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INFORMEG, a new evaluation system for family medicine trainees : Feasibility in an Italian rural setting

Introduction: In Italy the course to become a general practitioner (GP) lasts 3 years and includes both theoretical and practical study. Different from the theoretical part, until recently the practical activity has not been assessed at all. The Emilia Romagna Regional Health Authority has developed a special program called INFORMEG (Management of Tutoring during the Triennial Specific Training in

Modifiable causes of premature death in middle-age in Western Europe : Results from the EPIC cohort study

Background: Life expectancy is increasing in Europe, yet a substantial proportion of adults still die prematurely before the age of 70 years. We sought to estimate the joint and relative contributions of tobacco smoking, hypertension, obesity, physical inactivity, alcohol and poor diet towards risk of premature death. Methods: We analysed data from 264,906 European adults from the EPIC prospective

Changes in body mass index following newly diagnosed type 2 diabetes and risk of cardiovascular mortality: A cohort study of 8486 primary-care patients

Aims. - Elevated body mass index (BMI) is associated with an increased risk of type 2 diabetes and cardiovascular disease (CVD). This study explored the association between BMI changes in the first 18 months of newly diagnosed type 2 diabetes and the risk of long-term CVD mortality. Methods. - A total of 8486 patients with newly diagnosed type 2 diabetes and no previous history of CVD or cancer we

Health-related quality of life in family members of patients with an advanced cancer diagnosis: A one-year prospective study

Background: Receiving a cancer diagnosis affects family members as well as the person diagnosed. Family members often provide support for the sick person in daily life out of duty and love, and may not always think of their own vulnerability to illness. To individualise support for them, family members who are most at risk for becoming ill must be identified. The aim of this study was to investiga

Phase evolution during the reactive sintering of ternary Al-Ni-Ti powder compacts

The formation of various aluminides and intermetallic compounds in the Al-Ni-Ti ternary system offers great potential for a wide variety of applications. In the present work, reactions occurring during the heating of compacted ternary Al-Ni-Ti elemental powder mixtures were studied using differential scanning calorimetry (DSC). The effect of composition on the reaction behavior was studied by vary

Are collagenous and lymphocytic colitis different aspects of the same disease?

Objective. Collagenous colitis (CC) and lymphocytic colitis (LC) are two subtypes of microscopic colitis (MC). Even though they most often are described as different entities they share many clinical and histological features. The aim of this study was to investigate the occurrence of conversion between CC and LC in a larger cohort of patients. Materials and methods. All 664 patients in our Pathol

Coffee and tea consumption and the risk of ovarian cancer: a prospective cohort study and updated meta-analysis

Background: In 2007 the World Cancer Research Fund Report concluded that there was limited and inconsistent evidence for an effect of coffee and tea consumption on the risk of epithelial ovarian cancer (EOC). Objective: In the European Prospective Investigation into Cancer and Nutrition (EPIC), we aimed to investigate whether coffee intakes, tea intakes, or both are associated with the risk of EOC

Profile of TP53 gene mutations in sinonasal cancer

Genetic alterations underlying the development of the cancer of the nose and paranasal sinuses (sinonasal cancer, SNC), a rare cancer that can be included in the group of head and neck cancers, are still largely unknown. We recently reported that TP53 mutations are a common feature of SNC, with an overall frequency of 77%, and they show association to adenocarcinoma and wood-dust exposure [15]. In

Assessment of the colon innervation with serial biopsies above the aganglionic zone before the pull-through procedure in Hirschsprung's disease

Different types of colonic dysganglionosis, and in particular intestinal neuronal dysplasia (IND) have been blamed for certain postoperative complications after surgery for Hirschsprung's disease (HD). We prospectively assessed colon innervation above the aganglionic zone (AZ) before proceeding to pull-through (PT) in order to rule-out IND as a cause of those complications. We first used a two-sta

Outcome after HSCT in Philadelphia chromosome positive acute lymphoblastic leukemia in Sweden: a population-based study

Even in the tyrosine kinase inhibitor era, allogeneic hematopoietic stem cell transplantation (HSCT) is regarded as standard care for adult Philadelphia (Ph) positive acute lymphoblastic leukemia (ALL). In this retrospective national study, we have reviewed the outcome after HSCT in Sweden for adult Ph-positive ALL between 2000 and 2009. In total, 51 patients with median age 42 (range 20-66) years

An evaluation of the interference of hydroxycobalamin with chemistry and co-oximetry tests on nine commonly used instruments

The administration of hydroxocobalamin (OHCob), alone or with sodium thiosulfate, is a standard therapy for cyanide poisoning. OHCob is a red chromophore, and its interference with co-oximetric and colorimetric laboratory measurements has been evaluated in a few conflicting reports. The interference of OHCob was investigated in samples spiked with 10 different concentrations of OHCob (0-1500 mg/L)

Testing avian compass calibration: comparative experiments with diurnal and nocturnal passerine migrants in South Sweden.

Cue-conflict experiments were performed to study the compass calibration of one predominantly diurnal migrant, the dunnock (Prunella modularis), and two species of nocturnal passerine migrants, the sedge warbler (Acrocephalus schoenobaenus), and the European robin (Erithacus rubecula) during autumn migration in South Sweden. The birds' orientation was recorded in circular cages under natural clear

Polymerase chain reaction is superior to serology for the diagnosis of acute Mycoplasma pneumoniae infection and reveals a high rate of persistent infection

Background: Diagnosis of Mycoplasma pneumoniae (MP) infection is traditionally based on serology, which may require more than two weeks for diagnostic antibodies to develop. PCR-based methods offer earlier diagnosis. During a community outbreak of MP infection, we compared seminested and real-time PCR of oropharyngeal swabs with serology for diagnosis of MP infection at different time points after

Minimal conization with carbon dioxide laser for treatment of cervical intra-epithelial neoplasia

Popular Abstract in Swedish Den gynekologiska hälsokontrollen har medfört att incidensen av invasiv cervix-cancer kunnat halveras på 20 år i Sverige. Trots detta inträffar fortfarande mellan 5 - 600 nya fall av invasiv cervix-cancer årligen. Dessvärre tillhör en icke så litendel av dessa patienter tidigare cytologiskt kontrollerade kvinnor. Ralf Richard, New York, har på 70-talet ingående studera3,100 non-pregnant women and 85 pregnants were miniconized during the 15-year period ending 1994 . The outpatient procedure of minimal conization using a freehand-guided, high power 60W carbon dioxide laser focused to 0.1 mm in spot-size, giving high power density 165,000 W/cm2, produces single-piece tissue specimens for histological examination. The procedure is performed under local anaesthesia

Therapeutic Alliance in General Psychiatric Care

Popular Abstract in SwedishDetta är en avhandling om relationen mellan patient och personal i svensk allmänpsykiatrisk vård. Arbetet började med att författaren under andra hälften av 1990-talet blev ombedd av dåvarande Malmöhu's Län's Landsting's Etiska Kommitté att göra en utredning om vad patienterna inom psykiatrin uppfattade som god psykiatrisk vård. Utredningen (som sedermera resulterade i aThe main aim of the thesis was to study different aspects of the therapeutic relationship in general psychiatric care, within various routine psychiatric settings with a variety of diagnostic patient groups and different staff groups. The first study investigated the patients' opinion on what constituted good psychiatric care. One outpatient and one inpatient sample were interviewed. The main resu

Field trials with ISA in Hungary and Spain

Within the framework of the European project, PROSPER, field experiments with ISA (Intelligent Speed Adaptation) were carried out in Hungary and Spain. Twenty vehicles in each country were equipped with two kinds of ISA systems: 1) warning via an active accelerator pedal and 2) warning via beep signals and flashing red light when exceeding the speed limit.

Both systems are based on a GPS r

Effect of finite element model loading condition on fracture risk assessment in men and women: The AGES-Reykjavik study

Proximal femoral (hip) strength computed by subject-specific CT scan-based finite element (FE) models has been explored as an improved measure for identifying subjects at risk of hip fracture. However, to our knowledge, no published study has reported the effect of loading condition on the association between incident hip fracture and hip strength. In the present study, we performed a nested age-

High incidence of acute full-thickness rotator cuff tears. A population-based prospective study in a Swedish Community.

Background and purpose - Epidemiological studies of full-thickness rotator cuff tears (FTRCTs) have mainly investigated degenerative lesions. We estimated the population-based incidence of acute FTRCT using a new diagnostic model. Patients and methods - During the period November 2010 through October 2012, we prospectively studied all patients aged 18-75 years with acute onset of pain after should

Membrane and lipopolysaccharide interactions of C-terminal peptides from S1 peptidases

The mechanisms underlying antimicrobial and anti-endotoxic effects were investigated for a series of structurally related peptides derived from the C-terminal region of S1 peptidases. For this purpose, results on bacterial killing were compared to those on peptide-induced liposome leakage, and to ellipsometry and dual polarization interferometry results on peptide binding to, and disordering of, s