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Change in mitral regurgitation severity impacts survival after transcatheter aortic valve replacement

Background: The impact of a change in mitral regurgitation (MR) following TAVR is unknown. We studied the impact of baseline MR and early post-procedural change in MR on survival following TAVR. Methods: The SWEDEHEART registry included all TAVRs performed in Sweden. Patients were dichotomized into no/mild and moderate/severe MR groups. Vital status, echocardiographic data at baseline and within 7

Priors and Posteriors in Bayesian Timing of Divergence Analyses : The Age of Butterflies Revisited

The need for robust estimates of times of divergence is essential for downstream analyses, yet assessing this robustness is still rare. We generated a time-calibrated genus-level phylogeny of butterflies (Papilionoidea), including 994 taxa, up to 10 gene fragments and an unprecedented set of 12 fossils and 10 host-plant node calibration points. We compared marginal priors and posterior distributio

Time-space complexity and the opening hours of commerce : A study of four European cities

The aim of this article is to develop the concept of time-space complexity as a way of discussing how territorial time-space production affects urban life and use. The discussion is based on a comparative study of opening hours in four centrally located European retail areas: Angers, Lisbon, Malmö and Porto. Following a comparative study of these areas, we discuss tendencies of temporal and spatia

Simplicity at the cost of predictive accuracy in diffuse large B-cell lymphoma : A critical assessment of the R-IPI, IPI, and NCCN-IPI

The international prognostic index (IPI) and similar models form the cornerstone of clinical assessment in newly diagnosed diffuse large B-cell lymphoma (DLBCL). While being simple and convenient to use, their inadequate use of the available clinical data is a major weakness. In this study, we compared performance of the International Prognostic Index (IPI) and its variations (R-IPI and NCCN-IPI)

‘Waar is beter dorp in Zuid Africa dan Stellenbos?’ : What the Stellenbosch-Drakenstein Tax Censuses Reveal

In 1825, an unnamed Stellenbosch official paused his tax collection duties to pen a poem in the margins of the opgaafrol. His verses capture the frustrations of colonial administration but the records themselves–annual tax censuses spanning 1685 to 1844–offer a far richer window into the Cape Colony’s social and economic history. First established by the Dutch East India Company and later maintain

Study protocol for a parallel-group randomized controlled trial of internet-delivered behavior therapy for adults with Tourette syndrome

INTRODUCTION: Tourette syndrome (TS) and chronic motor or vocal tic disorder (CTD) are neurodevelopmental disorders associated with functional impairment and reduced quality of life. Behavioral therapy (BT) is an effective treatment, but lack of experienced practitioners makes it hard for patients to receive appropriate help. One approach to bridge the gap between demand and availability is to off

Perceptual structure of opposites across sensory modalities

Situated at the junction of Cognitive Semantics and Experimental Phenomenology, this study investigates how participants perceive the structure of 18 perceptual dimensions of opposites across the visual, auditory, tactile, gustatory and olfactory sensory modalities. The structures include three components: two poles (HIGH; LOW) and an intermediate (NEITHER HIGH NOR LOW). Participants were asked to

Prospective long-term follow-up of sexuality and body image in women with primary vulvar cancer

Objective: To investigate the development of sexual activity, sexual function, and body image in women with primary vulvar cancer from the time of diagnosis to 24 months after the end of treatment. Methods: This nationwide prospective cohort study assessed health-related quality of life in women with newly diagnosed vulvar cancer using validated patient-reported outcome measures (EORTC-QLQ-VU34 [E

Priorities for primary mental care in low-resource settings : Implementing sustainable approaches to mental health care delivery in settings with traditionally low motivation for mental health care

Medical, neurological, and substance use disorders constitute a major disease burden worldwide, but especially in low- and middle-income countries (LMICs) where more than 80% of affected persons are unable to receive evidence-supported treatments despite these being widely available in theory. This persistent mental health treatment gap in LMICs is traceable to the very nature of such nations: low

The Genotypic and Phenotypic Spectrum of GOSR2 Mutations : Clinical and Pathophysiological Insights

North Sea-Progressive Myoclonus Epilepsy (NS-PME) is a progressive neurological disorder, initially only associated with the homozygous GOSR2 founder mutation (c.430G>T; p.Gly144Trp). Clinical symptoms include untreatable early-onset ataxia, cortical myoclonus and epilepsy. Recently, the spectrum of GOSR2 mutations and associated phenotypic variability has expanded. To improve care and to facilita

Characterisation of Postural Orthostatic Tachycardia Syndrome (POTS) : Findings from a physician chart-audit pre- and post-COVID-19

INTRODUCTION: Postural orthostatic tachycardia syndrome (POTS) is a complex disorder with challenging diagnosis and management.METHODS: This cross-sectional, multi-national, web-based physician chart audit described clinical features and management of POTS, offering insights into disease burden and outcomes before and after the COVID-19 pandemic.RESULTS: Physicians (n = 153), primarily cardiologis

Supervised online training of clinicians in the assessment and treatment of young people with body dysmorphic disorder : a feasibility study

Body dysmorphic disorder (BDD) is frequently overlooked and untreated due to insufficient awareness and expertise in mental health settings. We developed a supervisor-supported online education programme to train clinicians in the assessment and treatment of young people with BDD and evaluated its feasibility and preliminary effects. Thirty clinicians working within child and adolescent mental hea

Lifetime measurements of superdeformed bands in 148–149 Gd and 152 Dy : Evidence for structure-dependent elongations

Precise level lifetimes have been measured for various superdeformed bands in 148,149Gd and 152Dy with the Doppler-shift attenuation method. From the derived quadrupole moments, Q0, we find large differences in deformation between the yrast bands and some excited bands in the gadolinium isotopes. Moreover, two of the excited Gd bands and the 152Dy yrast band, which have identical moments of inerti

Fingerprint Image Restoration Using the U-Net Deep Learning Model

När biometriska metoder används för autentisering är det viktigt både att processen är korrekt, och går snabbt. Givetvis ska en obehörig användare inte kunna passera autentiseringsprocessen, och givetvis är det fördelaktigt om autentiseringen inte tar lång tid. Vid biometrisk fingeravtrycksigenkänning finns flertalet faktorer som försvårar matchningen. Brist på ljus kan göra fingeravtrycksbilden fThis thesis investigated the use of convolutional neural networks (CNNs) for image restoration of fingerprint images, focusing on the reconstruction from raw sensor images to denoised fingerprint images, suitable for matching. Fingerprint images from sensors often introduce noise and artifacts that inhibit the matching process. The goal was to develop a CNN-based approach capable of removing artif

Learning outcomes of infants and young children with spinal muscular atrophy type I provided with modified-electric-toy-cars in their natural environment

Objectives: To examine powered mobility learning in children with spinal muscular atrophy (SMA) type I, involving families and evaluating goal attainment through the use of small, modified electric toy cars in the children’s natural environments. Design: Single-blind pilot intervention study derived from an originally planned wait-list randomized controlled trial. This report includes only the imm

Clinical notes as prognostic markers of mortality associated with diabetes mellitus following critical care : A retrospective cohort analysis using machine learning and unstructured big data

BACKGROUND: Clinical notes are ubiquitous resources offering potential value in optimizing critical care via data mining technologies.OBJECTIVE: To determine the predictive value of clinical notes as prognostic markers of 1-year all-cause mortality among people with diabetes following critical care.MATERIALS AND METHODS: Mortality of diabetes patients were predicted using three cohorts of clinical

Collaborative Future-Making: Bridging the Everyday and the Global Political Economy of Automated Health

Health services and medical research are subject to growing use of ADM. Whilst such technology brings many benefits, it is important to understand that it is not just a tool but involves a more fundamental shift in the infrastructure through which healthcare takes place. Where that development is driven by the private sector, it also indicates a wider paradigmatic change in how healthcare is provi

Quantification and Profiling of Early and Late Differentiation Stage T Cells in Mantle Cell Lymphoma Reveals Immunotherapeutic Targets in Subsets of Patients

With the aim to advance the understanding of immune regulation in MCL and to identify targetable T-cell subsets, we set out to combine image analysis and spatial omic technology focused on both early and late differentiation stages of T cells. MCL patient tissue (n = 102) was explored using image analysis and GeoMx spatial omics profiling of 69 proteins and 1812 mRNAs. Tumor cells, T helper (TH) c

IsiXhosa Intellectual Traditions Digital Archive: Digitizing isiXhosa texts from 1870-1914

This article offers an overview of the IsiXhosa Intellectual Traditions Digital Archive, which hosts digitized texts and images of early isiXhosa newspapers and books from 1870-1914. The archive offers new opportunities for a range of research across multiple fields, and responds to debates around the importance of African intellectual traditions and their indigenous language sources in generating