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Clustering of blood cell count abnormalities and future risk of death

BACKGROUND: The identification of novel predictors of poor outcome may help stratify cardiovascular risk. Aim was to evaluate the individual contribution of blood cell count parameters, as well as their clustering, on the risk of death and cardiovascular events over the long term in the population-based Malmö Diet and Cancer Study cohort.METHODS: In 30,447 individuals (age 57 ± 8 years), we assess

From electronic structure to combustion model application for acrolein chemistry part I : Acrolein + H reactions and related chemistry

Detailed reaction kinetics of acrolein + H and related chemistry and its influence on the ignition delay time prediction of acrolein has been studied theoretically in this work. The geometry optimization and vibrational frequency calculations for every stationary point were performed at the BH&HLYP/6–311++G(d,p) level of theory, with one-dimensional hindered rotation treatments applied for low

Quality of Life in Patients with High-grade Non–muscle-invasive Bladder Cancer Undergoing Standard Versus Reduced Frequency of Bacillus Calmette-Guérin Instillations : The EAU-RF NIMBUS Trial

Background: Adverse events induced by intravesical bacillus Calmette-Guérin (BCG) to treat high-grade non–muscle-invasive bladder cancer (NMIBC) often lead to treatment discontinuation. The EAU-RF NIMBUS trial found a reduced number of standard-dose BCG instillations to be inferior with the standard regimen. Nonetheless, it remains important to evaluate whether patients in the reduced BCG treatmen

High use of pain, depression, and anxiety drugs in hemophilia : more than 3000 people with hemophilia in an 11-year Nordic registry study

Background: Pain is a common feature of hemophilia, but prevalence of depression and anxiety is less studied. Registry data on prescription drugs can provide an objective measure of the magnitude of these complications. Objectives: To identify treatment patterns of prescribed pain, antidepressant, and antianxiety medications compared with those of matched controls in 4 Nordic countries. Methods: T

'There's far too much arty-farty, namby-pamby, hoity-toity, wishy-washy, lardy-dardy, sun-dried tomato eating, decaffeinated fannying about!' : Reduplicative compounds and other iterative sequences in English

The aim of the paper is to (re-)evaluate the treatment of reduplicative expressions as compound words in nearly all previous work on English. Examples of reduplicative expressions are listed, out of context, and they are labelled as compound words, without providing proper motivations as to why it makes sense to treat them as compounds, in the sense of lexical items that are formed of other lexicaThe aim of the paper is to (re-)evaluate the treatment of reduplicative expressions as compound words in nearly all previous work on English. Examples of reduplicative expressions are listed, out of context, and they are labelled as compound words, without providing proper motivations as to why it makes sense to treat them as compounds, in the sense of lexical items that are formed of other lexica

Oral glucocorticoid use in patients with rheumatoid arthritis initiating TNF-inhibitors, tocilizumab or abatacept : Results from the international TOCERRA and PANABA observational collaborative studies

Objective: To evaluate and compare the use of oral glucocorticoids with three classes of bDMARDs in patients with rheumatoid arthritis (RA). Methods: We included patients from 13 observational registries treated with a TNF-inhibitor, abatacept or tocilizumab and with available information on the use of oral glucocorticoids. The main outcome was oral glucocorticoid withdrawal. A McNemar test was us

Consumption and living standards in early modern rural households : Probate evidence from Southern Sweden, c. 1670–1860

This article presents new estimates of the material living standards among the rural population in southern Sweden from the 1670s up to 1865. The development of rural consumer patterns over the period is analyzed using a newly constructed database of 1665 probate inventories from three benchmark periods. It finds that that all rural households, no matter their socioeconomic status, diversified theThis article presents new estimates of the material living standards among the rural population in southern Sweden from the 1670s up to 1865. The development of rural consumer patterns over the period is analyzed using a newly constructed database of 1665 probate inventories from three benchmark periods. It finds that that all rural households, no matter their socioeconomic status, diversified the

Inter-rater variability in multidisciplinary team meetings of oesophageal and gastro-oesophageal junction cancer on staging, resectability and treatment recommendation : national retrospective multicentre study

Background: There are differences in oesophageal cancer care across Sweden. According to national guidelines, all patients should be offered equal care, planned and administrated by regional multidisciplinary team meetings. The aim of the study was to investigate differences between regional multidisciplinary team meetings in Sweden regarding clinical staging and treatment recommendations for oeso

New Definition of Light Chain Monoclonal Gammopathy of Undetermined Significance

IMPORTANCE: Recent studies suggest standard reference intervals for serum free light chains (FLC) are inaccurate and that this problem can only be partially remedied by using separate reference intervals for individuals with impaired kidney function. This decreases the utility of FLC testing in the clinical evaluation and follow-up of plasma cell disorders, particularly affecting the diagnosis of

Placental Tissue Destruction and Insufficiency from COVID-19 Causes Stillbirth and Neonatal Death from Hypoxic-Ischemic Injury : A Study of 68 Cases with SARS-CoV-2 Placentitis from 12 Countries

CONTEXT.—: Perinatal death is an increasingly important problem as the COVID-19 pandemic continues, but the mechanism of death has been unclear.OBJECTIVE.—: To evaluate the role of the placenta in causing stillbirth and neonatal death following maternal infection with COVID-19 and confirmed placental positivity for SARS-CoV-2.DESIGN.—: Case-based retrospective clinico-pathological analysis by a mu

SGLT2 inhibitors for patients with type 2 diabetes mellitus after myocardial infarction : a nationwide observation registry study from SWEDEHEART

Background: Sodium-glucose co-transporter 2 (SGLT2) inhibitors have been shown to reduce rates of heart failure hospitalisations and cardiovascular death in patients with type 2 diabetes and prior cardiovascular disease. We hypothesised that SGLT2 inhibitors could provide cardiovascular benefits in the post-myocardial infarction setting. We aimed to investigate cardiovascular outcomes of SGLT2 inh

Symptomatic osteonecrosis in children treated for Hodgkin lymphoma : A population-based study in Sweden, Finland, and Denmark

Background: Osteonecrosis (ON) is a potentially disabling skeletal complication of cancer treatment. Although symptomatic osteonecrosis (sON) is well-known in acute lymphoblastic leukemia (ALL), with an incidence around 6%, studies on sON in pediatric Hodgkin lymphoma (HL) are scarce. The aim of this study was to examine the incidence, risk factors, and outcome of sON in children treated for HL. P

‘Having It All’ and ‘Needing More’ : Swedish Parents Negotiating Care Between Children and Grandparents

Swedish parents today raise their children in a welfare state, where childcare is both accessible and affordable, and often within dual-income households. At the same time, they have witnessed a challenged welfare state affected by cutbacks, privatizations, and the demands of an increasingly flexible working life. Previous research has shown that Swedish grandparents are more involved in their aduSwedish parents today raise their children in a welfare state, where childcare is both accessible and affordable, and often within dual-income households. At the same time, they have witnessed a challenged welfare state affected by cutbacks, privatizations, and the demands of an increasingly flexible working life. Previous research has shown that Swedish grandparents are more involved in their adu

Assessment of Chlamydia trachomatis testing in Sweden 2016–2023 and the incidence of associated complications

Background: This study aimed to assess chlamydia diagnostics in different clinic types, including internet-based self-sampling (IBSS). Furthermore, we investigated the incidence of chlamydia-associated complications. Methods: Data on Chlamydia trachomatis (CT) testing were retrieved from six healthcare regions in the years 2016–2023 across different categories of testing facilities. National data

Age and sex differences in cause-specific excess mortality and years of life lost associated with COVID-19 infection in the Swedish population

Background: Estimating excess mortality and years of life lost (YLL) attributed to coronavirus disease 19 (COVID-19) infection provides a comprehensive picture of the mortality burden on society. We aimed to estimate the impact of the COVID-19 pandemic on age- and sex-specific excess mortality and YLL in Sweden during the first 17 months of the pandemic. Methods: In this population-based observati

Influenza A subtype H3N2 is associated with an increased risk of hospital dissemination – an observational study over six influenza seasons

Background: Previous studies on hospital-acquired influenza (HAI) have not systematically evaluated the possible impact of different influenza subtypes. HAI has historically been associated with high mortality, but clinical consequences may be less severe in a modern hospital setting. Aims: To identify and quantify HAI for each season, investigate possible associations with varying influenza subty

Pulse Wave Velocity Measurements by Magnetic Resonance Imaging in Neonates and Adolescents : Methodological Aspects and Their Clinical Implications

Pulse wave velocity (PWV) by cardiovascular magnetic resonance (CMR) lacks standardization. The aim of this study was to investigate methodological aspects of PWV measurements by CMR in neonates and adolescents. A computer phantom was created to validate the temporal resolution required for accurate PWV. Fifteen neonates and 71 adolescents underwent CMR with reference standard 3D angiography and p

Circulatory Failure and Outcome in Out-of-Hospital Cardiac Arrest

Circulatory failure is considered one of the entities of the post cardiac arrest syndrome contributing to poor outcome. It is reported at 15-70% of all patients successfully resuscitated from out-of-hospital cardiac arrest (OHCA). The pathophysiologic mechanism is attributed to limitation of cell metabolism due to inadequate supply of oxygen, caused by pump or conduction failure within the cardiov

Assessment of quality of care provided to adults with type 2 diabetes mellitus at public hospitals in Gamo Gofa zone, Southern Ethiopia : Facility based Cross-Sectional study

PURPOSE: Proactive management of type 2 diabetes is important for restoring beta-cell function and improving sustained blood glucose control. Evidence on quality of diabetes care in Ethiopia is inadequate.METHOD: Facility-based cross-sectional study was conducted to assess level of quality of care provided to adult type 2 diabetes patients at three public hospitals in Gamo Gofa Zone, Southern Ethi