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Early initiated noradrenaline versus fluid therapy for hypotension and shock in the emergency department (VASOSHOCK): a protocol for a pragmatic, multi-center, superiority, randomized controlled trial

BackgroundShock is a condition with high mortality even with early intervention and treatment. Usual care for shock and hypotension in the Emergency Department (ED) is intravenous fluid resuscitation which can lead to fluid overload and other complications. When fluid therapy fails or risk of complications are high, the next treatment step is the use of vasopressors for stabilisation. Noradrenalin

Transplanted human striatal progenitors exhibit functional integration and modulate host circuitry in a Huntington's disease animal model

Huntington's disease (HD) is a fatal neurodegenerative disorder caused by a CAG repeat expansion in the HTT gene. This leads to progressive loss of striatal neurons and motor-cognitive decline. While current gene-targeting approaches aiming at reducing somatic instability show promise – especially in case of early treatment – they cannot restore the already compromised neuronal circuitry at advanc

Imaging in gynecological disease (29) : clinical and ultrasound features of primary ovarian immature teratoma

Objective: To describe the clinical and ultrasound characteristics at the time of diagnosis of primary ovarian immature teratoma with no other germ cell tumor components described on histopathology. Methods: This was a retrospective study of women with a histological diagnosis of primary ovarian immature teratoma who had undergone a preoperative ultrasound examination between 1998 and 2024. Cases

Pharmacokinetics of intraperitoneal mitomycin C

The favorable pharmacokinetics of MMC, used during intraperitoneal chemotherapy, has been reported in several studies [11-19]. A major safety issue in studies using intraperitoneal chemotherapy perfusion is the resulting systemic drug exposure. The AUCplasma is determined by the dose, the clearance, and the fraction absorbed from the peritoneal cavity. The reported mean plasma peak concentrations

Early–Middle Devonian brachiopod provincialism and bioregionalization at high latitudes : A case study from southwestern Gondwana

The paleobiogeography of Early–Middle Devonian (Pragian–Eifelian) brachiopods from West Gondwana was assessed to determine any potential controls (regional climatic differences or global eustasy) that may have driven bioregionalization. The Pragian–Eifelian interval of West Gondwana was examined because work by previous authors suggested that this was a period when regionally extensive areas of pr

In Her Words: Women’s Accounts of Managing Drug-related Risk, Pleasure, and Stigma in Sweden

When it comes to the field of drug studies, researchers have tended to privilege men’s perspectives and experiences, assuming women to be mostly marginal, as primarily victims and accomplices. Further, when women’s experiences are taken into account, a view of them as only women has tended to be pushed to the forefront. As such, we are sorely lacking research departing from women’s own recollectio

The Art of Belonging : Social integration of young migrants in urban contexts through cultural placemaking

Since the start of 2022, 100 million people worldwide have been forced to flee their homes and seek refuge in distant countries. This number reflects the increased displacement within Europe following the invasion of Ukraine in February 2022 but also highlights the ongoing nature of forced migration as people from across the world need to seek asylum and refugee often moving across perilous land a

Quantifying the Impact of Climate Change and Forest Management on Swedish Forest Ecosystems Using the Dynamic Vegetation Model LPJ-GUESS

Boreal and temperate forests are undergoing structural, compositional and functional changes in response to increasing temperatures, changes in precipitation, and rising CO2, but the extent of the changes in forests will also depend on current and future forest management. This study utilized the dynamic vegetation model LPJ-GUESS enabled with forest management (version 4.1.2, rev11016) to simulat

Evaluating simplifications used in regional applications of the SAFE and MAKEDEP models

The importance of different additional simplifications used when moving from single site applications to regional applications of the SAFE and MAKEDEP models was studied. The SAFE model is a dynamic soil chemistry model, which apart from physical and chemical soil parameters also needs the historic evolution of atmospheric deposition and nutrient uptake to simulate the effects of acidic deposition

Initiation of ventilation, surfactant treatment, and lung function after preterm birth

Popular Abstract in Swedish Avhandlingen handlar om lungornas funktion hos för tidigt födda (prematura) barn med brist på surfaktant, ett ämne som normalt ska finnas i lungorna, och hur lungfunktionen hos sådana barn kan förbättras genom tillförsel av det saknade ämnet utifrån. I avhandlingen har också använts en djurmodell (för tidigt födda lamm) för att studera hur konstgjord andning vid födelseThe thesis investigates lung function and the effects of rescue surfactant treatment in mechanically ventilated preterm human infants with respiratory distress syndrome (RDS), and the effects of ventilation at birth on the response to surfactant supplementation in preterm lambs. To assess lung function, the author recorded static pressure-volume (P-V) curves during passive deflation from total lun

Essays on the Acquisition of Skills in Teams

Popular Abstract in Swedish Den här avhandlingen innehåller tre uppsatser som analyserar lärande och lagarbete ur olika infallsvinklar. Den första uppsatsen behandlar träningen och rekryteringen av fotbollspelare i de europeiska fotbollsligorna. Innan 1995 fanns ett transfereringssystem som garanterade en övergångssumma mellan det nya och det gamla laget när en spelare bytte klubb. Denna övergångThis thesis consists of three theoretical essays on the acquisition of skills in teams. The first essay deals with the training and recruitment of football players in the European Soccer leagues. Before 1995, the transfer system entitled the ceding football club compensation from the acquiring football club when, on the expiry of his contract, the player in question moved to another club. In 1995,

3,4-Dideoxyglucosone-3-ene (3,4-DGE): A cytotoxic glucose degradation product in fluids for peritoneal dialysis

Background. Bioincompatible glucose degradation products (GDPs) in fluids for peritoneal dialysis (PD) develop during sterilization and storage. Their biological activity has successfully been monitored through the use of various in vitro methods but their molecular and chemical nature is less well understood. Many GDPs are highly reactive carbonyl compounds. Although some of the identified GDPs a

Iliac Branch Devices in the Repair of Ruptured Aorto-iliac Aneurysms : A Multicenter Study

PURPOSE: To evaluate the outcomes of preserving the internal iliac artery (IIA) with iliac branched devices (IBDs) during acute endovascular repair of ruptured aortoiliac aneurysms.MATERIAL AND METHODS: This is a multicenter retrospective review of all consecutive patients undergoing acute endovascular repair of ruptured aortoiliac aneurysm with an IBD at 8 aortic centers between December 2012 and

New creatinine- and cystatin C-based equations to estimate GFR without race

Background: Current equations for estimated glomerular filtration rate (eGFR) that use serum creatinine or cystatin C incorporate age, sex, and race to estimate measured GFR. However, race in eGFR equations is a social and not a biologic construct.Methods: We developed new eGFR equations without race using data from two development data sets: 10 studies (8254 participants, 31.5% Black) for serum c

Assessment of GPM and TRMM precipitation products over Singapore

The evaluation of satellite precipitation products (SPPs) at regional and local scales is essential in improving satellite-based algorithms and sensors, as well as in providing valuable guidance when choosing alternative precipitation data for the local community. The Tropical Rainfall Measuring Mission (TRMM) has made significant contributions to the development of various SPPs since its launch i

Evaluation of eight high spatial resolution gridded precipitation products in Adige Basin (Italy) at multiple temporal and spatial scales

This study provides a comprehensive evaluation of eight high spatial resolution gridded precipitation products in Adige Basin located in Italy within 45–47.1°N. The Adige Basin is characterized by a complex topography, and independent ground data are available from a network of 101 rain gauges during 2000–2010. The eight products include the Version 7 TRMM (Tropical Rainfall Measuring Mission) Mul

Deep-learning-based harmonization and super-resolution of near-surface air temperature from CMIP6 models (1850–2100)

Future global temperature change will have significant effects on society and ecosystems. Earth system models (ESM) are the primary tools to explore future climate change. However, ESMs have great uncertainty and often run at a coarse spatial resolution (usually about 2°). Accurate high-spatial-resolution temperature dataset are needed to improve our understanding of temperature variations and for

Phobos base : Concept of operations and architecture for a permanent human presence on the Martian moon Phobos

This paper is based on the work done for the 2017 AIAA Student Design Competition-Human Spaceflight: Phobos Base. One of humanity's major challenges when travelling to Mars is represented by the existence of an atmosphere around the red planet. In fact, even though the Martian atmospheric density is only about 1% of that of Earth, the entry, descent and landing (EDL) procedure for large payloads i