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The role of natural outdoor environment on COVID-19 mortality and hospitalisations among older community-dwellers in the pre-vaccination period : the Register RELOC-AGE cohort study in Sweden

BACKGROUND: Most COVID-19-related deaths and hospitalisations occurred among older people. Natural outdoor environments influence health outcomes, but the evidence of their effect on COVID-19 outcomes among older adults is limited. This study aimed to investigate associations between residential natural outdoor environment and COVID-19-related deaths or hospitalisations among community dwellers ag

Teacher-led issue networks in Swedish ed-tech policymaking – the case of generative AI

Policymaking around educational technology (ed-tech) is increasingly influenced by networks of public and private actors ranging from Big Tech corporations and international organisations through to ed-tech evidence brokers and consultants. This paper considers a relatively unexplored facet of contemporary ed-tech policy work – public-facing (ex)teachers advocating for technological change through

Climate Impact of Laryngeal Masks: Climate and Other Environmental Impacts of Reusable and Single-Use Laryngeal Masks in Sweden

BackgroundThe use of single-use laryngeal masks has increased in recent decades; yet, their climate and environmental impacts remain poorly understood. This study aimed to compare the climate impacts of reusable and single-use laryngeal masks.MethodsWe conducted a life cycle assessment that compared the reusable Ambu Aura40 with the single-use Ambu AuraStraight and Intersurgical Igel+ laryngeal ma

Effect of COVID-19 vaccination appointment letters on uptake by sociodemographic characteristics : a regression discontinuity analysis in Sweden, December 2020 to September 2021

Ensuring high vaccination coverage is vital, particularly during a pandemic. While pre-booked appointment letters have shown promise in vaccination campaigns, their effectiveness in specific sociodemographic groups remains to be explored. Our study evaluated the effect of pre-booked appointment letters on COVID-19 vaccine uptake within different sociodemographic groups using a quasi-experimental m

Vaccine protection against COVID-19 mortality in relation to time since last booster dose among nursing home residents in Sweden - A case-control study over 35 months

BACKGROUND: The implementation of COVID-19 vaccination among older persons at nursing homes has lowered the infection-associated mortality considerably, but emerging virus variants and decline in vaccine-induced immunity over time necessitate examination of future booster dosing strategies. The overall aim of this study was to assess vaccine protection against COVID-19 mortality in relation to tim

Physical examinations and whole-body imaging versus physical examinations alone during follow-up after radical surgery of stage IIB–C and III cutaneous malignant melanoma (TRIM) : an interim analysis of a multicentre, randomised, phase 3 trial in Sweden

Background In several countries, whole-body imaging has been introduced in the routine follow-up of individuals with high-risk cutaneous malignant melanoma after surgery. However, there is scarce evidence that earlier detection of recurrent disease by regular scanning improves survival. In this interim analysis, we investigated whether imaging in the follow-up programme for high-risk cutaneous mal

Quality of hospital and follow-up care among patients with type 2 diabetes and newly diagnosed cardiovascular disease : A cohort study in Sweden

Objective To examine hospital discharge practices, including clinical and laboratory assessments, in patients with type 2 diabetes mellitus (T2DM) following their first hospitalisation for cardiovascular disease (CVD), and to explore the association of these practices with adverse events, defined as hospital readmission, emergency department visits and mortality. Design Retrospective cohort study.

A practical roadmap for the digital transformation of urban water systems – using insights from a Swedish utility to chart the path forward

Urban water systems are facing growing challenges, including climate change and aging assets. Digital transformation presents opportunities to address these issues. However, water utilities often encounter barriers such as fragmented initiatives, organizational inertia, and lack of systems interoperability, limiting the scalability and impact of digitalization efforts. This paper presents a strate

Mortality after cancer diagnosis among children with congenital heart disease in Denmark and Sweden

Background Recent decades have witnessed tangible improvements in childhood cancer survival. However, the prognosis for children with congenital heart disease (CHD), the most prevalent birth defect, remains unclear. Due to improved survival of CHD and childhood cancer, evaluating outcomes within this intersection is important for clinical practice. We aimed to assess mortality post-cancer diagnosi

How clinical structures shape diagnostic practices in Swedish hard-to-heal ulcer care : a grounded theory study

Objective The aim of this study was to explore why patients with hard-to-heal ulcers are treated without an aetiological diagnosis, using a grounded theory approach. Design The study employed a qualitative semistructured interview design to gain in-depth insights. Data were collected in 2024, and an explanatory model was formed in accordance with grounded theory analysis. Setting Interviews were c

Estimating diagnostic delay in patients with pituitary adenomas in Sweden : A cross-sectional study

Objective A delayed diagnosis of pituitary adenomas (PAs) can lead to increased morbidity and reduced quality of life. The aim was to estimate diagnostic delay and investigate the concordance between patient-reported symptoms and the medical record documentation in patients with PA. Design Cross-sectional study. Setting Seven university hospitals. Participants 654 patients: non-functioning PA (NFP

Speech Outcomes in 5-Year-Olds Born With Cleft Palate With and Without Robin Sequence-A Swedish Registry Study

ObjectiveTo compare speech outcomes in 4 groups of 5-year-olds with cleft of the hard and soft palate: with Robin sequence without additional conditions (RS−), with Robin sequence with additional conditions (RS+), without Robin sequence with additional conditions (CP+), and without Robin sequence without additional conditions (CP−).DesignRegistry-based cohort study.SettingRegional public care univ