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When major retailers move into the healthcare market and establish new types of retailing format, such as retail clinics, healthcare is no longer far from the retailing arena. Meanwhile, the rhetoric shift from patients to healthcare consumers signals a change of strategy within publicly-funded healthcare and demands it to think about how their service should be packaged and delivered. It therefor
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Introduction: We investigate the risks of subsequent primary bone cancers after childhood and adolescent cancer in 12 European countries. For the first time, we satisfactorily address the risks beyond 40 years from diagnosis and beyond 40 years of age among all survivors.Methods: This largest-ever assembled cohort comprises 69 460 five-year survivors of cancer diagnosed before age 20 years. Standa
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When new buildings are constructed the indoor climate for the first period may differ from the one after some years due to various factors, for example may the emissions from the building materials be higher, possibly affecting the air quality, and the balancing of the technical systems; the mechanical supply and exhaust system and heating may not be completely finished. The perceived indoor clima
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Along with the increasing incidence and favorable prognosis, more women diagnosed with endometrial cancer may develop second primary cancers (SPCs). We aimed at investigating risk of SPCs after endometrial cancer in Germany and Sweden to provide insight into prevention strategies for SPCs. Endometrial cancer patients diagnosed at age ≥15 years in Germany during 1997–2011 and in Sweden nationwide d
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Aims This prospective study focuses on risk factors for arterial damage in children with type 1 diabetes (T1D). Methods Eighty children and adolescents with T1D were investigated twice, approximately 2 years apart, for carotid artery intima-media thickness (cIMT) and compliance (CAC), flow-mediated dilatation (FMD) of the brachial artery, and plasma levels of matrix metalloproteinase (MMP)-8. Al
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The apartment-block of Flagghusen in Malmö in the south of Sweden was built and designed with the intention to achieve a lower energy use compare to the regulations and a good indoor environment. The outcome of this ambition was evaluated in a first report in 2010 that showed that the overall notion of the perceived indoor climate in the apartments were good but that the measured energy use exceed
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Objective. To compare the rate of severe infections after the onset of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) with the rate in the background population, and to identify predictors of severe infections among patients with AAV. Methods. The study cohort was 186 patients with AAV diagnosed from 1998 to 2010, consisting of all known cases in a defined population in sou
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Introduction Childhood allergic diseases may prevent affected children from achieving their academic potential. Potential mechanisms include absence from school due to illness and medical appointments. Experience of symptoms in classes or leisure time, and stigma associated with visible signs and symptoms, including skin disease, requirements for medication during school time or the need for speci
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Purpose: To evaluate the effect of adjuvant radiotherapy (RT) after breast conservation surgery in different breast cancer subtypes in a large, randomized clinical trial with long-term follow-up. Patients and Methods: Tumor tissue was collected from 1,003 patients with node-negative, stage I and II breast cancer who were randomly assigned in the Swedish Brea
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Objective. To describe pulmonary involvement at time of diagnos is in a ntineutrophil cytoplasm ic antibodies (ANCA)-associated vasculitis (AAV), as defined by computed tomography (CT). Methods. Pati ents w ith thoracic CT perfor med on or after the onset of AAV (n = 140; 7 5 women; granulomatosis with polyangiitis, n = 79; microscopic polyangiitis MPA, n = 61) followed at a tertiary referral cent
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OBJECTIVES: The support of the pulmonary autograft root by the fibromuscular left ventricular outflow tract is emphasized to address the concern related to the dilatation of the pulmonary autograft structures in the paediatric population. METHODS: This retrospective study analyses the outcomes of 75 children who were operated between 1998 and 2012 with the subannular interrupted sutures technique
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Aplastic anemia is a rare life-threatening disease. However, since the introduction of immunosuppressive therapy and allogeneic stem cell transplantation, the outcome has improved considerably, and the 5-year survival is reported to be 70–80% in selected patient cohorts. Yet, contemporary population-based data on incidence and survival are lacking. We performed a national retrospective study to de
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Background: Many existing patient-reported outcome measures are extensive regarding both patient burden and administration, and in terms of analysing and reporting results. The VascuQoL-6 (VQ6) - a short version of the original Vascular Quality of Life Questionnaire (VascuQoL), a disease-specific instrument for peripheral arterial disease - was recently developed. However, the VQ6 has not yet been
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This paper discusses the application of university extension practice in the establishment of new tourism enterprises, with a particular focus on culinary tourism enterprises. The discussion is framed by the ‘missions’ perspective of university function, noting that extension is a form of knowledge transfer falling within the ‘Third Mission’ of universities. A case study approach is used to show h
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A central issue in the study of primate communication is the extent to which individuals adjust their behaviour to the attention and signals of others, and manipulate others’ attention to communicate about external events. I investigated whether 13 chimpanzees (Pan troglodytes spp.), 11 bonobos (Pan paniscus), and 7 orangutans (Pongo pygmaeus pygmaeus) followed conspecific attention and led others
