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Misoprostol treatment vs expectant management in women with early non-viable pregnancy and vaginal bleeding : A pragmatic randomized controlled trial

Objective: To compare vaginal misoprostol treatment with expectant management in early non-viable pregnancy with vaginal bleeding with regard to complete evacuation of the uterine cavity within 10days after randomization. Methods: This was a parallel randomized controlled, open-label trial conducted in Skåne University Hospital, Sweden. Patients with anembryonic pregnancy or early fetal demise (cr

Smokeless tobacco (snus) use and colorectal cancer incidence and survival : Results from nine pooled cohorts

Aims: Although smoking is considered to be an established risk factor for colorectal cancer, the current evidence on the association between smokeless tobacco and colorectal cancer is scant and inconclusive. We used pooled individual data from the Swedish Collaboration on Health Effects of Snus Use to assess this association. Methods: A total of 417,872 male participants from nine cohort studies a

Outcome and Complications Using Negative Pressure Wound Therapy in the Groin for Perivascular Surgical Site Infections after Vascular Surgery

Background: The aim of this study was to investigate graft preservation, major bleeding, and reinfection rate using negative pressure wound therapy (NPWT) for perivascular surgical site infections (SSIs) in the groin after vascular surgery and factors associated with failure of treatment. Methods: Retrospective data were collected during 2004-2015. Failure of wound treatment was defined as a wound

Pulmonell hypertension vanligt vid vänstersidig hjärtsjukdom

Pulmonell hypertension är en vanlig komplikation till vänstersidig hjärtsjukdom och medför såväl försämrad livskvalitet som försämrad prognos.Den pulmonella hypertensionen beror initialt på passiv stockning av blod i lungkretsloppet men kan kompliceras av såväl pulmonell vasokonstriktion som vaskulär remodulering.2015 års europeiska riktlinjer innefattar en ny definition av pulmonell hypertension Pulmonary hypertension (PH) is a serious complication to left heart disease (LHD), affecting a majority of the patients during the course of the disease. Initially, PHLHD is caused by passive congestion of the pulmonary vessels due to increased left atrial pressures, a condition that is currently denoted as isolated post-capillary PH (Icp-PH). In the majority of patients the increased atrial press

How I manage patients with inherited haemophilia A and B and factor inhibitors

Development of inhibitors to coagulation factor VIII or IX is still the most challenging complication in haemophilia care. 'Bypassing agents' may be used to treat a bleed but the eradication of the inhibitor by immune tolerance induction (ITI) is the main objective in the treatment of a patient with haemophilia who has developed neutralizing antibodies. Several options exist for ITI and the patien

Androgen Receptor in Stage I-II Primary Breast Cancer -Prognostic Value and Distribution in Subgroups

BACKGROUND/AIM: The value of androgen receptor (AR) in breast cancer has gained renewed interest as a prognostic and treatment predictive biomarker. The aims of this work were to study the associations and the prognostic value of AR in patients from two clinical cohorts.MATERIALS AND METHODS: Cohort 1 included 208 premenopausal, node-negative patients of whom 87% had received no adjuvant medical t

Methodologies for Multimodal Research

This special issue presents and discusses prominent methodsand tools for multimodal analysis and reception. It comprises an editorial, a set of six papers and a book review and brings together international researchers from Germany, Sweden, Denmark, United States and Singapore representing various disciplines: communication and media studies, social semiotics, cognitive science, educational psycho

Harvesting the decay energy of 26 Al to drive lightning discharge in protoplanetary discs

Chondrules in primitive meteorites likely formed by recrystallisation of dust aggregates that were flash-heated to nearly complete melting. Chondrules may represent the building blocks of rocky planetesimals and protoplanets in the inner regions of protoplanetary discs, but the source of ubiquitous thermal processing of their dust aggregate precursors remains elusive. Here we demonstrate that esca

The role of (FeCrSi)2(MoNb)-type Laves phase on the formation of Mn-rich protective oxide scale on ferritic stainless steel

Microalloying of stainless steel with reactive elements increases oxidation resistance but makes the alloy prone to microstructural changes. XPS results reveal changes in the initial oxidation mechanism on Ti-Nb stabilized ferritic stainless steel (EN 1.4521) after 120 h heat treatment at 650 °C. Age-precipitation of (FeCrSi)2(MoNb)-type Laves phase resulted in less pronounced surface segregation

Immune functions of intestinal dendritic cells

The intestinal surface is daily challenged with tremendous amount of foreign material derived our diet and from the commensal bacteria that densely populate the mucosal surface. Occasionally the gut mucosa is exposed to pathogens trying to enter our body. The important task of the intestinal immune system is to remain tolerant toward innocuous luminal constituents and to elicit defense responses t