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Activity-based financing (ABF) and global budgeting are two common reimbursement models in hospital care that embody different incentives for cost containment and quality. The purpose of this study was to explore and describe perceptions from the provider perspective about how and why replacing variable ABF by global budgets affects daily operations and provided services. The study setting is a la
Low temperature combustion concepts used in compression ignition engines have shown to be able to produce simultaneous reduction of oxides of nitrogen and soot as well as generating higher gross indicated efficiencies compared to conventional diesel combustion. This is achieved by a combination of premixing, dilution and optimization of com
The formation age of the large (∼50 km) Carswell impact structure, Canada, has been a matter of debate ever since its discovery five decades ago, with proposed ages ranging from Mesoproterozoic to Early Cretaceous. Here, we present new 40Ar-39Ar data for aliquots of euhedral adularia, separated from vesicles in an impact melt rock from the central uplift of the structure. The analyses of the adula
The applicability of the Weibull distribution to model the strength of glass, the existence of a size effect on the strength and the need for a non-destructive testing of the strength are discussed and reviewed. There are a growing number of studies that put into question the applicability of the Weibull distribution to model annealed glass fracture data. A recent study indicates that the breakage
Background: Stick insects (Phasmatodea) have a high incidence of parthenogenesis and other alternative reproductive strategies, yet the genetic basis of reproduction is poorly understood. Phasmatodea includes nearly 3000 species, yet only the genome of Timema cristinae has been published to date. Clitarchus hookeri is a geographical parthenogenetic stick insect distributed across New Zealand. Sexu
Introduction: Hypoparathyroidism is the most common complication following thyroidectomy. There are few population-based reports on the rate of hypoparathyroidism in children. The incidence of medical treatment of permanent hypoparathyroidism in children is reported using a national registry. Methods: The study population included patients below 18 years of age undergoing total thyroidectomy repor
We have earlier shown that both full-length and truncated glycosylated tissue factor pathway inhibitor (TFPI) lacking the third Kunitz domain and the c-terminal region has an antithrombotic effect comparable to low-molecular-weight heparin (LMWH) in an experimental venous thrombosis model. The aim of this study was to investigate whether a recombinant truncated non-glycosylated TFPI (117QTFPI1-161
Glycans are biologically important structures synthesised by glycosyltransferase (GT) enzymes. Disruptive genetic null variants in GT genes can lead to serious illness but benign phenotypes are also seen, including antigenic differences on the red blood cell (RBC) surface, giving rise to blood groups. To characterise known and potential carbohydrate blood group antigens without a known underlying
The end-Permian mass extinction was the most severe biotic crisis in Earth's history. In its direct aftermathmicrobial communities colonized some of the space left vacant after the severe decline of skeletal metazoans.The Permian-Triassic boundary microbialites were peculiarly abundant on low-latitude shallow-marine carbonateshelves of central Tethyan continents. Armenia features particularly well
Until the introduction of dolutegravir (DTG), people living with HIV (PLWH) who have developed nucleoside reverse transcriptase inhibitor (NRTI) mutations have had few other treatment options outside of regimens based on ritonavir-boosted protease inhibitors (PI/r). Here we report treatment results among PLWH in Sweden with pre-existing NRTI mutations on antiretroviral treatment (ART) with DTG and
In the central part of the External Dinarides in Plavno, Croatia, near Knin, a remarkably thick (927.5 m) Early Triassic depositional sequence was investigated. The Plavno sequence starts in the EarlyGriesbachian and ends with a continuous transition into the Anisian strata. A complete 13C isotope curve has been achieved and combined with conodonts, bivalves and ammonoids to establish and correlat
The tumour suppressor p53, encoded by TP53, is a key player in a wide network of signalling pathways. We investigated its role in the bioactivation of the environmental carcinogen 3-nitrobenzanthrone (3-NBA)found in diesel exhaust and its metabolites 3-aminobenzanthrone (3-ABA) and N-hydroxy-3-aminobenzanthrone (N-OH-3-ABA) in a panel of isogenic human colorectal HCT116 cells differing only with r
Xylan has a main chain consisting of β-1,4-linked xylose residues with diverse substituents. Endoxylanases cleave the xylan chain at cleavage sites determined by the substitution pattern and thus give different oligosaccharide product patterns. Most known endoxylanases belong to glycoside hydrolase (GH) families 10 and 11. These enzymes work well on unsubstituted xylan but accept substituents in c
Based on his study on the American black ghetto and the French working-class banlieues, Loic Wacquant (2007) conceptualises territorial stigmatisation to capture how the negative perception of relegated urban territories affects their inhabitants and the public policies toward them. Most of the subsequent studies on the topic are done in similar Western post-Fordist and post-colonial settings, and
Kraft lignin is the main source of technically produced lignin. For the development of valuable products based on Kraft lignin, its molecular structure is important. However, the chemical composition of Kraft lignin is still not well known. So far, the analysis of Kraft lignin by mass spectrometry (MS) has been mainly focused on monomeric compounds. Previous MS studies on lignin oligomers (LOs) co
Timing of return to the breeding area presumably optimizes breeding output in migrants. How timing affects the other components of fitness — survival, has been comparatively little studied. Returning too early in spring is expected to be associated with high mortality in insectivorous migrants when weather conditions are still unsuitable. Yet, males in particular arrive early to get access to the
Gasoline partially premixed combustion (PPC) has shown potential in terms of high efficiency with low emissions of oxides of nitrogen (NOx) and soot. Despite these benefits, emissions of unburned hydrocarbons (UHC) and carbon monoxide (CO) are the main shortcomings of the concept. These are caused, among other things, by overlean zones near the injector tip and injector dribble. Previous diesel lo
Bacterial centromeres-also called parS, are cis-acting DNA sequences which, together with the proteins ParA and ParB, are involved in the segregation of chromosomes and plasmids. The specific binding of ParB to parS nucleates the assembly of a large ParB/DNA complex from which ParA-the motor protein, segregates the sister replicons. Closely related families of partition systems, called Bsr, were i
Objectives: This study illuminated the meanings of existential loneliness (EL) as narrated by frail older people. Method: Data were collected through individual narrative interviews with 23 people 76–101 years old receiving long-term care and services. A phenomenological hermeneutical analysis was performed, including a naïve reading and two structural analyses as a basis for a comprehensive under
