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Purpose of review To discuss the rationale for various treatment strategies in rheumatoid arthritis with extra-articular manifestations, and to review advances in understanding the impact of extra-articular rheumatoid arthritis and its management. Recent findings Recent epidemiologic studies of extra-articular rheumatoid arthritis manifestations have emphasized their major role as predictors of pr
OBJECTIVE: We first studied whether changes of needs were influenced by randomly allocated telephone interventions between 1 and 12 months after a suicide attempt in addition to treatment as usual. These were aimed at improving motivation for professional treatment. As a secondary analysis we investigated the frequency and changes of needs during this period and if changes were related to other ou
The prognosis of acute myocardial infarction (AMI) improves by early revascularization. However the presence of left bundle branch block (LBBB) in the electrocardiogram (ECG) increases the difficulty in recognizing an AMI and different ECG criteria for the diagnosis of AMI have proved to be of limited value. The purpose of this study was to detect AMI in ECGs with LBBB using artificial neural netw
In this study stool samples from dyspeptic patients and healthy subjects were used for detection of specific Helicobacter pylori antigens and DNA by immunoenzymatic test (PPHpSA) and semi-nested PCR (ureA-PCR), respectively. The H. pylori status was estimated by invasive endoscopy-based rapid urease test and histology or noninvasive urea breath test (UBT), and by serology (ELISA, Western blot). Th
This study describes frequencies and associations between eating difficulties, assisted eating and nutritional status in 520 elderly patients in hospital rehabilitation. Eating difficulties were observed during a meal and nutritional status was assessed with Subjective Global Assessment form. Eighty-two percent of patients had one or more eating difficulties, 36% had assisted eating and 46% malnut
Background: It has previously been shown that magnetic resonance imaging (MRI) can be used to accurately determine left ventricular (LV) long-axis orientation in healthy individuals. However, the inter- and intra-observer variability in patients with acute coronary syndrome (ACS) and chronic heart failure (CHF) has not been explored. Furthermore, the changes in LV long-axis orientation because of
The aims of the paper are to; i)evaluate the rate and direction of present changes in lead (Pb) and cadmium (Cd) soil pools of Swedish forests; ii) discuss processes of importance for leaching of Pb and Cd in Swedish forest soils. The presently ongoing changes of Pb and Cd pools of Swedish forest soils are evaluated by compilation of data from the literature and unpublished sources. It is conclude
Abstract in French L’effet de la courbure interfaciale sur le point de congélation de liquides retenus dans des capillaires permet, en principe, de déterminer une distribution du diamètre des pores, d’après la courbe point de congélation/volume congelé. On procède à un examen des bases théoriques et l’on montre qu’il existe une similitude formelle avec les méthodes par condensation capillaire qui By utilising the effect of interfacial curvature on the freezing-point of liquids confined in capillaries, it is in principle possible to determine a pore-size distribution, from the curve of freezing-point against volume frozen. The method is formally similar to capillary condensation methods based on the Kelvin equation. Suitable experimental techniques are described. A comparison with the resul
A section, almost 20 km long and up to 80 m high, through alternating layers of diamict and sorted sediments is superbly exposed on the north coast of the Kanin Peninsula, northwestern Russia. The diamicts represent multiple glacial advances by the Barents Sea and the Kara Sea ice sheets during the Weichselian. The diamicts and stratigraphically older lacustrine, fluvial and shallow marine sedimen
The relationship between use of corticosteroids and fracture risk was estimated in a meta-analysis of data from seven cohort studies of similar to42,000 men and women. Current and past use of corticosteroids was an important predictor of fracture risk that was independent of prior fracture and BMD.
Monogalactosyldiacylglycerols (MGDG), digalactosyldiacylglycerols (DGDG) and sulfoquinovosyldiacylglycerols (SQDG) are major lipids in vegetable food. Their digestion and absorption are unknown. This study examines the hydrolysis of galactolipids in vitro with human duodenal contents, pancreatic juice, and purified human pancreatic lipases. Galactolipids were incubated with human duodenal contents
Treatment of severe bleeding and the performance of surgery in haemophilia patients with inhibitors creates severe problems. It is generally agreed that treatment is most effective if circulating levels of factor VIII/IX can be achieved long enough for control of haemostasis. Immunoadsorption with protein A for the removal of inhibitor has improved treatment for patients with initial inhibitor tit
Seven patients with rheumatoid arthritis and posterior atlanto-axial dislocation are presented. The patients were elderly women who had suffered with the disease a long time. In all cases earlier cervical radiographs were available, excluding any predisposing congenital anomaly. Fracture and arthritic destruction of the dens, of parts of the body of the axis, or of the anterior arch of the atlas p
Molecular variation is often used to infer the demographic history of species, but sometimes the complexity of species history can make such inference difficult. The willow warbler, Phylloscopus trochilus, shows substantially less geographical variation than the chiffchaff, Phylloscopus collybita, both in morphology and in mitochondrial DNA (mtDNA) divergence. We therefore predicted that the willo
In the wake of the geo-political development in recent years, the question of sacrifice has come to the fore in the contemporary philosophical discussion. Does sacrifice merely sharpen conflicts between cultures, or should it be seen as an inevitable part of their foundation? This article addresses the question from the perspective of the biblical view of sacrifice, expressed paradigmat- ically in
The eyes of visually prominent animals such as vertebrates, cephalopods, and arthropods generally subserve a multitude of visual tasks. Naturally, early stages in the evolution of these complex visual organs must have been simpler, and subserved a smaller number of visual tasks. Hence, eye evolution is driven by a consecutive accumulation of visual tasks. Each task adds to the requirements on eye
Background. Describing the illness-story from a patient perspective could increase understanding of living with a chronic disease for health professionals and others, facilitate decision-making about treatment and enhance information about the outcome from a patient perspective. Aim. To illuminate patients' illness experiences of having a gastro-oesophageal reflux disease (GORD), going through sur
