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Metagoverning social work knowledge structures.

The increasing fragmentation and the rising number of organizations in society create major challenges when implementing policy. In this article, we propose that the concept of metagovernance is useful when addressing these challenges in the governance of knowledge structures. The enhancement of knowledge structures in the Swedish social services is our study object. Networks at national, regional

Adaptive distributed synchronization of heterogeneous multi-Agent systems over directed graphs with time-Varying edge weights

Time-varying edge weights represent dynamical interactions between any two nodes in multi-agent systems (MASs). In this paper, we consider a synchronization problem for heterogeneous MASs over directed graphs with time-varying edge weights from a control-theoretic perspective. We seek for an adaptive control protocol that drives the synchronization error in the presence of time-varying edge weight

Hybrid thermal machines: Generalized thermodynamic resources for multitasking

Thermal machines perform useful tasks, such as producing work, cooling, or heating by exchanging energy, and possibly additional conserved quantities such as particles, with reservoirs. Here we consider thermal machines that perform more than one useful task simultaneously, terming these hybrid thermal machines. We outline their restrictions imposed by the laws of thermodynamics and we quantify th

RIFM fragrance ingredient safety assessment, 7,9-dimethylspiro[5.5]undecan-3-one, CAS Registry Number 83863-64-3

The existing information supports the use of this material as described in this safety assessment. 7,9-Dimethylspiro[5.5]undecan-3-one was evaluated for genotoxicity, repeated dose toxicity, reproductive toxicity, local respiratory toxicity, phototoxicity/photoallergenicity, skin sensitization, and environmental safety. Data show that 7,9-dimethylspiro[5.5]undecan-3-one is not genotoxic. The repea

A Modified Progressive Supranuclear Palsy Rating Scale

Background: The Progressive Supranuclear Palsy Rating Scale is a prospectively validated physician-rated measure of disease severity for progressive supranuclear palsy. We hypothesized that, according to experts' opinion, individual scores of items would differ in relevance for patients' quality of life, functionality in daily living, and mortality. Thus, changes in the score may not equate to cli

Tilt testing remains a valuable asset

Head-up tilt test (TT) has been used for >50 years to study heart rate/blood pressure adaptation to positional changes, to model responses to haemorrhage, to assess orthostatic hypotension, and to evaluate haemodynamic and neuroendocrine responses in congestive heart failure, autonomic dysfunction, and hypertension. During these studies, some subjects experienced syncope due to vasovagal reflex. A

The importance of the longest R-R interval on 24-hour electrocardiography in mortality prediction in patients with atrial fibrillation

BACKGROUND: Heart rate control in atrial fibrillation (AF) is typically assessed by 24-hour electrocardiography (ECG). There are scarce data on the use of 24-hour ECG parameters to predict mortality in AF.AIMS: We aimed to identify 24-hour ECG parameters that predict mortality in AF.METHODS: We enrolled 280 ambulatory patients (mean [SD] age, 72.0 [8.7] years; 57.9% men) with permanent or persiste

Physical Activity and Psychosocial Factors Associated With Risk of Future Fractures in Middle-Aged Men and Women

Identification of risk factors for fractures is important for improving public health. We aimed to identify which factors related to physical activity and psychosocial situation were associated with incident fractures among 30,446 middle-aged women and men, followed from 1991-1996 to 2016, in a prospective population-based cohort study. The association between the baseline variables and first inci

Implementation of clinical practices and pathways optimizing ACS patients lipid management : Focus on eight European initiatives

Post-acute coronary syndrome (ACS) patients are at very high cardiovascular risk. Despite current guidelines strongly recommend to reduce LDL-C levels and initiation of high-intensity statins as early as possible in patients admitted with an ACS, less than half of ACS patients receive a high intensity statin, and a high percentage of has LDL-C well above the goal despite therapy. There are multipl

Early Math in a Preschool Context : Spontaneous Extension of the Digital into the Physical

The paper presents a systematic examination of data from two early math interventions, involving 188 children aged 3,5-6,5 and their teachers. The aim is to cast light on how a digital early math game can be spontaneously extended into the physical environment by children and by teachers. Questions were: i) how the math content was extended to the physical room, ii) which elements of the game and

HIP AND GROIN PROBLEMS IN THE PREVIOUS SEASON ARE ASSOCIATED WITH IMPAIRED FUNCTION IN THE BEGINNING OF THE NEW SEASON AMONG PROFESSIONAL FEMALE ICE HOCKEY PLAYERS - A CROSS SECTIONAL STUDY

Background: Hip and groin problems are common in ice hockey but studies on professional female players are sparse. The available literature describes hip and groin problems by reporting incidence of time-loss injuries and may thereby underestimate the scope of these problems, which are often due to overuse and may not lead to absence from ice hockey participation.Purpose: The purpose of this study

Detecting deviations from the efficacy and safety results of single-arm trials using real-world data : The case of a CAR-T cell therapy in B-cell lymphoma

Purpose: Personalized therapies are leading to an increasing number of marketing authorizations based on single-arm trials, which increases the demand for better post-authorization monitoring strategies. The aim of the present study was to estimate the power over time as data accrue in population-based registries for detecting deviations from the expected efficacy/safety of chimeric antigen recept

Pre-analytical protocol for measuring Alzheimer's disease biomarkers in fresh CSF

Introduction: We aimed to establish a standardized, routine-use pre-analytical protocol for measuring Alzheimer's disease (AD) biomarkers in cerebrospinal fluid (CSF). Methods: The effect of pre-analytical factors (sample collection/handling/storage/transportation) on biomarker levels was assessed using freshly collected CSF. Tube type/sterilization was assessed using previously frozen samples. A