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Anestesiläkare rapporterades i en svensk studie ha en högre mortalitet än genomsnittet av läkare. Detta fynd har dock ej kunnat reproduceras i motsvarande studier i de övriga nordiska länderna. Likväl har det spekulerats i om den angivna överrisken bland svenska anestesiläkare kan relateras till gruppens jourarbete med höga krav, nattarbete och stress. Kunskapen om hälsoeffekter av läkares jourarb
Objective: The aim of the study was to evaluate if associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) could increase resection rates (RRs) compared with two-stage hepatectomy (TSH) in a randomized controlled trial (RCT). Background: Radical liver metastasis resection offers the only chance of a cure for patients with metastatic colorectal cancer. Patients with colo
The paper examines the laws and policies that regulate corporate environmental practices in Ghana, with an emphasis on mining. In particular, the analysis of the legal and regulatory framework examines the extent to which it meets international best practices and standards of corporate conduct and the extent to which self-regulatory mechanisms are accommodated under the framework. This was accompl
ObjectiveTo determine whether the genetic disorder severe α1-antitrypsin deficiency, which has a known association with increased risk for development of lung and liver diseases, is also associated with increased risk for development of gastrointestinal diseases.Patients and MethodsWe conducted a national, longitudinal, registry-based study of individuals with severe α1-antitrypsin deficiency (phe
Variational Mode Decomposition (VMD) is a powerful formalism for the time-scale analysis of vibration signals from rotating machinery. However, its performance is often compromised by complex parameter configuration, where subjective manual tuning leads to mode mixing or information loss. In this study, we present a physics-guided framework that generalizes VMD optimization across diverse operatin
Scholars and practitioners are increasingly promoting so-called nature-based approaches for urban climate change adaptation. There is widespread consensus that they both support and require transdisciplinary approaches, notably by involving citizens in the change process and finding innovative ways to unite different actors’ efforts and capacities. However, there is little empirical evidence regar
Background: Young women in India continue to face diverse challenges that threaten their health and wellbeing. The reproductive health and rights of newly married women, who are often expected to begin childbearing soon after marriage, are often neglected. The present study aims to understand some of the factors associated with the desire to delay the first childbirth in young, married women in In
Background: Nausea and vomiting in pregnancy (NVP) affects 50–80% of pregnant women and is correlated to the level of human chorionic gonadotropin (hCG). Hyperemesis gravidarum (HG) is a severe condition, with an incidence of 0.2–1.5%, characterized by consistent nausea, vomiting, weight loss and dehydration continuing after the second trimester. Aim: The aim of this systematic review was to inves
PURPOSE: Ductal carcinoma in situ (DCIS) patients and their physicians currently face challenging treatment decisions with limited information about the individual's subsequent breast cancer risk or treatment benefit. The DCISionRT biological signature developed in this study provides recurrence risk and predicts radiotherapy (RT) benefit for DCIS patients following breast-conserving surgery (BCS)
Policies that facilitate sustainability transformations require knowledge about the dynamics of complex socio-ecological systems, including biophysical mechanisms and diverse human-nature relationships. Such a comprehensive evidence base can only be built by integrating multiple types of knowledges. Ontology, epistemology, and semantics are a well-established terminology to structure and facilitat
Background: Management of traumatic spinal cord injury is complex and depends on a multidisciplinary approach involving pre-hospital services, spinal surgery, intensive care unit treatment and specialized rehabilitation. International clinical practice guidelines for the handling of these patients offer specific recommendations regarding transportation, radiological investigations, timing of surge
This study presents a conceptual framework for assessing the sustainability of the forest-based economy and resulting synergies and trade-offs between forest harvest, carbon sequestration, and biodiversity conservation. The framework adopts a comprehensive systems approach to map economic activities and associated flows of resources and embodied environmental impacts along the value chain. It buil
The lifelong risk of stroke following adverse pregnancy outcomes, and potential causality, are unknown. This study examined five major adverse pregnancy outcomes and long-term risk of stroke in a large population-based cohort. Methods A national cohort study was conducted of all 2 201 393 women with a singleton delivery in Sweden during 1973–2015, followed up for stroke through 2018. Cox regressio
Label-free chemical imaging of living and functioning systems is the holy grail of biochemical research. However, existing techniques often require extensive sample preparation to remove interfering molecules such as water, rendering many molecular imaging techniques unsuitable for in situ structural studies. Here, we examined freshly extracted tissue biopsies and living small vertebrates at submi
In a world where the challenges of climate change, social inequality, economic instability, and geopolitical tensions are ever-present, educators have a unique opportunity—and responsibility—to prepare their students to navigate these complexities. However, educators are also juggling teaching and research, competing deadlines, shifting expectations, institutional paradigms, and limited time and s
Objective: To evaluate the impact of pregestational diabetes on duration of active labour (DAL) in induced and spontaneous labour and to compare caesarean section (CS) rates and indications between women with and without diabetes. Design: A population-based cohort study. Setting: Sweden. Population: 243 537 nulliparous women, registered in the Swedish Pregnancy Register, who delivered a singleton
This article explores the more-than-human characterization of the Theotokos in the famous Akathistos Hymn. The Mother of God emerged as an intercessional figure in the Christian imagination during late antiquity, but the formative period of mariology is still partly uncharted territory to modern scholarship. Reflecting on its rich landscape imagery and chora language, the article argues that the A
Fatty acid biomarkers have emerged as a useful tool to quantify biomass of various microbial groups. Here we focus on the frequent use of the fatty acid 16:1ω5 as a biomarker for arbuscular mycorrhizal (AM) fungi in soils. We highlight some issues with current applications of this method and use several examples from the literature to show that the phospholipid fatty acid (PLFA) 16:1ω5 can occur i
