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Comprehensive ventilation/perfusion SPECT

Lung scintigraphy is the primary tool for diagnostics of pulmonary embolism. A perfusion study is often complemented by a ventilation study. Intermediate probability scans are frequent. Our goal was to develop a fast method for tomographic ventilation and perfusion scintigraphy to improve the diagnostic value of lung scintigraphy. METHODS: SPECT was performed with a dual-head gamma camera. Acquisi

Network resource allocation for perceptually based unequal packet protection in voice communication

We address the problem of optimizing resource allocation for Perceptually based Unequal Packet Protection (PUPP) in a packet based voice carrying network. For that purpose, we design a novel real-time working Perceptually Based Classifier (PBC) optimizing the assignment of voice packets to either a Premium (Pch) or an Ordinary (Och) transmission Channel with regard to packet perceptual importance.

Climate change and the optimal flowering time of annual plants in seasonal environments

Long-term phenology monitoring has documented numerous examples of changing flowering dates during the last century. A pivotal question is whether these phenological responses are adaptive or not under directionally changing climatic conditions. We use a classic dynamic growth model for annual plants, based on optimal control theory, to find the fitness-maximizing flowering time, defined as the sw

The Efficacy of Disulfiram for the Treatment of Alcohol Use Disorder.

Background: Alcohol use disorders (AUD) involving hazardous, harmful, and addictive misuse of alcohol are widespread in most parts of the world. The aim of this study was to review the effect of disulfiram in the treatment of patients with AUD. The effect of disulfiram was evaluated according to the primary outcome of an intake of alcohol below 30 and 20 g/d for men and women, respectively, as wel

Mapping spatio-temporal patterns and detecting the factors of traffic congestion with multi-source data fusion and mining techniques

The study focuses on mapping spatiotemporal patterns and detecting the potential drivers of traffic congestion with multi-source data. First, based on real-time traffic data retrieved from an online map, the k-means clustering algorithm was applied to classify the spatiotemporal distribution of congested roads. Then, we applied a geographical detector (Geo-detector) to mine the potential factors f

Systematic review of low-income and middle-income country perceptions of visiting surgical teams from high-income countries

Background The shortage of surgeons, anaesthesiologists and obstetricians in low-income and middle-income countries (LMICs) is occasionally bridged by foreign surgical teams from high-income countries on short-term visits. To advise on ethical guidelines for such activities, the aim of this study was to present LMIC stakeholders' perceptions of visiting surgical teams from high-income countries. M

Perceived usefulness of trauma audit filters in urban India : a mixed-methods multicentre Delphi study comparing filters from the WHO and low and middle-income countries

OBJECTIVE: To compare experts' perceived usefulness of audit filters from Ghana, Cameroon, WHO and those locally developed; generate context-appropriate audit filters for trauma care in selected hospitals in urban India; and explore characteristics of audit filters that correlate to perceived usefulness.DESIGN: A mixed-methods approach using a multicentre online Delphi technique.SETTING: Two large

Global Development of Nurse Anesthesia Education from Mid-Nineteenth Century into Today’s Advanced Nursing Practice

The chapter contains a brief history of the educational development of nurse anesthesia from the mid-nineteenth century till date in selected member countries of the International Federation of Nurse Anesthetist (IFNA). After a long period of on-the-job-training and being part of the basic nursing education, formal nurse anesthesia education started in most countries in the late 1940s until the mi

Constructive Dissonance in the Cloud: Adaptive Out-of-Phase Scheduling for Periodic Tasks

In the realm of cloud computing, the prevalence of intra-phase congestion due to concurrent periodic requests from a multitude of clients frequently results in heightened resource consumption, elongated queuing times, and prolonged response durations. To tackle these challenges, this paper presents a groundbreaking 'Adaptive Out-of-Phase Scheduling' technique, utilizing a server-side PID controlle

Spatio-temporal variability of the earth’s surface temperature and the changes in land user/land cover : implications for sustainable tourism development

Tourism both contributes to environmental change and is, in turn, affected by such change. One area that is of considerable significance is tourism’s contribution to land use change and its subsequent impacts. Land use change, such as tourism urbanization, together with global heating leads to an increase in surface temperature and deterioration in environmental quality and human comfort levels. U

Born in fire, borne by air : Source attribution and physicochemical characterization of ship and ambient aerosols in the Baltic region

Aerosol emissions from anthropogenic activities cause detrimental health effects and affect the climate system. Combustion is a large source of airborne fine particulate matter (PM2.5) and the uncertainties of the climate role of these emissions are still large. A good understanding of the microphysical properties of aerosols from various sources and their atmospheric aging is essential for accura

Primary producers or consumers? Increasing phytoplankton bacterivory along a gradient of lake warming and browning

Eukaryotic phytoplankton form the basis of aquatic food webs and play a key role in the global carbon cycle. Many of these evolutionarily diverse microalgae are also capable of feeding on other microbes, and hence simultaneously act both as primary producers and consumers. The net ecosystem impact of such mixotrophs depends on their nutritional strategy which is likely to alter with environmental

Two minus one road equals improved quality of life

Background: Sundbyberg municipality (part of greater Stockholm) has reconstructed a traditional two-lane road, with an allowed speed limit of 30 km/h, into a road with one car lane and two bicycle lanes, one on either side of the car lane (a “two minus one road”). The aim was to increase traffic safety and accessibility, especially for bicyclists and pedestrians Method: The design used was a befor

Arterio-venous blood gas Δvalues for validation of umbilical cord blood samples at birth are not only biased by sample mix ups but also affected by clinical factors

Introduction: Traditional validation of umbilical cord blood samples with positive veno-arterial ΔpH and arterio-venous ΔpCO2 values confirms the source of samples, whereas negative Δvalues represent mix-up of samples. To investigate whether this is true, the distributions of V-A ΔpO2 and A-V Δlactate were also explored and related to clinical characteristics. In addition, different cord blood sam

Rehabilitation at Home With the Development of a Sustainable Model Placing the Person's Needs and Environment at Heart : Protocol for a Multimethod Project

BACKGROUND: Each year, more than 1.5 million people in Europe have a stroke, and many experience disabilities leading to activity and participation restrictions. Home-based rehabilitation is the recommended approach for stroke rehabilitation, in line with the international shift to integrated care. Despite this, rehabilitation often focuses on the person's physical functions, not the whole life si

A strong mitigation scenario maintains climate neutrality of northern peatlands

Northern peatlands store 300–600 Pg C, of which approximately half are underlain by permafrost. Climate warming and, in some regions, soil drying from enhanced evaporation are progressively threatening this large carbon stock. Here, we assess future CO2 and CH4 fluxes from northern peatlands using five land surface models that explicitly include representation of peatland processes. Under Represen

Best ear hearing level, time factors and language outcome in Swedish children with mild and moderate hearing loss with hearing aids

Aim: The risk for language disorder is high in children with all levels of hearing loss (HL). Early identification and intervention should be as important for children with mild HL as for those with more severe HL. Despite new-born hearing screening, a recent survey of speech language therapist services in southern Sweden indicates that children with mild and moderate HL are severely neglected whe

Measurable time is governable time: Exploring temporality and time governance in childcare social work

This article deals with the workings of time governance in welfare professional settings. A contribution is made to current literature by offering insights into how ‘governing by the clock’ works at the micro-level in everyday interaction and why clock time is purposeful for the operation of power in a welfare bureaucratic context. The main argument posited is that measurability and decontextualis

Anterior uveitis in patients with spondyloarthritis treated with secukinumab or tumour necrosis factor inhibitors in routine care : Does the choice of biological therapy matter?

Background: The effect of interleukin 17-inhibitors on anterior uveitis (AU) in spondyloarthritis (SpA) is poorly understood. This study aimed to compare the risk of AU during treatment with secukinumab versus tumour necrosis factor inhibitors (TNFi). Methods: Patients with SpA starting secukinumab or a TNFi 2015 through 2018 were identified in the Swedish Rheumatology Quality Register. Occurrence