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A broader lens on tuberculosis cost-effectiveness analysis : How patient-incurred costs and post-tuberculosis outcomes reshape estimates in a multi-country study

Tuberculosis (TB) remains a major public health challenge, with financial and health impacts extending beyond treatment. Both the perspective adopted in cost-effectiveness analyses-which critically determines choices such as the inclusion of patient-incurred costs-and the extent to which long-term post-treatment considerations are incorporated have important policy implications. This study examine

Simulatorträning ger nya läkare självförtroende vid akuta tillstånd

Målbeskrivningen för den nya sexåriga läkarutbildningen lyfter fram att en läkare ska kunna visa förmåga att självständigt inleda diagnostik och behandling vid livshotande akuta tillstånd. Sedan 2017 har fler än tusen läkarstudenter i Lund genomgått 5 veckors utbildning i akut omhändertagande.Under utbildningen handlägger studenterna ett stort antal olika livshotande akuta tillstånd i fullskalesimCurrent national objectives of Swedish medical schools state that new doctors should be able to independently start rapid and appropriate early treatment and diagnostic assessment in life-threatening situations. Since 2017 more than one thousand senior undergraduate students at Lund University have undergone compulsory five-week training in initial management of potentially reversible medical emer

What if something happens tonight? : A qualitative study of primary care physicians' perspectives on an alternative to hospital admittance

BACKGROUND: Due to demographic changes, hospital emergency departments in many countries are overcrowded. Internationally, several primary healthcare models have been introduced as alternatives to hospitalisation. In Norway, municipal acute wards (MAWs) have been implemented as primary care wards that provide observation and medical treatment for 24 h. The intention is to replace hospitalisation f

Translation of the working alliance inventory short revised into Italian using a Delphi procedure and a forward-backward translation

Introduction: Enhancing treatment adherence, especially for chronic diseases, can be achieved through therapeutic alliance, potentially elevating the quality of care. An instrument to evaluate the therapeutic alliance could be beneficial in routine clinical settings, educational environments, and extensive research efforts at national and European levels. In this study, we translated therapist and

Changes in health care utilization following the Patient Choice Reform of Swedish primary health care : An equity perspective

Vårdvalet blev obligatorisk inom den svenska primärvården år 2010, vilket utökade patienternas valmöjligheter och gjorde det möjligt för privata vårdgivare att etablera sig med offentlig finansiering. Även om vårdvalsreformens påverkan på primärvårdens utformning är allmänt erkänd, är resultaten gällande dess effekter på jämlikhet i vårdutnyttjande delvis motsägelsefulla.Det överordnade syftet med

Radiopaque dyes allow vessel imaging in lung tissue using laboratory phase contrast micro-CT

Phase contrast micro-CT is a powerful technique allowing imaging of soft tissue at synchrotrons or using lab- oratory sources. The use of contrast agents is a useful approach when imaging vascular structures. However, common x-ray contrast agents typically rely on heavy metals to increase absorption, which may affect the phase contrast and cause artifacts in the reconstructed volumes. Thus, utiliz

Does exercise intensity matter for fatigue during (neo-)adjuvant cancer treatment? The Phys-Can randomized clinical trial

Exercise during cancer treatment improves cancer-related fatigue (CRF), but the importance of exercise intensity for CRF is unclear. We compared the effects of high- vs low-to-moderate-intensity exercise with or without additional behavior change support (BCS) on CRF in patients undergoing (neo-)adjuvant cancer treatment. This was a multicenter, 2x2 factorial design randomized controlled trial (Cl

Survey of general practitioners’ awareness, practice and perception of social prescribing across Europe

Background: Social prescribing (SP) is a patient pathway by which healthcare professionals connect patients with other sources of support, groups, or activities within their community. The awareness, practice, and perception of SP among GPs across Europe remains unclear. Objectives: To explore the awareness, practice, and perception of GPs on SP in the WONCA Europe region. Methods: An anonymous, c

The Swedish Stroke Self-Efficacy Questionnaire : translation and cross-cultural adaptation

Objective: To translate and cross-culturally adapt the Stroke Self-Efficacy Questionnaire (SSEQ) from English to Swedish and to evaluate psychometric properties of the questionnaire. Methods: A cross-sectional study design, where the translation followed a process including initial translation, synthesis, backward translation, expert committee, and pretest. Content validity was assessed using Cont

Designing simultaneous saccharification and co-fermentation of lignocellulose for improved xylose conversion

Popular Abstract in Swedish Global uppvärmning, säkerhetspolitik och framtida minskad tillgång på fossila bränslen har de senaste åren skyndat på sökandet efter nya, förnyelse-bara drivmedel. Användningen av bioetanol har ökat avsevärt och är idag ett av de vanligaste biobränslena i världen. Idag framställs bioetanol vanligen genom jäsning av socker från socker-rör eller från stärkelse (från tillFuel ethanol from lignocellulose is one sustainable alternative to the fossil fuels of today. All sugars in the material must be utilized in order to achieve high overall ethanol yields. Baker’s yeast, Saccharomyces cerevisiae, has been engineered to ferment the pentose sugar xylose from lignocellulose to ethanol. However, ethanol production from xylose is slow and often incomplete. In this work s

A Methodology for Measurements of Basic Parameters in a xDSL System

In order to qualify a subscriber loops for xDSL transmission, basic parameters like transfer function, scattering parameter S11 and characteristic impedance should be known. The aim of this paper is to present a test methodology for measurements of these basic parameters. The characteristic impedance is measured by open/short method and it is compared with the terminated measurement method defined

COVID-19 and the travel behavior of xenophobic tourists

The COVID-19 pandemic led to a dramatic loss of human lives worldwide and presented an unprecedented challenge to public health, tourism and community relations. Previous research on the relationship between xenophobia and travel behavior is limited, especially in the context of concerns over potential contagion. Therefore, this study examined the relationship between xenophobia and travel behavio

Individual Placement and Support for persons with alcohol and drug addiction in a Swedish context (IPS-ADAS) : study protocol for a randomised controlled trial

Background: Employment is a vital source for experiencing well-being and lowering the risk of long-term social marginalisation and poverty. For persons with alcohol and drug addiction, it may also improve sobriety. However, the unemployment situation for this group reflects the knowledge gap in effective interventions to support employment. While Individual Placement and Support (IPS) is recognise

Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers : A mixed methods study

BACKGROUND: Technical applications can promote home-based exercise and physical activity of community-dwelling stroke survivors. Caregivers are often able and willing to assist with home-based exercise and physical activity but lack the knowledge and resources to do so. ActivABLES was established to promote home-based exercise and physical activity among community-dwelling stroke survivors, with s

Outpatient Treatment in Low-Risk Pulmonary Embolism Patients Receiving Direct Acting Oral Anticoagulants Is Associated With Cost Savings

Direct oral anticoagulants (DOAC) are first line treatment for pulmonary embolism (PE). Treatment of acute PE is traditionally hospital based and associated with high costs. The aims of this study were to evaluate potential cost savings with outpatient DOAC treatment compared to inpatient DOAC treatment in patients with low risk PE. A retrospective study in patients with DOAC treated low risk PE (

Underlying Differences in Health Spending Within the World Health Organisation Europe Region-Comparing EU15, EU Post-2004, CIS, EU Candidate, and CARINFONET Countries

This study examined the differences in health spending within the World Health Organization (WHO) Europe region by comparing the EU15, the EU post-2004, CIS, EU Candidate and CARINFONET countries. The WHO European Region (53 countries) has been divided into the following sub-groups: EU15, EU post-2004, CIS, EU Candidate countries and CARINFONET countries. The study period, based on the availabilit

Using four different clinical tools as predictors for pain after total hip arthroplasty : A prospective cohort study

Background: Treatment of postoperative pain remains a significant clinical problem, and prediction of patients with a risk of higher postoperative pain levels is an important focus. We aimed to identify patients undergoing total hip arthroplasty (THA) with risk of higher pain levels at 24 h postoperatively by using four simple and easily available clinical tools. Methods: This prospective observat

Empowering communities with health promotion labs: result from a CBPR programme in Malmö, Sweden

The study describes findings from a community-based participatory and challenge-driven research programme, that aimed to improve health equity through a health promotion platform in an ethnically diverse low-income neighbourhood of Malmo, Sweden. Local residents, together with lay health promoters living in the area, were actively involved in the planning phase and decided on the structure and con