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Monitoring and influencing safety through safety culture

Organizations need to make sure that their level of safety is acceptable. Therefore it is important to know which factors contribute to the level of safety and how to monitor and improve these factors. One method used today to evaluate the level of safety in organizations is safety culture measurements. In different contexts, different models of safety culture are used. Safety culture is often con

Strengthening learning from emergency responses

During the last years a couple of emergencies have affected the Swedish municipality Ljungby and its inhabitants and forced the municipality to initiate emergency responses. Some examples are a flooding that happened during the summer of 2004, the storm Gudrun that occurred in January 2005 and the storm Per that occurred in January 2007. These emergencies, as well as other incidents, are situation

Cancer risk in patients hospitalised for Graves' disease: a population-based cohort study in Sweden

BACKGROUND: The possibility of an association of Graves' disease (GD) with subsequent cancers raised by certain studies. METHODS: Using a database on 18 156 hospitalised GD patients, subsequent cancers were ascertained. RESULTS: Increased risks of thyroid and parathyroid tumours were limited to the early follow-up period, which is probably a surveillance bias. Cancer sites with observed excess inc

The Dark Side of the Swoon: antihypertensive treatment in the elderly.

We would like to thank Prof. Dal Moro for his valuable contribution[1]. Indeed, many patients, especially those who are older and who suffer from several concomitant diseases, are at risk of being "overtreated with good intentions". The main problem is that the diagnosis of essential hypertension is at times assigned very liberally based on a single ambulatory measurement without taking into consi

TET2 and CSMD1 genes affect SBP response to hydrochlorothiazide in never-treated essential hypertensives.

Thiazide diuretics have been recommended as a first-line antihypertensive treatment, although the choice of 'the right drug in the individual essential hypertensive patient' remains still empirical. Essential hypertension is a complex, polygenic disease derived from the interaction of patient's genetic background with the environment. Pharmacogenomics could be a useful tool to pinpoint gene varian

Biomarkers from bronchoalveolar lavage fluid in systemic sclerosis patients with interstitial lung disease relate to severity of lung fibrosis.

OBJECTIVES: Decision on treatment of systemic sclerosis (SSc) related interstitial lung disease (ILD) largely relies on the findings on high resolution computed tomography (HRCT) and there is a need for improvement in assessment of the fibrotic activity. The objectives of this study were to study biomarkers in bronchoalveolar lavage fluid (BALF) from SSc patients with ILD and to relate the finding

Preventing and Preparing for Disasters – The Role of a Swedish Local Emergent Citizen Group

Disasters such as the storms that affected Sweden in 2005 and 2007 showed that citizens initially conducted a large part of the disaster response, such as clearing roads, giving psychosocial support to affected neighbours and repairing power lines in collaboration with power companies. As a result of these storms, an Emergent Citizen Group (ECG) was established in a village which continued to work

Meta-analysis identifies six new susceptibility loci for atrial fibrillation

Atrial fibrillation is a highly prevalent arrhythmia and a major risk factor for stroke, heart failure and death(1). We conducted a genome-wide association study (GWAS) in individuals of European ancestry, including 6,707 with and 52,426 without atrial fibrillation. Six new atrial fibrillation susceptibility loci were identified and replicated in an additional sample of individuals of European anc

Oral and faecal microbiota in volunteers with hypertension in a double blind, randomised placebo controlled trial with probiotics and fermented bilberries

Two probiotic products containing either live Lactobacillus plantarum strain DSM 15313 or bilberries fermented by the same bacterial strain were tested for their antihypertensive potentials and their impact on the oral and the faecal microbiota in hypertensive adults. The results showed that consumption of the tested products for three months did not reduce the blood pressure in adults with hypert

Metabolite Profiling Identifies Pathways Associated With Metabolic Risk in Humans

Background-Although metabolic risk factors are known to cluster in individuals who are prone to developing diabetes mellitus and cardiovascular disease, the underlying biological mechanisms remain poorly understood. Methods and Results-To identify pathways associated with cardiometabolic risk, we used liquid chromatography/mass spectrometry to determine the plasma concentrations of 45 distinct met

Sleeping habits and aortic stiffness in middle-aged men and women from the general population: insights from the SCAPIS study

BackgroundThe relationship between sleeping habits and aortic stiffness remains inconclusive and is not fully explored in the European general population.MethodsWe examined cross-sectionally 8659 participants from the Swedish population-based cohort Swedish CArdioPulmonary bioImage Study (SCAPIS), mean age 57.5 years, 52.1% women. A self-administered questionnaire on sleeping habits (duration, qua

Looking back at the TEDDY study : lessons and future directions

The goal of the TEDDY (The Environmental Determinants of Diabetes in the Young) study is to elucidate factors leading to the initiation of islet autoimmunity (first primary outcome) and those related to progression to type 1 diabetes mellitus (T1DM; second primary outcome). This Review outlines the key findings so far, particularly related to the first primary outcome. The background, history and

Identifying trivial and Majorana zero-energy modes using the Majorana polarization

In this work we consider superconductor-semiconductor hybrids containing both trivial and Majorana zero modes and explore their signatures in the Majorana polarization. In particular, we consider trivial zero-energy states due to confinement and disorder, which seem to be very likely experimental scenarios. We show that the Majorana polarization is able to characterize the topological phase transi

The relative contribution of hemodynamic parameters to blood pressure decrease in classical orthostatic hypotension

PURPOSE: We studied the relative contributions of total peripheral resistance (TPR), stroke volume (SV) and heart rate (HR) to low blood pressure in classical orthostatic hypotension (cOH) on group and individual levels.METHODS: We retrospectively analyzed tilt test records from cOH patients and age/sex-matched controls. We quantified relative effects of HR, SV and TPR on mean arterial pressure (M