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Aspects of pediatric hemodynamics. A study of young children undergoing corrective heart surgery.

AbstractBackground: Assessing critically ill patients is demanding because their clinical signs are not always easy to interpret. This is particularly true for pediatric patients, due to their small size and robust circulatory compensatorymechanism. Physicians working in pediatric intensive care settings seldom use invasive monitoring, due to possible complications and the risks involved. Instead,

Precision medicine in diabetes : a Consensus Report from the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

The convergence of advances in medical science, human biology, data science and technology has enabled the generation of new insights into the phenotype known as ‘diabetes’. Increased knowledge of this condition has emerged from populations around the world, illuminating the differences in how diabetes presents, its variable prevalence and how best practice in treatment varies between populations.

Precision Medicine in Diabetes : A Consensus Report From the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

The convergence of advances in medical science, human biology, data science, and technology has enabled the generation of new insights into the phenotype known as "diabetes." Increased knowledge of this condition has emerged from populations around the world, illuminating the differences in how diabetes presents, its variable prevalence, and how best practice in treatment varies between population

Promoting nature-based solutions for climate adaptation in cities through impact assessment

Climate change is expected to be an increasingly important source of impacts on biodiversity, both directly and in combination with other activities and phenomena, such as land use change, habitat fragmentation, and biological disruption. The complexity of Biodiversity Impact Assessment under climate change is increased by the fact that the effects are difficult to generalize, given that the timin

Bereavement stressors and psychosocial well-being of young adults following the loss of a parent – A cross-sectional survey

Purpose: The knowledge about young adults who have lost a parent to cancer is limited, and to reach a broader understanding about this group, this study used the Dual Process Model of Coping with Bereavement (Stroebe and Schut, 1999) as a theoretical framework. The purpose of this study was to describe loss- and restoration-oriented bereavement stressors and psychosocial wellbeing of young adults

Vascular evaluation after cervical hip fractures in children: a case series of eight children examined by scintigraphy after surgery for cervical hip fracture and evaluated for development of secondary radiological changes.

Femoral neck fractures in children and young adults are rare, but have a high risk of avascular necrosis (AVN) and subsequent gradual collapse of the femoral head. In 2006, we initiated the use of scintigraphy for the diagnosis of vascular impairment after a cervical fracture in children. In the present retrospective case study, we evaluated the effect of the remaining postoperative circulation in

A systems biology analysis connects insulin receptor signaling with glucose transporter translocation in rat adipocytes

Type 2 diabetes is characterized by insulin resistance, which arises from malfunctions in the intracellular insulin signaling network. Knowledge of the insulin signaling network is fragmented, and because of the complexity of this network, little consensus has emerged for the structure and importance of the different branches of the network. To help overcome this complexity, systems biology mathem

Enhanced short-wavelength sensitivity in the blue-tongued skink Tiliqua rugosa

Despite lizards using a wide range of colour signals, the limited variation in photoreceptor spectral sensitivities across lizards suggests only weak selection for species-specific, spectral tuning of photoreceptors. Some species, however, have enhanced short-wavelength sensitivity, which probably helps with the detection of signals rich in ultraviolet and short wavelengths. In this study, we exam

To facilitate a fair bioeconomy transition, stronger regional-level linkages are needed

The great hopes in Brussels that a circular bioeconomy will help bridge the growing divide between urban and rural areas and allow the hinterlands to prosper from ‘green growth’ are addressed in this article, which reflects on insights from three Nordic case studies of brown, green and blue biomass use at different levels of technology readiness. A closer examination of the forward, backward, fisc

Synergies and trade-offs between climate change adaptation options and gender equality : a review of the global literature

Climate change impacts are being felt across sectors in all regions of the world, and adaptation projects are being implemented to reduce climate risks and existing vulnerabilities. Climate adaptation actions also have significant synergies and tradeoffs with the Sustainable Development Goals (SDGs), including SDG 5 on gender equality. Questions are increasingly being raised about the gendered and

Towards a definitive symptom structure of obsessive-compulsive disorder: A factor and network analysis of 87 distinct symptoms in 1366 individuals

Background. The symptoms of obsessive-compulsive disorder (OCD) are highly heterogeneous and it is unclear what is the optimal way to conceptualize this heterogeneity. This study aimed to establish a comprehensive symptom structure model of OCD across the lifespan using factor and network analytic techniques.Methods. A large multinational cohort of well-characterized children, adolescents, and adu

The strategic biomarker roadmap for the validation of Alzheimer’s diagnostic biomarkers : methodological update

Background: The 2017 Alzheimer’s disease (AD) Strategic Biomarker Roadmap (SBR) structured the validation of AD diagnostic biomarkers into 5 phases, systematically assessing analytical validity (Phases 1–2), clinical validity (Phases 3–4), and clinical utility (Phase 5) through primary and secondary Aims. This framework allows to map knowledge gaps and research priorities, accelerating the route t

A Time and Place for Agency

Om platser verkligen är av betydelse, vilket ekonomiska geografer anser, då måste de vara som mest betydelsefulla för de människor vars liv utspelar sig på dessa platser, och upplever världen, materiellt kan kulturellt, genom den. När en kris och efterföljande osäkerheter drabbar en plats så påverkar detta främst människorna som kallar denna platsen för sitt hem. Ibland till den grad att en del avIf places indeed matter, as economic geographers believe, then it must matter most to the people who live their everyday lives in these places and experience the world materially and socially through it. When a crisis hits and uncertainty ensues, it affects people who call these places home the most. So much so, that some of them might be willing to stake a claim on its recovery, and development t

Broad-Scale Patterns in CDOM and Total Organic Matter Concentrations of Inland Waters – Insights from Remote Sensing and GIS

The rise in CDOM (coloured dissloved organic matter) is likely to be relatively more pronounced in remote northern regions. However, there is a lack of monitoring to confirm this. For this reason, there is a strong incentive to develop remote sensing-based methods to map CDOM in lakes across broader geographical scales and to include geograghic contex in such analysis. There is a lack of understan

Opportunities to reduce pollination deficits and address production shortfalls in an important insect pollinated crop

Pollinators face multiple pressures and there is evidence of populations in decline. As demand for insect-pollinated crops increases, crop production is threatened by shortfalls in pollination services. Understanding the extent of current yield deficits due to pollination and identifying opportunities to protect or improve crop yield and quality through pollination management is therefore of inter

Strategies for cessation of caffeine administration in preterm infants

Background: Apnea and intermittent hypoxemia (IH) are common developmental disorders in infants born earlier than 37 weeks' gestation. Caffeine administration has been shown to lower the incidence of these disorders in preterm infants. Cessation of caffeine treatment is based on different post-menstrual ages (PMA) and resolution of symptoms. There is uncertainty about the best timing for caffeine

How to Repurpose the University : A Resilience Lens on Sustainability Governance

Universities have an important role in moving society towards a more sustainable future. However, this will require us to repurpose universities, reorienting and refocusing the different university domains (education, research, campus, and outreach) towards sustainability. The governance structures and processes used to embed sustainability into the activities and operations of the institution are

External fire plumes from mass timber compartment fires—Comparison to test methods for regulatory compliance of façades

Post-flashover fires inherently lead to external fire plumes, constituting a hazard for rapid fire spread over façades. As multi-storey mass timber buildings with internal visible timber surfaces become more common, there are concerns that such buildings would produce larger external plumes and hazards (assuming all other parameters equal). The literature reveals only indications of this, and how

Nature and digitalization challenging the traditional playground

Playing outdoors in nature with peers has been attributed most importance for children's healthy development but is increasingly marginalized because of the attractiveness of screen-based play. Careful merging of digital technology into outdoor play environments rich on nature elements could potentially help bridge digital play with more traditional play activities outdoors. A systematic compariso

Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference

Despite marked progress in the management of atrial fibrillation (AF), detecting AF remains difficult and AF-related complications cause unacceptable morbidity and mortality even on optimal current therapy. This document summarizes the key outcomes of the 8th AFNET/EHRA Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA). Eighty-three in