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Complex Relationships between Diagnostics and Survival in Chronic Lymphocytic Leukemia in Denmark, Finland, Norway, and Sweden

Background: Chronic lymphocytic leukemia (CLL) is a common hematological malignancy with highly variable clinical presentation. Many patients never require any treatment but for the others, chemotherapy, immunochemotherapy, and newer targeted therapies have changed the treatment landscape. Diagnostic age influences the applied treatment, and we thus wanted to analyze age-specific survival trends t

A Workshop for Accessible Crisis Information

Libraries have been pinpointed as a possible hub for information and safety during a crisis. We present a workshop design to contribute to the education of librarians with the goal to make them more able to provide inclusive and accessible information in a crisis. The workshop was carried out during a conference for librarians. The results from the workshop indicate that there is a need for furthe

The impact of periampullary diverticula on cannulation and adverse events in endoscopic retrograde cholangiopancreatography

Background: Periampullary diverticulum (PAD) is commonly encountered in endoscopic retrograde cholangiopancreatography (ERCP) procedures. Objectives: We sought to determine whether PADs are associated with a lower success rate of cannulation and an increased risk of adverse events. Design: A retrospective cohort study was conducted using prospectively gathered nationwide registry data. Methods: Us

Cognitive interviews on the Swedish occupational balance questionnaire

Background: The Occupational Balance Questionnaire (OBQ11) is a commonly used instrument for measuring self-rated occupational balance. It needs further development, and therefore an additional 11 tentative items have been developed. One aspect of this is studying the interpretations and reasoning of people responding to the items/instrument. Aim: The aim of this study was to explore and describe

Exploring the circular last mile : reusable packaging in home delivery of food and groceries using a design science approach

The market for home deliveries of food and groceries has been growing in the last years, and with it so have the associated environmental impacts: emissions from the delivery routes, energy for the cold chain and packaging waste are some of the main concerns. The purpose of this paper is to contribute with knowledge to support the development and implementation of circular retail supply chains, wi

Nytt vårdprogram för barn och ungdomar med långvarig smärta

Pediatric chronic pain is common and frequently results in reduced wellbeing and functioning. Limited knowledge among health care professionals has motivated a national care program for pediatric chronic pain to increase the standard of care for this group. Emphasizing a biopsychosocial approach, treatment should focus on self-management of pain and distress to increase resilience, functioning and

Comprehensive Ecological Functional Zoning : A Data-Driven Approach for Sustainable Land Use and Environmental Management—A Case Study in Shenzhen, China

A comprehensive approach to ecological functional zoning in the Shenzhen region of China is presented in this study. Through the integration of advanced geospatial analysis tools, multiple data sources, and sophisticated statistical techniques, different ecological functions have been identified and categorized based on a comprehensive set of indicators and spatial analysis techniques. The three-l

Task-sharing spinal anaesthesia care in three rural Indian hospitals : A non-inferiority randomised controlled clinical trial

Background Task-sharing of spinal anaesthesia care by non-specialist graduate physicians, termed medical officers (MOs), is commonly practised in rural Indian healthcare facilities to mitigate workforce constraints. We sought to assess whether spinal anaesthesia failure rates of MOs were non-inferior to those of consultant anaesthesiologists (CA) following a standardised educational curriculum. Me

Influence of peer discussions on trust in recommendations for prevention of mother-to-child transmission (PMTCT) of HIV

Background Mothers attending prevention of mother-to-child transmission (PMTCT) of HIV clinics seem to lack knowledge on many aspects of PMTCT, among which is breastfeeding. Breastfeeding recommendations in PMTCT have changed several times over the years leaving some confused and doubtful of what is currently recommended. One method shown to help improve their knowledge and acceptance of PMTCT rec

Deep planning : improving underground developments through inter- and transdisciplinary collaboration on geosystem services

The rapid urbanisation and global need for resources have led to an increased use of the underground, resulting in conflicting interests and an urgent need for subsurface planning. The concept of geosystem services is suggested for communicating the diverse values of the subsurface, and to support subsurface planning for ensuring sustainable and equitable underground developments. The UNDER projec

Temporal artery biopsy in giant cell arteritis : clinical perspectives and histological patterns

Although its role has been debated, temporal artery biopsy (TAB) remains the gold standard for the diagnosis of cranial giant cell arteritis (GCA). The specificity of TAB is excellent and the sensitivity, albeit lower, is comparable with other diagnostic modalities used for the diagnosis of GCA. This outpatient procedure has a low rate of complications and is well integrated in the majority of hea

Image analysis optimization for nanowire-based optical detection of molecules

Semiconductor nanowires can enhance the signal of fluorescent molecules, thus significantly improving the limits of fluorescence detection in optical biosensing. In this work, we explore how the sensitivity can further be enhanced through "digital"detection of adequately spaced vertically aligned nanowires, employing single-emitter localization methods, and bright-field microscopy. Additionally, w

Individualized, cross-validated prediction of future dementia using cognitive assessments in people with mild cognitive symptoms

INTRODUCTION: We aimed to develop an algorithm to predict the individualized risk of future dementia using brief cognitive tests suitable for primary care. METHODS: We included 612 participants with subjective cognitive decline (SCD) or mild cognitive impairment (MCI) from the Alzheimer's Disease Neuroimaging Initiative (ADNI) study, assessed for at least 4 years or until progression to dementia.

The lipid paradox is also present in early axial spondyloarthritis : results from the Swedish part of the SPondyloArthritis Caught Early (SPACE) cohort

Objective: Inverse associations between systemic inflammation and cholesterol (‘the lipid paradox’) have been reported in rheumatoid arthritis (RA) and, in established axial spondyloarthritis (axSpA), but little is known about this relationship in early axSpA, which is the focus of the present study. Method: In the Swedish part of the SPondyloArthritis Caught Early (SPACE) cohort (patients with ch

Secondary Displacement was Common in Healing Distal Femur Fractures in a Cohort of Elderly Patients

Introduction: Surgical treatment of distal femoral fractures (DFFs) in osteoporotic bone is challenging despite improvements in hardware and surgical techniques. The occurrence and degree of secondary displacement during healing after bridging plate fixation are still unknown. This study aimed to assess the occurrence and degree of secondary displacement in healing DFFs in elderly patients and cor

Tourism and Public Transport

Despite the important interrelationships between transport and tourism, research on public transport and tourism remains limited. The role of transport can be generally seen as: an essential/utility of bringing the tourists to tourism destinations and enabling them to move between places at the destinations (transport for tourism); and/or transport that is used as part of the tourism attractions t

Assessing the Causes of Strategic Realignment in Sahelian States

Since the agreement of the Millennium Development Goals, many of the international community’s foremost stabilisation efforts have unravelled, with cascading instability afflicting neighboring states. Multiple governments and political entities have begun to turn away from long-term Western security partnerships, and realign with actors such as Russia. This realignment has been pursued even though

Logistics for Rapid Isolation of Viruses From Humans

An important aspect of microbiological surveillance is the ability to access live viruses for microneutralization assays, which enables the study of viral characteristics and mechanisms in vitro and production of positive controls for diagnostic methods. During the COVID-19 pandemic, the Public Health Agency of Sweden established a protocol for the rapid collection of clinical samples and subseque

Constitutional Factors and Irradiation as Risk Factors for Thymoma : A European Case–Control Study

Little is known about the aetiology of thymoma. This study aims to identify medical risk factors for thymoma as a systematic approach to new hypotheses on the aetiology of this disease. A European multi-centre case–control study was conducted from 1995 to 1997, including incident cases aged 35–69 years with thymoma. Altogether, we accepted 85 cases and 3350 controls, of which we interviewed 77 cas