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On sepsis - epidemiology, prediction and diagnostics

The overall aims of this thesis were to improve prediction, diagnostics and knowledge on epidemiology of sepsis. In paper I, we developed and evaluated an integrated platform for rapid analysis of sepsis-causing organisms directly from blood samples. Testing with blood samples spiked with bacteria and samples from septic patients indicate that the detection limit of the system is in the upper partThe overall aims of this thesis were to improve prediction, diagnostics and knowledge on epidemiology of sepsis. In paper I, we developed and evaluated an integrated platform for rapid analysis of sepsis-causing organisms directly from blood samples. Testing with blood samples spiked with bacteria and samples from septic patients indicate that the detection limit of the system is in the upper part

An Identity Privacy Preserving IoT Data Protection Scheme for Cloud Based Analytics

Efficient protection of huge amount of IoT produced data is key for wide scale data analytic services. The most efficient way is to use pure symmetric encryption as that allows both fast decryption at the analytic engine side as well as energy efficient encryption at the IoT side. However, symmetric encryption can only be performed if there is a way to directly map an encrypted object to the corre

Energetic Asymmetry Connected with Energy Flow Changes in Response to Eutrophication : A Study of Multiple Fish Species in Subtropical Shallow Lakes

Energy flow is a central characteristic in all ecosystems, and it has attracted considerable scientific attention due to its significant effects on the stability of food webs. Lake ecosystems that undergo regime shifts (clear water phase, phytoplankton dominated changed into turbid water, macrophytes dominated or vice versa) are characterized by a series of transformation in trophic structure. Alt

Sustainability through urban living labs

The Governance of Urban Sustainability Transitions project was established to examine, inform and advance the governance of sustainability transitions through urban living labs. The findings could help address many of the economic, social and environmental concerns of the 21st century.

Sharing Cities Sweden: Exploring the emerging landscape of the sharing economy in cities

Sharing Cities Sweden aims to put Sweden on the map as a country that actively and critically works with the sharing economy in cities. We are developing world-leading test-beds for the sharing economy in Stockholm, Gothenburg, Malmö and Umeå. We are developing a national node to significantly improve national and international cooperation and promote an exchange of experience on sharing cities.

Birth outcome in a caseload study conducted in a rural area of Sweden-a register based study

BACKGROUND: Continuity models of midwifery care are rare in Sweden, despite its well-known positive effects. The aim was to describe pregnancy and birth outcome in women participating in a continuity of care project in a rural area of Sweden.METHOD: A register-based study of 266 women recruited to the project and a control group of 125 women from the same catchment area. Midwives provided antenata

A modified caseload midwifery model for women with fear of birth, women's and midwives' experiences : A qualitative study

OBJECTIVE: Although fear of birth is common during pregnancy and childbirth, the best treatment for fear of birth in clinical care remain unclear. Strong evidence suggests that continuity models of midwifery care can benefit women and birth outcomes, though such models are rare in Sweden. Because women with fear of birth could benefit from such models, the aim of this qualitative study was to exam

Fire hazard modulation by long-term dynamics in land cover and dominant forest type in eastern and central Europe

Wildfire occurrence is influenced by climate, vegetation and human activities. A key challenge for understanding the risk of fires is quantifying the mediating effect of vegetation on fire regimes. Here, we explore the relative importance of Holocene land cover, land use, dominant functional forest type, and climate dynamics on biomass burning in temperate and boreo-nemoral regions of central and

Bat Fatalities at Wind-Farms in the Lowland Mediterranean of Southern Spain

Wind energy is an important source of bat mortality worldwide. Extensive mortality data were gathered by a provincial surveillance program carried out at wind farms in lowland Mediterranean areas of the province of Cadiz, Andalusia (South Spain) between 2005 and 2016. As many as 2,371 bat fatalities were found. We determined the patterns of fatality in this sample and tested the quality of the sur

Testing the birth attitude profile scale in a Swedish sample of women with fear of birth

Objective: The aim of this study was to explore the "Birth Attitude Profile Scale (BAPS)" in a selected sample of women with fear of birth. Another aim was to develop profiles of women according to their birth attitudes and levels of childbirth fear in relation to background characteristics.Methods: A secondary analysis of data collected in two different samples of women with fear of birth. Data w

Advanced Immersion Testing of Model Mg-Alloys for Biomedical Applications

The acceleration of developing magnesium alloys for biomedicine requires the advancement of experimental methods evaluating their performance. We have been developing an advanced immersion testing method for the assessment of biomedical Mg alloy degradation in aqueous environments. It is based on the combination of isothermal calorimetry with pressure measurement in the reaction cell. Such a combi

‘I’m almost never sick’ : Everyday life experiences of children and young people with home mechanical ventilation

Developments in medical technology and treatment have increased the survival rates of children with serious illnesses or injuries, including those receiving home mechanical ventilation, which is a small but growing group. The aim of this study was to explore everyday life experiences of children and young people living with home mechanical ventilation (HMV). Data were obtained through interviews w

Evaluation of a sound environment intervention in an ICU : A feasibility study

Background: Currently, it is well known that the sound environment in intensive care units (ICU) is substandard. Therefore, there is a need of interventions investigating possible improvements. Unfortunately, there are many challenges to consider in the design and performance of clinical intervention studies including sound measurements and clinical outcomes. Objectives: (1) explore whether it is

Nursing staff's experiences of working in an evidence-based designed ICU patient room—An interview study

Introduction It has been known for centuries that environment in healthcare has an impact, but despite this, environment has been overshadowed by technological and medical progress, especially in intensive care. Evidence-based design is a concept concerning integrating knowledge from various research disciplines and its application to healing environments. Objective The aim was to explore the expe

The effect of cycled lighting in the intensive care unit on sleep, activity and physiological parameters : A pilot study

Patients in intensive care suffer from severe illnesses or injuries and from symptoms related to care and treatments. Environmental factors, such as lighting at night, can disturb patients’ circadian rhythms. The aim was to investigate whether patients displayed circadian rhythms and whether a cycled lighting intervention would impact it. In this pilot study (N = 60), a cycled lighting interventio

Personal care assistants' experiences of caring for people on home mechanical ventilation

Aim: The aim of this study was to describe personal care assistants' (PCA) experiences of working with a ventilator-assisted person at home. Methods: Data were collected from fifteen audiotaped semistructured interviews with PCAs supporting a child or adult using home mechanical ventilation (HMV). Thirteen women and two men participated; their working experience with HMV users ranged from one to 1