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Klebsiella pneumoniae Biofilms and Their Role in Disease Pathogenesis.

The ability to form biofilms is a crucial virulence trait for several microorganisms, including Klebsiella pneumoniae - a Gram-negative encapsulated bacterium often associated with nosocomial infections. It is estimated that 65-80% of bacterial infections are biofilm related. Biofilms are complex bacterial communities composed of one or more species encased in an extracellular matrix made of prot

Influence of the Polysaccharide Capsule on the Bactericidal Activity of Indolicidin on Streptococcus pneumoniae.

Streptococcus pneumoniae is a pathogen responsible for high morbidity and mortality worldwide. The polysaccharide capsule confers protection against phagocytosis and influences many aspects of pneumococcal pathogenesis. The capsular polysaccharides (CPS) are highly immunogenic and exhibit great structural variability, with more than 100 serotypes described so far. Antimicrobial peptides (AMPs) ar

Interactive effects of physical fitness and body mass index on risk of stroke : A national cohort study

BACKGROUND: High body mass index (BMI) and low physical fitness are risk factors for stroke, but their interactive effects are unknown. Elucidation of interactions between these modifiable risk factors can help inform preventive interventions in susceptible subgroups.METHODS: National cohort study of all 1,547,294 military conscripts in Sweden during 1969-1997 (97-98% of all 18-year-old males). St

Clinical features of registry-ascertained alcohol use disorders that reflect familial risk

Background: Alcohol Use Disorder (AUD) is clinically heterogeneous. Using a large epidemiological sample ascertained via public registries, is it possible to identify clinical and historical features of AUD that reflect familial risk? Methods: Using registration in national medical, legal or pharmacy registries, we identified four kinds of relative pairs (n = 683,223) starting with a proband with

Long-term effects of neighbourhood deprivation on diabetes risk : Quasi-experimental evidence from a refugee dispersal policy in Sweden

Background: Although studies have shown associations between neighbourhood quality and chronic disease outcomes, such associations are potentially confounded by the selection of different types of people into different neighbourhood environments. We sought to identify the causal effects of neighbourhood deprivation on type 2 diabetes risk, by comparing refugees in Sweden who were actively disperse

Familial risks of glomerulonephritis : a nationwide family study in Sweden

Objective: Familial risks of glomerulonephritis (acute, chronic and unspecified glomerulonephritis) have not been studied. This study aims to determine the familial risks of glomerulonephritis. Methods: Individuals born from1932 onwards diagnosed with glomerulonephritis (acute [n = 7011], chronic [n = 10,242] and unspecified glomerulonephritis [n = 5762]) were included. The familial risk (Standard

Gender-specific incidence of autoimmune diseases from national registers

BACKGROUND: It is widely believed that autoimmune diseases affect predominantly in women, but the available evidence came from case control study with potential selection and recall bias. We aimed to examine the gender-specific incidence of autoimmune diseases by using national wide registers in Sweden.METHODS: Swedish Hospital Discharge Register and Outpatient Register were used to identify a set

Mapping an emergency management network

We present a web-based method for mapping various relations between agents that have been involved in an emergency response operation. The method is based on combining a web-questionnaire with telephone interviews and it provides an efficient way of collecting large amount of information concerning the agents. By using the resulting network of agents it is possible to perform various network analy

Redistribution of blood flow in the cerebral cortex of normal subjects during head-up postural change

Regional cerebral blood flow was measured in 21 normotensive subjects during supine rest and during head-up tilt to 70 degrees. The results showed significant and consistent regional cerebral blood flow changes in the frontal areas with lower relative flow distribution values (percentage of mean flow) during head-up tilt than during supine rest. The lower frontal flow distribution values during ti

Learning from accident investigations – A cross-country comparison

This paper compares all accident investigation reports covering railway accidents issued by the national investigation boards in Sweden, Norway and Denmark during a two-year period (2008-2009). By using content analysis, units of text describing attributed causes have been selected and categorized as belonging to one of three hierarchical levels; the micro level (technical malfunctioning and human

Learning from failure: Research initiatives towards improving resilience of the Swedish railway system

This paper includes a brief description of some closely related ongoing research activities aiming at learning from failures in order to improve the resilience of the Swedish railway system. One of these activities includes the development of a method aiming at assessing the capability for restoring the service of the railway system after strains affecting its technical, and often highly interdepe

Risk- and vulnerability analyses in crisis management of extreme events - A pilot study

In this paper some findings from a pilot study regarding the use of risk- and vulnerability analysis in society's management of extreme events is presented. The study consisted of two major parts. The first part was an interview study with the main objective to generate a preliminary overview of methods and procedures used by 9 selected Swedish governmental agencies in their risk- and crisis manag

An Operational Definition of Emergency Response Capabilities

Well developed emergency response capabilities are crucial in order to keep the risk in a community at low levels. Analysing these capabilities before an emergency occurs is important since it can identify weaknesses and possibilities for improvements. To start off from an operational definition is a possible point of departure in such an analysis. In this paper, therefore, we develop an operation

Understanding capability : how the concept is used in emergency management

Preparedness planning is part of the disaster management process in many countries and it includes building capabilities to improve the effectiveness of response to various scenarios. Sweden, the Netherlands and the United Kingdom all use risk and vulnerability analyses together with capability assessments as part of their preparations for disasters. Whereas the definitions of risk and vulnerabili

Analytical Input to Emergency Preparedness at the Municipal Level – a Case Study

In this paper an approach for employing risk and vulnerability analyses as the basis for emergency preparedness planning is discussed and exemplified using a case study. The study consisted of three connected parts: a broad scope hazard identification and analysis, an assessment of potential assistance needs should any of the hazards materialise and finally a mapping of actors and dependencies. Th