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High-dose chemotherapy with autologous stem cell support in patients with metastatic non-seminomatous testicular cancer - a report from the Swedish Norwegian Testicular Cancer Group (SWENOTECA)

Background. The SWENOTECA IV protocol from 1995 is a prospective population-based study in metastatic non-seminomatous germ cell testicular cancer (NSGCT), designed for early identification of patients with poor response to standard cisplatin-based chemotherapy. A slow tumor marker decline (HCG T(1/2) > 3 days, AFP T(1/2) > 7 days) after BEP or BEP plus ifosfamide was regarded as poor response. Th

Experiences from the implementation of structured patient discharge information for safe medication reconciliation at a Swedish university hospital

Study objectives: A method for medication reconciliation that reduces medication errors and healthcare contacts when a patient is discharged from hospital, LIMM-DI (Lund integrated medicines management-discharge information) had been previously developed by the authors. LIMM-DI is structured information written for the patient and sent to the next caregiver. In this study, the use (implementation

Enviro-organizational rift in Swedish flood risk governance

Floods tend not to be bounded by geopolitical or administrative borders, and involve various sectors in society. Flood risk must thus be jointly governed by a web of actors (Renn, 2008), who are not independent of each other but dependent on various resources and affected by the decisions and actions others are making (Becker, 2014). The patterns of social relations among these actors are therefor

Brain responses to morphologically complex words: an electrophysiological study on Swedish past tense forms

Dual system models postulate two distinct neural mechanisms for the processing of inflected words: irregular forms (e.g. ‘went’) are assumed to be directly accessed as whole word representations, whereas regularly inflected items (e.g. ‘played’) might undergo rule-based decomposition (Pinker & Ullman, 2002). Irregular verb stems incorrectly carrying a regular inflectional suffix have been repo

Benefits, barriers and opinions on multidisciplinary team meetings : A survey in Swedish cancer care

Background: Case review and discussion at multidisciplinary team meetings (MDTMs) have evolved into standard practice in cancer care with the aim to provide evidence-based treatment recommendations. As a basis for work to optimize the MDTMs, we investigated participants' views on the meeting function, including perceived benefits and barriers. Methods: In a cross-sectional study design, 244 health

Prevalence of mental health problems, associated factors, and health-related quality of life in children with long-gap esophageal atresia in Sweden

Background: Children with long-gap esophageal atresia (LGEA) face a high risk of digestive and respiratory morbidity, but their mental health outcomes have not been investigated. We aimed to identify the prevalence of mental health problems in children with LGEA, associated factors and health-related quality of life (HRQOL). Methods: Twenty-six children with LGEA aged 3–17 were recruited nationwid

The impact of previous health on the mortality after aneurysmal subarachnoid hemorrhage : analysis of a prospective Swedish multicenter study

Purpose: There is an an increasing awareness of the importance of health and lifestyle for stroke diseases like spontaneous subarachnoid hemorrhage (SAH). However, the importance of pre-existing medical conditions for clinical course and mortality after SAH has not been studied. The aim of the present study was to identify pre-existing conditions contributing to mortality after SAH. Methods: Data