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Decreased migration with locally administered bisphosphonate in cemented cup revisions using impaction bone grafting technique : A randomized, controlled study evaluated with RSA and DXA with a 2-year follow-up

Background and purpose — Impaction bone grafting (IBG) in revision hip surgery is an established method in restoring bone stock deficiencies. We hypothesized that local treatment of the morsellized allograft with a bisphosphonate in cemented revision would, in addition to increased bone density, also reduce the early migration of the cup as measured by radiostereometry (RSA). Patients and methods

Heparin-binding protein, lysozyme, and inflammatory cytokines in bronchoalveolar lavage fluid as diagnostic tools for pulmonary infection in lung transplanted patients

Pulmonary infection is a common complication after lung transplantation, and early detection is crucial for outcome. However, the condition can be clinically difficult to diagnose and to distinguish from rejection. The aim of this prospective study was to evaluate heparin-binding protein (HBP), lysozyme, and the cytokines interleukin (IL)-1β, IL-6, IL-8, IL-10 and tumor necrosis factor (TNF) in br

When lock-ins impede value co-creation in service

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

Protein SIC secreted from Streptococcus pyogenes forms complexes with extracellular histones that boost cytokine production

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

Delaktighetsforskning och funktionshinder : Kartläggning av kunskapsläge och forskningsbehov med särskilt fokus på teknik- och designperspektiv

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

Ritonavir-boosted darunavir combined with raltegravir or tenofovir-emtricitabine in antiretroviral-naive adults infected with HIV-1 : 96 week results from the NEAT001/ANRS143 randomised non-inferiority trial

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

Why European and United States drug regulators are not speaking with one voice on anti-influenza drugs: regulatory review methodologies and the importance of 'deep' product reviews

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

Myocardial performance index in female athletes

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

Skapandet av en professionell samspelsrelation mellan ordförande och direktör

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

Confounders other than comorbidity explain survival differences in Danish and Swedish ovarian cancer patients – a comparative cohort study

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

Applying a Multi-Model Ensemble Method for Long-Term Runoff Prediction under Climate Change Scenarios for the Yellow River Basin, China

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

Translational studies on acute myeloid leukemia focus on the receptor tyrosine kinase FLT3

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

Driving forces for municipal and voluntary interaction : Some causal relationships induced from Swedish data

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

The Cambridge Prognostic Groups for improved prediction of disease mortality at diagnosis in primary non-metastatic prostate cancer : A validation study

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

A system for tracking changes in the mid-latency evoked potential during anesthesia

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