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Prediction of good functional outcome decreases diagnostic uncertainty in unconscious survivors after out-of-hospital cardiac arrest

PURPOSE: To explore modifications of the 2021 European Resuscitation Council/European Society of Intensive Care Medicine (ERC/ESICM) guideline algorithm for neuroprognostication after cardiac arrest to improve its prognostic accuracy.METHODS: Post-hoc analysis of four prospective multicentre studies (TTM, TTM2, KORHN and ProNeCA). We raised the Glasgow Coma Scale motor (GCS-M) inclusion threshold

Aortic valve calcification across stages of dysglycemia in middle-aged individuals from the general population

Background: Aortic valve calcification (AVC) is an underlying pathophysiological mechanism in aortic stenosis, which shares many risk factors with diabetes. However, the association between dysglycemia and early stages of AVC remains unclear. The aim was to examine the associations between stages of dysglycemia and signs of AVC among middle-aged individuals from the general population. Methods: Th

Signs of Hyperinflation and Ventilation Heterogeneity in Individuals With Severe Alpha-1-Antitrypsin Deficiency at the Age of 42

Background: Severe alpha-1-antitrypsin deficiency (AATD) is a known risk factor for early development of emphysema and COPD. By the Swedish national screening program within the years 1972–74 a cohort of individuals with severe AATD (PiZZ) was identified and regularly followed up. The aim of this study was to investigate alveolar volume (VA) and the ratio VA/Total lung capacity (VA/TLC) for the de

Estimating the lake storage capacity on the Tibetan Plateau using satellite altimetry and imagery data : a comparative analysis of water volume change methods

Compared to lake area and water level, lake storage capacity more intuitively reflects regional climate changes. In this study, we first derived lakebed elevation profiles for individual ICESat-2 tracks based on the underwater stratification of laser photons, then integrating all valid elevation tracks within the water body to interpolate the bathymetry. On this basis, we calculated the capacity a

A Case Study of Training for Flood Management in Cambodia: : Perspectives from Healthcare Professionals and Key Training Stakeholders

IntroductionFloods are the most common type of natural disaster worldwide and are projected to become morefrequent and more extreme. Cambodia is prone to annual, seasonal flooding. Floods impact health inmany ways and can disrupt the health system through destruction of infrastructure and loss ordiversion of human, economic and physical resources. Through knowledge acquisition and skillsdevelopmen

Longer and heavier road freight vehicles in Sweden

PurposeLonger and heavier road freight vehicles, so called High Capacity Vehicles (HCVs) are likely to be implemented by the Swedish government in the near future. This paper analyses the effects on tonne-kilometres, vehicle-kilometres, CO2 and socio-economics of three possible implementation strategies (HCVs on all roads, a designated road network, a designated road network with km-based truck ch

Patients’ experience of a novel interdisciplinary nurse-led self-management intervention (INSELMA)—a qualitative evaluation

Background: Despite continuous improvements in anti-rheumatic pharmacological treatment, people with chronic inflammatory arthritis still report substantial disease impact. Based on the framework for complex interventions, we thus developed INSELMA, a novel nurse-coordinated multidisciplinary self-management intervention for patients with rheumatoid arthritis, psoriatic arthritis or axial spondylo

Knowledge as a Public Good: Reconceiving the Purpose and Methods of Knowledge Production

This volume originally started as a conversation between academics from across the Arab world, all of whom have bridged their academic careers or professional development expertise to the public sphere in order to use their knowledge more actively to push for progressive, democratic change in their respective countries. Over the course of the conversation, Arab engaged scholars and activists share

Atrial septal defect in children : The incidence and risk factors for diagnosis

Objective: Secundum atrial septal defect (ASD II) is a common congenital heart defect, and interatrial communications among preterm children is even more common. The objective of this study was to calculate the incidence of ASD II in children, with assessment to gestational age at birth. Further, to assess maternal, prenatal and postnatal risk factors associated with ASD II among children of diffe

Spatiotemporally resolved surface temperature measurement of aluminum ignition and combustion in steam and oxygenated environments

We report micrometric imaging measurements of the ignition of micron-sized aluminum (Al) wires and the consequent combustion processes of single micron-sized Al droplets in hot steam and steam with oxygen. The specially designed flames were anchored on a modified burner where a small central H2/O2 diffusion flame in the center jet provided a hot flow (>2330 K) for Al ignition, and the diffusion fl

Acoustic Enrichment of Heterogeneous Circulating Tumor Cells and Clusters from Metastatic Prostate Cancer Patients

BACKGROUND: There are important unmet clinical needs to develop cell enrichment technologies to enable unbiased label-free isolation of both single cell and clusters of circulating tumor cells (CTCs) manifesting heterogeneous lineage specificity. Here, we report a pilot study based on the microfluidic acoustophoresis enrichment of CTCs using the CellSearch CTC assay as a reference modality.METHODS

Large eddy simulations of flow over additively manufactured surfaces: Impact of roughness and skewness on turbulent heat transfer

Additive manufacturing creates surfaces with random roughness, impacting heat transfer and pressure loss differently than traditional sand–grain roughness. Further research is needed to understand these effects. We conducted high-fidelity heat transfer simulations over threedimensional additive manufactured surfaces with varying roughness heights and skewness. Based on an additive manufactured Inc

Outcome of cataract surgery in eyes with diabetic retinopathy : a Swedish national cataract register report

Purpose: To analyse if patients with diabetic retinopathy (DR) subjected to cataract surgery differ in outcome compared to patients without DR with regard to best-corrected visual acuity (BCVA), deviation from target refraction, intraoperative difficulties and risk of complications. Methods: A register-based study from the Swedish National Cataract Register (NCR) during the years 2015–2017 includi

Decentralized ventilation unit for window frame integration

Swedish National Board of Housing, Building and Planning reported in "Energi i bebyggelsen"that 80 % of the detached houses in Sweden were under-ventilated, and had a flow of 0.23 l/(s·m2) on average instead of, by the code, required 0,35 l/(s·m2). Well known concerns here are lacking indoor environmental quality and a risk of moisture problems in certain rooms and in the envelope. The naturally v

Farmland birds on forest clear-cuts : Liked by some, avoided by others

Many bird species typical to farmland have declined in numbers in recent decades. Some farmland bird species occur outside farmland in other open man-made habitats, such as forest clear-cuts. Given that in Sweden the total area of clear-cuts (5–6 %) almost equals that of farmland (8 %), clear-cuts have the potential to be an important habitat for some farmland birds. We investigated how bird commu

Linkages between rainfed cereal production and agricultural drought through remote sensing indices and a land data assimilation system : A case study in Morocco

In Morocco, cereal production shows high interannual variability due to uncertain rainfall and recurrent drought periods. Considering the socioeconomic importance of cereal for the country, there is a serious need to characterize the impact of drought on cereal yields. In this study, drought is assessed through (1) indices derived from remote sensing data (the vegetation condition index (VCI), tem

Does community-based health insurance protect women from financial catastrophe after cesarean section? A prospective study from a rural hospital in Rwanda

Background: The implementation of community-based health insurance in (CBHI) in Rwanda has reduced out of pocket (OOP) spending for the > 79% of citizens who enroll in it but the effect for surgical patients is not well described. For all but the poorest citizens who are completely subsidized, the OOP (out of pocket) payment at time of service is 10%. However, 55.5% of the population is below the

Intensive care medicine in Europe : Perspectives from the European Society of Anaesthesiology and Intensive Care

BACKGROUND Anaesthesiology represents a rapidly evolving medical specialty in global healthcare, currently covering advanced peri-operative, pre-hospital and in-hospital critical emergency management (CREM), intensive care medicine (ICM) and pain management. The aim of the European Society of Anaesthesiology and Intensive Care (ESAIC) is to develop and promote a coordinated interdisciplinary and m

Homologous recombination deficiency in primary ER-positive and HER2-negative breast cancer

BACKGROUND: Homologous recombination deficiency (HRD) originating from inactivation of genes like BRCA1/BRCA2 is a targetable abnormality common in triple-negative breast cancer (TNBC). In estrogen-receptor (ER)-positive HER2-negative (ERpHER2n) breast cancer (BC), HRD prevalence and clinical impact are unclear.METHODS: We analyzed 502 ERpHER2n tumors from patients recruited via the population-rep

Effect of fertilization and growth conditions on woody-tree biomass composition

A biorefinery can operate with various plant materials as feed stock, (in contrast to fossil-based oil refineries). It has been defined by the International Energy Agency, Task 42, as “the sustainable processing of biomass into a spectrum of marketable bio-based products (chemicals, materials) and bioenergy (biofuels, power, heat)”. One of the challenges in operating large-scale facilities is that