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Alteration of the counterregulatory responses to insulin-induced hypoglycemia and of cognitive function after massive weight reduction in severely obese subjects

The autonomic nervous system (ANS) and hypothalamic-pituitary-adrenal (HPA) axis are reported as activated in excess in the morbidly obese state and, therefore, changes after weight loss can be anticipated. The aim of this study was to investigate the impact of a massive (similar to30%) weight reduction on the activation of the HPA axis and the ANS following bariatric surgery. Eight (7 women, 1 ma

An integrated analysis of five double-blind, randomized controlled trials evaluating the safety and efficacy of a hyaluronan product for intra-articular injection in osteoarthritis of the kneel

Objective: Five double-blind, randomized, saline-controlled trials (RCTs) were included in the United States marketing application for an intra-articular hyaluronan (IA-HA) product for the treatment of osteoarthritis (OA) of the knee. We report an integrated analysis of the primary Case Report Form (CRF) data from these trials. Method. Trials were similar in design, patient population and outcome

Effect of stunning conditions on occurence of PSE defects in hams of rn+/RN- pigs

Pigs of the same genetic type at the RN and HAL loci, i.e. rn(+) RN-/NN were reared in similar conditions of feeding and housing. They were slaughtered in two abattoirs (referred to as A1 and A2) using a mixture of air (30%) and CO2 (70%), at a rate of 300 pigs per hour per slaughterline. One hundred and thirty-two pigs from I I farms were slaughtered in A I using a corusinga restrainer and 127 pi

Prognosis of Syncope With Head Injury : a Tertiary Center Perspective

Aim: Head injury is the most common trauma occurring in syncope. We aimed to assess whether syncope as cause of head-trauma affects short-and long-term prognosis. Methods: From a database retrospective analysis of 97,014 individuals attending Emergency Department (ED), we selected data of patients with traumatic head injury including age, gender, injury mechanism, brain imaging, multiple traumas,

Patterns of systolic blood pressure response at the end of exercise and mortality and morbidity in patients referred for exercise testing

Objectives Peak exercise systolic blood pressure (SBP) is associated with future cardiovascular disease (CVD) and mortality. We aimed to evaluate the predictive value of different SBP patterns at the end of exercise with these outcomes. Methods We studied 6329 adults (45% women) referred for exercise testing, with test duration of 6-14 min, maximal effort and valid SBP measurements at the end of e

Guidance document on temporary traffic management

This report aims at providing information on principles that should be considered during planning, establishment and maintenance of work zones, and inspection works. An extensive literature review has been done within the project and some of the results, e.g. of previous CEDR-projects, are included in IRIS. However, not all findings of recent studies are mentioned, as the goal was to keep the repoThis report aims at providing information on principles that should be considered during planning, establishment and maintenance of work zones, and inspection works. An extensive literature review has been done within the project and some of the results, e.g. of previous CEDR-projects, are included in IRIS. However, not all findings of recent studies are mentioned, as the goal was to keep the repo

LeucoPatch system for the management of hard-to-heal diabetic foot ulcers in the UK, Denmark, and Sweden : an observer-masked, randomised controlled trial

METHODS: This was a multicentre, international, observer-masked, randomised controlled trial of people with diabetes and a hard-to-heal foot ulcer done in 32 specialist diabetic foot clinics in three countries (UK, Denmark, and Sweden). After a 4-week run-in period, those with a reduction in ulcer area of less than 50% were randomly allocated (1:1) by computer-generated, web-based randomisation (b

Health-related quality of life after apalutamide treatment in patients with metastatic castration-sensitive prostate cancer (TITAN) : a randomised, placebo-controlled, phase 3 study

Background: In the phase 3 TITAN study, the addition of apalutamide to androgen deprivation therapy (ADT) significantly improved the primary endpoints of overall survival and radiographic progression-free survival in patients with metastatic castration-sensitive prostate cancer. We aimed to assess health-related quality of life (HRQOL) in TITAN, including pain and fatigue. Methods: In this randomi

Assessing wastewater processes at oil refinery industry in Kazakhstan

This paper presents the first attempt to assess the wastewater treatment processes at the oil refinery sector in Kazakhstan and evaluate to what extent these processes follow international and national regulations regarding industrial waste water treatment. The assessment was performed considering wastewater discharge from refining processes at three factories in the country. While Kazakhstani env

Toll-like receptor 3 blockade in rhinovirus-induced experimental asthma exacerbations : A randomized controlled study

Background: Human rhinoviruses (HRVs) commonly precipitate asthma exacerbations. Toll-like receptor 3, an innate pattern recognition receptor, is triggered by HRV, driving inflammation that can worsen asthma. Objective: We sought to evaluate an inhibitory mAb to Toll-like receptor 3, CNTO3157, on experimental HRV-16 inoculation in healthy subjects and asthmatic patients. Methods: In this double-bl

On the complexity of screening detected abdominal aortic aneurysms : A retrospective observational multicenter cohort study

BACKGROUND: Ultrasound screening for abdominal aortic aneurysms (AAA) has been shown to decrease aneurysm related mortality. Likely by providing an opportunity to intervene while the aneurysm is still intact, but possibly also when and the anatomy still relatively uncomplicated which would provide a less complex procedure. Our aim was to retrospectively investigate the complexity of repair for scr

Primary treatment and survival in malignant ovarian germ cell tumors : A nationwide population-based Swedish Gynecologic Cancer Group (SweGCG) study

Objective: Although rare, malignant ovarian germ cell tumors (MOGCTs) account for 70 % of ovarian malignancies in women younger than 30 years. Given the rarity of MOGCTs and the limited population-based data, this study aims to examine national treatment patterns and survival in women with MOGCTs, with a focus on fertility-sparing surgery. Methods: This nationwide population-based study included a

An Empirical Study of the North American Volatility Impact on Eurozone Bond Market

This study examines how financial market uncertainty in North America, measured by the CBOE Volatility Index (VIX), affects Eurozone bond markets. The purpose is to analyze the dynamic relationship between the VIX to both government and corporate bonds across different credit ratings, and to assess whether these relationships differ when the bonds are measured as yield-to-maturity (YTM) or option-

Long-Term Outcomes and Recovery Trajectories in Out-of-Hospital Cardiac Arrest : A 2-Year Follow-Up of the Randomized Clinical TTM2 Trial

ImportanceGuidelines for temperature control following out-of-hospital cardiac arrest (OHCA) are based on trials with end points of 180 days or fewer.ObjectivesTo investigate if targeted hypothermia, compared with targeted normothermia with early treatment of fever, affects functional outcome focusing on societal participation or cognitive functioning at 24 months in initially comatose OHCA survivImportanceGuidelines for temperature control following out-of-hospital cardiac arrest (OHCA) are based on trials with end points of 180 days or fewer.ObjectivesTo investigate if targeted hypothermia, compared with targeted normothermia with early treatment of fever, affects functional outcome focusing on societal participation or cognitive functioning at 24 months in initially comatose OHCA surviv

NATO & Försvarsvilja: En fråga om identitet, militärkultur eller säkerhetshot? En komparativ intervjustudie av svenska värnpliktiga och anställda soldaters attityder till kollektivt försvar

When Sweden entered NATO in 2024, 200 years of alliance-freedom was upheaved. Article 5 of the North Atlantic Treaty states that an attack on any of the allied states is to be considered an attack against them all, which means that Swedish soldiers may be deployed in combat on foreign soil. Given that the Swedish Armed Forces have previously only been concerned with protecting their own borders, t

Hidden Choral Stimuli : The Role of Accent in Aristophanes’ Refrains

The final day of the conference opened with Albin Thörn Cleland’s presentation, “Hidden Choral Stimuli: The Role of Accent in Aristophanes’ Refrains”. His paper examined the interplay of pitch accent, metre and musical melody across metrically identical refrains in pre-Hellenistic Ancient Greek lyric poetry, an aspect that has long remained relatively obscure and misunderstood. Building on Conser

Cardiovascular Outcomes in Patients With Deferred and Performed Coronary Revascularization Based on Intracoronary Physiology : A Systematic Review and Meta-Analysis

BACKGROUND: Although large studies and pooled analyses of individual patient data have demonstrated the safety of deferring coronary revascularization based on a nonischemic intracoronary pressure index result, conflicting findings have emerged in specific patient subsets and with varying follow-up. Thus, we conducted an updated comprehensive systematic review and meta-analysis to investigate the

The Nordic Experience of Pediatric Heart-Lung Transplantation

BackgroundPediatric heart-lung transplantation (pHLTx) remains the only treatment option for children with significant and fixed elevation of pulmonary vascular resistance (PVR) in the setting of uncorrectable end-stage heart disease. We aimed to determine the characteristics, waiting list course and long-term outcomes for children listed for pHLTx within the Scandiatransplant region.MethodsThis w

Energieffektiv utomhusbelysning längs gångvägar för människor med särskilda behov

Utomhusbelysning i offentliga miljöer har en viktig roll i en hållbar stadsutveckling. Energieffektiv LED-belysning kan stödja mobilitet i stadsmiljöer och medverka till en ökad tillgänglighet för personer med särskilda behov. Belysningen i föreliggande studie upplevdes ge tillräcklig ljusmängd och jämnt ljus, och det gick att se bra i belysningen. Trots att LED-belysningen ökade möjligheterna til

Estimation of physical performance and measurements of habitual physical activity may capture men with high risk to fall-Data from the Mr Os Sweden cohort

To evaluate if clinically usable estimates of physical performance and level of habitual physical activity are associated with fall risk in elderly men. A population-based sample of 3014 randomly selected men aged 69-80 years was recruited to medical centers in Gothenburg, Malmoe, or Uppsala. The level of physical activity and self-reported falls during the preceding 12 months was evaluated using