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How to create a Quality Culture - not a Quality Straightjacket
Background: Health professions education programs are tasked with designing curricula to effectively andefficiently equip their graduates with the required competences and life-long learning skills needed fortoday’s fast-paced, knowledge intensive society. Continuous monitoring and improving of educationalquality is essential to attain these goals. Quality assurance is multi-faceted and requires t
Equal opportunities for clinical learning: is there any dust under the rug?
Background: The power and influence of the hidden curriculum - culturally situated norms and values - onlearning opportunities is a growing concern in medical education. However, while medical schools producediversity and equal treatment policies, efforts towards surfacing and addressing equal opportunities in theclinical learning environment trail behind.Summary of Work: To better understand how
The right measure? Linguistic development through the lifetime
Hydroeconomic optimization of mesoscale blue-green stormwater systems at the city level
The development of tools to help cities and water utility authorities communicate and plan for long-term sustainable solutions is of utmost importance in the era of a changing and uncertain climate. This study introduces a hybrid modeling concept for the cosimulation of mesoscale blue-green stormwater systems and conventional urban sewer networks. The hybrid model successfully introduces the reten
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Polyaromatic perfluorophenylsulfonic acids with high radical resistance and proton conductivity
We report on the straightforward metal-free synthesis of poly(p-terphenyl perfluorophenylsulfonic acid)s by efficient superacid catalyzed Friedel–Crafts polycondensations of commercially available perfluoroacetophenone and p-terphenyl, followed by sulfonation of the pendant pentafluorophenyl groups via a selective and quantitative thiolation-oxidation procedure. The stiff and well-defined polymer
Swedish Inflammatory Bowel Disease Register (SWIBREG) - a nationwide quality register
Background: Inflammatory bowel disease (IBD) is a chronic, inflammatory relapsing disease with increasing incidence. IBD research and long-term follow-up of patients have, however, been hampered by lack of detailed data on disease phenotype, patient-reported outcome measures, Physician Global Assessment, disease activity, and hospital-administered drugs. Aim: To review the Swedish IBD quality regi
Needles and Cribs : Becoming a First-time Mother and Starting Industrial Homework in Early Twentieth-century Sweden
This article investigates the relationship between labor force transitions and becoming a mother in the early twentieth century. It aims to answer the question: did women start industrial homework when they had their first child? The empirical material consists of 588 interviews made with individual industrial homeworkers in 1911. Event history models were used to analyze the data. The study found
Prevalence of HIV and other infections and injection behaviours among people who inject drugs in Addis Ababa, Ethiopia
BACKGROUND: Ethiopia is one of the sub-Saharan African countries most affected by HIV/AIDS. However, the country lacks data describing the extent of the epidemic among people who inject drugs (PWID). Thus, a bio-behavioural study was conducted in 2015 to generate strategic information on the magnitude of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), syphilis and related risk behaviours am
Prevalence of sexually transmitted infections (HIV, hepatitis B virus, herpes simplex virus type 2, and syphilis) in pregnant women in Ethiopia : Trends over 10 years (2005-2014)
OBJECTIVES: This study was performed to determine the trends in seroprevalence of four major sexually transmitted infections (STIs) (HIV, hepatitis B virus (HBV), herpes simplex virus type 2 (HSV-2), and syphilis) over a 10-year period (2005-2014) in pregnant women in Ethiopia.METHODS: Pregnant women (15-49 years old) who were enrolled in the antenatal care-based national HIV surveillance were inc
Evaluation of diagnostic performance of non-invasive HIV self-testing kit using oral fluid in Addis Ababa, Ethiopia : A facility-based cross-sectional study
BACKGROUND: Human immunodeficiency virus (HIV) testing is critical for early linkage to treatment and care services. However, there is a substantial gap in HIV testing, particularly in resource limited settings due to low accessibility of HIV testing sites, inconvenient testing hours, and concerns about loss of confidentiality. Thus, adopting new strategies such as HIV self-testing (HIVST) could o
Diagnostic accuracy of HIV test kits, Genscreen Ultra and Bioelisa
Purpose: Genetic diversities in different countries affect the performance of HIV test kits. Therefore, WHO recommends evaluation of every HIV test kit in countries' context before its use. Therefore, this study aimed to evaluate the performance of Genscreen ULTRA HIV Ag-Ab and Bioelisa.Materials and methods: The study had used 400 characterized plasma samples obtained from CDC Atlanta bio-bank de
Car free urban districts – Interactions between measures, implementation and experience
Cities and car traffic does not always fit well together. Apart from the well-knownenvironmental problems associated with traffic congestion (e.g. air pollution and noise,climate change and global warming), there are also negative local effects in the form ofincreased risk of traffic accidents, abuse of key resources (energy and time), gender issues interms of accessibility, security and power ove
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Midwives' experiences of providing contraception counselling to immigrant women
OBJECTIVE: To describe midwives' experiences of providing contraception counselling to immigrant women.METHODS: The study was conducted with a qualitative design, based on interviews followed by inductive content analysis. Ten midwives were interviewed, working at midwife-led prenatal clinics in immigrant-dense areas in southern Sweden.RESULTS: Midwives require knowledge and understanding of cultu
Epilepsy in second-generation immigrants : a cohort study of all children up to 18 years of age in Sweden
Background and purpose: Our purpose was to study the association between country of birth and incident epilepsy in second-generation immigrants in Sweden. Methods: The study population included all children (n = 4 023 149) aged up to 18 years in Sweden. Epilepsy was defined as at least one registered diagnosis of epilepsy in the National Patient Register. The incidence of epilepsy, using individua
Stationary and non-stationary detection of extreme precipitation events and trends of average precipitation from 1980 to 2010 in the Paraná River basin, Brazil
The main objective of this study was to investigate the trends on average and extreme events in time series of daily precipitation from 1980 to 2010 in the Paraná River basin, Brazil. The nonparametric Mann–Kendall test was applied to detect monotonic trend in the precipitation series. The occurrence of extreme values was analysed based on three generalized extreme values (GEV) models: Model 1 (st
Slower Skeletal Muscle Oxygenation Kinetics in Adults With Complex Congenital Heart Disease
Background: Adults with complex congenital heart disease (CHD) show reduced aerobic exercise capacity and impaired skeletal muscle function compared with healthy peers. Peripheral muscle factors are presumed to be important contributors to the aerobic capacity, but the mechanisms are poorly understood. The aim of the present study was to investigate differences between adults with CHD and controls
Outcome after heart-lung or lung transplantation in patients with Eisenmenger syndrome
Objective: The optimal timing for transplantation is unclear in patients with Eisenmenger syndrome (ES). We investigated post-transplantation survival and transplantation-specific morbidity after heart-lung transplantation (HLTx) or lung transplantation (LTx) in a cohort of Nordic patients with ES to aid decision-making for scheduling transplantation. Methods: We performed a retrospective, descrip