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Hippocampal sparing radiotherapy for pediatric medulloblastoma : Impact of treatment margins and treatment technique

Background. We investigated how varying the treatment margin and applying hippocampal sparing and proton therapy impact the risk of neurocognitive impairment in pediatric medulloblastoma patients compared with current standard 3D conformal radiotherapy. Methods. We included 17 pediatric medulloblastoma patients to represent the variability in tumor location relative to the hippocampal region. Trea

Public health nurses experience of mental health encounters in the context of primary health care: a constructivist grounded theory study

BackgroundIn primary health care people with mental health needs are often overlooked or masked with physical complaints. It has been suggested that public health nurses lack sufficient knowledge when encountering people with mental health problems. Low levels of mental health literacy among professionals are associated with negative patient outcome. There is a need to understand public health nur

Clinical characteristics of 172 children and adolescents with body dysmorphic disorder

Body dysmorphic disorder (BDD) often starts in childhood, with most cases developing symptoms before age 18. Yet, BDD research has primarily focused on adults. We report the clinical characteristics of the world’s largest cohort of carefully diagnosed youths with BDD and focus on previously unexplored sex and age differences. We systematically collected clinical data from 172 young people with BDD

Protocol for the Process Evaluation of the Online Remote Behavioural Intervention for Tics (ORBIT) randomized controlled trial for children and young people

Background: Process evaluations are an important component in the interpretation and understanding of outcomes in trials. The Online Remote Behavioural Intervention for Tics (ORBIT) study is a randomized controlled trial evaluating the effectiveness of an Internet-delivered behavioural intervention (called BIP TIC) compared to an Internet-delivered education programme aimed at children and young p

Therapist-guided and parent-guided internet-delivered behaviour therapy for paediatric Tourette's disorder : A pilot randomised controlled trial with long-term follow-up

Objective Behaviour therapy (BT) for Tourette's disorder (TD) and persistent (chronic) motor or vocal tic disorder (PTD) is rarely available. We evaluated the feasibility of adapting two existing BT protocols for TD/PTD (habit reversal training (HRT) and exposure and response prevention (ERP)) into a therapist-guided and parent-guided online self-help format. Design A pilot, single-blind, parallel

Pursuing Justice:The Criminal Liability of the Christian Clergy in the Cultural Genocide of Indigenous Peoples in Canada and Australia

Indigenous populations often bore the brunt of Christian settler colonization resulting in marginalization, assimilation, Christianization, and cultural elimination. Most perpetrators of colonial injustices go unpunished and wrongdoings unacknowledged, barring the possibility of genuine international and national reconciliation for indigenous peoples. Major settler colonizer states have dark colon

Long-term clinical and cost-effectiveness of a therapist-supported online remote behavioural intervention for tics in children and adolescents : extended 12- and 18-month follow-up of a single-blind randomised controlled trial

Background: Little is known about the long-term effectiveness of behavioural therapy for tics. We aimed to assess the long-term clinical and cost-effectiveness of online therapist-supported exposure and response prevention (ERP) therapy for tics 12 and 18 months after treatment initiation. Methods: ORBIT (online remote behavioural intervention for tics) was a two-arm (1:1 ratio), superiority, sing

Brain changes in dementia of Alzheimer's type relevant to new imaging diagnostic methods

The aim of the article is to correlate grey and white matter changes and their topography to the results of modern methods for brain imaging such as CT, rCBF, PET, SPECT and NMR in Alzheimer's type of dementia. The findings are based on the study of a large material investigated thoroughly patho-anatomically. The findings are correlated with psychiatric and neurophysiologic follow-up studies. The

Values of Nature. A case study of a land-use transformation conflict in Havdrup

Values are a crucial aspect of human–nature relationships, and they play important roles in policies on land use and environmental management. However, our current decision-making systems tend to take inadequate account of the diversity of values associated with human relationships with nature. Instrumental, monetary values dominate the political systems following the Western neoliberal hegemony.

Transcending Power: Investigating the European Union as a Mouthpiece for Transhumanist Thought

This study arises from an existential concern that there is an obliviousness in academia with regards to the recent eruption of the transhumanist movement–an ideological force imbued with potentially calamitous socioecological consequences. With the support from recent claims that the transhumanist ideology exerts powerful influence on Western politics, this study seeks to investigate how the tran

The Element at the End of the World: Chile’s Green Hydrogen Strategy and the Global Energy Transition

Chile is positioning itself as a leader in the transition to green energy, particularly through its National Green Hydrogen Strategy, which aims to make Chile one of the world’s leading exporters of carbon-neutral hydrogen for energy and industrial applications. This thesis examines Chile’s green hydrogen policy from a political ecology perspective, in the context of 1) the Chilean state’s concept

Metabolite Profiling in a Diet-Induced Obesity Mouse Model and Individuals with Diabetes: A Combined Mass Spectrometry and Proton Nuclear Magnetic Resonance Spectroscopy Study

Mass spectrometry (MS) and nuclear magnetic resonance (NMR) spectroscopy techniques have been used extensively for metabolite profiling. Although combining these two analytical modalities has the potential of enhancing metabolite coverage, such studies are sparse. In this study we test the hypothesis that combining the metabolic information obtained using liquid chromatography (LC) MS and 1H NMR s

Preferential looking to eyes versus mouth in early infancy: heritability and link to concurrent and later development

BACKGROUND: From birth, infants orient preferentially to faces, and when looking at the face, they attend primarily to eyes and mouth. These areas convey different types of information, and earlier research suggests that genetic factors influence the preference for one or the other in young children.METHODS: In a sample of 535 5-month-old infant twins, we assessed eye (relative to mouth) preferenc

Framtidens handlingsplan för värme

Den globala uppvärmningen medför att sannolikheten för extrema värmeböljor ökar i ett framtida klimat. Sommaren 2018 var en ögonöppnare för många i Sverige då den långvariga värmen medförde extrem torka och ett flertal skogsbränder. De mest sårbara i samhället drabbad av värmen, så som äldre, vuxna med kroniska sjukdomar och små barn, och ca 750 fler människor dog än vad som normalt förväntas undeThe summer of 2018 was a reality check for many when several heat waves made the temperature rise above normal in Sweden. Especially in urban areas, where heat can be stored more easily in the building materials, the temperature was extreme due to the creation of urban heat islands. Today these areas can be detected with a tool for mapping urban heat islands. The aim of this study is to examine h

Dose escalation to high-risk sub-volumes based on non-invasive imaging of hypoxia and glycolytic activity in canine solid tumors : A feasibility study

Introduction: Glycolytic activity and hypoxia are associated with poor prognosis and radiation resistance. Including both the tumor uptake of 2-deoxy-2-[18 F]-fluorodeoxyglucose (FDG) and the proposed hypoxia tracer copper(II)diacetyl-bis(N4)-methylsemithio-carbazone (Cu-ATSM) in targeted therapy planning may therefore lead to improved tumor control. In this study we analyzed the overlap between s