Purpose: This paper aims to demonstrate the relevance of identifying lock-ins that characterise a service, showing how lock-ins or impediments reinforce the status quo and prevent change. It provides an understanding of the factors hindering the development of value co-creation in this service. Design/methodology/approach: The study is based on 19 semi-structured interviews with representatives of

Innate immunity relies on an effective recognition of the pathogenic microorganism as well as on endogenous danger signals. While bacteria in concert with their secreted virulence factors can cause a number of inflammatory reactions, danger signals released at the site of infection may in addition determine the amplitude of such responses and influence the outcome of the disease. Here, we report t

Begreppet delaktighet har idag en central roll i styrdokument och forskning inom funktionshinderområdet. Det har en gränsöverskridande karaktär och utgör en mötesplats på tvärs av forskningstraditioner och praktiksammanhang. Samtidigt är det ett komplext begrepp med många innebörder och delkomponenter. Syftet med denna kartläggning är att beskriva och analysera rådande kunskapläge för den forsknin

BACKGROUND: Standard first-line antiretroviral therapy for HIV-1 infection includes two nucleoside or nucleotide reverse transcriptase inhibitors (NtRTIs), but these drugs have limitations. We assessed the 96 week efficacy and safety of an NtRTI-sparing regimen.METHODS: Between August, 2010, and September, 2011, we enrolled treatment-naive adults into this randomised, open-label, non-inferiority t

Background: Relenza represents the first neuraminidase inhibitor (NI), a class of drugs that also includes the drug Tamiflu. Although heralded as breakthrough treatments in influenza, NI efficacy has remained highly controversial. A key unsettled question is why the US Food and Drug Administration (FDA) has approved more cautious efficacy statements in labelling than European regulators for both dBackgroundRelenza represents the first neuraminidase inhibitor (NI), a class of drugs that also includes the drug Tamiflu. Although heralded as breakthrough treatments in influenza, NI efficacy has remained highly controversial. A key unsettled question is why the United States Food and Drug Administration (FDA) has approved more cautious efficacy statements in labelling than European regulators f

Background: Long-term intensive training leads to morphological and mechanical changes in the heart generally known as "athlete's heart". Previous studies have suggested that the diastolic and systolic function of the ventricles is unaltered in athletes compared to sedentary. The purpose of this study was to investigate myocardial performance index (MPI) by pulsed wave Doppler (PWD) and by tissue

För att öka genomslag och resultat av politiken och för uppnå det gemensamma uppdraget krävs ett samarbete mellan toppolitiker och toppchefer. Att styra och leda tillsammans kräver ett samspel och en strategi. Här finns ny kunskap och verktyg om vad som behövs för att förtydliga uppdragen och förbättra samarbetet. Rapporten baseras på enskilda intervjuer under våren 2017 i tio kommuner och tre reg

Objective: Danish ovarian cancer (OC) patients have previously been found to have worse prognosis than Swedish patients, and comorbidity has been suggested as a possible explanation for this survival difference. We aimed to investigate the prognostic impact of comorbidity in surgically treated OC patients in Denmark and Sweden. Methods: This comparative cohort study was based on data from 3118 sur

Given the substantial impacts that are expected due to climate change, it is crucial that accurate rainfall–runoff results are provided for various decision-making purposes. However, these modeling results often generate uncertainty or bias due to the imperfect character of individual models. In this paper, a genetic algorithm together with a Bayesian model averaging method are employed to provide

Among adults, acute myeloid leukemia (AML) is the second most frequent type of leukemia. In spite of recent improvements in the treatment of this disease, a majority of patients develop drug resistance, leading to poor overall survival. One of the factors behind this is mutations in the tyrosine kinase receptor (FLT3). It is one of the most commonly mutated genes and is present in almost 40% of th

Public sector organisations and voluntary sector organisations represent different organisational archetypes. All the same, they share two fundamental characteristics. However, in practice interaction seems to be coupled with several problems but the organisations favour interaction as a way of attaining mutual benefits. The aim of this paper is to introduce some hypotheses on factors that influen

Background: The purpose of this study is to validate a new five-tiered prognostic classification system to better discriminate cancer-specific mortality in men diagnosed with primary non-metastatic prostate cancer. Methods: We applied a recently described five-strata model, the Cambridge Prognostic Groups (CPGs 1-5), in two international cohorts and tested prognostic performance against the curren

Describes a method to measure changes in the mid-latency auditory evoked potential (MLAEP) during anesthesia. It is claimed that the position of the Nb-trough of the MLAEP indicates the level of consciousness. The component shows graded changes corresponding to the dose of anesthetic and it exhibits stable reproducible properties between different subjects. The authors propose a system that reduce

The glycosylated multivalent three-domain Kunitz inhibitor TFPI is a natural inhibitor of tissue factor-FVIIa complex in the presence of FXa. TFPI has an experimental antithrombotic capacity indistinguishable from LMWH in a prophylactic dose, regardless of glycosylation and of the third domain. An inherited equilibrium between antithrombosis and haemorrhage exists. The aim of the study was to eval

The response of a tree trunk to a hammer blow, measured by sensors positioned around the excited cross section, consists of two kinds of transient mechanical waves: longitudinal P- and transverse S-waves. The aim of this paper is to extract the velocity of the S-waves, using a filtering structure that emphasizes the waves heading in one of the directions along the circumference. By this approach,