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Identifying important health system factors that influence primary care practitioners' referrals for cancer suspicion : a European cross-sectional survey

OBJECTIVES: Cancer survival and stage of disease at diagnosis and treatment vary widely across Europe. These differences may be partly due to variations in access to investigations and specialists. However, evidence to explain how different national health systems influence primary care practitioners' (PCPs') referral decisions is lacking.This study analyses health system factors potentially influ

Implantation Metastases from Gastrointestinal Cancer after Percutaneous Puncture or Biliary Drainage

Objective: Evaluation of incidence and outcome of implantation metastases after percutaneous fine-needle biopsy or biliary drainage. Design: Retrospective study. Setting: University hospital, Sweden. Subjects: Eight patients with implantation metastases from gastrointestinal cancers after percutaneous fine-needle biopsy (n = 7) or biliary drainage (n = 1). Main outcome measures: Incidence of impla

Too Sharp for its Own Good – Tool Edge Deformation Mechanisms in the Initial Stages of Metal Cutting

© 2017 Metal cutting simulations have become an important part of cutting tool design and the research in the field in general. One of the most important aspects of modeling is the accuracy of the tool geometry. 3D microscopy is used for measuring the tool edge radius with good accuracy. However, especially with sharp tools, i.e. small tool edge radii, the measurements, no matter how accurate, are

Use of simulated patients to assess hypertension case management at public healthcare facilities in South Africa

OBJECTIVE: Our study aims to evaluate hypertensive case management in South Africa's public health sector using simulated patients.METHOD: Our study describes interactions between hypertensive simulated patients and primary healthcare workers at 39 public sector healthcare facilities in two metropolitan centres in the Eastern and Western Cape Provinces of South Africa. Our analysis focus on 97 int

Clinical validation of the Swedish version of Dyspnoea-12 instrument in outpatients with cardiorespiratory disease

Introduction Breathlessness is the cardinal symptom in both cardiac and respiratory diseases, and includes multiple dimensions. The multidimensional instrument Dyspnoea-12 has been developed to assess both physical and affective components of breathlessness. This study aimed to perform a clinical validation of the Swedish version of Dyspnoea-12 in outpatients with cardiorespiratory disease. Method

Is kidney biopsy necessary in children with idiopathic nephrotic syndrome?

AIM: To investigate the need, in the Northern European setting, to perform kidney biopsy in children with steroid-sensitive nephrotic syndrome.METHODS: In this retrospective study 124 individuals aged 1-18 years with idiopathic nephrotic syndrome, followed in the paediatric hospitals in southern Sweden from 1999 to 2018, were included.RESULTS: There was a median follow-up time of 6.5 (0.2-16.8) ye

Characterisation of two novel cyclodextrinases using on-line microdialysis sampling with high-performance anion exchange chromatography

In this work, a real-time sampling/analytical method for on-line measurements of two newly discovered cyclomaltodextrinases (CDases) has been developed and evaluated. This novel methodology not only allows the final products to be investigated, but it also reveals enzyme-specific differences in the degradation pathways during the hydrolysis of different substrates, which is a great advantage in th

A Swedish national post-marketing surveillance study of natalizumab treatment in multiple sclerosis

Background: A post marketing surveillance study was conducted to evaluate safety and efficacy of natalizumab in Swedish multiple sclerosis (MS) patients since its introduction in August 2006 until March 2010. Methods: Patients were registered in the web-based Swedish MS-registry at 40 locations and evaluated every 6 months. Adverse events and clinical outcomes were recorded. Results: One thousand

Static and Dynamic Modelling of the Drying Section of a Paper Machine

Popular Abstract in Swedish Papperstillverkning inkluderar flera processteg såsom flisning av träråvaran, massakokning och avvattning med vakuumlådor, pressning och torkning. Flera modeller av de mest viktiga processerna i torkpartiet presenteras i denna avhandling. Modellerna beskriver både statiska och dynamiska förlopp. Nya reglerstrategier som kan användas för både reglering vid stationär drifThe paper making process involves chopping of wood, cooking and forming, followed by dewatering in a vacuum section, press section and drying section. Several models for the most important parts of the paper machine drying section are presented in this thesis to describe phenomena at steady state and during state transitions. New control strategies applicable/useful for both steady-state control a

The relation between language and thought revealed in reflecting upon words used to express the conception of a problem

The way relationships between symbols and thoughts are created is a general problem in learning, mainly described as "how students' learn to mean". This general problem raises some basic questions concerning how students' relate understanding to words used in learning. The present research provides an alternative perspective on the relationship between thought and language derived from the phenome

Investigating stellar-mass black hole kicks

We investigate whether stellar-mass black holes have to receive natal kicks in order to explain the observed distribution of low-mass X-ray binaries containing black holes within our Galaxy. Such binaries are the product of binary evolution, where the massive primary has exploded forming a stellar-mass black hole, probably after a common envelope phase where the system contracted down to separatio

The impact of CCD radiation damage on Gaia astrometry - I. Image location estimation in the presence of radiation damage

The Gaia mission has been designed to perform absolute astrometric measurements with unprecedented accuracy; the end-of-mission parallax standard error is required to be of the order of 10 mu as for the brightest stars (V= 10) and 30 mu as for a G2V-type star of magnitude 15. These requirements set a stringent constraint on the accuracy of the estimation of the location of the stellar image on the

Consequences of immune system aging in nature: a study of immunosenescence costs in free-living Tree Swallows

Immunosenescence, the aging of the immune system, is well documented in humans and laboratory models and is known to increase infection risk, morbidity, and mortality among the old. Immunosenescence patterns have recently been unveiled in various free-living populations, but their consequences in the wild have not been explored. We investigated the consequences of immunosenescence in free-living T

Normal visual fields as assessed by computerized static threshold perimetry in patients with untreated primary hypothyroidism

In this prospective study, 25 consecutive patients with untreated primary hypothyroidism were tested with a highly sensitive perimetric technique, since a high prevalence of visual field defects has been described in this condition. All patients had clinical hypothyroidism, a serum TSH value greater than 20 mU/l (reference range 0.4-4.0) and decreased/low normal serum total T4 concentration. Visua

Prognosis of asymptomatic stenosis of the middle cerebral artery

BACKGROUND: The risk of ischaemic events in asymptomatic intracranial atherosclerosis is unknown. OBJECTIVE: To follow up patients with asymptomatic atherosclerotic middle cerebral artery stenosis (MCAS) to evaluate the long term stroke risk in its territory. METHODS: Consecutive white patients with asymptomatic atherosclerotic MCAS were enrolled. Patients with MCAS of possible or proven non-ather

Prevention of postmenopausal osteoporosis with oestrogen replacement therapy and associated compounds: update on clinical trials since 1995

Hormonal replacement therapy (HRT) is generally regarded as first choice for pharmacological prevention of osteoporosis in women. We reviewed recent studies of HRT regimens and selective oestrogen receptor modulators (SERMs), including controlled trials of at least one-year duration published since 1995 until February 2000 providing data on bone mineral density (BMD) or fractures. Natural and synt

Bottom-up or top-down control in forest soil microcosms? Effects of soil fauna on fungal biomass and C/N mineralisation

A major question in soil ecology is whether soil food webs are regulated by resources or by predators, i.e. bottom-up (donor) or top-down controlled. We tested the hypothesis that meso- and macrofaunal soil predators can regulate fungivore populations and, thereby cause a top-down cascade effect on fungal biomass and decomposition/mineralisation processes in boreal forest soils. The study was perf

Heart transplantation with ABO-identical versus ABO-compatible cardiac grafts: Influence on long-term survival.

Abstract Objectives. To compare identical versus compatible, ABO blood group matching effects on rejection and long-term survival after heart transplantation (HT). Design. Data were collected from 196 patients who underwent HT at Lund University Hospital between 1988 and 2008. Cox proportion hazard regression analysis was used to identify factors associated with reduced long-term survival. Results