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The Surprise Question Can Be Used to Identify Heart Failure Patients in the Emergency Department Who Would Benefit From Palliative Care

CONTEXT: Heart failure (HF) is associated with symptom exacerbations and risk of mortality after an emergency department (ED) visit. Although emergency physicians (EPs) treat symptoms of HF, often the opportunity to connect with palliative care is missed. The "surprise question" (SQ) "Would you be surprised if this patient died in the next 12 months?" is a simple tool to identify patients at risk

Age at onset as an index of genetic heterogeneity in major psychiatric and substance use disorders

Background Robust clinical indices of etiologic heterogeneity for psychiatric disorders are rare. We investigate whether age at onset (AAO) reflects genetic heterogeneity, utilizing Genetic Risk Ratios (GRR) derived from Family Genetic Risk Scores (FGRS). Methods We examined, in individuals born in Sweden 1940-2003, whether AAO for five primary disorders - drug use disorder (DUD), alcohol use diso

High-throughput neural stem cell-based drug screening identifies S6K1 inhibition as a selective vulnerability in sonic hedgehog-medulloblastoma

Background. Medulloblastoma (MB) is one of the most common malignant brain tumors in children. Current treatments have increased overall survival but can lead to devastating side effects and late complications in survivors, emphasizing the need for new, improved targeted therapies that specifically eliminate tumor cells while sparing the normally developing brain. Methods. Here, we used a sonic he

PON-P3: Accurate Prediction of Pathogenicity of Amino Acid Substitutions

Different types of information are combined during variation interpretation. Computational predictors, most often pathogenicity predictors, provide one type of information for this purpose. These tools are based on various kinds of algorithms. Although the American College of Genetics and the Association for Molecular Pathology guidelines classify variants into five categories, practically all pat

Asphalt surfaces as ecological traps for water-seeking polarotactic insects : How can the polarized light pollution of asphalt surfaces be reduced?

The surface of dry or wet asphalt roads reflects partially linearly polarized light, the degree of linear polarization p of which depends on the darkness and roughness of asphalt: the darker and/or the smoother the asphalt, the higher the p of light reflected from it. If the asphalt is sunlit and the direction of view is parallel to the solar-antisolar meridian, then the direction of polarization

Ultrahigh-pressure crystallographic passage towards metallic hydrogen

The structural evolution of molecular hydrogen H2 under multi-megabar compression and its relation to atomic metallic hydrogen is a key unsolved problem in condensed-matter physics. Although dozens of crystal structures have been proposed by theory1, 2, 3–4, only one, the simple hexagonal-close-packed (hcp) structure of only spherical disordered H2, has been previously confirmed in experiments5. T

Enhancement effect of urea toward electroporation-mediated plasmid transfection efficiency in the HEK-293 cell line

Intracellular delivery is crucial in biological and medical studies. Although many molecular tools have been created for cell-based gene therapies, it remains challenging to introduce external molecules into cells. As one of the most popular non-viral transfection methods, electroporation induces transient pores in the cell membrane by applying an external electric field. Unsatisfactory transfecti

The Progression of Mycosis Fungoides During Treatment with Mogamulizumab: A BIO-MUSE Case Study of the Tumor and Immune Response in Peripheral Blood and Tissue

Background/objectives: Mycosis fungoides (MF) is a rare malignancy, with an indolent course in the early stages of the disease. However, due to major molecular and clinical heterogeneity, patients at an advanced stage of the disease have variable responses to treatment and considerably reduced life expectancy. Today, there is a lack of specific markers for the progression from early to advanced st

Universal Design as Co-Creation : Experiences and Visions from Urban Development Projects in Sweden

In Swedish policy, Universal design (UD) is implemented as a guiding principle. This paper explores the conditions for co-creation when authorities and civil society collaborate. The empirical basis comes from qualitative analysis of interviews, go-alongs, group discussions, and change-oriented workshops in three urban development projects concerning the re-design of public spaces and buildings in

Josephson effect in a Fibonacci quasicrystal

Quasiperiodicity has recently been proposed to enhance superconductivity and its proximity effect. Simultaneously, there has been significant experimental progress in the fabrication of quasiperiodic structures, including in reduced dimensions. Motivated by these developments, we use microscopic tight-binding theory to investigate the DC Josephson effect through a ballistic Fibonacci chain attache

The T cell response to SARS-CoV-2 mRNA vaccine in adults with high exposure to perfluoroalkyl substances from Ronneby, Sweden

BACKGROUND: Perfluoroalkyl substances (PFAS) have been associated with impaired antibody levels after childhood vaccinations and immunosuppressive effects in animals. However, the in vivo effects of PFAS on antigen specific human T cell responses have not been investigated in adults. In Ronneby, Sweden, the drinking water of one of the water works was previously highly contaminated with primarily

“I’ve got ninety-nine problems…” : a starting point for investigating the risk prioritisation paradox

It has been shown in several previous studies that the implementation of risk-reducing interventions or adoption of safer behaviours is considerably less amongst individuals with low sociodemographic status. In turn, this has led to an increasing inequality of mortality risk and a considerable challenge for societal actors. Decreasing economic hurdles, that is, making safety interventions cheaper,

Few-Body Quantum Rings : An Exact Diagonalization Approach

This thesis investigates few-body quantum rings, particularly in the study of ultracold bosonic gases and nanowire quantum dots. These systems are investigated numerically using exact diagonalization methods. This dissertation contains five chapters which develop numerical and theoretical background for understanding the few-body calculations and analysis contained in the four included papers: Pap

Microscopic behaviour analysis using video recordings : A perspective on vulnerable road users

This thesis investigates the application of microscopic traffic data derived from video recordings to analyse the behaviour of road users, specifically focusing on pedestrians and cyclists in urban traffic environments. This research addresses the critical need for more accurate and proactive methods in the fields of traffic safety, transport system operational performance, and level of service as

Dexmedetomidine for analgesia and sedation in newborn infants receiving mechanical ventilation

Background: Dexmedetomidine is a selective alpha-2 agonist with minimal impact on the haemodynamic profile. It is thought to be safer than morphine or stronger opioids, which are drugs currently used for analgesia and sedation in newborn infants. Dexmedetomidine is increasingly being used in children and infants despite not being licenced for analgesia in this group. Objectives: To determine the o

Large eddy simulations of turbulent pipe flows at moderate Reynolds numbers

Wall-bounded turbulence is relevant for many engineering and natural science applications, yet there are still aspects of its underlying physics that are not fully understood, particularly at high Reynolds numbers. In this study, we investigate fully developed turbulent pipe flows at moderate-to-high friction velocity Reynolds numbers ( 361 ≤ R e τ ≤ 2000 ), corresponding to bulk velocity-based Re

PET-CT imaging of neuroendocrine tumours - Beyond diagnostics

Background: Neuroendocrine tumours (NETs) typically overexpress somatostatin receptors. By radiolabelling somatostatin analogues with a positron-emitting radionuclide (68Ga-DOTATOC or 68Ga-DOTATATE), these tumours can be detected with high sensitivity and specificity using somatostatin receptor positron emission tomography-computed tomography (PET-CT).Aim: To enhance knowledge about NETs imaged wi

Global cross-sectional survey on neonatal pharmacologic sedation and analgesia practices and pain assessment tools: impact of the sociodemographic index (SDI)

Background: There is variability in the use of sedatives and analgesics in neonatal intensive care units (NICUs). We aimed to investigate the use of analgesics and sedatives and the management of neonatal pain and distress. Methods: This was a global, prospective, cross-sectional study. A survey was distributed May–November 2022. The primary outcome of this research was to compare results between

Privacy-preserving edge federated learning for intelligent mobile-health systems

Machine Learning (ML) algorithms are generally designed for scenarios in which all data is stored in one data center, where the training is performed. However, in many applications, e.g., in the healthcare domain, the training data is distributed among several entities, e.g., different hospitals or patients’ mobile devices/sensors. At the same time, transferring the data to a central location for