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Developing environmentally sustainable logistics. Exploring themes and challenges from a logistics service providers' perspective

The purpose of this paper is to explore themes and challenges in developing environmentally sustainable logistical activities. The approach is explorative with a cross sectional design that takes advantage of ten case studies out of selected logistics service providers (LSPs) operating primarily in the Scandinavian countries. The findings illustrate the major themes by analyzing current and future

Self-reported adverse events after groin hernia repair, a study based on a national register

Objectives: In most clinics, follow-up after inguinal hernia surgery is not a routine procedure and complications may pass unnoticed, thus impairing quality assessment. The aim of this study was to investigate the frequency, spectrum, and risk factors of short-term adverse events after groin hernia repair. Methods: All patients aged 15 years or older with a primary unilateral inguinal or femoral h

Effects of atmospheric dispersion on the PSF background level

Atmospheric dispersion represents a relatively overlooked problem in connection with the ultimate quality of ELT images corrected by adaptive optics (AO). The aim of this paper is to evaluate the contribution from atmospheric dispersion to the background level of the point-spread function (PSF). Since proper suppression of this level is important for the prospects for direct exo-planet observation

Prevalence, severity and impacts of breathlessness in Indian adults : An exploratory, nationally representative, cross-sectional online survey

There are no known estimates of the prevalence, severity and impacts from breathlessness in low- and middle-income countries. This study aimed to explore the prevalence, severity, self-attributed underlying conditions and impacts of breathlessness limiting exertion in community-dwelling adults in India. This exploratory, population-based online survey recruited a pre-planned sample of 3,000 adult

Smoking and Coronary Atherosclerosis : Disproportionate Impact on the Right Coronary Artery

Background: We aimed to study the long-term effect of smoking on coronary atherosclerosis progression at the segmental level. Methods: Angiographic data (1989-2017) on current, former, and nonsmokers were collected from the Swedish Coronary Angiography and Angioplasty Registry. The Western Denmark Heart Registry was used to validate the results. Patients with clinically indicated angiography with

Impact of Specific Bowel Symptoms on Quality of Life in Patients with Midgut Neuroendocrine Tumours

Introduction: Patients with midgut neuroendocrine tumours (NETs) suffer from decreased health-related quality of life (HRQoL), in large part due to bowel symptoms. However, it is unknown which bowel symptoms affect HRQoL the most. An enhanced understanding of this is essential to better focus treatment on this aspect of the disease. This study aimed to determine which bowel symptoms affect HRQoL t

Symptoms, problems and quality of life in patients newly diagnosed with oesophageal and gastric cancer - a comparative study of treatment strategy

BACKGROUND: Patients with oesophageal and gastric cancer have a low likelihood of being cured and suffer from a broad spectrum of symptoms and problems that negatively affect their quality-of-life (QOL). Although the majority (67-75%) of patients at the time of diagnosis suffer from an incurable disease, research has primarily focused on the pre- and postoperative phase among patients treated with

Moving beyond Mediatized Activism for Social Justice: Creating Visual Safe/Brave Spaces for Activists

The large-scale mass mobilizations and colossal demonstrations of the last decade have shown that digital and social media platforms, globally, now play significant roles in early formation and further facilitation of activist movements, interested in progressive causes and societal changes. However, the repercussions of the very same events have also clearly shown the shortcomings of mediatized a

Understanding Fire and Rescue Service Practices Through Problems and Problem-Solving Networks : An Analysis of a Critical Incident

This study explores how the Fire and Rescue Service can better prepare for solving complex problems in emergencies by using the concept of problems and problem-solving networks. Primary and secondary data from an extensive fire incident were analysed, including semi-structured interviews and incident assessment reports. Complex problems that arise during emergencies can be challenging to define, a

Mitigation of groundwater salinity vulnerability through land cultivation scenarios

Groundwater in most parts of the world is an important source of agricultural water supply for food production. Soil salinization, however, threatens groundwater quality and may cause irreparable damage to agricultural land. A key to tackling this threat is to analyze the link between agricultural crop water requirements and groundwater quality. This study aimed to investigate salinity effects on

Preoperative Nodal Metastatic Risk Evaluation in Early Breast Cancer : A Multimodal Deep Learning Approach

Sentinel lymph node biopsy (SLNB) remains the standard method for axillary staging in breast cancer. However,for the majority of patients with early breast cancer, it offers no treatment benefit and carries a risk of long-termside effects. In the era of surgical de-escalation, reliable preoperative assessment of axillary lymph node metastasis isessential to avoid overtreatment and support treatmen

Adverse outcomes following psychedelic use in adolescents and adults : associations with age and personality traits

Background: Adolescents are increasingly using classical psychedelics, yet little is known about how psychedelics use is related to their mental health. Emerging evidence suggests that adolescents may be more vulnerable to adverse outcomes in relation to psychedelic use compared to adults. This descriptive and exploratory study examined differences between adolescents and adults in reported psyche

De Lege Delenda - International Legislation on Health-Related Genetics and Biotechnology

Law should be the expression of the collective will, and the regulative sphere becomes therefore a highly consensual field supposed to reflect generally agreed norms and values. Although it is generally admitted that genetic and biotechnology developments can contribute to immense benefits within the health-care sector, the exponential globalisation trend and the rapid pace of scientific and techn

Obstacles and Opportunities in Information Transfer Regarding Medications at Discharge - A Focus Group Study with Hospital Physicians

Purpose: This qualitative study aimed to investigate experiences and perceptions of hospital physicians regarding the discharging process, focusing on information transfer regarding medications.Methods: By purposive sampling three focus groups were formed. To facilitate discussions and maintain consistency, a semi-structured interview guide was used. Discussions were audio recorded and transcribed

A CSR perspective to foster employee creativity in the banking sector : The role of work engagement and psychological safety

The entire service sector has acknowledged the importance of employee creativity. However, the underlying mechanism due to which employees are engaged in creativity has been relatively unexplored. Moreover, where the banking service sector in advanced countries has realized the potential role of employee creativity for a bank's success, the same was not fully realized in the context of a developin