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Cardiovascular events, mortality, early retirement and costs in >50 000 persons with chronic heart failure in Sweden

Aims: We aimed to examine cardiovascular events (stroke and myocardial infarction [MI]), mortality, early retirement and economic costs over 5 years in people with chronic heart failure (CHF) and matched controls in Sweden. Methods and results: Individuals (aged ≥16 years) living in Sweden on 1 January 2012 were identified in an existing database. Individuals with CHF were propensity score matched

Performance of the European Society of Cardiology 0/1-Hour, 0/2-Hour, and 0/3-Hour Algorithms for Rapid Triage of Acute Myocardial Infarction : An International Collaborative Meta-analysis

BACKGROUND: The 2020 European Society of Cardiology (ESC) guidelines recommend using the 0/1-hour and 0/2-hour algorithms over the 0/3-hour algorithm as the first and second choices of high-sensitivity cardiac troponin (hs-cTn)-based strategies for triage of patients with suspected acute myocardial infarction (AMI).PURPOSE: To evaluate the diagnostic accuracies of the ESC 0/1-hour, 0/2-hour, and 0

Gaps and alternative surgical and non-surgical approaches in the bone fragility management : an updated review

Osteoporotic fractures are one of the major problems facing healthcare systems worldwide. Undoubtedly, fragility fractures of the hip represent a far greater burden in terms of morbidity, mortality, and healthcare costs than other fracture sites. However, despite the significant impact on the health and quality of life of older adults, there is a general lack of awareness of osteoporosis, which re

Genetic Landscape of the ACE2 Coronavirus Receptor

Background: SARS-CoV-2, the causal agent of COVID-19, enters human cells using the ACE2 (angiotensin-converting enzyme 2) protein as a receptor. ACE2 is thus key to the infection and treatment of the coronavirus. ACE2 is highly expressed in the heart and respiratory and gastrointestinal tracts, playing important regulatory roles in the cardiovascular and other biological systems. However, the gene

Outcomes of trabecular metal total ankle replacement : a longitudinal observational cohort study of 239 consecutive cases from the Swedish Ankle Registry

Background and purpose — Information on outcomes after some modern total ankle replacement (TAR) designs is scarce. We therefore examined outcomes after trabecular metal (TM) TAR in Sweden by use of data from the national registry. Patients and methods — On December 31, 2020, 239 primary TM TARs had been reported to the Swedish Ankle Registry. We analyzed prosthesis survival probability, using exc

Pathways to the emergency department - a national, cross-sectional study in Sweden

Background: Swedish Emergency Departments (EDs) see 2.6 million visits annually. Sweden has a strong tradition of health care databases, but information on patients’ pathways to the ED is not documented in any registry. The aim of this study was to provide a national overview of pathways, degree of medical acuteness according to triage, chief complaints, and hospital admission rates for adult pati

Investigation of hydrogen content and dilution effect on syngas/air premixed turbulent flame using OH planar laser-induced fluorescence

Syngas produced by gasification, which contains a high hydrogen content, has significant potential. The variation in the hydrogen content and dilution combustion are effective means to improve the steady combustion of syngas and reduce NOx emissions. OH planar laser-induced fluorescence technology (OH-PLIF) was applied in the present investigation of the turbulence of a premixed flame of syngas wi

Association of comprehensive mental health with incident cardiovascular disease : A prospective cohort study

BACKGROUND: Evidence is limited regarding the impact of comprehensive mental health on the risk of subsequent cardiovascular events.OBJECTIVES: To investigate the association of mental health status with cardiovascular disease (CVD) in the UK Biobank.METHODS: This prospective study included 339,616 participants aged 40 to 69 years who were enrolled between 2006 and 2010 and were followed up to 202

Association between cardiovascular disease- and inflammation-related serum biomarkers and poor lung function in elderly

Background: Cardiovascular disease (CVD) is a common comorbidity in chronic obstructive pulmonary disease (COPD) and reduced lung function is an important risk factor for CVD and CVD-related death. However, the mechanisms behind the increased risk for CVD in COPD patients are not fully understood. Methods: We examined the association between CVD- and inflammation-related serum biomarkers, and pulm

Thermal Performance Analysis in a Zigzag Channel Printed Circuit Heat Exchanger under Different Conditions

In this study, the effect of axial heat conduction on thermal performance in a zigzag channel printed circuit heat exchanger (PCHE) with supercritical liquefied natural gas as the working fluid is studied by a numerical method under different conditions. The influence factors include Reynolds number, operating pressure, inlet temperatures of the cold side, and wall thermal conductivity. The result

Enhanced thermal management by introducing nanoparticle composite phase change materials for cooling multiple heat sources systems

In this paper, paraffin mixed with nanoparticles Al2O3, CuO, and multi-walled carbon nanotubes (MWCNTs) were prepared for cooling multiple heat sources. For thermal management of heat sources, performances of the composite phase change materials (PCMs) were investigated at different heating power. Enhanced performance in terms of heat sources temperature, temperature difference between two heat so

Epidemiology beyond averages : Reflections on civic responsibility and contextually structured individual heterogeneity

Epidemiology has achieved substantial methodological refinement in recent decades, yet its social resonance has not always kept pace. This essay reflects on tendencies within influential sectors of the field toward methodological sophistication that, while yielding genuine intellectual advances, can unintentionally distance epidemiology from its civic and historical roots. By privileging what is a

From Averages to Heterogeneity : A Plain-Language Guide to MAIHDA in Epidemiology

Many studies compare health averages between groups such as neighbourhoods or social categories. Averages are simple but can be misleading, since individuals within the same group often differ widely. We present MAIHDA (Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy) as a general framework to study how context structures health differences. MAIHDA is not a new statisti

The Formal Model for Noctua pronuba (Lepidoptera, Noctuidae) representing a typical agricultural-landscape night-flying moth species for pesticide risk assessment

Nocturnal lepidopteran pollinators face pesticide exposure risks in agricultural landscapes, yet lack adequate risk assessment frameworks compared to diurnal species. We present a formal model description for Noctua pronuba within the Animal Landscape and Man Simulation System (ALMaSS), providing the first comprehensive agent-based framework for assessing the impacts of pesticides on nocturnal mot

Recent-onset atrial fibrillation: challenges and opportunities

Atrial fibrillation (AF) is increasingly diagnosed early, close to its first occurrence due to: (i) increased public awareness with self-screening; (ii) health care initiatives including population screening and opportunistic case finding; and (iii) increased use and surveillance of implantable cardiac devices. At its onset, AF is often low burden, and cardiovascular co-morbidities may be absent o

Body mass index and subsequent fracture risk: a meta-analysis to update FRAX

The aim of this international meta-analysis was to quantify the predictive value of BMI for incident fracture and relationship of this risk with age, sex, follow-up time, and BMD. A total of 1667922 men and women from 32 countries (63 cohorts), followed for a total of 16.0 million person-years were studied. 293325 had FN BMD measured (2.2 million person-years follow-up). An extended Poisson model

A meta-analysis of smoking and fracture risk to update the FRAX® tool

Summary: In this meta-analysis of international cohorts, current smoking is confirmed as a significant BMD-independent predictor of future fracture with a stronger relationship in men than in women. A causative and reversible effect of smoking on fracture risk is suggested by past smoking having a significantly lower risk than current smoking. Purpose: In this meta-analysis of international cohort