678 resultados para Saarinen, Mikael: Leffaterapiaa
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Intracavity photoacoustic overtone spectrum of monofluoroacetylene, HCCF, has been recorded in the wave number region 10 750–14 500 cm−1 with a titanium:sapphire ring laser. The spectrum contains many dense vibration–rotation band systems which can be resolved with Doppler limited resolution. Altogether 58 individual overtone bands have been analyzed rotationally. Many of the observed bands show perturbations of which some have been attributed to anharmonic resonance interactions. A Fermi resonance model based on conventional rectilinear normal coordinate theory has been used to assign vibrationally bands from this work and from earlier studies. Many of the observed vibrational term values and rotational constants can be reproduced well with this model. The results show the importance of the Fermi resonance interactions at the high overtone excitations.
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The extinction of dinosaurs at the Cretaceous/Paleogene (K/Pg) boundary was the seminal event that opened the door for the subsequent diversification of terrestrial mammals. Our compilation of maximum body size at the ordinal level by sub-epoch shows a near-exponential increase after the K/Pg. On each continent, the maximum size of mammals leveled off after 40 million years ago and thereafter remained approximately constant. There was remarkable congruence in the rate, trajectory, and upper limit across continents, orders, and trophic guilds, despite differences in geological and climatic history, turnover of lineages, and ecological variation. Our analysis suggests that although the primary driver for the evolution of giant mammals was diversification to fill ecological niches, environmental temperature and land area may have ultimately constrained the maximum size achieved.
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There is accumulating evidence that macroevolutionary patterns of mammal evolution during the Cenozoic follow similar trajectories on different continents. This would suggest that such patterns are strongly determined by global abiotic factors, such as climate, or by basic eco-evolutionary processes such as filling of niches by specialization. The similarity of pattern would be expected to extend to the history of individual clades. Here, we investigate the temporal distribution of maximum size observed within individual orders globally and on separate continents. While the maximum size of individual orders of large land mammals show differences and comprise several families, the times at which orders reach their maximum size over time show strong congruence, peaking in the Middle Eocene, the Oligocene and the Plio-Pleistocene. The Eocene peak occurs when global temperature and land mammal diversity are high and is best explained as a result of niche expansion rather than abiotic forcing. Since the Eocene, there is a significant correlation between maximum size frequency and global temperature proxy. The Oligocene peak is not statistically significant and may in part be due to sampling issues. The peak in the Plio-Pleistocene occurs when global temperature and land mammal diversity are low, it is statistically the most robust one and it is best explained by global cooling. We conclude that the macroevolutionary patterns observed are a result of the interplay between eco-evolutionary processes and abiotic forcing
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Background We previously reported an association between 5HTTLPR genotype and outcome following cognitive–behavioural therapy (CBT) in child anxiety (Cohort 1). Children homozygous for the low-expression short-allele showed more positive outcomes. Other similar studies have produced mixed results, with most reporting no association between genotype and CBT outcome. Aims To replicate the association between 5HTTLPR and CBT outcome in child anxiety from the Genes for Treatment study (GxT Cohort 2, n = 829). Method Logistic and linear mixed effects models were used to examine the relationship between 5HTTLPR and CBT outcomes. Mega-analyses using both cohorts were performed. Results There was no significant effect of 5HTTLPR on CBT outcomes in Cohort 2. Mega-analyses identified a significant association between 5HTTLPR and remission from all anxiety disorders at follow-up (odds ratio 0.45, P = 0.014), but not primary anxiety disorder outcomes. Conclusions The association between 5HTTLPR genotype and CBT outcome did not replicate. Short-allele homozygotes showed more positive treatment outcomes, but with small, non-significant effects. Future studies would benefit from utilising whole genome approaches and large, homogenous samples.
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Objective The Genes for Treatment study is an international, multisite collaboration exploring the role of genetic, demographic, and clinical predictors in response to cognitive-behavioral therapy (CBT) in pediatric anxiety disorders. The current article, the first from the study, examined demographic and clinical predictors of response to CBT. We hypothesized that the child’s gender, type of anxiety disorder, initial severity and comorbidity, and parents’ psychopathology would significantly predict outcome. Method A sample of 1,519 children 5 to 18 years of age with a primary anxiety diagnosis received CBT across 11 sites. Outcome was defined as response (change in diagnostic severity) and remission (absence of the primary diagnosis) at each time point (posttreatment, 3-, 6-, and/or 12-month follow-up) and analyzed using linear and logistic mixed models. Separate analyses were conducted using data from posttreatment and follow-up assessments to explore the relative importance of predictors at these time points. Results Individuals with social anxiety disorder (SoAD) had significantly poorer outcomes (poorer response and lower rates of remission) than those with generalized anxiety disorder (GAD). Although individuals with specific phobia (SP) also had poorer outcomes than those with GAD at posttreatment, these differences were not maintained at follow-up. Both comorbid mood and externalizing disorders significantly predicted poorer outcomes at posttreatment and follow-up, whereas self-reported parental psychopathology had little effect on posttreatment outcomes but significantly predicted response (although not remission) at follow-up. Conclusion SoAD, nonanxiety comorbidity, and parental psychopathology were associated with poorer outcomes after CBT. The results highlight the need for enhanced treatments for children at risk for poorer outcomes.
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The aim of the present study was to elucidate the impact of polydextrose PDX an soluble fiber, on the human fecal metabolome by high-resolution nuclear magnetic resonance (NMR) spectroscopy-based metabolomics in a dietary intervention study (n = 12). Principal component analysis (PCA) revealed a strong effect of PDX consumption on the fecal metabolome, which could be mainly ascribed to the presence of undigested fiber and oligosaccharides formed from partial degradation of PDX. Our results demonstrate that NMR-based metabolomics is a useful technique for metabolite profiling of feces and for testing compliance to dietary fiber intake in such trials. In addition, novel associations between PDX and the levels of the fecal metabolites acetate and propionate could be identified. The establishment of a correlation between the fecal metabolome and levels of Bifidobacterium (R2 = 0.66) and Bacteroides (R2 = 0.46) demonstrates the potential of NMR-based metabolomics to elucidate metabolic activity of bacteria in the gut.
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Photorhabdus are highly effective insect pathogenic bacteria that exist in a mutualistic relationship with Heterorhabditid nematodes. Unlike other members of the genus, Photorhabdus asymbiotica can also infect humans. Most Photorhabdus cannot replicate above 34°C, limiting their host-range to poikilothermic invertebrates. In contrast, P. asymbiotica must necessarily be able to replicate at 37°C or above. Many well-studied mammalian pathogens use the elevated temperature of their host as a signal to regulate the necessary changes in gene expression required for infection. Here we use RNA-seq, proteomics and phenotype microarrays to examine temperature dependent differences in transcription, translation and phenotype of P. asymbiotica at 28°C versus 37°C, relevant to the insect or human hosts respectively. Our findings reveal relatively few temperature dependant differences in gene expression. There is however a striking difference in metabolism at 37°C, with a significant reduction in the range of carbon and nitrogen sources that otherwise support respiration at 28°C. We propose that the key adaptation that enables P. asymbiotica to infect humans is to aggressively acquire amino acids, peptides and other nutrients from the human host, employing a so called “nutritional virulence” strategy. This would simultaneously cripple the host immune response while providing nutrients sufficient for reproduction. This might explain the severity of ulcerated lesions observed in clinical cases of Photorhabdosis. Furthermore, while P. asymbiotica can invade mammalian cells they must also resist immediate killing by humoral immunity components in serum. We observed an increase in the production of the insect Phenol-oxidase inhibitor Rhabduscin normally deployed to inhibit the melanisation immune cascade. Crucially we demonstrated this molecule also facilitates protection against killing by the alternative human complement pathway.
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Denna examensrapport på magisternivå genomfördes under våren 2004, hos AB Borlänge Energi.Borlänge Energis servicetekniker behövde ett hjälpmedel för att effektivisera deras arbetsuppgifter. Tidigare sparades driftjournaler för varje servicekund lokalt hos kunden. Serviceteknikern behövde också åka tillbaka till huvudkontoret för att slutföra ett uppdrag. Borlänge Energi hade inte heller någon möjlighet att föra statistik över servicekunderna då alla driftjournaler sparades hos servicekunden.Vi utvecklade en prototyp av ett inrapporteringsverktyg för en handdator. I detta verktyg får serviceteknikern tillgång till all relevant information gällande serviceuppdraget. Efter slutfört uppdrag skickas driftjournalen in till en databas hos Borlänge Energi, samtidigt skickas ett email till servicekunden att serviceuppdraget är utfört.Utöver målet utredde vi nyttan med applicering av mobil enhet i organisationen. Borlänge Energi vill med detta veta om arbetet blev effektivare, samt om arbetsrutinerna förändrades. Resultatet vi kom fram till var att arbetet effektiviseras med användning av prototypen. Viktiga faktorer för att få serviceteknikern att använda prototypen var användarvänlighet samt förändring av arbetsrutiner.
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Ovako Steel AB i Hofors tillverkar varmvalsade rör. Ett av de sista stegen i tillverkningsprocessen är en konventionell valsning i ett antal valspar kallad reducervalsning. De valsade rören uppvisar ibland en ojämn väggtjocklek längs rörlängden på grund av att det uppstår drag- och tryckspänningar i rören mellan valsparen. Syftet med examensarbetet är att öka kunskapen om dessa spänningars inverkan på det färdiga röret samt ge förslag på hur processen kan förbättras. I examensarbetet har undersökts vilka parametrar som påverkar spänningarna i valsningsprocessen. Detta har utförts genom att skapa en teoretisk modell för valsning utan drag- och tryckspänningar som sedan jämförs med uppmätta data från sju provade rör med olika mått och materialtyper. Försök har även utförts genom att variera valsmotorernas hastigheter för att inducera drag- och tryckspänningar i rören. Resultatet visar att spänningarna påverkas av rörens reduktion, valsarnas hastighetsökning, materialtyp och antal valsar i valsserien. Valsarnas styrning medför att spänningsfri valsning endast kan erhållas genom att förändra rörets reduktion i valsarna. Resultaten visar även att valsarnas motorhastighet kan användas för att motverka de spänningar som uppstår under valsningsprocessen.
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Programmet schemaläggaren har funnits sedan 1994, och används på arbetsplatser för att på ett strukturerat sätt lägga scheman för de anställda. Programmet har sedan starten varit sådant att man själv ska skapa alla scheman och även koppla dessa till de anställda, men det finns en önskan att programmet ska vara mer användarvänligt och lättanvänt. Ett steg i utvecklingen är att skapa en automatisk schemaläggningsguide som gör det mesta av jobbet åt användaren.Etex AB, som detta examensarbete är gjort åt, avser att med detta examensarbete skapa en prototyp på en sådan schemaläggningsguide som ska implementeras i det befintliga programmet. Denna guide ska alltså skapa scheman utifrån given data och sedan koppla dessa scheman till de anställda som valts. Allt detta ska ske automatiskt. Efter detta har man sedan möjlighet att antingen spara de scheman och kopplingar som gjorts, eller avvisa dem.Grundläggande tanken med denna modul är att den ska passa in i det befintliga programmet utan att vara bundet till det, så man ska kunna överföra den till en annan applikation om nödvändigt. Trots vissa komplikationer efter vägen har arbetet ändå slutförts och med fortsatt arbete kan modulen bli en bra del av programmet Schemaläggaren.
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Syftet med denna systematiska litteraturstudie var att ta reda på vilka mätinstrument som används för att identifiera patienter med risk att utveckla trycksår samt beskriva vilka omvårdnadsåtgärder som har betydelse för trycksårsprevention och sårläkning. De vetenskapliga artiklarna (n=16) som ingick i denna studie söktes i databasen Elin@dalarna. Sökorden som användes var pressure ulcer i olika kombinationer med nutrition, activity, skin, Norton, treatment och hydrocolloid. Inklusionskriterierna var att artiklarna skulle vara publicerade mellan åren 1999-2006 och vara i fulltext samt svensk och/eller engelskspråkig. Resultatet visade att patienter borde riskbedömas för trycksår så snart som möjligt efter att de anlänt till vårdinrättningen. Bedömningen kunde göras med ett flertal olika evidensbaserade mätinstrument såsom Norton, modifierad Norton, Braden, modifierad Braden, och RAPS skalorna samt bedömning av BMI, serum albuminvärde och hudtemperatur. Sjuksköterskans omvårdnadsåtgärder gällande prevention och sårläkning var att snabbt mobilisera patienter. Hos immobiliserade patienter var det viktigt att dessa vändes varannan timme samt att sjuksköterskan använde kuddar, fårskinn eller anti- decubitus madrasser för att tryckavlasta huden i denna patientgrupp. Resultatet visade även att kosttillägg hade stor betydelse för trycksårsprevention och sårläkning. Det var viktigt att sjuksköterskan rengjorde såret med tvål/vatten eller natriumklorid och använde hydrocolloida förband för att få en optimal sårläkning.
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Studiens övergripande syfte är att utvärdera en gymnasieskolas demokratiarbete genom att undersöka elevernas upplevelser av och syn på verksamheten. Som utgångspunkt för analysen nyttjas tre stycken olika demokratiperspektiv som även ligger till grund för en bedömning av skolan verksamhet. För det första inflytande utifrån verksamhetens innehåll och form. För det andra inflytande utifrån ett individ- och samhällscentrerat perspektiv. Slutligen inflytande ur ett nytto- och rättighetsperspektiv. Studien är kvalitativ och bygger på två stycken gruppsamtal med gymnasieelever för att kartlägga deras syn på verksamheten. Resultatet visare att verksamheten i stora delar fungerar bra utifrån individ- och samhällsperspektivet, samt nytto- och rättighetsperspektivet, medan framförallt form och innehållsinflytandet uppvisar brister. Undersökningen identifierar även ett antal olika nyckelfaktorer i arbetet med inflytandefrågor. För det första att arbeta med elevernas förförståelse för att på så sätt göra ett reellt inflytande möjligt. Vidare att skapa gemensamma strategier i verksamheten för att skapa tydlighet i arbetet. Slutligen att skolans arbetsklimat är inbjudande till delaktighet. En mer generell slutsats är att eleverna, trots konstaterade brister i verksamheten, ändå tillgodogör sig ett antal olika generella förmågor genom det vardagsnära arbetet med demokratifrågor.
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This essay examines the persuasive side of language in a speech given by Senator Barack Obama on Super Tuesday in February 2008. It studies how Senator Obama utilizes language to convince and persuade his audience. This is done from an Aristotelian point of view, meaning that the study focuses foremost on how the senator’s word choices relate to Aristotle’s three means of persuasion, ethos, pathos and logos. Those basic guiding principles are relevant to use since Aristotle’s work on the subject of rhetoric is still today one of the most relevant works in that field. The analysis is basically performed through personal observations guided by previous studies, within the frame of Aristotelian rhetoric. The results show how Senator Obama enforces the three means of persuasion through language and how it can be considered persuasive. The study might add to rhetoric studies from a linguistic perspective since it reaches a better understanding of language used in the field of politics, where rhetoric is a prominent component.
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This degree project was performed at M-real Technology Centre in Örnsköldsvik. The perpose was to investigate thedifferences in gloss and gloss variations between chemical and ground toner and different paper grades in electrophotographicprints. Gloss is a property that gives the impression of a higher quality of a product. Therefore it is of great importance toaccomplish high gloss in advertising print.A test chart was printed on three different uncoated paper grades on three different printers. Thereafter, gloss, glossvariation, surface topography, print mottle and density were measured. A visual evalution was also performed. A multivariateanalysis was acheived of the data in order to find correlations between the measured variations.The results showed that paper grades with large surface roughness gave more variations in surface topography and glossvariations (both visual and measured) in print. A rough surface also gave more print mottle. Ground toner gave moresurface topography variations and mottle which increased with the amount of silicone used.
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The print- and mailroom at Gefle Dagblad (GD-tyck) is handling an increasing amount of commercial jobsalong with the newspaper production. Investments have above all been done in the mailroom to be able tooffer commercial costumers a higher degree of finishing and there are plans to expand further in the commercialmarket. GD-tryck is of the opinion that they need to secure the quality of their production to be ableto do such expansion, which is the reason why a quality system of some kind may be appropriate. Howeverthere are no plans to certify such a quality system according to ISO 9001:2000.In this exam report the present methods of working have been analysed from a quality perspective.Suggestions on how GD-tryck should be working with quality development is presented in the fields whereshortage of quality has been discovered. The suggestions taken together do not form a quality system butcan be looked at as ideas of approach to quality fields that have to be developed if a working quality systemshall be accomplished.Many of the quality fields that have been discussed do not have anything to do with technical qualitydirectly but are in some degree requirements for a working quality system. It also feels urgent to illustratethese fields in this exam report when most people at GD seems to place quality as identical with technicalquality. Technical quality is also a quality field where GD-tryck has few concrete problems today and theyalready produce printed matters of a high quality. Afact that might make it difficult to adopt a quality systemas the benefits of such a system is not obvious.