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- Friedrichs, A., et al.
(författare)
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Adaptation of Dutch Allocation Guideline for Patients after Alcohol Detoxification - Results of a Delphi Survey
- 2013
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Ingår i: SUCHTTHERAPIE. - : Georg Thieme Verlag KG. - 1439-9903 .- 1439-989X. ; 14:4, s. 148-154
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Tidskriftsartikel (refereegranskat)abstract
- Aim of the study: In the Netherlands, guidelines for the allocation of patients with alcohol related disorders to different levels of care have been implemented and evaluated nationwide. These guidelines cannot be used in the German health care system without adaptation, but with modifications they may prove useful. Aim of this study was therefore to develop an adaptation of those allocation guidelines to the German system. Methods: Using the Delphi-technique, experts in substance use treatment discussed existing addiction treatment services and indication criteria relevant for allocation in 3 rounds. The results of this process were integrated by means of a concluding consensus conference. Results: The Dutch allocation guideline was adapted for treatment decisions following detoxification treatment of alcohol dependent patients. Conclusions: The consented guideline can support the allocation of patients with alcohol-related disorders. The guideline is currently evaluated in a randomized controlled trial.
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| 5. |
- Berner, J, et al.
(författare)
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Hypoxic ventilatory response in Tac1-/- neonatal mice following exposure to opioids
- 2012
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Ingår i: Journal of applied physiology (Bethesda, Md. : 1985). - : American Physiological Society. - 1522-1601 .- 8750-7587. ; 113:11, s. 1718-1726
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Tidskriftsartikel (refereegranskat)abstract
- Morphine is the dominating analgetic drug used in neonates, but opioid-induced respiratory depression limits its therapeutic use. In this study, we examined acute morphine effects on respiration during intermittent hypoxia in newborn Tac1 gene knockout mice (Tac1−/−) lacking substance P and neurokinin A. In vivo, plethysmography revealed a blunted hypoxic ventilatory response (HVR) in Tac1−/− mice. Morphine (10 mg/kg) depressed the HVR in wild-type animals through an effect on respiratory frequency, whereas it increased tidal volumes in Tac1−/− during hypoxia, resulting in increased minute ventilation. Apneas were reduced during the first hypoxic episode in both morphine-exposed groups, but were restored subsequently in Tac1−/− mice. Morphine did not affect ventilation or apnea prevalence during baseline conditions. In vitro, morphine (50 nM) had no impact on anoxic response of brain stem preparations of either strain. In contrast, it suppressed the inspiratory rhythm during normoxia and potentiated development of posthypoxic neuronal arrest, especially in Tac1−/−. Thus this phenotype has a higher sensitivity to the depressive effects of morphine on inspiratory rhythm generation, but morphine does not modify the reactivity to oxygen deprivation. In conclusion, although Tac1−/− mice are similar to wild-type animals during normoxia, they differed by displaying a reversed pattern with an improved HVR during intermittent hypoxia both in vivo and in vitro. These data suggest that opioids and the substance P-ergic system interact in the HVR, and that reducing the activity in the tachykinin system may alter the respiratory effects of opioid treatment in newborns.
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- Biswas, Ashis, et al.
(författare)
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Surface complexation modeling of temporal variability of arsenic in groundwater : Estimating the role of competing ions in the mobilization processes
- 2013
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Konferensbidrag (refereegranskat)abstract
- This study investigates the relative roles of different competing ions on the mobilization of arsenic (As) by surface complexation modeling of As rich groundwater in the aquifer of Bengal Basin. Two sets of piezometers, installed at different depths of the shallow aquifer (<50 m), have been monitored for As and other relevant hydrogeochemical parameters over a period of 20 months. The potentiality of two different surface complexation models (SCM), developed for ferrihydrite and goethite has been explored to account for the observed temporal variation in As(III) and As(V) concentration in groundwater. The SCM for ferrihydrite appears as the better predictor for the observed variation in both As(III) and As(V) concentration. It is estimated that among the competing ions PO43- is the major competitor of As(III) and As(V) adsorption into Fe oxyhydroxide and competing ability of the ions decreases as PO43- >> Fe(II) > H4SiO4 = HCO3-. The result of sensitivity test indicates that the competition of PO43- with As for the adsorption sites might already reach nearly to the stage of maxima. It is also shown that a slight increase or decrease in pH can have overwhelming effect on the mobility of As(III) and As(V) by changing their concentration oppositely. It appears that only the reductive dissolution of Fe oxyhydroxide cannot explain the observed high As concentration in the groundwater of Bengal Basin. In absence of potential competition for the adsorption sites, As released due to reductive dissolution of Fe oxyhydroxide would have been re-adsorbed into the residual Fe phases. This study suggests that the reductive dissolution of Fe oxyhydroxide followed by competitive ion exchange with the aquifer sediment is the processes conducive for As enrichment in groundwater of the sedimentary aquifers.
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- Cuartielles, David, et al.
(författare)
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Delivery number 4.2 : Report on Final STEM Learning Kit with Integrated Learning Analytics for Trials
- 2014
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- This deliverable is an overall status report on the technical development and kit design made within the PELARS project prior to launching a series of trials with students within three different learning scenarios.The document presents a series of tools: hardware, software and crafting materials that will both enable the students perform a series of tasks, but also get real time feedback about the state of their projects. The feedback will also be sent to the teachers to inform them about potential issues faced by the students, allowing them take actions there where it is most needed.The tools here presented have been developed for the project based on the research made mainly as part of workpackages WP2 and WP4, but also on the technical descriptions of WP5.When it comes to the technical development, it advanced faster than anticipated, thanks to a relocation of human resources, what allowed the project to be presented at Ars Electronica in September 2015 and fulfill some of the partners’ plans for trials with students to start in late October 2015. At the time of writing 4 different series of boards have been produced adding up to more than 700 circuits of 13 different types that will be put in the hands of students during the different trials.The electronic development platform is now called TALKOO kits (formerly known as PELARS kits) that together with the PELARS crafting materials and the PELARS visualization tool will be at the core of the trials to be performed with groups of university students in interaction design and engineering, as well as high school students in different countries. PELARS has an extensive trial plan that is described in WP7’s deliverables and that builds on the results of this deliverable D4.2.
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- Khorram-Manesh, Amir, 1958, et al.
(författare)
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Estimation of healthcare resources at sporting events.
- 2010
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Ingår i: Prehospital and disaster medicine. - 1049-023X. ; 25:5, s. 449-55
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The consequences of a major incident at a sporting event could be catastrophic. Therefore, there should be an estimation of the healthcare resources at such events as part of the planning. Although there are National guidelines (e.g., Planning Safe Public Events: Practical Guidelines in Australia) defining the role of the healthcare system at sporting events, these guidelines either lack a simple calculating method to estimate the need for healthcare resources or the methods are complex and impractical to use. The objective of this study was to find a safe and easy method for the estimation of healthcare resources at sporting events. METHODS: A model for the estimation of healthcare resources at music events recently has been approved in Sweden. After minor adjustments, this model was used at sport events by a number of planning officers. The models' accuracy and usability was evaluated by analyzing its outcome in a pilot and a controlled study using different sporting and non-sporting scenarios. RESULTS: The pilot study showed that the model was valid and easily could be used for various sporting events. The obtained estimations were consistent with the methods used by experienced planning officers in 97% of cases. The results of the controlled study showed that by using this model, the minimum amount of resources required easily could be calculated at sporting events and by people with different backgrounds. CONCLUSIONS: This model safely can be used at sporting events.
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- Neidhardt, H., et al.
(författare)
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Organic carbon induced mobilization of iron and manganese in a West Bengal aquifer and the muted response of groundwater arsenic concentrations
- 2014
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Ingår i: Chemical Geology. - : Elsevier BV. - 0009-2541 .- 1872-6836. ; 367, s. 51-62
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Tidskriftsartikel (refereegranskat)abstract
- The exact circumstances that cause the widespread enrichment of Mn and As in groundwater of the Bengal Delta Plain (BDP) and many other Asian delta areas still remain a matter of debate in the scientific community. We conducted an in situ field experiment in the central BDP region to investigate the influence of organic matter on the mobility of Fe, Mn and As in shallow aquifers. The groundwater at our study site was initially characterized by a circum-neutral pH, low concentrations of O2, NO3 - and SO4 2-, and increased Fe, Mn and As concentrations, reflecting reducing conditions in the aquifer. Since organic matter controls microbially mediated redox processes which are believed to result in the mobilization of Fe, Mn and As from Holocene aquifer sediments, an easily degradable carbon source (sucrose) was introduced into a shallow aquifer via four nested monitoring wells and distributed by circular pumping. Initial sucrose concentrations reached up to 2.55mM in the local groundwater and induced a strong increase in the activity of indigenous microbes that decomposed the sucrose within the following 14days stepwise into intermediate catabolic products (e.g., acetic acid), and finally to CO2/HCO3 -. The formation of organic acids was accompanied by a temporary decline in the pH and the redox potential, as well as an increase in the concentration of most major and trace elements in the groundwater by several times. While Mn concentrations rose up to 81.3μM (representing a 7.5 fold increase), Fe (on average 96.7% Fe(II)) concentrations reached a considerable transient maximum of 1390μM, which was 36 times higher than the initial baseline value. The most significant observation of this experiment is that the relative increments of dissolved As (on average 95.8% As(III)) reached between 19 and 49% only, which is in clear contrast to the pronounced mobilization of Fe, Mn and other trace elements. Changes in the groundwater composition during the experiment imply that the mobilization of Fe and Mn was primarily caused by a reductive dissolution of Mn-oxides and Fe-(oxyhydr)oxides, resulting from the stimulation of indigenous bacteria by the addition sucrose. In this context, the release of As can be attributed to the dissolution of Fe-(oxyhydr)oxides, which constitute the principal source of As in the aquifer sediments according to mineralogical and geochemical analyses. In contrast to the pronounced mobilization of Fe, the response of groundwater arsenic concentrations appeared to be muted, as indicated by subsequently declining As to Fe mol ratios that dropped one order in magnitude. The remarkable decoupling of As from Fe mobilization indicates that the aquifer sediments were apparently capable of compensating for the additional release of As. We attribute this As buffer potential to remaining Fe-minerals and potentially newly formed Fe(II)- and mixed Fe(II/III)-mineral phases, which were able to readily immobilize dissolved As. Sequential extraction results of the initial aquifer sediments further support this interpretation, revealing that up to 85% of the total As in the sediments was already present in adsorbed form, with Fe-minerals as principal hosts. Hence, the experimental data implies that a biogeochemically controlled environment of competing As release and retention arose after the addition of sucrose, where Fe-mineral phases played a key role in buffering the release of As. We further conclude that organic carbon limited aquifer systems in the BDP with increased As concentrations in groundwater may exhibit an unexpected buffer potential towards an additional As release, even when vast amounts of easily degradable organic carbon are introduced into the system.
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| 10. |
- Neidhardt, H., et al.
(författare)
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Reconstructing the sedimentation history of the Bengal Delta Plain by means of geochemical and stable isotopic data
- 2013
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Ingår i: Applied Geochemistry. - : Elsevier BV. - 0883-2927 .- 1872-9134. ; 36, s. 70-82
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study is to examine the sedimentation history of the central floodplain area of the Bengal Delta Plain in West Bengal, India. Sediments from two boreholes were analyzed regarding lithology, geochemistry and the stable isotopic composition of embedded organic matter. Different lithofacies were distinguished that reflect frequent changes in the prevailing sedimentary depositional environment of the study area. The lowest facies comprises poorly sorted fluvial sediments composed of fine gravel to clay pointing at high transport energy and intense relocation processes. This facies is considered to belong to an early Holocene lowstand systems tract that followed the last glacial maximum. Fine to medium sands above it mark a gradual change towards a transgressive systems tract. Upwards increasing proportions of silt and the stable isotopic composition of embedded organic matter both indicate a gradual change from fluvial channel infill sediments towards more estuarine and marine influenced deposits. Youngest sediments are composed of clayey and silty overbank deposits of the Hooghly River that have formed a vast low-relief delta-floodplain. Close to the surface, small concretions of secondary Mn-oxides and Fe-(oxyhydr) oxides occur and mark the fluctuation range of the unsaturated zone. These concretions are accompanied by relatively high contents of trace elements such as Zn, Ni, Cu, and As. To sum up, the outcomes of this study provide new insights into the complex sedimentation history of the barely investigated central floodplain area of West Bengal.
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