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The inpatient care of patients with diabetes mellitus and foot ulcers. A validation study of the correspondence between medical records and the Swedish Inpatient Registry with the consequences for cost estimations

Objectives. To compare the correspondence of discharges and diagnoses between medical records and an administrative database in diabetic patients with foot ulcers and to calculate inpatient costs from the different sources. Design. Discharge data from 117 prospectively followed patients were compared with information from the Swedish Inpatient Registry during the same treatment period for each pat

Diabetikers fotproblem : Rätt prevention och behandling kan halvera risken för amputation

Almost half of all lower leg amputations are performed in patients with diabetes. In over 70 per cent of these cases, amputation is precipitated by progression of foot ulceration to deep gangrenous infection. Most foot ulcers are preceded by trauma, usually due to ill-fitting shoes, and are precipitated by sensory motor neuropathy with varying degrees of peripheral vascular disease. The Swedish Me

Deep foot infections in patients with diabetes and foot ulcerL An entity with different characteristics, treatments, and prognosis

We report findings in 223 consecutively included people with diabetes, foot ulcer and a deep foot infection treated by a multidisciplinary diabetic foot care team at the University Hospital in Lund, Sweden. The aim of the present study was to evaluate type and characteristics of deep foot infections and their relation to choice of treatment and outcome. Three different groups of deep foot infectio

Clinical characteristics and outcome in 223 diabetic patients with deep foot infections

Clinical characteristics and outcome in 223 consecutive diabetic patients with deep foot infections are reported. Patients were treated by a multidisciplinary diabetic foot-care team at the University Hospital, Lund, Sweden, and were prospectively followed until healing or death. About 50% of patients lacked clinical signs of infection, such as a body temperature > 37.8°C, a sedimentation rate > 7

Improved wound healing in transtibial amputees receiving supplementary nutrition

The objective of this prospective study of matched controls was to find out whether supplementary nutrition would improve wound healing and decrease mortality in patients undergoing transtibial amputation for occlusive arterial disease. The nutritional status of 32 consecutive transtibial amputees was assessed and 28 were classified as malnourished. Supplementary nutrition was given reaching an av

Operations, total hospital stay and costs of critical leg ischemia. A population-based longitudinal outcome study of 321 patients

In a longitudinal analysis of all 321 patients in a defined population having surgery for critical leg ischemia during 1 year in Malmohus county (0.53 million inhabitants), Sweden, we investigated all vascular procedures and amputations on both legs, total hospital stay and hospital costs from the first procedure in each patient until death or at follow-up at least 6 years postoperatively. The fir

Categorical and anti-categorical approaches to US racial/ethnic groupings: revisiting the National 2009 H1N1 Flu Survey (NHFS)

Intersectionality theory calls for the understanding of race/ethnicity, sex/gender and class as interlinked. Intersectional analysis can contribute to public health both through furthering understanding of power dynamics causing health disparities, and by pointing to heterogeneities within, and overlap between, social groups. The latter places the usefulness of social categories in public health u

Empirical data in the philosophy of mind: free will, higher-order thought, and misrepresentation

This thesis investigates two areas of the philosophy of mind where empirical data play a role in philosophical argument. The first area, investigated in three papers, is the higher-order thought theory of consciousness, and specifically the possibility of higher-order thoughts misrepresenting what state an individual is actually in. The second area, investigated in two papers, is free will. The in

Risk factors for failed healing in amputation for vascular disease : A prospective, consecutive study of 177 cases

We examined factors which may lower the mean amputation age and factors which may serve as predictors of success or failure of amputations in the lower extremities for vascular disease in 177 consecutive amputees. Smoking lowered the mean amputation age by 9 years and diabetes by 3 years. Preoperative absence of gangrene in the ischemic limb predicted a higher risk of failure compared to patients

Amputation for occusive arterial disease - A prospective multicentre study of 177 amputees

All major amputations of the lower limb due to occlusive arterial disease were studied prospectively and consecutively during one year in the 5 hospitals in Malmöhus county, Sweden. The patients were followed for 6 months after the primary amputation of which 136 were through the tibia, 6 through the knee and 35 through the femur. One hundred and seventy-seven patients (92 men and 85 women) were i

Localization of the chromosomal breakpoints of the t(12;16) in liposarcoma to subbands 12q13.3 and 16p11.2

Short-term cultures of two myxoid liposarcomas and two mixed-type (myxoid and round cell) liposarcomas were cytogenetically analyzed. A t(12;16)(q13;p11) was present in three tumors, whereas the fourth had an unbalanced 12;16-translocation with breaks in 12q13 and 12q22, with loss of the 12q13-q22 segment, and in 16p11. In the two mixed liposarcomas, the breakpoints could be determined at subband

Characteristic karyotypic anomalies identify subtypes of malignant fibrous histiocytoma

Cytogenetic analysis of short‐term cultures from 25 malignant fibrous histiocytomas (MFH) revealed clonal chromosome abnormalities in 17 tumors: ten storiform‐pleomorphic and seven myxoid MFH. Telomeric associations, rings, and dicentric chromosomes were present in 11 tumors and cytogenetic signs of gene amplification (homogeneously staining regions and double minute chromosomes) in four. The brea

Shifting Priorities in Degrowth Research: An Argument for the Centrality of Human Needs

We present an argument for the deprioritization of subjective well-being and a prioritization of human needs within degrowth research. First, we discuss empirical evidence, methodological problems and theoretical shortcomings of subjective well-being concepts. While data for one country over time suggest a flattening of the happiness curve relative to GDP growth, cross country comparisons reveal t

Amplifying mitochondrial function rescues adult neurogenesis in a mouse model of Alzheimer's disease

Adult hippocampal neurogenesis is strongly impaired in Alzheimer's disease (AD). In several mouse models of AD, it was shown that adult-born neurons exhibit reduced survival and altered synaptic integration due to a severe lack of dendritic spines. In the present work, using the APPxPS1 mouse model of AD, we reveal that this reduced number of spines is concomitant of a marked deficit in their neur

Climate Change, Sustainable Welfare and the State

Comparative empirical studies of the link between economic growth, carbon emissions and ecological footprints (e.g. Fritz and Koch 2016) suggest that current Western production and consumption patterns and welfare standards are incompatible with environmental limits and IPCC climate targets. In the absence of evidence for absolute decoupling of economic growth, material resource input and carbon e