New Sea Boundaries in a Swedish Perspective

Sweden\u27s experiences in applying the principles of the new international law of sea boundaries have more than local interest. Zonebound on all sides and thus never able to determine unilaterally the limits of her newly declared zones, the country has been forced to maneuver in a tight geographical and political situation against smaller brothers on three sides and a dominant eastern neighbor. It has been a tricky game in the borderland between legal principles and pragmatism, where trump cards have been islands of sufficient size, and where points have been scored through moderation rather than by overstraining the rules of the game. The rules themselves have shown themselves ambiguous and contentious, but the parties have preferred a non-binding discussion of their contents to the hazard of restoring to a referee

It Is Always the Monkey on My Back: The Diagnosis of Cirrhosis

Mary Tiberg Loyola University Chicago IT IS ALWAYS THE MONKEY ON MY BACK: THE DIAGNOSIS OF CIRRHOSIS A significant current challenge in health care today is meeting the needs of a population that has chronic disease, especially for those that have a health condition with a life threatening long -term outcome (Falkenstern, et al., 2005). In these health illness transitions, when there are no secure expectations, there are the additional burdens of enduring emotional unease, facing the closing stages of physical stamina, and confronting an indeterminate future. The objective of this study was to explore and describe the experience of those individuals who have been diagnosed with cirrhosis, which marks the beginning of end stage liver disease (Ebell, 2006). The goal of this research was to develop a more complete description of the phenomenon and process that an individual undergoes during this specific transition point in chronic liver disease and illness. This area of research has not yet been investigated. The research proposal for this dissertation, is presented, followed by a comprehensive literature review and the research question that is proposed for this study. These chapters are followed by the study methodology, which utilized grounded theory to discover the basic social process that an individual undergoes after being diagnosed with cirrhosis and living life with a threatening chronic disease and illness trajectory. The result of this study is a linear process that included twelve conceptual categories and a core category, that had a central relation to all other categories. This substantive theory is compared to other theoretical and conceptual work, along with the identification of the unique findings from this research. This dissertation is concluded with a discussion of the strengths and limitations of this work along, with recommendations for future application in nursing research, practice, administration, and education. These implications include testing of the theory, tailoring care to meet the needs of this patient population, teaching the assessment and critical thinking skills that are needed to target nursing care, and the nursing resources that are necessary to care for this patient population

Skylab indicators (event timer) (secondary display) (four-digit metabolic display)

The effort expended in developing the following indicators is summarized: (1) event timer; (2) secondary display; and (3) 4 digit display (metabolic). The mechanical design, vibration analysis, and thermal analysis of all these units are identical, and descriptions pertain to all three units. All problems incurred during the program are discussed along with the recommendations, conclusions, and actions taken to rectify the situations

A Methodological Description of a Randomised Controlled Trial Comparing Hospital-Based Care and Hospital-Based Home Care when a Child is Newly Diagnosed with Type 1 Diabetes

AIM AND OBJECTIVE: To describe the study design of a randomised controlled trial with the aim of comparing two different regimes for children with newly diagnosed type 1 diabetes; hospital-based care and hospital-based home care. BACKGROUND: Procedures for hospital admission and sojourn in connection with diagnose vary greatly worldwide and the existing evidence is insufficient to allow for any conclusive determination of whether hospital-based or home-based care is the best alternative for most families. Comparative studies with adequate power and outcome measurements, as well as measurements of cost-effectiveness are needed. DESIGN: The study design was based on the Medical Research Council framework for complex interventions. After two to three days with hospital-based care, children between the ages of 3 and 16 were randomised to receive either continued hospital-based care for a total of 1-2 weeks or hospital-based home care, which refers to specialist care in a home-based setting. The trial started in March 2008 at a University Hospital in Sweden and was closed in September 2011 when a sufficient number of children according to power calculation, were included. The primary outcome was the child's metabolic control during the following two years. Secondary outcomes were set to evaluate the family and child situation as well as the organisation of care. DISCUSSION: Childhood diabetes requires families and children to learn to perform multiple daily tasks. Even though intervention in health care is complex with several interacting components entailing practical and methodological difficulties, there is nonetheless, a need for randomised controlled trials in order to evaluate and develop better systems for the learning processes of families that can lead to long-term improvement in adherence and outcome

Speciation of Cu and Zn in bottom ash from solid waste incineration studied by XAS, XRD, and geochemical modelling

Millions of tons of bottom ash (BA) is generated from incineration of industrial and municipal solid waste each year within EU. The magnitude of leaching of metals like Cu and Zn is critical for hazard and risk assessment of these ashes. Although speciation of metals is a key factor to understand and predict metal leaching, speciation of Cu and Zn in BA is not well known. In this study six metal separated and carbonized BA were investigated by a combination of X-ray absorption spectroscopy, X-ray diffraction, leaching/extraction tests, and geochemical modelling. Five of the BA were from grate boilers and one from a fluidized bed incinerator. The aims were to identify similarities in Cu and Zn speciation and to identify main species. The combination of several techniques was necessary to draw conclusions about speciation and displayed coherent results. A similar speciation of Cu and Zn was indicated in the five studied grate boiler ashes although the proportions between species may vary. Copper(II) oxide and Cu metal were the main Cu species in all BA. Zinc(II) oxide and willemite (Zn2SiO4) were identified in grate boiler ashes. The fluidized bed ash contained Zn-Si-minerals and possibly franklinite or gahnite, while the Zn(II) oxide content was low, if any. The results have implications for classification and risk assessment of MIBA. (C) 2020 The Authors. Published by Elsevier Ltd

Mineralogical characterization and speciation of sulfur, zinc and lead in pyrite cinder from Bergvik, Sweden

Roasting of sulfide ores to produce sulfuric acid began on an industrial scale in the middle 1800 ' s and is still used extensively worldwide. The residual, pyrite cinders, have commonly been disposed in the environment where they pose a potential and serious threat to aquatic life. In this project, two profiles in a pyrite cinder deposit in Bergvik, Sweden, have been sampled and a comprehensive mineralogical characterization have been carried out. The objectives were to investigate the composition and morphology of pyrite cinder grains and the speciation of sulfur, Pb and Zn in the solid phase. Scanning electron microscopy showed pyrite cinder grains with a core of the ore minerals pyrite and sphalerite enclosed in layers of iron oxides/hydroxides (mainly hematite). XANES analysis, supported by X-ray diffraction analysis, SEM-EDS and bulk element analysis, showed that content of the residual sulfur in the cinder is mainly sulfides, 55-80%, predominately sphalerite. The remaining mass of sulfur is assumed to be adsorbed or precipitated as secondary sulfate minerals, predominantly associated with the grain surfaces. Calculated saturation indexes indicated barite, anglesite and perhaps aluminite. EXAFS spectroscopy indicated that about half of the Zn was bound to O and half was bound to S. LCF analysis of EXAFS spectra indicated that the main Zn species were sphalerite (40-50%) and franklinite (10-20%). The remaining Zn was associated with iron oxides/hydroxides and Zn minerals like hydrozincite or possibly zinc oxides. SEM-EDS analysis showed Pb precipitate located on both the surface of the grains and in the interior as inclusions. The analytical interpretation indicated anglesite