Filtyp
The overall aim of this thesis was to analyse the importance of co-morbidity level for different aspects of primary health care (PHC) using a measure of co-morbidity. Paper I examines whether there were differences in referral rates from different Lithuanian PHC models after adjustment for co-morbidity level. Paper II assesses to what extent the co-morbidity level could explain concurrent costs in
Popular Abstract in Swedish Bakgrund Kroniskt obstruktiv lungsjukdom (KOL) är en vanlig orsak till död världen över och dödligheten ökar främst bland kvinnor. Patienter med kronisk syrebrist på grund av KOL behandlas med hemsyrgas (LTOT), men har mycket hög dödlighet. Kunskapen är idag bristfällig kring könsskillnader och tidstrender i dödlighet och dödsorsaker, betydelsen av andra sjukdomar (samsBackground Chronic obstructive pulmonary disease (COPD) is a major and rising cause of mortality worldwide, especially in women. Patients with chronic hypoxia owing to COPD are treated with long-term oxygen therapy (LTOT) but have high morbidity and mortality. Knowledge is limited on sex-related differences and time trends in mortality, effects of comorbidity on mortality and whether cardiovascula
This dissertation deals with the transferability of an evidence-based treatment method from one cultural context to another, with Multisystemic Therapy (MST) in Sweden as an example. The primary research question is whether the evidence-based treatment intervention MST can be transferred from the US to Sweden with retained treatment effects. This thesis is organized around four separate but interr
One of the central issues in the design and the use of pulsed neutron sources is the control of pulse length in elastic scattering experiments, most significantly diffraction on crystalline matter. On the existing short pulse spallation sources the strongly wavelength dependent source pulse length that determines the resolution is permanently fixed on each beam line by the type of the moderator it
We demonstrate changes in ecosystem stable states in a coastal lagoon that are consistent with what a regime shift would hypothesize. In the nutrient-stressed Ringkobing Fjord, Denmark, a small change in one variable (salinity) facilitated by a change in sluice management, caused a sudden regime shift from a bottom-up controlled turbid state, into a top-down controlled clear-water state. The chang
The aim of this study was to investigate healthcare utilization patterns over a six-year period among older people (60+), classified as dependent/independent in Activities of Daily Living (ADL) and/or at/not at risk of depression and to identify healthcare utilization predictors. A sample (n=1402) comprising ten age cohorts aged between 60 and 96 years was drawn from the Swedish National study on
Many medical image analysis systems require segmentation of the structures of interest as a first step. For scans with gross pathology, automatic segmentation methods may fail. The authors' aim is to develop a versatile, fast, and reliable interactive system to segment anatomical structures. In this study, this system was used for segmenting lungs in challenging thoracic computed tomography (CT) s
GATA-binding protein 3 (GATA3) is a transcription factor that is crucial to mammary gland morphogenesis and differentiation of progenitor cells, and has been suggested to have a tumor suppressor function. The rs570613 single nucleotide polymorphism (SNP) in intron 4 of GATA3 was previously found to be associated with a reduction in breast cancer risk in the Cancer Genetic Markers of Susceptibility
Background: Although cardiovascular disease is thouht to be common in cirrhosis, there are no systematic investigations on the prevalence of electrocardiographic (ECG) abnormalities in these patients and data on the occurrence of post-transplant cardiac events in comparison with the general population are lacking. We aimed to study the prevalence and predictors of ECG abnormalities in patients wit
Immunohistochemical expression of CD40 is seen in 60-70% of diffuse large B-cell lymphoma (DLBCL) and is associated with a superior prognosis. By using gene expression profiling we aimed to further explore the underlying mechanisms for this effect. Ninety-eight immunohistochemically defined CD40 positive or negative DLBCL tumors, 63 and 35 respectively, were examined using spotted 55K oligonucleot
The management of resources among competing QoS-aware applications is often solved by a resource manager (RM) that assigns both the resources and the application service levels. However, this approach requires all applications to inform the RM of the available service levels. Then, the RM has to maximize the "overall quality" by comparing service levels of different applications which are not nece
The combination of in situ geotechnical testing and continuously measured geophysical data can be a powerful tool in geotechnical site investigation. In two cases from Sweden and one case from Denmark electric resistivity surveys are used successfully in geotechnical site investigations. The main contribution of resistivity results is the possibility to interpret continuous geological models. An i
To describe incidence, risk factors, and influence of treatment on occurrence of central nervous system (CNS) relapse or progression in younger patients with aggressive B-cell lymphoma. We analyzed 2210 patients with aggressive B-cell lymphoma treated on various studies for CNS relapse/progression. Treatment consisted of CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) +/- etoposi
Popular Abstract in Swedish Diabetes är ett samlingsnamn för sjukdomar som ger förhöjt blodsocker (glukos) som gemensam nämnare. Diabetes ökar stort runt om i världen och ”International Diabetes Federation” (IDF) meddelade att det år 2014 fanns 387 miljoner individer med diabetes globalt och att denna siffra förväntas öka till 592 miljoner individer till år 2035. Ungefär 77% av alla som insjuknar Today type 2 diabetes is a common disease with a worldwide prevalence of 8.3%. The disease is characterised by hyperglycaemia which is a result of insufficient insulin secretion from the beta-cells in the pancreatic islets as well as an insulin resistance seen in the target tissues. Type 2 diabetes is a multifactorial disease with genetic, epigenetic and environmental background. In study I we in
In this study we quantify the partitioning of recent assimilates to above- and below-ground carbon (C) pools in two subarctic mire ecosystems - wet minerotrophic and semiwet ombrotrophic mire - using in situ C-14 pulse-labelling. Ecosystem C partitioning to rhizomes, coarse roots, fine roots, dissolved organic carbon (DOC) and microbes were quantified twice during the growing season at three diffe
We study high-order harmonic generation with a high-repetition rate (200 kHz), few-cycle, driving laser, based on optical parametric chirped pulse amplification. The system delivers carrier-envelope phase stable, 8 fs, 10 mu J pulses at a central wavelength of 890 nm. High-order harmonics, generated in a high-pressure Ar gas jet, exhibit a strong CEP-dependence over a large spectral range owing to
In recent years, there has been growing interest in measuring the efficiency of hospitals in Iran and several studies have been conducted on the topic. The main objective of this paper was to review studies in the field of hospital efficiency and examine the estimated technical efficiency (TE) of Iranian hospitals.
