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Public health nurses experience of mental health encounters in the context of primary health care: a constructivist grounded theory study

BackgroundIn primary health care people with mental health needs are often overlooked or masked with physical complaints. It has been suggested that public health nurses lack sufficient knowledge when encountering people with mental health problems. Low levels of mental health literacy among professionals are associated with negative patient outcome. There is a need to understand public health nur

Natural variability in exposure to fine particles and their trace elements during typical workdays in an urban area

Studies on the natural human exposures to fine particulate matter (PM2.5) and their elements composition are practically non-existent in South America. In order to understand the natural exposure of the typical Brazilian population to PM2.5 and their trace element composition, we measured PM2.5 concentrations and collected mass on filters for nine continuous hours during a typical workday of volun

Can duplex arterial ultrasonography reduce unnecessary angiography?

OBJECTIVE: To assess the value of arterial duplex ultrasound, which assesses the location and severity of arterial disease, in determining whether invasive vascular intervention is required.METHOD: A total of 166 consecutive diabetic patients presenting at a multidisciplinary foot clinic with severe peripheral vascular disease, with or without a foot ulcer, were included in this prospective study.

Social deprivation and urbanity as the elephant in the room

Social deprivation and marginalization in urban areas are hardships that are not necessarily limited to developing countries. Around 80 million Europeans today live in conditions that fall within the definition of poverty. However, certain areas are more prone to affliction than others. Such estates usually consist of concrete slab high-rise buildings and are often characterized by high levels of

Entrepreneurs’ attitudes towards failure : an experiential learning approach

Purpose– This paper employs theories of experiential learning to examine why some entrepreneurs have developed a more positive attitude towards failures compared to others.Design/methodology/approach– The paper conducts statistical analysis on a sample of 231 Swedish entrepreneurs that have started new independent firms in 2004.Findings– The empirical findings support the guiding proposition that

Prediction of improvement in skin fibrosis in diffuse cutaneous systemic sclerosis: a EUSTAR analysis

OBJECTIVES: Improvement of skin fibrosis is part of the natural course of diffuse cutaneous systemic sclerosis (dcSSc). Recognising those patients most likely to improve could help tailoring clinical management and cohort enrichment for clinical trials. In this study, we aimed to identify predictors for improvement of skin fibrosis in patients with dcSSc.METHODS: We performed a longitudinal analys

Auditor rotations and audit quality : A perspective from cumulative number of audit partner and audit firm rotations

PurposeThe purpose of this paper is to investigate the association between audit rotation – at the audit partner and audit firm level – and audit quality. As mentioned in the literature, audit rotation has several benefits, and one of them is it can bring a fresh look to audit tasks and subsequently improve audit quality. Moreover, audit itself can help a client to improve its financial reporting.

A multilocus genetic risk score is associated with arterial stiffness in hypertensive patients : The CARE NORTH study

Introduction: Arterial stiffness is recognized as an intermediate phenotype and predictor of cardiovascular disease. Arterial stiffness is complex in origin with contributions from lifestyle and genetic factors. However, the association between single nucleotide polymorphisms (SNPs) and arterial stiffness remains unclear. Objective: The aim is to assess whether a multilocus genetic risk score (GRS

An MRI scale for assessment of haemophilic arthropathy from the International Prophylaxis Study Group.

Evaluation of prophylactic treatment of haemophilia requires sensitive methods. To design and test a new magnetic resonance imaging (MRI) scale for haemophilic arthropathy, two scales of a combined MRI scoring scheme were merged into a single scale which includes soft tissue and osteochondral subscores. Sixty-one joint MRI's of 46 patients with haemophilia were evaluated by four radiologists using

Risk factors for a contralateral anterior cruciate ligament injury.

Contralateral anterior cruciate ligament (ACL) injuries are together with the risk of developing osteoarthritis of the knee and the risk of re-rupture/graft failure important aspects to consider after an ACL injury. The aim of this review was to perform a critical analysis of the literature on the risk factors associated with a contralateral ACL injury. A better understanding of these risk factors

Fathers' sense of security during the first postnatal week-A qualitative interview study in Sweden.

BACKGROUND: father's sense of security in the early postnatal period is important for the whole family. An instrument, which measures Parents' Postnatal Sense of Security (the PPSS instrument), is under development. OBJECTIVE: to explore and describe factors, which influence fathers' sense of security during the first postnatal week. METHODS: an explorative design with a qualitative approach was u

Sorption Microcalorimetry: Method Development and Applications

A double twin isothermal microcalorimeter has been designed and its performance has been tested experimentally. The calorimeter makes it possible to continuously and isothermally scan a solid sample in a broad range of relative vapor pressures at near-equilibrium conditions. The method is suited for measurements with water vapor as well as organic vapors and has been tested at temperatures between

"The sky's the limit": fantasy in the age of market rationality

Purpose - This paper has three purposes. The first is to introduce the concept of fantasy, based on Lacanian pyschoanlysis, in order to link theoretically the role of narrative and affect in organizational strategies of control. The second is to use this concept to illuminate the fantasmatic as well as ideological character of so-called "market rationality." The third is to reveal three dominant f

Genetic Predictors of Weight Loss and Weight Regain After Intensive Lifestyle Modification, Metformin Treatment, or Standard Care in the Diabetes Prevention Program

OBJECTIVE-We tested genetic associations with weight loss and weight regain in the Diabetes Prevention Program, a randomized controlled trial of weight-loss inducing interventions (lifestyle and metformin) versus placebo. RESEARCH DESIGN AND METHODS-Sixteen obesity-predisposing single nucleotide polymorphisms (SNPs) were tested for association with short-term (baseline to 6 months) and long-term (

Risk Factors for Nursing Home Placement in Alzheimer's Disease: A Longitudinal Study of Cognition, ADL, Service Utilization, and Cholinesterase Inhibitor Treatment.

Purpose of the Study: To identify risk factors for early nursing home placement (NHP) in Alzheimer's disease (AD), focusing on the impact of longitudinal change in cognition, activities of daily living (ADL), service utilization, and cholinesterase inhibitor treatment (ChEI). DESIGN AND METHODS: In an open, 3-year, prospective, multicenter study in a routine clinical setting, 880 AD patients were

CCR5 N-terminal region plays a critical role in HIV-1 inhibition by Toxoplasma gondii-derived cyclophilin-18

Molecular mimicry of chemokine ligands has been described for several pathogens. Toxoplasma gondii produces a protein, cyclophilin-18 (C-18), which binds to the human immunodeficiency virus (HIV) co-receptor CCR5 and inhibits fusion and infection of T cells and macrophages by R5 viruses but not by X4 viruses. We recently identified structural determinants of C-18 required for anti-HIV activity (Ya

New concepts for water treatment with membrane technology: From ideas to large pilot scale tests

IntroductionGlobal water scarcity requires new approaches for water treatment. Membrane technology has proven itself as key technology for water treatment from seawater desalination with reverse osmosis to wastewater treatment with membrane bioreactors. In this presentation three new water treatment concepts based on membrane technology and their development from idea to pilot scale testing will b

Tidig internetbaserad exponeringsintervention efter ett sexuellt övergrepp: En explorativ studie av effekten på PTSD, depression och hälsorelaterad livskvalitet

Sexuella övergrepp är ett utbrett problem i dagens samhälle. Vanliga konsekvenser efter ett sexuellt övergrepp är att drabbas av PTSD, depression och en försämrad hälsorelaterad livskvalitet. Tidigare har behandling getts i ett senare skede, efter att diagnos fastställts. Denna studie syftade till att undersöka hur en tidig behandling, Condensed Internet-delivered Prolonged Exposure (CIPE), påverkSexual assault is a widespread problem in today’s society. Common consequenses following sexual assault include the development of PTSD, depression and a reduced health-related quality of life. Traditionally, the treatment has been provided at a later stage, after diagnosis has been established. The aim of this study was to investigate how an early intervention, Condensed Internet-delivered Prolo

Nano-elemental imaging reveals zinc and calcium redistribution in human sperm during capacitation and hyperactivation

Objective To characterize the redistribution patterns of zinc and calcium ions during human sperm capacitation and to investigate their roles in sperm maturation and fertilization. Design In vitro experimental study using synchrotron-based x-ray fluorescence microscopy and complementary immunohistochemistry to assess elemental changes during different capacitation stages at nanometric spatial reso