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Variations in Care Quality Outcomes of Dying People : Latent Class Analysis of an Adult National Register Population

Context Symptom relief is a key goal of palliative care. There is a need to consider complexities in symptom relief patterns for groups of people to understand and evaluate symptom relief as an indicator of quality of care at end of life. Objectives The aims of this study were to distinguish classes of patients who have different symptom relief patterns during the last week of life and to identify

Using experimental methods to assess the persuasiveness of corporations' trust-repair discourse strategies

Persuasion and manipulation have been central concerns of Critical Discourse Analysis since its beginnings (e.g. Hart 2014; Van Dijk 1996). Traditionally, the persuasive and manipulative potential of texts has been explored by means of interpretive analysis. However, the actual perlocutionary effects of the strategies identified through this process are rarely (if ever) evaluated empirically. This

Anticoagulation in patients at high risk of stroke without documented atrial fibrillation. Time for a paradigm shift?

Atrial fibrillation (AF) is currently considered a risk factor for stroke. Depending on the severity of clinical factors (risk scores) a recommendation for full anticoagulation is made. Although AF is most certainly a risk factor for ischemic stroke, it is not necessarily the direct cause of it. The causality of association between AF and ischemic stroke is questioned by the reported lack of tempo

Applications of Signal Processing to Microphone Node Calibration and Medical Signal Classification

Localization is an important enabling technology for many applications, such as wireless sensor networks, emergency rescue services, civil defense and transportation. Suppose that a room is equipped with several microphones (or sensors), and one person is making a sound while moving around in the room. Can one find microphone and sound source positions as well as reconstruct a room geometry? The a

A Rejoinder to G. Skinner's Rethinking Limited Liability of Parent Corporations for Foreign Subsidiaries' Violations of International Human Rights Law

Table of Contents I. Skinner’s Arguments and Their Merits 117 II. The First Baseline: The Legalistic Approach Behind the UN Draft Norms 122 III. The Second Baseline: The Polycentric Approach Behind the UN Guiding Principles 128 IV. The Third Baseline: The Two-Track, Multi-Channel Legalization Perspective 136 A. The Context of the Third Legalization Baseline 137 B. A BHR Legalization Perspective

The emergence of provincial debt in the county of Holland (thirteenth-sixteenth centuries)

Historians often use the concept of financial revolutions to explain the rise of the Dutch Republic, claiming that innovations in government funding allowed for marked progress in the field of public finance. The article focuses on the medieval precursors of the financial revolution, which the States of Holland brought about when they introduced province-wide public debt in the sixteenth century.

Guidelines for the use of magnetic resonance imaging in diagnosing and monitoring the treatment of multiple sclerosis : Recommendations of the Swedish Multiple Sclerosis Association and the Swedish Neuroradiological Society

Multiple sclerosis (MS) is associated with inflammatory lesions in the brain and spinal cord. The detection of such inflammatory lesions using magnetic resonance imaging (MRI) is important in the consideration of the diagnosis and differential diagnoses of MS, as well as in the monitoring of disease activity and predicting treatment efficacy. Although there is strong evidence supporting the use of

A population-based cohort study of HRT use and breast cancer in southern Sweden

The overall tumour incidence and breast cancer incidence related to hormone replacement therapy (HRT) were followed in a population-based cohort of 29 508 women, aged 25-65 when interviewed in 1990-92. By the end of the follow up in December 1999, there were 226 611 person-years of observation. A total of 1145 malignant tumours were recorded (expected 1166.6; SIR = 0.98, 95% CI 0.93-1.04). There w

Oxygen consumption by Desulfovibrio strains with and without polyglucose

The kinetics of oxygen reduction by Desulfovibrio salexigens Mast1 and the role of polyglucose in this activity were examined and compared with those of strains of D. desulfuricans and D. gigas. Oxidation rates were highest at air saturation (up to 40 nmol of O2min−1 mg of protein−1) and declined with decreasing oxygen concentrations. Studies with cell extracts (CE) indicated that NADH oxidase was

Evaluation of chromosome 6p22 as a breast cancer risk modifier locus in a follow-up study of BRCA2 mutation carriers

Several common germline variants identified through genome-wide association studies of breast cancer risk in the general population have recently been shown to be associated with breast cancer risk for BRCA1 and/or BRCA2 mutation carriers. When combined, these variants can identify marked differences in the absolute risk of developing breast cancer for mutation carriers, suggesting that additional

Effects of BRCA2 cis-regulation in normal breast and cancer risk amongst BRCA2 mutation carriers

INTRODUCTION: Cis-acting regulatory single nucleotide polymorphisms (SNPs) at specific loci may modulate penetrance of germline mutations at the same loci by introducing different levels of expression of the wild-type allele. We have previously reported that BRCA2 shows differential allelic expression and we hypothesize that the known variable penetrance of BRCA2 mutations might be associated with