| 1. |
- Engquist, M., et al.
(författare)
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A 5-to 8-year randomized study on the treatment of cervical radiculopathy: anterior cervical decompression and fusion plus physiotherapy versus physiotherapy alone
- 2017
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Ingår i: Journal of Neurosurgery-Spine. - : Journal of Neurosurgery Publishing Group (JNSPG). - 1547-5654. ; 26:1, s. 19-27
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE The aim of this study was to evaluate the 5- to 8-year outcome of anterior cervical decompression and fusion (ACDF) combined with a structured physiotherapy program as compared with that following the same physiotherapy program alone in patients with cervical radiculopathy. No previous prospective randomized studies with a follow-up of more than 2 years have compared outcomes of surgical versus nonsurgical intervention for cervical radiculopathy. METHODS Fifty-nine patients were randomized to ACDF surgery with postoperative physiotherapy (30 patients) or to structured physiotherapy alone (29 patients). The physiotherapy program included general and specific exercises as well as pain coping strategies. Outcome measures included neck disability (Neck Disability Index [NDI]), neck and arm pain intensity (visual analog scale [VAS]), health state (EQ-5D questionnaire), and a patient global assessment. Patients were followed up for 5-8 years. RESULTS After 5-8 years, the NDI was reduced by a mean score% of 21 (95% CI 14-28) in the surgical group and 11% (95% CI 4%-18%) in the nonsurgical group (p = 0.03). Neck pain was reduced by a mean score of 39 mm (95% CI 26-53 mm) compared with 19 mm (95% CI 7-30 mm; p = 0.01), and arm pain was reduced by a mean score of 33 mm (95% CI 18-49 mm) compared with 19 mm (95% CI 7-32 mm; p = 0.1), respectively. The EQ-5D had a mean respective increase of 0.29 (95% CI 0.13-0.45) compared with 0.14 (95% CI 0.01-0.27; p = 0.12). Ninety-three percent of patients in the surgical group rated their symptoms as "better" or "much better" compared with 62% in the nonsurgical group (p = 0.005). Both treatment groups experienced significant improvement over baseline for all outcome measures. CONCLUSIONS In this prospective randomized study of 5- to 8-year outcomes of surgical versus nonsurgical treatment in patients with cervical radiculopathy, ACDF combined with physiotherapy reduced neck disability and neck pain more effectively than physiotherapy alone. Self-rating by patients as regards treatment outcome was also superior in the surgery group. No significant differences were seen between the 2 patient groups as regards arm pain and health outcome.
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| 2. |
- Sani, Negar
(författare)
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Addressability and GHz Operation in Flexible Electronics
- 2016
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The discovery of conductive polymers in 1977 opened up a whole new path for flexible electronics. Conducting polymers and organic semiconductors are carbon rich compounds that are able to conduct charges while flexed and are compatible with low-cost and large-scale processes including printing and coating techniques. The conducting polymer has aided the rapidly expanding field of flexible electronics, leading to many new applications such as electronic skin, RFID tags, smart labels, flexible displays, implantable medical devices, and flexible sensors.However, there are several remaining challenges in the production and implementation of flexible electronic materials and devices. The conductivity of organic conductors and semiconductors is still orders of magnitude lower compared to their inorganic counterparts. In addition, non-flexible inorganic semiconductors still remain the materials of choice for high frequency applications; since the charge carrier mobility and thus operational speed of the organic materials are limited. Therefore, there remains a high demand to combine the high frequency operation of inorganic semiconductors with the flexible fabrication methods of organic systems for future electronics.In addition to the challenges in the choice of materials in flexible electronics, the upscaling of the flexible devices and implementing them in circuits can also be complicated. Lack of non-linearity is an issue that arises when flexible devices with linear behavior need to be incorporated in an array or matrix form. Non-linearity is important for applications such as displays and memory arrays, where the devices are arranged as matrix cells addressed by their row and column number. If the behavior of cells in the matrix is linear, addressing each cell affects the adjacent cells. Therefore, inducing non-linearity and, consequently, addressability in such linear devices is the first step before scaling up into matrix schemes.In this work, non-linear organic/inorganic hybrid devices are produced to overcome the limitations mentioned above and leverage the advantages of both organic and inorganic materials. Two novel methods are developed to incorporate non-flexible inorganic semiconductors into ultra-high frequency (UHF) flexible devices. In the first method, Si is ground into a powder with micrometer-sized particles and printed through standard screen printing. For the first time, allprinted flexible diodes operating in the GHz range are produced. The energy harvesting application of the printed diodes is demonstrated in a flexible circuit coupling an antenna and the display to the diode.A second and simpler room-temperature method based on lamination was later developed, which further improves device performance and operational frequency. For the first time, a flexible semiconducting composite film consisting of Si micro-particles, glycerol, and nano-fibrillated cellulose is produced and used as the semiconducting layer of the UHF diode.The diodes fabricated through both mentioned processes are demonstrated in energy harvesting applications in the GHz range; however, they can also serve as rectifiers or non-linear elements in any other flexible and UHF circuit.Furthermore, a new approach is developed to induce non-linearity and hence addressability in linear devices in order to make their implementation in flexible matrix form feasible. This is accomplished by depositing a ferroelectric layer on a device electrode and thus controlling charge transfer through the electrode. The electrode current becomes limited to the charge displacement current established in the ferroelectric layer during polarization. Thus, the current does not follow the voltage linearly and non-linearity is induced in the device. The polarization voltage is dictated by the thickness of the ferroelectric layer. Therefore, the switching voltage of the device can be tuned by adjusting the ferroelectric layer thickness. In this work, the organic ferroelectric poly(vinylidene fluoride-co-trifluoroethylene) (P(VDF-TrFE)) is used due to its distinctive properties such as stability, high polarizability and simple processability. The polarization of P(VDF-TrFE) through an electrolyte and an electrophoretic liquid is investigated. In addition, a simple model is presented in order to understand the field and potential distribution, and the ferroelectric polarization, in the P(VDF-TrFE)-electrolyte contact. The induction of non-linearity through P(VDF-TrFE) is successfully demonstrated in novel addressable and bistable devices and memory elements such as non-linear electrophoretic display cells, organic ferroelectrochromic displays (FeOECDs), and ferroelectrochemical organic transistors (FeOECTs).
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| 3. |
- Ullah Khan, Zia, et al.
(författare)
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Thermoelectric Polymers and their Elastic Aerogels
- 2016
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Ingår i: Advanced Materials. - : John Wiley & Sons. - 0935-9648 .- 1521-4095.
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Tidskriftsartikel (refereegranskat)abstract
- Electronically conducting polymers constitute an emerging class of materials for novel electronics, such as printed electronics and flexible electronics. Their properties have been further diversified to introduce elasticity, which has opened new possibility for "stretchable" electronics. Recent discoveries demonstrate that conducting polymers have thermoelectric properties with a low thermal conductivity, as well as tunable Seebeck coefficients - which is achieved by modulating their electrical conductivity via simple redox reactions. Using these thermoelectric properties, all-organic flexible thermoelectric devices, such as temperature sensors, heat flux sensors, and thermoelectric generators, are being developed. In this article we discuss the combination of the two emerging fields: stretchable electronics and polymer thermoelectrics. The combination of elastic and thermoelectric properties seems to be unique for conducting polymers, and difficult to achieve with inorganic thermoelectric materials. We introduce the basic concepts, and state of the art knowledge, about the thermoelectric properties of conducting polymers, and illustrate the use of elastic thermoelectric conducting polymer aerogels that could be employed as temperature and pressure sensors in an electronic-skin.
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