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Case management for individuals with severe mental illness. A process-outcome study of ten pilot services in Sweden

Popular Abstract in Swedish Samhällets stöd, service och vård till människor med psykiska funktionshinder har under de senaste decennierna genomgått stora förändringar. Det har skett en övergång från slutna till samhällsbaserade öppna vårdformer. De kraftiga nedskärningarna av den sjukhusbaserade psykiatriska vården har emellertid långt ifrån alltid ersatts med ett heltäckande och fungerande vård-All clients admitted to ten pilot case management services for individuals with severe mental illness during 1995 and up to 1996-09-30 were invited to participate in the present study. A total of 176 clients were included. The clients were in all services assessed at admission and at an 18 months follow-up with regard to needs of care, psychosocial functioning. Use of health care and social servic

Topical corticosteroid phobia in atopic dermatitis : International feasibility study of the TOPICOP score

Background: Adherence to topical corticosteroids (TCS) is essential for the effective treatment of atopic dermatitis but can be limited by concerns about their use. This study examined the feasibility of applying the validated TOPICOP score for assessing TCS phobia across different countries. Methods: This was a prospective multicentre feasibility study conducted in 21 hospitals in 17 countries. P

Global Burden of Multiple Myeloma : A Systematic Analysis for the Global Burden of Disease Study 2016

Introduction: Multiple myeloma (MM) is a plasma cell neoplasm with substantial morbidity and mortality. A comprehensive description of the global burden of MM is needed to help direct health policy, resource allocation, research, and patient care.Objective: To describe the burden of MM and the availability of effective therapies for 21 world regions and 195 countries and territories from 1990 to 2

Tiden har runnit ikapp Sverige : Sju principer för god vattenstyrning och hantering

Vi vill med den här artikeln peka på att Sveriges städer har flera utmaningar kring styrning och hantering av vatten, samt föreslår sju principer för lösningar. Klimatförändringarna och den urbana tillväxten gör att åtgärder behövs nu för att hantera både vattenbrist och översvämning på ett integrerat sätt. Här fokuserar vi på kommunnivå och urbana områden, där vi argumenterar för att det behövs eWe argue in this paper that Swedish urban areas have several urgent challenges when it comes to water governance and we propose seven principles for addressing them. Climate change and urban growth call for swift action to manage both water scarcity and flooding in an integrated way. This paper focuses on the municipal level for which we argue that there is a need for a more systematic approach. T

Volumetric intensity dependence on the formation of molecular and atomic ions within a high intensity laser focus

The mechanism of atomic and molecular ionization in intense, ultra-short laser fields is a subject which continues to receive considerable attention. An inherent difficulty with techniques involving the tight focus of a laser beam is the continuous distribution of intensities contained within the focus, which can vary over several orders of magnitude. The present study adopts time of flight mass s

Environmental barriers and use of mobility devices.

To describe outdoor barriers in the nearby home environments of very old people, and to investigate whether the presence of these environmental barriers differed between users and non-users of mobility devices (MDs). Method: Baseline data on 397 Swedish people aged 80-89 years, collected with a study-specific question on MD use and a subset of the environmental component of the Housing Enabler ins

Placental pulsatility index : a new, more sensitive parameter for predicting adverse outcome in pregnancies suspected of fetal growth restriction

Introduction: The pulsatility indices of the umbilical and uterine arteries are used as the surrogate measures of utero-placental perfusion. Combining the two might simplify the evaluation of total placental vascular impedance, possibly improve prediction of adverse outcomes, and help identify pregnancies with suspected fetal growth restriction that need more intense surveillance. Material and met

Tilt anisoplanatism and PSF retrieval in LGS MCAO using a predictive controller

It is shown how tilt anisoplanatism in laser-supported multi-conjugatedadaptive optics (MCAO) systems can be a) predicted from a prioriknowledge, b) compensated using additional natural guide stars (NGS),and c) estimated in real time from control loop data to allow PSFretrieval. As a consequence of the problems associated with retrievingatmospheric tip and tilt from laser guide star (LGS) measurem

Experimental Studies on Particle Emissions from Grate Fired Biomass Combustion Boilers

Fine particle emissions were measured at two commercial grate fired boilers operating on moist fuel residues. The aim of this study was to characterize fine particle emissions with a view to pinpoint parameters influencing the emissions. Additionally effectiveness of used flue gas cleaning techniques was assessed. The results show that large quantities of fine particles are emitted to the atmosphe

Plasma carotenoids in relation to food consumption in Granada (southern Spain) and Malmo (southern Sweden)

We conducted a cross-sectional pilot study on healthy pre-menopausal women (aged 45-50 years) living in Granada, in the south of Spain (n = 39) and Malmo, in the south of Sweden (n = 38) in order to compare their plasma carotenoid levels and to investigate the relationship between the differences in food consumption. Plasma concentrations of six carotenoids were measured using high performance liq

Investigation of two-equation turbulence models applied to a confined axis-symmetric swirling flow

The modeling of industrial combustion applications today is almost exclusively based on two-equation turbulence models. Despite its known limitations, the most the widely used model is still the standard k-ε model. The objective of this paper is to investigate the performance of two-equation turbulence models applied to a confined swirling flow. Numerical modeling of an axis-symmetric confined sud

The importance for strategic management decision making of understanding the impact of culture on implicit professional values.

The main concern of this paper is the joint utilization of new methods of research and analysis in the study of value. 40 persons, varying from age 20 to 70 and from different professional domains were studies by the use of a three-images technique inspired by Murray´s TAT. The aim was to unveil the implicit dimensions of work related values. Three analytical methods (content analysis, lexical ana

Fuzzy inference system for analog joystick emulation with an inductive tongue-computer interface

This paper describes the development of a fuzzy inference system (FIS) for emulating an analog joystick using an inductive tongue-computer interface. The principle of operation of the interface and the inductive sensors signals are described. The FIS receives sensor signals and output the Cartesian position of the virtual joystick, which can be used to control the mouse pointer in a personal compu

Comprehensive analysis of microRNA expression in regionalized human neural progenitor cells reveals microRNA-10 as a caudalizing factor.

MicroRNAs (miRNAs) have been implicated in regulating multiple processes during brain development in various species. However, the function of miRNAs in human brain development remains largely unexplored. Here, we provide a comprehensive analysis of miRNA expression of regionalized neural progenitor cells derived from human embryonic stem cells and human foetal brain. We found miR-92b-3p and miR-1

TP53 Mutations are infrequent in newly diagnosed chronic lymphocytic leukemia

TP53 mutations in the absence of 17p-deletion correlate with rapid disease progression and poor survival in chronic lymphocytic leukemia (CLL). Herein, we determined the TP53 mutation frequency in 268 newly diagnosed CLL patients from a population-based material. Overall, we detected TP53 mutations in 3.7% of patients (n = 10), where 7/10 cases showed a concomitant 17p-deletion, confirming the hig

Protocol for evaluating and implementing a pragmatic value-based healthcare management model for patients with inflammatory arthritis : A Danish population-based regional cohort and qualitative implementation study

Introduction The provision of healthcare for patients with inflammatory arthritis occurs in the context of somewhat conflicting targets, values and drivers. Therefore, there is a need for introducing 'value-based healthcare' defined as the value of patient relevant health outcomes in relation to costs. This term is a central part of tomorrow's healthcare sector, especially for rheumatic diseases,

Out-of-hospital cardiac arrest at place of residence is associated with worse outcomes in patients admitted to intensive care : a post-hoc analysis of the Targeted Temperature Management trial

BACKGROUND: The majority of out-of-hospital cardiac arrests (OHCAs) occur at place residence, which is associated with worse outcomes in unselected prehospital populations. Our aim was to investigate whether location of arrest was associated with outcome in a selected group of initial survivors admitted to intensive care.METHODS: This is a post-hoc analysis of the Targeted Temperature Management a