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The clinical value of ERCP-guided cholangiopancreatoscopy using a single-operator system

Background: Single-operator, per-oral cholangiopancreatoscopy (SOPCP) enables direct biliopancreatic ductal visualization, targeted tissue sampling, and therapeutic intervention. At Karolinska University Hospital, SOPCP was introduced early and has since been extensively utilized according to a standardized protocol. We analysed the clinical value of SOPCP in the diagnosis and treatment of biliopa

Influencing households' energy behaviour-how is this done and on what premises?

This article examines the discourse that the idea of efficiency is built upon according to different actors trying to influence households' energy behaviour in Sweden. The focus is on information from authorities as well as from interest organisations and energy companies. Information directed to households often contains a strong idea that the individual has to take responsibility for his/her own

Developing local emergency management by co-ordination between municipalities in policy networks : Experiences from Sweden

This study aims to increase our understanding of how co-operation in inter-municipality policy networks in a Swedish region is established and maintained regarding emergency management. We discuss how a network of five municipalities emerged and took shape. Overall, we conclude that co-ordination and co-operation in municipal emergency management are probably relatively easy to develop, because it

The GALAH Survey : Lithium-strong KM dwarfs

Identifying and characterizing young stars in the Solar neighbourhood is essential to find and describe planets in the early stages of their evolution. This work seeks to identify nearby young stars showing a lithium 6708 Å absorption line in the GALAH survey. A robust, data-driven approach is used to search for corresponding templates in the pool of 434 215 measured dwarf spectra in the survey. I

‘We don’t like the rules and still we keep seeking new ones’: The vicious circle of quality control in professional organizations

Standardization, auditing, and performance measurement increasingly characterize the governance of professional organizations. In hospital services, this is expressed in a multiplication of quality as- surance programmes, which may be characterized as technologies of quality control. Organizational research shows that the impact of such technologies is profound and often problematic. Even if roote

Impact of metal pollution on fungal diversity and community structures

The impact of metal pollution on plant communities has been studied extensively in the past, but little is known about the effects of metal pollution on fungal communities that occur in metal-polluted soils. Metal-tolerant ecotypes of the ectomycorrhizal fungus Suillus luteus are frequently found in pioneer pine forests in the Campine region in Belgium on metal-polluted soils. We hypothesized that

Placing barriers to industrial energy efficiency in a social context : A discussion of lifestyle categorisation

This paper compares how analyses of energy use and efficiency have developed in households and industrial small- and medium-sized enterprises (SMEs). I focus on earlier studies that use lifestyle categories in examining household energy use, comparing them with studies of mainly Swedish industrial SMEs using the barrier concept in understanding energy efficiency. The main question is how the use o

The perceptual effects of manipulating nonlinear phenomena in synthetic nonverbal vocalizations

The communicative role of nonlinear vocal phenomena remains poorly understood since they are difficult to manipulate or even measure with conventional tools. In this study parametric voice synthesis was employed to add pitch jumps, subharmonics/sidebands, and chaos to synthetic human nonverbal vocalizations. In Experiment 1 (86 participants, 144 sounds), chaos was associated with lower valence, an

Income tax progressivity and war inflation during the two World Wars

Top marginal rates in income taxes increased significantly during the two World Wars in most Western countries, which points towards increases in their progressivity. We argue, however, that this war-related effect is less clear-cut than previously thought: wartime inflation could have exerted a counteracting impact by pushing citizens into higher tax brackets, including new individuals from the b

Towards resolving and redefining Amphipyrinae (Lepidoptera, Noctuoidea, Noctuidae) : a massively polyphyletic taxon

Amphipyrinae have long been a catchall taxon for Noctuidae, with most members lacking discernible morphological synapomorphies that would allow their assignment to one of the many readily diagnosable noctuid subfamilies. Here data from seven gene regions (> 5500 bp) for more than 120 noctuid genera are used to infer a phylogeny for Amphipyrinae and related subfamilies. Sequence data for 57 amphipy

Vancomycin elution from a biphasic ceramic bone substitute

Objectives: The aim of this study was to analyze drain fluid, blood, and urine simultaneously to follow the long-term release of vancomycin from a biphasic ceramic carrier in major hip surgery. Our hypothesis was that there would be high local vancomycin concentrations during the first week with safe low systemic trough levels and a complete antibiotic release during the first month.Methods: Nine

Some Cryptanalytic and Coding-Theoretic Applications of a Soft Stern Algorithm

Using the class of information set decoding algorithms is the best known way of decoding general codes, i.e. codes that admit no special structure, in the Hamming metric. The Stern algorithm is the origin of the most efficient algorithms in this class. We consider the same decoding problem but for a channel with soft information. We give a version of the Stern algorithm for a channel with soft inf

What Drives Bitcoin Volatility?

We look at the link between the volatility in the Bitcoin market and the volatility in other related traditional markets, i.e. the gold, currency and stock market. We also try to answer if the volatility in the Bitcoin market can be explained by retail investor-driven internet search volumes or, perhaps, by the general level of risk in the financial system, as measured by two market-wide risk indi

On a Fire Fighter’s Problem

Suppose that a circular fire spreads in the plane at unit speed. A single fire fighter can build a barrier at speed v>1. How large must v be to ensure that the fire can be contained, and how should the fire fighter proceed? We contribute two results. First, we analyze the natural curve FFv that develops when the fighter keeps building, at speed v, a barrier along the boundary of the expanding fir

The Spatial Organization of Bone Crafting During the Middle and Late Mesolithic at Ringsjöholm and Strandvägen in Sweden

This paper focuses on the spatial distribution of bone tool production waste from two Mesolithic sites in Sweden, Ringsjöholm and Strandvägen, with well-preserved faunal remains including bone and antler artifacts. Local production on both sites has generated a variety of identifiable waste products deriving from complete chains of production, including unmodified bones, debitage and finished prod

A Multi-Dimensional Framework for the Development of Authentic Consumer Products

A common assumption in product value literature is that authenticity is what contemporary consumers value the most. However, as this paper illustrates, the meaning of authenticity is unclear, and the term appears foreign to product development practitioners. The purpose of this paper is to explore in what ways product development professionals talk about product value in general and how this relat