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Incidence and outcomes of kidney replacement therapy for end-stage kidney disease due to primary glomerular disease in Europe : findings from the ERA Registry

Background. Primary glomerular disease (PGD) is a major cause of end-stage kidney disease (ESKD) leading to kidney replacement therapy (KRT). We aimed to describe incidence (trends) in individuals starting KRT for ESKD due to PGD and to examine their survival and causes of death. Methods. We used data from the European Renal Association (ERA) Registry on 69 854 patients who started KRT for ESKD du

Task-sharing spinal anaesthesia care in three rural Indian hospitals : A non-inferiority randomised controlled clinical trial

Background Task-sharing of spinal anaesthesia care by non-specialist graduate physicians, termed medical officers (MOs), is commonly practised in rural Indian healthcare facilities to mitigate workforce constraints. We sought to assess whether spinal anaesthesia failure rates of MOs were non-inferior to those of consultant anaesthesiologists (CA) following a standardised educational curriculum. Me

Modern CRRT systems are associated with lower risk of hypothermia

One risk of continuous renal replacement therapy (CRRT) is inadvertent hypothermia (IH), which is defined as a non-therapeutic core temperature decrease below normal. In continuous renal replacement therapy, heat loss will always occur from blood pumped through the dialysis circuit to cooler environment, predisposing for hypothermia. Blood flow and effluent flows are the most important parameters

Validation and correlation of high-sensitive troponin I and troponin T in the emergency department

Background: Troponin elevation is frequently observed in various scenarios in the Emergency Department (ED), yet there is a paucity of studies investigating simultaneously measured high-sensitivity cardiac troponin T (hs-cTnT) and troponin I (hs-cTnI) within a diverse cohort in a clinical setting. Methods: All patients who underwent troponin testing at a single center were eligible for this study.

Work loss in patients with rheumatoid arthritis treated with abatacept, rituximab, tocilizumab or TNF inhibitors : a nationwide direct drug-to-drug comparison

Objective To compare work loss after starting tumour necrosis factor inhibitors (TNFi), rituximab, abatacept or tocilizumab in patients with rheumatoid arthritis (RA). Methods We used data from the Swedish Rheumatology Quality Register to identify patients aged 19-62 years who were treated with TNFi (n=15 093), rituximab (n=2123), abatacept (n=1877) or tocilizumab (n=1720) between 2007 and 2020. D

Psychological distress is associated with pain and symptom severity in patients with longstanding hip and groin pain : A cross-sectional study

Background: The primary aim was to assess psychological distress in patients with longstanding hip and groin pain (LHGP) and compare them with healthy controls. The secondary aim was to explore the association between psychological distress and symptom duration, self-reported pain and symptoms in patients with LHGP. Methods: Seventy-two patients with LHGP and sixty-three controls were included. Th

Persistently different patterns of patient's global assessment of health in rheumatoid arthritis are associated with pain and impaired function more than with inflammation : an inception cohort study over 15 years

Objective To assess patient's self-reported global assessment of health (PGA) in relation to inflammation, pain and disability in patients with rheumatoid arthritis (RA). Methods Data were obtained from the Better Anti-Rheumatic PharmacOTherapy early RA cohort, in which patients were scheduled for follow-up of 15 years. Longitudinal PGA trajectories were identified using hierarchical agglomerative

Trends in low birth weight across 36 states and union territories in India, 1993-2021

INTRODUCTION: Low birth weight is an important measure of the health of pregnant women and newborns. We investigated the prevalence of low birth weights in India over nearly three decades to assess trends and convergence across states.METHODS: Data came from five waves of the National Family Health Survey (1992-93 to 2019-21). The prevalence of low birth weight was estimated. To explore the sensit

Genome-Wide Association Study Meta-Analysis of 9619 Cases With Tic Disorders

BACKGROUND: Despite the significant personal and societal burden of tic disorders (TDs), treatment outcomes remain modest, necessitating a deeper understanding of their etiology. Family history is the biggest known risk factor, and identifying risk genes could accelerate progress in the field.METHODS: Expanding upon previous sample size limitations, we added 4800 new TD cases and 971,560 controls

Reinterventions in patients with congenital aortic stenosis and a commissurotomy

Background In congenital aortic stenosis (CAS), commissurotomy is an option in patients not suitable to receive a valve prosthesis. However, there is often a need for future additional interventions on the aortic valve. The fate of the aortic valve is, however, essentially unknown. This study reports the need for reinterventions after surgical commissurotomy, based on a national register. Material

Impacts of climate change on indoor thermal comfort in typical Swedish residential buildings - Assessing risks for human health

There is strong evidence that climate change has a direct impact on humans and extreme temperatures have been linked to negative health impacts and increasing mortality. The heat wave of 2018 caused up to 8.2% more deaths compared to the year before in Sweden, with higher impacts in other parts of the world. The fact that people spent almost 90% of their times indoors makes the indoor environment

Modeling and Interpreting CTG Curves from Labor Using Machine Learning and Pattern Recognition

The main monitoring method during labor is cardiotocography, CTG, which measures the fetal heartbeat, FHR, as well as the uterine contractions, TOCO. The CTG is a valuable tool in assessing the fetal status and it is evaluated intermittently by clinicians during the progress of the labor. However, abnormalities in the CTG are often non-specific which makes the interpretation difficult and inconsis

Att sätta särintresset på agendan: Hbtqi-rörelsens möjligheter till politisk påverkan inom nationella beslutsprocesser

The relationship between state and civil society organisations is a well studied area within the field of political science in the Swedish contemporary political context. While the focus has previously largely been on producer-organisations and their politically privileged position, the resent additional focus has been on the civil society organisation defined by social-movements-oriented organisa

Antenna Arrays for Dual-Frequency Harmonic Radar Application

The aim of this thesis is to design two patch antenna arrays for dual-frequency harmonic radar application, one for the transmitter and the other for the receiver. The arrays are used to track the Bogong moth that migrates from the countryside to the Australian Alps during spring. The tracking is done at the radar by operating the transmitter at one frequency and the receiver at twice the frequenc

The assessment of the acute and second meal postprandial impact of plant polar lipid on glucose concentrations and satiety in healthy young adults

Lifestyle modifications could be crucial in preventing and managing type 2 diabetes mellitus (T2DM) and cardiovascular diseases (CVD), including diet and postprandial glycaemic control. Previous studies on the effects of polar lipids (PLs) on postprandial metabolic responses at Lund University have shown conflicting results. To reconcile these findings and contribute to the existing literature, th

Småhusgrund med cementbundet rivningstegel

Miljöpåverkan är ett ständigt återkommande ämne i samhällsdebatten. Många företag strävar efter att minimera sin miljöpåverkan, vilket kan ske genom att återanvända material i stället för att producera nya. I fallet med betongproduktion finns det flera sätt att göra den bättre för miljön. Till exempel kan rivningstegel användas som alternativ till den traditionella ballasten, som ett sätt att minsEnvironmental impact is a recurring topic in the social debate. Many companies strive to minimize their environmental impact, which can be done by reusing materials instead of producing new ones. In the case of concrete production, there are several ways to make it better for the environment. For example, brick waste can be used as an alternative to the traditional stone aggregate as a way to redu

Towards a Green Workforce: Assessing Green Job Preparation in Panamanian and Costa Rican Universities

The triple planetary crisis exerts high pressure on countries to transform their current economic system. The transition to a green economy is not only necessary to ensure sustainable development but also essential for countries to remain economically competitive. The neighbouring countries Panama and Costa Rica are both facing significant challenges under the green transition, despite their diffe

MRI-­based quantification of cerebral oxygen extraction and oxygen metabolism using the relationship between phase shift and magnetic susceptibility

Magnetkameran används vanligen för att generera anatomiska bilder som används vid diagnostik av olika sjukdomstillstånd. Normala anatomiska bilder avspeglar magnetresonanssignalens (MR-signalens) magnitud, vilket är signalvektorns längd. Denna är proportionell mot bl.a. antalet vätekärnor i varje volymselement. Ett annat sätt att använda MR-signalen är att skapa en bild av signalvektorns fasvinkelIntroduction: The main purpose of this study was to extract global values of oxygen extraction fraction (OEF) and cerebral metabolic rate of oxygen (CMRO2) in healthy volunteers, using magnetic resonance imaging (MRI) phase maps. The repeatability of the method was evaluated, and the age dependences of OEF and CMRO2 were analyzed. Material and methods: Phase data were acquired using a 3T MRI scann

Environmental Impact of Wastewater Treatment - A Study of Membrane Bioreactor and Iso-Disc Technologies from a Life Cycle Perspective

This study evaluates and compares two different wastewater treatment technologies from a life cycle perspective. The evaluating technologies are Membrane Bioreactor (MBR) technology with a microfiltration membrane and Iso-Disc technology. Both technologies are gaining market share and are an important step in a wastewater treatment plant to guarantee good effluent quality of water. In this study w