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Pulseless electrical activity is associated with improved survival in out-of-hospital cardiac arrest with initial non-shockable rhythm

Objective: To describe the prevalence, baseline characteristics and factors associated with survival in out-of-hospital cardiac arrest (OHCA) with initial non-shockable rhythm sub-grouped into pulseless electrical activity (PEA) and asystole as presenting rhythm. Methods: The Swedish Registry of Cardiopulmonary Resuscitation is a prospectively recorded nationwide registry of modified Utstein param

High-sensitivity troponin T is an important independent predictor in addition to the Simplified Acute Physiology Score for short-term ICU mortality, particularly in patients with sepsis

Purpose: Elevated cardiac troponin levels have been shown to be associated with a poor prognosis under some intensive care conditions. This study investigated whether inclusion of high-sensitivity troponin T (hsTnT) increased the prognostic accuracy of the Simplified Acute Physiology Score (SAPS 3) for general intensive care unit (ICU) patients, cardiac arrest patients, or patients with a non-card

The unintended consequences of modernity : Pollution and its effect on reproductive, maternal and fetal health

Over the past 50 years there has been an unprecedented increase in pollution globally. Population growth and higher standards of living have resulted in increases in global consumption facilitated by industrialisation and globalisation of goods and services thus resulting in the release of environmental pollutants on a mass scale. This article analyses the effects and consequences of pollution on

Accelerating the implementation of the Sustainable Development Goals at the local level. : Unpacking governance processes and tensions

Despite a growing body of research on the role of the Sustainable Development Goals (SDGs) at the local level, knowledge on how they are taken up in local governance processes remains limited. This article contributes to knowledge on SDG implementation by examining how the SDGs can contribute to governance change at the local level. We develop a process-oriented analytical framework that examines

Men’s Experience of Abuse During Child- and Adulthood and Identification of Self as Perpetrator : A Cross-Sectional Study in Psychiatric Care

The aim of this study was to describe the extent to which men in psychiatric care have experienced emotional, physical, and sexual abuse during the life course and the association between this experience and being a perpetrator oneself. The aim was also to identify who exposed them to abuse and whether there was an association between the category of abuser and being a perpetrator oneself. A cross

Finite element analysis for simplified thermal dose planning in interstitial laser thermotherapy

The objective was to investigate if diffusing laser fibres can be modelled as conductive heat sources without miscalculating coagulated volumes, and if finite element analysis, disregarding light transport, may be used for three dimensional (3D) treatment planning in interstitial laser thermotherapy (ILT). Temperature distributions and coagulated volumes with a diffusing laser fibre, as compared t

Assessment and monitoring of reliability and robustness of offshore wind energy converters

The preseni paper provides an overview of existing approaches for design and assessment of offshore structures and on this basis proposes a framework for the risk based assessment and monitoring of the performance of offshore wind energy converters in operation. In recognition of the fact that there are presently no established best practices for the assessment and monitoring of offshore wind ener

Comparative analysis on the film cooling mechanisms of elliptical and cylindrical holes with 90° compound angle

Purpose: In this study, numerical simulations are performed to compare the adiabatic film cooling effectiveness and reveal the difference of film cooling mechanisms of two models with the same geometries and cross-section areas of film holes’ exits at three typical blowing ratios (M = 0.5, 1 and 1.5). The two models are an elliptical model and a cylindrical model with 90° compound angle, respectiv

Equal opportunities for clinical learning: is there any dust under the rug?

Background: The power and influence of the hidden curriculum - culturally situated norms and values - onlearning opportunities is a growing concern in medical education. However, while medical schools producediversity and equal treatment policies, efforts towards surfacing and addressing equal opportunities in theclinical learning environment trail behind.Summary of Work: To better understand how

Strain fields and mechanical response of a high to medium fissured bentonite clay

This article presents the developments of an ongoing research aimed at modelling the influence of fissuring on the behaviour of clays. In particular, it recalls the main results of an extensive laboratory investigation on a fissured bentonite clay from the south of Italy and presents the data of a new investigation on the evolution with shearing of the strain fields developing within the clay, res

Laser tumor thermotherapy: Is there a clinically relevant effect on the immune system

Laser thermotherapy is interesting from an immunological point of view since it can reduce tumor volume without causing immunosuppression at the same time as it may induce and/or enhance tumor immunity. In a rat liver tumor model, we have demonstrated that laser thermotherapy 1) is superior to surgical resection, 2) gives a strong rejection immunity associated with an immune cellular response of t

Acidosis enhances translocation of protein kinase C but not Ca2+/calmodulin-dependent protein kinase II to cell membranes during complete cerebral ischemia

Systemic hyperglycemia and hypercapnia severely aggravate ischemic brain damage when instituted prior to cerebral ischemia. An aberrant cell signaling following ischemia has been proposed to be involved in ischemic cell death, affecting protein kinase C (PKC) and the calcium calmodulin kinase II (CaMKII). Using a cardiac arrest model of global brain ischemia of 10 min duration, we investigated the