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- Al Dabbagh, Z., et al.
(författare)
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Long-term pattern of opioid prescriptions after femoral shaft fractures
- 2016
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Ingår i: Acta Anaesthesiologica Scandinavica. - Hoboken, USA : Wiley-Blackwell. - 0001-5172 .- 1399-6576. ; 60:5, s. 634-641
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Tidskriftsartikel (refereegranskat)abstract
- Background: The use of opioids in non-cancer-related pain following skeletal trauma is controversial due to the presumed risk of dose escalation and dependence. We therefore examined the pattern of opioid prescriptions, that is, those actually dispensed, in patients with femoral shaft fractures.Methods: We analysed data from the Swedish National Hospital Discharge Register and the Swedish Prescribed Drug Register between 2005 and 2008.Results: We identified 1471 patients with isolated femoral shaft fractures. The median age was 75 (16-102) years and 56% were female. In this cohort, 891 patients (61%) received dispensed opioid prescriptions during a median follow-up of 20 months (interquartile range 11-32). In the age- and sex-matched comparison cohort (7339 individuals) without fracture, 25% had opioid prescriptions dispensed during the same period. The proportions of patients receiving opioid analgesics at 6 and 12 months after the fracture were 45% (95% CI 42-49) and 36% (32-39), respectively. The median daily morphine equivalent dose (MED) was between 15 and 17 mg 1-12 months post-fracture. After 3 months, less than 5% used prescription doses higher than 20 mg MED per day. Older age (≥ 70 compared with < 70 years) was a significant predictor of earlier discontinuation of opioid use (Hazard ratio [HR] 1.9).Conclusion: A notable proportion of patients continued to receive dispensed prescriptions for opioids for over 6 months (45%) and more than a third of them (36%) continued treatment for at least 12 months. However, the risk of dose escalation seems to be small in opioid-naïve patients.
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| 5. |
- Eklund, Per, et al.
(författare)
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Structural, electrical, and mechanical properties of nc-TiC/a-SiC nanocomposite thin films
- 2005
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Ingår i: Journal of Vacuum Science & Technology B. - : American Vacuum Society. - 1071-1023 .- 1520-8567. ; 23:6, s. 2486-2495
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Tidskriftsartikel (refereegranskat)abstract
- We have synthesized Ti–Si–C nanocomposite thin films by dc magnetron sputtering from a Ti3SiC2 compound target in an Ar discharge on Si(100), Al2O3(0001), and Al substrates at temperatures from room temperature to 300 °C. Electron microscopy, x-ray diffraction, and x-ray photoelectron spectroscopy showed that the films consisted of nanocrystalline (nc-) TiC and amorphous (a-) SiC, with the possible presence of a small amount of noncarbidic C. The growth mode was columnar, yielding a nodular film-surface morphology. Mechanically, the films exhibited a remarkable ductile behavior. Their nanoindentation hardness and E-modulus values were 20 and 290 GPa, respectively. The electrical resistivity was 330 µ cm for optimal Ar pressure (4 mTorr) and substrate temperature (300 °C). The resulting nc-TiC/a-SiC films performed well as electrical contact material. These films' electrical-contact resistance against Ag was remarkably low, 6 µ at a contact force of 800 N compared to 3.2 µ for Ag against Ag. The chemical stability of the nc-TiC/a-SiC films was excellent, as shown by a Battelle flowing mixed corrosive-gas test, with no N, Cl, or S contaminants entering the bulk of the films.
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| 7. |
- Filippov, Stanislav, et al.
(författare)
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Strongly polarized quantum-dot-like light emitters embedded in GaAs/GaNAs core/shell nanowires
- 2016
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Ingår i: Nanoscale. - : Royal Society of Chemistry. - 2040-3364 .- 2040-3372. ; 8:35, s. 15939-15947
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Tidskriftsartikel (refereegranskat)abstract
- Recent developments in fabrication techniques and extensive investigations of the physical properties of III-V semiconductor nanowires (NWs), such as GaAs NWs, have demonstrated their potential for a multitude of advanced electronic and photonics applications. Alloying of GaAs with nitrogen can further enhance the performance and extend the device functionality via intentional defects and heterostructure engineering in GaNAs and GaAs/GaNAs coaxial NWs. In this work, it is shown that incorporation of nitrogen in GaAs NWs leads to formation of three-dimensional confining potentials caused by short-range fluctuations in the nitrogen composition, which are superimposed on long-range alloy disorder. The resulting localized states exhibit a quantum-dot like electronic structure, forming optically active states in the GaNAs shell. By directly correlating the structural and optical properties of individual NWs, it is also shown that formation of the localized states is efficient in pure zinc-blende wires and is further facilitated by structural polymorphism. The light emission from these localized states is found to be spectrally narrow (similar to 50-130 mu eV) and is highly polarized (up to 100%) with the preferable polarization direction orthogonal to the NW axis, suggesting a preferential orientation of the localization potential. These properties of self-assembled nano-emitters embedded in the GaNAs-based nanowire structures may be attractive for potential optoelectronic applications.
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| 8. |
- Folkenant, Matilda, et al.
(författare)
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Structure and properties of Cr–C/Ag films deposited by magnetron sputtering
- 2015
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Ingår i: Surface & Coatings Technology. - : Elsevier. - 0257-8972 .- 1879-3347. ; 281, s. 184-192
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Tidskriftsartikel (refereegranskat)abstract
- Cr–C/Ag thin films with 0–14 at.% Ag have been deposited by magnetron sputtering from elemental targets. The samples were analyzed by X-ray diffraction, transmission electron microscopy, X-ray photoelectron spectroscopy (XPS) and scanning electron microscopy (SEM) to study their structure and chemical bonding. A complex nanocomposite structure consisting of three phases; nanocrystalline Ag, amorphous CrCx and amorphous carbon is reported. The carbon content in the amorphous carbide phase was determined to be 32–33 at.% C, independent of Ag content. Furthermore, SEM and XPS results showed higher amounts of Ag on the surface compared to the bulk. The hardness and Young's modulus were reduced from 12 to 8 GPa and from 270 to 170 GPa, respectively, with increasing Ag content. The contact resistance was found to decrease with Ag addition, with the most Ag rich sample approaching the values of an Ag reference sample. Initial tribological tests gave friction coefficients in the range of 0.3 to 0.5, with no clear trends. Annealing tests show that the material is stable after annealing at 500 °C for 1 h, but not after annealing at 800 °C for 1 h. In combination, these results suggest that sputtered Cr–C/Ag films could be potentially applicable for electric contact applications.
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| 10. |
- Janerot-Sjöberg, Birgitta, 1958-, et al.
(författare)
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Effect of contrast on systolic myocardial ultrasound color-Doppler velocity.
- 2001
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Ingår i: Proceedings to IEEE Engineering Med & Biol(CD skiva),2001. - : IEEE. - 0780372115 ; , s. 3289-3291
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Konferensbidrag (refereegranskat)abstract
- Intravenously distributed ultrasound contrast increases echoes from the normally low echogenic bloodpool and myocardial perfusion imaging is developing. However the microspheres used are potential endothelial stimulators as well as nonlinear scatterers. Tissue Doppler is developed to detect velocities of myocardial motion, which are in the same range as perfusion flow velocities. The effect of contrast is not evaluated. We performed echocardiography in 12 patients with ischemic heart disease before and immediately after a slow intravenous infusion of 27 ml Optison® using color myocardial Doppler imaging (GE Vingmed systemV). Longitudinal basal systolic velocities and their integrals were analyzed in digitally stored cineloops. Peak mean velocity increased 10% by contrast from mean 5.2 ± 1.8 (SD) to 5.7 ± 2.3 cm/s (p=0.02, confidence interval 2-16%) but integral did not change (0.8 ± 0.4 cm). Contrast has no effect on blood pressure or heart rate in used dose. It is therefore of interest to further evaluate if this increase in velocity; a) is a methodological effect that may be used to detect contrast within myocardium (and thereby perfusion/blood volume), or b) is secondary to increased flow and motion caused by endothelial and vascular effects from the contrast microspheres. Either have important methodological, physiological and clinical impact.
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