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Mitral regurgitation management : a systematic review of clinical practice guidelines and recommendations

Multiple guidelines exist for the diagnosis and management of mitral regurgitation (MR), the second most common valvular heart disease in high-income countries, with recommendations that do not always match. We systematically reviewed guidelines on diagnosis and management of MR, highlighting similarities and differences to guide clinical decision-making. We searched national and international gui

Collecting data for quality improvement and research in Swedish healthcare, and the individual patient's right and ability to protect their privacy

During the last decades, there has been continuous development of nationwide quality registries to assess healthcare and to do research in Sweden. An important background motive is the demographic transition resulting from an increasingly ageing population as one of the most important challenges of our time and a growing concern in many European countries and elsewhere. One condition for meeting t

Experiences of rehabilitation one year after breast cancer diagnosis-A focus group study from the ReScreen randomized controlled trial

BACKGROUND: Treatment for breast cancer poses major challenges and leads to a variety of side-effects and problems that affect life for a long time. Experiences and symptoms vary, and research indicates a lack of structures for ensuring individualized rehabilitation. This qualitative focus group study aims to explore the experience of women with BC after participating in a complex randomized contr

Heart failure with preserved ejection fraction management : a systematic review of clinical practice guidelines and recommendations

Multiple guidelines exist for the diagnosis and management of heart failure with preserved ejection fraction (HFpEF). We systematically reviewed current guidelines and recommendations, developed by national and international medical organizations, on the management of HFpEF in adults to aid clinical decision-making. We searched MEDLINE and EMBASE on 28 February 2024 for publications over the last

Liposuction and Controlled Compression Therapy in the Treatment of Arm Lymphedema following Breast Cancer

Popular Abstract in Swedish Liposuction och kontrollerad kompressionsbehandling av armlymfödem efter bröstcancerbehandling Behandlingen av bröstcancer är kirurgisk. Förutom att bröstet avlägsnas innefattar behandlingen ofta borttagning av lymfkörtlar i armhålan samt strålbehandling. Detta leder till att flödet av lymfa från armen kraftigt försämras med svullnad som följd (lymfödem). Detta inträffLiposuction and controlled compression therapy in the treatment of arm lymphedema following breast cancer About one-third of all women treated for breast cancer develop arm lymphedema. The cancer itself is a worry, but the swollen and heavy arm is an additional handicap for the patients, both physical and psychosocial. Previous surgical and conservative treatments have not always given satisfacto

Porous pavement for reduced tyre/road noise and improved air quality : Initial results from a case study

One possible solution to reduce noise resulting from tyre-pavement interaction is to use a porous pavement surface. A porous surface will reduce noise by decreasing air pressure gradients in the tyre-pavement contact as well as by decreasing the acoustical impedance of the road surface and reducing the horn effect. While reducing noise, other functional aspects of a pavement such as abrasion wear

Longer daily oxygen use associates with more adverse events, symptoms, and worse health status in long-term oxygen therapy

IntroductionUse of long-term oxygen therapy (LTOT) for more than 15 h per day does not reduce mortality or hospitalizations, but may increase the risk of adverse events. We evaluated the relationship between daily oxygen use duration and adverse events, symptoms, and health status in patients on LTOT.MethodsThis was a cross-sectional survey study of a random sample (N = 650) of adults with ongoing

Mortality and morbidity after transcatheter aortic valve implantation compared to an age- and sex-matched control population : a population-based study from the SWEDEHEART registry

Introduction Data are lacking about the risk for death and major adverse cardiovascular events (MACE) after transcatheter aortic valve implantation (TAVI), compared to the general population. Therefore, we assessed the risk for all-cause death and MACE after TAVI in patients aged 65 years and older, in comparison to an age- and sex-matched control population. Methods and results In total, 5924 TAV

Image Quality Optimisation and Dose Management in CT, SPECT/CT, and PET/CT

Popular Abstract in Swedish Det diagnostiska värdet av röntgen- och nuklearmedicinska undersökningar kan knappast över¬skattas. Däremot innebär undersökningar som baseras på joniserande strålning en liten risk för patienten att senare i livet utveckla en cancer. Därför är det vår skyldighet att hålla stråldoserna så låga som möjligt med bibehållen diagnostisk noggrannhet. Idag utgör medicinska undThe significant increase in the use of CT, alone or combined with SPECT or PET, has raised concerns about patient radiation exposure and the consequent increased risk of malignancy later in life. The overall objective of this work was to evaluate and optimise different approaches for minimising patient radiation absorbed dose and maintaining or improving image quality in CT, SPECT/CT, and PET/CT.

Gender differences in lumbar disc herniation surgery

BACKGROUND AND PURPOSE: Although there have been numerous publications on lumbar disc herniation (LDH) treated surgically, there has been little interest in sex differences. It has been shown in many studies that sex differences may be important in certain diseases. We therefore reviewed consecutive register material from one institution for possible gender differences in pre- and postoperative pa

Key issues in European food science research: a review of the European Food Science Day 2009

This paper is a report on the European Food Science Day (Brussels, 18 November 2009, organized by the CommNet network of food science communicators) and its outcomes. The article presents FP 7 as a key funding mechanism in European food and nutrition research and it puts research in this sector in a socio-economic context. The article then reviews the specific activities of several EU-funded proje

Concordance between four European centres of PET reporting criteria designed for use in multicentre trials in Hodgkin lymphoma

To determine if PET reporting criteria for the Response Adapted Treatment in Hodgkin Lymphoma (RATHL) trial could enable satisfactory agreement to be reached between 'core' laboratories operating in different countries. Four centres reported scans from 50 patients with stage II-IV HL, acquired before and after two cycles of Adriamycin/bleomycin/vinblastine/dacarbazine. A five-point scale was used

Health-related quality of life in patients with haemophilia and inhibitors on prophylaxis with anti-inhibitor complex concentrate: results from the Pro-FEIBA study

Patients with haemophilia A and inhibitors are at high risk for severe bleeding, progression of joint disease and deterioration of health-related quality of life (HRQoL). To determine the impact of prophylaxis with an activated prothrombin complex concentrate (aPCC) on HRQoL, HRQoL was assessed using the Short-Form (SF)-36 Health Survey and the EQ-5D questionnaire in subjects 14years participating

International Development of the Patient-Reported Outcome Indices for Multiple Sclerosis (PRIMUS)

Background: The Patient-Reported Indices for Multiple Sclerosis (PRIMUS) comprises a suite of three scales for assessing symptoms, activity limitations, and quality of life in multiple sclerosis (MS). It was developed in the UK and has been shown to have excellent psychometric properties. This study describes the adaptation of eight language versions for Canadian English, Canadian French, French,

Efficacy and safety of a recombinant anti-immunoglobulin E antibody (omalizumab) in severe allergic asthma

Background Patients with severe asthma are often inadequately controlled on existing anti-asthma therapy, constituting an unmet clinical need. Objective This randomized, double-blind, placebo-controlled trial evaluated the ability of omalizumab, a humanized monoclonal anti-IgE antibody, to improve disease control sufficiently to enable inhaled corticosteroid reduction in patients with severe aller

Linguistic validation and cultural adaptation of an English version of the Evaluation of Daily Activity Questionnaire in rheumatoid arthritis

Background: To linguistically validate and culturally adapt the Evaluation of Daily Activity Questionnaire (EDAQ) for use in rheumatoid arthritis (RA) from Swedish to British English. The EDAQ is a patient reported outcome measure of daily activity ability. It includes 11 activity domains (Eating and Drinking; Personal Care; Dressing; Bathing; Cooking; Moving Indoors; House Cleaning; Laundry; Movi

Sharing building information from planning to maintenance phases

The sharing of digital information between phases in the planning and building process still have shortcomings. Ourstudy is performed as a test case on a construction project in a municipality and focuses on two aspects of how the sharing of building information could be improved: 1) to get a more process oriented approach to the information flow. Here we will test if the ISO-standard Product Life

Diet and postmenopausal breast cancer - With a focus on low-grade inflammation

Diet-breast cancer studies have shown that “healthy eating patterns” are associated with decreased risk whereas unhealthy patterns (especially those including alcohol) are associated with increased risk, particularly in postmenopausal women. The potential mechanisms behind the observed associations are still under investigation. A great deal of evidence supports the major role of lifelong overexpo