Objective. To explore how the perceptions and experiences of working with risky drinkers change over time among primary health care staff during a systematic implementation project. Methods. Qualitative focus group interviews took place before and after the implementation of the project. Results. The staff displayed a positive change during the implementation period with regard to awareness, knowl

AIM: To compare two identification methods for risky drinking in primary health care centres (PHCs).METHODS: Sixteen PHCs from three Swedish counties were randomized into strands: consultation-based early identification (CEI) or systematic screening early identification (SS). Measurements took place at baseline and during two intervention periods. Patients filled in questionnaires including gender

AIMS: To review the literature on detection of risky drinking to compare early identification based on everyday clinical encounters with systematic screening. We also reviewed specific clinical signs that have been suggested to be used as indicators of risky drinking.METHODS: A literature review was performed in PubMed and CINAHL of articles up to November 2010.RESULTS: Systematic screening and se

Fetal programming may arise from prenatal exposure and increase the risk of diseases later in life, potentially mediated by the placenta. The objective of this systematic review was to summarize and critically evaluate publications describing associations between human placental changes and risk of atopic disorders during childhood. The review adhered to the Preferred Reporting Items for Systemati

Bergweiler and Kotus gave sharp upper bounds for the Hausdorff dimension of the escaping set of a meromorphic function in the Eremenko–Lyubich class, in terms of the order of the function and the maximal multiplicity of the poles. We show that these bounds are also sharp in the Speiser class. We apply this method also to construct meromorphic functions in the Speiser class with preassigned dimensi

Quantum thermal machines can generate steady-state entanglement by harvesting spontaneous interactions with local environments. However, using minimal resources and control, the entanglement is typically weak. Here, we study entanglement generation in a two-qubit quantum thermal machine in the presence of a continuous feedback protocol. Each qubit is measured continuously and the outcomes are used

AimThe risk of mesh-related surgical complications after umbilical hernia repair is not known and chronic pain has only sparsely been analysed. Economic claims may represent a surrogate for poor postoperative surgical outcomes. Thus, the present study used mesh-related complications and chronic pain as primary and secondary outcomes, respectively.Material and MethodsBlinded assessment of Swedish a

Vapor transport in porous media, often associated with liquid-vapor phase change, is an fundamental process in many emerging underground energy storage and extraction processes (i.e., seasonal solar thermal aquifer storage, geothermal extraction, extraterrestrial in-situ water extraction). By jointly using experimental imaging and numerical modeling at the micro-scale, we conduct mechanistic pore

Dialogue and engaging with the religious Other are essential questions that warrant even greater attention in the Christian communities at large. In 2020, the World Council of Churches and the Pontifical Council for Interreligious Dialogue jointly published a document on interreligious solidarity titled Serving a Wounded World in Interreligious Solidarity: A Christian Call to Reflection and Action

Amyloid fibrils have been implicated in the pathogenesis of several neurodegenerative diseases, the most prevalent example being Alzheimer's disease (AD). Despite the prevalence of AD, relatively little is known about the structure of the associated amyloid fibrils. This has motivated our studies of fibril structures, extended here to the familial Arctic mutant of Aβ1-42, E22G-Aβ1-42. We found E22

Several stars show deep transits consistent with discs of roughly seen at moderate inclinations, likely surrounding planets on eccentric orbits. We show that this configuration arises naturally as a result of planet-planet scattering when the planets possess satellite systems. Planet-planet scattering explains the orbital eccentricities of the discs' host bodies, while the close encounters during

In the context of a decarbonized future where stringent carbon dioxide (CO2) emissions constraints are imposed on vehicles, hydrogen emerges as a promising solution to address emissions directly at the point of use. This chapter explores the potential of using hydrogen to power vehicles, particularly in the context of heavy-duty (HD) internal combustion engine (ICE) applications. Hydrogen vehicles

Diffusion MRI with free gradient waveforms, combined with simultaneous relaxation encoding, referred to as multidimensional MRI (MD-MRI), offers microstructural specificity in complex biological tissue. This approach delivers intravoxel information about the microstructure, local chemical composition, and importantly, how these properties are coupled within heterogeneous tissue containing multiple

Flera platser utmed den skånska kusten har idag problem med stranderosion som innebär att havet äter sig inåt land så att stränder och kustlandskap försvinner. När havet stiger förväntas stranderosionen att öka och även kust sträckor som idag inte har problem kan komma att drabbas. Då kustlinjen rör sig inåt land hotas bebyggelse, infra struktur och naturområden, samtidigt som översvämningsrisken Beach erosion is expected to increase as the sea level rises during the coming decades. A retreating coastline threat ens infrastructure, settlements, nature habitats, and at the same time increases the flood risk in low-lying areas. On the Swedish south coast, beach erosion is a problem at present likely to increase due to the sea level rise. For main taining the beaches and protecting the hinter

The increasing need to reduce greenhouse gas emissions and shift away from fossil fuels has raised an interest for methanol. Methanol can be produced from renewable sources and can drastically lower soot emissions from compression ignition engines (CI). As a result, research and development efforts have intensified focusing on the use of methanol as a replacement for diesel in CI engines. The issu

Migration is critical for life-cycle completion in diadromous fish species. River connectivity is vital in facilitating these large-scale movement events, but the extent of present-day river fragmentation can interfere with these migrations. Fish passage solutions (FPSs) are commonly implemented with the aim of improving river connectivity. In our study, we investigated the performance of two type

In response to concerns about depleting natural resources, organisations are developing eco-friendly products and services. This study examines the role of manufacturing industries and services in sustainable resource utilisation, focusing on the Micro, Small, Medium Enterprises (MSME) sector, a significant contributor to global Gross Domestic Product (GDP). Using Life Cycle Assessment (LCA) metho

Background: The introduction of vaginal natural orifice transluminal endoscopic surgery (vNOTES) to the toolbox of gynecologic surgeons has the potential to reverse the trend of vaginal hysterectomy declines. Methods: This review discusses nuances of the vNOTES technique applied to hysterectomy; describes vNOTES hysterectomy, step-by-step (including tips and tricks for low- and high-complexity cas