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Screening for postpartum depression with the Edinburgh Postnatal Depression Scale (EPDS): an ethical analysis.

AIMS: To assess the Edinburgh Postnatal Depression Scale (EPDS), a self-administered questionnaire created to screen for symptoms of postpartum depression in the community, from an epidemiological and ethical perspective. Screening, as the practice of investigating apparently healthy individuals to detect unrecognised disease or its precursors, has interpretation problems and is complicated by del

Incidence of early posterior shoulder dislocation in brachial plexus birth palsy.

ABSTRACT: BACKGROUND: Posterior dislocation of the shoulder in brachial plexus birth palsy during the first year of life is rare but the incidence increases with age. The aim was to calculate the incidence of these lesions in children below one year of age. METHODS: The incidence of brachial plexus birth lesion and occurrence of posterior shoulder dislocation was calculated based on a prospective

Predictors of dropout from inpatient opioid detoxification with buprenorphine: a chart review.

Inpatient withdrawal treatment (detoxification) is common in opioid dependence, although dropout against medical advice often limits its outcome. This study aimed to assess baseline predictors of dropout from inpatient opioid detoxification with buprenorphine, including age, gender, current substance use, and type of postdetoxification planning. A retrospective hospital chart review was carried ou

Origins of the knowledge economy : Higher education and Scandinavia’s development, ca. 1800–1929

Gymnasie- och universitetsutbildning var länge en elitens domän. Med ekonomisk tillväxt och ökande teknisk komplexitet växte dock behovet av specialiserad kunskap och färdigheter. Inför och under industrialiseringen tog systemen för högre utbildning emot ett ökande antal studenter och breddades med ett växande utbud av kurser och typer av utbildningsinstitutioner.Danmark, Norge och Sverige utgör rHigh school and university-level education was long an elite pursuit. However, with economic growth and rising technical complexity, the need for specialised knowledge and skills increased. In the run-up to and during industrialisation, higher education systems admitted a growing number of students and diversified across an increasing range of courses and types of educational institutions.Denmark,

Advancing a tourist perspective in inclusive place branding: : anticipated constraints of domestic tourists with foreign backgrounds

Research on inclusive place branding has primarily focused on residents, while tourists are yet to be addressed, except in representation studies. Inclusion is, however, more than a matter of representation. It must also consider the needs of the tourists. This study explores people with foreign backgrounds' anticipated constraints to domestic tourism. This article advances knowledge of inclusive

Fish-hunting cone snail disrupts prey’s glucose homeostasis with weaponized mimetics of somatostatin and insulin

Venomous animals have evolved diverse molecular mechanisms to incapacitate prey and defend against predators. Most venom components disrupt nervous, locomotor, and cardiovascular systems or cause tissue damage. The discovery that certain fish-hunting cone snails use weaponized insulins to induce hypoglycemic shock in prey highlights a unique example of toxins targeting glucose homeostasis. Here, w

Management Control Under Post-NPM: Replacing Performance Evaluation With Trust-Based Management

This article focuses on explaining management control under post-new public management (NPM). Drawing on the lessons from a case study, the article aims to advance the discussion of what post-NPM, as a new governance innovation, is and what problems practitioners encounter when they try to engage in post-NPM–oriented governance. The study reports the transformation of both management and control a