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Personer med nedsatt beslutsförmåga kan till följd av kognitiva nedsättningar inte alltid samtycka till vård. Eftersom det inte finns någon specialanpassad lag för denna patientgrupp har det under flera års tid varit svårt att tillämpa regelverken inom hälso- och sjukvården. Det har tillsatts ett flertal kommittéer för att undersöka möjligheterna att stifta ett anpassat regelverk. Detsamma gäller

Vi lever i en tid då människor lämnar land för stad och stadskärnor förtätas och fler förväntas få plats på liten yta. Vi lever också i en tid av massutdöende bland växter och djur och skenande klimatförändringar. Att som kommunal tjänsteperson planera för dessa scenarier och samtidigt beakta andra intressen kan vara en utmaning i försöket att skapa livskraftiga miljöer för enskilda individer och

Domedagsklockan klämtar alltjämt ljudligt för planeten. Vi står inför flera globala, nationella och lokala miljöutmaningar som kan komma att påverka framtida generationer på ödesdigra sätt. Hur individer och organisationer arbetar med dessa frågor kan vara avgörande för samhällets framtida fortlevnad. Ekonomiskt stöd till en mångfald av externa projekt kan vara ett sätt att låta gräsrötter växa tiSociety is facing numerous environmental challenges today and tomorrow. Several global, national, and regional frameworks and instruments are in place to battle the storm. The Regional Council in Scania works with environmental issues through different programs and methods. Miljövårdsfonden is one of these methods, where financial support is allocated to various external projects to further a posi

Under Covid-19-pandemin uppstod många frågor i relation till medicinsk rätt och mänskliga rättigheter. Sverige valde en väg som hade frivillighet och rekommendationer i fokus och senare valde regeringen att införa vaccinationsbevis för att få delta på allmänna sammankomster och offentliga tillställningar. Uppsatsen behandlar relationen mellan vaccinationsintyg och Europakonventionens skydd för häl

It is far from a secret that we presently live at a time when the journalistic terms are influenced by digitalisation and new types of media. While news reporting characteristically has been done by trained professionals, the news scene now finds itself with an influx of amateurs. However, whether people view alternative channels as trustworthy sources of information or not, there subsequently is

Background: Stroke and reduced survival are devastating complications of atrial fibrillation (AF). Biomarker-based ABC-AF risk scores improve risk prediction in AF, and risk-guided treatment recommendations may improve patient outcomes. Design: The ABC-AF study is a national, multicenter, prospective, registry-based, randomized controlled, parallel-group, open-label study. Its primary objective is

Background: Knee replacement (KR) is the most common osteoarthritis (OA) related surgery. Studies suggest that there are major international and national disparities in pre-operative information, support and access to rehabilitation which have a substantial impact on patients’ perceived outcomes of the KR. The aim of this qualitative study was to explore experiences and perceptions of the care pat

Background: Microscopic colitis (MC) is characterized by non-bloody, watery diarrhea predominantly in elderly women. Known risk factors are smoking, medication with NSAIDs, PPIs or SSRIs, while data on hormonal factors is sparse. The aim of the present study was to investigate whether hormonal factors that disrupt the sex hormonal balance could have an impact on the disease course in MC. Methods:

IntroductionThe evidence for assessing whether a single stab injury to the trunk was inflicted by another person in an assault or self-inflicted has primarily been derived from autopsy studies. In this study, we investigate whether victim demographics, crime scene circumstances, and the injury characteristics of assault survivals are interchangeable with homicide characteristics, with a specific f

Habitat area, forest characteristics, management practices and protected areas have the potential to profoundly impact biodiversity. This is particularly true for specialist species linked to structural complexity and old forest, like the lesser spotted woodpecker (Dryobates minor). This study examines how habitat quality and quantity influence the occurrence of this Near-Threatened species across

Background: Treatment with antihypertensives in patients with advanced cancer is often continued until very late in the disease trajectory, despite a considerable risk of hypotension. Objectives: The aim of this study was to investigate the time of deprescribing of antihypertensive agents in patients with cancer receiving palliative care during their last year of life. The monitoring of blood pres

Aims: Individuals with type 1 diabetes (T1D) are typically diagnosed at a young age and exposed to lifelong hyperglycaemia. Despite improved metabolic control, the risk of vascular complications remains challenging. However, some individuals remain free from developing major diabetic complications even after long duration, so-called “escapers”. This study investigated transcriptomic biomarkers lin

Integrated pest management (IPM) is an important tool for sustainable crop production. IPM includes a diversity of methods, e.g., the use of biological control agents (BCAs) for disease control or growth promotion. While there is an increasing interest in the use of BCAs, less is known about their environmental costs and benefits on wild species, such as wild crop relatives. For example, a BCA may

Pancreatic (PC), colorectal (CRC), hepatocellular (HCC), and gallbladder (GC) cancers together account for nearly 20% of all cancer cases. However, specific biomarkers and therapeutic targets for these cancers are lacking. Diagnosing these cancers early and providing timely, appropriate treatment to improve patient outcomes is crucial. In this context, previous studies, including ours, have highli

Background: The combination of hematuria, proteinuria and a reduced glomerular filtration rate (GFR) in patients with no previous diagnosis of chronic kidney disease is widely considered a strong indication for kidney biopsy. This study aimed to compare the frequencies of diseases leading to this symptom constellation, and to explore differences related to age and sex using data from kidney biopsy

Background: Current guidelines for the treatment of severe TBI recommend maintaining a cerebral perfusion pressure (CPP) at 60–70 mmHg. In our institution, as well as others, an alternative algorithm—originally named the Lund concept—has been used. This treatment algorithm employs metoprolol and clonidine to limit CPP, accepting levels below 60 mmHg, with the aim of reducing cerebral edema. Previo

Objective The investigation of complement factors in lupus nephritis (LN) in relation to treatment response and the impact of underlying genetics of C4. Methods Seventy-seven patients with active LN confirmed by a kidney biopsy and in whom second biopsies had been performed after immunosuppressive treatment were included. Complement factors C3, C4, C4d and C4d/C4 ratio were evaluated at the biopsy