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The Impact of Living with Parkinson's Disease : Balancing within a Web of Needs and Demands

This study explores the impact of living with Parkinson's disease (PD). Nineteen persons (11 women) aged 55-84 diagnosed with PD 3-27 years ago participated. Data were collected through semistructured interviews, which were recorded, transcribed verbatim, and analysed by qualitative content analysis. Four categories represented the impact of living with PD: "Changed prerequisites for managing day-

Human- Versus Machine Learning-Based Triage Using Digitalized Patient Histories in Primary Care : Comparative Study

BACKGROUND: Smartphones have made it possible for patients to digitally report symptoms before physical primary care visits. Using machine learning (ML), these data offer an opportunity to support decisions about the appropriate level of care (triage).OBJECTIVE: The purpose of this study was to explore the interrater reliability between human physicians and an automated ML-based triage method.METH

The Experience of Using Video Support in Ambulance Care : An Interview Study with Physicians in the Role of Regional Medical Support

Background: In order to facilitate more effective patient assessment and diagnostic support by improving the flow of information between ambulance nurses (AN) and physicians in the role of regional medical support (RMS), an application was developed for transmitting real-time video images. Objective: The objective of this study was to elucidate the physicians' experiences using a video application

Methods and principles of product design for small-scale production based on 3D printing

Technology of 3D printing is opening the possibility for small-scale production in quantities between ten and several hundred pieces. The technology of adding material enables the production of complex and integrated functional concepts in a single-pass process, which consequently potentially reduces the need for assembly operations. Design approaches and manufacturing processing are not mastered

Cause of death and significant disease found at autopsy

The use of clinical autopsy has been in decline for many years throughout healthcare systems of developed countries despite studies showing substantial discrepancies between autopsy results and pre-mortal clinical diagnoses. We conducted a study to evaluate over time the use and results of clinical autopsies in Sweden. We reviewed the autopsy reports and autopsy referrals of 2410 adult (age > 17)

Simulation of near-infrared light propagation through the thorax of a neonate : Addressing the optimisation of source and detector positions for measuring lung oxygen content in preterm infants

Gas in scattering media absorption spectroscopy shortly called GASMAS, is a tunable diode laser spectroscopic technique developed for the measurement of gas present in turbid media. The technique relies on the sharp and specific absorption lines of gases which enables sensitive measurements of gas concentrations in the presence of a scattering solid medium with much broader absorption features. Th

Symptom relief during last week of life in neurological diseases

Objectives: The aim of this study was to investigate symptom prevalence, symptom relief, and palliative care indicators during the last week of life, comparing them for patients with motor neuron disease (MND), central nervous system tumors (CNS tumor), and other neurological diseases (OND). Material & Methods: Data were obtained from the Swedish Register for Palliative Care, which documents c

Comorbidity between pain and mental illness - Evidence of a bidirectional relationship

Background: Pain from various locations in the body and mental illness are common and the comorbidity between the two is well-known although the temporal relationship remains to be determined. Our aim was to follow patients over time to study if pain (here dorsalgia/abdominal pain) or fibromyalgia lead to an increased risk of developing mental illness (here depression/anxiety) and/or the reverse,

A combined surveillance program and quality register improves management of childhood disability

PURPOSE: To describe a concept for prevention of secondary conditions in individuals with chronic neuromuscular disabilities by using two Swedish developed follow-up-programmes for cerebral palsy (CP; CPUP) and myelomeningocele (MMC; MMCUP) respectively as examples.METHOD: This paper describes and outlines the rationale, development and implementation of CPUP and MMCUP.RESULTS: Both programmes are

Learning on Demand in GIS - Challenges for Employers and Universities

Summary – 200 words In education today, there is a paradigm shift with critical challenges for Universities to enhance innovation in teaching and learning. Knowledge and learning are critical issues for most companies and private and civil service organizations with today’s rapid changes in socio-economy and technology. The needs for competence development vary along a broad scale from short info

Admission Control Schemes Guaranteeing Customer QoS in Commercial Web Sites

Many commercial web sites, as web stores, have recently experienced performance problems due to the growth of Internet trading. One way to improve a site’s performance during overload is to introduce admission control mechanisms. In this paper we develop and investigate two admission control schemes specifically for distributed commercial web sites. One of the schemes is request-based and the othe

Access to high-quality oncology care across Europe

Oncology care in Europe is facing challenging circumstances. The report aims to derive evidence-based policy recommendations on how to optimize access to oncology care and how to achieve a high-quality standard that is both achievable and sustainable. The report looks at the full cancer patient pathway encompassing primary prevention, screening, diagnostics and treatment. Special emphasis is plac

Interleukin-6 concentrations in the urine and dipstick analyses were related to bacteriuria but not symptoms in the elderly: a cross sectional study of 421 nursing home residents

Background: Up to half the residents of nursing homes for the elderly have asymptomatic bacteriuria (ABU), which should not be treated with antibiotics. A complementary test to discriminate between symptomatic urinary tract infections (UTI) and ABU is needed, as diagnostic uncertainty is likely to generate significant antibiotic overtreatment. Previous studies indicate that Interleukin-6 (IL-6) in

The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trials

Background: Critical needs for treatment trials in gastroesophageal reflux disease (GERD) include assessing response to treatment, evaluating symptom severity, and translation of symptom questionnaires into multiple languages. We evaluated the previously validated Reflux Disease Questionnaire (RDQ) for internal consistency, reliability, responsiveness to change during treatment and the concordance

Modeling nutrient cycling and sustainable forest growth in a changing world

It took 70-80 years to realize the width of the impact of industrialization on the forest ecosystems since a forest ecosystem is a "slow system" as seen from a human perspective. An anticipated future climate change and increasing carbon dioxide and ozone levels will change the conditions even more with time and the widely used statistical forest growth models will not be applicable anymore. Compu