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Assessment of the Surgical Apgar Score in a Swedish setting

BACKGROUND: Predicting major post-operative complications is an important task for which simple and reliable methods are lacking. A simple scoring system based on intraoperative heart rate, blood pressure and blood loss was recently developed to fill this gap. This system, the Surgical Apgar Score, shows promising results both in terms of validity and in terms of usefulness. The goal of this study

Towards a Transrelational Theory of Moral Agency

This paper presents the foundations of a transrelational theory of moral agency, which extends the relational view with the idea that moral relationships include as well as transcend the descriptive criteria – e.g., in virtue of 1st person properties or 3rd person observables – of whatever makes someone a moral agent. The resultis a holistic picture that captures the complex interrelationship betwThis paper presents the foundations of a transrelational theory of moral agency, which extends the relational view with the idea that moral relationships include as well as transcend the descriptive criteria – e.g., in virtue of 1st person properties or 3rd person observables – of whatever makes someone a moral agent. The result is a holistic picture that captures the complex interrelationship bet

Predictive value of Bayley-III Motor Index for later motor difficulties in children born extremely preterm

Aim: To investigate the predictive ability of the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III) Motor Index, in children born extremely preterm (<27 gestational weeks) without cerebral palsy. Methods: Children from the EXPRESS study (all extremely preterm births in Sweden, 2004–2007) without neurosensory impairments assessed with Bayley-III at 2.5 years corrected age

Leprel1-related Giant Retinal Tear Detachments Mimic the Phenotype of Ocular Stickler Syndrome

Purpose:To describe the features of retinal detachments and high myopia in patients with novel pathogenic variants in LEPREL1 and report a possible association with nephropathy.Methods:Retrospective study of 10 children with biallelic LEPREL1 pathogenic variants. Data included ophthalmic features, surgical interventions, and genetic and laboratory findings.Results:10 patients (8 females) from thre

2012/13 influenza vaccine effectiveness against hospitalised influenza A(H1N1)pdm09, A(H3N2) and B : estimates from a European network of hospitals

While influenza vaccines aim to decrease the incidence of severe influenza among high-risk groups, evidence of influenza vaccine effectiveness (IVE) among the influenza vaccine target population is sparse. We conducted a multicentre test-negative case–control study to estimate IVE against hospitalised laboratoryconfirmed influenza in the target population in 18 hospitals in France, Italy, Lithuani

The DENOVA score efficiently identifies patients with monomicrobial Enterococcus faecalis bacteremia where echocardiography is not necessary

Objectives: Enterococcal bacteremia can be complicated by infective endocarditis (IE) and when suspected, transesophageal echocardiography (TEE) should be performed. The previously published NOVA score can identify patients with enterococcal bacteremia at risk for IE and we aimed to improve the score. Methods: Factors associated with IE were studied retrospectively in a population-based cohort of

Missed opportunity? Worsening breathlessness as a harbinger of death : A cohort study

The aim of the study was to explore trajectories of breathlessness intensity by function and life-limiting illness diagnosis in the last 3 weeks of life in palliative care patients. A prospective, consecutive cohort study obtained point-of-care data of patients of Silver Chain Hospice Care Service (Perth, Australia) over the period 2011–2014 (n=6801; 51494 data-points). Breathlessness intensity (0

Analysis of Programmed Cell Death and Senescence Markers in the Developing Retina of an Altricial Bird Species

This study shows the distribution patterns of apoptotic cells and biomarkers of cellular senescence during the ontogeny of the retina in the zebra finch (T. guttata). Neurogenesis in this altricial bird species is intense in the retina at perinatal and post-hatching stages, as opposed to precocial bird species in which retinogenesis occurs entirely during the embryonic period. Various phases of pr

MMCUP – a secondary prevention follow-up program in spina bifida and hydrocephalus.

In persons born with myelomeningocele (MMC) secondaryprevention measures are important to survive and to retainfunction. Swedish guidelines in MMC have been developedand a follow-up programme is linked to a quality of care reg-istry, internet-based since 2012. The rationale for creation ofthis registry were to avoid complications in MMC by provid-ing a medical and health overview, facilitate the c

Randomized trial of a left ventricular assist device as destination therapy versus guideline-directed medical therapy in patients with advanced heart failure. Rationale and design of the SWEdish evaluation of left Ventricular Assist Device (SweVAD) trial

AimsPatients with advanced heart failure (AdHF) who are ineligible for heart transplantation (HTx) can become candidates for treatment with a left ventricular assist device (LVAD) in some countries, but not others. This reflects the lack of a systematic analysis of the usefulness of LVAD systems in this context, and of their benefits, limitations and cost-effectiveness. The SWEdish evaluation of l

Medical Degree students' use of information : From writing and citing to evidence assessment

Objective: The aim of this study was to assess information literacy performance of students doing their master thesis at 5th year the Medical Degree Programme, Lund University, Sweden. The study investigates if there is a difference in performance between library class participants and non-participants. Method: A case-control approach with rubrics assessment was used to assess students’ informatio

Family patterns of arterial stiffness across three generations in the Malmö Offspring Study

Background:Central haemodynamics have in recent years emerged as a promising predictor of cardiovascular health and risk of cardiovascular disease (CVD). Central haemodynamics are affected early in the development of vascular aging and contributes to target organ damage. Carotid-femoral pulse wave velocity (c-f PWV), augmentation index (Aix) and central SBP (cSBP) are variables that reflect arteri

Is it possible to gain energy at work? A questionnaire study in primary health care

Abstract Objectives: The area of regenerative work is still close to unexplored. The aim was to explore the possibility for employees to gain energy at work. Methods: Questionnaire to all employees (n = 599) from different professions in public and private primary health care centers in one health care district in Sweden. The questionnaire, which had a salutogenic perspective, included information

The NciI polymorphism in the cyclin D1 gene and sporadic primary hyperparathyroidism

OBJECTIVES: The cell cycle regulator cyclin D1 plays an important role in parathyroid tumourigenesis. The NciI polymorphism in exon 4 has recently been associated with early onset of hereditary nonpolyposis colorectal cancer and is a prognostic indicator of nonsmall cell lung cancer and squamous cell carcinomas. Furthermore, a limited study of 28 primary hyperparathyroidism (pHPT) patients display

Self-Aware Anomaly-Detection for Epilepsy Monitoring on Low-Power Wearable Electrocardiographic Devices

Low-power wearable technologies offer a promising solution to pervasive epilepsy monitoring by removing the constraints concerning time and location, on one hand, and fulfilling long-term tracking, on the other hand. In the case of epileptic seizures, as the attacks infrequently occur, using an anomaly detection approach reduces the need to record long hours of data for each patient before detecti

The influence of n-hexanol on the morphology and composition of CTAB micelles

The effect of the addition of n-hexanol as co-surfactant on the structure of cetyltrimethylammonium bromide (CTAB) micelles has been studied using small-angle X-ray and neutron scattering (SAXS, SANS). Contrast variation neutron scattering experiments were performed to determine the structure of both pure CTAB and n-hexanol modified CTAB micelles. The incorporation of n-hexanol leads to an elongat

A robust Multi-Band Water Index (MBWI) for automated extraction of surface water from Landsat 8 OLI imagery

Surface water is vital resources for terrestrial life, while the rapid development of urbanization results in diverse changes in sizes, amounts, and quality of surface water. To accurately extract surface water from remote sensing imagery is very important for water environment conservations and water resource management. In this study, a new Multi-Band Water Index (MBWI) for Landsat 8 Operational

Coronary artery perforation and tamponade : Incidence, risk factors, predictors and outcomes from 12 years' data of the SCAAR registry

Background: The incidence and short- and long-term outcomes of coronary artery perforation (CAP) are not well described. Methods and Results: We analyzed the characteristics and the short- and long-term outcomes of CAP among 243,149 patients undergoing percutaneous coronary interventions (PCI) from 2005 until 2017 in the national Swedish registry. We identified 1,008 cases of CAP with an incidence

Behavioral disturbances and pharmacological treatment of patients with dementia in family caregiving : A 2-year follow-up

Behavioral disturbances are common in dementia. Polypharmacy due to progression of disease and fluctuation of symptoms among patients might increase risk of overtreatment and/or undertreatment. Drug prescription habits were studied in relationship to symptoms of dementia after relocation of patients to group-living care units (GC). Seventy-six demented patients (mean age 81 years) were assessed be