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Introduction: To reduce inappropriate polypharmacy, deprescribing should be part of patients’ regular care. Yet deprescribing is difficult to implement, as shown in several studies. Understanding patients’ attitudes towards deprescribing at the individual and country level may reveal effective ways to involve older adults in decisions about medications and help to implement deprescribing in primar
If we find life on another world, it will be an extremely important discovery and we will have to take great care not to do anything that might endanger that life. If the life we find is sentient we will have moral obligations to that life. Whether it is sentient or not, we have a duty to ourselves to preserve it as a study object, and also because it would be commonly seen as valuable in its own If we find life on another world, it will be an extremely important discovery and we will have to take great care not to do anything that might endanger that life. If the life we find is sentient we will have moral obligations to that life. Whether it is sentient or not, we have a duty to ourselves to preserve it as a study object, and also because it would be commonly seen as valuable in its own
This paper illustrates the potential use of the theory of planned behavior as a guiding framework for understanding intentions and behavior in geospatial data sharing in Tanzania. A structured questionnaire survey, was constructed and sent to local governments as well as academic and private organizations that are major producers and/or users of geodata. The questionnaire covered issues of how col
Legionellae are bacteria that naturally exist in freshwater environments, but have also been found in seawater and soils. Legionella can cause illnesses such as Legionnaires' disease or Pontiac Fever where the Legionnaires' disease is a severe variant of Pneumonia and Pontiac Fever is a milder influenza like variant. Legionella bacteria can grow in domestic hot water systems (DHW systems) and in oLegionellae are bacteria that naturally exist in freshwater environments, but have also been found in seawater and soils.Legionellacan cause illnesses such as Legionnaires' disease or Pontiac Fever where the Legionnaires' disease is a severe variant of Pneumonia and Pontiac Fever is a milder influenza like variant.Legionellabacteria can grow in domestic hot water systems (DHW systems) and in order
Objective: To compare guidelines from the Royal College of Obstetricians and Gynaecologists (RCOG) based on the Risk of Malignancy Index (RMI) with a protocol based on logistic regression model LR2 developed by the International Ovarian Tumour Analysis (IOTA) group for triaging women with an ovarian mass as low, moderate, or high risk of malignancy. Design and setting Observational diagnostic stud
Abstract Aim: To investigate the risk of small for gestational age (SGA) births in relation to maternal history of cardiovascular disease (CVD) across two generations and additionally to analyse maternal CVD risk based on number of SGA offspring. Methods: We used register data from 1.4 million women and 2.7 million offspring. The outcome measures were risk of being SGA in relation to maternal tota
For pt.III see J. Math. Phys., vol.28, p.260 (1987). The one-dimensional inverse scattering problem is considered for lossy inhomogeneous media for the case in which the phase velocities at the two boundaries of the scatterer do not match that of the host medium. The model problem involves electromagnetic wave propagation in a medium of unknown thickness with spatially varying permittivity and con
The aim of the study was to explore nursing students' experiences of aspects important for their learning process and their ability to handle the complexity of the nursing degree program. The study was longitudinal and qualitative based on interviews with nursing students, six women and two men aged 20-36, during their three years of education. In all, seven patterns were found embracing aspects o
Abstract We present a practical protocol for the assignment of values to serum proteins in a Target Material using a Reference Material. This protocol is based on the model of Direct Value Transfer between serum matrices and is intended to improve the value assignment of commercial calibrators using the Reference Material CRM 470 (now labeled ERM-DA 470) or similar reference materials. The procedu
Numerous publications have described the importance of Bone Morphogenetic Protein (BMP) signaling in the specification of hematopoietic tissue in developing embryos. Here we investigate the full role of canonical BMP signaling in both adult and fetal liver hematopoiesis using conditional knockout strategies, since conventional disruption of components of the BMP signaling pathway result in early d
The globalisation and industrialisation of the agricultural sector made it possible to produce larger amounts of food in a faster and cheaper way than ever before, linking consumers to producers all around the planet. Although industrial food production has provided benefits for humanity in terms of access to food it is also at the root of many negative environmental and social impacts, such as bi
In 2014, Caribbean countries declared to claim reparations for slavery from former colonising states. A Reparative Justice Framework covering ten points of action formulated reparations as a regional development strategy, widening stakeholders to include development actors and focalising beneciaries to those disproportionally suering from post-slavery legacies. Jamaica is signatory to the claim, a
Objective: To determine the effect of a nature-assisted rehabilitation programme in a group of patients with reactions to severe stress and/or mild to moderate depression. Changes in sick-leave status and healthcare consumption in these patients were compared with those in a matched population-based reference cohort (treatment as usual). Design: Retrospective cohort study with a matched reference
The rationale for thrombolysis, the most promising pharmacological approach in acute ischaemic stroke, is centred on the principal cause of most ischaemic strokes: the thrombus that occludes the cerebral artery, and renders part of the brain ischaemic. The occluding thrombus is bound together within fibrin. Fibrinolysis acts by activation of plasminogen to plasmin; plasmin splits fibrinogen and fi
Background Today, dislocated femoral neck fractures are commonly treated with a cemented hip arthroplasty. However, cementing of the femoral component may lead to adverse effects and even death. Uncemented stems may lower these risks and hydroxyapatite (HA) coating may enhance integration, but prosthetic stability and clinical outcome in patients with osteoporotic bone have not been fully explored
Structural fire safety in Sweden for one- and two-story assembly hall buildings have been studied with regards to recent concerns regarding a large variation in the interpretation of the regulations and the resulting fire protection of the buildings. The study has been divided into three parts. First, an analysis of the current national regulations and identification of unclear paragraphs has been
As with mosquitoes, female tabanid flies search for mammalian hosts by visual and olfactory cues, because they require a blood meal before being able to produce and lay eggs. Polarotactic tabanid flies find striped or spotted patterns with intensity and/or polarisation modulation visually less attractive than homogeneous white, brown or black targets. Thus, this reduced optical attractiveness to t
This paper addresses the decline in infant mortality that occurred with a remarkable synchronization across Europe around the turn of the century 1900. It is the argument of this paper that this development is not just, as in the conventional view, the side effect of economic growth but could be derived through a cumulative chain of events, starting with the discovery of the germ theory. Mokyr has
