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Medical teamwork and the evolution of safety science : A critical review

There is widespread consensus that teamwork constitutes one of the key requirements in today’s multidisciplinary and highly complex system of delivering care. In recent years, increasing attention has been given to questions of how to define, teach, measure, and improve teamwork in healthcare. However, one cannot help but feel a certain disconnect between this ongoing trend in healthcare with an a

Modelling the terrestrial carbon cycle – drivers, benchmarks, and model-data fusion

Det terrestra ekosystemet absorberar cirka en tredjedel av de antropogena utsläppen varje år, vilket är en avgörande ekosystemtjänst som minskar ökningstakten av atmosfärisk koldioxid och bidrar till att mildra klimatförändringen. Observerade koncentrationer av atmosfäriskt koldioxid uppvisar en stor årlig variabilitet som främst anses vara orsakad av det terrestra ekosystemets respons på klimatföThe terrestrial ecosystem sequesters about one-third of anthropogenic emissions each year, thereby providing a critical ecosystem service that slows the rate of increase of atmospheric carbon dioxide and helps mitigate climate change. Observed atmospheric carbon dioxide concentrations exhibit a large inter-annual variability which is considered to be caused primarily by the response of the terrest

Epilepsy in Sweden: health care costs and loss of productivity-a register-based approach.

PURPOSE: The objective was to estimate health care costs and productivity losses due to epilepsy in Sweden and to compare these estimates to previously published estimates. METHODS: Register data on health care utilisation, pharmaceutical sales, permanent disability and mortality were used to calculate health care costs and costs that accrue due to productivity losses. By linkage of register info

Isolation and killing of candidate chronic myeloid leukemia stem cells by antibody targeting of IL-1 receptor accessory protein.

Chronic myeloid leukemia (CML) is genetically characterized by the Philadelphia (Ph) chromosome, formed through a reciprocal translocation between chromosomes 9 and 22 and giving rise to the constitutively active tyrosine kinase P210 BCR/ABL1. Therapeutic strategies aiming for a cure of CML will require full eradication of Ph chromosome-positive (Ph(+)) CML stem cells. Here we used gene-expression

Similar group mean scores, but large individual variations, in patient-relevant outcomes over 2 years in meniscectomized subjects with and without radiographic knee osteoarthritis.

Background Epidemiological studies have, so far, identified factors associated with increased risk for incident or progressive OA, such as age, sex, heredity, obesity, and joint injury. There is, however, a paucity of long-term data that provide information on the nature of disease progression on either group or individual levels. Such information is needed for identification of study cohorts and

Apo-lipoproteins, lipids and risk of cancer.

The epidemiological evidence for an obesity-cancer association is solid, whereas the association between obesity-associated lipoprotein levels and cancer is less evident. We investigated circulating levels of Apolipoprotein A1 (ApoA1), Apolipoprotein B (ApoB), LDL-cholesterol (LDL-C) and HDL-cholesterol (HDL-C) and association to risk of overall cancer and common cancer forms. The Malmö Diet and C

Healthcare utilization and psychiatric morbidity in violent offenders : findings from a prospective cohort study

Purpose: Although persistent offenders with histories of imprisonment and violence have disproportionate high rates of psychiatric disorders, little is known of their psychiatric healthcare utilization (HCU) and HCU-associated factors. This study aimed to explore psychiatric HCU, psychiatric morbidity, and psychotropic prescription drugs in violent offenders with a history of incarceration. Method

Biologisk mångfald och betydelsen av skyddade områden : Utvärdering och indikatorer i ett landskapsperspektiv

Trots att ytan av formellt skyddade områden ökar så minskar den biologiska mångfalden i Sverige. För att naturvården i Sverige ska bli effektivare krävs det ökad kunskap om varför områdesskyddet inte räcker till för att bevara den biologiska mångfalden. En effektiv naturvård kräver kunskap om vilken effekt områdesskydd har på den biologiska mångfalden. Eftersom biologisk mångfald påverkas av ekolo

Equity in the delivery of health care in Sweden

There is mutual agreement that health care should be delivered according to need. In this article, although we employ different specifications for need, we conclude that there is inequity in the delivery of health care in Sweden. Higher income groups visit doctors more often than lower income groups in relation to need, but lower income groups remain in hospital longer once they have been admitted

Willingness to pay for antihypertensive therapy - further results

A measurement experiment regarding willingness to pay for antihypertensive therapy is reported. A new type of binary willingness to pay question is used, that allows for different degrees of certainty with respect to the responses. Mean willingness to pay is derived from a simple expected utility model and estimated using maximum likelihood methods. The estimated parameters are highly significant,

Clinical Value of RNA Sequencing–Based Classifiers for Prediction of the Five Conventional Breast Cancer Biomarkers: A Report From the Population-Based Multicenter Sweden Cancerome Analysis Network—Breast Initiative

PurposeIn early breast cancer (BC), five conventional biomarkers—estrogen receptor (ER), progesterone receptor (PgR), human epidermal growth factor receptor 2 (HER2), Ki67, and Nottingham histologic grade (NHG)—are used to determine prognosis and treatment. We aimed to develop classifiers for these biomarkers that were based on tumor mRNA sequencing (RNA-seq), compare classification performance, a

Arrayed molecular barcoding identifies TNFSF13 as a positive regulator of acute myeloid leukemia-initiating cells

Dysregulation of cytokines in the bone marrow microenvironment promotes acute myeloid leukemia cell growth. Due to the complexity and low throughput of in vivo stem-cell based assays, studying the role of cytokines in the bone marrow niche in a screening setting is challenging. Herein, we developed an ex vivo cytokine screen using 11 arrayed molecular barcodes, allowing for a competitive in vivo r

Bra vallersättning och kompensationsstöd? : Hur kan olika utformningar påverka jordbruket, miljön, och samhällsekonomin?

Positiva och negativa miljöeffekterVallersättningen och kompensationsstödet leder båda till att arealen vall och antalet nötkreatur ökar kraftigt. Utredningen konstaterar att effekten av vallodling på biologisk mångfald, både när det gäller sällsynta arter och ekosystemtjänster, är otillräckligt känd. Kompensationsstödet gör det företagsekonomiskt lönsamt att hävda betydligt större areal permanent

Staff experiences with strategic implementation of clinical health promotion : A nested qualitative study in the WHO-HPH Recognition Process RCT

Objectives: Health promotion is on the global agenda. The risks targeted include smoking, hazardous alcohol consumption, nutrition and insufficient physical activity. Implementation of clinical health promotion, however, remains a major challenge. While several processes, models and frameworks for strategic implementation exist, very few have been tested in randomized designs. Testing a strategic

Hippocampal synaptic plasticity in mice overexpressing an embryonic subunit of the NMDA receptor

The effects of changing NMDA receptor subunit composition on synaptic plasticity in the hippocampus were analyzed by creating transgenic mice overexpressing NR2D, a predominantly embryonic NMDA receptor subunit. NMDA-evoked currents in the transgenic mice had smaller amplitudes and slower kinetics. The transgenics also displayed age-dependent deficits in synaptic plasticity in area CA1 of the hipp

New concepts for transdermal delivery of oxygen based on catalase biochemical reactions studied by oxygen electrode amperometry

The development of formulation concepts for improved skin tissue oxygenation, including methods for measuring oxygen (O2) transport across biological barriers, are important research topics with respect to all processes that are affected by the O2 concentration, such as radiation therapy in oncology treatments, wound healing, and the general health status of skin. In this work we approach this top