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A proposed set of metrics for standardized outcome reporting in the management of low back pain

Background and purpose - Outcome measurement has been shown to improve performance in several fields of healthcare. This understanding has driven a growing interest in value-based healthcare, where value is defined as outcomes achieved per money spent. While low back pain (LBP) constitutes an enormous burden of disease, no universal set of metrics has yet been accepted to measure and compare outco

Reduction behavior of oxidized Pd(100) and Pd75Ag25(100) surfaces using CO

The reduction of the (A root 5x root 5)R27 degrees surface oxide on Pd(100) and Pd75Ag25(100) surfaces by CO has been investigated by high-resolution X-ray photoelectron spectroscopy in combination with kinetic analysis using the Avrami-Erofeev theory. For both surfaces we observed faster reduction with increasing temperature. Kinetic analysis indicates that the reduction process is phase boundary

Biogeochemical and environmental drivers of coastal hypoxia

Recent reports have demonstrated that hypoxia is widespread in the coastal zone of the Baltic Sea. Here we evaluate the long-term trends of dissolved oxygen in bottom waters and of the drivers of coastal hypoxia. Eleven of the 33 sites evaluated had increasing trends of bottom water dissolved oxygen, but only the Stockholm Archipelago presents a consistent positive increasing trend in time. The va

A Pill for the Ill? Patients’ Reports of Their Experience of the Medical Encounter in the Treatment of Depression

Background Starting in the 1960s, a broad-based patients’ rights movement began to question doctors’ paternalism and to demand disclosure of medical information, informed consent, and active participation by the individual in personal health care. According to scholars, these changes contributed to downplay the biomedical approach in favor of a more patient-oriented perspective. The Swedish non-p

Lessons Learned in Knowledge Managment - the case of construction

The construction sector has been criticised in recent years for being inefficient. The critique involved describes finished buildings as having flaws and there being a lack of interest within the construction sector in assembling knowledge and sharing experience. The construction industry has started working with questions of how efficiency can be increased by reducing the errors made. Knowledge

Buprenorphine maintenance program with contracted work/education and low tolerance for non-prescribed drug use: a cohort study of outcome for women and men after seven years.

BackgroundA seven-year follow-up of heroin dependent patients treated in a buprenorphine-maintenance program combining contracted work/education and low tolerance for non-prescribed drug use. Gender-specific differences in outcome were analysed. MethodsA consecutively admitted cohort of 135 men and 35 women, with eight years of heroin abuse/dependence on average was admitted to enhanced buprenorph

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Popular Abstract in Swedish Denna avhandling bygger på en korpus (Corpus Jabet) av intervjuer som genomfördes med vuxna talare 1996 i Abidjan, Elfenbenskustens största stad och ekonomiska medelpunkt. Informanterna har delats in i tre grupper efter sociolingvistiska kriterier, där skolgång med franska som undervisningsspråk är det väsentligaste: ingen eller ytterst lite skolgång (Grupp A1), avslutaThis study examines the omission of the article and of the subject pronoun in the spoken French of Abidjan, economic capital of Côte d'Ivoire. The occurrence of the bare nouns (NSDs for Noms Sans Déterminant) and subject-less tensed verbs (SujNuls for Sujets Nuls) in question is contrary to common use in standard as well as ordinary French. The findings made show that both kinds of omissions are

Ambiguities Thereafter - An Interpretive Approach to Acquisitions

Popular Abstract in Swedish Avhandlingen beskriver och analyserar hur människor som arbetar i ett företag som blir uppköpt upplever uppköpsprocessen. Författaren lyfter fram de många olika tolkningar och upplevelser som finns av uppköpet istället för att ge en homogen återgivning. Författaren hävdar att för att kunna förstå vad som händer i ett företag under en uppköpsprocess så måste man beakta dWhile the human side of mergers and acquisitions is increasingly focused in both research and practice, it still suffers from several forms of oversimplifications. This study addresses the problem of how various employees interpret objectives, corporate identity and other meanings associated with the post-acquisition process, and what roles these multiple interpretations play during this critical

Flavour independent searchesfor hadronically decaying neutral Higgs bosons

This paper describes flavour independent searches for hadronically decaying neutral Higgs bosons in the data collected by the DELPHI experiment at LEP, at centre-of-mass energies between 189 and 209 GeV. The collected data-set corresponds to an integrated luminosity of around 610 pb(-1). The e(+)e(-) -> hA and e(+)e(-) -> hZand processes are considered, with direct Higgs boson decays into hadrons.

Ocellar optics in nocturnal and diurnal bees and wasps

Nocturnal bees, wasps and ants have considerably larger ocelli than their diurnal relatives, suggesting an active role in vision at night. In a first step to understanding what this role might be, the morphology and physiological optics of ocelli were investigated in three tropical rainforest species – the nocturnal sweat bee Megalopta genalis, the nocturnal paper wasp Apoica pallens and the diurn

Reallocation of risks within supply chains: The practice of enhanced liability clauses

Purpose of this paper The expression Enhanced Liability refers to clauses in a contract which obligation one of the partners to accept extended liability for future claims payments beyond normal standards of transport law, conventions or national standard terms and conditions for logistics service intermediaries, logistics service providers and carriers. This paper provides explanations and unders

Knockout of the vascular endothelial glucocorticoid receptor abrogates dexamethasone-induced hypertension

Background Glucocorticoid-mediated hypertension is incompletely understood. Recent studies have suggested the primary mechanism of this form of hypertension may be through the effects of glucocorticoids on vascular tissues and not to excess sodium and water re-absorption as traditionally believed. Objective The goal of this study was to better understand the role of the vasculature in the generati

Phase Behavior of aqueous polyion-surfactant ion complex salts: Effects of polyion charge density

The effect of varying the fraction of charged monomer units of the polyion in aqueous polyion-oppositely charged surfactant complex salts has been investigated. The complex salts used were based on cetyltrimethylammonium (C(16)TA(+)) with three different polymeric counterions: poly(acrylate) (PA(-)) or poly(acrylate) copolymerized with either dimethylacrylamide (PA(-)/DAM) or N-isopropylamide (PA(

Cultural Discord in a Medical Context: A Challenge for Physicians

Popular Abstract in Swedish Läkaren har en viktig roll när det gäller att tillförsäkra människor vård på lika villkor. Mötet mellan läkaren och patienten präglas alltid av maktobalans. Studier världen över visar att invandrarpatienter är en sårbar grupp eftersom invandrare generellt har sämre tillgång till vård, sämre förutsättningar för hälsa och sämre hälsotillstånd jämfört med majoritetspopulatPhysician and patient do not meet as equals in the consultation. It is the responsibility of the physician to actively work for better communication in order to provide equitable health care for all individuals. Immigrant patients are a vulnerable group, shown in studies all over the world to have less access to care, fewer opportunities for health, and poorer health compared to majority populatio

'Convergence' in the security industry – definitions, drivers and consequences

Drawing on a combination of empirical industry observations and management literature, this document at- tempts to shed some light on the usage of the term ‘convergence’ that can be identified within the security sector. The aim is to provide both a typology of definitions and a discussion of some of the strategic implica- tions of different types of convergence. A basic distinction is made betwee

Assessing ‘Green Energy Economy’ policies for transforming the building stock in Shanghai

The 2008–2009 global financial crisis triggered ‘Green Energy Economy’ (GEE) policy packages to stimulate green growth in many countries. China soon became a leader and, supported by its 11th Five-Year Plan (2006–2010), devoted approximately one-third of its US$ 647 billion stimulus package to green energy technologies. Since then, numerous policy instruments have been implemented to encourage ‘Gr

Drivers’ speed behaviour at a Zebra Crossing: a case study

The purpose of the study was to (1) observe the frequency of giving way to pedestrians at the zebra crossing, (2) reveal speed adaptation problems, (3) examine if the time difference between the arrival of the pedestrian and the car have any influence on the speed of the approaching car, (4) identify so-called “ideal” situations (in which the car brakes on the driver’s own initiative in order to g