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Development of a core patient-centred outcome set for adults living with obesity : a modified delphi-based international consensus

Background: Obesity is a chronic disease linked to over 200 health conditions, reduced quality of life, and increased mortality. Despite the availability of multimodal treatments, there is a lack of standardised, patient-centred outcome measures to effectively assess and improve clinical care. This project aimed to define a core set of standardised outcome measures for adults with obesity, incorpo

Cervical or thoracic anastomosis after esophageal resection and gastric tube reconstruction - A prospective randomized triol comparing sutured neck anastomosis with stapled intrathorocic anastomosis

Objective: The purpose of the study was to compare in prospective randomized fashion a manually sutured esophagogastric anastomosis in the neck and a stapled in the chest after esophageal resection and gastric tube reconstruction. Summary Background Data: Despite the fact that all reconstructions after esophagectomy will result in a cervical or a thoracic anastomosis, controversy still exists as t

Circulatory effects of hypoxia, acute normovolemic hemodilution, and their combination in anesthetized pigs

BACKGROUND: Because hemodilution decreases the oxygen-carrying capacity of blood, it was hypothesized that severe hemodilution would decrease the tolerance to alveolar hypoxia. METHODS: Hemodynamics, oxygen transport, and blood lactate concentrations were compared in ten pigs with normal hematocrit (33 +/- 4%), and ten hemodiluted pigs (hematocrit 11 +/- 1%; mean +/- SD) anesthetized with ketamine

Hydrolysis of microcrystalline cellulose by cellobiohydrolase I and endoglucanase II from Trichoderma reesei: Adsorption, sugar production pattern, and synergism of the enzymes

Microcrystalline cellulose (10 g/L Avicel) was hydrolysed by two major cellulases, cellobiohydrolase I (CBH I) and endoglucanase II (EG II), of Trichoderma reesei. Two types of experiments were performed, and in both cases the enzymes were added alone and together, in equimolar mixtures. In time course studies the reaction time was varied between 3 min and 48 h at constant temperature (40degreesC)

Monolithic single-mode SU-8 waveguides for integrated optics

We present the fabrication and characterization of single mode waveguides fabricated monolithically in SU-8. SU-8 is a negative resist, which can be structured by UV lithography followed by a baking step to induce cross-linking. As a material platform, SU-8 is well suited for systems used for biochemical analysis, as it possesses very high chemical resistance and good mechanical stability. Here we

Some Aspects of Current Discourse on Knowledge Production and Knowledge Exchange between 'East' and 'West'

Increasing international and, often, cross-cultural contacts and exchanges in all spheres of human activity have created a world in which the access to other, alternative knowledge pools seems to be easier than ever before. Science in particular, or, more generally, fields of knowledge creation, are considered to have greatly benefited from this global inter-connectedness. At the same time, we can

Ultra-low Voltage Embedded Memories – Design Aspects and a Biomedical Use-case

As the Internet of Things (IoT) era emerges the need for ultra-low power (ULP) devices is becoming more eminent. A research-proven approach to achieve ULP consumption is to aggressively lower the supply voltage (VDD) below or in the vicinity of the transistor threshold voltage (Vth) and operate the transistors in the subthreshold (sub-Vth) region. Operating below or near the threshold voltage, i.eAs the Internet of Things (IoT) era emerges the need for ultra-low power (ULP) devices is becoming more eminent. A research-proven approach to achieve ULP consumption is to aggressively lower the supply voltage (VDD) below or in the vicinity of the transistor threshold voltage (Vth) and operate the transistors in the subthreshold (sub-Vth) region. Operating below or near the threshold voltage, i.e

Co-gasification of coal and biomass wastes in an entrained flow gasifier: Modelling, simulation and integration opportunities

Gasification processes convert carbon-containing material into syngas through chemical reactions in the presence of gasifying agents such as air, oxygen, and steam. Syngas mixtures produced from such processes consist mainly of carbon monoxide (CO), hydrogen (H2), carbon dioxide (CO2), and methane (CH4); this gas can be directly utilised as a fuel to produce electricity or steam. Besides, it is re

Taking care of oneself by regaining control - a key to continue living four to five decades after a suicide attempt in severe depression

Background: Depression is a strong risk factor for suicide and suicide attempt. Several studies have examined the pathway to suicide attempt, but few studies have considered aspects important for overcoming being suicidal. The aim of the present study was to examine personal strategies to continue living after a suicide attempt. Methods: A qualitative grounded theory approach was used. Thirteen fo

Enhanced Biological Phosphorus Removal - Carbon Sources, Nitrate as Electron Acceptor, and Characterisation of the Sludge Community

Enhanced biological phosphorus removal (EBPR) was studied in laboratory scale experiments as well as in a full scale EBPR process. The studies were focused on carbon source transformations, the use of nitrate as an electron acceptor and characterisation of the microflora. A continuous anaerobic/aerobic laboratory system was operated on synthetic wastewater with acetate as sole carbon source. An ef

Value Creation in PSS Design Through Product and Packaging Innovation Processes

Over the years consumer packaging has become increasingly important as a value-adding element, since packages shape the consumer’s experience with the product during use, as well as accelerate the purchase decision. From a prod-uct/service system perspective, the strategic benefits of viewing packaging as a central value carrier are evident. To consumers, the product and its packaging are often pe

Thermo-economic evaluation of bio-ethanol humidification EvGT cycle

The evaporative gas turbine pilot plant (EvGT) has been in operation at Lund Institute of Technology in Sweden since 1997. This article presents the latest development in the evaporative technology, the evaporation of bio-ethanol in a gas turbine power plant as a means to reduce the emission of greenhouse gases. Bio-ethanol is produced from a feedstock consisting of corn-stover, and the bio-ethano

Cellulose hydrolysis by Trichoderma reesei cellulases: Studies on adsorption, sugar production and synergism of cellobiohydrolase I, II and endoglucanase II

Three major cellulases, cellobiohydrolase I and II (CBH I and II) and endoglucanase II (EG II) of Trichoderma reesei have been purified by ion-exchange chromatography in an FPLC system. Microcrystalline cellulose (Avicel) was hydrolysed by the single enzymes and by equimolar mixtures of CBH I-CBH II and CBH I-EG II. Enzyme adsorption was followed indirectly by selectively quantifying the en

Development of multi-disciplinary team I-ADL assessment in community health care: an interrater reliability study of the measure of instrumental daily activity

This paper describes a development process concerning the active involvement of staff of different professions in developing and implementing methods for assessment of activities of daily living (ADL) in home-based geriatric rehabilitation. Although a variety of established ADL instruments exist, at the time for this study no I-ADL (Instrumental Activities of Daily Living) instrument suitable for

Turnover of plant trait hierarchies in simulated community assembly in response to fertility and disturbance

Plant ecologists have placed increasing emphasis on a functional understanding of vegetation. One way to gain insight into the assemblage of vegetation communities is to investigate plant trait responses to environmental gradients or experimental treatments. We present simulations of responses of suites of traits to treatments differing in soil resources and disturbance intensity, in order to cons

Benchmarking of Processes for Managing Product Platforms - a Case Study

A case study is presented in which two organisations have participated in a benchmarking initiative to discover improvement suggestions for their processes for managing product platforms. The initiative, based on an instrument which consists of a list of questions, has been developed as part of this study and contains eight major categories of questions that guide the participating organisations t

Monte Carlo simulations for therapy imaging

In therapy imaging there is a need to optimize imaging protocols and different correction methods for e.g. photon attenuation, contribution from scatter and other physics-related effects that limits the possibility to achieve accurate quantitative results. Physical phantom studies are important but lack flexibility and are often difficult to make patient realistic. A complement is to simulate the

Long-term effect of aspirin on colorectal cancer incidence and mortality: 20-year follow-up of five randomised trials

Background High-dose aspirin (>= 500 mg daily) reduces long-term incidence of colorectal cancer, but adverse effects might limit its potential for long-term prevention. The long-term effectiveness of lower doses (75-300 mg daily) is unknown. We assessed the effects of aspirin on incidence and mortality due to colorectal cancer in relation to dose, duration of treatment, and site of tumour. Methods