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OBJECTIVE: Communication about patients' values, goals, and prognosis in serious illness (serious illness communication) is a cornerstone of person-centered care yet difficult to implement in practice. As part of Serious Illness Care Program implementation in five health systems, we studied the clinical culture-related factors that supported or impeded improvement in serious illness conversations.
Biomedical science is rapidly developing in terms of more transparency, openness and reproducibility of scientific publications. This is even more important for all studies that are based on results from basic semen examination. Recently two concordant documents have been published: the 6th edition of the WHO Laboratory Manual for the Examination and Processing of Human Semen, and the Internationa
Metal contamination of water bodies has attracted global attention owing to its environmental toxicity, abundance and persistence. Metals such as arsenic, cadmium and mercury are of greater concern since they are toxic even at low concentrations. Mercury is present at 1000 times lower concentrations than the other two metals, but still has a negative impact on the environment due to its high trans
Many modern drugs contain chiral amine moieties and the need for more efficient processes to synthesize these amines in high optical purity and concentration are greatly demanded by the fine chemical and pharma industry. Amine transaminases (ATA) allow for the direct asymmetric synthesis of optically pure amines from ketone substrates. Although academia and industry have been researching ATAs exte
The main purposes of a clarifier-thickener unit is that it should produce a high underflow concentration and a zero effluent concentration. The main difficulty in the control of the clarification-thickening process (by adjusting a volume flow) is that it is nonlinear with complex relations between concentrations and volume flows via the solution of a PDE - a conservation law with a source term and
Popular Abstract in Swedish Konkurrensen har ökat markant under 2000-talet med ökad globalisering och hållbarhetstrender. Ständigt pågående teknologiska utvecklingar har medfört att kraven på rätt kvalitet på varor och tjänster har ökat. Tillverkare måste också följa skärpningar inom lagstiftning och krav på spårbarhet. Det har sammantaget lett till att det ställs allt hårdare krav på effektiv förToday’s trends are the ever growing competition with increased globalization and sustainability. Together with ongoing technological developments and the demand for right quality of products and services, this has also resulted in increased demands for legislation and traceability. This development has also had an impact on packaging and Packaging Logistics. This thesis deals with packaging, logis
The damage caused by the worldwide increase in natural disasters is staggering, with the poor and marginalised slum communities being the most vulnerable. This paper analyses the key variables and their causal relations underlying the complex system of risk and disaster occurrence in slum areas in El Salvador. Slum dwellers’ views and knowledge are the focus of this inquiry. A better understanding
This thesis explores and reflects on the regulations related to marine environment protection with a special focus on the cruise industry. The main provisions regulating the cruise ships activities are primarily addressed by looking at the international and regional conventions for afterwards narrowing down the interest on the impact of their adoption on the development of the Turkish legislation.
Problem background: The past few years, banks have gone from only being lenders and borrowers of money to also cover a broad portfolio of offers to customers. Banks today supply their customers with several investment alternatives for the savings capital. It is a fierce competition at the financial market and the employees must continuously keep up to date with all the new information and knowledg
För närvarande finns ett välutvecklat skatteavtalsnätverk med över 3000 tecknade avtal. Med detta följer också stora möjligheter till internationell skatteplanering. Treaty shopping är inget nytt fenomen inom internationell skatterätt men har aldrig varit lika kontroversiellt som nu. Treaty shopping innebär att en skattskyldig organiserar sina affärer i syfte att omfattas av ett visst skatteavtaThere is currently a well-developed tax treaty network with over 3000 concluded treaties. Accordingly, there are countless opportunities for international tax planning. The concept of treaty shopping is a fairly new phenomenon and it has never been as controversial as today. Treaty shopping implies that taxpayers arrange their affairs in order to be covered by a particular tax treaty. To be cove
In a first step, this thesis seeks to provide an understanding of the industry’s situation in 2007 and 2012 and what factors influence the industry with what consequences? In a second step, the aim is to analyse the resources and capabilities necessary for survival in such a fast-paced industry and how that value is created and captured. Based upon the analysis, four observations have been made.
Bakgrund: Ikea har under en längre tid upplevt problem med felaktiga kapaciteter registrerade i deras system. Idag finns det inget gemensamt arbetssätt för att registrera och uppdatera kapacitetsinformation och därför reflekterar inte informationen i systemet leverantörernas verkliga kapaciteter. Detta gör det svårt för företaget att kunna ha en överblick över kapaciteterna och hur de är allokeradBackground:IKEA has, during a long time, experienced problems with incorrect capacities registered in their system. There is no standardized way of working with registering and updating the information regarding capacity today. Therefore, the information regarding the suppliers’ capacities does not reflect the reality. Furthermore, the company does not have a clear picture of how the capacities ar
The thesis attempts to explore possibilities of implementing a user interface visualization to a machine learning algorithm. As the algorithm in the thesis does not take soft values into account, the visualization is meant to highlight its’ drawbacks and aware the end user of how the results were generated. Therefore the graphical representation is aimed to fortify the algorithm as decision making
Uppsatsens syfte är att utreda bevisprövningen för asylsökande med flyktinggrunden sexuell läggning. Fokus har varit att granska den praktiska tillämpningen och vilka värderingar Migrationsverket och migrationsdomstolarna gör när den enskilda ska bevisa sin sexuella läggning. Jag har därav granskat 12 domar från olika migrationsdomstolar, samt undersökt de bakomliggande besluten från MigrationsverThis essay’s purpose is to investigate the evaluation of proof for asylum seekers that fear persecution because of their sexual orientation. The focus has been to examine the practical application and what assessments the Swedish Migration Agency and migration courts make in order for the individual to prove their sexual orientation. I have therefore examined 12 judgements from different migration
I takt med den tekniska utvecklingen behandlas personuppgifter i allt större utsträckning och mer gränsöverskridande. Behandling och överföring av personuppgifter är förenat med en risk för att individens integritetsskydd åsidosätts. EU har en stark dataskyddslagstiftning och värnar om skydd av EU-medborgares personuppgifter. USA har inte en lika stark dataskyddslagstiftning. Samtidigt är USA enWith the fast development in information technology, personal data is increasingly being processed and interchanged cross-border. Processing and transfer of personal data is associated with a risk that the individual's privacy protection is disregarded. The EU has strong data protection legislations and a strong protection of the personal data of EU citizens. The U.S. does not have as strong
This essay highlights the increasingly complex decision-making process surrounding urban renewal. The essay critically evaluates Malmö municipality and their implementation of two decision-making models within urban renewal. In particular, the essay highlights the importance of the democratic values inclusion and public accountability. The analytical framework consists of democratic theory as well
Entreprenadavtal karakteriseras av att arbetena de reglerar tenderar att vara omfattande, komplicerade och långvariga, vilket ställer krav på samverkan mellan entreprenadavtalets parter. När en av avtalsparterna inte utför sin huvudförpliktelse uppstår ett avtalsbrott, vilket kan innebära att vissa påföljder med anledning av avtalsbrottet aktualiseras. I särskilda fall kan den skadelidande parten Contracting contracts are characterized by the work they regulate tend to be extensive, complicated and long-lasting, which implies a demand on collaboration between the contracting parties. When one of the contracting parties does not fulfill their main obligation, a breach of contract arises, which may mean that some penalties arising from the breach of contract will be actualized. In special ca
Bakgrund De ledande världsekonomierna kom 2010 överens om att begränsa den globala uppvärmningen till två graders ökning jämfört med förindustriella temperaturer i hopp om att det räcker för att undvika den värsta effekten av klimatförändringar. För att nå detta mål skulle det, enligt The Intergovernmental Panel of Climate Change, krävas en absolut reducering av utsläpp med 41–72 procent till 2050Background The world’s governments agreed in 2010 to work towards limiting global warming to a two-degree warming compared to pre-industrial temperatures with the presumption that this would suffice in order to avoid the worst effects of climate change. Meeting this goal would, according to The Intergovernmental Panel on Climate Change, require a reduction of global emissions by 41–72 percent by t
