| 1. |
- Moberg, Christina, et al.
(författare)
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De unga gör helt rätt när de stämmer staten
- 2022
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Ingår i: Aftonbladet. - 1103-9000.
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- 1 620 forskare och lärare i forskarvärlden: Vi ställer oss bakom Auroras klimatkrav
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| 2. |
- Anastasopoulou, Stavroula, et al.
(författare)
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Acute central nervous system toxicity during treatment of pediatric acute lymphoblastic leukemia : phenotypes, risk factors and genotypes
- 2020
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Ingår i: Haematologica. - : Ferrata Storti Foundation. - 0390-6078 .- 1592-8721. ; 107:10, s. 2318-2328
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Tidskriftsartikel (refereegranskat)abstract
- Central nervous system (CNS) toxicity is common at diagnosis and during treatment of pediatric acute lymphoblastic leukemia (ALL). We studied CNS toxicity in 1,464 children aged 1.0-17.9 years, diagnosed with ALL and treated according to the Nordic Society of Pediatric Hematology and Oncology ALL2008 protocol. Genome-wide association studies, and a candidate single-nucleotide polymorphism (SNP; n=19) study were performed in 1,166 patients. Findings were validated in an independent Australian cohort of children with ALL (n=797) in whom two phenotypes were evaluated: diverse CNS toxicities (n=103) and methotrexate-related CNS toxicity (n=48). In total, 135/1,464 (9.2%) patients experienced CNS toxicity for a cumulative incidence of 8.7% (95% confidence interval: 7.31-10.20) at 12 months from diagnosis. Patients aged >= 10 years had a higher risk of CNS toxicity than had younger patients (16.3% vs. 7.4%; P < 0.001). The most common CNS toxicities were posterior reversible encephalopathy syndrome (n=52, 43 with seizures), sinus venous thrombosis (n=28, 9 with seizures), and isolated seizures (n=16). The most significant SNP identified by the genome-wide association studies did not reach genomic significance (lowest P-value: 1.11x10(-6)), but several were annotated in genes regulating neuronal functions. In candidate SNP analysis, ATXN1 rs68082256, related to epilepsy, was associated with seizures in patients < 10 years (P=0.01). ATXN1 rs68082256 was validated in the Australian cohort with diverse CNS toxicities (P=0.04). The role of ATXN1 as well as the novel SNP in neurotoxicity in pediatric ALL should be further explored.
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| 3. |
- Anastasopoulou, Stavroula, et al.
(författare)
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Seizures during treatment of childhood acute lymphoblastic leukemia : A population-based cohort study
- 2020
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Ingår i: European journal of paediatric neurology. - : ELSEVIER SCI LTD. - 1090-3798 .- 1532-2130. ; 27, s. 72-77
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Tidskriftsartikel (refereegranskat)abstract
- Background: Seizures are common in children with acute lymphoblastic leukemia (ALL). As ALL survival rates are improving, the challenge to minimize treatment related side effects and late sequelae rises. Here, we studied the frequency, timing, etiology and risk factors of seizures in ALL patients. Methods: The study included children aged 1-17.9 years at diagnosis of B-cell-precursor and T cell ALL who were treated according to the Nordic Society of Pediatric Hematology and Oncology (NOPHO) ALL2008 protocol between 2008 and 2015. Detailed patient data were acquired from the NOPHO ALL2008 registry and by review of medical records. Results: Seizures occurred in 81/1464 (5.5%) patients. The cumulative incidence of seizures at one months was 1.7% (95% CI: 1.2-2.5) and at one year 5.3% (95% CI 4.2-6.5%). Patients aged 10-17.9 years, those with T cell immunophenotype, CNS involvement, or high-risk induction with dexamethasone had higher risk for seizures in univariable analyses. Only age remained a risk factor in multivariable analyses (the cumulative incidence of seizures for patients 10-17.9 years old at one year was 9.0% (95% CI: 6.2-12.9)). Of the 81 patients with seizures, 43 had posterior reversible encephalopathy syndrome (PRES), 15 had isolated seizures, nine had sinus venous thrombosis (SVT), three had stroke-like syndrome, and 11 had other neurotoxicities. Epilepsy diagnosis was reported in totally 11 ALL survivors at last follow up. Conclusion: Seizures are relatively common in ALL patients and occur most often in patients with PRES, SVT, or as an isolated symptom. Older children have higher risk of seizures. (C) 2020 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.
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| 4. |
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| 5. |
- Eklöf, Mats, et al.
(författare)
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Workplace intervention for improved risk perception and preventive activity among workers : using hand-held vibrating machines: a pilot study
- 2023
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- This article presents a pilot study of a 1-h workplace educational intervention implemented among ten construction workers who were highly exposed to hand–arm vibration. The intervention combined risk communication and normative expert advice intended to reinforce preventive behaviour related to vibration, noise, and biomechanical loads. Data for this study comprised intervention notes and interview data from interventionists, and pre- and post-intervention interview data from participating workers.The results suggested that the intervention was sensitive to disturbances and should be directed only to motivated workers possessing sufficient self-efficacy, and only in circumstances in which exposure may be controlled on the local workplace level and by locally implemented measures. Unless these conditions are present, the studied intervention may fail to influence preventive behaviour, and may instead cause cognitive dissonance and frustration among participants and interventionists.
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| 6. |
- El Jamal, Sawsan, et al.
(författare)
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On the Stability of Uranium Carbide in Aqueous Solution-Effects of HCO3- and H2O2
- 2021
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Ingår i: ACS Omega. - : American Chemical Society (ACS). - 2470-1343. ; 6:37, s. 24289-24295
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Tidskriftsartikel (refereegranskat)abstract
- Uranium carbide (UC) is a candidate fuel material for future Generation IV nuclear reactors. As part of a general safety assessment, it is important to understand how fuel materials behave in aqueous systems in the event of accidents or upon complete barrier failure in a geological repository for spent nuclear fuel. As irradiated nuclear fuel is radioactive, it is important to consider radiolysis of water as a process where strongly oxidizing species can be produced. These species may display high reactivity toward the fuel itself and thereby influence its integrity. The most important radiolytic oxidant under repository conditions has been shown to be H2O2. In this work, we have studied the dissolution of uranium upon exposure of UC powder to aqueous solutions containing HCO3- and H2O2, separately and in combination. The experiments show that UC dissolves quite readily in aqueous solution containing 10 mM HCO3- and that the presence of H2O2 increases the dissolution further. UC also dissolves in pure water after the addition of H2O2, but more slowly than in solutions containing both HCO3- and H2O2. The experimental results are discussed in view of possible mechanisms.
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| 7. |
- El Jamal, Sawsan
(författare)
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Stability of Alternative Nuclear Fuel Materials in Aqueous Systems
- 2022
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Nuclear power produces a large portion of the electricity worldwide. It has been the largest low-carbon energy source for more than 30 years and has played an essential role in the security of energy supplies for many countries. However, despite its advantages, its future is unknown mainly because of accidents that can happen under reactor operation and the high radioactivity of the fuel after use. Therefore, Generation IV nuclear power has been introduced as it promises a sustainable and economical way of producing energy and reduces some of the risks observed in current reactors. UC and UN have advantageous properties compared to conventional UO2-based fuel which makes them promising fuel candidates for Generation IV nuclear reactors. Even though the fuel for Generation IV reactors is planned to be reprocessed, unexpected political decisions may change these plans, and the used fuel could end up in a geological repository. Therefore, the behavior of these new fuel materials must be understood in accident scenarios in reactors as well as under deep geological repository conditions. The radioactivity of the used fuel will induce radiolysis of water that comes in contact with it. This will lead to oxidative dissolution of the fuel and this is one of the potential routes for radionuclide release in the environment.In the first part of this thesis, UC and UN have been investigated in aqueous solutions under anoxic conditions, and under the influence of external γ-radiation and H2O2, the latter mimicking the impact of α-radiolysis. The hydrolysis of these materials in aqueous systems resulted in matrix dissolution which is not observed for UO2. The oxidative dissolution induced by H2O2 is more prominent than hydrolysis in water with or without added HCO3- where higher concentrations of dissolved uranium can be detected. In addition, the differences in reactivity are discussed for these materials and H2O2 is most reactive towards UN followed by UC and finally UO2, yet the dissolution yield is the lowest for UN. The change in UC and UN behavior with consecutive exposure to H2O2 was attributed to a change in surface reactivity where catalytic decomposition of H2O2 becomes possible. As it was observed for H2O2 additions, radiation induced oxidative dissolution also dominates over hydrolysis. Unexpectedly high concentrations of H2O2 were observed in the irradiated systems. This was found to be due to formation of nano-particulate studtite that could not be separated from the solutions samples by filtration. Hence, it turned out to be impossible to determine the free U(VI) and H2O2 concentrations in these systems.Finally, the stability of pure and ZrN containing UN pellet fragments was investigated in aqueous system under external γ-radiation or H2O2 exposure. The behavior of these pellet fragments was similar to the UN powder where the dissolution of uranium was enhanced under oxidizing conditions if compared with anoxic conditions (hydrolysis). Consecutive exposures of UN pellet fragments to H2O2 showed a change in surface reactivity. This change is attributed to the formation of an oxide layer on the surface of UN, as UO2 is less reactive towards H2O2 and UO2 pellets display lower dissolution yields than UN pellets. In addition, the impact of ZrN as a stabilizing additive to UN pellets was studied. The addition of ZrN to UN is expected to stabilize the UN matrix and thus render a more accident tolerant fuel. Interestingly, it was shown that under oxidizing conditions, ZrN did not have a significant impact on the stability of UN pellets in aqueous systems
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| 8. |
- Yang, Yi, et al.
(författare)
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Gamma-radiation induced synthesis of freestanding nickel nanoparticles
- 2021
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Ingår i: Dalton Transactions. - : Royal Society of Chemistry (RSC). - 1477-9226 .- 1477-9234. ; 50:1, s. 376-383
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Tidskriftsartikel (refereegranskat)abstract
- A versatile method to produce metallic nickel nanoparticles is demonstrated. Metallic Ni nanoparticles have been synthesized from aqueous solution of NiCl2 using gamma-radiation induced reduction. To prevent Ni re-oxidation, post-irradiation treatment was elaborated. Structural and compositional analyses were executed using X-ray diffraction, transmission electron microscopy and X-ray photoelectron spectroscopy. These studies reveal that the synthesized material consists of fcc Ni particles having size of 3.47 +/- 0.71 nm. The nanoparticles have a tendency to agglomerate to the larger clusters. The latter are partially oxidized to form thin amorphous/poor-crystalline Ni(OH)(2)/NiO layers at the surface. Magnetization measurements demonstrate that the nanomaterial exhibit ferromagnetic-like behaviour with magnetization 30% lower than that in bulk Ni. The large active surface area (ECSA, 39.2 m(2) g(-1)) and good electrochemical reversibility, confirmed by the electrochemical studies, make the synthesized material a potential candidate as an active component for energy storage devices.
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| 9. |
- Akerstrom, Finn, et al.
(författare)
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Association between catheter ablation of atrial fibrillation and mortality or stroke
- 2024
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Ingår i: Heart. - : BMJ PUBLISHING GROUP. - 1355-6037 .- 1468-201X. ; 110, s. 163-169
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Tidskriftsartikel (refereegranskat)abstract
- Objective Catheter ablation of atrial fibrillation effectively reduces symptomatic burden. However, its long-term effect on mortality and stroke is unclear. We investigated if patients with atrial fibrillation who undergo catheter ablation have lower risk for all-cause mortality or stroke than patients who are managed medically. Methods We retrospectively included 5628 consecutive patients who underwent first-time catheter ablation for atrial fibrillation between 2008 and 2018 at three major Swedish electrophysiology units. Control individuals with an atrial fibrillation diagnosis but without previous stroke were selected from the Swedish National Patient Register, resulting in a control group of 48 676 patients. Propensity score matching was performed to produce two cohorts of equal size (n=3955) with similar baseline characteristics. The primary endpoint was a composite of all-cause mortality or stroke. Results Patients who underwent catheter ablation were healthier (mean CHA(2)DS(2)-VASc score 1.4 +/- 1.4 vs 1.6 +/- 1.5, p<0.001), had a higher median income (288 vs 212 1000 Swedish krona [KSEK]/year, p<0.001) and had more frequently received university education (45.1% vs 28.9%, p<0.001). Mean follow-up was 4.5 +/- 2.8 years. After propensity score matching, catheter ablation was associated with lower risk for the combined primary endpoint (HR 0.58, 95% CI 0.48 to 0.69). The result was mainly driven by a decrease in all-cause mortality (HR 0.51, 95% CI 0.41 to 0.63), with stroke reduction showing a trend in favour of catheter ablation (HR 0.75, 95% CI 0.53 to 1.07). Conclusions Catheter ablation of atrial fibrillation was associated with a reduction in the primary endpoint of all-cause mortality or stroke. This result was driven by a marked reduction in all-cause mortality.
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| 10. |
- Alvesson, Mats, et al.
(författare)
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Organizational dischronization: On meaning and meaninglessness, sensemaking and nonsensemaking
- 2022
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Ingår i: Journal of Management Studies. - : Wiley. - 1467-6486 .- 0022-2380. ; 59:3, s. 724-754
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Tidskriftsartikel (refereegranskat)abstract
- This paper contributes to close up studies of how members in organizations experience and act in relationship to what is broadly and vaguely referred to as institutionalized structures and practices. Based on a case study about scorecards, a quality control system, it is illustrated that this practice works poorly, because of inconsistent ideas of purpose and functioning. We introduce the concept of organizational dischronization (OD) to illuminate this. OD indicates a deviation from the ideal of shared or synchronized meanings, and the existence of diverging understandings and lack of clarification of this, in an organization. The paper challenges some core ideas of institutional theory (logics) and sensemaking, suggesting the use of counter concepts such is organizational illogics and nonsensemaking, thus opening up for a broader and less ‘smooth’ understanding of how institutions and sensemaking work than assumed in the literature.
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