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Lack of Consensus and Dense Content in Informational Letters on Benign Gynecological Surgery

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Open Journal of Obstetrics and Gynecology 2018年第14期8卷 1583-1595页

作者： Sofia Widetun Margareta nilsson Mats Lofgren Maria Lindqvist Department of Clinical Sciences Obstetrics and GynecologyUmea UniversityUmeaSweden

Objective: This study maps the contents of departmental informational letters and explores whether the national GynOp letters live up to the patients’ expectations and needs. Introduction: Patients who are well informed before undergoing surgery experience reduced stress and increased understanding of the postoperative process. Although providing patients with written information before gynecological surgery is widely used and assumed important, no study has investigated what information patients truly need. Methods: In 2014, all 59 gynecological departments in Sweden were asked to provide the information letter they send to patients before hysterectomy on benign indication. 32 letters were analyzed using frequency analysis. In addition, three focus groups were conducted and these data were submitted to Qualitative Content Analysis. Results: The analysis of the information letters showed great variation and discrepancy in pre-operative information. The analysis of the focus groups resulted in the theme You can’t see the forest for the trees, reflecting that, the women found it very difficult to identify the most important information among the massive amount information received. Conclusions: The informational letters did not meet the patients’ expectations and needs. Practice implications: This study could serve as a foundation for the content of informational letters.

关键词： Patient Information Gynecological Surgery Quality Register Qualitative Focus Group Discussions

Insulin resistance with impaired fasting glucose increases the risk of NAFLD

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Open Journal of Gastroenterology 2013年第3期3卷 170-176页

作者： Kristina Onnerhag Peter M. nilsson Stefan Lindgren Department of Clinical Sciences Lund University Skone University Hospital Malmo Sweden Department of Gastroenterology and Hepatology Skone University Hospital Malmo Sweden Department of Gastroenterology and Hepatology Sk?ne University Hospital Malmo Sweden Department of Clinical Sciences Lund University Skone University Hospital Malmo Sweden

Background: Our aim was to investigate the frequency of elevated liver enzymes and NAFLD in patients with known insulin resistance during 15 years of follow-up. Methods: Subjects with insulin resistance were identified from a population-based prospective cohort study in Sweden, Malm? Diet and Cancer Study, conducted in 1991-1996. Inall, 285 non-diabetic subjects with insulin resistance established by HOMA-IR (homeostasis model assessment) were invited to do the liver function testing and if elevated, they should be further assessed by radiological examination of the liver, anthropometric measures and blood testing. Results: 165 subjects (57.9%) agreed to do the liver function testing. Of these, 25 subjects (15%) had elevated liver enzymes. After exclusion of other diseases, 5 of the remaining 21 subjects (23.8%) had radiological signs of steatosis. Liver steatosis significantly correlated with ALT (alanine aminotransferase) (p = 0.04), HOMA-IR (p = 0.00) and the metabolic syndrome (p = 0.03). 80% of the subjects with NAFLD had either developed type 2 diabetes mellitus or had impaired fasting glucose and 80% fulfilled the WHO-criteria for the metabolic syndrome, which were of significant differences to the group without NAFLD. Conclusion: The risk of developing elevated liver enzymes and NAFLD at long-term follow-up in insulin resistant subjects is not insignificant, but mainly associated with the simultaneous development of impaired fasting glucose, established diabetes mellitus and/ or the metabolic syndrome.

关键词： Insulin Resistance Metabolic Syndrome NAFLD Steatosis

Introduction to PSpice manual, Electric circuits 4th ed

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Low temperature chemical sintering of inkjet-printed Zn nanoparticles for highly conductive flexible electronic components

2000年

作者： nilsson James William

来源：畅想之星图书光盘版（南... 评论

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npj Flexible Electronics 2021年第1期5卷 115-122页

作者： Subimal Majee Mikael C.F.Karlsson Pawel Jerzy Wojcik Anurak sawatdee Mohammad Yusuf Mulla Naveed ul Hassan Alvi Peter Dyreklev Valerio Beni David nilsson RISE Research Institutes of Sweden NorrköpingSweden.2Energy and Environment Science and TechnologyIdaho National LaboratoryIdaho FallsIDUnited States.3redoxme ABResearch&Development DepartmentNorrköpingSweden

This study illustrates an innovative way to fabricate inkjet-printed tracks by sequential printing of Zn nanoparticle ink and curing ink for low temperature in situ chemical *** chemical curing in place of standard sintering methods leads to the advantages of using flexible substrates that may not withstand the high thermal budgets of the standard methods.A general formulation engineering method is adopted to produce highly concentrated Zn ink which is cured by inkjet printing an over-layer of aqueous acetic acid which is the curing *** experimental results reveal that a narrow window of acid concentration of curing ink plays a crucial role in determining the electrical properties of the printed Zn *** conductive(~10^(5)S m^(−1))and mechanically flexible printed Zn features are *** addition,from systematic material characterization,we obtain an understanding of the curing ***,a touch sensor circuit is demonstrated involving all-Zn printed conductive tracks.

关键词： nanoparticles conductive curing

Nurses’ Perceptions of Patient safety in Community Mental Health Settings: A Qualitative Study

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Open Journal of Nursing 2015年第4期5卷 387-396页

作者： Rakel Sundin Annika nilsson Rebecka Waage-Andree Catrine Bjorn Caring Sciences Municipality in SoderhamnSweden Faculty of Health and Occupational Studies Department of Health and Caring SciencesUniversity of GavleGavleSweden Department of Public Health and Caring Sciences Section of Caring SciencesUppsala UniversityUppsalaSweden Department of Endocrinology Gavle HospitalGavleSweden Centre for Research&Development Uppsala University/Region GavleborgGavleSweden Department of Occupational and Environmental Medicine Uppsala University HospitalUppsalaSweden

Mental health care has moved from hospital settings to community mental health settings, and there is a need to explore the perceptions of patient safety among registered nurses working in this field. Patient safety is to include everyone and to be the goal in all aspects of health care. The aim of the study was to explore registered nurses’ perceptions of patient safety in community mental health settings for people with serious mental illness. The study was qualitative and descriptive in nature and interviews were carried out during spring 2012, with seven registered nurses working in community mental health settings for people with serious mental illness in five municipalities in the middle of Sweden. The sampling was purposive and data were analysed using qualitative content analysis. The findings showed that the registered nurses understood patient safety as providing support to people with serious mental illness in regaining and maintaining health through good treatment and respecting self-determination and avoiding coercion. The terms of daily living in small community mental health settings within the a large community health care organization, communication, sufficient knowledge of psychiatric disabilities among people in the residents’ network, and national laws and regulations, all had implications for patient safety. The registered nurses perceived patient safety as involving a wide range of issues that in other areas of care are more often discussed in terms of quality of care. Determining the boundaries of patient safety in community mental health settings for people with serious mental illness can be a first step in establishing workable routines that ensure safe patient care.

关键词： Community Mental Health Care Mental Health Nursing Patient safety Qualitative Research

Lifestyle, Biological Risk Markers, Morbidity and Mortality in a Cohort of Men 33 - 42 Years Old at Baseline, after 24-Year Follow-Up of a Primary Health Care Intervention

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Open Journal of Preventive Medicine 2015年第3期5卷 92-102页

作者： Lars-Goran Persson Hans Lingfors Mats nilsson Sigvard Molstad Health Care Centre of Habo and Unit for Research and Development in Primary Health Care FuturumJonkopingSweden Futurum County Council of Jonkoping JonkopingSweden Department of Clinical Sciences General PracticeLund UniversityMalmoSweden

Objective: To study changes in lifestyle and biological risk markers in a 24-year follow-up study, and occurrences of cardiovascular diseases (CVD), cancer and total mortality from official registers. Design: A 24-year follow-up survey and register study of a cohort of men 33 - 42 years old, examined with a health profile at baseline. With the health profile based on lifestyle, biological risk markers, self-rated mental stress and mental health, the men were separated in different risk groups. Setting: Primary health care center of Habo in Sweden. Subjects: All 757 men, 33 - 42 years old, and living in the community of Habo in Sweden in 1985. Main Outcome Measures: Lifestyle, biological risk markers, morbidity from CVD and cancer, and total mortality. Results: Smoking and physical activity decreased during follow-up time while alcohol consumption increased. Biological risk markers, except diastolic blood pressure, deteriorated significantly with age. Based on three- lifestyle groups, 16 % of the men had a more favorable lifestyle and 19% had a less favorable life-style at follow-up compared with baseline. The men, who had been classified as high-risk, based on the health profile at baseline, had a significantly higher incidence of CVD and cancer in the register study compared to men in a low-risk group. The baseline non-participant group had a significantly higher incidence of CVD and a higher mortality compared to the low-risk group. Conclusion: A health profile with a combination of lifestyle factors and biological risk markers can already at the age of 33 - 42 years predict incidence of CVD and cancer on group level among men after 24 years.

关键词： Lifestyle Primary Health Care Health Dialogue Primary Prevention

Robust Multi-Objective Optimization of Chromatographic Rare Earth Element Separation

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Advances in Chemical Engineering and Science 2017年第4期7卷 477-493页

作者： Hans-Kristian Knutson Anders Holmqvist Niklas Andersson Bernt nilsson Department of Chemical Engineering Centre for Chemistry and Chemical Engineering Lund University Lund Sweden

Rare earth elements are strategic commodities in many countries, and an important resource for the growing modern technology industry. As such, there is an increasing interest for development of rare earth element processing, and this work is a part of further development of chromatography as a rare earth element separation process method. Process optimization is pivotal for process development, and it is common that several competing objectives must be regarded. Chromatographic separation processes often consider competing objectives, such as productivity, yield, pool concentration and modifier consumption, which leads to Pareto optimal solutions. Adding robustness to a process is of great importance to account for process disturbances and uncertainties but generally comes with reduced performance of the other process objectives as a trade off. In this study, a model-based robust multi-objective optimization was carried out for batch-wise chromatographic separation of the rare earth elements samarium, europium and gadolinium, which was considered highly un-robust due to the neighbouring peaks proximity to the product pooling horizon. The results from the robust optimization were used to chart the required operation point changes for keeping the amount of failed batches at an acceptable level when a certain level of process disturbance was introduced. The loss of process performance due to the gained robustness was found to be in the range of 10% - 20% reduced productivity when comparing the robust and un-robust Pareto solutions at Pareto points with identical yield. The methodology presented shows how to increase robustness to a highly un-robust system while still keeping multiple objectives at their optima.

关键词： Rare Earth Elements Chromatography Multi-Objective Optimization Robust Optimization

International River Basin Management under the EU Water Framework Directive:An Assessment of Cooperation and Water Quality in the Baltic Sea Drainage Basin

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AMBIO－人类环境杂志 2006年第6期35卷 304-311页

作者： Susanna nilsson Sindre Langaas 马泽清（译）哈艳梅（译）瑞典皇家理工学院（KTH）土地和水资源工程系斯德哥尔摩省行政委员会不详

我们所讨论的问题与国际流域管理和欧盟水框架指令（WFD）相关。在欧盟水框架指令指导下，通过对流域区进行登记，我们试图说明国际河流流域区数量和面积的重要性。另外，我们介绍了对波罗的海流域国际合作管理和流域内14个国际流域水... 详细信息

我们所讨论的问题与国际流域管理和欧盟水框架指令（WFD）相关。在欧盟水框架指令指导下，通过对流域区进行登记，我们试图说明国际河流流域区数量和面积的重要性。另外，我们介绍了对波罗的海流域国际合作管理和流域内14个国际流域水质的评估。结果表明：欧盟水框架指令推动了区域国际河流流域的管理。然而，欧盟水框架指令，特别是流域管理原则，在欧盟成员国与非成员国共同拥有的河流流域可能难以落实。根据该研究，似乎波罗的海流域内的国际流域维斯瓦河（Vistula）、普瑞格拉河（Pregola）和奈姆纳斯河（Nemunas）最需要加强有关国家在水质管理方面的合作。

关键词：欧盟成员国流域管理水质评估国际流域波罗的海合作管理指令框架

Urban Forestry Research in Europe-An Overview

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Chinese Forestry Science and Technology 2003年第1期2卷 5-15页

作者： Cecil C.Konijnendijk Thomas B.Randrup Kjell nilsson Corresponding author:Thomas B. Randrup DFLRI Hoersholm Kongevej 28 DK-2970 Hoersholm Denmark.Fax:+45 45 76 32 33Corresponding author:Thomas B. RandrupDFLRI Hoersholm Kongevej 28 DK-2970 Hoersholm Denmark.Fax:+45 45 76 32 33Danish Forest and Landscape Research Institute Hoersholm Kongevej 11 DK-2970 Hoersholm Denmark

A comprehensive European overview of recent and ongoing research in Europe has been carried out within the framework of COST Action E12 'Urban Forests and Trees', a pan-European research network. This paper presents some of the main findings of a comparative analysis of 20 individual country reports. The analysis shows that research on urban forests and urban trees in Europe has a wide scope and is rather fragmented and uncoordinated. Universities and state research institutes, mostly with a forestry or...

关键词： urban forestry urban forest urban trees research overview Europe