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Lifestyle Intervention from a Health Economics Perspective

Abstract The aim of this thesis was to perform health economic analyses of lifestyle intervention for people at a high risk of cardiovascular diseases (CVDs) and type 2 diabetes mellitus (T2DM). The results can help decision-makers to make informed decisions over implementing lifestyle intervention, taking several dilemmas into consideration. Paper I provides evidence on the cost-effectiveness of

Search for light scalar top-quark pair production in final states with two leptons with the ATLAS detector in root s=7 TeV proton-proton collisions

A search is presented for the pair production of light scalar top quarks in root s = 7 TeV proton-proton collisions recorded with the ATLAS detector at the Large Hadron Collider. This analysis uses the full data sample collected during 2011 running that corresponds to a total integrated luminosity of 4.7 fb(-1). Light scalar top quarks are searched for in events with two opposite-sign leptons (e,

Parents' Experiences of Reporting Child Sexual Abuse in Urban Tanzania

This article reports parental experiences of legally reporting child sexual abuse in Tanzania. Based on in-depth interviews, four types of sexual abuse incidents are portrayed. Each evokes different reactions from parents and the community. An incident characterized as the innocent child was associated with a determination to seek justice. The forced-sex youth elicited feelings of parental betraya

Pitch, loudness and frequency selectivity in low-frequency hearing loss

Patients with Ménière's disease and cochlear hydrops show fluctuating low-frequency hearing loss (FLFHL). At present these changes are followed as patients' subjective reports and occasional measurements. Consecutive long-term measurements should provide more comprehensive information on the hearing fluctuations than the occasional audiogram used today and constitute an approach to quantify the fl

Coronary heart disease incidence and short-term case fatality in relation to socio-economic circumstances - epidemiological and clinical aspects

The aim of this thesis was to study incidence and case-fatality rate (CFR) of myocardial infarction (MI) and ischemic heart disease (IHD), by exploring relations to socioeconomic position (SEP), other cardiovascular risk factors, medical seeking pattern and time trends. Data from the Malmö Myocardial Infarction Register (1986-1995; n=5533), the Malmö 1990 cohort (1990-2003; n=69 223), the Malmö P

Association between polymorphisms in the aryl hydrocarbon receptor repressor gene and disseminated testicular germ cell cancer.

In the Western world, testicular germ cell cancer (TGCC) is the most common malignancy of young men. The malignant transformation of germ cells is thought to be caused by developmental and hormonal disturbances, probably related to environmental and lifestyle factors because of rapidly increasing incidence of TGCC in some countries. Additionally, there is a strong genetic component that affects su

Acetic acid increases the phage-encoded enterotoxin A expression in Staphylococcus aureus

Background: The effects of acetic acid, a common food preservative, on the bacteriophage-encoded enterotoxin A (SEA) expression and production in Staphylococcus aureus was investigated in pH-controlled batch cultures carried out at pH 7.0, 6.5, 6.0, 5.5, 5.0, and 4.5. Also, genomic analysis of S. aureus strains carrying sea was performed to map differences within the gene and in the temperate phag

Achievable Rates of IID Gaussian Symbols on the Non-Coherent Block-Fading Channel Without Channel Distribution Knowledge at the Receiver

Consider receivers that do not exploit any knowledge of the channel distribution in non-coherent block-fading multiple-input multiple-output (MIMO) channels. The main contribution of this letter is to derive a semi-analytical semi-numerical lower bound to the achieveble rate of such receivers. The bound is of operational meaning since practical receivers can achieve the lower bound. Several numeri

Flight speeds of swifts (Apus apus): seasonal differences smaller than expected.

We have studied the nocturnal flight behaviour of the common swift (Apus apus L.), by the use of a tracking radar. Birds were tracked from Lund University in southern Sweden during spring migration, summer roosting flights and autumn migration. Flight speeds were compared with predictions from flight mechanical and optimal migration theories. During spring, flight speeds were predicted to be highe

Predictors of Presenteeism and Activity Impairment Outside Work in Patients with Spondyloarthritis

Purposes To assess predictors of presenteeism (reduced productivity at work) and activity impairment outside work in patients with spondyloarthritis (SpA). Methods Multivariate logistic regression analysis was used to study predictors of presenteeism and activity impairment in 1,253 patients with SpA based on a 2.5 year follow-up questionnaire. The Work Productivity and Activity Impairment (WPAI)

Haemophilia in Sweden – Studies on mutations and clinical implications

Introduction: Haemophilia A (HA) and B (HB) are two of our most common inherited bleeding disorders and are due to a variety of gene mutations. Aims: The overall objective of the present research was to perform clinical and basic scientific studies on haemophilia in Sweden to further improve and individualise the care of haemophilia patients and their relatives. More specific aims were: to study t

Anemia and iron deficiency in inflammatory bowel disease: an open, prospective, observational study on diagnosis, treatment with ferric carboxymaltose and quality of life

Objective. Iron deficiency and anemia are being increasingly recognized as a complication of inflammatory bowel disease (IBD). The aim of this study was to observe, in a non-interventional way, how Swedish gastroenterologists adhere to guidelines in IBD outpatients treated with intravenous ferric carboxymaltose (FCM), and the result of treatment. Material and methods. Altogether 394 IBD patients (

Increased risk of atrial fibrillation in patients with coeliac disease: a nationwide cohort study

Aims Inflammatory markers are established risk factors for atrial fibrillation (AF), but the role of autoimmune diseases is unknown. The aim of the study was to examine the association between coeliac disease (CD) and AF in a large cohort of patients with biopsy-verified CD. Methods and results We identified 28 637 patients with CD through biopsy reports (defined as Marsh 3: villous atrophy) from

Dietary intake of the water-soluble vitamins B1, B2, B6, B12 and C in 10 countries in the European Prospective Investigation into Cancer and Nutrition

Objectives: To describe the intake of vitamins thiamine (B1), riboflavin (B2), B6 (pyridoxine), B12 (cobalamine) and C (ascorbic acid) and their food sources among 27 centres in 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Methods: Between 1995 and 2000, 36 034 persons aged between 35 and 74 years were administered a standardized 24-h

Three essays on our planetary future

Föreliggande avhandling argumenterar för värdet av ett långsiktigt planetärt perspektiv i politiken. Vi har blivit vana att tänka på de risker som moderniteten genererar utifrån ett vidgat tidsligt och rumsligt perspektiv (till exempel utgör år 2100 en återkommande referenspunkt för forskningen kring globala klimatförändringar). På samma sätt bör vi fråga oss vilka politiska möjligheter som mänsklThis thesis propounds a techno-environmentalist position. Seeking to combine the need for natural restoration with human development, the thesis explores to what extent more radical forms of ecological modernization can offer a basis for political compromise and open new paths to global long-term sustainability. Based on three published articles, the thesis engages with existing literature on (a)

Study of substituent effects for aliphatic CH3-X compounds by resonant Auger spectroscopy

In this study linear free energy relationships (LFER) are applied to the relaxation of core-excited states in aliphatic CH3X compounds. There are at least two valence orbitals involved in Auger decay following C-CH3 1s -> sigma*(C-X) excitation, which may as well be localized on the substituents in this series. Therefore, the observed property cannot be strictly attached to the so-called reaction