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Participating in decision-making at the end of life: The self-reported ability of people with cancer across 11 countries

ObjectivesUncertainty among healthcare providers about patients’ ability to make care decisions is a barrier to shared decision-making. We aimed to assess the self-reported decision-making ability of patients with cancer at the end of life.MethodsData from 11 countries of adults with a limited life expectancy and cancer as the primary diagnosis were used. Participants completed a questionnaire, in

InSAR Ground Deformation and Pumping Energy Consumption Reveal Urban Water Security

Water resource assessments are critical for ensuring water security (WS), particularly in rapidly urbanizing regions with increasing water demand and limited water monitoring capabilities. Earth observations and indirect indicators of surface and groundwater changes are valuable tools for developing such assessments. This study examines WS by combining trends in pumping energy consumption and wateWater resource assessments are critical for ensuring water security (WS), particularly in rapidly urbanizing regions with increasing water demand and limited water monitoring capabilities. Earth observations and indirect indicators of surface and groundwater changes are valuable tools for developing such assessments. This study examines WS by combining trends in pumping energy consumption and wate

Legal Positivization and Sovereign Recognition: A Comparative Analysis of Japan and the Ottoman Empire

Renewed scholarly interest in the category of history within the field of International Relations has prompted a revival of the so-called English School and its analytic emphasis on the concept of international society. This study examines the expansion of nineteenth century European international society through the theory of legal reception applied to the cases of Japan and the Ottoman empire. M

International Organisations, Authority, and the First Permanent Secretariats in the 19th Century

International organisations (IOs) play increasingly important roles in world politics. As states face more complex challenges they have joined together in IOs to solve their common problems. Yet once an IO has been created it may take on a life of its own, and it becomes difficult for its state founders to control what it does. Permanent secretariats populated by experts are one of the most import

Buffertzonen på Cypern : En studie av buffertzonens folkrättsliga status och av spörsmål rörande det folkrättsliga ansvaret för och inom buffertzonen

Mänsklig aktivitet i buffertzonen på Cypern gör det nödvändigt att för det första utveckla en tydlig förståelse av detta områdes folkrättsliga status och för det andra i möjligaste mån besvara spörsmål om vem som har det folkrättsliga ansvaret där. Före-varande studie behandlar dessa frågor i tre delar: - Kapitel 2 ger en kort beskrivning av buffertzonen och dess historia, från dess inrättande 197

Health care utilization among patients with oesophageal and gastric cancer : the impact of initial treatment strategy and assignment of a contact nurse

Background: Patients diagnosed with oesophageal and gastric cancer face a poor prognosis and numerous challenges of symptom management, lifestyle adjustments and complex treatment regimens. The multifaceted care needs and rapid disease progression reinforce the need for proactive and coherent health care. According to the national cancer strategy, providing coherent health care and palliative supp

Fallstudie i provhus med uteluftventilerat vindsutrymme : Mätningar och simuleringar

Omfattningen av fukt- och mögelskador på uteluftsventilerade kalla vindar har ökatunder de senaste decennierna. Detta beror på ett flertal samverkande faktorer såsom ettvälisolerat vindsbjälklag samt byte från lokal värmekälla med varm skorstensstock tillandra uppvärmningsformer som inte bidrar till uppvärmningen av vindsutrymmet. En-ligt gängse rekommendationer ska kalla vindsutrymmen ventileras On a cold-ventilated attic, there is always an outer roof that must be tight against snow and meltwater, which means that there are also materials in the construction that make it more or less vapour tight. In traditional roofs, the waterproofing layer often consists of an asphalt-impregnated paperboard on a tonged and grooved board. As an alternative to the conventional solution, a less diffusion

The true costs of cesarean delivery for patients in rural Rwanda : Accounting for post-discharge expenses in estimated health expenditures

Introduction: While it is recognized that there are costs associated with postoperative patient follow-up, risk assessments of catastrophic health expenditures (CHEs) due to surgery in sub-Saharan Africa rarely include expenses after discharge. We describe patient-level costs for cesarean section (c-section) and follow-up care up to postoperative day (POD) 30 and evaluate the contribution of follo

Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)

Background: The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies. Methods: A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in th

Implementing and monitoring the right to health in breast cancer : selection of indicators using a Delphi process

Background: Women with breast cancer have different chances of surviving their disease, depending on where they live. Variations in survival may stem from unequal access to prompt diagnosis, treatment and care. Implementation of the right to health may help remedy such inequalities. The right to health is enshrined in international human rights law, notably Article 12 of the International Covenant

Specialized palliative care and the quality of life for hospitalized cancer patients at a low-resource hospital in India

Aim: This study aimed to compare the quality of life (QoL) of cancer patients, with an Eastern Cooperative Oncology Group (ECOG) performance of 3-4, in contact with or without contact, with a specialized palliative care unit (PCU) at a low-resource governmental cancer hospital, as well as studying the impact of this contact on the QoL in their caregivers. Materials and Methods: Hospitalized patien

Interventions for treatment of COVID-19 : A protocol for a living systematic review with network meta-analysis including individual patient data (The LIVING Project)

Background: COVID-19 is a rapidly spreading virus infection that has quickly caused extensive burden to individual, families, countries, and the globe. No intervention has yet been proven effective for the treatment of COVID-19. Some randomized clinical trials assessing the effects of different drugs have been published, and more are currently underway. There is an urgent need for a living, dynami

Submerged Landscapes in the Hanö Bay : Early Holocene shoreline displacement and human environments in the southern Baltic Basin

Under istider, när stora mängder havsvatten var bundet i inlandsisar, var den globala havsnivån lägre än idag och stora delar av kontinentalsockeln torrlagd. Den senaste istiden (cirka 115 000–12 000 år sedan) var inget undantag, då torrlagda områden utvecklades till ekologiskt rika kustområden som möjliggjorde människans spridning över världen. När inlandsisarna smältesteg havsnivån och dessa lanDuring times of lower global sea level, vast areas of the coastal shelf were exposed and converted into ecologically diverse coastal landscapes that wereattractive for human occupation. The landscapes were subsequently flooded during the deglaciation, but well-preserved remains of these landscapes andtheir inhabitants can today be found on the seafloor. In the southern Baltic Basin, where the comp

Adolescents living with HIV are at higher risk of death and loss to follow up from care: Analysis of cohort data from eight health facilities in Ethiopia.

BACKGROUND:There are limited data on the treatment outcomes of adolescents living with HIV. Our objective was to compare mortality and loss to follow up (LTFU) rates between adolescent and younger age groups at enrollment in care.METHODS:This was a retrospective cohort study carried out in eight health facilities in two regions of Ethiopia. Adolescents (age 10-14 and 15-19 year) and children (age BackgroundThere are limited data on the treatment outcomes of adolescents living with HIV. Our objective was to compare mortality and loss to follow up (LTFU) rates between adolescent and younger age groups at enrollment in care.MethodsThis was a retrospective cohort study carried out in eight health facilities in two regions of Ethiopia. Adolescents (age 10–14 and 15–19 year) and children (age 0–

Organizational creativity and psychological well-being : Contextual aspects on organizational creativity and psychological well-being from an open systems perspective

Popular Abstract in Swedish Organisationskreativitet och psykologiskt v älbefinnande. I den föreliggande avhandling föreslås det att hur kreativitet och innovation uttrycks i organisationen är kontextberoende. Att kreativitet och innovation kan bidra till en ekonomisk tillväxt är allmänt känt. I denna avhandling föreslås det att kreativtet och innovation också kan leda till ett bättre psykologisktOrganizational creativity and psychological well-being. Present day organizations in a globalized society are experiencing external challenges and changes more than ever before and in order to adapt and react to these changes creativity and innovation are seen as some of the most important means. The standpoint in this thesis is that all employees have creative potential, and how the creative pote

Digitalisering och konsumentintresset. En litteraturöversikt

Detta är en pilotstudie som är utförd av Stefan Larsson, docent i teknik och social förändring vid Lunds universitets internetinstitut (LUii). Studien har utförts under 2016 på uppdrag av Konsumentverket i syfte att peka ut några av de för konsumentintresset viktigaste aspekterna med digitaliseringen. När man studerar digitalisering och dess konsumentbetydelse så ser man ganska snart att dess effe

Konsumentköplagens felregler tillämpade på hästar

Hästar är i juridisk mening lösa saker, varför konsumentköplagen tillämpas när en konsument köper en häst av en näringsidkare. Det finns idag ingen specialreglering för konsumentköp av levande djur som hästar. Föreliggande uppsats har som syfte att genom rättsdogmatisk metod undersöka hur konsumentköplagens bestämmelser om fel i vara och felpåföljder tillämpas i en tvist som uppstått efter ett häsHorses are legally considered chattels, meaning that the Consumer Sales Act (Konsumentköplagen) is applied when a consumer purchases a horse from a trader. Today there are no special rules for sales of animals such as horses. The purpose of this essay is to critically examine how the Consumer Sales Act’s rules regarding faulty chattel and sanctions are applied in a dispute which regards the purcha

Continuous-Time Delta-Sigma Modulators for Ultra-Low-Power Radios

Popular Abstract in Swedish Små, trådlösa och portabla apparater utgör idag en stor del av vår uppkopplade värld. Under det senaste decenniet har dock flera teknologiska framsteg lett mot en utveckling där allt från maskiner till kläder kommunicerar med varandra. Detta brukar kallas för "sakernas internet" och uppskattas involvera 50 miljarder enheter år 2020. Genom att förse dessa enheter med småThe modern small devices of today require cheap low power radio frequency (RF) transceivers that can provide reliable connectivity at all times. In an RF transceiver, the analog-to-digital converter (ADC) is one of the most important parts and it is also one of the main power consumers. There are several architectures for implementing an ADC, but in the last decade, continuous-time Delta-Sigma mod