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Reliability assessment of a bridge structure subjected to chloride attack

Prediction of the service lifetime of concrete structures with respect to chloride ingress involves a number of parameters that are associated with large uncertainties. Hence, full-scale measurements are strongly in demand. This paper begins by summarizing statistical distributions based on measurements taken from the Gimsøystraumen Bridge in Norway. A large number of chloride profiles are availab

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

Travel time to care does not affect survival for patients with colorectal cancer in northern Sweden : A data linkage study from the Risk North database

INTRODUCTION: Numerous prior studies, even from countries with free access to care, have associated long travel time to care with poor survival in patients with colorectal cancer. METHODS: This is a data-linkage study of all 3718 patients with colorectal cancer, diagnosed between 2007 and 2013 in Northern Sweden, one of the most sparsely populated areas in Europe. Travel time to nearest hospital w

Inledning till temanummer om Covid-19s effekter på arbetslivet

Sammantagningsvis tar det här temanumret upp viktiga aspekter rörande coronapandemins effekter på arbetslivet. Utifrån artiklarna vill vi särskilt lyfta följande fyra punkter som angelägna för framtiden:- facket och skyddsombuden i Sverige spelar viktiga roller för bedömning avarbetsmiljörisker vid kriser, såsom coronapandemin.- goda arbetsvillkor i vardagen är avgörande för vård- och omsorgssekto

Equity in Swedish health care reconsidered : New results based on the finite mixture model

This paper reconsiders the equity issue in Swedish health care utilization previously analysed by Gerdtham (Health Econ 1997; 6: 303-319) within the framework of the standard two-part model. Departing from the user/non-user distinction, we use the more flexible framework of the finite mixture model that distinguishes between frequent/infrequent users. Our results indicate that the support for the

A note on validating Wagstaft and van Doorslaer's health measure in the analysis of inequalities in health

The aim of this note is to validate Wagstaff and van Doorslaer's approach of constructing a continuous health measure to be used in the analysis of inequalities in health. We calculate health concentration indices for Uppsala County in Sweden based on three different health status measures: health measured according to the WvD approach based on a self-assessed categorical health measure, health me

Doctor at your fingertips : An exploration of digital visits from stakeholders’ perspectives

Technological advances and the evolution of mobile technologies enable patients to meet their doctors through their smartphones. While offering the opportunity of digital visits to patients, there are also challenges for this development. The purpose of this study is to enhance the understanding of digital visits, as perceived by experts working in telemedicine companies. To serve this purpose, th

Inequalities in the economic consequences of depression and anxiety in Europe : a systematic scoping review

BACKGROUND: Depression and anxiety are associated with adverse outcomes in educational achievements and economic performances. Moreover, the prevalence of these disorders is unequally distributed among different population subgroups. Our objective is to investigate whether the economic consequences of depression and anxiety differ between population subgroups of different gender, socioeconomic sta

Estimating returns to hospital volume : Evidence from advanced cancer surgery

High-volume hospitals typically perform better than low-volume hospitals. In this paper, we study whether such patterns reflect a causal effect of case volume on patient outcomes. To this end, we exploit closures and openings of entire cancer clinics in Swedish hospitals which provides sharp and arguably exogenous variation in case volumes. Using detailed register data on more than 100,000 treatme

A base-stock inventory model with service differentiation and response time guarantees

In response to customer specific service time guarantee requirements, service providers can offer differentiated services. Although response time agreements offer more flexibility, most of the theoretical models for customer differentiation are based on fill rates, due to the difficulty of calculating the response time distribution in the presence of priorities. In this paper we focus on the (S−1,

"I'm not a jukebox where you push a button and then I sing": Negotiating Medicine Access in Physician–Patient Encounters

This article aims to deepen understandings of physician–patient encounters by investigating views and perceptions held by Swedish physicians and care seekers on medicine access. Through a relational approach and a focus on materialities of medicines as fluid and contingent, we conceptualize medicine access as situated everyday practices and physician–patient encounters as embedded in sociomaterial

Smoking Cessation Programs Are Less Effective in Smokers with Low Socioeconomic Status Even When Financial Incentives for Quitting Smoking Are Offered-A Community-Randomized Smoking Cessation Trial in Denmark

Financial incentives offered to those who quit smoking have been found effective, also in persons with low socioeconomic status (SES), but no previous study has investigated who benefits most: smokers with low or high SES. In this community-randomized trial ("Richer without smoking"), three Danish municipalities were randomized to reward persons who were abstinent when attending the municipal smok

The formal care costs of dementia : a longitudinal study using Swedish register data

BACKGROUND: This study investigates the excess costs of dementia from healthcare, social care services, and prescription drugs 3 years before to 6 years after diagnosis. Further, sociodemographic cost differences are explored.METHODS: Using Swedish register data from 2013 to 2016 to compare individuals diagnosed with dementia (n = 15,339) with population controls, the excess formal care costs for

The Participation Paradox in the Politics of AI

AI systems are increasingly being used to shift decisions made by humans over to automated systems, potentially limiting the space for democratic participation. The risk that AI erodes democracy is exacerbated where most people are excluded from the ownership and production of AI technologies that will impact them.AI learns through datasets but, very often, that data excludes key parts of the popu