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Current management of rheumatoid arthritis (RA) focuses on inducing remission as early as possible to avoid lasting joint damage, and maintenance of remission has become important. A 12-month clinical trial in 834 patients with moderate RA investigated whether etanercept 50 mg/wk could be reduced to half dose or discontinued in patients who achieved low disease activity after 36 weeks.

Purpose – The purpose of this paper is to unlock positions regarding the goods/services dichotomy in service marketing and to offer an argument that treats goods and services on an ontologically equal basis. Design/methodology/approach – A close reading of influential texts that argue in favor of a service-dominant logic (SDL) and new paradigms in service marketing. Findings – Both the SDL pro

Continuity of care is one of the core values of family medicine and both patients and doctors consider it a vital aspect of the care of patients with chronic diseases. In 2009 a national health care reform was implemented in primary care in Sweden. This study compared the longitudinal continuity of care in primary care before and after this reform in 7121 adult diabetes patients living in Malmö. O

To investigate which factors and criteria are used in priority setting of pharmaceuticals, in what contexts health economic evaluations are used, and barriers to the use of health economic evaluations at micro, meso, and macro health-care levels.

Purpose – The purpose of this paper is to contribute to the on-going cultural turn in retail marketing by offering an overview of the interdisciplinary field of socio-cultural retailing and discussing how this body of work can contribute conceptually, methodologically and substantively to the field of retail marketing.Design/methodology/approach – This paper is based on a literature review of soci

Although technological change is a hallmark of health care worldwide, relatively little evidence exists on whether changes in health care differ across the very different health care systems of developed countries. We present new comparative evidence on heart attack care in seventeen countries showing that technological change—changes in medical treatments that affect the quality and cost of care—

Objective: To conduct a cost-effectiveness study of nasal budesonide versus surgical treatment in the management of nasal polyps. Design and methods: A decision-tree model reflecting two different treatment strategies for nasal polyps in Sweden was developed. The first strategy was initial polypectomy, performed under three different sets of circumstances: inpatient functional endoscopic surgery,

Växtätare kan påverka ekosystemprocesser, dels genom långsiktiga förändringar av växtsamhällets sammansättning, men också på kortare sikt genom derasmatspjälkning av organiskt material som cyklas genom markens nedbryderorganismer och tillbaka till de primära producenterna. Särskilt störreväxtätare har studerats i stor utsträckning, men i vissa ekosystem som skogar kan de mindre ryggradslösa växtätHerbivory can influence ecosystem processes, partly through long-term changes of the plant community compositions, but also more rapidly through the herbivores’ digestive alteration of the organic matter that is cycled through the soil and back to the primary producers. In the Subarctic mountain birch (Betula pubescens ssp. czerepanovii) forest (SMBF) in Northern Fennoscandia, outbreaks by the geo

Health care professionals frequently describe performance management and monitoring of efficiency and quality measures for external accountability as an administrative burden with limited benefits. Professionals argue that they are subject to too tight control that signals distrust, limits professional autonomy and ultimately decreases their motivation to perform. At worst, poorly incentivized ind

Background: Access to emergency and essential surgical care is still unmet and accessibility is disproportionately inequitable in Ethiopia and other low-and middle-income countries. The aim of this study was to assess surgical care access in terms of capability, capacity, and timeliness of care in different levels of health care in Ethiopia. Methods: A cross-sectional study with retrospective data

Förtroende inom outsourcing har granskats av flera forskare under de senaste decennierna. Den här uppsatsen ger en förståelse av faktorer som påverkar förtroende i en outsourcing relation, samt ger en praktisk insikt i hur det ömsesidiga förtroendet mellan kund och leverantör kan förbättras. Det empiriska materialet består av djupintervjuer med experter från olika branscher. Forskningen utgör värdTrust and outsourcing have been a profound object of studies examined by several researchers in the last decades. This thesis offers an understanding of factors that affect trust in an outsourcing relationship as well as it provides practical insight of how to improve mutual trust between client and supplier. The data was gathered through in-depth interviews with experts from different industries.

I förskolan slängs en tredjedel av maten Matsvinnet har hamnat i fokus de senaste åren på grund av bland annat dess påverkan på klimat och miljö. Matsvinn är ätbar mat som slängs. Globalt sett slängs ungefär 1,3 miljarder ton mat varje år. Ungefär en tredjedel av all mat slängs istället för att hamna i någons mage. I Sverige slängs 1,3 miljoner ton, vilket är en tiondel av den globala mängden matsOne third of food produced for human consumption ends up as food waste. Globally this amounts to about 1.3 billion ton per year. Food waste are large amounts of food that are thrown away, but could have been eaten if treated in a different way. Food waste means waste of resources such as land, water, and energy. In high-income countries like Sweden the largest food waste occurs at consumption stag

The aim of this thesis is to present a comparability analysis between the tax on certain digital services approved by Spain; article 107 (1) of the Treaty on the Functioning of the European Union and the case law of the CJEU on state aid, to determine whether the application this tax gives competitive advantages to some companies over others.

Nowadays, very few public services could be delivered by only one department or organization. In order to deal with those "wicked" issues, like transportation, housing, environmental protection, food safety or some other problems, collaboration between departments has been a need. Meanwhile, cross-departmental collaboration has been proved to be an important means for governance, which h

The principal rule of the common market is that goods and services are able to move freely across the borders of Member States. State monopolies in control of supply and demand are, therefore, only under exceptional circumstances compatible with the conditions of the common market. The compatibility of Swedish State monopolies with EC law is a controversial matter. The case-law of the ECJ lets us