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Objective: To identify and examine barriers to midwife-led care in Eastern Africa and how these barriers can be reduced Design: A qualitative inductive study with online focus group discussions and semi-structured interviews using content analysis Setting: The study examines midwife-led care in Ethiopia, Malawi, Kenya, Somalia, and Uganda -five African countries with an unmet need for midwives and

Background: Activity and participation are critical to health and wellbeing. Limited evidence exists on how to support people with mental illness in participating in everyday activities. Aim: To investigate the effectiveness of Meaningful Activities and Recovery (MA&R), a co-led peer occupational therapy intervention focusing on activity engagement, functioning, quality of life, and personal r

Background: The Implantable Cardioverter-Defibrillator (ICD) is a well-established life-saving therapy for heart failure patients, but due to the risk for unnecessary shocks, deactivation of ICD:s is recommended at the end of life. We aimed to identify i) how many people with HF and an ICD who died in Sweden in 2018 received Specialized Palliative Care (SPC), ii) of those dying outside of hospital

This technical note presents a brief overview of the models available for the simulation of fire evacuation at the wildland-urban interface in touristic areas. Depending on the scale of the scenarios under consideration and the evacuation mode considered, models are split into macroscopic vs microscopic tools and 1) pedestrian models, 2) traffic models, 3) coupled evacuation models, 4) modelling u

The rainfall product derived from the SM2RAIN (Soil Moisture to Rain) algorithm has been widely used. However, there is still a large uncertainty partly due to the soil moisture input and parameters estimation of the SM2RAIN algorithm, which limits the application of the model in alpine regions. Here, the SM2RAIN-BayesOpt algorithm was developed by integrating the SM2RAIN algorithm and Bayesian op

Growing evidence suggests that young migrants are particularly vulnerable to sexual violence. As young migrants often lack family and social networks, professionals are often the recipients of disclosures of sexual violence. This study aimed to explore how professionals experience young migrants’ disclosures of sexual violence. A qualitative design was used, based on 14 semi-structured interviews

Attacks on infrastructure have been a common feature of terrorism over many decades. The weapon of choice is often a Vehicle-Borne Improvised Explosive Device (VBIED) or a person-borne or other type of IED. The consequences of a successful attack in terms of casualties, physical damage, and other direct and indirect costs including societal costs can be catastrophic. Protectives and other risk red

Background: Nausea and vomiting in pregnancy (NVP) affects 50–80% of pregnant women and is correlated to the level of human chorionic gonadotropin (hCG). Hyperemesis gravidarum (HG) is a severe condition, with an incidence of 0.2–1.5%, characterized by consistent nausea, vomiting, weight loss and dehydration continuing after the second trimester. Aim: The aim of this systematic review was to inves

For two-dimensional steady pure-gravity water waves with a unidirectional flow of constant favorable vorticity, we prove an explicit bound on the amplitude of the wave, which decays to zero as the vorticity tends to infinity. Notably, our result holds true for arbitrary water waves, that is, we do not have to restrict ourselves to periodic or solitary or symmetric waves.

We propose a novel analytical time-domain model for migration of Raman scattered photons in inhomogeneous two-layer diffusive media. Based on this model, the methods for reconstruction of the Raman spectra of the two layers are developed, tested in simulations and validated on phantom measurements data.We propose a novel analytical time-domain model for migration of Raman scattered photons in inhomogeneous two-layer diffusive media. Based on this model, the methods for reconstruction of the Raman spectra of the two layers are developed, tested in simulations and validated on phantom measurements data.

Tumor antigens can emerge through multiple mechanisms, including translation of noncoding genomic regions. This noncanonical category of tumor antigens has recently gained attention; however, our understanding of how they recur within and between cancer types is still in its infancy. Therefore, we developed a proteogenomic pipeline based on deep learning de novo mass spectrometry (MS) to enable th

Background & aims: Tissue transglutaminase autoantibodies (tTGA) are used as diagnostic markers of celiac disease. Different methods have been developed for the detection of tTGA of which enzyme-linked immunosorbent assays (ELISA), radiobinding assays (RBA) and electrochemiluminescence (ECL) assays are the most commonly used. Here we aimed to evaluate a novel antibody detection by agglutinatio

The codes HiggsBounds and HiggsSignals compare model predictions of BSM models with extended scalar sectors to searches for additional scalars and to measurements of the detected Higgs boson at 125GeV. We present a unification and extension of the functionalities provided by both codes into the new HiggsTools framework. The codes have been re-written in modern C++ with native Python and Mathematic

Background: Complex level-of-care decisions involve uncertainty in which decisions are beneficial for older patients. Knowledge of physicians’ decision-making during acute situations in older patients’ homes is limited. Therefore, this study aimed to describe physicians’ experiences and actions in making complex level-of-care decisions during the assessment of older patients in acute situations wi

Mutations in thyroid hormone receptor α1 (TRα1) cause Resistance to Thyroid Hormone α (RTHα), a disorder characterized by hypothyroidism in TRα1-expressing tissues including the heart. Surprisingly, we report that treatment of RTHα patients with thyroxine to overcome tissue hormone resistance does not elevate their heart rate. Cardiac telemetry in male, TRα1 mutant, mice indicates that such persis

In this study, we apply a combination of methods for understanding how business models need to change to meet changing business conditions in the future (time horizon 2050). The process of applying the value proposition canvas and the business model canvas for understanding the future business models to the case of district heating has been documented. The energy transition necessitates a combinat

Background: To compare drug regimens across clinical trials in Parkinson's disease (PD) conversion formulae between antiparkinsonian drugs have been developed. These are reported in relation to levodopa as the benchmark drug in PD pharmacotherapy as ‘levodopa equivalent dose’ (LED). Currently, the LED conversion formulae proposed in 2010 by Tomlinson et al. based on a systematic review are predomi

Background: A diagnosis of prostate cancer (PC) may cause psychosocial distress that worsens quality of life; however, long-term mental health outcomes are unclear. Objective: To determine the long-term risks of major depression and death by suicide in a large population-based cohort. Design, setting, and participants: This was a national cohort study of 180 189 men diagnosed with PC during 1998–2

In this chapter, it is argued that Mary Wollstonecraft’s (1759–1797) writings on morality and politics are usefully analyzed as comprehensive critique of hierarchy and inequality, as detrimental to freedom and virtue. Focus is placed on Wollstonecraft’s approach to doing philosophy, or her method. She regarded inequalities as moral deviations from proper standards of rightness but also as continge

The highest resolution of images of soft matter and biological materials is ultimately limited by modification of the structure, induced by the necessarily high energy of short-wavelength radiation. Imaging the inelastically scattered X-rays at a photon energy of 60 keV (0.02 nm wavelength) offers greater signal per energy transferred to the sample than coherent-scattering techniques such as phase