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Goda möten i hälso- och sjukvården

Vem vill inte bemötas med respekt och lyhördhet? Det är inte bara i vården som det goda mötet är betydelsefullt men i vården är det kanske särskilt viktigt. Patienter kan känna sig underlägsna och utsatta. Samtidigt ställer vården idag krav på patienterna att hålla sig informerade och ta självständiga beslut. Personalen är inte känslolösa vårdmaskiner utan individer som sannolikt fungerar bäst om

Early and late signs that precede dying among older persons in nursing homes: the multidisciplinary team’s perspective

BackgroundNursing home residents in Sweden are old, frail and usually have multiple morbidities which often make dying a prolonged suffering. It has been found that older persons at nursing homes receive far less palliative care than younger persons, partly because it is difficult to identify when the final stage of life begins. The identification may help the staff to enable the older person and

Effects of the dopant concentration in laser wakefield and direct laser acceleration of electrons

In this work, we experimentally study the effects of the nitrogen concentration in laser wakefield acceleration of electrons in a gas mixture of hydrogen and nitrogen. A 15 TW peak power laser pulse is focused to ionize the gas, excite a plasma wave and accelerate electrons up to 230 MeV. We find that at dopant concentrations above 2% the total divergence of the electrons is increased and the high

Conversations about Death and Dying with Older People: An Ethnographic Study in Nursing Homes

Nursing homes are often places where older persons “come to die.” Despite this, death and dying are seldom articulated or talked about. The aim of this study was to explore assistant nurses’ experiences of conversations about death and dying with nursing home residents. This study is part of an implementation project through a knowledge-based educational intervention based on palliative care princ

Residual biomass as resource – Life-cycle environmental impact of wastes in circular resource systems

Within an envisioned circular bio-based economy, a key component is the valorization of biomass wastes and residues into valuable products. If the commonly used method of life-cycle assessment (LCA) is applied to such products, an update and adaptation of LCA practice is needed regarding potentially outdated assumptions of residual resources as free from environmental impact. This paper therefore

Differential effects of left and right neuropathy on opioid gene expression in lumbar spinal cord

The endogenous opioid system (EOS) controls the processing of nociceptive stimuli and is a pharmacological target for opioids. Alterations in expression of the EOS genes under neuropathic pain condition may account for low efficacy of opioid drugs. We here examined whether EOS expression patterns are altered in the lumbar spinal cord of the rats with spinal nerve ligation (SNL) as a neuropathic pa

Women's Health in the Lund Area (WHILA) study. Health problems and acute myocardial infarction in women – A 17-year follow-up study

Objectives: The literature has highlighted the importance of identifying symptoms predictive of acute myocardial infarction (AMI) in women, in addition to traditional cardiovascular risk factors. The objective was to study subjective health problems, in relation to later AMI, in a large sample of women, adjusted for age, educational status, smoking, waist/hip ratio, blood pressure, total cholester

Potential of reactivity controlled compression ignition (RCCI) combustion coupled with variable valve timing (VVT) strategy for meeting Euro 6 emission regulations and high fuel efficiency in a heavy-duty diesel engine

As an effective strategy to control the combustion of advanced combustion modes, the application of variable valve timing (VVT) in reactivity controlled compression ignition (RCCI) combustion was investigated in this study. By coupling KIVA-3V code with genetic algorithm, the combustion of a heavy-duty engine with RCCI combustion combined with VVT strategy was optimized under a wide load range. At

Time to epileptiform activity and EEG background recovery are independent predictors after cardiac arrest

Objective: Investigate the temporal development of EEG and prognosis. Methods: Prospective observational substudy of the Target Temperature Management trial. Six sites performed simplified continuous EEG-monitoring (cEEG) on comatose patients after cardiac arrest, blinded to treating physicians. We determined time-points of recovery of a normal-voltage continuous background activity and the appear

Statistical analysis of the gamma evaluation acceptance criteria : A simulation study of 2D dose distributions under error free conditions

Purpose: To investigate the statistical distribution of the gamma value under error-free conditions, in order to study the relation between the gamma evaluation failure rate and statistically significant deviations in the general situation. Methods: The 2D absorbed dose distribution for 30 clinical head-and-neck IMRT fields were calculated in a QC phantom. For the same fields, dose measurements we

Hobbit: Providing Fall Detection and Prevention for the Elderly in the Real World

We present the robot developed within the Hobbit project, a socially assistive service robot aiming at the challenge of enabling prolonged independent living of elderly people in their own homes. We present the second prototype (Hobbit PT2) in terms of hardware and functionality improvements following first user studies. Our main contribution lies within the description of all components developed

Exploring spatial patterns of cardiovascular disease in Sweden between 2000 and 2010

AIMS: Cardiovascular disease (CVD) is one of the leading causes of mortality and morbidity worldwide, including in Sweden. The main aim of this study was to explore the temporal trends and spatial patterns of CVD in Sweden using spatial autocorrelation analyses.METHODS: The CVD admission rates between 2000 and 2010 throughout Sweden were entered as the input disease data for the analytic processes

Adenosine causes read-through into the late region of the HPV16 genome in a guanosine-dependent manner

Adenosine plays an important role in cell death and differentiation as well as in tumorigenesis and the intra- and extra-cellular levels range from nanomolar to millimolar levels under various physiological or pathophysiological conditions. Here we report that adenosine can activate HPV16 late gene expression in a dose- and time-dependent manner, but only in the presence of guanosine. This activat