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Can pay-for-performance to primary care providers stimulate appropriate use of antibiotics?

Resistance to antibiotics is a major threat to the effectiveness of modern health care. This study examines if pay-for-performance (P4P) to care providers stimulates the appropriate use of antibiotics; in particular, if P4P can induce a substitution away from broad-spectrum antibiotics, which contribute more to the development of resistance, to less resistance-driving types. In the context of Swed

Knowledge as a source of power in real estate organisations

Purpose: The purpose of the paper is to explore how knowledge contributes to value adding activities within real estate organisations. More specifically, the study aims to investigate; (1) how knowledge sharing activities are perceived in real estate organisations, (2) what motivates individuals to share knowledge and what incentives are used to support them, and (3) if employees in these organisa

Framtidsperspektiv på Dalby kyrka, kloster och gård

This text deals with the final session of the conference Locus Celebris concerning the future of Dalby church, monastery and manor. A round table discussion was organized with contributions from nine participants, all with some kind of relationship to the Dalby complex. The participants in the discussion were an exhibition curator, an IT expert from the Design Sciences Department at Lund Universit

Exposure to persistent organochlorine pollutants associates with human sperm Y:X chromosome ratio.

BACKGROUND: During the last decades, there has been concern that exposure to endocrine disruptors, such as persistent organochlorine pollutants (POPs), may contribute to sex ratio changes in offspring of exposed populations. METHODS: To investigate whether exposure to 2,2'4,4'5,5'-hexachlorobiphenyl (CB-153) and dichlorodiphenyl dichloroethene (p,p'-DDE) affect Y:X chromosome proportion, semen of

Regulation of Pancreatic Beta Cell Stimulus-Secretion Coupling by microRNAs.

Increased blood glucose after a meal is countered by the subsequent increased release of the hypoglycemic hormone insulin from the pancreatic beta cells. The cascade of molecular events encompassing the initial sensing and transport of glucose into the beta cell, culminating with the exocytosis of the insulin large dense core granules (LDCVs) is termed "stimulus-secretion coupling." Impairment in

The incidence of a first major osteoporotic fracture in Iceland and implications for FRAX

Based on an extensive cohort study over 25 years, the present study supports the assumption that major osteoporotic fractures can be reasonably predicted from hip fracture rates. The construct for FRAX models depends on algorithms to adjust for double counting of fracture outcomes in some models and in others, to estimate the incidence of a major fracture from hip fracture rates. The aim of the pr

Correlation between sound insulation and occupants' perception - Proposal of alternative single number rating of impact sound

Traditionally, multi-family houses have been constructed using heavy, homogenous materials like concrete and masonry. But as a consequence of the progress of lightweight building systems during the last decades, it has been questioned whether standardized sound insulation evaluation methods still are appropriate. An extensive measurement template has been applied in a field survey where several vi

Autumn migratory fuelling: a response to simulated magnetic displacements in juvenile wheatears, Oenanthe oenanthe

Recent experiments exposing migratory birds to altered magnetic fields simulating geographical displacements have shown that the geomagnetic field acts as an external cue affecting migratory fuelling behaviour. This is the first study investigating fuel deposition in relation to geomagnetic cues in long-distance migrants using the western passage of the Mediterranean region. Juvenile wheatears (Oe

Health professionals' views on sexual information following MI

Following myocardial infarction (MI), patients often have unanswered questions about resuming sexual activity. Coronary care nurses can play an important role in counselling. However, this sensitive area is frequently neglected in nursing practice. This article discusses patient and nurse perceptions of such discussions and explores ways to increase nurses' awareness, so that they might offer sexu

Injuries in Special Transport Services – situations and risk levels involving wheelchair users

Previous research has shown that wheelchair-seated passengers using special transportation services (STS) have been injured without being involved in a vehicle crash. In order to estimate incident rate and societal costs for these vehicle-related injuries, the focus needs to be adjusted towards a traveler/incident-oriented perspective. The aim of the project was to utilize such a perspective, rela

Revision and complication rates in 654 Exeter total hip replacements, with a maximum follow-up of 20 years.

Background: Iceland's geographical isolation with a stable and small population gives a rare opportunity for follow-up studies of medical interventions. Total hip replacements (THR) have been done at FSA Central Hospital in Akureyri, Iceland since 1982 with the Exeter hip implant being in use from the beginning. Methods: Hospital records for all patients operated on with THR between 1982 and the e