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EULAR/eumusc.net standards of care for rheumatoid arthritis : cross-sectional analyses of importance, level of implementation and care gaps experienced by patients and rheumatologists across 35 European countries

Objective As part of European League against Rheumatism (EULAR)/European Musculoskeletal Conditions Surveillance and Information Network, 20 user-focused standards of care (SoCs) for rheumatoid arthritis (RA) addressing 16 domains of care were developed. This study aimed to explore gaps in implementation of these SoCs across Europe. Methods Two cross-sectional surveys on the importance, level of a

Dynamic spatio‐temporal flow modeling with raster DEMs

A user-friendly high-resolution intermediate complexity dynamic and spatially distributed flow model is crucial in urban flood modeling. Planners and consultants need to improve the accuracy of floods and estimation of risks. A new flow model will serve as a rapid tool to improve identification of these. This article provides a detailed explanation of a model based on a multiple flow algorithm. MoA user-friendly high-resolution intermediate complexity dynamic and spatially distributed flow model is crucial in urban flood modeling. Planners and consultants need to improve the accuracy of floods and estimation of risks. A new flow model will serve as a rapid tool to improve identification of these. This article provides a detailed explanation of a model based on a multiple flow algorithm. Mo

The 10-year incidence of hypertension across blood pressure categories in a population-based cohort in southwestern Sweden

Background: To explore the determinants of incident hypertension, and especially the impact of baseline blood pressure categories, in a representative Swedish population. Methods: A 10-year longitudinal study of residents aged 30–74. Blood pressures were measured and categorized according to ESH guidelines with optimal blood pressure < 120/80 mmHg, normal 120–129/80–84 mmHg, and high normal 130–13

Risk of Major Bleeding in Patients With Atrial Fibrillation Taking Dronedarone in Combination With a Direct Acting Oral Anticoagulant (From a U.S. Claims Database)

Dronedarone may increase exposure and the risk of major bleeding when prescribed with a direct oral anticoagulant (DOAC). This retrospective cohort study examined the risk of the first occurrence of major bleeding (hospitalization or emergency room visit for gastrointestinal [GI] bleeding, intracranial hemorrhage [ICH], or bleeding at other sites) among new users of apixaban, dabigatran, and rivar

Circumferential resection margin is a predictor for metastatic disease after rectal cancer surgery: a nation-wide population-based study cohort

Background/Aim To evaluate circumferential resection margin(CRM) as a risk factor for distant metastasis (DM) in rectal cancer.The treatment of rectal cancer has evolved over the last decades.Surgical radicality is the single most important factor in preventingrecurrences, both locally and distantly. CRM B 1.0 mm is consideredto increase recurrence risk. However, not all patients with CRMB 1.0 mm

Struggling for an ideal dialogue. An analysis of the regional dialogue processes within Sweden's first National Forest Program

In 2018, a strategy for Sweden's first National Forest Program was launched. As part of its implementation, County Administrative Boards have initiated dialogue processes for drafting regional forest strategies. Stakeholder deliberation is ascribed the potential to promote trust and mutual understanding, lead to more robust decisions and smoother implementation. We examine the dialogue processes,

Cumulative incidence of ureteroenteric strictures after radical cystectomy in a population-based Swedish cohort

Objective: The incidence of benign ureteroenteric strictures following radical cystectomy (RC) for urinary bladder cancer (UBC) is investigated mainly in single-centre studies from high-volume centres. The aim of this study was to evaluate the cumulative incidence of strictures and risk factors in a population-based cohort. Patients and methods: Data was collected from Bladder Cancer Data Base Swe

Lynch syndrome-associated epithelial ovarian cancer and its immunological profile

Introduction: Lynch syndrome is a multi-tumor syndrome characterized by mismatch repair deficiency (MMR-d), microsatellite instability (MSI), and increased tumor-infiltrating lymphocytes (TILs) making these tumors candidates for treatment with immune checkpoint inhibitors. However, response may depend on tumor-induced immune evasion mechanisms, e.g. loss of Beta-2-Microglobulin (B2M) or upregulati

A two-frequency-two-coupling model of coupled oscillators

We considered the phase coherence dynamics in a Two-Frequency and Two-Coupling (TFTC) model of coupled oscillators, where coupling strength and natural oscillator frequencies for individual oscillators may assume one of two values (positive/negative). The bimodal distributions for the coupling strengths and frequencies are either correlated or uncorrelated. To study how correlation affects phase c

Are structural abnormalities on knee MRI associated with osteophyte development? Data from the Osteoarthritis Initiative

Objective: To assess which structural abnormalities on knee MRI are associated with development of osteophytes in middle-aged subjects without radiographic knee osteoarthritis. Design: We included subjects from the Osteoarthritis Initiative, aged 40–55 years, Kellgren & Lawrence grade 0 in both knees, and knee MRIs from both knees available at baseline, 24, 48 and 72 months. Structural exposur

Privacy-Preserving Biometric Authentication: Challenges and Directions

An emerging direction for authenticating people is the adoption of biometric authentication systems. Biometric credentials are becoming increasingly popular as a means of authenticating people due to the wide range of advantages that they provide with respect to classical authentication methods (e.g., password-based authentication). The most characteristic feature of this authentication method is

The Cosmic Origin of Fluorine : An Astronomer's View on Fluorine Synthesis

All fluorine atoms in fluoride compounds discussed in this book were synthesized in the stars or in stellar processes well before the solar system was formed some 4.6. billion years ago. The main cosmic production sites are, however, still elusive. This is not only because it is challenging to empirically determine the buildup of fluorine abundance in the universe over time, but also because of th

Myocardium at risk assessed by electrocardiographic scores and cardiovascular magnetic resonance - a MITOCARE substudy

Introduction: The myocardium at risk (MaR) represents the quantitative ischemic area destined to myocardial infarction (MI) if no reperfusion therapy is initiated. Different ECG scores for MaR have been developed, but there is no consensus as to which should be preferred. Objective: Comparisons of ECG scores and Cardiac Magnetic Resonance (CMR) for determining MaR. Methods: MaR was determined by 3

A review of design guidance on wildland urban interface fires

Fires in the Wildland-Urban Interface (WUI) areas is a worldwide problem, which is gaining more importance over time due to climate change and constructions in the WUI areas. Standards and guidelines may greatly help the activities of planning, prevention and protection against wildfires. Some countries/States/local communities can already rely on existing standards and guidelines, while other are

Structural analysis of Ioncell-F fibres from birch wood

Quite recently, the Ioncell-F process, a novel and promising Lyocell fibre process, has been developed. The ionic liquid 1,5-diazabicyclo[4.3.0]non-5-enium acetate ([DBNH]OAc) utilized in this process, was identified as an excellent cellulose solvent for dry-jet wet fibre spinning. Fibres spun from cellulose-[DBNH]OAc solution have shown excellent mechanical properties. Herein, various structural

Blasts from the Past: War and Fracture in the International System

This article is a brief inquiry into the changing meaning of war in Western political thought, with special reference to its role in fracturing the contemporary international system. I argue that contemporary debates about the changing nature of war have failed to note what I take to be the most important change in our understanding of war in recent decades—the return of the long-suppressed view t

The influence of posterior-inferior tibial slope in ACL injury.

PURPOSE: To explore the effect of different posterior-inferior tibial slope (PITS) angles on ACL injury at non-contact sports, knee laxity and the need for ACL reconstruction. METHODS: One hundred patients with an acute, arthroscopically verified total ACL rupture were followed prospectively with the intention of treating the injury without reconstruction. Knee laxity was assessed with the Lachman

Perceptual defensiveness and ESP performance: Reconstructed DMT ratings and psychological correlates in the first German DMT-ESP experiment

The concept of perceptual defensiveness is related to subliminal perception and preconscious processing. Meta-analyses of earlier experiments, 6 in the United States and Holland and 10 in Iceland, on the Defense Mechanism Test (DMT)-ESP relationship had shown significantly higher ESP scoring by less defensive participants. In the present experiment, conducted in Freiburg, Germany, 50 participants

Retinol dehydrogenase 10 is a feedback regulator of retinoic acid signalling during axis formation and patterning of the central nervous system.

Retinoic acid (RA) is an important morphogen that regulates many biological processes, including the development of the central nervous system (CNS). Its synthesis from vitamin A (retinol) occurs in two steps, with the second reaction - catalyzed by retinal dehydrogenases (RALDHs) - long considered to be crucial for tissue-specific RA production in the embryo. We have recently identified the Xenop

Myocardium at risk can be determined by ex vivo T2-weighted magnetic resonance imaging even in the presence of gadolinium: comparison to myocardial perfusion single photon emission computed tomography.

AIMS: Determination of the myocardium at risk (MaR) and final infarct size by cardiac magnetic resonance imaging (CMR) enables calculation of salvaged myocardium in acute infarction. T2-weighted imaging is performed prior to the administration of gadolinium, since gadolinium affects T2 tissue properties. This is, however, difficult in an ex vivo model since gadolinium must be administered for dete