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Treating hypertension with single pill combinations : a simple strategy to save costs for the patients and payers

Objectives: Our aim was to compare direct costs for single pill combinations (SPCs) and free-drug combinations for hypertension treatment. Methods: We focused on Australia as a case study and reviewed total costs, and for the patient and government. We reviewed the Australian “Pharmaceutical Benefits Scheme item drug map” considering different thresholds for the government safety net. Total costs

Diagnostic accuracy of the Scandinavian guidelines for minor and moderate head trauma in children : a prospective, pragmatic, validation study

Background: Current guidelines for initial management of traumatic brain injury (TBI) support decision making, but they are rarely validated. The Scandinavian guideline for management of children with TBI (SNC16) was developed to minimise the use of cranial computed tomography (cCT) without compromising safety, but the performance of the guideline in a real-world population is unknown. We aimed to

Eye model with controllable lens scattering

A model of human eye for experiments in vision research has been developed using PLZT ceramics. This ``artificial eye{''} allows to simulate light scattering caused by cataract in the eye lens. Light scattering of a composite eye lens of the model depends on the electric field applied to a transparent electrooptic PLZT ceramics plate that is attached directly to the lens. The image degradation in

"It made me feel human"-a phenomenological study of older patients' experiences of participating in a team meeting

This study focused on older patients participating in a team meeting (TM) in a hospital ward in Sweden. A process had taken place on the ward, in which the traditional round had developed into a TM and understanding what participating in a TM means for the older patient is necessary for the development of care that facilitates older patient's participation. The aim of this study was to describe th

Fewer hospitalizations and prolonged technique survival with home hemodialysis- a matched cohort study from the Swedish Renal Registry

Background: Patients on home hemodialysis (HHD) exhibit superior survival compared with patients on institutional hemodialysis (IHD) and peritoneal dialysis (PD). There is a sparsity of reports comparing morbidity between HHD and IHD or PD and none in a European population. The aim of this study is to compare morbidity between modalities in a Swedish population. Methods: The Swedish Renal Registry

Dataset : COVID-19 epidemic policy and events timeline (Sweden)

The Swedish approach to managing the 2020-2021 COVID-19 pandemic has received significant attention in international scholarly work and press. For this dataset, we have reviewed governmental and media archives to build a detailed timeline that chronicles significant policies, interventions, and events in the Swedish management of COVID-19. The dataset contains summary descriptions of what took pla

A comparison of two emergency medical dispatch protocols with respect to accuracy

Background: Emergency medical dispatching should be as accurate as possible in order to ensure patient safety and optimize the use of ambulance resources. This study aimed to compare the accuracy, measured as priority level, between two Swedish dispatch protocols - the three-graded priority protocol Medical Index and a newly developed prototype, the four-graded priority protocol, RETTS-A. Methods:

Dying Fit or Not—Physical Activity as Antidote to Death?

Physical activity has increasingly gained attention within palliative care. This article aims to explore how the idea of physical activity influences patients with advanced cancer and health-care professionals’ interactions. The empirical material was gathered as part of an anthropological field study about palliative care needs among 16 patients with advanced cancer, consisting of observations anPhysical activity has increasingly gained attention within palliative care. This article aims to explore how the idea of physical activity influences patients with advanced cancer and health-care professionals’ interactions. The empirical material was gathered as part of an anthropological field study about palliative care needs among 16 patients with advanced cancer, consisting of observations an

Cost-effectiveness of supported employment adapted for people with affective disorders

Objective: The individual enabling and support (IES) model was effective in gaining competitive employment for people with affective disorders compared with traditional vocational rehabilitation (TVR) services in a randomized controlled trial in a Swedish setting. The object of this study is to perform a cost-effectiveness analysis of IES comparing to TVR. Methods: We considered the costs of inter

Policy Changes in Community Mental Health: Interventions and Strategies Used in Sweden over 20 Years

The deinstitutionalization of mental health care has changed the responsibilities of involved authoritiesand has led to a continuous need for new treatment forms and interventions. This articledescribes this development in Europe, and in particular how these new conditions have been handledin Sweden over the past 20 years at the level of governmental policy-making. Three major policydocuments from

Äldre medarbetares attityder till ett långt arbetsliv. : Skillnader mellan olika yrkesgrupper inom hälso- och sjukvården.

Individer lämnar och har alltid lämnat arbetslivet på grund av att åldern ”tar ut sin rätt”. Dock är det sannolikt inte ålderssvaghet som är den avgörande faktornför det stora flertalet som går i ålderspension idag. Troligtvis är det istället mångaolika faktorer som har betydelse för när en individ lämnar yrkeslivet för en nylivsfas som ålderspensionär, även om det biologiska åldrandets klocka ticIn the health and medicine care service there are employees from different kind of occupations who can and want to work until they are 65 years or older. There are also employees from different occupations who can not or do not want to work until they are 65 years old. This study includes answers from 1,949 employees in nine different occupations in health and medical care service. The aim of the

“The DEA would come in and destroy you” : a qualitative study of fear and unintended consequences among opioid prescribers in WV

Background: West Virginia has one of the highest rates of opioid overdose related deaths and is known as the epicenter of the opioid crisis in the United States. In an effort to reduce opioid-related harms, SB 273 was signed in 2018, and aimed to restrict opioid prescribing in West Virginia. SB 273 was enacted during a time when physician arrests and convictions had been increasing for years and w

A framework for participatory work environment interventions in home care – success factors and some challenges

BackgroundHome care is beset with work environment issues and high staff turnover, while research concerned with interventions to improve the work environment is sparse. Few of the existing interventions apply a participative approach, despite this being associated with more positive outcomes and sustainable change. This paper presents a framework, rooted in action research and action learning, fo

Doctor’s follow-up after stroke in the south of Sweden : An observational study from the Swedish stroke register (Riksstroke)

Introduction: Information on follow-up practices after stroke in clinical routine are sparse. We studied the probability of doctor’s follow-up within 90, 120, 180, and 365 days after hospital discharge, and how patient characteristics were associated with the probability of follow-up, in a large unselected stroke cohort. Patients and methods: Data on patients living in southern Sweden, hospitalize

Serbian and Austrian alcohol-dependent patients : a comparison of two samples regarding therapeutically relevant clinical features

AIMS: To support the Serbian Expert Board in setting up reimbursement for modern pharmacotherapeutic support, we compared a Serbian sample of alcohol-dependent patients with an Austrian sample, in order to detect differences that might inhibit the introduction of anti-craving medications in Serbia.METHODS: One hundred and twenty-seven (116 males) alcohol-dependent patients in Serbia and 136 in Aus

Evaluating innovations for the physical environment in home care – a workplace for one, a home for the other

To a higher degree, older adults will live to old age in their own homes with the assistance of home care services. One effect of this is an increased number of people working in the home environment. This paper presents the results from a research project that studied the physical environment in Swedish home care. Innovations to support the home care situation were developed, with the aim of cont

BET Inhibition as a Rational Therapeutic Strategy for Invasive Lobular Breast Cancer

PURPOSE: Invasive lobular carcinoma (ILC) is a subtype of breast cancer accounting for 10% of breast tumors. The majority of patients are treated with endocrine therapy; however, endocrine resistance is common in estrogen receptor-positive breast cancer and new therapeutic strategies are needed. Bromodomain and extraterminal inhibitors (BETi) are effective in diverse types of breast cancer but the