| 1. |
- Kasiske, Bertram L., et al.
(författare)
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KDIGO clinical practice guideline for the care of kidney transplant recipients: a summary
- 2010
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Ingår i: Kidney International. - : Elsevier BV. - 1523-1755 .- 0085-2538. ; 77:4, s. 299-311
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Tidskriftsartikel (refereegranskat)abstract
- The 2009 Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline on the monitoring, management, and treatment of kidney transplant recipients is intended to assist the practitioner caring for adults and children after kidney transplantation. The guideline development process followed an evidence-based approach, and management recommendations are based on systematic reviews of relevant treatment trials. Critical appraisal of the quality of the evidence and the strength of recommendations followed the Grades of Recommendation Assessment, Development, and Evaluation (GRADE) approach. The guideline makes recommendations for immunosuppression and graft monitoring, as well as prevention and treatment of infection, cardiovascular disease, malignancy, and other complications that are common in kidney transplant recipients, including hematological and bone disorders. Limitations of the evidence, especially the lack of definitive clinical outcome trials, are discussed and suggestions are provided for future research. This summary includes a brief description of methodology and the complete guideline recommendations but does not include the rationale and references for each recommendation, which are published elsewhere. Kidney International (2010) 77, 299-311; doi: 10.1038/ki.2009.377; published online 21 October 2009
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| 2. |
- Bourg, S., et al.
(författare)
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ACSEPT-Partitioning technologies and actinide science: Towards pilot facilities in Europe
- 2011
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Ingår i: Nuclear Engineering and Design. - : Elsevier BV. - 0029-5493. ; 241:9, s. 3427-3435
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Tidskriftsartikel (refereegranskat)abstract
- Actinide recycling by separation and transmutation is considered worldwide and particularly in several European countries as one of the most promising strategies to reduce the inventory of radioactive waste and to optimise the use of natural resources. With its multidisciplinary consortium of 34 partners from 12 European countries plus Australia and Japan, the European Research Project ACSEPT (Actinide recycling by SEParation and Transmutation) aims at contributing to the development of this strategy by studying both hydrometallurgical and pyrochemical partitioning routes. ACSEPT is organised into three technical domains: (i) Considering technically mature aqueous separation processes, ACSEPT works to optimise and select the most promising ones dedicated either to actinide partitioning (for the heterogeneous recycling of actinides in ADS target or specific actinide bearing blanket fuels in fast reactor) or to grouped actinide separation (for the homogeneous recycling of the actinides in fast reactor fuels). In addition, dissolution and conversion studies are underway taking into account the specific requirements of these specific fuels. (ii) Concerning pyrochemical separation processes. ACSEPT focuses on the enhancement of the two reference cores processes selected within FP6-EUROPART. R&D efforts are also devoted to key scientific and technical issues compulsory to set up a complete separation process (head-end steps, salt treatment for recycling and waste management). (iii) By integrating all the experimental results in engineering and system studies, both in hydro and pyro domains, ACSEPT will deliver relevant flowsheets and recommendations to prepare for future demonstrations at a pilot level. After more than two years of work, significant progress was achieved in process development with the demonstration of the SANEX and innovative SANEX flowsheets. Chemical systems were selected for GANEX and are under study. In addition, efforts were made to increase collaborations, mutualise and homogenise procedures and share good practices. Based on these assessments, it is now time to look at the future challenges to overcome. A training and education program is implemented to share the knowledge among the partitioning community, present and future generations of researchers. Specific attention is paid to the funding of post-doctorate fellowships, two having been appointed respectively at the end of 2008 and at the end of 2009. Through this training and education programme, the first ACSEPT International Workshop was organised last March in Lisbon, Portugal. It gave an emphasis to young researchers' contributions (two thirds of the contributions) and allowed young scientists to meet and exchange with international recognised experts.
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| 3. |
- Ekberg, Joakim, 1976-, et al.
(författare)
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Design of an online health-promoting community : Negotiating user community needs with public health goals and service capabilities
- 2013
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Ingår i: BMC Health Services Research. - : BioMed Central. - 1472-6963. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: An online health-promoting community (OHPC) has the potential to promote health and advance new means of dialogue between public health representatives and the general public. The aim of this study was to examine what aspects of an OHPC that are critical for satisfying the needs of the user community and public health goals and service capabilities.Methods: Community-based participatory research methods were used for data collection and analysis, and participatory design principles to develop a case study OHPC for adolescents. Qualitative data from adolescents on health appraisals and perspectives on health information were collected in a Swedish health service region and classified into categories of user health information exchange needs. A composite design rationale for the OHPC was completed by linking the identified user needs, user-derived requirements, and technical and organizational systems solutions. Conflicts between end-user requirements and organizational goals and resources were identified.Results: The most prominent health information needs were associated to food, exercise, and well-being. The assessment of the design rationale document and prototype in light of the regional public health goals and service capabilities showed that compromises were needed to resolve conflicts involving the management of organizational resources and responsibilities. The users wanted to discuss health issues with health experts having little time to set aside to the OHPC and it was unclear who should set the norms for the online discussions.Conclusions: OHPCs can be designed to satisfy both the needs of user communities and public health goals and service capabilities. Compromises are needed to resolve conflicts between users' needs to discuss health issues with domain experts and the management of resources and responsibilities in public health organizations.
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| 4. |
- Holst, T., et al.
(författare)
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BVOC ecosystem flux measurements at a high latitude wetland site
- 2010
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Ingår i: Atmospheric Chemistry And Physics. - 1680-7316 .- 1680-7324. ; 10:4, s. 1617-1634
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Tidskriftsartikel (refereegranskat)abstract
- In this study, we present summertime concentrations and fluxes of biogenic volatile organic compounds (BVOCs) measured at a sub-arctic wetland in northern Sweden using a disjunct eddy-covariance (DEC) technique based on a proton transfer reaction mass spectrometer (PTR-MS). The vegetation at the site was dominated by Sphagnum, Carex and Eriophorum spp. The measurements reported here cover a period of 50 days (1 August to 19 September 2006), approximately one half of the growing season at the site, and allowed to investigate the effect of day-to-day variation in weather as well as of vegetation senescence on daily BVOC fluxes, and on their temperature and light responses. The sensitivity drift of the DEC system was assessed by comparing H3O+-ion cluster formed with water molecules (H3O+(H2O) at m37) with water vapour concentration measurements made using an adjacent humidity sensor, and the applicability of the DEC method was analysed by a comparison of sensible heat fluxes for high frequency and DEC data obtained from the sonic anemometer. These analyses showed no significant PTR-MS sensor drift over a period of several weeks and only a small flux-loss due to high-frequency spectrum omissions. This loss was within the range expected from other studies and the theoretical considerations. Standardised (20 degrees C and 1000 mu mol m(-2) s(-1) PAR) summer isoprene emission rates found in this study of 329 mu g Cm-2 (ground area) h(-1) were comparable with findings from more southern boreal forests, and fen-like ecosystems. On a diel scale, measured fluxes indicated a stronger temperature dependence than emissions from temperate or (sub) tropical ecosystems. For the first time, to our knowledge, we report ecosystem methanol fluxes from a sub-arctic ecosystem. Maximum daytime emission fluxes were around 270 mu g m(-2) h(-1) (ca. 100 mu g Cm-2 h(-1)), and during most nights small negative fluxes directed from the atmosphere to the surface were observed.
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| 5. |
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| 6. |
- Payne, T. E., et al.
(författare)
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Guidelines for thermodynamic sorption modelling in the context of radioactive waste disposal
- 2013
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Ingår i: Environmental Modelling and Software. - : Elsevier BV. - 1364-8152. ; 42, s. 143-156
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Tidskriftsartikel (refereegranskat)abstract
- Thermodynamic sorption models (TSMs) offer the potential to improve the incorporation of sorption in environmental modelling of contaminant migration. One specific application is safety cases for radioactive waste repositories, in which radionuclide sorption on mineral surfaces is usually described using distribution coefficients (K-d values). TSMs can be utilised to provide a scientific basis for the range of K-d values included in the repository safety case, and for assessing the response of K-d to changes in chemical conditions. The development of a TSM involves a series of decisions on model features such as numbers and types of surface sites, sorption reactions and electrostatic correction factors. There has been a lack of consensus on the best ways to develop such models, and on the methods of determination of associated parameter values. The present paper therefore presents recommendations on a number of aspects of model development, which are applicable both to radioactive waste disposal and broader environmental applications.The TSM should be calibrated using a comprehensive sorption data set for the contaminant of interest, showing the impact of major geochemical parameters including pH, ionic strength, contaminant concentration, the effect of ligands, and major competing ions. Complex natural materials should be thoroughly characterised in terms of mineralogy, surface area, cation exchange capacity, and presence of impurities. During the application of numerical optimisation programs to simulate sorption data, it is often preferable that the TSM should be fitted to the experimentally determined K-d parameter, rather than to the frequently used percentage sorbed. Two different modelling approaches, the component additivity and generalised composite, can be used for modelling sorption data for complex materials such as soils. Both approaches may be coupled to the same critically reviewed aqueous thermodynamic data sets, and may incorporate the same, or similar, surface reactions and surface species. The quality of the final sorption model can be assessed against the following characteristics: an appropriate level of complexity, documented and traceable decisions, internal consistency, limitations on the number of adjustable parameter values, an adequate fit to a comprehensive calibration data set, and capability of simulating independent data sets. Key recommendations for the process of TSM development include: definition of modelling objectives, identification of major decision points, a clear decision-making rationale with reference to experimental or theoretical evidence, utilisation of a suitable consultative and iterative model development process, testing to the maximum practicable extent, and thorough documentation of key decisions. These recommendations are consistent with international benchmarks for environmental modelling.
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| 7. |
- Timpka, Toomas, et al.
(författare)
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Predictive performance of telenursing complaints in influenza surveillance : a prospective cohort study in Sweden
- 2014
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Ingår i: Eurosurveillance. - 1025-496X .- 1560-7917. ; 19:46, s. 20966-
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Tidskriftsartikel (refereegranskat)abstract
- Syndromic data sources have been sought to improve the timely detection of increased influenza transmission. This study set out to examine the prospective performance of telenursing chief complaints in predicting influenza activity. Data from two influenza seasons (2007/08 and 2008/09) were collected in a Swedish county (population 427,000) to retrospectively determine which grouping of telenursing chief complaints had the largest correlation with influenza case rates. This grouping was prospectively evaluated in the three subsequent seasons. The best performing telenursing complaint grouping in the retrospective algorithm calibration was fever (child, adult) and syncope (r=0.66; p<0.001). In the prospective evaluation, the performance of 14-day predictions was acceptable for the part of the evaluation period including the 2009 influenza pandemic (area under the curve (AUC)=0.84; positive predictive value (PPV)=0.58), while it was strong (AUC=0.89; PPV=0.93) for the remaining evaluation period including only influenza winter seasons. We recommend the use of telenursing complaints for predicting winter influenza seasons. The method requires adjustments when used during pandemics.
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| 8. |
- Altmaier, M., et al.
(författare)
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TALISMAN - A European Commission FP7 project promoting transnational access to large infrastructures for a safe management of actinides
- 2014
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Ingår i: Plutonium Futures: The Science 2014; Las Vegas; United States; 7 September 2014 through 12 September 2014. - 9781510808089 ; , s. 165-166
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Konferensbidrag (refereegranskat)abstract
- TALISMAN is a large international project funded within the European Commission FP7 EURATOM framework. The aim of TALISMAN is to offer transnational access to large infrastructures for a safe management of actinides. Although clearly focusing on R&D activities from European Union member states, TALISMAN is also open to participation from non-EU countries. TALISMAN is coordinated by CEA (contact by stephane.bourg@cea.fr), supported by a Governing Board and the ExCom. Dedicated studies on Pu containing materials are integral part of TALISMAN. Safety issues are of fundamental importance for the acceptance and sustainable application of nuclear energy. Actinides play a central role in the nuclear fuel cycle from mining, fuel fabrication, energy production, up to reprocessing, partitioning and transmutation treatment of used fuel, and finally the management and disposal of radioactive waste. Fundamental understanding of actinide properties and behavior in fuel materials during the separation processes and in geological repositories is an imperative prerequisite to tackle the related safety issues. Unravelling the complexity of the actinide components of used nuclear fuel certainly represents one of the great challenges in nuclear science. To meet the needs of safe and sustainable management of nuclear energy it is essential to maintain a high level of expertise in actinide sciences both on a European and international level. Educating and training the next generation of scientists and engineers who will contribute to developing safe actinide management strategies is a key mission. Because actinides are radioactive elements and handling requires specific safety measures, their study requires advanced tools and facilities that are only available to a limited extent. Only a few academic and research organisations have the capabilities and licenses to work on actinide elements. From a European perspective it is therefore strategic to coordinate the existing actinide infrastructures in Europe and strengthen the community of scientists working on actinides. Within TALISMAN we offer (for positively evaluated scientific research proposals submitted in reply to a specific TALISMAN call) access to the previous ACTINET Pooled Facilities (CEA Atalante and CEA DPC, France; ITU Laboratories & hot-cells, European Commission; KIT-INE laboratories and KIT-INE beamline, Germany; HZDR-IRE & ROBL, Germany; PSI microXAS Beamline, Switzerland) to which two new facilities have been added: NNL Central Lab in the UK and CHALMERS in Sweden. TALISMAN is also open to scientists and research organizations from outside the European Union. TALISMAN leads and coordinates a network of actinide facilities across Europe, but also manages a network between facilities and users to increase the knowledge for a safer management of actinides. TALISMAN also enhances the efforts made to support education and training issues by continuing the former ACTINET Summer School series and travel grant attributions for attending international conferences like the Plutonium Futures series. The TALISMAN project website is regularly updated and offers detailed information on all TALISMAN activities at http://www.talisman-project.eu. This is including contact addresses, TALISMAN newsletters, announcements and description of open and forthcoming calls for transnational user access and indicates several other options to perform actinide research within the TALISMAN context.
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| 9. |
- Aneheim, Emma, 1982, et al.
(författare)
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Technetium chemistry in a novel group actinide extraction process
- 2013
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Ingår i: Journal of Radioanalytical and Nuclear Chemistry. - : Springer Science and Business Media LLC. - 0236-5731 .- 1588-2780. ; 296:2, s. 743-748
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Tidskriftsartikel (refereegranskat)abstract
- A newly developed method for advanced reprocessing of used nuclear fuel is the Group ActiNide EXtraction (GANEX) process. It is a liquid-liquid extraction process that aims at extracting all the actinides as a group from dissolved used nuclear fuel. This extraction can either be performed after a removal of the bulk uranium or directly on the dissolution liquor. At Chalmers University of Technology in Sweden a solvent that utilizes tributyl-phosphate (TBP) and a molecule from the bis-triazine bipyridine (BTBP) class of ligands dissolved in cyclohexanone has been developed for the use in a GANEX process. Previously the system has not been tested with the presence of technetium that is one of the major fission products. Technetium is often considered a problem within reprocessing since it has a chemical behaviour that differs from most other elements in the spent fuel. Therefore, a special emphasis was put on the investigation of technetium in the selected GANEX system. It was shown that technetium is readily extracted by the GANEX solvent and that cyclohexanone is the main extractant when no other metals were present in the system. It was also found that the presence of uranium decreased the overall technetium extraction despite a slight co-extraction with TBP, while irradiation of the GANEX solvent to large doses ([>1 MGy) increased its technetium extraction capability. It was also discovered that an increased nitrate concentration in the aqueous phase and an addition of other fission products both inhibited the technetium extraction even though fission product loading most likely changed the extraction mechanism to co-extraction by BTBP.
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| 10. |
- Bouamar, R., et al.
(författare)
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Tacrolimus Predose Concentrations Do Not Predict the Risk of Acute Rejection After Renal Transplantation: A Pooled Analysis From Three Randomized-Controlled Clinical Trials
- 2013
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Ingår i: American Journal of Transplantation. - : Elsevier BV. - 1600-6135. ; 13:5, s. 1253-1261
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Tidskriftsartikel (refereegranskat)abstract
- Therapeutic drug monitoring (TDM) for tacrolimus (Tac) is universally applied. However, the concentrationeffect relationship for Tac is poorly defined. This study investigated whether Tac concentrations are associated with acute rejection in kidney transplant recipients. Data from three large trials were pooled. We used univariate and multivariate analysis to investigate the relationship between biopsy-proven acute rejection (BPAR) and Tac predose concentration at five time points (day 3, 10 and 14, and month 1 and 6 after transplantation). A total of 136/1304 patients experienced BPAR, giving an overall incidence of 10.4%. We did not find any significant correlations between Tac predose concentrations and the incidence of BPAR at the different time points. In the multivariate analysis, only delayed graft function (DGF) and the use of induction therapy were independently correlated with BPAR, with an odds ratio of 2.7 [95% CI: 1.84.0; p < 0.001] for DGF and 0.66 [95% CI: 0.440.99; p = 0.049] for induction therapy. The other variables, including the Tac predose concentrations, were not statistically significantly associated with BPAR. We did not find an association between the Tac predose concentrations measured at five time points after kidney transplantation and the incidence of acute rejection occurring thereafter. Based on this study it is not possible to define the optimal target concentrations for Tac.
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