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10 år med BDD-studien har gett bättre diabetesdiagnos hos barn : Studiens analysbatteri är nu klinisk rutin och kunskapen om olika diabetessjukdomar har ökat

The Swedish study Better Diabetes Diagnosis (BDD) has now been ongoing for ten years and detailed information and blood samples have been collected from more than 8000 children and adolescents with newly diagnosed diabetes. We have been able to demonstrate that by means of HLA diabetes antibodies and C-peptide the discrimination between type one and type 2 diabetes is improved. These analyses are

Case Studies of Interprofessional Education Initiatives From Five Countries

Background: Although teamwork and interprofessional collaboration arecritical to patient safety, nursing, medical, and allied health graduates oftenfeel ill-prepared to confidently communicate and collaborate with other teammembers. While interprofessional education (IPE) has been advocated as a wayof addressing this issue, there are multiple barriers to its systematic and sustained integration in

Reciprocal Relationship Between Sleep Macrostructure and Evening and Morning Cellular Inflammation in Rheumatoid Arthritis

OBJECTIVE: This study examined the reciprocal associations between sleep macrostructure and levels of cellular inflammation in rheumatoid arthritis (RA) patients and controls.METHODS: RA patients (n = 24) and matched controls (n = 48) underwent all-night polysomnography, along with assessment of spontaneous- and Toll-like receptor-4-stimulated monocytic production of tumor necrosis factor α (TNF)

Relation of Retinopathy of Prematurity to Brain Volumes at Term Equivalent Age and Developmental Outcome at 2 Years of Corrected Age in Very Preterm Infants

Background: Retinopathy of prematurity (ROP) is a major complication of preterm birth and has been associated with later visual and nonvisual impairments. Objectives: To evaluate relationships between any stage of ROP, brain volumes, and developmental outcomes. Methods: This study included 52 very preterm infants (gestational age [mean ± SD]: 26.4 ± 1.9 weeks). Total brain, gray matter, unmyelinat

Determining the Accuracy and Reliability of Indirect Calorimeters Utilizing the Methanol Combustion Technique

Background: Several indirect calorimetry (IC) instruments are commercially available, but comparative validity and reliability data are lacking. Existing data are limited by inconsistencies in protocols, subject characteristics, or single-instrument validation comparisons. The aim of this study was to compare accuracy and reliability of metabolic carts using methanol combustion as the cross-labora

Double Compression Expansion Engine Concepts : Efficiency Analysis over a Load Range

Double Compression Expansion Engine (DCEE) concepts are split-cycle concepts where the main target is to improve brake efficiency. Previous simulations work [1] suggests these concepts has a potential to significantly improve brake efficiency relative to contemporary engines. However, a high peak efficiency alone might be of limited value. This is because a vehicle must be able to operate in diffe

The theology of the land in Jewish-Christian relations and its role in misunderstandings between jews and Christians

Without sufficient knowledge of the painful history of Jewish-Christian apologetics and polemics, which have their origins in late antiquity and continued on into the medieval period, it is easy to fail to recognise the complexities of current Christian approaches to the Land that is now known as Israel and/or Palestine. Jesper Svartvik here examines the interplay of theology and politics, and, in

The Effect of Splitting Timing on Mixing in a Jet with Double Injections : A Large-Eddy Simulation Study

We present large-eddy simulation (LES) of a high-pressure gas jet that is injecting into a quiescent inert environment. The injection is through a nozzle with a diameter of 1.35 mm. Four injection strategies are considered in which the results of a single continuous injection case are compared with those of double injection cases with different injection splitting timing. In all double injection c

Chemical Abundances of Main-sequence, Turnoff, Subgiant, and Red Giant Stars from APOGEE Spectra. I. Signatures of Diffusion in the Open Cluster M67

Detailed chemical abundance distributions for 14 elements are derived for eight high-probability stellar members of the solar metallicity old open cluster M67 with an age of ∼4 Gyr. The eight stars consist of four pairs, with each pair occupying a distinct phase of stellar evolution: two G dwarfs, two turnoff stars, two G subgiants, and two red clump (RC) K giants. The abundance analysis uses near

Influence of APOA5 locus on the treatment efficacy of three statins : Evidence from a randomized pilot study in Chinese subjects

Pharmacogenetics or pharmacogenomics approaches are important for addressing the individual variabilities of drug efficacy especially in the era of precision medicine. One particular interesting gene to investigate is APOA5, which has been repeatedly linked with the inter-individual variations of serum triglycerides. Here, we explored APOA5-statin interactions in 195 Chinese subjects randomized to

Longitudinal evaluation of ventricular ejection fraction and NT-proBNP across heart failure subgroups

Objectives: Left ventricular ejection fraction (EF) and N-terminal pro-B-type natriuretic peptide (NT-proBNP) are important surrogate markers of cardiac function and wall stress. Randomized trials of heart failure (HF) have shown improvements in survival in patients with reduced EF (50%) was rare (14.1% of patients with HFrEF and 26.7% with HFmrEF), some degree of improvement was observed in 57.7%

Extracellular retention of PDGF-B directs vascular remodeling in mouse hypoxia-induced pulmonary hypertension

Pulmonary hypertension (PH) is a lethal condition, and current vasodilator therapy has limited effect. Antiproliferative strategies targeting platelet-derived growth factor (PDGF) receptors, such as imatinib, have generated promising results in animal studies. Imatinib is, however, a nonspecific tyrosine kinase inhibitor and has in clinical studies caused unacceptable adverse events. Further studi

Armed forces in disaster response : Problems and perspectives on disaster governance in India

Abstract: This chapter looks at the challenges of disaster governance in India. It highlights the problems of engaging the Armed Forces as the responder to disasters given the prevalent sociological dynamics within the communities. The Armed Forces in India have successfully responded to several catastrophes such as the Gujarat earthquake, the Indian Ocean tsunami, the Kashmir earthquake and the m