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Enterococcus faecalis bacteremia, cardiac implantable electronic device, extraction, and the risk of recurrence

Purpose: In all patients with cardiac implantable electronic devices (CIED) and Enterococcus faecalis bacteremia (EfsB), endocarditis (IE) and CIED infection should be suspected. Guidelines recommend extraction of the CIED when CIED infection or IE is diagnosed. Whether extraction of the CIED should be done in other situations with EfsB is not known. We aimed to describe the management and outcome

Machine learning-assisted macro simulation for yard arrival prediction

Increasing the modal share of the single wagonload transport in Europe requires improving the reliability and predictability of freight trains running between the yards. In this paper, we propose a novel machine learning-assisted macro simulation framework to increase the predictability of yard departures and arrivals. Machine learning is applied through a random forest algorithm to implement a ya

Lost Worlds? : Heritage in a Cultural Economy

Discussions of the cultural economy often focus upon the movement of such things as signs, media images, fashion and their entanglement in economic processes, but less attention has been paid to the concrete ways in which cultural heritage is affected by the processes and conditions of commoditization. This paper focuses upon how two museums of Scandinavian heritage struggle with very different cu

Does Collaboration Include or Exclude? Participatory Aspects of Collaboration between Welfare Agencies when Investigating Suspected Child Abuse

Varying degrees of collaboration and consultation in the area of child and family welfare in the public sector has grown rapidly since the 1980s, especially concerning children at risk. Collaboration is understood to provide a more holistic view of the individual's needs, lead to better care and treatment as well as increase knowledge in general. Collaboration in that sense constitute a flexible a

Drug prescription attitudes and behaviour of general practitioners. Effects of a problem-oriented educational programme

A producer-independent, problem-oriented, group-education programme with 2-day meetings on drug treatment in primary health care (PHC) was developed and evaluated. Initially, it was tested on a selected group of general practitioners (district physicians), using a non-exposed group as control. A comprehensive questionnaire was used to test changes in attitudes. There was a significant change in at

Past and Present Roles of Packages in Logistics and towards the Future

Throughout history packages are used to contain, store and transport goods and products. In early days it was a matter of gathering and storing locally, whereas in today’s global enterprises packaging is an important issue in the operational management in networks of functions and/or divisions, often separated geographically around the world. Packaging has become a part of the process of efficient

Framing the Problem: Knowledge Brokers in the Multiple Streams Approach

A lot of attention has been focused on the policy stream of the multiple streams framework (MSF). John Kingdon used the role of the policy entrepreneur to theorize what was going on when problems become political issues. In order to fully grasp this process we need to further theorize also the problem stream. What is going on in the problem stream is defining the conditions for coupling done by po

Separation between pedestrians and bicyclists

In the effort to separate pedestrian and bicycle traffic from motorised traffic the solution often is to let the pedestrians and bicyclists share space. However, combined pedestrian and bicycle paths lead to problems for both pedestrians and bicyclists; for pedestrians it is a security and safety problem and for bicyclists a mobility problem. Seniors and visually impaired pedestrians are especiall

Being with others: The commodification of relationships in tourism

The myriad of interpersonal relationships in tourism, between tourists, between tourists and locals, and between tourists and the service providers, are essential, generic components of the tourist experience. However, interpersonal relationships are emerging as a commercial value in the tourism industry as well, expressed for example in rural commercial home type of businesses, and in wellness-or

GP's Adherence to Guidelines for Cardiovascular Disease among Elderly: A Quality Development Study.

Background: Evidence-based guidelines should in most cases be followed also in the treatment of elderly. Older people are often suboptimally treated with the recommended drugs. Objectives: To describe how well general practitioners adhere to current guidelines in the treatment of elderly with cardiovascular disease and evaluate local education as a tool for improvement. Method: Data was colle

Older pedestrians’ perceptions of the outdoor environment in a year-round perspective

This paper focuses on older peoples’ needs as pedestrians by examining their perceptions of the outdoor environment in both bare-ground and snow/ice conditions. Qualitative and quantitative methods are used, including focus group interviews, participant observations, and questionnaires. The results show that older people consider accessibility/usability issues as very important and that the import

Genomewide linkage analysis of stature in multiple populations reveals several regions with evidence of linkage to adult height

Genomewide linkage analysis has been extremely successful at identification of the genetic variation underlying single-gene disorders. However, linkage analysis has been less successful for common human diseases and other complex traits in which multiple genetic and environmental factors interact to influence disease risk. We hypothesized that a highly heritable complex trait, in which the contrib

Reduction of benthic macroinvertebrates due to waterfowl foraging on submerged vegetation during autumn migration

If present in large numbers, as during migration, herbivorous waterfowlmay reduce the amount of submerged vegetation. Because the vegetation is a keyfactor in shallow eutrophic lakes, removal of the green biomass can be expectedto affect also other biota that depend on the vegetation. We conducted anexperiment to determine how the abundance of chironomids andPisidium sp. were affected by intense f