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Background: Long-term use of opioid analgesics (OA) for chronic pain may result in opioid use disorder (OUD). This is associated with adverse outcomes for individuals, families and society. Treatment needs of people with OUD related to chronic pain are different compared to dependence related to use, and also injection, of illicit opioids. In Nordic countries, day-to-day practical advice to assist
Timescale uncertainties between paleoclimate reconstructions often inhibit studying the exact timing, spatial expression and driving mechanisms of climate variations. Detecting and aligning the globally common cosmogenic radionuclide production signal via a curve fitting method provides a tool for the quasi-continuous synchronization of paleoclimate archives. In this study, we apply this approach
The German federal state of North Rhine-Westphalia (NRW) is home to one of the most important industrial regions in Europe, and is the first German state to have adopted its own Climate Protection Law (CPL). This paper describes the long-term (up to 2050) mitigation scenarios for NRW's main energy-intensive industrial sub-sectors which served to support the implementation of the CPL. It also descr
Aim: To determine the importance of different biogeographical processes (vicariance, dispersal, long-distance dispersal and establishment or LDDE) for the current distribution of metalmark moths, a group of small insects, using a time-calibrated molecular tree. Location: Global. Methods: We sampled 104 species of metalmark moths with representatives from all six major biogeographical regions of th
Background: Poly-3-d-hydroxybutyrate (PHB) that is a promising precursor for bioplastic with similar physical properties as polypropylene, is naturally produced by several bacterial species. The bacterial pathway is comprised of the three enzymes β-ketothiolase, acetoacetyl-CoA reductase (AAR) and PHB synthase, which all together convert acetyl-CoA into PHB. Heterologous expression of the pathway
Precipitation and air temperature are key drivers of watershed models. Currently there are many open-access gridded precipitation and air temperature datasets at different spatial and temporal resolutions over global or quasi-global scale. Motivated by the scarcity and substantial temporal and spatial gaps in ground measurements in Africa, this study evaluated the performance of three open-access
The combined effect of feeding regime and photoperiod on the growth of juvenile Atlantic cod Gadus morhua in land-based recirculating aquaculture systems (RAS) was examined using three different commercial diets. Fish of 8-10 g were reared in 1 m³ tanks at an initial density of 10 kg m-³ for 78 d. Three RAS units were used to simultaneously test three feed/photoperiod regimes that might be encount
Starch granules are an interesting stabilizer candidate for food-grade Pickering emulsions. The stabilizing capacity of seven different intact starch granules for making oil-in-water emulsions has been the topic of this screening study. The starches were from quinoa; rice; maize; waxy varieties of rice, maize, and barley; and high-amylose maize. The starches were studied in their native state, hea
BackgroundPatient education and dialogue are important when choosing a future treatment strategy for patients with chronic kidney disease. To support patients in their decision-making process, it is critical to provide information in a way that patients can understand. This study was conducted to understand how nephrologists view the goals of information sharing, the challenges involved, and the s
Palmer Drought Severity Index (PDSI) is known as a robust agricultural drought index since it considers the water balance conditions in the soil. It has been widely used as a reference index for monitoring agricultural drought. In this study, the PDSI time series were calculated for nine synoptic stations to monitor agricultural drought in semi-arid region located at Zagros mountains of Iran. Auto
In humans, resting cerebral perfusion, oxygen consumption and energy metabolism demonstrate large intersubject variation regardless of methodology. Whether a similar large variation is also present longitudinally in individual subjects is much less studied, but knowing the time variance in reproducibility is important when designing and interpreting longitudinal follow-up studies examining brain p
The spatial prediction of the turbulent flow of the unsteady von Kármán vortex street behind a cylinder at Re = 1000 is studied. For this, an echo state network (ESN) with 6000 neurons was trained on the raw, low-spatial resolution data from particle image velocimetry. During prediction, the ESN is provided one half of the spatial domain of the fluid flow. The task is to infer the missing other ha
BACKGROUND: There is increasing evidence implicating hemoglobin/heme and their scavengers in oxidative stress-mediated pathologies, but information is limited in abdominal aortic aneurysm (AAA).METHODS AND RESULTS: In this case-control study, we assessed heme/heme-related markers in 142 men with AAA and 279 men with a normal aortic diameter consecutively recruited from an ultrasound screening prog
Introduction Measure and monitor adverse events (AEs) following hip arthroplasty is challenging. The aim of this study was to create a model for measuring AEs after hip arthroplasty using administrative data, such as length of stay and readmissions, with equal or better precision than an ICD-code based model. Materials and methods This study included 1 998 patients operated with an acute or electi
Objective: An artefact-free electrocardiogram (ECG) is essential during cardiac arrest to decide therapy such as defibrillation. Mechanical cardiopulmonary resuscitation (CPR) devices cause movement artefacts that alter the ECG. This study analyzes the effectiveness of mechanical CPR artefact suppression filters to restore clinically relevant ECG information. Approach: In total, 495 10 s ECGs were
The rapid expansion of oil palm is a major driver of deforestation and other associated damage to the climate and ecosystem in tropical regions, especially Southeast Asia. It is therefore necessary to precisely detect and monitor oil palm plantations to safeguard the ecosystem services and biodiversity of tropical forests. Compared with optical data, which are vulnerable to cloud cover, the Sentin
