The experiences of con sultations on oral anticoagula-tion for AF:the importance of qualitative research incardiovascular sciences

Objectives: Multiple-perspective qualitative designs can aid researchersto develop a more multifaceted account of a phenomenon and as aform of triangulation of data. Two interlinking studies aimed toexplore patients’ and physicians’ experiences of atrial fibrillation (AF)and warfarin.Methods: Audio-recorded semistructured individual interviews wereused. Study 1: Three AF patient subgroups were interviewed (n = 11);accepted, refused, or discontinued warfarin. Study 2: Four physiciansubgroups (n = 16): consultant cardiologists, consultant general physi-cians, general practitioners, and cardiology registrars. Data was ana-lyzed using interpretative phenomenological analysis, a qualitativemethodology.Results: Study 1: Three overarching themes comprised patients’ experi-ences: the initial consultation, life after the consultation, and patients’reflections. Patients commented on the reassurance experienced duringthe consultation, but they perceived the decision-making processmostly led by the physician. Lack of education and take-home materi-als during the initial consultation were highlighted. Patients’ uptake ofinformation was influenced by past experiences and knowledge ofstroke and/or bleeding. Study 2: Two overarching themes covered phy-sicians’ experiences: communicating information and challenges withwarfarin prescription for AF. Physicians’ approach to the consultationstyle shifted through a continuum of compliance-adherence-concor-dance during the consultation. Time and the perceived patient trust inthem as the expert led to physicians to adopt a paternalistic approach.Guideline adherence and the need to adopt a multidisciplinaryapproach were pointed out as current challenges.Conclusion: There is a need to target patients’ and physicians’ abilityto communicate with each other in a comprehensible way. This projecthas illustrated the benefit of using a qualitative approach to under-stand the lived experience of the physician–patient consultation.Disclosure of Interest: None declare

The hardware impairments impact on fixed-gain AF relaying performance in Nakagami-m fading

The effects of joint hardware impairments on the performance of fixed gain amplify-and-forward (AF) relaying are studied. By considering IQ imbalance at the source and destination and the nonlinear relay the outage probability over Nakagami-m fading channels is derived, and the effects of fading and hardware impairments on the system are analysed. The analytical results are verified by Monte Carlo simulations.

I/Q imbalance in two-way AF relaying: Performance analysis and detection mode switch

This paper studies the impact of in-phase and quadrature-phase imbalance (IQI) in two-way amplify-and-forward (AF) relaying systems. In particular, the effective signal-to-interference-plus-noise ratio (SINR) is derived for each source node, considering four different linear detection schemes, namely, uncompensated (Uncomp) scheme, maximal-ratio-combining (MRC), zero-forcing (ZF) and minimum mean-square error (MMSE) based schemes. For each proposed scheme, the outage probability (OP) is investigated over independent, non-identically distributed Nakagami-m fading channels, and exact closed-form expressions are derived for the first three schemes. Based on the closed-form OP expressions, an adaptive detection mode switching scheme is designed for minimizing the OP of both sources. An important observation is that, regardless of the channel conditions and transmit powers, the ZF-based scheme should always be selected if the target SINR is larger than 3 (4.77dB), while the MRC-based scheme should be avoided if the target SINR is larger than 0.38 (-4.20dB).

I/Q imbalance in two-way AF relaying: Power allocation and performance analysis

We investigate the performance of dual-hop two-way amplify-and-forward (AF) relaying in the presence of inphase and quadrature-phase imbalance (IQI) at the relay node. In particular, the effective signal-to-interference-plus-noise ratio (SINR) at both sources is derived. These SINRs are used to design an instantaneous power allocation scheme, which maximizes the minimum SINR of the two sources under a total transmit power constraint. The solution to this optimization problem is analytically determined and used to evaluate the outage probability (OP) of the considered two-way AF relaying system. Both analytical and numerical results show that IQI can create fundamental performance limits on two-way relaying, which cannot be avoided by simply improving the channel conditions.

Hitte barnet: episk sång af P. G. Wikman

Nimiösivulla myös motto: Erkenne mich lass meine Stimme dir Zuerst das Ohr berühen, da du uns Aus jener stummen Nacht. zurücke kehrst.

Om wäxelbruk med handledning till dess införande i Finland af C. F. von Fieandt

Imprimatur: Frans Ludv. Schauman.

Uppsatser och rön i landthushållningen af C. F. von Fieandt - Första häftet, Skogshushållning

Imprimatur: N. A. Gyldén.

Italine: lyriska skaldeförsök af J. -

Imprimatur: Herman Molander.

Sorge-qwäde öfver doctorinnan fru Elisabeth Stråhlmans född Tavast, dödliga frånfälle, stäldt till deltagande slägtingar och wänner vid hennes begrafning å Walkjärvi prestegård, den 29 januarii 1834 af dess bedröfvade make Johan Stråhlman

Ruotsinkielinen runo.

Tal, hållet vid fru doctorinnan Frerique Sophie Lindforss född Malm jordfästning i Sääminge kyrka den 1 Martii 1838 af Gustaf Gräsbeck

Ruotsinkielinen puhe.