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Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory joint disease that affects all aspects of life. Rheumatology care strives to achieve optimal health based on person-centred care (PCC). Effective treatment is available, but patients still experience unmet needs.Aims: The overall aim of this thesis was to explore patients' perspectives of PCC and preferred outcomes in early RA. Specifi

BACKGROUND: Digital modalities which enable asynchronous learning, such as audio podcasts and videos demonstrating procedures, may benefit acquisition and retention of knowledge and clinical skills. The main objective of this nationwide cross-sectional survey study was to evaluate key aspects and factors related to usage of audio podcasts and procedural videos in anaesthesiology and intensive care

Objectives: To report the long-term outcomes from a longitudinal psychosocial study that forms part of the ‘Identification of Men with a genetic predisposition to ProstAte Cancer: Targeted Screening in men at higher genetic risk and controls’ (IMPACT) study. The IMPACT study is a multi-national study of targeted prostate cancer (PrCa) screening in individuals with a known germline pathogenic varia

This paper studies the impact of land use and land cover change (LULCC) on the climate around 2500 years ago (2.5 ka), a period of rapid transitions across the European landscape. One global climate model was used to force two regional climate models (RCMs). The RCMs used two land cover descriptions. The first was from a dynamical vegetation model representing potential land cover, and the second

Background: Cervical cancer is preventable through screening and vaccination against high-risk human papillomavirus (hr-HPV). For a screening program to be successful it is vital that the clinical management and follow-up regime of patients with abnormal screening results is well developed and that the attendance rate for follow-up is high. The aim of the study was to analyze how effective conizat

Background There is debate about the value of assessing levels of C-reactive protein (CRP) and other biomarkers of inflammation for the prediction of first cardiovascular events. Methods We analyzed data from 52 prospective studies that included 246,669 participants without a history of cardiovascular disease to investigate the value of adding CRP or fibrinogen levels to conventional risk factors

Popular Abstract in Swedish Från början användes uttrycket "mannen i ledet" bara om meniga soldater, men det är också ett bildligt uttryck med innebörden gemene man, gräsrot, medlem på fältet/gräsrotsnivå/verkstadsgolvet. Den här avhandlingen handlar om unga män som under mitten av 1990-talet gjorde lumpen på ett pjäskompani vid Wendes artilleriregemente i skånska Hässleholm. ”Pjäs” betyder kanoneThis dissertation deals with young men who in the mid 1990s made their military service at a cannon company at Wende’s artillery regiment in the scanian town Hässleholm. ”Cannon” refers not only to cannons, but also to haubitses, grenade-throwers and other heavy arms. The focus, however, is on cultural and social aspects of everyday military service. What does actually happen in the encounter betw

Popular Abstract in Swedish Denna avhandling studerar kronisk venös sjukdom i nedre extremiteten, något som drabbar mellan 30 – 50% av den vuxna populationen i västvärlden. En viktig faktor i utredningen av kronisk venös sjukdom är s.k. reflux, vilket innebär att venklaffar inte förmår hindra blodet att rinna i ”fel” riktning. Därmed minskar möjligheten till ventryckssänkning i samband med arbete,Controversies exist regarding both what is required for a proper diagnosis of chronic venous disease (CVD), and what treatment to offer patients. An objective evaluation is mandatory to individualize treatment. This thesis deals with the evaluation of patients with CVD with specific emphasis on CEAP classification (C; clinical, E; etiological, A; anatomical, P; pathophysiological), symptoms and si

Popular Abstract in English For several decades the electronic industry has developed towards smaller and smaller electronic components. The idea behind this development is quite simple: Small components have faster response times, which enables faster devices. Also, smaller components make it possible to decrease the size of the devices. A common example is today's mobile phones, that actually arThis dissertation deals with the effects of coherence and correlations on transport through nanostructures. Simulations are mainly performed using the second order von Neumann approach, a method capable of dealing with these effects in the presence of higher order tunneling. We see that such effects can result in various kinds of current suppression as well as efficient thermoelectric devices. Fu

Popular Abstract in Swedish Proteinkinas C i nervcellsutveckling Under fosterutvecklingen ska en enda cell, den befruktade äggcellen, ge upphov till alla de högt specialiserade celler som människokroppen består av. Den process där omogna celler utvecklas till t.ex. nervceller, blodceller och muskelceller kallas differentiering. Det som avgör vad en speciell cell ska utvecklas till är bl.a. vilka sThe human neuroblastoma cell line SH-SY5Y can be induced to differentiate into a neuronal sympathetic phenotype after treatment with 16 nM 12-O-tetradecanoyl phorbol 13-acetate (TPA) in serum, or by a combination of the growth factors basic fibroblast growth factor and insulin-like growth factor-I (bFGF/IGF-I). SH-SY5Y cells stably transfected with TrkA, the nerve growth factor (NGF) receptor, dif

Nutrient uptake by forest trees is dependent on ectomycorrhizal (EM) mycelia that grow out into the soil from the mycorrhizal root tips. We estimated the production of EM mycelia in root free samples of pure spruce and mixed spruce-oak stands in southern Sweden as mycelia grown into sand-filled mesh bags placed at three different soil depths (0-10, 10-20 and 20-30 cm). The mesh bags were collected

Background: As 13-valent pneumococcal conjugate vaccine (PCV13) is introduced, children who began vaccination with 7-valent pneumococcal conjugate vaccine (PCV7) may complete their vaccination with PCV13. This open-label phase 3 study evaluated immunogenicity and safety of PCV13 in Swedish infants and toddlers previously given 1 or 2 doses of PCV7 during infancy. Methods: Healthy infants previousl

A sudden unilateral loss or impairment of vestibular function causes vertigo, dizziness and impaired postural function. In most occasions, everyday activities supported or not by vestibular rehabilitation programs will promote compensation and the symptoms subside. As the compensatory process requires sensory input, matching performed motor activity, both motor learning of exercises and matching t

Objective To determine the association between concentration of prostate specific antigen (PSA) at age 40-55 and subsequent risk of prostate cancer metastasis and mortality in an unscreened population to evaluate when to start screening for prostate cancer and whether rescreening could be risk stratified. Design Case-control study with 1: 3 matching nested within a highly representative population

Popular Abstract in Swedish I avhandlingen redovisas undersökningar av näringsdynamiken hos fem olika lövträdsarter (ask, björk, bok, ek och lind) vilka jämförs med gran, som är ett mycket undersökt trädslag ur närings-synvinkel. Målsättningen med studierna var att klargöra de olika trädslagens näringstillstånd under likartade förhållanden, deras inverkan på och samspel med marken, samt deras näriThis thesis considers several important aspects of nutrient dynamics and allocation in adult stands of Swedish forest tree species (Quercus robur L., Tilia cordata Mill., Fraxinus excelsior L., Betula pendula Roth., Fagus sylvatica L. and Picea abies (L.) Karst) planted on the same soils. Differences between species in macro- (N, P, K, Ca, Mg, S), and micro- (B, Cu, Fe, Mn, Zn) nutrient levels in

Neoproterozoic high-grade metamorphic rocks of the lower to middle crust are exposed along parts of the East African Orogen (EAO). However, the mechanisms and rates of exhumation of these deep orogenic rocks remain unclear. In eastern Eritrea, the rocks of the EAO comprise two lithotectonic domains: Ghedem and Bizen. The Ghedem domain consists of low-angle mylonites among lower to middle crustal g

Background: Becoming critical ill or severely injured leads to a process of worry, anxiety and pain. Patients in intensive care sometimes have strange and frightening experiences and may show symptoms of acute confusion or delirium. CAM-ICU, the confusion assessment method for the intensive care unit, was based on the DSM IV, the Diagnostic and Statistic Manual of Mental Disorders IV, and today, h

BACKGROUND: Falls are common among older people with intellectual disability (ID) and are also a major contributor to injuries in this population. Yet, fall characteristics have only been sparsely studied, and the results are inconsistent. The aim of the present study was to investigate type of falls, places where they occurred and activities that caused them, as well as health outcomes and health

AIMS/HYPOTHESIS: Evidence that glucose-dependent insulinotropic peptide (GIP) and/or the GIP receptor (GIPR) are involved in cardiovascular biology is emerging. We hypothesised that GIP has untoward effects on cardiovascular biology, in contrast to glucagon-like peptide 1 (GLP-1), and therefore investigated the effects of GIP and GLP-1 concentrations on cardiovascular disease (CVD) and mortality r

Billions of animals are adapted to a travelling life, making regular return migrations between more or less distant living stations on Earth by swimming, flying, running or walking (Figure 1). Extremely long migrations are completed annually by whales between calving areas in warmer waters and feeding areas at higher latitudes in either hemisphere. The longest oceanic migrations among sea turtles