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Health care utilisation among older people with Down syndrome compared to specific medical guidelines for health surveillance : a Swedish national register study

Background: Specific medical guidelines for health surveillance exist for people with Down syndrome (DS) since 25 years but knowledge of adherence to the guidelines is lacking. The guidelines were developed to avoid unnecessary suffering from preventable conditions. The aims of the study were to investigate 1) planned health care visits in relation to the co-morbidities described in specific medic

Associations between serum concentrations of perfluoroalkyl substances and DNA methylation in women exposed through drinking water : A pilot study in Ronneby, Sweden

Background: Perfluoroalkyl substances (PFAS) are widespread synthetic substances with various adverse health effects. A potential mechanism of toxicity for PFAS is via epigenetic changes, such as DNA methylation. However, few studies have evaluated associations between PFAS exposure and DNA methylation among adults, and data is especially scarce for women. Furthermore, exposure to environmental po

Spreading of Pain in Patients with Chronic Pain is Related to Pain Duration and Clinical Presentation and Weakly Associated with Outcomes of Interdisciplinary Pain Rehabilitation: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP)

Introduction: The extent to which pain is distributed across the body (spreading of pain) differs largely among patients with chronic pain conditions and widespread pain has been linked to poor quality of life and work disability. A longer duration of pain is expected to be associated with more widespread pain, but studies are surprisingly scarce. Whether spreading of pain is associated with clini

Initial Report From a Swedish High-volume Transplant Center After the First Wave of the COVID-19 Pandemic

BACKGROUND: Solid organ transplant (SOT) recipients may be more vulnerable to coronavirus disease 2019 (COVID-19). Data on the clinical course of COVID-19 in immunosuppressed patients are limited, and the optimal management strategy for these patients is yet unclear. METHODS: We present 53 SOT recipients (31 kidney transplant recipients, 8 liver transplant recipients, 5 heart transplant recipients

A challenging balancing act to engage children and their families in a healthy lifestyle – Nurses' experiences of child-centred health dialogue in child health services in Sweden

Aims and objectives: To describe nurses' experiences of a child-centred family guided intervention of obesity tested within the child health services targeting children identified with overweight and their caregivers. Background: Interventions aiming to support families towards a healthier lifestyle can lead to decreased risk of overweight evolving into obesity in a child. At the same time, nurses

The Historical Origins of the Mortality Gradient : Socioeconomic Inequalities in Adult Mortality over Two Centuries in Sweden

Mortality differentials by socioeconomic status (SES) are among the most pervasive facts of contemporary demography. However, while the mortality gradient by income, class and education is well-established for the period after 1970, evidence regarding the origins of the gradient is still scarce. The aim of this thesis is to explore the development of SES differences in all-cause and cause-specific

90Sr in northern Sweden : Relationships and annual variations from 1961 to 1969 in lichen, reindeer and man

The transport of fallout-90Sr has been investigated in the food-chain: Lichen-reindeer-man during 1961-1969. The maximum levels which occurred in lichen during 1963-1965 were about 13 nCi/kg dry wt. The90Sr-level in the lichen-carpet decreased to about 5 nCi/kg dry wt. in 1967-1969. The effective half-time of 90Sr in the lichen-carpet was estimated to be 2.5 ± 0.8 a. The vertical distribution of90

Occupational exposure to whole body vibrations and birth outcomes – A nationwide cohort study of Swedish women

Background: More women in reproductive ages are entering occupations where exposure to whole body vibrations (WBV) is common (e.g. in transportation and construction). Previous studies based on self-assessed exposure suggest increased risks of adverse birth outcomes, but it is unclear at what exposure levels and if the current exposure guidelines are appropriate during pregnancy. Objectives: To in

Patient Utilities in Health States Based on Hoehn and Yahr and Off-Time in Parkinson’s Disease : A Swedish Register-Based Study in 1823 Observations

Background: Cost-effectiveness models in Parkinson’s disease often include health states based on Hoehn and Yahr (H&Y) and time in ‘off’. Few studies have investigated utilities in these health states. Objective: The aim of this study was firstly to explore utilities in health states based on H&Y and off-time, and secondly to investigate to what extent H&Y and off-time correlated with

Challenges imposed by the COVID-19 pandemic on the Obstetrics and Gynecology residency program : a mixed-methods Swedish survey in the COPE Staff cohort study

BACKGROUND: To outline how the training program and work situation of residents in Obstetrics and Gynecology (OB-GYN) was affected by the pandemic and to illuminate how residents experienced these changes.METHODS: As part of the COVID-19 in Pregnancy and Early Childhood Staff (COPE Staff) cohort study, between January and May 2021, all participating residents were invited to answer a 28-question o

Can birth weight predict offspring’s lung function in adult age? Evidence from two Swedish birth cohorts

Background: Associations between birth weight (BW) and adult lung function have been inconsistent and limited to early adulthood. We aimed to study this association in two population-based cohorts and explore if BW, adjusted for gestational age, predicts adult lung function. We also tested adult lung function impairment according to the mis-match hypothesis—small babies growing big as adults. Meth

Milk intake, lactase persistence genotype, plasma proteins and risks of cardiovascular events in the Swedish general population

To investigate the associations of milk intake (non-fermented and fermented milk), lactase persistence (LCT-13910 C/T) genotype (a proxy for long-term non-fermented milk intake), and gene-milk interaction with risks of cardiovascular disease (CVD) and CVD mortality. Also, to identify the CVD-related plasma proteins and lipoprotein subfractions associated with milk intake and LCT-13910 C/T genotype