 30km race. ER was present in 40 % and generally associated with features of better cardiovascular fitness. The cardiovascular effects of participating in the 30km race (n= 94) were also assessed after the race; runners with J-waves, but not with STE alone, showed changes of repolarisation parameters usually considered unfavourable (e.g. prolonged T peak-to-end (Tpe) and QTc). Conclusion: This thesis demonstrated that increased participation in a long distance running event (Lidingöloppet) was paralleled by deteriorating runtimes. In middle-aged men, longer runtimes were associated with higher levels of NT-proBNP. These findings may raise concern regarding the fitness and cardiovascular health of some of today’s race participants. A comprehensive preparticipation evaluation identified 9 % of first- time runners needing additional work-up and 2% who were ultimately discouraged from participating, suggesting that such a protocol is useful to identify individuals requiring further testing prior to vigorous exercise. After the race there was a prolonged depression of HRV. The magnitude and duration of HRV depression correlated with higher levels of hsTnT, suggesting that the degree of troponin (Tn) increase after strenuous exercise may reflect the level of exercise-induced cardiovascular stress. ER was generally associated with a benign cardiovascular profile, although subjects with J-waves showed post-race changes in some parameters of ventricular repolarisation that are usually associated with increased arrhythmia propensity. More research into the mechanisms and potential preventive measures of adverse exercise related effects on cardiac function is warranted.
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9.
  • Aagaard, Sunniva Margrethe Due (författare)
  • Reticulate Evolution in Diphasiastrum (Lycopodiaceae)
  • 2009
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • In this thesis relationships and the occurrence of reticulate evolutionary events in the club moss genus Diphasiastrum are investigated. Diphasiastrum is initially established as a monophyletic group within Lycopodiaceae using non recombinant chloroplast sequence data. Support is obtained for eight distinct parental lineages in Diphasiastrum, and relationships among the putative parent taxa in the hypothesized hybrid complexes; D. alpinum, D. complanatum, D. digitatum, D. multispicatum, D. sitchense, D. tristachyum and D. veitchii are presented. Feulgen DNA image densitometry data and sequence data obtained from three nuclear regions, RPB2, LEAFY and LAMB4, were used to infer the origins of three different taxa confirmed to be allopolyploid; D. zanclophyllum from South Africa, D. wightianum from Malaysia and an undescribed taxon from China. The two Asian polyploids have originated from two different hybrid combinations, D. multispicatum x D. veitchii and D. tristachyum x D. veitchii. Diphasiastrum zanclophyllum originates from a cross between D. digitatum and an unidentified diploid taxon. The occurrence of three homoploid hybrid combinations commonly recognized in Europe, D. alpinum x D. complanatum, D. alpinum x D. tristachyum and D. complanatum x D. tristachyum, are verified using the same three nuclear regions. Two of the three hybrid combinations are also shown to have originated from reciprocal crosses. Admixture analyses performed on an extended, dataset similarly identified predominately F1 hybrids and backcrosses. The observations and common recognition of hybrid species in the included populations are hence most likely due to frequent observations of neohybrids in hybrid zones. Reticulate patterns are, however, prominent in the presented dataset. Hence future studies addressing evolutionary and ecological questions in Diphasiastrum should emphasize the impact of gene flow between parent lineages rather than speciation as the result of hybridization.
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10.
  • Aagerup, Ulf, 1969- (författare)
  • It’s Not What You Sell : It’s Whom You Sell it To: How the Customer’s Character Shapes Brands and What Companies Do About it
  • 2015
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • In this dissertation I investigate the effects of user and usage imagery on brands and how businesses employ user imagery to build brands. Over four articles I present results that suggest that user imagery affects brand personality and that companies under certain conditions adapt their behavior to optimize this effect. Although both mass market fashion and nightclubs are susceptible to the influence of user imagery, out of the two only nightclubs actively reject customers to improve its effect on brand perception. I relate these practices to the practical and financial feasibility of rejecting customers, the character of nightclubs’ brands, and to their inability to differentiate their brands through any other brand personality influencer besides user imagery. In this dissertation, I also discuss the ethical ramifications of user imagery optimization through customer rejection. In one study, the role of conspicuous usage imagery on socially desirable consumer behavior is investigated. It is concluded that conspicuousness increases consumers' propensity to choose environmentally friendly products, and that this tendency is especially pronounced for individuals that are high in attention to social comparison information. The conclusion is that consumers use green products to self-enhance for the purpose of fitting in with the group rather than to stand out from it.
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11.
  • Aalaei, Kataneh (författare)
  • Processing and Storage stability of Skim Milk Powder : Monitoring Early and Advanced Stages of the Maillard Reaction
  • 2017
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The non-enzymatic browning known as the Maillard reaction has been the subject of extensive investigation for decades. Studies have focused on areas such as changes in flavour, colour, texture, and the nutritional properties of food materials as a result of this reaction. However, this complex reaction between the amino acids in proteins and reducing sugars in carbohydrates, is still not fully understood, especially the reaction mechanisms and potential impacts on health.Skim milk powder (SMP), is a multi-functional and extremely popular ingredient in the food industry, and is used in infant formulas, reconstituted and fermented dairy products, frozen desserts, bakery products, coffee whiteners, and even processed meat products. Despite the apparent good stability of SMP, it is prone to the Maillard reaction and its consequences, due to its composition, as well as the application of various kinds of thermal processing, and subsequent prolonged shelf life.The aims of this work were thus to improve our understanding of the occurrence of the Maillard reaction in SMP after the application of different drying techniques, and during subsequent storage under realistic conditions, in order to be able to predict and to control the reaction. Previous studies have mainly been conducted on model food systems at the conditions applicable to processing, i.e. at temperatures above 40 ºC. In the present work, changes in two indicators of the early and advanced stages of the Maillard reaction, namely the available lysine and carboxymethyl lysine (CML), respectively, were monitored during storage.To obtain a better understanding of the impact of processing on the progression of the reaction, three different drying techniques were studied and compared on pilot scale: freeze-drying, spray-drying and drum-drying. The extent of the reaction during prolonged storage for 200 days was studied, considering three storage variables: temperature, relative humidity (RH) and time.The kinetics of the available lysine in a commercial, industrially produced SMP was subsequently established over 30 days (the maximum recommended period for the consumption of opened packages) under conditions normally encountered during domestic storage. Furthermore, theearly and advanced stages of the reaction were studied in selected infant formulas available on the Swedish market.The results of these studies showed that the drying technique had a significant impact on the initiation of the Maillard reaction. Furthermore, the storage variables (temperature, RH and time) were also crucial factors in the gradual progression of the reaction during storage. The pattern of the decrease in the available lysine content during 200 days of storage was similar, regardless of the type of SMP. After storage at 52% RH and 30 ºC, a 39.2 – 45.9% decrease in the available lysine content was seen after 200 days. The corresponding value following storage at 52% RH and 20 ºC was 21.2 – 31.8%, indicating the importance of the storage temperature. Storage at 33% RH and 30 ºC caused a 5.2 – 22.4% decrease in the available lysine content, while no significant decrease in the available lysine content was seen after storage at 33% RH and 20 ºC, thus it was considered to be the ideal storage conditions for SMP.Studies of the advanced phase of the Maillard reaction using CML revealed that twice as much CML was formed in the spray-dried powders, than in the freeze-dried samples, after 200 days. The corresponding value in the drum-dried samples was 1.6 times that in the freeze-dried samples.The findings of this work have practical implications for SMP and SMP-based products in the food industry, and can be used to predict and control the Maillard reaction during storage, in order to ensure the safety of these products on the market.
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12.
  • Aalberg Haugen, Inger Marie, 1980- (författare)
  • The diapause switch : Evolution of alternative developmental pathways in a butterfly
  • 2014
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Diapause decision is a classic example of a threshold switch mechanism with cascading effects on morphology, behaviour and life-history traits. This thesis addresses the downstream effects of the insect diapause switch, with the main focus on pathway-specific regulation of life-history traits, using the speckled wood butterfly (Pararge aegeria) as a study species. The ultimate pathway decision is made towards the end of larval development and allows the larvae to take into account up-to-date information from the environment about future conditions (Paper I, IV). However, already from an early point in development the larvae are sensitive to environmental cues and continuously adjust their growth trajectory in accordance to current information about the environmental conditions to be expected in future (Paper IV). An asymmetry in the ability to change from one developmental pathway to another at a late point in larval development suggests that the diapause and the direct pathway require different physiological preparations (Paper IV). Pathway-specific regulation of traits downstream of the diapause switch is maintained by ongoing selection. When the direct pathway is not regularly expressed, as with a shift from bivoltinism to univoltinism, relaxed selection on the unexpressed pathway leads to genetic drift and loss of protandry (Paper II, III). Natural populations display local adaptations in the diapause switch with an increase in critical daylengths as there is a gradual shift from bivoltinism to univoltinism (Paper III). This thesis highlights two aspects of the diapause decision, the determination of how and when this decision is made as well as the way the resulting pathways are moulded by selection in order to produce adaptive seasonal polyphenism in life-history traits.
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13.
  • Aalders, Johannes Theodor (författare)
  • Ghostlines: Movements, Anticipations, and Drawings of the LAPSSET Development Corridor in Kenya
  • 2020
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The Lamu Port-South Sudan-Ethiopia-Transport (LAPSSET) corridor is a partly completed development corridor in Kenya that will connect the eponymous places via roads, pipelines and railway lines, if completed. This thesis investigates how inhabitants of the traversed area navigate and shape the spatio-temporal landscape of the corridor, following three motifs: lines created through moving, anticipating, and drawing. Under moving, the thesis explores people’s encounters of LAPSSET as connection, obstacle, and repulsion, relying on mobile ethnography. In anticipating, the thesis introduces ‘spectral landscapes of anticipation’ to investigate different temporalities people create in relation to the corridor. In drawing, it considers ways of visualizing and envisioning infrastructure projects and introduces Collaborative Comic Creation as a possibility to cut through the visual normativity of infrastructural megaprojects.
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14.
  • Aalto, Aino-Maija (författare)
  • Incentives and Inequalities in Family and Working Life
  • 2018
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Essay I: Same-gender teachers may affect educational preferences by acting as role models for their students. I study the importance of the gender composition of teachers in math and science during lower secondary school on the likelihood to continue in math-intensive tracks in the next levels of education. I use population wide register data from Sweden and control for family fixed effects to account for sorting into schools. According to my results, the gender gap in graduating with a math-intensive track in upper secondary school would decrease by 16 percent if the share of female math and science teachers would be changed from none to all at lower secondary school. The gap in math-related university degrees would decrease by 22 percent from the same treatment. The performance is not affected by the higher share of female science teachers, only the likelihood to choose science, suggesting that the effects arise because female teachers serve as role models for female students.
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16.
  • Aalto, Susanne, 1964 (författare)
  • Molecular Clouds in Starburst Galaxies
  • 1994
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Starbursts in the centres of galaxies are believed to be caused by funneling of gas towards the inner regions. Gravitational interactions between galaxies are known to cause vast rearrangements of their structure as well as induce bursts of star formation in their nuclear regions. However, radial gas-transport may also be the result of a bar- instability intrinsic to the system. This report deals with the effect of a starburst on the molecular medium of galaxies. The mm-wave, rotational transitions of interstellar molecules serve as probes of the physical conditions, kinematics and total mass of the molecular gas. Observations of the J=1-0, J=2-1 and J=3-2 transitions of 12Co, the J=1-0 and J=2-1 transitions of 13Co, the J=1-0 transitions of C180 and HCN and the J=2-1 transition of CS are used to determine the properties of the molecular gas in starbursting and normal galaxies. The mean escape probability approximation is used to solve the radiative transfer equations. The inferred properties of the molecular clouds in the centres of starburst galaxies differ from those of Galactic disk clouds. Such a deviation is likely to be induced by a central gas concentration and/or the nuclear starburst disrupting the clouds. Large 12CO/13CO J=1-0 intensity ratios (R>20) are measured towards luminous mergers implying unusual, high-pressure, molecular cloud ensembles. Model cloud ensembles for the merging system, NGC 3256, and the starburst spiral NGC 1808 suggest that the 12CO-emission is dominated by warm (Tk = 100 - 300 K), small (0.5-1 pc) and moderately dense (n = 2 - 7 x 103 cm-3) molecular clouds. Such temperatures and densities are typical of Galactic photon dominated regions (PDRs). Statistical studies of molecular line ratios towards galaxy centres indicate that the optical depth of the 12CO 1-0 emission is moderate, .tau.Ã? 1. Many starburst galaxies have large-scale excitation gradients indicating warm, dense gas in the centre, and normal cool molecular gas in their extended disks. NGC 3256, in particular, has a large R = 35 in the centre, while it is found to be only R = 10 - 15 at positions 43" off centre. The model cloud ensemble of NGC 1808 indicate that the 12CO-emitting gas may be diffuse rather than self-gravitating, this could be a common phenomenon in starburst galaxies.
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17.
  • Aaltonen, Emil (författare)
  • Prokaryotic Arsenic Resistance - Studies in Bacillus subtilis
  • 2008
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Arsenic is a toxic metalloid which is found all over the globe. Due to its toxicity and wide abundance, all living organisms have evolved intrinsic arsenic resistance systems. In this study, three proteins that provide arsenic resistance in the Gram-positive bacterium Bacillus subtilis have been investigated. Acr3 is a trans-membrane protein that extrudes arsenite to the cell exterior. It belongs to the ACR family of arsenite transporters. Experimental data on the topology of Acr3, the first ever for a member of the ACR family, is provided and show that Acr3 has 10 trans-membrane helices. Both the N- and C-terminal ends of Acr3 are located to the cytoplasm and the protein has unusually short loops connecting its helices. ArsR is an arsenite sensitive transcription regulator that controls the expression of genes encoding arsenic resistance proteins. Experiments show that the operator site for ArsR from B. subtilis consists of a 6-6-6 inverted repeat and that DNA binding by ArsR involves formation of higher order multimers of the protein. The ArsK (former YqcK) protein has an unknown function. The present study shows that the arsK gene contributes to resistance towards both arsenite and arsenate. The results indicate that the function of ArsK is important in an aerobic environment and that it decreases the inhibitory effect that arsenite has on the sporulation efficiency of B. subtilis. A function of ArsK that involves an enzymatic addition of low molecular weight thiols to arsenic is proposed.
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18.
  • Aaltonen, H Laura (författare)
  • Measuring distal airspace dimensions with nanoparticles. Initial development of a diagnostic method.
  • 2019
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Chronic obstructive pulmonary disease (COPD) consists of emphysema and bronchial disease. The pulmonary function tests currently used to diagnose COPD have poor sensitivity for early disease. This may delay diagnosis and lead to a poorer prognosis compared to establishing the diagnosis at an earlier stage.The aim of this thesis was to investigate a new nanoparticle-based method, termed Airspace Dimension Assessment (AiDA), to chart distal airspace morphology, and to examine the technique as a possible diagnostic biomarker foremphysema. In AiDA, inhaled nanoparticles’ deposition behavior is utilized to characterize distal airspace properties.Nanoparticles, as opposed to larger particles, are able to penetrate into the distal lung, where they deposit almost exclusively by diffusion. The particles’ likelihood to deposit is dependent on the diffusion distance. The thesis isbased on the hypothesis that in persons with enlarged, emphysematous airspaces, fewer particles will deposit, as opposed to healthy persons with narrower airspaces.In paper I, significant nanoparticle deposition differences between 19 COPD-patients with mainly moderate-to advanced emphysema and 19 healthy controls were found. The deposition correlated to disease severity as measured by computed tomography (CT) densitometry and diffusion capacity for carbon monoxide (DL,CO). In paper II, nanoparticle deposition was used to calculate distal airspace radius in 19 healthy volunteers. The radius correlated to lung density as measured by magnetic resonance imaging (MRI). In paper III, the average radius in 403 individuals without previous pulmonary disease or respiratory symptoms was found to be 293 ± 36 μm. The radius and its variation in population was found to be approximately comparative to other methods. It was noted that the radius was on average 13 μm larger in male ever-smokers compared to never-smokers, which may reflect early smoking-related changes. In paper IV, we concluded that in a population sample of 618 individuals, the persons with computed tomography evidence of emphysema (N = 47) had significantly larger distal airspace radii compared to persons without emphysema. We also showed that comorbidities did not significantly affect the results.In conclusion, we suggest the AiDA radius is a promising biomarker candidate for emphysema. Further validating studies, including a diagnostic study in a population seeking health care attention with symptoms and historyindicative of COPD, are warranted.
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19.
  • Aaltonen, Jaana, 1969- (författare)
  • Ground Monitoring using Resistivity Measurements in Glaciated Terrains
  • 2001
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The most common method of monitoring and mapping groundwatercontaminants is to extract and analyse a number of groundwatersamples from wells in the investigation area. However, thereare a number of limitations with this type of point-wiseinvestigation, as it is hard to acquire an adequate picture ofa heterogeneous and anisotropic subsurface using a fewpoints. To overcome the limitations of point investigations and toimprove ground monitoring investigations in a cost-effectiveway, support can be provided by direct current resistivitymeasurements, which give a characterisation of the electricalproperties of a ground volume. The main objective with this work was to investigate theusability of the resistivity method as a support in monitoringgroundwater contaminants in glaciated terrains and underdifferent seasons, both in long-term monitoring programmes andintracer tests. The work comprised field investigations at several differentsanitary landfills and four tracer tests in differentgeological environments, around the Stockholm region. The maininvestigations have been done at Högbytorp, Stockholmwhich has been used for long-term investigations of theresistivity variation, together with a field set up formonitoring and measurements on seasonal variation in soilmoisture, ground temperature and precipitation. It can be concluded that the use of resistivity measurementssupplies valuable information in the case of mapping andmonitoring conductive groundwater contaminants andfurthermore: The variation in resistivity (in shallow investigations<1 m) can be extensive between different seasons (around30 % compared to a mean value in till and clay soils) andshould be considered, so that anthropogenic affects can beseparated from natural resistivity variation. For deeperinvestigations (>5 m) the seasonal resistivity variationwas more moderate (around 15% compared to a mean value intill and clay soils). Soil moisture variation shows a strong relationship toresistivity variation in the investigated clay and tillsoils. Together with temperature correction 47 to 65% of thevariation has been explained. Three types of monitoring systems can be applied:Permanently installed, partly installed and fully mobilesystems. For the actual measurements, all three types can useeither high-density techniques such as CVES (ContinuousVertical Electrical Sounding) or low-density measuring withone or some different electrode spacings. The suggested evaluation tool for monitoring programmesshowed that it was possible to detect a decrease of 15 % inthe mean value at a specific site using Modified Double Masscalculations between resistivity time series and time seriesat a reference site with a comparable seasonalvariation. Resistivity measurements may be used as a valuablecomplement to groundwater sampling in tracer tests. Adecrease in resistivity, a minimum and a recovery phasereflect the passage of a NaCl-solution, which can be used toestimate flow velocity and flow patterns of the investigatedaquifer. The achieved recovery of NaCl in the tracer testscarried out was estimated to 20 to 70 %. The measurement system for long-term monitoring or tracertests, which should be chosen with regard to layout andfrequency, depends on the purpose of measurement and onsite-specific conditions and therefore no standard solutioncan be proposed. Key words:Resistivity, Direct Current, Monitoring,Groundwater, Contaminant, Tracer test, Geophysics.
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20.
  • Aaltonen, Kristina (författare)
  • Mating system evolution and self-incompatibility in the wild plant species Brassica cretica
  • 2008
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Compared to animals like ourselves, plants have a very flexible sexual life. Most plants are, for example, hermaphrodites with the potential capacity for reproduction by self-fertilization (or selfing). While selfing can provide several definite advantages for the individual plant, there is a downside; mainly the severe reduction in fitness due to inbreeding depression. To avoid the negative consequences of selfing, many hermaphrodite plant species have evolved an intricate self-recognition – or self-incompatibility (SI) – system that prevents fertilization by cognate pollen. SI is in the majority of cases genetically controlled by a narrowly delimited region of the genome, called the S locus. The S locus contains several tightly linked genes, two of which – SRK and SCR – determine the pistil (female) and pollen (male) SI recognition type. One of the best-characterized SI systems is found in the Brassicaceae family, which includes the model plant Arabidopsis thaliana and a number of economically important crop species of the Brassica genus, e.g. rape seed, cabbage, and turnip. For evolutionary biologists, SI have long been a prominent and fascinating example of Darwinian natural selection acting in a frequency-dependent manner, i.e. the rarer a genetic variant becomes, the more favoured by natural selection it is. For the S locus, this means that a very large number of variants – or haplotypes – are expected to be maintained in a population and that the DNA sequences of different haplotypes will be very divergent. However, until recently there has been a shortage of empirical studies from natural plant populations to test these, and other, theoretical predictions of S locus evolutionary dynamics. In this thesis, I have produced the largest SRK and SCR DNA sequence data set from a wild Brassica species available to date. These data have allowed me to explore, in more detail than previously possible, the population genetic properties and the evolutionary history of the Brassica S locus. Moreover, accompanying studies of the pattern of inheritance of S locus variants and the occurrence of self-fertilization in natural B. cretica population have added novel information of great value to the understanding of how plants produce offspring in nature.
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21.
  • Aanesen, Arthur (författare)
  • GABA and human spermatozoa : characterization and regulation of GABA transport proteins
  • 1998
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The present project aimed at investigating the interaction between GABA and human spermatozoa under in vitro conditions. Our initial hypothesis was that human spermatozoa had specific binding proteins for GABA and that the binding of GABA to such binding sites could affect sperm function. Studies on swim-up preparations of human spermatozoa incubated with radiolabelled GABA in the presence of unlabelled GABA, alternatively displacers of GABAA/B receptors and GABA transport proteins, indicated that GABA specific binding sites were present on the surface of human spermatozoa. The potency of the different inhibitors indicated that the binding sites possibly represented GABA transport proteins. No effect on sperm motility or AR was observed following incubation with GABA. Further studies indicated that human spermatozoa are capable of a carrier mediated GABA uptake. The uptake is dependent on the concentration of chloride and sodium in the external medium, and the kinetic properties of the carrier resembled high affinity GABA transport proteins. Uptake of radiolabelled GABA into human spermatozoa in the presence of steroids was investigated. We examined progesterone, other steroids known to increase calcium influx, and steroids known to be ineffective as stimulators of calcium influx in human sperm. The results demonstrated a twofold increase in GABA uptake following preincubation with P or steroids known to stimulate calcium influx. In contrast, an inhibition of GABA uptake following preincubation with activators of protein kinase C was observed. The results suggest a role for PKC in the regulation of GABA transport in human spermatozoa. The reduced GABA uptake following incubation with phorbol esters and diacyl glycerol (DAG) analogues, as well as the lack of effect observed following addition of inactive DAG analogues, strongly indicate such a regulatory pathway. The existence of GABA transporter m-RNA and proteins in human testis and sperm was examined using RT-PCR, immunohistochemistry and immunoblotting. Oligonucleotide primer pairs were designed from nucleotide sequences for the three cloned GABA transport proteins identified in human brain: GAT-1, GAT-3 and BGT-1. From homogenized human testis, PCR products of predicted size and with homology to respective GABA transport proteins were identified. This finding indicates the MRNA expression of all three GABA transporters in human testicular tissue. Studies on the protein expression of GABA transporters in sperm cells were performed with SDS-PAGE and immunoblotting techniques. Immunoblots using polyclonal antibodies raised against rat GAT-1, GAT-2 and GAT-3 recognized bands of approximately 65kDa, indicating cross-reactivity to GABA transporters present in human sperm cells. Pharmacological characterization of GABA uptake with specific inhibitors of GABA transport revealed a unique sequence in the relative potencies of the inhibitors tested. The results may indicate the presence of more than one GABA transporter in the plasma membrane of human spermatozoa. Immunoblots and immunohistochemistry studies indicate the presence of one or several GABA transporters in human spermatozoa and testis, these results are supported by pharmacological studies using specific inhibitors of GABA transport. These studies add new information to the present knowledge concerning GABA and human spermatozoa. They also for the first time describe specific GABA transport proteins in the male reproductive tract. Further studies are however, required to elucidate the functional role for these proteins in terms of human reproduction.
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22.
  • Aanestad, Øystein (författare)
  • Quantitative electromyographic studies of the perineal muscles in normal subjects and patients suffering from anal or urinary incontinence
  • 1998
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The aims of the study were to characterize the interference pattern in perineal muscles in healthy subjects with the use of quantitative EMG techniques, to evaluate if prostatic surgery had any effect on the interference pattern and furthermore to examine the interference pattern in the perineal muscles in patients suffering from urinary or anal incontinence.The interference pattern in the perineal muscles was examined with a computerized analysis, the Turns and Amplitude (T/A) analysis, and the innervation pattern of the muscles was examined with single fiber electromyography measuring the fiber density. Reference values were collected from 30 normal subjects. The patient material consisted of 20 males subjected to transurethral prostatectomy (TUR-P), 10 males who underwent radical retropubic prostatectomy (RRP), 20 patients suffering from anal incontinence and 24 women withurinary incontinence.T/A analysis of the interference pattern in the perineal muscles in normal subjects showed a significant increase in number of turns/sec and mean amplitude correlating to increasing force but no age-related changes.TUR-P and RRP did effect the innervation of the distal urethral sphincter muscle as shown by increased fiber density indicating a peripheral nerve lesion. T/A analysis did not shown any increased activation of the distal urethral sphincter as a compensation for the loss in bladder neck sphincter function but rather signs of decreasedcentral activation.Patients with idiopathic faecal incontinence showed signs of impaired innervation of the external anal sphincter muscle. A decreased interference pattern at maximal contraction indicated a reduced central activation of perineal muscles, in particular for patients with partial rupture of the external anal sphincter muscle. The reduced central activation could play a role for the aetiology of faecal incontinence.Patients with urinary stress incontinence also showed signs of impaired innervation of the external anal sphincter muscle as well as reduced interference pattern at maximal contraction and during continuous recording of the EMG activity during cystometry. A reduced central activation of the motor units was predicted as one factor involved in the aetiology.
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23.
  • Aardal-Eriksson, Elisabeth (författare)
  • Salivary cortisol and posttraumatic stress reactions : methodological and applied studies before and after trauma
  • 2002
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The field of psychotraumatology has its roots in ancient history. During the past decades, the surveillance of the psychobiological background of reactions to and consequences of traumatic stress has made great progress and the complexity of the human stress response system stands out. The hypothalamic-pituitary-adrenocortical axis activity, modulated by various neuroimmunological substances, seems to play a major role in the stress response. However, there are still inconsistencies in explanations of relationships between biological and psychological changes following traumatic stress. Moreover, the matter of predictive factors for the development of posttraumatic morbidity is still in a speculative phase.The aims of the present thesis were to further develop a commercial serum cortisol radioimmunoassay (RIA) for determination of cortisol in saliva and to test its reliability, specificity and sensitivity as a biochemical assay. The saliva sampling procedures and sample storage stability were also to be tested. Further issues were to investigate determinations of salivary cortisol and serum prolactin in relation to selfratings of posttraumatic psychological distress and general psychological health. Possible predictive and concurrent validity of salivary cortisol as a biochemical marker for posttraumatic psychological distress were to be tested.Cortisol is present in saliva mainly in non-protein form, representing the free, biologically active fraction of the total plasma cortisol concentration. In a first phase of the present thesis, the commercial serum cortisol RIA was modified for determination of cortisol in saliva. The relation between salivary and serum cortisol concentrations was tested. Reference ranges at 8 AM and 10 PM for the salivary cortisol assay were established from 195 healthy subjects. Salivary cortisol concentrations were tested in relation to serum cortisol in estimating adrenocortical function during endocrine dynamic function tests in 37 patients and 13 healthy controls. In testing salivary cortisol as a marker for stress for fieldwork use, a screening study was performed on 66 male rescue workers. Salivary cortisol at 8 AM and 10 PM and serum prolactin were determined and general psychological health and posttraumatic psychological distress were estimated with the self-rating scales General Health Questionnaire, Impact of Event Scale and Posttraumatic Symptom Scale. These scales were used in the second phase of the thesis. Three applied follow-up studies were performed with sampling of salivary cortisol and self-ratings: (a) a study of 31 UN-soldiers five days, two and nine months after a mine accident; (b) a study of 145 UN-soldiers before, at return, and two and six month after a six month mission. (c) a study of 101 UN-soldiers six and twelve months after a six month mission with severe combat exposure.The results from the present thesis indicate that the modified method of salivary cortisol determination possesses sufficient precision, accuracy, sample storage stability and procedural advantages for laboratory, clinical and field application. Moreover, it possesses moderate predictive information and moderate to high concurrent validity as a biochemical marker for posttraumatic psychological distress.
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24.
  • Aardal Lönnerfors, Celine (författare)
  • Robot-assisted laparoscopy for benign uterine disease. Feasibility, outcome and hospital cost.
  • 2015
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The introduction of the laparoscope was a milestone within gynecologic surgery. Despite evidence of better perioperative outcome compared to laparotomy, laparoscopy is mostly performed for less advanced surgical procedures and the uptake of laparoscopic hysterectomy has been slow. An effort to preserve the clinical benefits of laparoscopic surgery and facilitate the performance of more advanced surgery has led to the development of robot-assisted laparoscopic surgery. Technical progress has been advantageous for the patient from a historical point of view, but this cannot be assumed without proper evaluation. As for all surgical approaches, it is important to recognize the possible applications of robotic surgery as well as proper patient selection both from a clinical and economical point of view. The overall aim of this thesis was to investigate the possible applications, clinical outcome and hospital cost of robot-assisted laparoscopic surgery for benign uterine disease at a single institution following the introduction of robotic surgery. Study I: Evaluating the first 1000 robotic surgeries performed showed that a surgical robot provides the possibility to offer minimally invasive surgery to a larger patient population with low rates of conversions and intraoperative complications. Study II: 31 women with symptomatic, deep intramural myomas and either otherwise unexplained infertility or myomas with a possible effect on conception had a pregnancy rate following robotic myomectomy of 68%. Study III: All women (n=114) with a BMI ≥ 30 kg/m2 who underwent a simple hysterectomy by robotics or laparotomy during the study period were included. Robot-assisted laparoscopic hysterectomy in obese women was associated with shorter hospital stay, less bleeding, and fewer complications and longer operative time compared to laparotomy although the operative times for morbidly obese women were similar between robotics and laparotomy. Study IV: 122 women planned for minimally invasive hysterectomy for benign disease were randomly allocated to either robot-assisted- or traditional, minimally invasive hysterectomy in a 1:1 proportion with vaginal hysterectomy as a primary choice in the latter. From the perspective of hospital costs, robotic-assisted hysterectomy is not advantageous for treating non-complex benign conditions when a vaginal approach is feasible in a high proportion of patients. A similar hospital cost is attainable for laparoscopy and robotics when the robot is a preexisting investment. Study V: Complication rates in 949 women planned for robotic hysterectomy for malignant (75%) and benign (25%) gynecological disease over an 8-year period with special awareness of complications possibly related to robot specific risk factors. Intraoperative- and postoperative complications and complications possibly related to the robotic approach diminish with training, experience and refinement of practice. Study VI: All women (n=483) undergoing hysterectomy for benign disease during 2013 and 2014. Vaginal hysterectomy was associated with the lowest hospital cost and robotic hysterectomy with the lowest rate of perioperative complications. Procedure-specific proficiency influences outcome. Robotic hysterectomy for benign disease is clinically advantageous and economically feasible in complex cases, when performed by high volume surgeons.
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25.
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26.
  • Aare, Cecilia, 1959- (författare)
  • Reportaget som berättelse : En narratologisk undersökning av reportagegenren
  • 2021
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • This study ­is the first dissertation where the genre of reportage (in the U.S. classified as literary journalism) is systematically mapped with the help of narratology. Using tools primarily from structural discourse narratology, the thesis examines, describes and maps written reportages as narratives. Rhetorical and cognitive narratology complement the approach. The investigation rests on two assumptions. Firstly, a reporter’s professional purpose is to report about people and states of affairs outside the reporter herself. This results in a contextual commitment, which leaves traces in the narrative in the form of a textual commitment. The latter is in turn divided into narrative empathy and narrative compassion/sympathy. The thesis highlights the creation of narrative structures and stylistic features in reportages and the overall conclusion is that conceptions about a reporter’s professional purpose in fact do influence the narrativity of the text. Secondly, in contrast to news journalism, reportage is a personal genre that can be considered a directed reality: the content is taken from reality but the form is personal and a consequence of the writing reporter’s choices. The thesis presents a narratological model where the text develops in the interplay between three instances: a director, a narrator (in a first-person reportage a narrating reporter) and experiencing characters (in a first-person reportage including an experiencing reporter). The director should be regarded as a structuring property of the text itself. Part 1 provides a historical background to the reportage genre and the social side of the reporter role. In part 2, narrative characteristics of the genre are explored and defined together with the common roots of reportage and novels within realism and naturalism. Part 3 demonstrates how a contextual commitment can be transformed into a textual commitment. Throughout the dissertation, the director model is used to investigate differences and similarities between subcategories within the genre, sometimes between single texts, sometimes between reportage in general and fictional narrative. In part 4, a typology of reportage is presented. The genre is divided into five types of narration, based on the representational relation between how the physical reporter has collected information and in what ways an experiencing reporter is or is not apparent in the text. The thesis ends with a historicization of consonance and dissonance within the reportage genre. Consonance emphasizes the characters’ “here-and-now” and can be found within a broad, classical tradition of eyewitness reporting. Dissonance emphasizes the narrator’s retrospective perspective and can be found within the modernistic type of American New Journalism and in more experimentally written reportages from the most recent decades. The thesis demonstrates how both these ways of narrating may enable the reader’s narrative empathy with someone else than the experiencing reporter.The analyses and conclusions are mainly based on Swedish reportages from 1819 to 2014. This material is complemented with international reportages from 1903 to 2007,  from Norway, Poland, Germany, Great Britain, Italy, Bohemia, Croatia, Belarus and the U.S. Accordingly, the dissertation demonstrates that traditions of reportage are primarily international and that the observations about narrative patterns within the genre are also relevant outside of Sweden. 
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27.
  • Aare, Magnus, 1974- (författare)
  • Prevention of Head Injuries - focusing Specifically on Oblique Impacts
  • 2003
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The massive number of injuries sustained in trafficaccidents is a growing problem worldwide, especially indeveloping countries. In 1998, more than one million peoplewere killed in traffic accidents worldwide, while about tentimes as many people were injured. Injuries to the centralnervous system and in particular to the headare especiallycritical to human life. This thesis contains five researchpapers looking at head injuries and head protection, proposingnew and more efficient ways of protecting the head, especiallyin traffic accidents.In order to define the national dimensions of the patternsof injuries incurred in motorcycle and moped accidents inSweden, a statistical survey was performed on data spanning a13-year period (Paper A). In Sweden, 27,100 individualsreceived in-patient care for motorcycle and moped accidentinjuries between 1987 and 1999. The motorcycle and moped injuryrate reduced in the second half of the study period, so toowere the total number of days of treatment per year. Males hadeight times the incidence of injuries of females. Head injurieswere the single most frequent diagnosis, followed by fracturesof the lower limbs. Concussion was the most frequent headinjury. These statistics clearly show the need for better headinjury prevention systems.According to the statistics, the most common type of impactto the head in motorcycle and moped accidents is an obliqueimpact. Oblique impacts generate rotations of the head, whichare a common cause of the most severe head injuries. Thereforea new test rig was constructed to reproduce oblique impacts toa helmeted dummy head, simulating those occurring in real lifeaccidents (Paper B). The new test rig was shown to provideuseful data at speeds of up to 50 km/h and with impact anglesvarying from purely tangential to purely radial. Thisinnovative test rig appears to provide an accurate method formeasuring accelerations in oblique impacts to helmets.When testing the performances of motorcycle helmets,discrepancies are usually seen in the test results. In order toevaluate these discrepancies, the finite element method (FEM)was used for simulations of a few oblique helmet impacts (PaperC). Amongthe parameters studied, the coefficients of frictionbetween the impacting surface and the helmet and between thehead and the helmet had the most significant influence on therotational accelerations. Additionally, a thinner andconsequently also weaker shell and a weaker liner, providedbetter protection for the impacts studied.Since there are no generally accepted global injurythresholds for oblique impacts to the human head, a study wasdesigned to propose new injury tolerances accounting for bothtranslations and rotations of the head (Paper D). In thatstudy, FE models of (a) a human head, (b) a Hybrid III dummyhead, and (c) the experimental helmet were used. Differentcriteria were proposed for different impact scenarios. Both thetranslational and the rotational effects were found to beimportant when proposing a predictor equation for the strainlevels experienced by the human brain in simulated impacts tothe head.In order to reduce the level of head injuries in society andto better understand helmet impacts from different aspect, aballistic impact was also studied (Paper E). The effects ofdifferent helmet shell stiffness and different angles ofimpacts were simulated. In this study, the same FE head modelfrom Paper D was used, however here it was protected with amodel of a composite ballistic helmet. It was concluded thatthe helmet shell should be stiff enough to prevent the insideof the shell from striking the skull, and that the strainsarising in the brain tissue were higher for some obliqueimpacts than for purely radial ones.In conclusion, this thesis describes the injury pattern ofmotorcycle and moped accidents in Sweden. This thesis showsthat the injuries sustained from these accidents can bereduced. In order to study both translational as well asrotational impacts, a new laboratory test rig was designed. Byusing the finite element method, it is possible to simulaterealistic impacts to the head and also to predict how severehead injuries may potentially be prevented.
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28.
  • Aare, Sudhakar Reddy, 1978- (författare)
  • Intensive Care Unit Muscle Wasting : Skeletal Muscle Phenotype and Underlying Molecular Mechanisms
  • 2012
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Acute quadriplegic myopathy (AQM), or critical illness myopathy, is a common debilitating acquired disorder in critically ill intensive care unit (ICU) patients characterized by generalized muscle wasting and weakness of limb and trunk muscles. A preferential loss of the thick filament protein myosin is considered pathognomonic of this disorder, but the myosin loss is observed relatively late during the disease progression. In attempt to explore the potential role of factors considered triggering AQM in sedated mechanically ventilated (MV) ICU patients, we have studied the early effects, prior to the myosin loss, of neuromuscular blockade (NMB), corticosteroids (CS) and sepsis separate or in combination in a porcine experimental ICU model. Specific interest has been focused on skeletal muscle gene/protein expression and regulation of muscle contraction at the muscle fiber level. This project aims at improving our understanding of the molecular mechanisms underlying muscle specific differences in response to the ICU intervention and the role played by the different triggering factors.The sparing of masticatory muscle fiber function was coupled to an up-regulation of heat shock protein genes and down-regulation of myostatin are suggested to be key factors in the relative sparing of masticatory muscles. Up-regulation of chemokine activity genes and down-regulation of heat shock protein genes play a significant role in the limb muscle dysfunction associated with sepsis. The effects of corticosteroids in the development of limb muscle weakness reveals up-regulation of kinase activity and transcriptional regulation genes and the down-regulation of heat shock protein, sarcomeric, cytoskeletal and oxidative stress responsive genes. In contrast to limb and craniofacial muscles, the respiratory diaphragm muscle responded differently to the different triggering factors. MV itself appears to play a major role for the diaphragm muscle dysfunction. By targeting these genes, future experiments can give an insight into the development of innovative treatments expected at protecting muscle mass and function in critically ill ICU patients.
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29.
  • Aarne, Päivikki (författare)
  • Self and other : socio-emotional aspects of development in children with language impairment
  • 2015
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The thesis comprises four studies that focus on young children with language impairment (LI). The research focus was different aspects of socio-emotional development. In Study I visual check back behaviors were investigated in ten pre-school-aged children with LI and in two groups of children with typical development (TD); ten children that were matched with regard to age (AMC) and ten children matched with regard to language level (LMC). Play setting situations were designed to elicit the target behaviors of shared attention, intention and emotion. The children with lower language level (LI and LMC) gave visual check back significantly more seldom than children with a higher language level (AMC). In Study II, the association between communication and language level, and socio-emotional level was investigated by parent ratings. Pre-school-aged children with LI and children with TD were assessed by their respective parents using The MacArthur Communicative Development Inventories (Swedish version (SECDI) and Greenspan Socio Emotional Growth Chart, (GSEGC). An association between language and socio-emotional development was found. Children with LI were rated similar to the young language-matched children with TD, but significantly lower relative to age-matched TD children, particularly concerning symbolic stages of development. In Study III, a case study, the capacity to mentalize was explored in a primary-school-aged boy with a history of LI. In play situations, the child was presented story stems that he could complete by play actions or verbally. The mentalizing capacity was analyzed with respect to the organization and the content of his responses, as well as his observable behavior in the situation. The child had difficulties in affect regulation, i.e. self-oriented mentalizing, and his other-oriented mentalizing was limited as well. In Study IV, parental stress and the parents’ perception of their child’s behavioral as well as communication and language difficulties were investigated by Swedish Parenthood Stress Questionnaire (SPSQ), Swedish version of Strengths and Difficulties Questionnaire (SDQ-Swe) and the Swedish version of MacArthur Communicative Developmental Inventories (SECDI), in three groups of pre-school-aged children: children with LI, children with more extensive communication difficulties and suspected ASD (COM), and children with TD. Parental experience of stress differed significantly between the groups on total and specific aspects of stress. A significant association was found between parental stress and children’s behavioral difficulties in the total group, but not in the clinical groups. Parental stress and children’s communication and language difficulties were associated in the group COM with extensive communication difficulties.
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30.
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31.
  • Aarnio, Mikko (författare)
  • Visualization of Peripheral Pain Generating Processes and Inflammation in Musculoskeletal Tissue using [11C]-D-deprenyl PET
  • 2018
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • An objective visualization and quantification of pain-generating processes in the periphery would alter pain diagnosis and represent an important paradigm shift in pain research. Positron emission tomography (PET) radioligand [11C]-D-deprenyl has shown an elevated uptake in painful inflammatory arthritis and whiplash-associated disorder. However, D-Deprenyl’s molecular binding target and uptake mechanism in inflammation and musculoskeletal injuries are still unknown. The present thesis aimed to gain insight into the mechanisms of D-deprenyl binding and uptake and to verify whether pain-associated sites and inflammation in acute musculoskeletal injury could be visualized, objectively quantified and followed over time with [11C]-D-deprenyl PET-computed tomography (PET/CT).To identify the D-deprenyl binding target, a high-throughput analysis and competitive radioligand binding studies were performed. D-deprenyl inhibited monoamine oxidase A (MAO-A) activity by 55%, MAO-B activity by 99% and angiotensin-converting enzyme (ACE) by 70%, which identified these enzymes as higher-affinity targets. Furthermore, radioligand receptor binding assays pointed favorably towards the concept of MAO-B as the primary target. To investigate the biochemical characteristics of the binding site, we used radioligand binding assays to assess differences in the binding profile in inflamed human synovial membranes exhibiting varying levels of inflammation. D-deprenyl bound to a single, saturable population of membrane-bound protein in synovial membrane homogenates and the level of inflammation correlated with an increase in D-deprenyl binding affinity.To verify whether D-deprenyl can visualize pain-generating processes, patients with musculoskeletal injuries were investigated and followed-up with [11C]-D-deprenyl PET/CT. In the study of eight patients with ankle sprain, the molecular aspects of inflammation and tissue injury could be visualized, objectively quantified and followed over time with [11C]-D-deprenyl PET/CT. The pain coexisted with increased [11C]-D-deprenyl uptake. In the study of 16 whiplash patients, an altered [11C]-D-deprenyl uptake in the cervical bone structures and facet joints was associated with subjective pain levels and self-rated disability.To further evaluate D-Deprenyl’s usefulness as a marker of inflammation, three PET tracers were compared in an animal PET/CT study. Preliminary findings showed that [11C]-D-deprenyl had an almost identical uptake pattern when compared with [11C]-L-deprenyl. The two deprenyl enantiomers showed no signs of specific binding or trapping and therefore may not be useful to study further in models of inflammatory pain, surgical pain, or both.This thesis demonstrates that D-deprenyl visualizes painful inflammation in musculoskeletal injuries and that the probable underlying mechanism of [11C]-D-deprenyl uptake is binding to MAO.
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32.
  • Aarnio, Riina (författare)
  • Self-sampling for HPV testing in primary cervical screening : Including clinical and health economic aspects
  • 2020
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Persistent infection with high-risk human papillomavirus (HPV) is a prerequisite for the development of cervical cancer. HPV testing has higher sensitivity for high-grade cervical intraepithelial neoplasia (CIN2+) than cytology, resulting in more effective screening. As HPV testing also offers an opportunity for self-sampling, it could serve as an even more effective and cost-effective method of cervical screening.First, we compared repeated self-sampling for HPV testing with Pap smear cytology in detection of CIN2+ in primary cervical screening for women aged 30–49 years (n=36 390). We found a more than twofold higher detection rate of CIN2+ and a fourfold higher detection rate of CIN2 with self-sampling compared with cytology. However, no difference was seen between the arms in the detection rate of CIN3+. It thus seems that CIN is detected at an earlier stage with self-sampling than with cytology, but the impact of this needs to be further explored.Second, as management of HPV-positive women with normal cytology results is a challenge, we wanted to evaluate the proportion of cases of histological CIN2+ in these women. In this prospective study we performed LEEP and found that 15% (6/40) of the women had undetected CIN2+. These findings can be used in counseling women about the risk of cervical cancer and helping clinicians in decisions on management.Third, we performed a cost-effectiveness analysis on the same study population as in Study I. Self-sampling for HPV testing resulted in a higher participation rate and more detected cases of CIN2+ at a lower cost and was regarded as more cost-effective than Pap smear cytology in cervical screening. These results can guide policy-makers when planning future screening programs.Fourth, we compared self-sampling with sampling by medical professionals for HPV testing in detection of CIN2+, using a combination of an FTA card as storage medium and a PCR-based HPV test (hpVIR) in women aged 30–60 years (n=11 951). No difference in the detection rates of histological CIN2+ was found between the arms.Taken together, self-sampling resulted in a higher participation rate than sampling by medical professionals in cervical screening and that triage with repeated self-sampling resulted in high compliance and detection rate of CIN2+. As repeated self-sampling for HPV testing was also cost-effective, it could serve as an attractive alternative in the development of future cervical screening programs. More research is needed on how to refine the management of HPV-positive women by self-sampling only.
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33.
  • Aaro Jonsson, Catherine (författare)
  • Long-term cognitive outcome of childhood traumatic brain injury
  • 2010
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • There is limited knowledge of cognitive outcome extending beyond 5 years after childhood traumatic brain injury, CTBI. The main objectives of this thesis were to investigate cognitive outcome at 6-14 years after CTBI, and to evaluate if advancements in the neurosurgical care, starting 1992, did influence long-term outcome and early epidemiology. An additional aim was to study the relationship between early brain injury parameters and early functional outcome. Study 1 evaluated cognitive progress during 14 years after CTBI, over three neuropsychological assessments in 8 patients with serious CTBI. Study 2 used patient records to investigate early epidemiology, received rehabilitation and medical follow up in two clinical cohorts, n=82 and n=46, treated neurosurgically for CTBI before and after 1992. An exploratory cluster analysis was applied to analyse the relation between early brain injury severity parameters and early functional outcome. In Study 3, participants in the two cohorts, n=18 and n=23, treated neurosurgically for CTBI before and after 1992, were subject to an extensive neuropsychological assessment, 13 and 6 years after injury, respectively. Assessment results of the two cohorts were compared with each other and with controls. Data were analysed with multivariate analyses of variance. Results and discussion. There were significant long-term cognitive deficits of similar magnitude and character in the two cohorts with CTBI, treated before and after the advancements in neurosurgical care. At 6-14 years after injury, long-term deficits in verbal intellectual and executive functions were found, and were discussed in terms of their late maturation and a decreased executive control over verbal memory-functions after CTBI. Visuospatial functions had a slightly better long-term recovery. The amount of rehabilitation received was equally low in both cohorts. The length of time spent in intensive care and the duration of care in the respirator may have a stronger relationship to early outcome than does a single measure of level of consciousness at admission. Main conclusions are that cognitive deficits are apparent at long-term follow up, 6-13 years after neurosurgically treated CTBI, even after advancements in the neurosurgical care in Sweden. Measures of verbal IQ, verbal memory and executive functions were especially low while visuospatial intellectual functions appear to have a better long-term recovery.
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34.
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35.
  • Aarsand, Pål André, 1970- (författare)
  • Around the Screen : Computer activities in children’s everyday lives
  • 2007
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The present ethnography documents computer activities in everyday life. The data consist of video recordings, interviews and field notes, documenting (i) 16 students in a seventh grade class in a computer room and other school settings and (ii) 22 children, interacting with siblings, friends and parents in home settings. The thesis is inspired by discourse analytical as well as ethnographic approaches, including notions from Goffman (1974, 1981), e.g. those of activity frame and participation framework, which are applied and discussed.The thesis consists of four empirical studies. The first study focuses on students’ illegitimate use, from the school’s point of view, of online chatting in a classroom situation. It is shown that the distinction offline/online is not a static one, rather it is made relevant as part of switches between activity frames, indicating the problems of applying Goffman’s (1981) notions of sideplay, byplay and crossplay to analyses of interactions in which several activity frames are present, rather than one main activity. Moreover, it is shown that online identities, in terms of what is here called tags, that is, visual-textual nicknames, are related to offline phenomena, including local identities as well as contemporary aesthetics. The second study focuses on placement of game consoles as part of family life politics. It is shown that game consoles were mainly located in communal places in the homes. The distinction private/communal was also actualized in the participants’ negotiations about access to game consoles as well as negotiations about what to play, when, and for how long. It is shown that two strategies were used, inclusion and exclusion, for appropriating communal places for computer game activities. The third study focuses on a digital divide in terms of a generational divide with respect to ascribed computer competence, documenting how the children and adults positioned each other as people ‘in the know’ (the children) versus people in apprentice-like positions (the adults). It is shown that this generation gap was deployed as a resource in social interaction by both the children and the adults. The forth study focuses on gaming in family life, showing that gaming was recurrently marked by response cries (Goffman, 1981) and other forms of blurted talk. These forms of communication worked as parts of the architecture of intersubjectivity in gaming (cf. Heritage, 1984), indexing the distinction virtual/‘real’. It is shown how response cries, sound making, singing along and animated talk extended the virtual in that elements of the game became parts of the children’s social interaction around the screen, forming something of an action aesthetic, a type of performative action for securing and displaying joint involvement and collaboration. As a whole, the present studies show how the distinctions master/apprentice, public/private, virtual/real and subject/object are indexicalized and negotiated in computer activities.
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36.
  • Aarts, Clara (författare)
  • Exclusive breastfeeding-Does it make a difference? : A longitudinal, prospective study of daily feeding practices, health and growth in a sample of Swedish infants
  • 2001
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The concept of exclusive breastfeeding in relation to daily feeding practices and to health and growth of infants in an affluent society was examined. In a descriptive longitudinal prospective study 506 mother-infant pairs were followed from birth through the greater part of the first year. Feeding was recorded daily, and health and growth were recorded fortnightly. Large individual variations were seen in breastfeeding patterns. A wide discrepancy between the exclusive breastfeeding rates obtained from "current status" data and data "since birth" was found.Using a strict definition of exclusive breastfeeding from birth and taking into account the reasons for giving complementary feeding, the study showed that many exclusively breastfed infants had infections early in life, the incidence of which increased with age, despite continuation of exclusive breastfeeding. However, truly exclusively breastfed infants seem less likely to suffer infections than infants who receive formula in addition to breast milk. Increasing formula use was associated with an increasing likelihood of suffering respiratory illnesses. The growth of exclusively breastfed infants was similar to that of infants who were not exclusively breastfed. The health of newborn infants during the first year of life was associated with factors other than feeding practices alone. Some of these factors may be prenatal, since increasing birth weight was associated with an increasing likelihood of having respiratory symptoms, even in exclusively breastfed infants. However, exclusive breastfeeding was shown to be beneficial for the health of the infant even in an affluent society.
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37.
  • Aarum, Johan (författare)
  • Interactions between mouse CNS cells : microglia and neural precursor cells
  • 2004
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The mammalian central nervous system (CNS) contains a variety of cells, all specialized to perform different functions. Most numerous are the three types of glia cells, whose basic role is to support the signaling units of the CNS, the neurons. The perspective of this thesis is from the glia cells; particularly the microglia cells, a non-neural population of cells that are spread throughout the CNS. In the healthy CNS these cells are resting, but as a consequence of various CNS disturbances they rapidly become activated, frequently together with astrocytes, the second type of glia cells (oligodendrocytes being the third). This can happen slowly, as in neurodegenerative diseases, or quickly as in acute CNS lesions such as stroke. Both processes involve microglia cells, and sometimes macrophages from the circulation. These latter cells are difficult to distinguish from the microglia cells. In an effort to generate microglia specific markers we used phage display technology to select microglia specific peptides from a random peptide library displayed on the phage surface. Two sets of selection strategies were compared with regard to phage-clone enrichment. The first strategy was based on phage binding to monolayers of primary microglia fixed to a solid surface, while the second strategy was based on fluorescence activated cell sorting (FACS) of microglia cells with bound phages. The latter protocol was found to be superior. Five phage-clones that preferentially bound to microglia cells were isolated. One of the selected clones was shown to be microglia specific by free peptide inhibition and selective in binding to microglia cells, as compared to blood-derived monocytes. Much of our current knowledge in neurobiology derives from studies of cells in culture, a less complex substitute for in vivo studies. As a bridge between monolayer CNS cell cultures and in vivo animal models we set up a three-dimensional culture system, so called aggregate cultures from mouse CNS cells. These aggregates were characterized in detail regarding cellular composition and dynamics, as well as the expression of several neuropeptides and neurotransmitters. All the principle brain cells were present in the aggregates and their numbers changed over time, neurons being the most numerous. The cells appeared to mature as judged by their morphology and, in the case of neurons, the increased expression of synapse specific proteins. Among the investigated neuropeptides, enkephalin and dynorphin were the most abundant followed by galanin, approximating their expression in CNS development. We also found that neural precursor cells, capable of self-renewal and differentiation into neurons, astrocytes and oligodendrocytes, were maintained in the aggregates, even after more than two months of culturing. Treating the aggregates with EGF led to the formation of an outer layer of nestin-positive precursor cells. Using the aggregate culture in part, we found that factor(s) secreted from microglia cells attracts neural precursor cells in a chemotactic manner. This finding may explain the preferred migration of precursor cells to sites of CNS injury. Furthermore, microglia derived factors could affect the differentiation of neural precursor cells, such that more neurons were formed. Together these results suggest important functions of microglia cells in CNS development and pathology. It is reasonable to believe that the migration of neural precursor cells is directed both by attractant and repellant cues. Reactive astrocytes are well known to inhibit growing axons and recently also suggested to inhibit the migration of neural precursor cells. We show that astrocytes in culture repel neural precursor cells and that this effect is mediated by secreted Slit proteins. This conclusion is based on several observations; astrocytes produce Slit and the astrocyte-repellant effect was blocked by the ectodomain of the Slit receptor, and finally, recombinant Slit could substitute for astrocyte derived Slit. Knowledge about the interplay between attractive and repulsive cues may be important for the manipulation of neural precursor cells for medical purposes.
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38.
  • Aas, Erik, 1990- (författare)
  • A Markov Process on Cyclic Words
  • 2014
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The TASEP (totally asymmetric simple exclusion process) studied here is a Markov chain on cyclic words over the alphabet{1,2,...,n} given by at each time step sorting an adjacent pair of letters chosen uniformly at random. For example, from the word 3124 one may go to 1324, 3124, 3124, 4123 by sorting the pair 31, 12, 24, or 43.Two words have the sametype if they are permutations of each other. If we restrict TASEP to words of some particular type m we get an ergodic Markov chain whose stationary distribution we denote by ζm. Soζm (u) is the asymptotic proportion of time spent in the state u if the chain started in some word of type m. The distribution ζ is the main object of study in this thesis. This distribution turns out to have several remarkable properties, and alternative characterizations. It has previously been studied both from physical, combinatorial, and probabilitistic viewpoints.In the first chapter we give an extended summary of known results and results in this thesis concerning ζ. The new results are described (and proved) in detail in Papers I - IV.The new results in Papers I and II include an explicit formula for the value ofζat sorted words and a product formula for decomposable words. We also compute some correlation functions for ζ. In Paper III we study of a generalization of TASEP to Weyl groups. In Paper IV we study a certain scaling limit of ζ, finding several interesting patterns of which we prove some. We also study an inhomogenous version of TASEP, in which different particles get sorted at different rates, which generalizes the homogenous version in several aspects. In the first chapter we compute some correlation functions for ζ
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39.
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40.
  • Aas, Randi Wågö (författare)
  • Workplace-based sick leave prevention and return to work : exploratory studies
  • 2011
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Background: Earlier research have revealed risk factors for sick leave in the workplace, and thus the workplace has become an important arena for sick leave prevention and return to work (RTW). Despite that, some of these aspects have received little attention in exploratory studies. Simultaneously, there is a need to translate and implement the growing knowledge base in this field in order to develop evidence-based practice (EBP). Aim: The aim of the present research was to explore some aspects of workplace-based sick leave prevention and RTW, such as workplace interventions (studies III, IV, and the appendix), leadership qualities (study I), and work demands (study II), and also to reveal challenges to translating scientific knowledge into intervention decisions in the RTW process, and possible solutions to these challenges (study III). Methods: Content analysis methods were applied on data from interview transcripts and documents. In addition, a Cochrane systematic review of the literature was conducted. Results: Study I identified 78 distinct leadership qualities and seven leadership types (n = 345 meaning units) perceived by 30 employees on long-term sick leave and their immediate supervisors. The three most valued leadership qualities were “ability to make contact”, “being considerate”, and “being understanding”. The three most valued leadership types were the Protector, the Problem-Solver, and the Contact-Maker. The subordinates gave more descriptions of the Encourager and the Recognizer, whereas the supervisors most often described the Responsibility-Maker and the Problem-Solver. The combination of leadership types reported most frequently was the Protector together with the Problem-Solver. In study II, eight employees on long-term sick leave due to musculoskeletal diseases and disorders described 51 work demands they had experienced. The demands were perceived in some cases as having only a negative or a positive impact on work performance, but in others as both. Only seven of the demands were physical in nature, and most involved emotional and cognitive challenges in mastering the work tasks. It was also experienced that most demands came from the employee (n = 36) and only a few from the employer/work environment (n = 7) or both those sources (n = 8). Study III was a hypothetical case study aimed at revealing the challenges associated with translating scientific evidence into intervention decisions in the RTW process. This investigation was performed according to EBP frameworks. The evidence seemed to differ depending on whether it came from preventive, curative, or rehabilitative interventions. Moreover, it appeared that evidence in some cases originated from “good-for-all” interventions but in others from “tailored-type” interventions. Thus, a need to differentiate the roles of evidence was revealed in terms of whether it inspired, challenged, enlightened, informed, or determined the intervention decision. In general, the evidence-based framework seemed to construct a confined decision process. Possible solutions, and revised EBP steps were suggested. In study IV, 15 workplace interventions were identified (n = 306 meaning units), which were intended to reduce sick leave rates in 12 municipalities. The interventions were divided into two groups according to their targets in the organizations: nine organizational-workplace interventions targeted structures, processes, and culture (n = 220 descriptions, 72%); six employee-workplace interventions targeted persons (n = 86 descriptions, 28%). Examples of organizational-workplace interventions were developing routines/systems, establishing cooperation/ collaboration, providing information/education, building culture/anchoring, and recruiting/staffing. Employee-workplace interventions involved well-being/lifestyle interventions, physical activity/exercise, redeployment, adaptation, follow-up of employees on sick leave, and RTW programmes. The intervention profiles varied considerably between the municipalities. In the appendix (study V), a Cochrane systematic review of the literature was conducted to reveal the content and effectiveness of workplace interventions for employees with neck pain. Of 1,995 references found, 10 randomized controlled trials (RCTs) were included. Two of the RCTs had low risk of bias, and eight of them examined office workers. Few were on sick leave. Only three of the ten studies assessed the outcome of sick leave. The workplace interventions varied considerably regarding complexity and content. Overall, evidence was of low quality and showed no significant impact of workplace interventions on pain reduction (seven RCTs, 2,368 workers). Furthermore, one RCT, with 415 workers revealed that workplace interventions were significantly more effective in reducing sick leave in the intermediate term (OR 0.56, 95% CI 0.33–0.95), but not in the short or the long term. Conclusions: The results reported in this thesis revealed a variety of terminology related to workplace interventions, leadership qualities, and work demands, which might contribute to more in-depth understanding of sick leave prevention and RTW at workplaces. It was a challenge to trying to use evidence from randomized controlled trials in the RTW process, and the results call for new EBP approaches to translate evidence into decisions concerning complex workplace interventions. The current research also revealed that knowledge about the effectiveness of workplace interventions is still limited.
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41.
  • Aas, Wenche (författare)
  • Constitution, dynamics and structure of binary and ternary actinide complexes
  • 1999
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Stoichiometry, ligand exchange reactions, coordinationgeometry and stability of complexes of type UO2LpFq(H2O)3-n(p= 1–2,q= 1-3), where L is one of the bidentate ligandspicolinate, oxalate, carbonate or acetate have beeninvestigated using single crystal X-ray diffraction, an arrayof19F-,13C-,17O- and1H-NMR techniques and potentiometric titration usingboth F-and H+selective electrodes. The experiments wereperformed in a 1.00 M NaClO4medium. The equilibrium constants were determinedat 25°C while most of the kinetic experiments were done at- 5°C. The equilibrium constants for the stepwise additionof F-to UO2L and UO2L2indicates that the prior coordination of L toU(VI) has a fairly small effect on the subsequent bonding offluoride, except for a statistical effect determined by thenumber of available coordination sites. This indicates thatternary complexes might be important for the speciation andtransport of hexavalent actinides in ground and surface watersystems. A single crystal structure of UO2(picolinate)F32-has been determined showing the same pentagonalbipyramidal symmetry as in aqueous solution studied by NMR. Theexchangeable donor atoms are situated in a plane perpendicularto the linear uranyl group. The complexes show a variety ofdifferent exchange reactions depending on the ligand used. Ithas been possible to quantify external fluoride and the otherligands exchange reactions as well asintra-molecular reactions. This type of detailedinformation has not been observed in aqueous solution before.Water takes a critical part in the exchange mechanism, and whenit is eliminated from the inner coordination sphere a muchslower kinetics can be observed.19F-NMR has showed to be a powerful technique tostudy these reactions, both because of the sensitivity of thisNMR nucleus and also the possibility to observe reactions wherefluoride is not directly involved in the mechanism. TernaryTh(edta)F1-2and (UO2)2(edta)2F1-4have been investigated using1H and19F-NMR. The fluoride complexation to Cm(III) wasstudied using time resolved fluorescence spectroscopy (TRLFS)and the stability constant for the CmF2+complex was determined at 25°C in 1.0 mNaCl.Keywords. Ternary complexes, actinides,dioxouranium(VI), curium(III), thorium(IV), ligand exchange,isomers, NMR, potentiometric titrations, aqueous solution,oxalate, picolinate, acetate, EDTA.
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42.
  • Aasa, Annika, 1963 (författare)
  • User Defined Syntax
  • 1992
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • This thesis describes two examples of user defined syntax. The first, and most thoroughly investigated, is a new datatype construction, the conctype, the elements of which have a very flexible syntax. An embedded language can easily be introduced into a programming language using conctypes and computations are easily expressed using the concrete syntax and a special pattern matching form. The second example is user defined distfix operators which give a user possibility to extend the syntax for expressions in a programming language. We describe both a user's view and the implementation of these two examples. In both cases, context-free grammars serve as a basis for the definition of the new syntax. A problem that is investigated is how to disambiguate grammars with precedences. To see how this should be done we investigate which language a grammar together with precedence rules defines. For a sub-class of context-free grammars we give a predicate that defines the precedence correct syntax trees according to some precedence rules. We also give an algorithm that transforms such a grammar to an ordinary unambiguous context-free grammar and prove the correctness of the algorithm. We use the algorithm in our implementation of distfix operators. For more general grammars, we isolate one kind of ambiguity which is suitable to resolve with precedence rules. We define the generated language for such a grammar by an attribute grammar. This approach of resolving ambiguity is used in the implementation of conctypes.
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43.
  • Aasa, Jenny, 1978- (författare)
  • Cancer Risk Assessment of Glycidol : Evaluation of a Multiplicative Risk Model for Genotoxic Compounds
  • 2018
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Humans are exposed to chemical compounds in everyday life, both from the environment and from endogenous processes. Some compounds constitute a risk for cancer development. One such compound is glycidol, which is genotoxic and an animal carcinogen. It is the model compound of this work, partly due to its presence in food. Glycidol, often together with 3-monochloropropane-1,2-diol (3-MCPD), occurs in the form of esters particularly in refined cooking oils, which are used in a variety of food products. The esters are hydrolyzed in the gastrointestinal tract to form glycidol (and 3-MCPD).The aim of the thesis has been to evaluate an approach for cancer risk estimation of genotoxic carcinogens based on a multiplicative (relative) risk model and genotoxic potency. Further, the aim was to estimate the cancer risk for exposure to glycidol via food. Measurement of the internal doses (concentration × time) of glycidol in the studied biological systems, including humans, has been crucial. Glycidol is electrophilic and forms adducts with nucleophilic sites in proteins and DNA. The doses of glycidol were quantified by mass spectrometry: in vivo from adduct levels to hemoglobin (Hb); in vitro from adducts to cob(I)alamin.The first part of the thesis concerns the genotoxic potency (genotoxic response per internal dose) of glycidol, measured in vitro by mutation studies and in vivo by micronuclei as a biomarker for genotoxicity (short-term studies in mice). The results were compared to that of ionizing radiation, used as a standard, to estimate the relative genotoxic potency of glycidol: 10 and 15 rad-equ./mMh from mutations and micronuclei, respectively. No induction of micronuclei was observed for the related compound 3-MCPD.Tumor incidence from published carcinogenicity studies of glycidol in mice and rats, together with the measured in vivo doses, was evaluated with the relative cancer risk model. A good agreement between predicted and observed tumor incidence was shown, and no significant difference of the obtained cancer risk coefficients (risk per dose) between mice (5.1 % per mMh) and rats (5.4 % per mMh) was observed. The overall results support that the relative risk coefficient (β) is independent of sex, tumor site, and species, and indicated that it can be transferred also to humans. The doubling dose, expressed as 1/β, is the dose that is required to double the background tumor incidence. The mean of the doubling doses from mice and rats (19 mMh) was assumed valid for risk estimation for humans. Transfer of β of glycidol to rad-equ. via its relative genotoxic potency showed a risk coefficient in agreement with the relative cancer risk coefficient of ionizing radiation.In the final work, the lifetime (70 years) in vivo doses of glycidol were calculated from measured Hb adduct levels in blood from 50 children and 12 adults, and compared to the doubling dose. A fivefold variation was observed in the in vivo doses. The estimated lifetime excess cancer risk from glycidol exceeds 1/1000. This is much higher than what is considered as an acceptable risk.To conclude, the multiplicative (relative) risk model together with relative genotoxic potency is promising to use in an approach for cancer risk estimation and in line with 3R (reduce-refine-replace) initiatives.
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44.
  • Aasa, Mikael (författare)
  • Reperfusion therapy in acute ST-elevation myocardial infarction : a comparison between primary percutaneous intervention and thrombolysis in a short- and long-term perspective
  • 2010
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Approximately 35,000 people suffer from a heart attack in Sweden annually. Among them, approximately 8000 are diagnosed with a ST-elevation myocardial infarction (STEMI) where timely reperfusion has been shown to save lives. Previous studies that have compared the existing reperfusion strategies, thrombolysis (TL) and primary PCI (PPCI), made use of treatment regimens that since have been improved with the use of mechanical and medical adjunctives. The objective of this thesis was to compare both of these strategies employing updated regimens in accordance to current guidelines with respect to; 1) efficacy in restoring blood flow and myocardial perfusion, 2) clinical outcome and 3) cost-effectiveness. Methods and results: Between November 2001 and May 2003, 205 patients with STEMI were randomized to PPCI with adjunctive abciximab or TL. The low molecular weight heparin enoxaparin was used as anticoagulant in both groups. In 42% treatment was initiated in the pre-hospital phase. The primary end points were the rate of STsegment resolution (STRES) ≥ 50% 120 minutes after inclusion and the rate of normalized (TIMI 3) flow in the infarct related vessel 5-7 days after treatment, serving as surrogates for a beneficial outcome. Secondary end points were the ability to restore myocardial perfusion evaluated angiographically by TIMI Myocardial Perfusion Grade (TMPG) 5-7 days after inclusion in the study, clinical events at 30 days and one year cost-effectiveness. The patients were followed prospectively for one year and, in addition, information on survival status and major clinical events was collected from national registries for an extended follow up period of a median of 5.3 years. STRES≥ 50% was achieved in 68% following PPCI and 64% after TL (n.s.). However, the TIMI 3 rate was higher after PPCI compared to TL (71% vs. 54%, p=0.04). TMPG tended to be better in the PPCI group than in the TL group. An analysis of the evolution of TMPG in the PPCI cohort revealed that there was a significant improvement of myocardial perfusion in the week following PPCI. Thirty day mortality rates were low and similar in the groups. At one year PPCI was tended to be less costly ($-2,505) than TL ($-2,505; n.s.), mainly due to higher costs for re-hospitalizations in the TL group. Primary PCI also lead to an insignificant gain in quality-adjusted survival (0.031 QALYs). A bootstrap analysis indicated that PPCI has a high probability of being cost-effective when a threshold value of $50,000 is employed. A survival analysis at 5.3 years showed a significant benefit from PPCI in terms of the combination of all-cause death and recurrent infarction (p=0.03) as well as for cardiac mortality alone (p=0.02). Conclusion: Primary PCI is more efficient than thrombolysis in re-establishing antegrade flow in the infarct- related artery and offers a better long term clinical outcome with respect to major cardiac events without an increase in societal costs. Thus, based on the conditions under which this study was performed, primary PCI is a more efficient alternative than thrombolysis for the treatment of ST-elevation myocardial infarction.
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45.
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46.
  • Aasa, Ulrika (författare)
  • Ambulance Work : Relationships between occupational demands, individual characteristics and health-related outcomes
  • 2005
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Although musculoskeletal disorders (MSDs) and other health complaints are an occupational problem for ambulance personnel, there is a lack of knowledge regarding work-related factors associated with MSDs and other health complaints. The overall aim of this thesis was to investigate the relationships between occupational demands, individual characteristics and health-related outcomes among ambulance personnel. A random sample of 234 female and 953 male ambulance personnel participated in a national questionnaire survey on work-related factors, and musculoskeletal and other health complaints. Physical demands was associated with activity limitation due to neck-shoulder and low-back complaints among the female personnel. Among the male personnel, physical demands was associated with low-back complaints and activity limitation due to low-back complaints. Psychological demands was significantly associated with neck-shoulder complaints, sleeping problems, headache and stomach symptoms among both female and male ambulance personnel. Worry about work conditions was associated with musculoskeletal disorders and sleeping problems, headache and stomach symptoms. A local sample of 26 ambulance personnel was followed during a 24-hour work shift and for the next two work-free days. Subjective stress- and energy levels, and cortisol levels were measured at regular intervals, and heart rate was registered continuously by electrocardiogram (ECG). Autonomic reactivity to standardized tests before (pre-work) and at the end of the work shift (post-work) was also investigated. For the whole group, baseline values of heart rate were higher pre-work than post-work, but autonomic reactivity did not differ. Increased reactivity to the mental test, modest deviation in heart rate variability (HRV) pattern during the late night hours at work and higher morning cortisol values during work than during leisure time were observed in personnel with many health complaints, but not among their co-workers without or with few complaints. Ambulance personnel with many health complaints also reported higher psychological demands and tended to be more worried about work conditions. Heart rate (HR), lactate level (LL) and perceived exertion (RPE) were investigated in 17 female and 48 male ambulance personnel during a simulated standardized work task “carry a loaded stretcher”. The ambulance personnel had to carry the loaded stretcher (920 N) up and down three flights of stairs twice. The high physiological strain (HR, LL, RPE) for the male, and near or at maximal strain for the female ambulance personnel, implied the importance to identify what kind of physical capacity is most important for ambulance personnel. Therefore, the explained variance of developed fatigue by tests of cardiorespiratory capacity, muscular strength and endurance, and coordination was investigated. The results showed that VO2max and isometric back endurance were important predictors for development of fatigue when carrying a loaded stretcher. The influence of body size on the relationships between maximal strength and functional performance was investigated in a methodological study. The results confirm that the assessment of physical performance could be confounded by the body weight. Therefore, the models for explaining development of fatigue when carrying the loaded stretcher were adjusted for height and weight. Including height in the models significantly increased the explained variance of accumulated lactate among female, but not among male personnel. Lactate levels were higher among short compared to tall female personnel. Weight had no effect on any of the models. In conclusion, the national survey showed that self-reported physical demands was a risk factor of having MSDs, and that self-reported psychological demands and worry about work were important risk factors of having MSDs and other health complaints. Stress monitoring of ambulance personnel during work and leisure time showed that physiological and subjective stress markers did not show any differences between the 24-hour ambulance work shift and leisure time afterwards. However, ambulance personnel with many health complaints had certain physiological changes during the work shift in comparison with the next two work-free days. The physiological and subjective responses during carrying a loaded stretcher, especially among the female ambulance personnel, showed that female and male ambulance personnel could be exposed to internal exposures at different levels when performing the same work task. A better understanding of the relationships between occupational demands and health-related outcomes require further studies on age- and gender matched groups in long-term perspective studies.
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47.
  • Aase, Karin (författare)
  • On vascular endothelial growth factor B and platelet-derived growth factor C : two members of the VEGF/PDGF family of growth factors
  • 2001
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Vascular endothelial growth factors (VEGFs), platelet-derived growth factors (PDGFs) and their receptors are important for normal development. They have also been implicated in many pathological conditions. VEGFs have been shown to play an important role in the development of both blood and lymphatic vessels. PDGFs on the other hand, are important regulators of the connective tissue cells of both the vascular network and other organs systems. The focus of the work presented in this thesis has been to elucidate the role of two members of the VEGF/PDGF family of growth factors, namely VEGF-B and PDGF-C. Embryonic analysis at the mRNA and protein level showed that VEGF-B was expressed in several organs, with highest expression in the developing muscles. VEGF-B was not detected in endothelial cells, where its receptor VEGFR-1 is expressed, which suggested that VEGF-B acts in a paracrine way. The expression of the two isoforms, VEGF-B167 and VEGF-B186 were investigated using techniques that can distinguish the two isoforms. The results showed that the VEGF-B167 isoform is predominantly expressed in most tissues. The VEGF-B186 isoform is expressed at lower levels and only in a limited numbers of organs. Moreover, the VEGF-B186 isoform is upregulated in mouse and human tumour cell lines and primary tumours compared with their corresponding normal tissues. These data suggest a fine genetic control of the expression of the two isoforms of VEGF-B, implying tissue- and cell-specific roles for the two VEGF-B isoforms. To elucidate the function in vivo, a VEGF-B knockout mouse strain was generated. The results showed that VEGF-B is not required for normal development of the cardiovascular system or for angiogenesis in adults. However, adult VEGF-B deficient mice have an atrial conduction abnormality characterised by a prolonged PQ interval in the electrocardiogram; thus VEGF-B appears to be required for normal heart function in adult animals. The second growth factor, PDGF-C contains a domain structure not present in other members of the VEGF/PDGF family. Following the signal sequence, PDGF-C contains an N-terminal CUB-domain and, in the C-terminus, the VEGF/PDGF homology domain. PDGF-C is synthesised as an inactive precursor protein that has to be proteolytically processed in the N-terminus before it can bind and activate its receptor, PDGFR-a. Expression analysis during mouse development suggests that PDGF-C acts in both paracrine and autocrine ways.
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48.
  • Aasheim, Vigdis (författare)
  • Becoming a mother at an advanced age : pregnancy, outcomes, psychological distress, experience of childbirth and satisfaction with life
  • 2013
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The objectives of this thesis were to investigate adverse pregnancy outcomes, and pregnancy and psychological experiences in women who become mothers in the later phase of the reproductive period. The age of first-time mothers has increased in most high-income countries in recent decades. Research into the postponement of childbirth phenomenon has predominantly focused on pregnancy and infant outcomes, and only to a lesser degree on psychological aspects of postponement. Study I is a population-based register study including 955 804 primiparous women from the Swedish and Norwegian Medical Birth Registers who gave birth between 1990-2010. It investigates the risk for preterm birth, infants small for gestation age, low Apgar score, stillbirth and neonatal death in women aged 30-34 years, 35-39 years and ≥40 years compared with women aged 25-29 years. Study I also compares risks associated with advanced maternal age with those associated with smoking and being overweight or obese. The adjusted Odds Ratios (aOR) of all outcomes increased with maternal age in a similar way in Sweden and Norway and the risk of fetal death already at age 30-35 years (Sweden OR 1.24; 95% CI 1.13-1.37, Norway aOR 1.26; 95% CI 1.12-1.41). The Swedish data showed that a maternal age of ≥30 years was associated with the same number of additional cases of fetal deaths as being overweight/obesity (251) and a larger number than smoking (67) compared with normal weight, nonsmokers aged 25-29 years, and estimated over the entire time period. Studies II-IV are longitudinal prospective population-based cohort studies based on data from the National Norwegian Mother and Child Cohort Study conducted by the Norwegian Institute of Public Health. Study II investigated psychological distress in 19 291nulliparous women from mid pregnancy to 18 months after the birth, comparing women of ≥32 years with those of 25-31 years. It was found that women in the oldest group had a slightly increased risk of psychological distress during pregnancy and the first 18 months of motherhood. Study III investigated 30 065 women’s experience of childbirth at six months postpartum in relation to antenatal expectations, using the same age categories as in Study II. The oldest women had a marginally higher risk of experiencing childbirth as worse than expected. Older women seemed to manage better than younger women when having an operative delivery. Study IV investigated 18 565 women’s satisfaction with life during pregnancy and the first three years of motherhood, comparing women of 32-37 years and ≥38 years respectively with the same reference groups as above. Women in the two oldest age groups reported a slightly lower degree of satisfaction with life, and the age effect was greatest three years after the birth. In conclusion, this thesis shows that the postponement of childbirth in high-income countries may increase the risk of adverse pregnancy outcomes at an earlier age than has previously been reported, and that it may have marginal negative effects on women’s emotional wellbeing and satisfaction with life. These findings should be included when giving reproductive health information to young people.
  •  
49.
  • Aasi, Parisa, 1986- (författare)
  • Information Technology Governance: The Role of Organizational Culture and Structure
  • 2018
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Information Technology Governance (ITG) is among the most important challenges for the managers today. IT is not anymore just a supportive tool but also a strategic driver for the businesses. In the dynamic and competitive world of today, it is crucial for organizations to know how to govern IT rather than just to use it. IT governance deals with specifying responsibilities and decision rights to encourage the desirable behaviour from IT and generate value from IT investments. IT governance can impact the overall performance of organizations, however there are still difficulties in understanding IT governance and the factors that may influence it.Organizational culture and structure are among the factors that have significant influence on many issues in an organization. According to previous research, organizational culture and structure need to be considered when implementing IT governance. However, there is a lack of research focusing on how organizational culture and structure can influence IT governance performance and implementation. Thus, the main research question addressed in this thesis is: How are organizational culture and structure related to IT governance? To address this question, this research has performed literature reviews and conducted case studies to investigate the role of organizational culture and structure on IT governance. As the first step, the previous literature was reviewed to find the gaps in the research on culture and IT governance. As the next step, four case studies were conducted to explore the influence of organizational culture and structure on IT governance. Two case studies have investigated the relation between organizational structure and IT governance implementation and performance in large organizations; and two other case studies investigated on how different types of organizational culture influence IT governance performance outcomes.The results of this research respond to the research question by specifying the role of culture in IT governance through a categorization of prior research both from research and practice perspectives; specifying the influence of different organizational culture types on IT governance performance outcomes in different organizations; and by specifying IT organizational structure relationship with IT governance performance outcomes and IT governance implementation.The research presented in this thesis provides both theoretical and empirical contributions to the IT governance research and practice.
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50.
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