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The effect of two midwives during the second stage of labour to reduce severe perineal trauma (Oneplus): a multicentre, randomised controlled trial in Sweden

BackgroundSevere perineal trauma (SPT) affecting the anal sphincter muscle complex is a serious complication following childbirth, associated with short-term and long-term maternal morbidity. Effective preventive strategies are still scarce. The aim of the Oneplus trial was to test the hypothesis that the presence of a second midwife during the second stage of labour, with the purpose of preventin

Public Access to Surgical Care. Studies on Timeliness, Capacity, Safety and Affordability.

Background. A once commonly held belief was that surgery is too complicated, too expensive, and too ineffectively addressing a too minor proportion of the burden of disease to deserve priority in a setting of scarce healthcare resources in low- and middle-income countries. Yet, essential surgical care can be as highly cost-effective as other common public health interventions, and surgical service

Housing conditions and respiratory health in children in mining communities : An analysis of data from 27 countries in sub-Saharan Africa

Background: Poor housing conditions, such as poor building materials and weak structures as well as high levels of indoor air pollution, are important risk factors for a broad range of diseases, including acute respiratory infections (ARI). In mining areas, research on the determinants of respiratory health predominantly focuses on exposures to outdoor air pollutants deriving from mining operation

Sensitivity of peatland respiration to vegetation community and temperature metric during a hot drought

The majority of the world’s peatlands are located in northern regions where climate change is occurring most rapidly. Therefore, there is an urgent need to understand whether, and under what conditions, peatlands will remain carbon sinks or become carbon sources. The uncertainties in our predictions stem from a variety of sources, including uncertainty about the competing effects of rising air tem

Disentangling production and climate signals from high-resolution Beryllium records: implications for solar and geomagnetic reconstructions

The sun is the most important energy source for the Earth’s climate system, however, influences of solar variations on climate are not fully understood. Studying past solar activity can improve our understanding of what role the sun plays in Earth’s climate. Cosmogenic radionuclides, such as 10Be in ice cores, are powerful tools to reconstruct past solar activity before the period of direct telesc

Reviews and syntheses : Biological weathering and its consequences at different spatial levels - From nanoscale to global scale

Plant nutrients can be recycled through microbial decomposition of organic matter but replacement of base cations and phosphorus, lost through harvesting of biomass/biofuels or leaching, requires de novo supply of fresh nutrients released through weathering of soil parent material (minerals and rocks). Weathering involves physical and chemical processes that are modified by biological activity of

Numerical modelling of geomaterials at failure

Geotechnical engineering is the science dealing with mechanics of soils and rocks and its engineering applications. Geotechnical engineering projects vary in a wide range, from evaluation of the stability of natural slopes and man-made soil deposits, to the design of earthworks and foundations. Traditional methods, using manual calculations or simplified computational methods, do not, as a rule, t

Apolipoprotein A-I in glucose metabolism and amyloidosis

The role of Apolipoprotein A-I (ApoA-I), the main protein component of HDL, in cholesterol transport and metabolism is well known and has been studied for more than four decades. More recently, ApoA-I protein has been shown to also have a positive role in glucose control by both stimulation of glucose uptake by muscles and by increasing glucose-stimulated pancreatic insulin secretion. Two of the f

Quantum memory development and new slow light applications in rare-earth-ion-doped crystals

When doped into solid state transparent crystals, rare-earth ions can have optically excited states with milliseconds coherence time and up to six hours coherence time for hyperfine levels after being cooled down to liquid helium temperature. This long coherence property makes them unique as solid state material and attractive for quantum information applications.The rare-earth ions have narrow ho

Jourtjänstgöring: påverkan på katabola processer och återhämtning

Anestesiläkare rapporterades i en svensk studie ha en högre mortalitet än genomsnittet av läkare. Detta fynd har dock ej kunnat reproduceras i motsvarande studier i de övriga nordiska länderna. Likväl har det spekulerats i om den angivna överrisken bland svenska anestesiläkare kan relateras till gruppens jourarbete med höga krav, nattarbete och stress. Kunskapen om hälsoeffekter av läkares jourarb

Modern landfill leachates – quality and treatment

Popular Abstract in Swedish Deponier (soptippar) har förändrats kraftigt de senaste decennierna. Detta beror främst på ändrad lagstiftning vilken i sin tur till stor del bygger på en önskan att skydda miljön. Dock har lag¬stiftningen implementerats utan riktig kännedom om dess konsekvenser för utsläppen från deponier på lång sikt. För att öka förståelsen för konsekvenserna genomfördes det forskninWaste management in Europe has changed, mainly as a result of stricter regulations, most notably the European Landfill Directive 1999/31/EC. In Sweden, landfill tax and a ban on the landfilling of waste with total organic carbon content over 10 % have diverted large amounts of waste from landfills. The biogeochemistry of landfills has changed due to their reduced organic content. The research pres

Remembering and Forgetting in the Archive : Instituting ‘Group Material’ (1979–1996)

My PhD submission is made up of a constellation of three elements that form a body of textual material / theory and practice event / exhibition. (1) A dimension of critical writing or dissertation that has two parts: (a) Retrospective / Prospective: Activating the Archive, September 1, 2010, and (b) an accretion of further analysis, Archive, Archived, Archiving, September 1, 2011. (2) A testin

Computational Analysis of Gas Flow and Heat Transport Phenomena in Ducts Relevant for Fuel Cells

The thesis concerns modeling, simulation and numerical analysis of heat and mass transport, and fluid flow in ducts of both solid oxide fuel cells (SOFCs) and proton exchange membrane fuel cells (PEMFCs). The unique fuel cell boundary conditions (thermal, mass) for the flow ducts in fuel cells are identified and applied. Various duct configurations have been studied, such as rectangular and trapez

Intracellular signaling and cellular plasticity in a rat model of L-DOPA-induced dyskinesia

Popular Abstract in Swedish Parkinsons sjukdom beror på att de dopamin-producerande cellerna i hjärnan dör. Detta leder till minskad rörlighet, svårigheter i att påbörja och avsluta en rörelse, balanssvårigheter och darrningar (tremor) hos de drabbade patienterna. Varför dopamincellerna dör är oklart och i nulägat kan man inte bota Parkinsons sjukdom, men man kan lindra symptomen med mediciner. PaParkinson's disease (PD) is a neurodegenerative disorder where the midbrain dopaminergic neurons are lost. Presently there is no cure for PD, and the most common treatment is to replace the lost dopamine pharmacologically by administration of the dopamine precursor L-DOPA. This works very well during the initial treatment period, but unfortunately a majority of the patients develop abnormal involu

Gäster i huset : kulturell överföring mellan slaver och skandinaver 900 till 1300

Popular Abstract in Swedish Vad har den slaviskt inspirerade östersjökeramiken som arkeologer finner i Skandinavien med slaver att göra? Levde de som gäster i huset? Vikingen och hanseaten har sedan länge sina platser inbokade på den historiska scenen. Under äldre medeltid rörde sig även andra aktörer över Östersjöns vatten. Främmande gäster besökte och bosatte sig i Skandinavien. Bland dem fanns Scholarly texts on Slavic-Scandinavian relations have concentrated on two main areas of interest. During the Viking Age the economic and social contacts between the lake Mälaren district and Rus’ were extensive. However, at the beginning of the Middle Ages, political antagonism between the two expanding realms of the Svear and the Novgorodians is noticeable. In southern Scandinavia, the hostility

An intercomparison study of analytical methods used for quantification of levoglucosan in ambient aerosol filter samples

The monosaccharide anhydrides (MAs) levoglucosan, galactosan and mannosan are products of incomplete combustion and pyrolysis of cellulose and hemicelluloses, and are found to be major constituents of biomass burning (BB) aerosol particles. Hence, ambient aerosol particle concentrations of levoglucosan are commonly used to study the influence of residential wood burning, agricultural waste burning

Neuronal and glial differentiation of expanded neural stem and progenitor cells; in vitro and after transplantation.

Popular Abstract in Swedish Denna avhandling handlar om stam- och progenitorceller från den embryonala mushjärnan. Jag har studerat dessa cellers förmåga att växa in vitro (utanför kroppen) samt efter transplantation till hjärnan hos vuxna och nyfödda råttor. Forskning om stamceller har länge varit ett populärt och uppmärksammat forskningsområde, men under de senaste åren har intresset i det närmaIn this thesis we have used cells dissected from the lateral ganglionic eminence (LGE), the medial ganglionic eminence (MGE), and the cortical primordium of the embryonic mouse forebrain. The tissue was dissected from either i) wild-type mice, ii) green fluorescent protein (GFP)-, or iii) Gtv-a-expressing transgenic mice, and subsequently grown and expanded in vitro using two different protocols.

Femoral neck fractures. Aspects on treatment and outcome.

Popular Abstract in Swedish Höftfraktur är en vanlig skada, som huvudsakligen drabbar äldre kvinnor, och oftast orsakas av ett ringa våld. Det är vanlig orsak till funktionsnedsättning, sjuklighet och dödlighet hos de äldre. Både incidensen (antal nya fall per antal innevånare och år) av höftfrakturer och det totala antalet har ökat de senaste årtiondena. Höftfrakturer medför stora kostnader för sHip fractures are a common cause of morbidity and mortality in elderly patients, with a high risk of functional impairment and institutionalization. The incidence and number of hip fractures have increased during the recent decades and hip fractures consume considerable health-care resources. The incidence of hip fractures in Malmö, Sweden, 1992–95, is described in Paper I. The annual incidence pe

Effects of Probiotics and Plant Components on Murine Experimental Colitis and Acute Liver Failure

Popular Abstract in Swedish Akut leversvikt medför hög risk för komplikationer orsakade av bakteriesepsis. Hög nivåer av lipopolysackarider (LPS; endotoxin) i det portala blodet kan leda till förhöjd sekretion av pro-inflammatoriska signalsubstanser från leverns Kupffer-celler, vilket har visats vara ett tidigt och viktigt tecken på leverskada. Patogenesen för inflammatorisk tarmsjukdom (?inflammaAcute liver failure is accompanied by a high rate of bacterial septic complications. High portal level of lipopolysaccharide (LPS) can lead to a pronounced secretion by Kupffer cells of pro-inflammatory mediators which have been shown to be early and important mediators of liver injury. Pathogenesis of inflammatory bowel disease (IBD) is complex; involving environmental, genetic, microbial, and im

Long-term follow-up after otitis media in childhood

Popular Abstract in Swedish Bakgrund: Öroninflammation är vanligt förekommande i barnaåren. De flesta barn har haft minst en episod med akut varig öroninflammation (AOM) och/eller en period med vätska i mellanörat (SOM) före skolstart. De flesta får enstaka episoder, frekvensen av AOM avtar i 2-års åldern och frekvensen av SOM avtar före skolstart. Efter en AOM episod är det vanligt att man under Objective: Most preschool children have suffered from at least one episode of acute otitis media (AOM) and/or secretory otitis media (SOM). Some children have frequent AOM episodes and/or prolonged and recurrent episodes of secretory otitis media (SOM). The long-term out-come and sequelae are not fully clarified. Subjects and methods: Out of a birth cohort followed to the age of 3 years, 12 child