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Association between self-reported alcohol consumption and diastolic dysfunction : a cross-sectional study

BACKGROUND AND OBJECTIVES: While alcohol consumption is associated with common risk factors for diastolic dysfunction the independent impact of low levels of alcohol consumption on this condition in a community setting is still unclear.Thus, the aim of this study was to explore this association in a representative population sample employing optimal echocardiographic techniques.DESIGN: Cross-secti

Primary midwives' experiences of collegial midwifery assistance during the active second stage of labor : Data from the Oneplus trial

Background: Collegial midwifery assistance during the active second stage of labor that involves a second midwife being present has been shown to reduce severe perineal trauma (SPT) by 30%. The aim of this study was to investigate primary midwives' experiences of collegial midwifery assistance with the purpose of preventing SPT during the active second stage of labor. Methods: This study uses an o

A simple mortality prediction model for sepsis patients in intensive care

Background: Sepsis is common in the intensive care unit (ICU). Two of the ICU’s most widely used mortality prediction models are the Simplified Acute Physiology Score 3 (SAPS-3) and the Sequential Organ Failure Assessment (SOFA) score. We aimed to assess the mortality prediction performance of SAPS-3 and SOFA upon ICU admission for sepsis and find a simpler mortality prediction model for these pat

Sex differences in the relationships between BMI, WHR and incidence of cardiovascular disease: a population-based cohort study.

Objective: Body mass index (BMI) is associated with increased incidence of cardiovascular disease (CVD). However, the risk could be very different for individuals with the same body mass. The present study explored whether regional fat distribution, as measured by waist-hip ratio (WHR), could modify the impact of BMI on the risk of CVD in men and women. Design: Prospective population-based study.

The importance of porphyrin distortions for the ferrochelatase reaction.

Ferrochelatase is the terminal enzyme in haem biosynthesis, i.e. the enzyme that inserts a ferrous ion into the porphyrin ring. Suggested reaction mechanisms for this enzyme involve a distortion of the porphyrin ring when it is bound to the enzyme. We have examined the energetics of such distortions using various theoretical calculations. With the density functional B3LYP method we calculate how m

Ventilation efficiency measurements - a comparison between three supply air methods

Trötta ögon, huvudvärk, för kallt eller för varmt och allmänt lägre prestationsförmåga. Så kan det se ut på ett kontor med dålig ventilation och detta minskar förtjänsten för företaget samtidigt som det för de anställda upplevs påfrestande. Med ett väl dimensionerat, och rätt valt tilluftssystem blir inomhusklimatet avsevärt bättre och de anställda har de bästa förutsättningarna att med glädje preThis study compares the two traditional ventilation methods ; mixed ventilation and displacement ventilation, with a new type of dif fuser which attempts to solve the problem with blockage of the diffuser for the displacement ventilation. This new diffuser called Airshower is a product developed by Airson engineering AB whom is also the company where all simulations and tests for this study were

Playing the Game - A Study of Budgetary Gamesmanship within Financial Planning Processes.

Purpose: The purpose of this research is to look into different financial planning processes and approaches and see whether gaming behavior is more predominant in one financial planning process or approach over the other as theory suggests. Additionally, the research aims to identify whether performance measures directly tied to financial planning targets are evident and whether this could be the

Guiding technologists in México : testing theories of sustainable technological design development to create better design guidelines in a Mexican context

Technological development has been used to improve human conditions over time, but has in the process created detrimental impacts on the environment. As political forces shift the focus of technology to solve sustainability-related problems, much faith is put into that technologists will change the way they conduct their work so they create technologies that are more sustainable. Given the lack of

The Strategic Management Implications of Understanding Fair Trade through Organizational Economics

Purpose: The purpose of this study is to analyze the contractual relationships associated with the fair trade concept by applying organizational economics theory in order to contribute with theoretical and practical strategic management insights. The purpose stems from the underlying research problem concerning a lack of supplementary theoretical perspectives and development informing strategic de

Bidrar lönesystemet till att socialsekreterare vill säga upp sig? En kvantitativ studie om socialsekreterares upplevelser av rättvisa i lönesättningsprocessen och hur de hänger ihop med avsikt att byta arbete.

High staff turnover and difficulties in recruiting and retaining experienced social workers is an ongoing dilemma in the social service child welfare. The unions request the social service offices to review the pay system and consider what social workers with long experience should reasonably earn, since the difference between the lowest and highest salaries today is small. In the public sector, i

Leadership in the Digital and Social Era - A Theoretical Review and Digital Gamification for Employee Development

The aim of this paper is to explore which skills and mindsets are necessary for successful leadership in the digital era. It is written for IKEA who are interested in remaining at the forefront of their industry by understanding how digitalisation affects their business and how to make the most of the opportunities it brings, one aspect of which is leadership. There is a gap in the existing knowle

Grön Rehabilitering: Platsens betydelse rörande mänskligt välmående

Stress and mental illness are growing and are the leading causes to sickness and sick relief from work. A lot of the stress is due to psychosocial factors, i.e. how the individual is shaped by and herself shapes the environment (the context she is currently in) through social norms. Norms which are culturally contingent and shaped with the capitalistic system. Capitalism, with its built in need fo

The impact of horizontal projections on external fire spread - A numerical comparative study

Balkongplattor som alternativ till bröstning i byggnadsfasaden Tidigare forskning har visat att brandspridning i bostadshus ofta sker vertikalt via fönster i byggnadsfasaden. Samtidigt visar sig nivån på brandskyddet mot detta skilja sig åt mellan olika länders byggnadsregler. Att det finns oenighet i frågan antyder att ytterligare forskning behövs inom ämnet. I avsnitt 5:553 av de svenska byggThe aim of the report was to investigate and compare the effect of horizontal projections along with different spandrel heights between the unprotected openings in the building facade. The effect was more specifically the effect on the risk level in regards to the external vertical fire spread. Furthermore, based upon the performance requirements of the Swedish building regulations (BBR), the aim

Kommunal delegation - särskilt inom socialrätten

Uppsatsen behandlar kommunal delegation och speciellt den myndighetsutövning mot enskild som sker på socialrättens område. Framförallt gäller myndighetsutövningen tvångsomhändertaganden och ansökan om tvångsvård enligt LVU. Uppsatsen består av en deskriptiv del där gällande rätt avseende kommunal delegation utreds. Begrepp som behandlas är bland annat ren verkställighet, beslut, lekmannastyrning, This thesis deals with municipal delegation and in particular the excercise of authority over individuals within the field of social law. Said exercise of authority primarily concerns compulsive preventive detention and applications for compulsory care under LVU. The thesis consists of a descriptive part where the applicable law regarding municipal delegation is investigated. Concepts covered incl

The Impact of Networks on the Legitimacy of the Emerging Bioenergy Systems: A socio-technological Comparison of the Emergence of the Bioenergy Systems in Sweden and in the UK

Abstract Purpose: This thesis, first, sets out how the collective action strategies of prime movers and the manner in which they form networks affect the pace of legitimacy of a newly emerging bioenergy system. Under the light of this information, the second purpose is to see if it is possible to provide some lessons and good examples of networking strategies for prenatal or infant bioenergy case

Delayed umbilical cord clamping at birth has effects on arterial and venous blood gases and lactate concentrations

BJECTIVE: To estimate the influence of delayed umbilical cord clamping at birth on arterial and venous umbilical cord blood gases, bicarbonate (HCO3-), base excess (BE) and lactate in vigorous newborns. SETTING: University hospital. DESIGN: Prospective observational. SAMPLE: Vaginally delivered term newborns. MATERIAL AND METHODS: Umbilical cord arterial and venous blood was sampled repeatedly eve

The Gold Standard Programme: smoking cessation interventions for disadvantaged smokers are effective in a real-life setting

Objectives To evaluate the real-life effect of an evidence-based Gold Standard Programme (GSP) for smoking cessation interventions in disadvantaged patients and to identify modifiable factors that consistently produce the highest abstinence rates. Design Observational prospective cohort study. Setting GSPs in pharmacies, hospitals and communities in Denmark, reporting to the national Smoking Cessa

Doing the Right Things or Doing Things Right? : Paradoxes and Swedish Communication Professionals’ Roles and Challenges

Purpose – The purpose of this paper is to examine and analyze the prevailing form of rationality that governs the challenges, goals and roles of communication professionals. The authors will also explore alternative forms of rationality and discuss what these would imply. Design/methodology/approach – The paper is based on survey results from The European Communication Monitor (ECM) and qualitativ

Experience of violation during the past 3 months, social capital, and self-rated health: A population-based study.

Objective: The objective was to investigate the association between experience of violation during the past 3 months and self-rated health, taking trust (social capital), economic stress, and country of birth and parents' country of birth into account. Design/setting/participants/measurements: The 2008 public health survey in Skåne is a cross-sectional study with 55% response rate. A random sample

Cigarette smoking gives more respiratory symptoms among women than among men. The Nord-Trondelag Health Study (HUNT)

STUDY OBJECTIVE: Studies have indicated that women are more vulnerable to the effect of tobacco smoking compared with men. The aim of this study was to explore the prevalence of reported respiratory symptoms and diseases according to smoking burden, age and sex. DESIGN: Questionnaire in a cross sectional population based study. SETTING: The BONT (Bronchial obstruction in Nord-Trondelag) study is p