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Long-Term Clinical Outcomes After IFR- vs FFR-Guided Coronary Revascularization : Insights From the SWEDEHEART National Registry

Background: Long-term data on safety and efficacy of instantaneous wave-free ratio (IFR) vs fractional flow reserve (FFR) in guiding percutaneous coronary intervention (PCI) is lacking. Objectives: This study sought to evaluate the 5-year clinical outcomes of IFR- vs FFR-guided PCI in a real-world setting. Methods: We assessed the 5-year outcomes of all patients undergoing IFR or FFR assessment be

The inheritance of hip osteoarthritis in Iceland

Objective. To assess, in a population-wide study in Iceland, the genetic contribution to hip osteoarthritis (OA) leading to total hip replacement (THR). Methods. Information from 2 population-based databases in Iceland was combined: a national registry of all THRs performed between 1972 and 1996, and a genealogy database of all available Icelandic genealogy records for the last 11 centuries. A gen

Position dependence of recovery coefficients in 177Lu-SPECT/CT reconstructions – phantom simulations and measurements

Background: Although the importance of quantitative SPECT has increased tremendously due to newly developed therapeutic radiopharmaceuticals, there are still no accreditation programs to harmonize SPECT imaging. Work is currently underway to develop an accreditation for quantitative 177Lu SPECT/CT. The aim of this study is to verify whether the positioning of the spheres within the phantom has an

Minimum labelling requirements for dermatology artificial intelligence-based Software as Medical Device (SaMD) : A consensus statement

Background/Objectives: Artificial intelligence (AI) holds remarkable potential to improve care delivery in dermatology. End users (health professionals and general public) of AI-based Software as Medical Devices (SaMD) require relevant labelling information to ensure that these devices can be used appropriately. Currently, there are no clear minimum labelling requirements for dermatology AI-based

Mitigating heat effects in the workplace with a ventilation jacket : simulations of the whole-body and local human thermophysiological response with a sweating thermal manikin in a warm-dry environment

Climate change is increasingly affecting human well-being and will inevitably impact on occupational sectors in terms of costs, productivity, workers' health and injuries. Among the cooling garment developed to reduce heat strain, the ventilation jacket could be considered for possible use in workplaces, as it is wearable without limiting the user's mobility and autonomy. In this study, simulation

Revisiting bicoid function : complete inactivation reveals an additional fundamental role in Drosophila egg geometry specification

Introduction: The bicoid (bcd) gene in Drosophila has served as a paradigm for a morphogen in textbooks for decades. Discovered in 1986 as a mutation affecting anterior development in the embryo, its expression pattern as a protein gradient later confirmed the prediction from transplantation experiments. These experiments suggested that the protein fulfills the criteria of a true morphogen, with t

Lifestyle discussions facilitate self-management in RA : a qualitative study of patients' perceptions

BACKGROUND: Healthy lifestyle habits (regular physical activity, a healthy diet, no smoking and non-hazardous alcohol consumption) alongside pharmacological treatment can lower the risk of cardiovascular diseases and improve symptoms and quality of life in patients with rheumatoid arthritis (RA). Therefore, healthcare professionals in rheumatology care are urged to discuss lifestyle habits with al

Autism spectrum disorders in the Stockholm Youth Cohort : design, prevalence and validity

OBJECTIVE: Reports of rising prevalence of autism spectrum disorders (ASD), along with their profound personal and societal burden, emphasize the need of methodologically sound studies to explore their causes and consequences. We here present the design of a large intergenerational resource for ASD research, along with population-based prevalence estimates of ASD and their diagnostic validity.METH

Maintenance of quality of life improvement for patients with chronic pain and obesity after interdisciplinary multimodal pain rehabilitation : A study using the Swedish Quality Registry for Pain Rehabilitation

Background: Throughout the world many people have both obesity and chronic pain, comorbidities that decrease Health-Related Quality of Life (HRQoL). It is uncertain whether patients with comorbid obesity can maintain improved HRQoL after Interdisciplinary Multimodal Pain Rehabilitation (IMMPR). Methods: Data from 2016, 2017, and 2018 were obtained from a national pain database for Swedish speciali

Specificity of cyclic AMP potentiation of glucose-stimulated insulin release

The insulin-releasing activities of cyclic and non-cyclic nucleotides were studied with isolated pancreatic islets from obese-hyperglycemic mice. Substitution of cylidine, inosine, guanosine, or uridine for the adenosine moeity of cyclic 3ʹ,5ʹ-adenosine monophosphate was associated with a total loss of insulin-releasing ability. The 5ʹ-nucleotide triphosphate derivatives of these nucleotides were

System Identification of Atrial Activation during Chronic Atrial Fibrillation in Man

To further clarify the mechanisms maintaining chronic atrial fibrillation (CAF). a method for system identification of activation patterns of the atria was developed. Data were obtained as repeated recordings of 8 s duration, each of 56 atrial bipolar electrograms, simultaneously acquired during open-heart surgery at multiple sites in the right atrial free wall in 12 patients with stable sinus rhy

Inter-rater reliability of the diagnosis of otitis media based on otoscopic images and wideband tympanometry measurements

Objectives: This study aims to investigate the inter-rater reliability and agreement of the diagnosis of otitis media with effusion, acute otitis media, and no effusion cases based on an otoscopy image and in some cases an additional wideband tympanometry measurement of the patient. Methods: 1409 cases were examined and diagnosed by an otolaryngologist in the clinic, and otoscopy examination and w

Nitric oxide synthase in female reproductive and urinary organs: Hormonal regulation and functional significance

Popular Abstract in Swedish Nobelpriset i fysiologi och medicin 1998 gick till tre forskare från USA som gjort forskningsinsatser för upptäckten av kväveoxid (NO) vilket är en viktig signalsubstans i våra kroppar. Upptäckten av att en så liten molekyl som NO har så många funktioner i kroppen anses som en av de mest överraskande i medicinhistorien. Redan 1876 började man använda nitroglycerin som e

Impact of iterative reconstruction on image quality of low-dose CT of the lumbar spine

Background Iterative reconstruction (IR) is a recent reconstruction algorithm for computed tomography (CT) that can be used instead of the standard algorithm, filtered back projection (FBP), to reduce radiation dose and/or improve image quality. Purpose To evaluate and compare the image quality of low-dose CT of the lumbar spine reconstructed with IR to conventional FBP, without further reduction

Transportation noise and gestational diabetes mellitus : A nationwide cohort study from Denmark

BACKGROUND: Few studies have investigated whether road traffic noise is associated with gestational diabetes mellitus (GDM), and have yielded inconsistent findings. We aimed to investigate whether maternal exposure to residential transportation noise, before and during pregnancy, was associated with GDM in a nationwide cohort.METHODS: From the Danish population (2004-2017) we identified 629,254 pr

Validation of Gastrointestinal Quality of Life Index in Swedish for Assessing the Impact of Gallstones on Health-Related Quality of Life

The aim of the present study was to validate a Swedish translation of the Gastrointestinal Quality of Life Index (GIQLI) questionnaire in patients with gallstone disease. Sensitivity to change, internal consistency, and test-retest stability were tested in 187 consecutive patients who underwent planned cholecystectomy. Construct validity was assessed by comparing the GIQLI score with the bodily pa

Numerical and experimental evaluation of springback in a front side member

In this study, a part of an automotive side front section (front side member inner) was studied and a comparison both regarding material behaviour and of accuracy of the FE simulations was made. Mild steel, Rephos steel and TRIP700 were compared both experimentally and numerically. The results showed that TRIP steel has a significantly larger springback than the other materials. Furthermore, the F

Overview of Human Papillomavirus-Based and Other Novel Options for Cervical Cancer Screening in Developed and Developing Countries

Screening for cervical cancer precursors by cytology has been very successful in countries where adequate resources exist to ensure high quality and good coverage of the population at risk. Mortality reductions in excess of 50% have been achieved in many developed countries; however the procedure is generally inefficient and unworkable in many parts of the world where the appropriate infrastructur