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Clinical significance of a new diagnosis of atrial fibrillation in patients with vascular disease

Background: The Cardiovascular Outcomes for People Using Anticoagulation Strategies (COMPASS) trial enrolled patients with vascular disease but excluded patients requiring oral anticoagulation. Objective: We aimed to explore the clinical significance of a new diagnosis of atrial fibrillation (AF) during follow-up. Methods: New AF was identified from hospitalization, study drug discontinuation, and

Prognostic Testing for Prostate Cancer—A Cost-Effectiveness Analysis Comparing a Prostatype P-Score Biomarker Approach to Standard Clinical Practice

Background: The Prostatype score (P-score) is a prognostic biomarker that integrates a three-gene (IGFBP3, F3, and VGLL3) signature derived from prostate biopsy samples, with key clinical parameters, including prostate-specific antigen (PSA) levels, Gleason grade, and tumor stage at diagnosis. The test has demonstrated superior predictive accuracy for prostate cancer outcomes compared with traditi

Identifying Abnormal Exertional Breathlessness in COPD : Comparing Modified Medical Research Council and COPD Assessment Test With Cardiopulmonary Exercise Testing

Background: COPD management is guided by the respiratory symptom burden, assessed using the modified Medical Research Council (mMRC) scale, the COPD Assessment Test (CAT), or both. Research Question: What are the abilities of mMRC and CAT to detect abnormally high exertional breathlessness on incremental cardiopulmonary cycle exercise testing (CPET) in people with COPD? Study Design and Methods: A

Sun Exposure and Type 2 Diabetes Mellitus : A Prospective Follow-up Cohort Study from Southern Sweden

Background/Aim: An inverse association exists between type 2 diabetes mellitus (T2DM) and both plasma vitamin D levels and sun exposure, but vitamin D supplementation does not reduce the incidence. We sought to assess whether there is a dose-dependency in the association between sun exposure and T2DM. Patients and Methods: The melanoma in Southern Sweden (MISS) cohort is comprised of one thousand

Successful prevention of organic solvent induced disorders : history and lessons

In this discussion paper, we describe the history of the science and societal action resulting in the mitigation of neurotoxic disorders from exposure to organic solvents at the workplaces in Sweden. When alkyd paints were introduced in large scale in construction painting in the 1960s and 1970s, Scandinavian unions voiced increasing concern as members reported symptoms like headache and vertigo,

When the air went viral: Exploring SARS-CoV-2 in aerosols during the covid-19 pandemic

Despite the enormous economic and health-related burdens caused by respiratory infectious diseases globally, there are significant knowledge gaps regarding how these are spread by aerosols. The covid-19 pandemic made it clear that understanding airborne transmission is especially important in healthcare, where workers and patients are highly exposed to sources of virus. This thesis aims to advance

Prevalence of impaired renal function among childless men as compared to fathers : a population-based study

Male reproductive impairment has been linked with an increased risk of numerous non-communicable diseases. Yet, epidemiological data on renal disease among subfertile men is scarce. Therefore, by using male childlessness as a proxy for male infertility, we aimed to investigate its association with renal function. Data was sourced from a population-based cohort including 22,444 men. After exclusion

Who changes what, when and where? Elaborating postponement when integrating hardware and software objects in global supply chains

Purpose: The postponement principle concerns defining when and where value is added, usually referring to hardware components for physical products. However, in modern supply chains, software’s importance is increasing, impacting the timing and location of value-adding operations. Lacking insights into software-driven implications for postponement, we aim at elaborating on the postponement princip

Information sharing in extended supply chains : why does it have to be so difficult?

Theory and practice present opposing views on whether or not companies should strive for multi-tier information sharing (MTIS) in supply chains. The purpose of this study was to identify and explore factors that influence MTIS. We performed a longitudinal Delphi study with 29 supply chain experts, including in-depth interviews and quantitative as well as qualitative analyses. Twelve contextual fac

Glucocorticoid treatment in SLE is associated with infections, comorbidities and mortality—a national cohort study

Objectives: Patients with SLE have an increased risk of comorbidities and impaired survival. We aimed to assess whether various thresholds of oral CS (OCS) can predict development of infections, comorbidities, malignancies and survival in SLE using data from national health registries in Sweden. Methods: All incident SLE cases, age >18 years, in Sweden (n ¼ 5309) between 2005 and 2020 and matched

NOISE AND ROOM ACOUSTICS - RISK FACTORS FOR VOICE DISORDERS AMONG MUSIC THERAPISTS?

Music therapy is a “vocally demanding profession” [1, p. 46]. Currently, little is known about the prevalence and about the possible risk factors for voice disorders within music therapy. As music therapy workspaces may not always be ideal in terms of acoustics, the aim of the study is to investigate room acoustics and noise as risk factors for possible voice disorders among music therapists in Fi

Mothers' experience of infant massage in child health care : A qualitative interview study

Aim: To investigate mothers' experience of infant massage. Design: This was an exploratory-descriptive qualitative study based on individual interviews. Methods: A qualitative interview study with an inductive approach was used according to the COREQ guidelines. The participants in the study were mothers (n = 11) residing in Sweden who received training in infant massage from the child health care

Prevalence, severity and impacts of breathlessness in Indian adults : An exploratory, nationally representative, cross-sectional online survey

There are no known estimates of the prevalence, severity and impacts from breathlessness in low- and middle-income countries. This study aimed to explore the prevalence, severity, self-attributed underlying conditions and impacts of breathlessness limiting exertion in community-dwelling adults in India. This exploratory, population-based online survey recruited a pre-planned sample of 3,000 adult

Elevated pulse pressure preceded incident chronic kidney disease in the general older population in Sweden

Arterial stiffness (AS) and chronic kidney disease (CKD) are common in the older population. AS results in increased pulsatile pressure, elevated pulse pressure (PP), and is linked to hypertension. PP is a surrogate for AS. The kidney has low vascular resistance mechanisms, presumably making it vulnerable to the increased pulsatile pressure and hypertension associated with AS. The aims of this stu

IDcare – a longitudinal register study of pre-pandemic and pandemic diagnostic profiles among people with intellectual disabilities: A cohort profile

Background: There are few large register-based studies on people with intellectual disabilities (ID) that compare outcomes with the general population. Methods: All people in Skåne, the southernmost part of Sweden the 1st of January 2014 was included. Data concerning demographics/vital events, healthcare utilization and service and support for people with ID or autism spectrum disorder (ASD) was c

Diagnostic patterns among people with intellectual disabilities compared to the general population (IDcare)

Background: People with intellectual disabilities (ID) often have an extensive and complex disease panorama. However, more knowledge is needed about the disease panorama to gain a deeper understanding of co-morbidity and potential care needs.Methods: Among all people living in Skåne on January 1st, 2014, we established a cohort of 14 716 people with ID (either diagnosis of ID (F7) or Down Syndrome

The impact of order fulfillment on consumer experience : text mining consumer reviews from Amazon US

Purpose – This research analyzes online consumer reviews and ratings to assess e-retail order fulfillment performance. The study aims to (1) identify consumer journey touchpoints in the order fulfillment process and (2) determine their relative importance for the consumer experience.Design/methodology/approach – Text mining and analytics were employed to examine over 100 m online purchase orders,

Risk of recurrence in high-risk T1 colon cancer following endoscopic and surgical resection : registry-based cohort study

Background: Endoscopic resection of T1 colon cancer (CC) is currently limited by guidelines related to risk of lymph node metastases. However, clinical outcome following endoscopic and surgical resection is poorly investigated. Method: A retrospective multicentre national cohort study was conducted on prospectively collected data from the Swedish colorectal cancer registry on all non-pedunculated

Prognostic Value of Cardiovascular Biomarkers in the Population

Importance: Identification of individuals at high risk for atherosclerotic cardiovascular disease within the population is important to inform primary prevention strategies. Objective: To evaluate the prognostic value of routinely available cardiovascular biomarkers when added to established risk factors. Design, Setting, and Participants: Individual-level analysis including data on cardiovascular