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An ethnographic observation study of the facilitator role in an implementation process

BackgroundEven though the importance of a facilitator during an implementation process is well described, the facilitator’s role is rarely problematized in relation to the organizational context in terms of power and legitimacy; themes which have recently been brought to the fore when studying change in health care organizations. Therefore, in this article, we present a qualitative study with the

Combined Etanercept, GAD-alum and vitamin D treatment : an open pilot trial to preserve beta cell function in recent onset type 1 diabetes

Aim: We aimed to study the feasibility and tolerability of a combination therapy consisting of glutamic acid decarboxylase (GAD-alum), Etanercept and vitamin D in children and adolescents with newly diagnosed with type 1 diabetes (T1D), and evaluate preservation of beta cell function. Material and Methods: Etanercept Diamyd Combination Regimen is an open-labelled multi-centre study pilot trial whi

Exclusive dimuon production in ultraperipheral Pb + Pb collisions at √sNN= 5.02 TeV with ATLAS

Exclusive dimuon production in ultraperipheral collisions (UPC), resulting from photon-photon interactions in the strong electromagnetic fields of colliding high-energy lead nuclei, PbPb(γγ) → μ+μ-(Pb(∗)Pb(∗)), is studied using Lint = 0.48 nb-1 of √sNN = 5.02 TeV lead-lead collision data at the LHC with the ATLAS detector. Dimuon pairs are measured in the fiducial region pT,μ > 4 GeV, |ημ| <2.4, i

Concussion in para sport : the first position statement of the Concussion in Para Sport (CIPS) Group

Concussion is a frequent injury in many sports and is also common in para athletes. However, there is a paucity of concussion research related to para sport, and prior International Concussion in Sport (CIS) consensus papers have not substantively addressed this population. To remedy this and to improve concussion care provided to para athletes, the concussion in para sport (CIPS) multidisciplinar

Evolution of P-wave indices during long-term follow-up as markers of atrial substrate progression in arrhythmogenic right ventricular cardiomyopathy

AIMS: Patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) have increased prevalence of atrial arrhythmias indicating atrial involvement in the disease. We aimed to assess the long-term evolution of P-wave indices as electrocardiographic (ECG) markers of atrial substrate during ARVC progression. METHODS AND RESULTS: We included 100 patients with a definite ARVC diagnosis according

Jet identification based on probability calculations using Bayes' theorem

The problem of identifying jets at CERN LEP and DESY HERA is studied. Identification using jet energies and fragmentation properties is treated separately in order to investigate the degree of quark-gluon separation that can be achieved by either of these approaches. In the case of the fragmentation-based identification, a neural network is used, and a test of the dependence on the jet production

Computer-based Protocol for Human Simulation Report

The aim of the present case study is to present and evaluate a computer-based standardized procedure to order, perform and document virtual ergonomic analyses. Results showed that the use of the new working methodology increased the number of factors considered during analysis. Participants indicated that the proposed methodology, including task analysis and use of manikin families, would increase

Feather corticosterone reveals that urban great tits experience lower corticosterone exposure than forest individuals during dominance-rank establishment

Although the consequences of urbanization for the physiological health of animals are the focus of much active research, an overlooked aspect is how physiology could be indirectly modulated by the urban environment via changes in intraspecific behavioural interactions, particularly among gregarious species. Both urbanization and the establishment, as well as maintenance, of hierarchical rank posit

A new approach to materials in Product Design education : A shift from technical properties towards sensorial characteristics

This study evaluates a new pedagogic approach implemented in material courses for product design students at bachelor level education. Material education within the field of design education at technical faculties has, in general, a strong technical focus, e.g. selecting materials with predominant focus on engineering properties of materials. Product design education at a bachelor level need to of

Online optimisation of the MAX IV 3 GeV storage ring octupoles

The MAX IV 3 GeV storage ring lattice contains three separate families of octupole magnets. During the lattice design, they served the purpose of minimising the amplitude-dependent tune shift. Ensuring the optimal settings of the octupoles is important in order to achieve the desired machine performance in terms of transverse dynamic acceptance and momentum acceptance. This paper describes the onl

An ultralow-temperature cascade refrigeration unit with natural refrigerant pair R290-R170 : Performance evaluation under different ambient and freezing temperatures

The global demand for ultralow-temperature (ULT) refrigeration units gets greatly promoted, for storage, transportation, and distribution of COVID-19 vaccines. In this work, a ULT freezer is developed with a cascade refrigeration system (CRS) utilizing environmentally friendly refrigerants R290 and R170. The performance of the ULT freezer is experimentally evaluated under different ambient tempera

Influence of Scanning Strategy on Residual Stresses in Laser-Based Powder Bed Fusion Manufactured Alloy 718 : Modeling and Experiments

In additive manufacturing, the presence of residual stresses in produced parts is a well-recognized phenomenon. These residual stresses not only elevate the risk of crack formation but also impose limitations on in-service performance. Moreover, it can distort printed parts if released, or in the worst case even cause a build to fail due to collision with the powder scraper. This study introduces

Routines, Rituals and Reflexes : The Powerful Undercurrents in Everyday Life

Small routines and ingrained cultural reflexes as well as micro-rituals form an often unnoticed or ignored flow in everyday life. They acquire their power by being taken for granted and embodied. In situations of conflict, crisis or change, they may suddenly be noticed and become problematic. This chapter looks at how moves, affect, sensations and stuff interact in the making and unmaking of routi

Mortality among individuals with substance use disorder—does violent criminal behavior have an impact?

Introduction: Understanding violent criminality and its impact on health and eventually the risk of premature mortality is important for efficient future interventions. This study aimed to explore the effect violent criminality had on premature mortality (i.e., death before the age of 65) among individuals with substance use disorders (SUDs). Methods: The cohort was created by identifying all Swed

Growth rate mediates hidden developmental plasticity of female yellow dung fly reproductive morphology in response to environmental stressors

Understanding how environmental variation influences even cryptic traits is important to clarify the roles of selection and developmental constraints in past evolutionary divergence and to predict future adaptation under environmental change. Female yellow dung flies (Scathophaga stercoraria) typically have three sperm storage compartments (3S), but occasionally four (4S). More spermathecae are th

Steroid hydroxylation using immobilized spores of Curvularia lunata germinated in situ

Spores of Curvularia lunata were immobilized in polyacrylamide granules and in calcium alginate beads (2–3 mm in diam.). Germination of the spores, initiated by the addition of nutrients, resulted in an even distribution of mycelium throughout the beads after 48 h. Such beads were used for the conversion of cortexolone to cortisol by steroid-11β-hydroxylation. In order to improve the steroid trans