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CONTEXT: As part of a broader institutional initiative, the serious illness care program was implemented in a multi-site academic primary care practice. After 2 years, a minority was observed to be documenting serious illness conversations routinely.OBJECTIVES: We aimed to learn about the motivations and actions of clinicians who routinely conducted and documented serious illness conversations.MET
SammanfattningFör induktion av hypertermi i klinisk praxis i LUND utvecklade vi ett 2450 MHz mikrovågssystem, som har använts sedan augusti 1980. 1982 lade vi till frekvensen 915 MHz, och sedan 1986 har vi även 434 MHz tillgängligt. Ett styrsystem baserat på en dator justerar temperaturen i vävnaden genom att alternera temperaturregistrering och mikrovågsstrålning. Konventionella termistorsonder (
Child first language acquisition (L1A) and adult second language acquisition (SLA) have observably different outcomes. Considering how distinct the two acquisition contexts often are, divergence is perhaps not surprising. Only adults acquiring a second language (L2) (i) are typically not surrounded by high quantities of native input, (ii) receive and must filter through significant amounts of non-
Short fatigue cracks are known to have a growth behaviour different from that of long cracks, the latter well predicted by linear elastic fracture mechanics. Short cracks can grow at high rates at load levels well below the threshold value for long cracks, before entering into the long crack region, or arrest and become nonpropagating cracks. The growth behaviour of short cracks is strongly influe
Chromosomal aneuploidy, that is, numerical chromosome aberrations, is one of the molecular hallmarks of cancer. However, when neoplasms are studied with sequencing- and array-based approaches, chromosome numbers and ploidy states are typically inferred from bulk DNA data. Furthermore, published molecular estimates of neoplasia-associated aneuploidy often also include genomic imbalances resulting f
Chapter 7, written by Vera Sadovska, Oksana Mont and Yuliya Voytenko Palgan, explores the economic sustainability of food-sharing initiatives (FSIs). Bringing together insights from a systematic literature review and empirical research in Barcelona, the chapter examines the economic challenges FSIs face, such as managing operational costs, obtaining funding and dealing with regulatory complexities
Rationale: Patients with obesity hypoventilation syndrome (OHS) have high risk of hospitalization, which might be decreased by home mechanical ventilation (HMV). Objectives: To evaluate annualized hospitalization rate (AHR) and changes in AHR in patients with OHS starting HMV and explore if there were any differences in AHR by starting HMV acutely or electively. Methods: This was a population-base
Digitalization poses significant challenges to the EU VAT system, as it does in other areas of law. These challenges can be broadly divided into two main categories: those stemming from transformations in the economy, and those related to the legislative responses to these changes. In the VAT context, the first category includes the growing volume of transactions—particularly cross-border transact
The study investigates the center of gravity in onset fricatives as a main acoustic feature to assess the relation between vowel pronunciation and coarticulatory spectral characteristics of the onset consonant. /s/- and /f/-initial CV sequences were analyzed with backness, roundedness and height of the vowel as predictors of fricative center of gravity. Results showed that the first 15 ms of an on
Despite laws, policies and visions to create cities and societies for all, barriers still exclude persons with disabilities from using buildings and public places. Our study aimed to identify choices made during the urban development process that include or exclude users in the built environment; how and when these choices arise during the process; and what is needed to implement universal design
Inhomogenous Magnetization Transfer (ihMT), the differential response to irradiation at single and dual frequency offsets, is more complex than MT approaches. Expressing ihMT in terms of MT-saturation (ihMTsat) is a first step to quantification as it corrects for underlying T and B . Larger ihMTsat was observed for smaller frequency offsets, which is explained using MTsat as proxy for bound pool s
For the longest of times, commerce and empire have been held to reside in perfect isolation from one another. Conceptually, peaceful commerce starkly opposed the discord of empires. In that same vein, political economy – the tool of commerce – was often considered the natural counterpart of warfare – the tool of empire. In many regards political economy was – and still is – considered an appealing
BackgroundSevere perineal trauma (SPT) affecting the anal sphincter muscle complex is a serious complication following childbirth, associated with short-term and long-term maternal morbidity. Effective preventive strategies are still scarce. The aim of the Oneplus trial was to test the hypothesis that the presence of a second midwife during the second stage of labour, with the purpose of preventin
Health services and medical research are subject to growing use of ADM. Whilst such technology brings many benefits, it is important to understand that it is not just a tool but involves a more fundamental shift in the infrastructure through which healthcare takes place. Where that development is driven by the private sector, it also indicates a wider paradigmatic change in how healthcare is provi
