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- Carlsson, Marianne, et al.
(author)
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A five-year follow-up of quality of life in women with breast cancer in anthroposophic and conventional care
- 2006
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In: Evidence-based Complementary and Alternative Medicine. - : Hindawi Limited. - 1741-427X .- 1741-4288. ; 3:4, s. 523-531
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Journal article (peer-reviewed)abstract
- Complementary and alternative medicine is used by many cancer patients in most parts of the world, and its use is increasing. The aim of the present study was to examine, over 5 years, the perceived quality of life/life satisfaction in two samples of women with breast cancer who were treated with anthroposophic care or conventional medical treatment only. Data from admission, after I year and after 5 years are used for the comparisons. On admission to the study the women in anthroposophic care perceived their quality of life to be lower than that of the women in the conventional treatment group, especially for emotional, cognitive and social functioning and overall quality of life. Sixty women who actively chose treatment with anthroposophic medicine and 60 individually matched women treated with conventional medicine participated. Quality of life was measured by the EORTC QLQ-C30 and the Life Satisfaction Questionnaire. Twenty-six women within anthroposophic care and 31 women within conventional medicine survived the 5 years. Effect size (ES) estimation favored the anthroposophic group in seven of the subscales mostly measuring emotional functioning. The ES for four of the subscales favored the conventional treatment group, mostly concerning physical functioning. After 5 years there were improvements in overall quality of life and in emotional and social functioning compared to admission for the women in anthroposophic care. The improvements took place between admission and 1 year, but not further on. Only minor improvements were found in the matching group.
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- Carlsson, Marianne, et al.
(author)
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Coping in women with breast cancer in complementary and conventional care over 5 years measured by the mental adjustment to cancer scale
- 2005
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In: Journal of Alternative and Complementary Medicine. - : Mary Ann Liebert Inc. - 1075-5535 .- 1557-7708. ; 11:3, s. 441-447
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Journal article (peer-reviewed)abstract
- Objective: Many patients with cancer, women more often than men, use complementary and alternative medicine (CAM) and care. Our aim was to examine coping over 5 years (November 1995 to January 1999) in two samples of women with breast cancer who were treated with anthroposophic care or conventional medical treatment. The present study is part of a larger study of the outcome of anthroposophic care for women with breast cancer. Design: A nonrandomized controlled trial design was used with individual matching and repeated measurements on six occasions (at admission, 1 month, 3 months, 6 months, 1 year, and 5 years). The matching was based on the following variables: stage of disease at entry, age, treatment during the 3 months before entering the study, and prognosis. Setting: An anthroposophic hospital and conventional hospitals in Sweden. Subjects: Sixty (60) women treated with anthroposophic medicine and 60 women from an oncology outpatient department participated. Forty-nine (49) women in anthroposophic care and 51 in the outpatient group survived 1 year, 26 women in anthroposophic care and 31 in the outpatient group survived 5 years. Intervention: An anthroposophic care program. Outcome measure: Coping was measured using the Mental Adjustment to Cancer scale. Repeat measures of analysis of variance (ANOVA) were used for within-group comparisons, and effect size (ES) was used for between-group comparisons. Results: The women in anthroposophic care showed more passive and anxious coping on admission, but this decreased over time. In the women in anthroposophic care, there were small ES improvements in fighting spirit and passive, anxious coping at 4 of the measured timepoints compared to admission. Conclusion: The choice of anthroposophic care could be seen as a possible way to cope with emotional distress in this group of women with breast cancer. © Mary Ann Liebert, Inc.
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3. |
- Giang, Tony, et al.
(author)
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Outflowing protons and heavy ions as a source for the sub-keV ringcurrent
- 2009
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In: Annales Geophysicae. - : Copernicus GmbH. - 0992-7689 .- 1432-0576. ; 27:2, s. 839-849
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Journal article (peer-reviewed)abstract
- Data from the Cluster CIS instrument have been used for studying proton and heavy ion (O+ and He+ ) char- acteristics of the sub-keV ring current. Thirteen events with dispersed heavy ions (O+ and He+ ) were identified out of two years (2001 and 2002) of Cluster data. Allevents took place during rather geomagnetically quiet periods. Three of those events have been investigated in detail: 21 August 2001, 26 November 2001 and 20 February 2002. These events were chosen from varying magnetic local times (MLT), and they showed different characteristics. In this article, we discuss the potential source for sub-keV ring current ions. We show that: (1) outflows of terrestrialsub-keV ions are supplied to the ring current also during quiet geomagnetic conditions; (2) the composition of the out-flow implies an origin that covers an altitude interval from the low-altitude ionosphere to the plasmasphere, and (3) terrestrial ions are moving upward along magnetic field lines, at times forming narrow collimated beams, but frequently also as broad beams. Over time, the ion beams are expected to gradually become isotropised as a result of wave-particleinteraction, eventually taking the form of isotropic drifting sub-keV ion signatures. We argue that the sub-keV energy-time dispersed signatures originate from field-aligned terrestrial ion energising and outflow, which may occur at all local times and persist also during quiet times.
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7. |
- Hamrin, Maria, et al.
(author)
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GALS : gradient analysis by least squares
- 2006
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In: Proceedings of the 2006 AGU Fall Meeting. - : American Geophysical Union. ; , s. SM53A-1442-SM53A-1442
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Conference paper (other academic/artistic)
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8. |
- Hamrin, Maria, et al.
(author)
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GALS - Gradient Analysis by Least Squares
- 2008
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In: Annales Geophysicae. - : Copernicus GmbH. - 0992-7689 .- 1432-0576. ; 26:11, s. 3491-3499
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Journal article (peer-reviewed)abstract
- We present a method, GALS (Gradient Analysis by Least Squares) for estimating the gradient of a physical field from multi-spacecraft observations. To obtain the best possible spatial resolution, the gradient is estimated in the frame of reference where structures in the field are essentially locally stationary. The estimates are refined iteratively by a least squares method. We show that GALS is not very sensitive to the spacecraft configuration and resolves structures much smaller than the characteristic size of the spacecraft distribution. Furthermore, GALS requires little user input. GALS has been tested on synthetic magnetic field data and data from the Cluster FGM instrument. GALS will also be useful for other types of data. The results indicate that GALS is robust and superior to the curlometer method for estimating the current from magnetic field measurements.
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9. |
- Hamrin, Maria, et al.
(author)
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Observations of concentrated generator regions in the nightside magnetosphere by Cluster/FAST conjunctions
- 2006
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In: Annales Geophysicae. - : Copernicus GmbH. - 0992-7689 .- 1432-0576. ; 24, s. 637-49
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Journal article (peer-reviewed)abstract
- Here and in the companion paper, Marghitu et al. (2006), we investigate plausible auroral generator regions in the nightside auroral magnetosphere. In this article we use magnetically conjugate data from the Cluster and the FAST satellites during a 3.5-h long event from 19-20 September 2001. Cluster is in the Southern Hemisphere close to apogee, where it probes the plasma sheet and lobe at an altitude of about 18 RE. FAST is below the acceleration region at approximately 0.6 RE. Searching for clear signatures of negative power densities, E(.)J < O, in the Cluster data we can identify three concentrated generator regions (CGRs) during our event. From the magnetically conjugate FAST data we see that the observed generator regions in the Cluster data correlate with auroral precipitation. The downward Poynting flux observed by Cluster, as well as the scale size of the CGRs, are consistent with the electron energy flux and the size of the inverted-V regions observed by FAST. To our knowledge, these are the first in-situ observations of the crossing of an auroral generator region. The main contribution to E(.)J < O comes from the GSE E(y)J(y). The electric field E-y is weakly negative during most of our entire event and we conclude that the CGRs occur when the duskward current J(y) grows large and positive. We find that our observations are consistent with a local southward expansion of the plasma sheet and/or rather complicated, 3-D wavy structures propagating over the Cluster satellites. We find that the plasma is working against the magnetic field, and that kinetic energy is being converted into electromagnetic energy. Some of the energy is transported away as Poynting flux.
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10. |
- Hamrin, Maria, 1972-, et al.
(author)
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Occurrence and location of concentrated load and generator regions observed by Cluster in the plasma sheet
- 2009
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In: Annales Geophysicae. - : Copernicus GmbH. - 0992-7689 .- 1432-0576. ; 27:11, s. 4131-4146
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Journal article (peer-reviewed)abstract
- Here, and in a companion paper by Hamrin et al. (2009) [Scale size and life time of energy conversion regions observed by Cluster in the plasma sheet], we investigate localized energy conversion regions (ECRs) in the Earth's plasma sheet. In total we have studied 151 ECRs within 660 h of plasma sheet data from the summer and fall of 2001 when Cluster was close to apogee at an altitude of about 15-20RE. Cluster offers appropriate conditions for the investigation of energy conversion by the evaluation of the power density, E.J, where E is the electric field and J the current density. From the sign of the power density, we have identified more than three times as many Concentrated Load Regions (CLRs) as Concentrated Generator Regions (CGRs). We also note that the CLRs appear to be stronger. To our knowledge, these are the first in situ observations confirming the general notion of the plasma sheet, on the average, behaving as a load. At the same time the plasma sheet appears to be highly structured, with energy conversion occurring in both directions between the fields and the particles. From our data we also find that the CLRs appear to be located closer to the neutral sheet, while CGRs prefer locations towards the plasma sheet boundary layer (PSBL). For both CLRs and CGRs, E and J in the GSM y (cross-tail) direction dominate the total power density, even though the z contribution occasionally can be significant. The prevalence of the y-direction seems to be weaker for the CGRs, possibly related to a higher fluctuation level near the PSBL.
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