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The thesis investigates lung function and the effects of rescue surfactant treatment in mechanically ventilated preterm human infants with respiratory distress syndrome (RDS), and the effects of ventilation at birth on the response to surfactant supplementation in preterm lambs. To assess lung function, the author recorded static pressure-volume (P-V) curves during passive deflation from total lun
A new theory on the intellectual politician, which has the ability to produce a designed type of problem-solving, has been developed from political science theory, cognitive theory as well as art theory. A cognitive concept, modified integrative complexity, consisting of four sub-concepts, frame reflection, differentiation, reframing and integration has been developed. The relation between politic
This thesis explores everyday living with persistent pain from the perspectives of functionally dependent older persons in pain and of staff. A combination of qualitative and quantitative methods was chosen. Data were collected using interviews and tools for assessing pain. The first data collection included 66 persons (65+) living in sheltered accommodation and their corresponding contact nurses.
In a prospective randomised study following oesophagectomy and gastric tube reconstruction patients with hand-sutured neck anastomoses were compared with patients with circular stapled chest anastomoses. The two groups had equal rates of anastomotic or conduit leaks of 7.3 % (3/41) and 7.1 % (3/42) and of benign anastomotic strictures of 19.5 % (8/41) and 28.6 % (12/42). Another prospective random
This dissertation contributes to three fields within design research: - Explorations of a design space related to aesthetics of Tangible Interaction, which have led to a set of design imaginations as well as perspectives on salient design qualities. - Views on and a designerly example of knowledge construction related to Research through Design as well as to programmatic approaches to design resea
Cardiovascular disease represents nearly half the cases of noncommunicable diseases worldwide and is the leading global cause of death. The main underlying cause is atherosclerosis, and in atherosclerotic plaque progression the structure, composition and integrity of a dynamic extracellular matrix (ECM) is one very important factor. This thesis discusses the importance of the connection between th
Popular Abstract in Uncoded languages A modern tartószerkezeti szabványok általában két fő követelményt támasztanak a tartószerkezetekekkel, illetve szerkezeti elemekkel szemben. Az egyik a tönkremenetellel szembeni biztonsághoz, míg a másik a használhatósághoz kapcsolódik. A szerkezeti használhatóság a tartószerkezet azon képessége, hogy tervezett szerepét élettartams során folyamatosan betöltse.In many design situations the acceptable performance of structures is defined by serviceability requirements. To estimate the probability of serviceability failure three main design aspects should be considered: (1) the relevant exposures, (2) the structural response and (3) the performance criteria. This thesis presents background information and new findings on structural serviceability related
This thesis explores cancer from a primary care perspective covering three areas: diagnosis, posttraumatic stress disorder (PTSD), and end-of-life care. We analyzed patient records of every child diagnosed with a malignancy in a defined area. During 12 years 68 children were diagnosed (incidence 14/100,000). For 68% the diagnosis was initiated in primary care. There were 25 children with leukemia
The main aim of the thesis was to study different aspects of the therapeutic relationship in general psychiatric care, within various routine psychiatric settings with a variety of diagnostic patient groups and different staff groups. The first study investigated the patients' opinion on what constituted good psychiatric care. One outpatient and one inpatient sample were interviewed. The main resu
Scholars have traditionally identified two fundamental, and somewhat separate, discourses in Isaiah 1?39. In what might be labelled the social-critical discourse, we supposedly encounter a prophet who condemns the Jerusalemite elite for their complacent attitudes and decadent life-style in general, and for their more or less systematic oppression of the less fortunate in particular. This lack of s
In the present thesis the phylogeny and patterns of genetic diversity of the plant genus Alisma (Alismataceae) were investigated by means of genetic markers (RAPDs, allozymes, and ITS and trnL sequences). Additionally, morphological studies were carried out in paper IV. All species in the genus were found to be closely related to each other and two major groups of diploid taxa were found: one cont
We have investigated the in vitro effects of long-chain free fatty acids (FFAs) on mouse pancreatic α- and β-cells by a combination of electrophysiological recordings, intracellular Ca2+ ([Ca2+]i) microfluorimetry and hormone release measurements. Acute addition of the saturated FFA palmitate to intact islets doubled insulin as well as glucagon secretion in the presence of 1 or 15 mM glucose and t
Microdialysis was used to monitor local concentrations of energy metabolites in different organs, and to study the pharmacokinetics of morphine over the blood-brain barrier in intact and injured brain tissue in conditions treated in the Intensive Care Unit. After major abdominal or thoracoabdominal surgery, postoperative thoracic epidural analgesia resulted in higher glycerol concentrations in th
Songbird migrants use stopovers between flight bouts to rest and refuel for the upcoming flights. Behaviours affecting where, when and how long to stay at stopover sites will affect how successful the overall migration will be, which has significant consequences for the overall fitness and mortality of the birds. The main purpose of this work was to investigate stopover behaviours in free-flying m
Factors determining patient`s and doctor`s delay in diagnosis of bladder cancer were type of initial symptoms, level of health service first consulted and number of steps in the referral system. No correlation was found between psychosocial factors and patient`s delay. In retrospective studies after cystectomy for bladder cancer, patients with continent cutaneous diversion of urine had fewer stoma
All the elements heavier than Li are created during stellar evolution. Even if our knowledge of this process is good, many questions still remain. For instance, the odd-Z iron-peak elements Sc, V, Mn, and Co together with neutron-capture elements Sr, Zr, La, Ce, Nd, Sm, and Eu have still unclear production sites because theoretical models and observational evidences are not in agreement. Having a
In this longitudinal, prospective study, 39 preterm children, consecutively born before 35 weeks of completed gestation and 23 full-term children were followed up after 19 years. Multifaceted aspects of outcome were evaluated. The results indicate a clear increase in somatic morbidity during growth and young adulthood among the preterms. Psychometric evaluation of cognitive development at age 19 y
The purpose of the study was to characterise the phenotype with emphasis on electroretinography in four different types of hereditary retinal degeneration and to correlate it to a genotype when possible. Two methods were used: full-field electroretinography for objective assessment of retinal function and mutation screening of blood samples for detection of gene alterations. Electroretinograms fro
