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The complexity of modern interdisciplinary health care practices, where different specialties work together to solve complex problems, challenges traditional approaches to organizational development and quality improvement. An example of this is surgery. This article describes and evaluates an action-oriented method to facilitate organizational development and innovation at an operating unit, cent
Massive multiple-input multiple-output (MIMO) systems, where the base station (BS) is equipped with a large number of antennas and the mobile devices have a single antenna, can significantly enhance the system performance. In many wireless systems inter symbol interference (ISI) due to delay dispersion of the channel can dramatically affect the demodulation process of the received signals. Precodi
Betony, Betonica officinalis L., is one ofthe rarest plants in Scandinavia and has the longestdocumented history. It was reported at the parish ofStehag in Skåne, southernmost Sweden, by the Danishhumanist and publisher Christiern Pedersen asearly as 1534, one of the world’s oldest records wherea species is tied to a specific locality. Literature andcollections testify that Betony was commoner in
OBJECTIVE: To investigate how people with multiple sclerosis (MS) experience their participation in individual, face-to-face cognitive behavioural therapy (CBT) aimed at alleviating depressive symptoms.METHOD: Semistructured interviews with 12 participants were conducted after CBT and analyzed using qualitative content analysis.RESULTS: Two main themes emerged: CBT as a demanding process and confr
A grazing-incidence grating spectrometer has been used for the investigation of the undulator radiation from beamline 411 at MAX-lab. The direct detection of undulator light is expected to obtain the information of the quality of the undulator. Regular undulator radiation and some higher harmonics were observed. The effects of electronic beam coupling and Landau cavities have been studied. The exp
We report on the performance of a grazing incidence spherical grating monochromator installed at MAX I and designed to cover the photon energy range from about 15-200 eV with high resolving power. It is intended mainly for angle-resolved photoemission work. Therefore, both refocusing optics, to obtain a small spot size at the sample, and a higher order light suppressor, to reduce the content of hi
PURPOSE: To describe a concept for prevention of secondary conditions in individuals with chronic neuromuscular disabilities by using two Swedish developed follow-up-programmes for cerebral palsy (CP; CPUP) and myelomeningocele (MMC; MMCUP) respectively as examples.METHOD: This paper describes and outlines the rationale, development and implementation of CPUP and MMCUP.RESULTS: Both programmes are
This work concerned experimental studies of heat transfer in a light-duty diesel engine. Combustion is affected by several parameters, such as pressure, engine speed, mass of injected fuel and in-cylinder gas flow. These parameters are in turn affected by the combustion chamber geometry and fuel spray characteristics. At high load the exhaust heat was increased more than at high engine speed. Swir
In the scope of a Swedish research project on expert knowledge as a basis for legal decisions, this article focuses on serious criminal cases. Using a model that describes rhetorical situations as well as empirical material based in 150 court decisions, the aim is to analyze the conditions surrounding the use of expert evidence in criminal law processes, to what extent and by whom such evidence is
Scientific performance should not be measured by a one-dimensional metric such as publication, since it is a multi-dimensional phenomenon. A quantitative analysis of the activities of research groups in three scientific fields demonstrates in particular the importance of sufficient numbers of PhD graduates and of contributions to the infrastructure of the scientific community, in terms of editorsh
This paper presents a convex-optimization-based technique to obtain parameters for a PID feedback controller, used to control the infusion rate of the anesthetic drug propofol. The controller design is based on a set of identified patient models, relating propofol infusion to an EEG-based conciousness index. The main contribution lies in the method automatically taking inter-patient variability in
This study analyzed the effect of breast-feeding on the frequency of acute otitis media. The protocol was designed to examine each child at 2, 6 and 10 months of age. At each visit nasopharyngeal cultures were obtained, the feeding pattern was recorded and the acute otitis media (AOM) episodes were documented. The analysis was based on 400 children from whom complete information was obtained. They
Vortexing methods implemented on an industrial steam turbine vane in order to reduce secondary losses are discussed. Three vortexing methods presented are prismatic blade design, inverse vortex and parabolic forced vortex. Baseline industrial vane considered for study is a prismatic blade design. Modifications are analysed numerically using commercial code CFX. Modified vanes along with baseline r
A transformation of essential thrombocythemia to acute myelocytic leukemia (AML), myelodysplastic syndrome, or agnogenic myelocytic metaplasia is a relatively rare event. It occurs in 1%-4.5% of all patients with either treated or untreated essential thrombocythemia. Cytogenetic changes in the transformation to AML are common. We report the case of a patient treated for essential thrombocythemia w
Although pharmacological treatments can help alleviate mood symptoms in youth with paediatric bipolar disorder (PBD), residual symptoms still commonly persist. In many cases, these symptoms seriously affect the social and psychological development of children and adolescents suffering from PBD. Complementary interventions, such as psychosocial and psychoeducational treatments, can help children an
Objective: The aim of this study was to create a model for predicting progression-free survival after radical prostatectomy for localized prostate cancer. Material and methods: The risk of biochemical recurrence (BCR) was modelled in a cohort of 3452 men aged 70 years or younger who were primarily treated with radical prostatectomy after being diagnosed between 2003 and 2006 with localized prostat
Background: Levodopa–carbidopa intestinal gel (LCIG) is available in several countries for the treatment of advanced levodopa-responsive Parkinson’s disease (PD) with severe motor fluctuations and dyskinesia when other treatments have not given satisfactory results. Objective: Our objective was to summarize the present evidence base for LCIG therapy through a systematic review of the literature. M
