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Introduction: Cardiotomy suction blood is used in cardiopulmonary bypass (CPB) surgery to maintain blood volume in the CPB system, although it is known to contain micro emboli, cytokines and free plasma hemoglobin. Our aim was to investigate whether cell saver washing the cardiotomy suction blood before re-transfusing it is safe. Methods: This is a retrospective study of 1671 elective coronary art

Dissolved organic matter (DOM) concentrations have risen by a factor of two or more across much of Europe and North America during recent decades. These increases have affected the carbon cycle, light regime, drinking water treatability, and the energy and nutrient budgets of lakes and streams. However, while trends in DOM quantity are well characterised, information on how/whether qualitative pro

The study examines the governance of low trophic species mariculture (LTM) using Sweden as a case study. LTM, involving species such as seaweeds and mollusks, offers ecosystem services and nutritious foods. Despite its potential to contribute to blue growth and Sustainable Development Goals, LTM development in the EU and OECD countries has stagnated. A framework for mapping governance elements (in

European ecosystems have been subject to extensive shifts in anthropogenic disturbance, primarily through atmospheric deposition, climate change, and land management. These changes have altered the macronutrient composition of aquatic systems, with widespread increases in organic carbon (C), and declines in nitrogen (N) and phosphorus (P). Less well known is how these disturbances have affected nu

Anthropogenic consumption of nitrogen (N) and phosphorus (P) has pushed their respective planetary boundaries beyond a safe operating space causing environmental problems, and simultaneously, the depletion of finite mineral P resources is of growing concern. Previous research has found that marine biomass such as kelp, reed and mussels have a high potential for taking up N and P, which could poten

Harvesting beach-cast can help mitigate marine eutrophication by closing land-marine nutrient loops and provide a blue biomass raw material for the bioeconomy. Cost–benefit analysis was applied to harvest activities during 2009–2018 on the island of Gotland in the Baltic Sea, highlighting benefits such as nutrient removal from the marine system and improved recreational opportunities as well as co

A blue-green bioeconomy revolution is underway in Europe, with particular attention being paid to the development of new or underutilized marine biomass resources. The wild harvest and mariculture of low-trophic non-fed species of marine biomass may be contributing to circular economies, the mitigation of environmental problems such as eutrophication and climate change through the uptake of nutrie

This chapter explores moral and ethical discussions that emerged in Sweden when the number of artificial grass pitches rose substantially. Based on research in the Swedish top-tier football league, named Allsvenskan, I shall present conflicting discourses that appear whenever grass is considered. The grass discussions often take a wider, political turn and reflect attitudes towards developments in

Jämställdhet är en högst relevant aspekt för en mer hållbar transportsektor. Det finns genomgående stora skillnader mellan könen vad gäller såväl resvanor och beteende som attityder och värderingar. Skillnaderna i resvanor är så stora att enbart skillnaderna i bilanvändning skulle minska energianvändningen från transportsektorn med en femtedel om män i genomsnitt reste som kvinnor i genomsnitt. Kl

Paternal or maternal deletions in the 15q11.2-q13 region are known to result in Prader-Willi syndrome (PWS) or Angelman syndrome (AS), respectively. Maternal duplications in 15q11.2-q13 have been found in patients with autism. A population of adults with moderate to profound mental retardation was studied to examine the usefulness of PCR based molecular methods in screening for proximal chromosome

Purpose Patients' understanding of their illness is key for making informed treatment decisions, yet studies suggest an association between prognostic awareness and worse quality of life (QOL) and mood among patients with advanced cancer. We sought to explore the relationships among prognostic awareness, coping, QOL, and mood in patients with newly diagnosed, incurable cancer. Methods We assessed

Do you ever hear a medical term (e.g., demoralization) and wonderwhy it wasn’ t discussed in medical school? Do you ever wonderwhether some words or concepts mean the same thing to all practitioners?If you have, then the following case vignette should provide theforum to discuss the evolution of some terms and help you decide how toapply them.

Outpatient palliative care is increasingly delivered through co-management, a collaborative model of care that enables palliative care clinicians and oncologists to coordinate efforts. Here, we offer a distillation of our experience with co-management at a large teaching hospital. We describe three strategies to implement co-management: a shared understanding of each subspecialty, a shared framewo

BACKGROUND: Serious illness communication is a key element of high-quality care, but it is difficult to implement in practice. The Serious Illness Care Program (SICP) is a multifaceted intervention that contributes to more, earlier, and better serious illness conversations and improved patient outcomes. This qualitative study examined the organizational and implementation factors that influenced i