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The role of biogeophysical feedbacks and their impacts in the arctic and boreal climate system

De nordliga höga latitudernas fysiska miljö, inklusive kryosfären i Arktis, har genomgått dramatiska förändringar under de senaste decennierna tack vare uppvärmning och andra klimatförändringar kopplade till antropogena utsläpp av växthusgaser. Uppvärmningen i regionen är ungefär det dubbla jämfört med ökningen i medeltemperaturen globalt. Globala klimatmodeller förutspår att denna förstärkta uppvThe physical environment in the northern high latitudes including the Arctic cryosphere has undergone dramatic changes due to anthropogenic greenhouse gas warming, which since pre-industrial times has been twice or more the rate of global mean warming. Global climate models predict that this accelerated warming will continue for at least the next few decades. Meanwhile, the arctic and subarctic ve

Intraductal papillary mucinous neoplasms of the pancreas – a cost-effectiveness analysis of management strategies for the branch-duct subtype

Background: Branch-duct intraductal papillary mucinous neoplasm (BD-IPMN) presents a clinical conundrum. Rigorous long-term surveillance or surgical resection is recommended. The economic consequences of the management have not been fully investigated. Methods: A Markov decision model compared 4 strategies for low-risk BD-IPMN: I = upfront total pancreatectomy, II = upfront partial pancreatectomy,

Fake drugs that could kill are on the rise in Western countries – here’s why

Fake medicines – illegal and substandard pharmaceuticals – have until now largely been a problem in low and middle-income countries. Ranging from lifestyle products to lifesaving medicines, such products are now also on the rise in the Western world. The spread is concerning, as fake medicines can be completely ineffective or extremely toxic.

Utvärdering av röjningsinsatser på fågelskär inom projektet LIFE Vänern. : En utvärdering utförd på uppdrag av Länsstyrelsen i Värmlands och Västra Götalands län som en del av projektet LIFE Vänern, med ekonomiskt bidrag från EU:s finansiella fond LIFE.

Under åren 2014-2018 röjdes över 200 fågelskär inom Natura2000-områden i Vänern. Röjningarna genomfördes inom projektet LIFE Vänern. Syftet med röjningarna var att förhindra igenväxning av skär som är attraktiva häckningsplatser för fåglar i Vänern. Denna rapport utvärderar korttidsutvecklingen av antalet häckande fåglar på de röjda skären i jämförelse med skär som ej röjdes inom LIFE-projektet oc

Gaia Data Release 1: Testing parallaxes with local Cepheids and RR Lyrae stars

Context. Parallaxes for 331 classical Cepheids, 31 Type II Cepheids, and 364 RR Lyrae stars in common between Gaia and the Hipparcos and Tycho-2 catalogues are published in Gaia Data Release 1 (DR1) as part of the Tycho-Gaia Astrometric Solution (TGAS). Aims. In order to test these first parallax measurements of the primary standard candles of the cosmological distance ladder, which involve astrom

Nationellt vårdprogram för adrenala incidentalom : Programmet har harmoniserats med europeiska riktlinjer – ger förenklad handläggning av patienter

Adrenal incidentalomas are seen in about five percent of abdominal CT examinations, and in most cases represent non-hormone-producing adrenocortical adenomas, but hormone-producing or malignant lesions occur. Revised Swedish guidelines for the evaluation and management of adrenal incidentalomas based on recently published European guidelines are presented. The importance of a thorough radiological

Det obetalda omsorgsarbetet ur ett hälsoekonomiskt perspektiv

Psykossjukdomar, framför allt schizofreni, anses vara en av de mest krävande sjukdomar för anhö-riga, dels i termer av daglig assistans, dels dess negativa påverkan på hälsa och livskvalitet. Det är idag ovanligt att informell vård inkluderas i hälsoekonomiska analyser. I detta kapitel granskar vi litteraturen på detta område och har funnit sex kostnadsstudier i en europeisk kontext men inte någon

Cold War Legacy in Public and Private Health Spending in Europe

Cold War Era (1946-1991) was marked by the presence of two distinctively different economic systems, namely the free-market (The Western ones) and central-planned (The Eastern ones) economies. The main goal of this study refers to the exploration of development pathways of Public and Private Health Expenditure in all of the countries of the European WHO Region. Based on the availability of fully c

High Out-of-Pocket Health Spending in Countries With a Mediterranean Connection

In this study, we analyzed healthcare provision and health expenditure across six Mediterranean countries that adopt the National Health System (Beveridge model) and that form part of the European Union (EU) with the main aim being that of analyzing and comparing out-of-pocket health spending in countries with a European Mediterranean connection. To this end, we considered various economic indicat

Mixed Block Copolymer Solutions: Self-Assembly and Interactions

Popular Science SummaryPolymers are giant molecules consisting of a repetition of many small units (monomers) that are linked together by chemical bonds. If we consider a long necklace as a polymer chain, the beads are the monomers and the part of the thread which connects the beads together is the chemical bond. Polymers are important materials in our everyday life and they can be found e.g., in This thesis incorporates studies on the aqueous systems of two types of thermoresponsive amphiphilic block copolymers; a series of nonionic triblock copolymers comprising blocks of poly(ethylene oxide) (PEO) and poly(propylene oxide) (PPO) denoted as PEO-PPO-PEO block copolymers, and a series of ionic diblock copolymers consisting of one charged block and one block of poly(N-isopropylacrylamide) (

Cost-effectiveness of varicella and herpes zoster vaccination in Sweden : An economic evaluation using a dynamic transmission model

Objectives Comprehensive cost-effectiveness analyses of introducing varicella and/or herpes zoster vaccination in the Swedish national vaccination programme. Design Cost-effectiveness analyses based on epidemiological results from a specifically developed transmission model. Setting National vaccination programme in Sweden, over an 85- or 20-year time horizon depending on the vaccination strategy.

Managing multiple medications and their packaging for older people in home care nursing : An interview study

Home care nurses assist older people in their daily living and well-being, including medication management. Medication management can be challenging for older people with functional constraints and several chronic conditions. This paper presents how home care nurses manage medications and their packaging for older people at their homes. This study followed an explorative qualitative research desig

Determinants for use of direct-to-consumer telemedicine consultations in primary healthcare-a registry based total population study from Stockholm, Sweden

BACKGROUND: In recent years, telemedicine consultations have evolved as a new form of providing primary healthcare. Telemedicine options can provide benefits to patients in terms of access, reduced travel time and no risk of disease spreading. However, concerns have been raised that access is not equally distributed in the population, which could lead to increased inequality in health. The aim of

Influence of peer discussions on trust in recommendations for prevention of mother-to-child transmission (PMTCT) of HIV

Background Mothers attending prevention of mother-to-child transmission (PMTCT) of HIV clinics seem to lack knowledge on many aspects of PMTCT, among which is breastfeeding. Breastfeeding recommendations in PMTCT have changed several times over the years leaving some confused and doubtful of what is currently recommended. One method shown to help improve their knowledge and acceptance of PMTCT rec

Italian public's views on sharing genetic information and medical information : Findings from the 'Your DNA, Your Say' study

Background: The collection and sharing of genomic and health data underpins global efforts to develop genomic medicine services. 'Your DNA, Your Say' is a cross-sectional survey with the goal of gathering lay public attitudes toward the access and sharing of deoxyribonucleic acid (DNA) information and medical information. It suggests significant international variation in the willingness to share

Long-Term Cost Effectiveness of Oral Semaglutide Versus Empagliflozin and Sitagliptin for the Treatment of Type 2 Diabetes in the Swedish Setting

Objective: The aim of this study was to assess the cost effectiveness of oral semaglutide versus other oral glucose-lowering drugs for the management of type 2 diabetes (T2D) in Sweden. Methods: The Swedish Institute for Health Economics Diabetes Cohort Model was used to assess the cost effectiveness of oral semaglutide 14 mg versus empagliflozin 25 mg and oral semaglutide 14 mg versus sitagliptin

Enabling patient-physician continuity in Swedish primary care : the importance of a named GP

BACKGROUND: Continuity of care is important for patients with chronic conditions. Assigning patients to a named GP may increase continuity.AIM: To examine if patients who were registered with a named GP at the onset of their first chronic disease had higher continuity at subsequent visits than patients who were only registered at a practice.DESIGN & SETTING: Registry-based observational study