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The presence of rheumatoid nodules at early rheumatoid arthritis diagnosis is a sign of extra-articular disease and predicts radiographic progression of joint destruction over 5 years

Objective: Radiographic damage is an important outcome in rheumatoid arthritis (RA). The disease course varies considerably, and there is a need for simple and reliable prognostic markers. The aim of the study was to determine the utility of early signs of extra-articular disease, manifested as rheumatoid nodules (RN), in predicting radiographic outcome. Methods: In a cohort (n = 1589) of consecut

Transforming growth factor (TGF)-β levels and unprovoked recurrent venous thromboembolism.

Prediction of recurrence in patients with unprovoked venous thromboembolism (VTE) remains a challenge. Studies of atherosclerosis suggest a protective role of transforming growth factor (TGF)-β. However, the role of TGF-β has not been studied in VTE. The aim of this study was to investigate TGF-β as a predictive marker of recurrent VTE in patients with a first episode of unprovoked VTE. Patients i

Learning effectiveness of discussion-based crisis management exercises

Crisis management exercises sometimes produce weak or vague learning results with very limited applicability. This paper addresses these problems by developing a theoretical framework on learning from crisis management exercises. The framework focuses on necessary requirements and beneficial factors for the conceptual learning of individuals from discussion-based exercises. The variation theory of

Vulnerability Analyses of Interdependent Critical Infrastructures: Case study of the Swedish National Power transmission and Railway system

Critical infrastructures provide services that are essential for the functioning of our society and extensive disruptions in these can have widespread effects. These effects are not only limited to the directly affected infrastructure but also indirectly through interdependencies to other infrastructures. By only account-ing for the direct consequences when analysing critical infrastructures, the

Monitoring and influencing safety through safety culture

Organizations need to make sure that their level of safety is acceptable. Therefore it is important to know which factors contribute to the level of safety and how to monitor and improve these factors. One method used today to evaluate the level of safety in organizations is safety culture measurements. In different contexts, different models of safety culture are used. Safety culture is often con

Strengthening learning from emergency responses

During the last years a couple of emergencies have affected the Swedish municipality Ljungby and its inhabitants and forced the municipality to initiate emergency responses. Some examples are a flooding that happened during the summer of 2004, the storm Gudrun that occurred in January 2005 and the storm Per that occurred in January 2007. These emergencies, as well as other incidents, are situation

Improving emergency response capability : an approach for strengthening learning from emergency response evaluations

The objectives of this study are to develop and demonstrate an approach to improve emergency response capability by strengthening individual and organisational learning from the evaluations of specific emergency responses. An approach was developed based on theories of individual and organisational learning. It was applied to evaluations of three instances of emergency response in the city of Malm

Meteorin is a chemokinetic factor in neuroblast migration and promotes stroke-induced striatal neurogenesis.

Ischemic stroke affecting the adult brain causes increased progenitor proliferation in the subventricular zone (SVZ) and generation of neuroblasts, which migrate into the damaged striatum and differentiate to mature neurons. Meteorin (METRN), a newly discovered neurotrophic factor, is highly expressed in neural progenitor cells and immature neurons during development, suggesting that it may be inv

Third trimester assessment of the uterine scar in women with prior caesarean: what is the evidence?

The increasing rate of caesarean delivery is a worldwide concern. A major contributor to this evolution has been a concomitantly decline in vaginal birth after caesarean, because of the risk of intrapartum uterine rupture, which is a rare but potentially catastrophic complication of a trial of labour after caesarean (TOLAC). On the other hand, elective repeat caesarean is associated with surgical

Cell number and timing of transplantation determine survival of human neural stem cell grafts in stroke-damaged rat brain.

Neural stem cells (NSCs) derived from human fetal striatum and transplanted as neurospheres survive in stroke-damaged striatum, migrate from the implantation site, and differentiate into mature neurons. Here, we investigated how various steps of neurogenesis are affected by intrastriatal transplantation of human NSCs at different time points after stroke and with different numbers of cells in each

Preterm birth and unintentional injuries: risks to children, adolescents and young adults show no consistent pattern.

AIM: Preterm birth is associated with a number of physical and mental health issues. The aim of this study was to find out if there was also any association between individuals born preterm in Sweden between 1984 and 2006 and the risk of unintentional injuries during childhood, adolescence and young adulthood METHODS: The study followed 2,297,134 individuals, including 5.9% born preterm, from 1985

Leisure time and occupational physical activity in relation to obesity and insulin resistance: a population-based study from the Skaraborg Project in Sweden.

The objective was to study obesity and insulin resistance in relation to leisure time physical activity (LTPA) and occupational physical activity (OPA) in a Swedish population, with particular focus on sex differences. Using a cross-sectional design, waist circumference, body mass index (BMI), glucose/insulin metabolism, blood pressure, heart rate, self-reported education, smoking, alcohol consump

Thrombomodulin gene c.1418C>T polymorphism and risk of recurrent venous thromboembolism.

Thrombomodulin gene (THBD) is a critical cofactor in protein C anticoagulant system. THBD c.1418C>T polymorphism is reported to be associated with higher risk of primary venous thromboembolism (VTE) but its role in VTE recurrence is unknown. The aim of this study was to investigate the role of THBD polymorphism in VTE recurrence. THBD c.1418C>T polymorphism was genotyped by using Taqman polymerase

Obesity and familial obesity and risk of cancer.

Obesity is associated with a risk of at least 20 different cancers. We aimed at defining cancer risks in prospectively recruited patients with a novel subgroup, those with a family history of obesity. We defined a cohort of 30 020 patients who had been hospitalized since 1964. Cancer risks in these patients were followed through 2006. Standardized incidence ratios were calculated for cancer using