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Objective: To characterize patients with protein-losing enteropathy (PLE) diagnosed before age 18 years within a nationwide Swedish Fontan cohort. Methods: Surgical records and medical charts were reviewed for all patients born after January 1, 1993, who underwent Fontan completion before January 1, 2021. Results: Among 573 reviewed patients, 28 (4.8%) developed PLE. The median time to onset of PL
BACKGROUND In patients with acute myocardial infarction (MI), therapies that could further reduce the risk of adverse cardiovascular and metabolic outcomes are needed. METHODS In this international registry-based, randomized, double-blind trial, patients without prior diabetes or chronic heart failure, presenting with acute MI and impaired left ventricular systolic function, were randomly assigned
The “alla kan blomstra” (“everyone can flourish”) vision is a framework adopted by Åland’s government that attempts to institutionalize integrative inner-outer transformation within governmental structures, policies and operations. It aims to merge conventional external approaches (e.g., traditional ecological services and technologies) with inner-led change (e.g., addressing collective perception
ObjectiveTo determine whether the genetic disorder severe α1-antitrypsin deficiency, which has a known association with increased risk for development of lung and liver diseases, is also associated with increased risk for development of gastrointestinal diseases.Patients and MethodsWe conducted a national, longitudinal, registry-based study of individuals with severe α1-antitrypsin deficiency (phe
Purpose: Reduced rapid-eye movement (REM) sleep has been linked to increased mortality in the general population. We investigated whether diminished REM sleep is associated with higher mortality in adults with coronary artery disease (CAD) and obstructive sleep apnea (OSA). Methods: This secondary analysis of the RICCADSA trial included 356 revascularized CAD patients with OSA (apnea–hypopnea inde
Background: Helicobacter pylori (Hp) and its virulence factor Cytotoxin-associated gene A (CagA) have been linked to myocardial infarction (MI), but the mechanisms are unknown. This study aims to test if Hp infection and CagA are associated with pre-specified inflammatory and vascular biomarkers in patients with MI and to explore whether a broader biomarker panel can predict infection. Furthermore
Urban meteorology, the study of atmospheric phenomena in urban areas, is vital for understanding the dynamic interactions between rapid urbanization and environmental changes. Over the past two decades (2004–2024), urban heat islands (UHIs), extreme rainfall, pollution, and temperature anomalies have intensified, adversely affecting human health, infrastructure, and ecosystems worldwide. The prese
Since 1970s the development and introduction of heat pumps have been supported as a strategy to improve energy efficiency in Sweden and Switzerland. Several policy instruments have been applied, such as R&D, subsidies/electricity price incentives, labelling and quality test centres. The justification of introducing heat pumps as an energy-efficient end use technology was, in general, to decrea
Background: The K3326X variant in BRCA2 (BRCA2∗c.9976A>T p.Lys3326∗rs11571833) has been found to be associated with small increased risks of breast cancer. However, it is not clear to what extent linkage disequilibrium with fully pathogenic mutations might account for this association. There is scant information about the effect of K3326X in other hormonerelated cancers. Methods: Using weighted lo
BACKGROUND: Surgery for total colonic aganglionosis (TCA) is designed to preserve continence and achieve satisfactory quality of life. This study evaluated a comprehensive group of clinical and social outcomes.METHODS: An international multicentre study from eight Nordic hospitals involving examination of case records and a patient-reported questionnaire survey of all patients born with TCA betwee
Foot problems complicating diabetes are a source of major patient suffering and societal costs. To prevent, or at least reduce, the adverse effects of foot problems in diabetes, the International Working Group on the Diabetic Foot (IWGDF; www.iwgdf.org) was founded in 1996, consisting of experts from almost all the disciplines involved in the care of patients with diabetes and foot problems. An im
Introduction: Low aerobic fitness, low muscular strength, and obesity have been associated with premature mortality, but their interactive effects are unknown. This study examined interactions among these common, modifiable factors, to help inform more-effective preventive interventions. Methods: This national cohort study included all 1,547,478 military conscripts in Sweden during 1969-1997 (97%-
Climate change substantially affects plant phenology, resulting in earlier vegetation onset across temperate and boreal regions. Phenological shifts caused by warming may alter species interactions across trophic levels because of species-specific responses, and influence the reproductive success of dioecious species if the phenological sensitivity to warming (ST) differs between genders. We used
At the southern margin of permafrost in North America, climate change causes widespread permafrost thaw. In boreal lowlands, thawing forested permafrost peat plateaus (‘forest’) lead to expansion of permafrost‐free wetlands (‘wetland’). Expanding wetland area with saturated and warmer organic soils is expected to increase landscape methane (CH4) emissions. Here, we quantify the thaw‐induced increa
Measurement of two groups of autoantibodies, rheumatoid factor (RF) and anti-citrullinated protein/peptide antibodies (ACPA) have gained increasing significance in the diagnosis and classification of rheumatoid arthritis (RA) over the last 65 years. Despite this rising importance of autoimmune serology in RA, there is a palpable lack of harmonization between different commercial RF and ACPA tests.
Background: Obesity is associated with an increased risk of esophageal adenocarcinoma (EAC) and a decreased risk of esophageal squamous cell carcinoma (ESCC). However, little is known about the risk of EAC and ESCC related to other metabolic risk factors. We aimed to examine the risk of EAC and ESCC in relation to metabolic risk factors, separately and combined in a prospective cohort study. Metho
This essay has investigated immigrants and Swedes with foreign background’s perception of cultural heritage as it has been specified by UNESCO. The approach to focus on this particular sample population was born out of the realisation that the EU, nationalist parties and far - right extremists all point to a common her itage. What has not been studied however is the effect of immigration on nation
Nyligen avgjordes ett mål i Arbetsdomstolen som handlade om en barnmorska som inte fått anställning på grund av att hon på religiösa grunder vägrar delta i utförandet av aborter. Hon menar att Sverige, genom att inte tillmötesgå hennes krav och anställa henne trots hennes vägran bryter mot religionsfriheten i artikel 9 och förbudet mot diskriminering i artikel 14 i den Europeiska konventionen om sRecently a case was settled in the Swedish Labour Court. A midwife had lost out on an employment because of her religiously grounded refusal to participate in abortions. Her opinion is that Sweden, by not accomodating her demands so they could hire her despite of her refusal, has breached the right to religious freedom in article 9 and the prohibition of discrimination in article 14 of the Europea
The purpose with this study was to investigate how social secretaries in elderly care receive to dementia patients over the age of 65 in the care administration, focusing on the social secretaries discretion and the rights of the patients with dementia. The population consisted of four social secretaries in elderly care, granting assistance to dementia patients over the age of 65, and one nursing
In the global world of today where people are more mobile some urban districts have tensions between groups of people, and urban policy need to find tools to create prerequisites for a positive development in the new city. This master thesis take the creative economy approach to describe and analyse creativity as a tool in urban districts in transition. Creativity has great potential in revitalizi
