Also known as access block, shortage of inpatient beds is a common cause of emergency department (ED) boarding and overcrowding, which are both associated with impaired quality of care. Recent studies have suggested that access block not simply causes boarding in EDs, but may also result in that patients are less likely to be admitted to the hospital from the ED. The present study's aim was to inv

Compared to truly negative cultures, false-positive blood cultures not only increase laboratory work but also prolong lengths of patient stay and use of broad-spectrum antibiotics, both of which are likely to increase antibiotic resistance and patient morbidity. The increased patient suffering and surplus costs caused by blood culture contamination motivate substantial measures to decrease the rat

We propose a hidden Markov model for longitudinal count data where sources of unobserved heterogeneity arise, making data overdispersed. The observed process, conditionally on the hidden states, is assumed to follow an inhomogeneous Poisson kernel, where the unobserved heterogeneity is modeled in a generalized linear model (GLM) framework by adding individual-specific random effects in the link fu

Early use of fresh frozen plasma (FFP) in haemorrhagic shock is associated with improved outcome. This effect may partly be due to protection of the endothelial glycocalyx and/or secondary to a superior efficacy of FFP as a plasma volume expander compared to crystalloids. The objective of the present study was to investigate if protection of the glycocalyx by FFP can be demonstrated when potential

The article describes and analyses the legal framework concerning children’s participation in research in Sweden. Research on children is one way to improve children’s living conditions. For example, there is a need for knowledge about children’s and young people’s situation at home, at school, in community care and in correctional facilities. It is inevitable that there arise both ethical and leg

Atmospheric N deposition is known to severely impact forest ecosystem functioning by influencing soil biogeochemistry and nutrient balance, and consequently tree growth and overall forest health and biodiversity. Moreover, because climate greatly influences soil processes, climate change and atmospheric N deposition must both be taken into account when analysing the evolution of forest ecosystem s

Background: Transanal endorectal one-stage pull-through (TERPT) procedure in children with Hirschsprung’s disease (HD) is frequently used worldwide. In order to give the families realistic expectations and to plan the medical care for the years after TERPT, the long term outcome is of great importance. Aim: To collect information on the long term outcome reported after one stage TERPT procedure fo

This study focused on how phosphorus and carbon control pelagic bacteria in lakes over a gradient of dissolved organic carbon (DOC from 6.7 to 29.5 mg C L-1) and phosphorus (P-tot from 5 to 19 mu g L-1). Five oligotrophic lakes in southern Sweden were sampled in late autumn. Phosphate-P and glucose-C alone or in combination (0.01 and 0.3 mg L-1, respectively) was added to 1.0 mu m filtered lake wa

This paper presents a framework for policies development enabling growth of Nearshore in information and communications technologies (ICT) services inside European Community (EC), which are based in Portuguese companies, emphasizing what is needed to explore the huge opportunity to develop exportations, employability and the national economy. In a market of ICTs Outsourcing services forecasted in

Abstract The Tree Theme Method (TTM), based on occupational therapy, creative activities and life storytelling, implies that the client draws and paints trees representing certain periods in their life. The paintings are used as a starting point for the client to tell their life story with focus on everyday occupations (occupational storytelling) and shaping plans for their future (occupational st

This Letter presents measurements of l(+/-) nu gamma and l(+)l(-)gamma (l = e.mu) production in 1.02 fb(-1) of pp collision data recorded at root s = 7 TeV with the ATLAS detector at the LHC in the first half of 2011. Events dominated by W gamma and Z gamma production with leptonic decays of the W and Z bosons are selected, and their production cross sections and kinematic properties are measured

Objective: The objective was to investigate the association between experience of violation during the past 3 months and self-rated health, taking trust (social capital), economic stress, and country of birth and parents' country of birth into account. Design/setting/participants/measurements: The 2008 public health survey in Skåne is a cross-sectional study with 55% response rate. A random sample