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The Role of Surgical Axillary Staging Prior to Immediate Breast Reconstruction in the Era of De-Escalation of Axillary Management in Early Breast Cancer

Postmastectomy radiotherapy (PMRT) following immediate breast reconstruction (IBR) is associated with postoperative complications. Although the incidence of node-positive breast cancer is declining, a separate sentinel lymph node biopsy (SLNB) is still performed before mastectomy when IBR is planned, in order to evaluate nodal status and the need for PMRT. This study assessed the impact of staged

Real-time Train Arrival Time Prediction at Multiple Stations and Arbitrary Times

Real-time prediction of train arrivals is important for proactive traffic control and information provision in passenger rails. Despite many studies in predicting arrival times or delays at stations, they are essentially the next-step time series prediction problem which may limit their applications in practice. For example, passengers on the trains or waiting on platforms may have different desti

Comparison of the Effect of Exposing Users for Height While Being Active Versus Passive in a Virtual Environment - A Pilot Study

Phobias have historically and evolutionary been vital for humans to escape quickly or fight in dangerous situations. The anxieties that phobias evoke have made people live longer. Evolutionarily, anxiety has been good, but fear and anxiety come in unjustified situations for the civilized population in the 21st century. Some people have an extra sensitive reaction system activated too often in irre

Legitimizing user knowledge in mental health services : Epistemic (in)justice and barriers to knowledge integration

Including the voices and knowledge of service users is essential for developing recovery-oriented and evidence-based mental health services. Recent studies have however, suggested that challenges remain to the legitimization of user knowledge in practice. To further explore such challenges, a co-production study was conducted by a team of researchers and representatives from user organizations in

Elevations in blood glucose before and after the appearance of islet autoantibodies in children

The etiology of type 1 diabetes has polygenic and environmental determinants that lead to autoimmune responses against pancreatic β cells and promote β cell death. The autoimmunity is considered silent without metabolic consequences until late preclinical stages,and it remains unknown how early in the disease process the pancreatic β cell is compromised. To address this, we investigated preprandia

Genetic Variants Associated with Neuropeptide Y Autoantibody Levels in Newly Diagnosed Individuals with Type 1 Diabetes

(1) Autoantibodies to the leucine variant of neuropeptide Y (NPY-LA) have been found in individuals with type 1 diabetes (T1D). We investigated the association between the levels of NPY-LA and single nucleotide polymorphisms (SNP) to better understand the genetic regulatory mechanisms of autoimmunity in T1D and the functional impacts of increased NPY-LA levels. (2) NPY-LA measurements from serum a

Seasonal variation in temperature sensitivity of bacterial growth in a temperate soil and lake

Faster bacterial biomass turnover is expected in water compared to soil, which would result in more rapid community adaption to changing environmental conditions, including temperature. Bacterial community adaptation for growth is therefore predicted to have larger seasonal amplitudes in lakes than in soil. To test this prediction, we compared the seasonal variation in temperature adaptation of ba

Role of smooth muscle YAP and TAZ in protection against phenotypic modulation, inflammation, and aneurysm development

A ruptured arterial aneurysm, especially in the aorta, represents one of the most acute and mortal conditions encountered in clinical medicine. Population-based screening in elderly men, treatment of risk factors, such as hypertension, and endovascular or open repair of rupture-prone lesions, represent cornerstones in management. Surgical repair has a sizeable effect on life-expectancy, but medica

A Historical Perspective on Ageing and Capability

This chapter discusses the value of a capability approach in historical research on older people. Historians are generally focused on studying continuity and change over time. Their research often aims at explaining how and why certain phenomena appear and take different shapes. Capability is a way of capturing an individual’s ability to live a meaningful life, or a life that they perceive as good

Pathophysiology of type 2 diabetes and the impact of altered metabolic interorgan crosstalk

Diabetes is a complex and multifactorial disease that affects millions of people worldwide, reducing the quality of life significantly, and results in grave consequences for our health care system. In type 2 diabetes (T2D), the lack of β-cell compensatory mechanisms overcoming peripherally developed insulin resistance is a paramount factor leading to disturbed blood glucose levels and lipid metabo

Cognitive factive verbs across languages

In the last few years, the traditional analysis of know as a factive verb has been lively debated by linguists and philosophers of language: several scholars have pointed out that know may be used non-factively in ordinary language. The aim of the present study is to expand this inquiry to other cognitive factive verbs than know, such as discover, realize, etc., and to investigate cross-linguistic

Breaking the patientification process - through co-creation of care, using old arctic survival knowledge

Syfte: Cancerforskning och relaterade innovationsprocesser saknar ofta en viktig komponent; patientdeltagande. Vi nyanalyserar tre studier (a-c) för att undersöka hur teorin Nuets förnöjsamhet kan användas för att förbättra patientens deltagande och psykosociala hälsa.Metod: Vi återanalyserade data från den klassiska grundade teoristudien om Nuets förnöjsamhet, baserad på fyra års observation och Purpose: Cancer research and connected innovation processes often lack a major component; patient participation. We revisit three studies (a-c) in order to explore how Momentary contentment theory may be used to improve patient participation and psychosocial health.Method: We revisited data from the initial (a) classic grounded theory study on Momentary contentment, based on four years of observat

Inside-t : A groundwater contamination transport model for sustainability assessment in remediation practice

Current sustainability assessment (SA) tools to help deal with contaminated groundwater sites are inherently subjective and hardly applied. One reason may be lack of proper tools for addressing contaminant spread which are basically objective. To fill this gap, there is a need for contaminant transport models that provide site managers with needed room for applying their judgments and consideratio

The consequences of timing norms and term limits on local agency

Incorporating time as a unit of analysis can enrich the study of agency by showing the specific ways in which actors are temporally constrained when responding to economic disturbances. In this paper, this is done by examining how the behavior of actors is affected by timing norms such as term limits that may be associated with an actor's position, as for example, an elected mayor or university vi

Quantifying differences in alternative food network supply chain activities and their relationship with socio-economic outcomes

Alternative food networks (AFNs) have the potential to enhance and redistribute value in favour of producers and consumers through novel ways of organizing supply chain activities. What is more, AFNs are often characterized by their ‘sustainability promise’ – or the idea that their networks foster social, ecological or environmental improvements over conventional food networks. Based on a purposiv

Aspirin as secondary prevention in colorectal cancer liver metastasis (ASAC trial) : study protocol for a multicentre randomized placebo-controlled trial

Background: Colorectal cancer is one the most common cancers in the western world with increasing incidence. Approximately 50% of the patients develop liver metastases. Resection of liver metastases is the treatment of choice although almost half of the resected patients get recurrence in the liver. Methods: The ASAC trial is a Scandinavian, multicentre, double-blinded, randomized, placebo-control