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Effectiveness of revascularisation of the ulcerated foot in patients with diabetes and peripheral artery disease: a systematic review.

Symptoms or signs of peripheral artery disease (PAD) can be observed in up to 50% of the patients with a diabetic foot ulcer and is a risk factor for poor healing and amputation. In 2012 a multidisciplinary working group of the International Working Group on the Diabetic Foot published a systematic review on the effectiveness of revascularization of the ulcerated foot in patients with diabetes and

Influence of optimised treatment of people with hip fracture on time to operation, length of hospital stay, reoperations and mortality within 1 year.

Hip fractures are a major cause of hospital stay among the elderly, and result in increased disability and mortality. In this study from 1 April 2003 to 31 March 2004, the influence of optimised treatment of hip fracture on time to operation, length of hospital stay, reoperations and mortality within 1 year were investigated. Comparisons were made between the first 210 patients in the period and t

Vasomotor menopausal symptoms are associated with increased risk of coronary heart disease.

OBJECTIVE:: Emerging evidence suggests that women with vasomotor menopausal symptoms (VMS) may have an adverse cardiovascular disease (CVD) risk profile. We investigated whether VMS are related to an increased risk of future coronary heart disease (CHD) and whether possible associations can be explained by CVD risk factors. METHODS:: Data used were from a Dutch and Swedish population-based sample

Children with cerebral palsy, spina bifida and pragmatic language impairment: Differences and similarities in pragmatic ability.

Pragmatically related abilities were studied in three clinical groups of children from 5 to 11 years of age; children with cerebral palsy (CP; n=10), children with spina bifida and hydrocephalus (SBH; n=10) and children with pragmatic language impairment (PLI; n=10), in order to explore pragmatic abilities within each group. A range of pragmatic, linguistic and cognitive assessments were performed

Inter-rater Reliability and Between-days Repeatability of Eight Physical Performance Tests

Results of reliability studies on physical performance tests are often conflicting. The main purpose of this study was to analyse the inter-rater reliability and between-days repeatability of physical performance tests on a female working population. Twenty-two nursing aides/ assistant nurses were tested twice, with, on average, a 5-day interval. Seventeen of these were tested again, after an aver

Total desmosines in plasma and urine correlate with lung function.

To evaluate the relationship between the matrix degradation biomarkers, desmosine and isodesmosine (desmosines), and lung function.Plasma and creatinine-corrected urinary total desmosines (P- and U-desmosines), lung function and carbon monoxide diffusion capacity (DL,CO) were measured in a cohort of subjects from the Swedish Twin Registry.Concentrations of U- and P-desmosines were measured in 349

Modeling multicylinder paper drying - Validation of a new simulation program

A mathematical model was developed for the drying of paper in a multi-cylinder drying section. The model is based on the unsteady state, one-dimensional heat conduction equation, which is applied to both the cylinder shell and the paper web. No internal mass transfer phenomena were modeled explicitly. Great emphasis ws placed on finding the proper heat and mass transfer coefficients that are integ

Communication management during the veld fires of 23 August 2011 in the Tlokwe Local Municipality : a cautionary tale

Background: A veld fire disaster in the Tlokwe Local Municipality on 23 August 2011, resultedin an estimated monetary loss of over R43 million. The veld fire disaster was characterised by a lack of strategic management and a subsequent lack of planned, coordinated communication between all role players involved. The lack of strategic communication management indirectly contributed to the losses su

Value Destruction in Swedish Welfare Services : Frontline Workers’ Impact on Asylum-Seeking Minors’ Possibilities of Creating Value in Early Integration

The aim of this article is to investigate ways in which welfare frontline workers’ conceptualization of Swedishness destroys asylum-seeking minors’ (16–17 years) possibilities of creating value during the service process in early integration. Focus group interviews and in-depth interviews were conducted with coaches at accommodation centres, schoolteachers and social workers. The analytical approa

From contamination to infective endocarditis—a population-based retrospective study of Corynebacterium isolated from blood cultures

Corynebacterium is a genus that can contaminate blood cultures and also cause severe infections like infective endocarditis (IE). Our purpose was to investigate microbiological and clinical features associated with contamination and true infection. A retrospective population-based study of Corynebacterium bacteremia 2012–2017 in southern Sweden was performed. Corynebacterium isolates were species

Laboratory study of chemical speciation of mercury in lake sediment and water under aerobic and anaerobic conditions

Chemical speciation and partitioning of radiolabeled HgCl2 were studied in model aquatic systems consisting of undisturbed entrophic lake sediment and water in plastic cylinders. The cylinders were either gradually made anaerobic by a gentle flow of N2-CO2 or kept aerobic by air flow. The proportion of methylated 203Hg was significantly higher, in both water and sediment, in the anaerobic systems

Combined solar and membrane drying technologies for sustainable fruit preservation in low-income countries – prototype development, modelling, and testing

This investigation consisted of developing and evaluating solar dryers together with semi-permeable membrane pouches for drying juicy fruits in low-income tropical countries. Two design iterations were carried out including prototype modelling and testing. The latest developed solar dryers were a passive and an active solar dryer. Modelling was initially carried out mathematically using an equatio

Anomeric Effect in Furanosides. Experimental Evidence from Conformationally Restricted Compounds

A series of conformationally restricted 0-, C-, S-, and N-“furanosides” have been synthesized, where the number 3 and 4 carbons are part of a norbornane ring system. All the carbons of the tetrahydrofuran ring are kept in one plane by the rigid norbornane skeleton, permitting only the ring oxygen to move above or below the tetrahydrofuran ring plane. This causes the substituents on carbon 2 to occ

Quality of life, functional level and needs of care after vascular major lower limb amputation

This thesis was designed to investigate health-related quality of life, functional level and needs of care the first year after dysvascular major lower limb amputation and consists of four studies with three different designs. A grounded theory was constructed in Study I. Data collection was guided by theoretical sampling and comprised of observations and interviews with eleven patients.The substa

Contact dermatitis caused by a new rubber compound detected in canvas shoes

BACKGROUND: In 2015 and 2016, female patients in Flanders consulted a dermatologist because they developed skin lesions after wearing a specific brand of canvas shoes.OBJECTIVES: To identify the culprit allergen in the shoes.METHODS: Eighteen young females aged 14-22 years presented with itching and erythematous to purple-coloured eczematous lesions on both feet. They were patch tested by 10 derma

Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970-2016 : a systematic analysis for the Global Burden of Disease Study 2016

BACKGROUND: Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify exemplars for best practice. To accomplish this, the Global Burden of Diseases, Injuries, and Risk Factors

Comparison of three α-glucosidase inhibitors for glycemic control and bodyweight reduction in Japanese patients with obese type 2 diabetes

Aims/Introduction: α-Glucosidase inhibitors (αGIs) are widely used for the primary treatment of type 2 diabetes. We compared the clinical effects of three αGIs (miglitol, acarbose and voglibose) in patients with obese type 2 diabetes. Materials and Methods: Japanese patients (n = 81) with obese type 2 diabetes (body mass index [BMI] ≥25 kg/m2) were enrolled in this multicenter, open-label study. T

Conventional bilateral cervical exploration versus open minimally invasive parathyroidectomy under local anaesthesia for primary hyperparathyroidism

BACKGROUND: Minimally invasive parathyroidectomy (MIP) has been introduced for the treatment of patients with primary hyperparathyroidism (pHPT). Thus far, only one randomized trial has compared video-assisted MIP with conventional bilateral cervical exploration (BCE). The value of open MIP is therefore not known.METHODS: Fifty patients with a solitary parathyroid adenoma localized before surgery