| 1. |
- Jonkman, Nini H., et al.
(author)
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Do self-management interventions work in patients with heart failure? An individual patient data meta-analysis
- 2016
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In: Circulation. - : Lippincott Williams & Wilkins. - 0009-7322 .- 1524-4539. ; 133:12, s. 1189-1198
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Journal article (peer-reviewed)abstract
- BACKGROUND: -Self-management interventions are widely implemented in care for patients with heart failure (HF). Trials however show inconsistent results and whether specific patient groups respond differently is unknown. This individual patient data meta-analysis assessed the effectiveness of self-management interventions in HF patients and whether subgroups of patients respond differently.METHODS AND RESULTS: -Systematic literature search identified randomized trials of self-management interventions. Data of twenty studies, representing 5624 patients, were included and analyzed using mixed effects models and Cox proportional-hazard models including interaction terms. Self-management interventions reduced risk of time to the combined endpoint HF-related hospitalization or all-cause death (hazard ratio [HR], 0.80; 95% confidence interval [CI], 0.71-0.89), time to HF-related hospitalization (HR, 0.80; 95%CI, 0.69-0.92), and improved 12-month HF-related quality of life (standardized mean difference 0.15; 95%CI, 0.00-0.30). Subgroup analysis revealed a protective effect of self-management on number of HF-related hospital days in patients <65 years (mean number of days 0.70 days vs. 5.35 days; interaction p=0.03). Patients without depression did not show an effect of self-management on survival (HR for all-cause mortality, 0.86; 95%CI, 0.69-1.06), while in patients with moderate/severe depression self-management reduced survival (HR, 1.39; 95%CI, 1.06-1.83, interaction p=0.01).CONCLUSIONS: -This study shows that self-management interventions had a beneficial effect on time to HF-related hospitalization or all-cause death, HF-related hospitalization alone, and elicited a small increase in HF-related quality of life. The findings do not endorse limiting self-management interventions to subgroups of HF patients, but increased mortality in depressed patients warrants caution in applying self-management strategies in these patients.
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| 2. |
- Jonkman, Nini H., et al.
(author)
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What Are Effective Program Characteristics of Self-Management Interventions in Patients With Heart Failure? : An Individual Patient Data Meta-analysis
- 2016
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In: Journal of Cardiac Failure. - : Elsevier BV. - 1071-9164 .- 1532-8414. ; 22:11, s. 861-871
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Journal article (peer-reviewed)abstract
- Background To identify those characteristics of self-management interventions in patients with heart failure (HF) that are effective in influencing health-related quality of life, mortality, and hospitalizations.Methods and Results Randomized trials on self-management interventions conducted between January 1985 and June 2013 were identified and individual patient data were requested for meta-analysis. Generalized mixed effects models and Cox proportional hazard models including frailty terms were used to assess the relation between characteristics of interventions and health-related outcomes. Twenty randomized trials (5624 patients) were included. Longer intervention duration reduced mortality risk (hazard ratio 0.99, 95% confidence interval [CI] 0.97–0.999 per month increase in duration), risk of HF-related hospitalization (hazard ratio 0.98, 95% CI 0.96–0.99), and HF-related hospitalization at 6 months (risk ratio 0.96, 95% CI 0.92–0.995). Although results were not consistent across outcomes, interventions comprising standardized training of interventionists, peer contact, log keeping, or goal-setting skills appeared less effective than interventions without these characteristics.Conclusion No specific program characteristics were consistently associated with better effects of self-management interventions, but longer duration seemed to improve the effect of self-management interventions on several outcomes. Future research using factorial trial designs and process evaluations is needed to understand the working mechanism of specific program characteristics of self-management interventions in HF patients.
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| 3. |
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| 4. |
- Ahmed, Engy, et al.
(author)
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Archaeal community changes in Lateglacial lake sediments: Evidence from ancient DNA
- 2018
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In: Quaternary Science Reviews. - : Elsevier BV. - 0277-3791 .- 1873-457X. ; 181, s. 19-29
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Journal article (peer-reviewed)abstract
- The Lateglacial/early Holocene sediments from the ancient lake at Hässeldala Port, southern Sweden provide an important archive for the environmental and climatic shifts at the end of the last ice age and the transition into the present Interglacial. The existing multi-proxy data set highlights the complex interplay of physical and ecological changes in response to climatic shifts and lake status changes. Yet, it remains unclear how microorganisms, such as Archaea, which do not leave microscopic features in the sedimentary record, were affected by these climatic shifts. Here we present the metagenomic data set of Hässeldala Port with a special focus on the abundance and biodiversity of Archaea. This allows reconstructing for the first time the temporal succession of major Archaea groups between 13.9 and 10.8 ka BP by using ancient environmental DNA metagenomics and fossil archaeal cell membrane lipids. We then evaluate to which extent these findings reflect physical changes of the lake system, due to changes in lake-water summer temperature and seasonal lake-ice cover. We show that variations in archaeal composition and diversity were related to a variety of factors (e.g., changes in lake water temperature, duration of lake ice cover, rapid sediment infilling), which influenced bottom water conditions and the sediment-water interface. Methanogenic Archaea dominated during the Allerød and Younger Dryas pollen zones, when the ancient lake was likely stratified and anoxic for large parts of the year. The increase in archaeal diversity at the Younger Dryas/Holocene transition is explained by sediment infilling and formation of a mire/peatbog.
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| 5. |
- Bagheri, Niusha, et al.
(author)
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Change in the emission saturation and kinetics of upconversion nanoparticles under different light irradiations
- 2019
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In: Optical materials (Amsterdam). - : Elsevier. - 0925-3467 .- 1873-1252. ; 97
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Journal article (peer-reviewed)abstract
- Nd3+-sensitized upconversion nanoparticles (UCNPs) can be excited by both 980 and 808 nm light, which is regarded as a particularly advantageous property of these particles. In this work, we demonstrate that the nanoparticles can exhibit significantly different response when excited at these two excitation wavelengths, showing dependence on the intensity of the excitation light and the way it is distributed in time. Specifically, with 808 nm excitation saturation in the emitted luminescence is more readily reached with increasing excitation intensities than upon 980 nm excitation. This is accompanied by delayed upconversion luminescence (UCL) kinetics and weaker UCL intensities. The different luminescence response at 808 and 980 nm excitation reported in this work is relevant in a manifold of applications using UCNPs as labels and sensors. This could also open new possibilities for multi-wavelength excitable UCNPs for upconversion color display and in laser-scanning microscopy providing selective readouts and sub-sectioning of samples.
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| 6. |
- Berntorp, E., et al.
(author)
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Fifth Åland Island conference on von Willebrand disease
- 2018
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In: Haemophilia. - : Wiley. - 1351-8216. ; 2424 Suppl 4, s. 5-19
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Journal article (peer-reviewed)abstract
- The fifth Åland Island meeting on von Willebrand disease (VWD) was held on the Åland Islands, Finland, from 22 to 24 September 2016—90 years after the first case of VWD was diagnosed in a patient from the Åland Islands in 1926. This meeting brought together experts in the field of VWD to share knowledge and expertise on current trends and challenges in VWD. Topics included the storage and release of von Willebrand factor (VWF), epidemiology and diagnostics in VWD, treatment of VWD, angiogenesis and VWF inhibitors.
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| 7. |
- Chen, G., et al.
(author)
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Energy-Cascaded Upconversion in an Organic Dye-Sensitized Core/Shell Fluoride Nanocrystal
- 2015
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In: Nano letters (Print). - : American Chemical Society (ACS). - 1530-6984 .- 1530-6992. ; 15:11, s. 7400-7407
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Journal article (peer-reviewed)abstract
- Lanthanide-doped upconversion nanoparticles hold promises for bioimaging, solar cells, and volumetric displays. However, their emission brightness and excitation wavelength range are limited by the weak and narrowband absorption of lanthanide ions. Here, we introduce a concept of multistep cascade energy transfer, from broadly infrared-harvesting organic dyes to sensitizer ions in the shell of an epitaxially designed core/shell inorganic nanostructure, with a sequential nonradiative energy transfer to upconverting ion pairs in the core. We show that this concept, when implemented in a core-shell architecture with suppressed surface-related luminescence quenching, yields multiphoton (three-, four-, and five-photon) upconversion quantum efficiency as high as 19% (upconversion energy conversion efficiency of 9.3%, upconversion quantum yield of 4.8%), which is about ∼100 times higher than typically reported efficiency of upconversion at 800 nm in lanthanide-based nanostructures, along with a broad spectral range (over 150 nm) of infrared excitation and a large absorption cross-section of 1.47 × 10-14 cm2 per single nanoparticle. These features enable unprecedented three-photon upconversion (visible by naked eye as blue light) of an incoherent infrared light excitation with a power density comparable to that of solar irradiation at the Earth surface, having implications for broad applications of these organic-inorganic core/shell nanostructures with energy-cascaded upconversion.
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| 8. |
- Gouné, M., et al.
(author)
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Overview of the current issues in austenite to ferrite transformation and the role of migrating interfaces therein for low alloyed steels
- 2015
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In: Materials science & engineering. R, Reports. - : Elsevier BV. - 0927-796X .- 1879-212X. ; 92, s. 1-38
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Research review (peer-reviewed)abstract
- Solid state phase transformations in metals, and more precisely the science of transformation interfaces, is a key point to understand the formation of nano/microstructure, and thus, as a result, many physical properties such as mechanical properties, conductivity, thermoelectric and magnetic properties of materials. Steels are by far the most widely used metallic alloys, and a deep understanding of their microstructure is essential to tailor their service properties. The transformation of high temperature parent austenite to ferrite is one of the main issues controlling the final microstructures, and for more than a century, this has driven metallurgists to investigate in detail this solid state transformation, and, particularly, the details of austenite to ferrite interface migration. In this paper, we review the evolution of the different concepts and experiments developed in the last century to investigate this transformation mechanism. After a brief introduction, most of the physical models developed, which reduce the α/γ interface into a mathematical body with its own properties, are reviewed and discussed with regard to experimental data. The increased availability of highly sophisticated experimental and modelling tools in recent decades has considerably clarified the perceptions of transformation interfaces. These recent advances are presented, and their contribution to the field of migrating austenite-ferrite interfaces are highlighted in a third section. In the fourth section, the latest developments in experimental methods, which now allow the quasi atomistic direct characterization of the interface chemistry, are presented. The observed conditions at the interfaces can be compared with model predictions, which is believed to be a critical step for the refinement of the theoretical concepts guiding the understanding of the interface migration. Finally, in the concluding section, the present situation of the field is summarized, and some perspectives regarding the expected future developments are sketched.
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| 9. |
- Keskitalo, E. Carina H., 1974-, et al.
(author)
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Adaptation to Climate Change in Swedish Forestry
- 2016
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In: Forests. - Basel : MDPI AG. - 1999-4907. ; 7:2
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Journal article (peer-reviewed)abstract
- Adaptation to climate change in forestry has become a growing concern, in part due to the impact of storms and other events that have raised the awareness of such risks amongst forest owners. Sweden is one of Europe's most densely-forested countries, with this sector playing a major role economically. However adaptation has, to a large extent, been limited to the provision of recommendations to forest managers, most of which have only been partially implemented. This paper summarizes research with direct implications for adaptation to climate change within the forestry sector in Sweden. The focus is based in particular on providing examples of adaptations that illustrate the specific Swedish orientation to adaptation, in line with its relatively intensive forest management system. The paper thus illustrates a specific Swedish orientation to adaptation through active management, which can be contrasted with approaches to adaptation in other forestry systems, in particular those with limited management or management based on maintaining natural forests in particular.
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| 10. |
- Li, T., et al.
(author)
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Photoresponsive Supramolecular Assemblies Based on a C3-Symmetric Benzene-1,3,5-tricarboxamide Anchored Diarylethene
- 2016
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In: Advanced Optical Materials. - : Wiley. - 2195-1071.
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Journal article (peer-reviewed)abstract
- A functional C3-symmetric benzene-1,3,5-tricarboxamide-anchored diarylethene molecule (C3-BTE) is synthesized, which evolves into ordered superstructures with tunable morphology properties both in different solvent and via alternative light stimuli. The formation of rod-like assemblies from C3-BTE is reported and the self-assembly property of C3-BTE can be realized through alternative light stimuli in nonpolar solvents such as toluene.
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