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Lactate, lactate clearance and outcome after cardiac arrest : A post-hoc analysis of the TTM-Trial
Background: Admission lactate and lactate clearance are implemented for risk stratification in sepsis and trauma. In out-of-hospital cardiac arrest, results regarding outcome and lactate are conflicting. Methods: This is a post-hoc analysis of the Target Temperature Management trial in which 950 unconscious patents after out-of-hospital cardiac arrest were randomized to a temperature intervention
The role of heterogeneous parameters for the detection of selection in insurance contracts
This study re-examines standard econometric approaches for detecting adverse and advantageous selection in insurance contracts based on variables that are not used for calculating the insurance premium. We formally demonstrate that existing strategies for detecting selection based on such ‘unused characteristics’ can lead to incorrect conclusions if the estimated coefficients of interest are drive
On Distributed Optimal Control of Traffic Flows in Transportation Networks
We propose and analyze distributed computation algorithms for finite-horizon optimal control problems in transportation networks. We model traffic flow dynamics by the cell-transmission model and focus on two problems: system-optimum dynamic traffic assignment (where the routing is part of the optimization) and freeway network control (where the routing is exogenous and the optimization is confine
U-Pb Geochronology and Geochemistry of the Povungnituk Group of the Cape Smith Belt : Part of a Craton-Scale Circa 2.0 Ga Minto-Povungnituk Large Igneous Province, Northern Superior Craton
Magmatism of the Povungnituk Group of the Cape Smith Belt, northern Superior craton, was formed in three stages: (i)early alkaline magmatism and associated carbonatites (undated), (ii) a main flood basalt sequence (Beauparlant Formation) (constrained between 2040 and 1991 Ma), and (iii) a late stage alkaline pulse (Cecilia Formation) (ca. 1959 Ma). We suggest that the main stage of magmatic activi
Methodologies
Measurement of biosphere-atmosphere exchange of various greenhouse gases requires different techniques. In case of carbon dioxide, the net ecosystem exchange (NEE) is usually measured by the eddy covariance method. In the lack of these measurements in forests, the carbon dioxide uptake can be estimated by detecting changes in sequestrated carbon stocks or by using tree growth (dendrometric) measur
Intensive Imaging-based Follow-up of Surgically Treated Localised Renal Cell Carcinoma Does Not Improve Post-recurrence Survival : Results from a European Multicentre Database (RECUR)
The optimal follow-up (FU) strategy for patients treated for localised renal cell carcinoma (RCC) remains unclear. Using the RECUR database, we studied imaging intensity utilised in contemporary FU to evaluate its association with outcome after detection of disease recurrence. Consecutive patients with nonmetastatic RCC (n = 1612) treated with curative intent at 12 institutes across eight European
Gösta Werner och filmen som konst och propaganda
Gösta Werner (1908–2009) var en svensk filmpionjär som i rollen som redaktör, regissör och forskare gjorde starkt avtryck på den offentliga debatten om filmen som konstform. Genom att studera denna framträdande filmpersonlighets texter och filmer belyser avhandlingen ett antal viktiga kulturpolitiska strider inom den framväxande svenska konstfilmsinstitutionen, däribland om filmstudiets formering,
Inter-annual variability in the leaf area index of a boreal aspen-hazelnut forest in relation to net ecosystem production
The seasonal phenology of the leaf area index (LAI) is a major determinant of net ecosystem production in deciduous forest ecosystems. This study describes seasonal and inter-annual differences in LAI in a boreal aspen-hazelnut forest in central Saskatchewan, Canada, between 1994 and 2003, and relates the differences in LAI to annual net ecosystem production (FNEP). A robust method is developed to
Arable lands
Three different, state-of-the-art biogeochemical models are adapted in order to quantify the carbon dioxide (CO2), nitrous oxide (N 2O), and methane (CH4) exchanges between arable lands and the atmosphere. Biome-BGC and MOD17 are validated using the long-term measurement results from Hegyhátsál tall tower site (Western Hungary). After a simple bias correction, it was found that Biome-BGC is capabl
Intensive care doctors’ preferences for arterial oxygen tension levels in mechanically ventilated patients
Background: Oxygen is liberally administered in intensive care units (ICUs). Nevertheless, ICU doctors’ preferences for supplementing oxygen are inadequately described. The aim was to identify ICU doctors’ preferences for arterial oxygenation levels in mechanically ventilated adult ICU patients. Methods: In April to August 2016, an online multiple-choice 17-part-questionnaire was distributed to 10
Changes in Temperature Management of Cardiac Arrest Patients Following Publication of the Target Temperature Management Trial
OBJECTIVES: To evaluate knowledge translation after publication of the target temperature management 33°C versus 36°C after out-of-hospital cardiac arrest trial and associated patient outcomes. Our primary hypothesis was that target temperature management at 36°C was rapidly adopted in Australian and New Zealand ICUs. Secondary hypotheses were that temporal reductions in mortality would be seen an
Reclassification of Treatment Strategy With Instantaneous Wave-Free Ratio and Fractional Flow Reserve : A Substudy From the iFR-SWEDEHEART Trial
Objectives: The authors sought to compare reclassification of treatment strategy following instantaneous wave-free ratio (iFR) and fractional flow reserve (FFR). Background: iFR was noninferior to FFR in 2 large randomized controlled trials in guiding coronary revascularization. Reclassification of treatment strategy by FFR is well-studied, but similar reports on iFR are lacking. Methods: The iFR-
Steroid injection or wrist splint for first-time carpal tunnel syndrome?
Pilot study on increased adherence to physical activity on prescription (PAP) through mindfulness : Study protocol 11 Medical and Health Sciences 1117 Public Health and Health Services
Background: In the Swedish population aged between 50 and 64 years only 7.1% reach the recommended level of physical activity. Physical activity on prescription (PAP) has been used in Sweden since the beginning of the twenty-first century with moderate adherence of approximately 50%. Mindfulness seems to affect motivation to and satisfaction with physical activity. The aim is to test the feasibili
An integrative transcriptome analysis reveals a functional role for thyroid transcription factor-1 in small cell lung cancer
Small cell lung cancer (SCLC) is a neuroendocrine tumour that exhibits rapid growth and metastatic spread. Although SCLC represents a prototypically undifferentiated cancer type, thyroid transcription factor-1 (TTF-1, gene symbol NKX2-1), a master regulator for pulmonary epithelial cell differentiation and lung morphogenesis, is strongly upregulated in this aggressive cancer type. The aim of this
TomoWarp2 : A local digital volume correlation code
TomoWarp2 is a Python based code that allows full-field vector displacements to be measured between 2D or 3D image sets, based on a local approach of Digital Image Correlation. These displacements can be used to calculate the complete 2D or 3D strain tensor field to study, for example, heterogeneous deformation responses of materials during loading. The code is provided with a GUI, and can handle
Delayed Gadolinium-Enhanced MRI of Menisci and Cartilage (dGEMRIM/dGEMRIC) in Obese Patients With Knee Osteoarthritis : Cross-Sectional Study of 85 Obese Patients With Intra-articular Administered Gadolinium Contrast
Background: Early cartilage changes in knee osteoarthritis (OA) can be assessed by both intravenous (i.v.) and intra-articular (i.a.) delayed gadolinium-enhanced MRI of cartilage (dGEMRIC). Purpose: To examine the relationship between i.a. dGEMRIC and delayed gadolinium-enhanced MRI of menisci (dGEMRIM), and to investigate if the approach can be used to assess the morphological degeneration of men
Development of a Novel Global Surgery Course for Medical Schools
Objective: We endeavored to create a comprehensive course in global surgery involving multinational exchange. Design: The course involved 2 weeks of didactics, 2 weeks of clinical rotations in a low-resource setting and 1 week for a capstone project. We evaluated our success through knowledge tests, surveys of the students, and surveys of our Zimbabwean hosts. Setting: The didactic portions were h
Membrane processes for protein recovery: Present and future
The success of membrane technology in the food industry is directly linked to the success of membranes in protein recovery. Proteins are one of the most important food ingredients and their global market is growing rapidly. In 2012 the global market of protein accounted for 19 billion USD, while for 2018 it is expected to reach 28 billion USD. The aim of this presentation is to provide an overview
