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Implementation of the integrated palliative care outcome scale in acute care settings - a feasibility study

OBJECTIVE: Although hospitals have been described as inadequate place for end-of-life care, many deaths still occur in hospital settings. Although patient-reported outcome measures have shown positive effects for patients in need of palliative care, little is known about how to implement them. We aimed to explore the feasibility of a pilot version of an implementation strategy for the Integrated P

Factors Influencing Need for Late ASD Closure after Neonatal Repair of Severe Pulmonary Valve Obstruction and Intact Ventricular Septum

Background: In neonates with critical pulmonary stenosis (CPS) or pulmonary atresia with intact ventricular septum (PAIVS), a nonrestrictive atrial septal defect (ASD) has been speculated to improve the initial clinical course after pulmonary valvotomy (PV) but some concerns exist in terms of its potentially longterm adverse effect on the right ventricle`s (RV) growth and persistent desaturation d

The integrated palliative care outcome scale for patients with palliative care needs : Factors related to and experiences of the use in acute care settings

ObjectiveImplementation of patient-reported outcome measures for patients with palliative care needs is characterized by both enablers and barriers. The ways in which healthcare professionals experience the use of assessment tools is important. Our aims were to explore factors contributing to or hindering patients with palliative care needs in assessing their symptoms with the Integrated Palliativ

Neurosurgical intervention in ultra-severe closed traumatic brain injury : Is it worth the effort?

Introduction: A subgroup of severe Traumatic Brain Injury (TBI) patients, known as ultra-severe (us-TBI), is most commonly defined as a post-resuscitation Glasgow Coma Scale (GCS) of 3–5. There is uncertainty on whether these critically injured patients can benefit from neurosurgical intervention. Research question: The available evidence regarding the decision-making and outcome following managem

En livsstil i linje med 1,5-graders- målet : En forskningsbaserad guide

Med denna guide vill vi ge forskningsbaserade råd om hur du kan minska dinklimatpåverkan genom att förändra dina levnadsvanor, och leva i linje medParisavtalets 1,5-gradersmål. Vi vill både visa svenskars genomsnittliga klimat-avtryck och den stora skillnaden mellan individers koldioxidavtryck. Det innebär attdet behövs olika vägval för de som vill förändra sina levnadsvanor. Guiden betonardessutoSyftet med denna guide är att ge forskningsbaserade råd om de mest effektiva sätten att minska sitt koldioxidavtryck för en genomsnittlig person i Sverige. Samtidigt visar den att individuella livsstilsförändringar måste kombineras med och stödjas av förändringar i det omgivande samhället. Dessutom ger guiden en allmän fingervisning om storleken på ditt koldioxidavtryck och om vilka delar av din v

Let's Do Free-Spirited Sociology!

Kan du som sociolog bli "bättre" på att teoretisera och i så fall hur? Handlar det om att behärska vissa vetenskapliga metoder för teoretiserande eller tvärtom om att släppa loss och inte tänka så mycket på vad du gör och varför? Är det det ena eller det andra som gäller, eller ska du snarare växla mellan olika förhållningssätt? Måste kreativiteten frigöras och i så fall från vad? I denna korta te

How are we handling protein drugs in hospitals? A human factors and systems engineering approach to compare two hospitals and suggest a best practice

Biopharmaceuticals are complex biological molecules that require careful storage and handling to ensure medication integrity. In this study, a work system analysis of real-world protein drug (PD) handling was performed with the following goals: identify main barriers and facilitators for successful adherence to accepted recommendations in PD handling, analyse differences in two organizations, and

High resolution modelling of elemental carbon for Denmark

Elemental Carbon (EC) has been in focus for a long time due to its importance for climate effects and human health (WHO / IPCC). The pollutant is released by incomplete combustion of carbon fuels, making road traffic, off-road machinery, and wood stove burning the largest sources of EC emissions. In this work, we investigate the distribution of EC over Denmark using a combination of three models w

Faculty Development for Educational Leadership

The chapter describes five examples of dedicated faculty development trajectories for educational leadership in research-intensive universities, focusing on their nature and effects. After discussing and elaborating on the concept of ‘educational leadership’, the chapter portrays and compares professional development trajectories for educational leadership in five research-intensive universities:

Cardiac output during targeted temperature management and renal function after out-of-hospital cardiac arrest

Purpose: After resuscitation from out-of-hospital cardiac arrest (OHCA), renal injury and hemodynamic instability are common. We aimed to assess the association between low cardiac output during targeted temperature management (TTM) and acute kidney injury (AKI) after OHCA. Materials and methods: Single-center substudy of 171 patients included in the prospective, randomized TTM-trial. Hemodynamic

Financial Crisis and Crisis Management in Sweden. Lessons for Today

This paper gives an account of the Swedish financial crisis covering the period 1985–2000, dealing with financial deregulation and the boom in the late 1980s, the bust and the financial crisis in the early 1990s, the recovery from the crisis and the bank resolution policy adopted during the crisis. The paper focuses on three issues: the causes and consequences of the financial crisis, the policy rThis paper gives an account of the Swedish financial crisis covering the period 1985–2000, dealing with financial deregulation and the boom in the late 1980s, the bust and the financial crisis in the early 1990s, the recovery from the crisis and the bank resolution policy adopted during the crisis. The paper focuses on three issues: the causes and consequences of the financial crisis, the policy r

The ATLAS experiment at the CERN Large Hadron Collider: a description of the detector configuration for Run 3

The ATLAS detector is installed in its experimental cavern at Point 1 of the CERN Large Hadron Collider. During Run 2 of the LHC, a luminosity of ℒ = 2 × 1034 cm-2 s-1 was routinely achieved at the start of fills, twice the design luminosity. For Run 3, accelerator improvements, notably luminosity levelling, allow sustained running at an instantaneous luminosity of ℒ = 2 × 1034 cm-2 s-1, with an a

The Effect of Targeted Temperature Management on the Metabolome Following Out-of-Hospital Cardiac Arrest

Targeted temperature management (TTM) may moderate the injury from out-of-hospital cardiac arrest. Slowing the metabolism has been a suggested effect. Nevertheless, studies have found higher lactate levels in patients cooled to 33°C compared with 36°C even days from TTM cessation. Larger studies have not been performed on the TTM's effect on the metabolome. Accordingly, to explore the effect of TT