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The Diabetic Foot. Costs, health economic aspects, prevention and quality of life.

Popular Abstract in Swedish Diabetesfoten - Samhällsekonomiska kostnader, hälsoekonomiska aspekter, prevention och livskvalitet Orsak och förekomst. Fotsår är en relativt vanlig komplikation hos personer med diabetes. Ungefär 15% av alla vuxna diabetiker drabbas någon gång av fotsår. Orsakerna till att sår uppstår beror på en ökad risk för nervskador och kärlproblem hos diabetiker. Nervskadorna yThe overall aims were to investigate the economic consequences of foot complications in diabetic patients, to measure the influence of diabetic foot complications on health-related quality of life (HRQL), and to analyse the cost-effectiveness of interventions to prevent foot ulcers and lower extremity amputations (LEA). The economic consequences of foot ulcers and LEA are large both in a short an

Enhancements of the Modified PCF in IEEE 802.11 WLANs

The success of the IEEE 802.11 standard has prompted research into efficiency of the different medium access methods and their support for different traffic types. A modified version of the point coordination function (PCF) called modified PCF has been introduced as a way to improve the efficiency over the standard method. It has been shown through a simulation study and a mathematical analysis th

End-of-life costs of medical care for advanced stage cancer patients

BACKGROUND/AIM: Cancer, one of the leading causes of mortality in the world, imposes a substantial economic burden on each society, including Serbia. The aim of this study was to evaluate the major cancer cost drivers in Serbia.METHODS: A retrospective, in-depth, bottom-up analysis of two combined databases was performed in order to quantify relevant costs. End-of-life data were obtained from pati

A classification to align social-ecological land systems research with policy in Europe

Both research and policy recognize land systems as fundamental to human life and activities. However, these two perspectives approach land from different ends and it can be difficult to see how studied variables contribute to broader policy goals. In this paper, we argue that there is a need to better select variables to study land systems as social-ecological systems, and to align research more w

Multi-year data-model evaluation reveals the importance of nutrient availability over climate in arctic ecosystem C dynamics

Arctic tundra is a globally important store for carbon (C). However, there is a lack of reference sites characterising C exchange dynamics across annual cycles. Based on the Greenland Ecosystem Monitoring (GEM) programme, here we present 9-11 years of flux and ecosystem data across the period 2008-2018 from two wetland sites in Greenland: Zackenberg (74°N) and Kobbefjord (64°N). The Zackenberg fen

Climate extremes – a study of vulnerability, adaptation, and loss & damage in relation to the 2018 drought, focusing on Southern Sweden

The extreme weather in terms of drought and heat, which prevailed in Northern Europe during the growing season 2018, had serious consequences for agriculture and farmers in Sweden. Many questions regarding farm production came to a head as drought struck directly against farmers land, economy and wellbeing. This paper argues that it is essential to deeper investigate farmer’s and other land user’s

Predatory arthropods in apple orchards across Europe : Responses to agricultural management, adjacent habitat, landscape composition and country

Local agri-environmental schemes, including hedgerows, flowering strips, organic management, and a landscape rich in semi-natural habitat patches, are assumed to enhance the presence of beneficial arthropods and their contribution to biological control in fruit crops. We studied the influence of local factors (orchard management and adjacent habitats) and of landscape composition on the abundance

Legitimacy and Accountability in Polycentric Climate Governance

Polycentricity is characterised by institutional fragmentation as well as a new quality of interdependence where non-state and state actors are both regulators and regulated. This complexity raises new questions for democratic governance beyond the nation state. Against this backdrop, we first develop the argument that certain legitimacy and accountability challenges are inherent to polycentricity

Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017 : a systematic analysis for the Global Burden of Disease Study 2017

BACKGROUND: How long one lives, how many years of life are spent in good and poor health, and how the population's state of health and leading causes of disability change over time all have implications for policy, planning, and provision of services. We comparatively assessed the patterns and trends of healthy life expectancy (HALE), which quantifies the number of years of life expected to be liv

Neuropsychological rehabilitation interventions for people with an acquired brain injury and their caregivers. A protocol for a systematic review of economic evaluation

Background: New emerging evidence has demonstrated the need for effective interventions to help people living with an acquired brain injury (ABI). Evidence on cost-effectiveness, which can help inform use of limited resources, is scarce in this area and therefore the purpose of this systematic review is to critically appraise and consolidate the current evidence on economic evaluations of ABI reha

Background insect herbivory increases with local elevation but makes minor contribution to element cycling along natural gradients in the Subarctic

Herbivores can exert major controls over biogeochemical cycling. As invertebrates are highly sensitive to temperature shifts (ectothermal), the abundances of insects in high-latitude systems, where climate warming is rapid, is expected to increase. In subarctic mountain birch forests, research has focussed on geometrid moth outbreaks, while the contribution of background insect herbivory (BIH) to

Effects of organic farming on plant and butterfly functional diversity in mosaic landscapes

Organic farming can benefit plants and butterflies in terms of species richness and abundance, in particular in homogeneous landscapes. Nevertheless, whether organic farming can benefit functional diversity of these two organism groups is not well understood. Organic farming could benefit functional diversity by counteracting simplification and homogenisation of biotic communities caused by earlie

German winegrowers' motives and barriers to convert to organic farming

Agriculture plays a crucial role in meeting the Sustainable Development Goals, with organic farming being one important potential contributor to environmental, economic, and social sustainability. Despite a national goal of 20% organic agriculture, currently only 6.2% of Germany's farmland is organic, and conversion rates are slowing down. However, one bright spot is organic viticulture in Germany

Regular, sustained-release morphine for chronic breathlessness : A multicentre, double-blind, randomised, placebo-controlled trial

Introduction Morphine may decrease the intensity of chronic breathlessness but data from a large randomised controlled trial (RCT) are lacking. This first, large, parallel-group trial aimed to test the efficacy and safety of regular, low-dose, sustained-release (SR) morphine compared with placebo for chronic breathlessness. Methods Multisite (14 inpatient and outpatient cardiorespiratory and palli

Controlled-Release Oxycodone vs. Placebo in the Treatment of Chronic Breathlessness—A Multisite Randomized Placebo Controlled Trial

Context: Chronic breathlessness is a clinical syndrome that results in significant distress and disability. Morphine can reduce chronic breathlessness when the contributing etiologies are optimally treated. Objectives: Does oxycodone reduce chronic breathlessness compared with placebo? Methods: A multisite, randomized, placebo-controlled, double-blind, parallel-arm, fixed-dose trial of oral contro

Boosting photosynthesis opens new opportunities for agriculture sustainability and circular economy : The BEST-CROP research and innovation action

There is a need for ground-breaking technologies to boost crop yield, both grains and biomass, and their processing into economically competitive materials. Novel cereals with enhanced photosynthesis and assimilation of greenhouse gasses, such as carbon dioxide and ozone, and tailored straw suitable for industrial manufacturing, open a new perspective for the circular economy. Here we describe the

Undersökning av köldbryggor i flerbostadshus

Då klimatfrågan blir större och viktigare än någonsin är det viktigt att alla olika aktörer tar sitt ansvar och aktivt arbetar för ett bättre klimat. Byggsektorn har ett stort ansvar i denna fråga och något som kan minska utsläppen är just att minska energibehovet i byggnader. Genom att reducera köldbryggorna minskas även andelen energi som behövs för att värma upp en byggnad. Det är dock inte endAs the climate issue becomes more significant and critical than ever, it is essential that all different actors assume their responsibilities and actively work for a better climate. The construction sector has a great responsibility on this issue, and something that can reduce emissions is to reduce energy consumption in buildings. By reducing the thermal bridges, the proportion of energy needed t

Ambulanssjuksköterskors erfarenheter av att samverka med polismyndigheten i ärenden som involverar patienter med psykisk ohälsa

Bakgrund: Psykisk ohälsa är ett generellt växande problem och en ökning i antalet ärenden indexerade som psykisk ohälsa har noterats de senaste åren. Ambulanssjukvården och polismyndigheten samverkar vid olika händelser, för att säkerställa adekvat utförande av samhällsuppdrag. Samverkan i team beskrivs som en kärnkompetens för ambulanssjuksköterskor. Även om samverkan sker till vardags, identifieBackground: Mental ill-health represents a growing societal concern, with an observed increase in cases involving mental ill-health in recent years. Emergency medical services and law enforcement agencies collaborate in various incidents to ensure the effective execution of societal duties. Team collaboration is identified as a core competency for paramedics. Despite routine collaboration, deficie

Volunteer tourism as a transformative journey - “ It's something that they still have, that many have lost at home”

Volunteer tourism is an alternative form of tourism that is constantly increasing. The increase can be considered related to trends about social participation, environmental awareness and moral demands. Volunteering in developing countries has previously been associated with altruism and social responsibility, but more recently volunteer organizations have used personal development as part of thei