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- Nieuwenhuijse, David F., et al.
(author)
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Setting a baseline for global urban virome surveillance in sewage
- 2020
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In: Scientific Reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 10
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Journal article (peer-reviewed)abstract
- © 2020, The Author(s). The rapid development of megacities, and their growing connectedness across the world is becoming a distinct driver for emerging disease outbreaks. Early detection of unusual disease emergence and spread should therefore include such cities as part of risk-based surveillance. A catch-all metagenomic sequencing approach of urban sewage could potentially provide an unbiased insight into the dynamics of viral pathogens circulating in a community irrespective of access to care, a potential which already has been proven for the surveillance of poliovirus. Here, we present a detailed characterization of sewage viromes from a snapshot of 81 high density urban areas across the globe, including in-depth assessment of potential biases, as a proof of concept for catch-all viral pathogen surveillance. We show the ability to detect a wide range of viruses and geographical and seasonal differences for specific viral groups. Our findings offer a cross-sectional baseline for further research in viral surveillance from urban sewage samples and place previous studies in a global perspective.
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- Pisani, Luigi, et al.
(author)
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Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome : a pooled analysis of four observational studies
- 2022
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In: The Lancet Global Health. - 2214-109X. ; 10:2, s. 227-235
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Journal article (peer-reviewed)abstract
- Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42·4% vs 44·2%; absolute difference –1·69 [–9·58 to 6·11] p=0·67; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5–8] vs 6 [5–8] cm H2O; p=0·0011). ICU mortality was higher in MICs than in HICs (30·5% vs 19·9%; p=0·0004; adjusted effect 16·41% [95% CI 9·52–23·52]; p<0·0001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0·80 [95% CI 0·75–0·86]; p<0·0001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status. Funding: No funding.
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- Rosenblad, Louise, et al.
(author)
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An Experimental Investigation of the Solid State Sintering of Cemented Carbides Aiming for Mechanical Constitutive Modelling
- 2023
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In: Crystals. - : MDPI. - 2073-4352. ; 13:6
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Journal article (peer-reviewed)abstract
- The densification of cemented carbides during sintering was studied using an existing constitutive model based on powder particle size and material composition. In the present analysis, we study how well the constitutive model can capture the experimental results of a dilatometer test. Three experiments were performed, where the only difference was the transition between the debinding and sintering process. From magnetic measurements, it is concluded that the carbon level in the specimen is affected by changes to the experimental setup. It is shown, using parameter adjustments, that the constitutive model is more suited for a certain experimental setup and carbon level, which is a limitation of the model. In order to capture the mechanical behaviour under different experimental conditions, further constitutive modelling relevant to the carbon level is recommended.
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- Rosenblad, Louise, et al.
(author)
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Constitutive Modelling Of Solid State Sintering Of Cemented Carbides
- 2022
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In: World PM 2022 Congress Proceedings. - : European Powder Metallurgy Association (EPMA).
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Conference paper (peer-reviewed)abstract
- From a previously developed constitutive model for cemented carbide, the powder size- and configuration can be used to simulate the densification during the sintering process. However, small differences in experimental execution cannot be accounted for in the simulation, making the model sensitive. Here, we study how well the developed constitutive model can capture the experimental results of a dilatometer test. Three different experiments were performed where the only difference was the transition between the debinding and sintering process. From parameter adjustments, it is seen that the constitutive model is more suited for a certain experimental setup, which is a limitation of the model.
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- Rosenblad, Louise, et al.
(author)
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Parametric dependency of a constitutive model describing solid state sintering of cemented carbides
- 2022
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In: Powder Technology. - : Elsevier BV. - 0032-5910 .- 1873-328X. ; 403, s. 117407-
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Journal article (peer-reviewed)abstract
- This study focuses on an inverse modelling approach, using FEM to simulate the sintering of WC-Co powder using a continuum model. From a previously developed constitutive model of cemented carbide, the dependency of the material parameters is investigated in a sensitivity study. A value of sensitivity is assigned to all the material parameters and calculated at different steps in the sintering process, which represent its importance for capturing the shrinkage during sintering. The approach is that only the more sensitive parameters should be fitted when changing experimental setup or material composition, leaving the less important parameters constant, resulting in fewer tests and iterations. This approach is tested in an optimization of WC-Co powder sintering cycle, where the shrinkage curve is experimentally determined. It is concluded that some of the material parameters play a minor role in the modelling and could be set as constants in an optimization. The constitutive material model alone is unable to capture all features that appeared in the shrinkage curve during the experiment. Improvements of the model are discussed. An additional investigation, performed without heating rate dependency, shows that the remaining material parameters could compensate for the omitted heating rate for a known sintering cycle without losing accuracy.
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- Silvearv, Fredrik, et al.
(author)
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Establishing the most favorable metal-carbon bond strength for carbon nanotube catalysts
- 2015
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In: Journal of Materials Chemistry C. - : Royal Society of Chemistry (RSC). - 2050-7526 .- 2050-7534. ; 3:14, s. 3422-3427
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Journal article (peer-reviewed)abstract
- We have studied a wide range of transition metals to find potential carbon nanotube (CNT) catalysts for chemical vapor deposition (CVD) production. The adhesion strengths between a CNT and a metal cluster were calculated using first principle density functional theory (DFT) for all 1st, 2nd and 3rd row transition metals. We have developed the criterion that the metal-carbon adhesion strength per bond must fulfill a Goldilocks principle for catalyzing CNT growth and used it to identify, besides the well known catalysts Fe, Co and Ni, a number of other potential catalysts, namely Y, Zr, Rh, Pd, La, Ce and Pt. Our results are consistent with previous experiments performed either in a carbon arc discharge environment or by a CVD-process with regard to CNT catalyst activity
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- Abrahamsen Grøndahl, Vigdis, 1964-, et al.
(author)
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Exploring patient satisfaction predictors in relation to a theoretical model
- 2013
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In: International Journal of Health Care Quality Assurance. - : Emerald Group Publishing Limited. - 0952-6862 .- 1758-6542. ; 26:1, s. 37-54
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Journal article (peer-reviewed)abstract
- The aim is to describe patients' care quality perceptions and satisfaction and to explore potential patient satisfaction predictors as person‐related conditions, external objective care conditions and patients' perception of actual care received (“PR”) in relation to a theoretical model.Design/methodology/approachA cross‐sectional design was used. Data were collected using one questionnaire combining questions from four instruments: Quality from patients' perspective; Sense of coherence; Big five personality trait; and Emotional stress reaction questionnaire (ESRQ), together with questions from previous research. In total, 528 patients (83.7 per cent response rate) from eight medical, three surgical and one medical/surgical ward in five Norwegian hospitals participated. Answers from 373 respondents with complete ESRQ questionnaires were analysed. Sequential multiple regression analysis with ESRQ as dependent variable was run in three steps: person‐related conditions, external objective care conditions, and PR (p < 0.05).FindingsStep 1 (person‐related conditions) explained 51.7 per cent of the ESRQ variance. Step 2 (external objective care conditions) explained an additional 2.4 per cent. Step 3 (PR) gave no significant additional explanation (0.05 per cent). Steps 1 and 2 contributed statistical significance to the model. Patients rated both quality‐of‐care and satisfaction highly.Originality/valueThe paper shows that the theoretical model using an emotion‐oriented approach to assess patient satisfaction can explain 54 per cent of patient satisfaction in a statistically significant manner.
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