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Work conditions influencing professional development of specialist nurses in surgical care explored using the Job Demand-Resources theory : A qualitative study

Aim: The aim of the study was to explore the work conditions that influence the opportunities for professional development of specialist nurses in surgical care. Design: A qualitative descriptive design was used. Methods: With a purposeful sampling procedure, 14 specialist nurses in surgical care were included. Four focus-group interviews were conducted during November to December 2021 and deducti

Path Planning Using Wassertein Distributionally Robust Deep Q-learning

We investigate the problem of risk averse robot path planning using the deep reinforcement learning and distributionally robust optimization perspectives. Our problem formulation involves modelling the robot as a stochastic linear dynamical system, assuming that a collection of process noise samples is available. We cast the risk averse motion planning problem as a Markov decision process and prop

Distributionally Robust RRT with Risk Allocation

An integration of distributionally robust risk allocation into sampling-based motion planning algorithms for robots operating in uncertain environments is proposed. We perform non-uniform risk allocation by decomposing the distributionally robust joint risk constraints defined over the entire planning horizon into individual risk constraints given the total risk budget. Specifically, the determini

Continuum modeling of paperboard for the mechanical response of converting processes

Paperboard is a thin and lightweight material made of cellulose fibers and it is an important component in packaging material where it provides stiffness and rigidity. The scope of this work is the development of continuum models, and its numerical treatments, for simulating the processes of converting paperboard into packages. The thesis begins with a general introduction to paperboard and a revi

Sex differences in disease progression in Alzheimer patients with different concomitant medications.

Objectives: To examine potential sex differences in cognitive and functional progression rates in Alzheimer’s disease (AD) between patients with different concomitant medications. Methods: The Swedish Alzheimer Treatment Study is a prospective, observational, multicentre study in clinical practice undertaken at the initiation of cholinesterase inhibitor therapy in 1,021 patients diagnosed with mil

Plastic turbulence: illusions of containment, clean-up, and control, and the emergent promise of diverse economies

Global ecosystems are currently buckling under the weight of “plastics turbulence:” the condition of ubiquitous plastic entanglement within all human and non-human natural systems. This chapter argues that “global plastics governance” - the fragmented and variable political and institutional response to the plastics crisis - suffers from strategies that are doomed to fail because they miss what is

Confidence in COVID-19 vaccine effectiveness and safety and its effect on vaccine uptake in Tanzania : A community-based cross-sectional study

COVID-19 is a major public health threat associated with increased disease burden, mortality, and economic loss to countries and communities. Safe and efficacious COVID-19 vaccines are key in halting and reversing the pandemic. Low confidence in vaccines has been one of the factors leading to hesitancy. We aimed to assess the COVID-19 vaccine confidence (safety and effectiveness), associated facto

Recurrence of post-term pregnancy and associated factors among women who delivered at Kilimanjaro Christian Medical Centre in northern Tanzania : A retrospective cohort study

BACKGROUND: Post-term pregnancy is a health problem of clinical importance and; tends to recur in subsequent pregnancies. Maternal age, height, and male fetal sex are risk factors associated with Post-term pregnancy. The study aimed to determine the recurrence risk of post-term pregnancy and associated factors among women delivered at KCMC referral hospital.METHODOLOGY: This retrospective cohort s

Documenting, Interpreting, Publishing, and Reusing : Linking archaeological reports and excavation archives in the virtual space

This PhD thesis examines how application of 3D visualization and related digital analytical tools is having a transformative impact on archaeological practice via improvement of visual-spatial thinking and the strengthening of conceptual understanding. However, the deployment of these new digital methods is essentially still at an experimental stage. Therefore, the thesis undertakes a critical eva

Clinical controversy : methodology and indications of cardioneuroablation for reflex syncope

In 2005, Pachon et al.1 proposed cardiac vagal denervation to treat neurally mediated syncope. Since then, a metanalysis of observational studies2 and a recent randomized controlled trial (RCT)3 have provided some evidence that cardioneuroablation (CNA) is able to prevent syncope recurrence at least during the first 2 years following the procedure in patients affected by reflex syncope. In brief,

Third Country Influence on EU Law and Policy-making: Setting the Scene

This introductory article conceptualizes the notion of third country influence on European Union (EU) law and policy and proposes an analytical framework theorizing the venues and means through which third countries may gain such impact, under what conditions and with which implications for the EU’s legal and political order. The article first introduces the focus on outside-in influence in the co

Why can only member states participate in EU decision-making?

Marja-Liisa Öberg unpacks the logic behind EU ‘decision-making autonomy’ – where only member states can participate in making EU decisions – suggesting that treating third countries as outsiders is not a flaw in the system but a fundamental policy choice that is unlikely to change any time soon.

European Integration Outside-In: Third Country Influence on EU Law and Policy Making

The study of European integration has traditionally focused "inside-in" on the internal development of common laws and policies. With the maturing of the single market and the evolution of EU external relations, attention has shifted beyond the EU to the ways in which the EU intentionally and unintentionally projects its norms beyond its borders - the "inside-out" dynamics of European integration.

Network Parameterisation and Activation Functions in Deep Learning

Deep learning, the study of multi-layered artificial neural networks, has received tremendous attention over the course of the last few years. Neural networks are now able to outperform humans in a growing variety of tasks and increasingly have an impact on our day-to-day lives. There is a wide range of potential directions to advance deep learning, two of which we investigate in this thesis:(1) O

khp-adaptive spectral projection based discontinuous Galerkin method for the numerical solution of wave equations with memory

In this paper, we present an adaptive spectral projection based finite element method to numerically approximate the solution of the wave equation with memory. The adaptivity is not restricted to the mesh (hp-adaptivity), but it is also applied to the size of the computed spectrum (k-adaptivity). The meshes are refined using a residual based error estimator, while the size of the computed spectrum

Twenty‐Four‐Hour Ambulatory Blood Pressure Profile in Patients With Reflex Syncope and Matched Controls

BackgroundAmbulatory blood pressure (BP) monitoring has long been used to monitor BP in hypertension and lately emerged as a useful tool to detect hypotensive susceptibility in reflex syncope. However, hemodynamic characteristics in reflex syncope have not been sufficiently explored. The present study investigated the differences between ambulatory BP monitoring profiles associated with reflex syn

Numerical solution of distributed-order time-fractional diffusion-wave equations using Laplace transforms

In this paper, we consider the numerical inverse Laplace transform for distributed order time-fractional equations, where a discontinuous Galerkin scheme is used to discretize the problem in space. The success of Talbot's approach for the computation of the inverse Laplace transform depends critically on the problem's spectral properties and we present a method to numerically enclose the spectrum