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Examination of the Protein Drug Supply Chain in a Swedish University Hospital : Focus on Handling Risks and Mitigation Measures

Protein drugs, such as monoclonal antibodies, have proved successful in treating cancer and immune system diseases. The structural complexity of these molecules requires careful handling to ensure integrity and stability of the drug. In this study, a failure mode and effects analysis was performed based on a Gemba Walk method in a Swedish University Hospital. The Gemba Walk is focused on pharmacis

The review of 102 design support tools for nature-based solutions applications

Nature-based solutions is a new trend in the area of urban and suburban planning. Thanks to its complex nature, Nature-based solutions provide multiple services on different levels of cities functionality. On the other hand nature-based solutions complexity requires extended knowledge in multiple engineering and societal areas, so the implementation is not straightforward. In recent years, countle

Non-typeable Haemophilus influenzae major outer membrane protein P5 contributes to bacterial membrane stability, and affects the membrane protein composition crucial for interactions with the human host

Non-typeable Haemophilus influenzae (NTHi) is a Gram-negative human pathogen that causes a wide range of airway diseases. NTHi has a plethora of mechanisms to colonize while evading the host immune system for the establishment of infection. We previously showed that the outer membrane protein P5 contributes to bacterial serum resistance by the recruitment of complement regulators. Here, we report

Restoring antitumor immunity with dendritic cell reprogramming strategies. Reprogramming cancer cells to antigen-presenting cells.

For the past two decades, immunotherapy revolutionized cancer treatment. However, responses vary significantly among eligible patients and some cancer types are not yet open to immunotherapy. Several mechanisms contribute to immunotherapy resistance, including loss of antigen presentation machinery and immunosuppression. Conventional dendritic cells type 1 (cDC1) are a rare population of professio

Creating Cultural Heritage for a Better Future. The case of the “District of Mutual Respect” in the Polish city of Wrocław

By applying the sociological concept of ‘emplacement’, this article analyses the creation of the ‘District of Mutual Respect’ in the old, neglected part of Wrocław (former German Breslau), a city which became Polish and lost its German population due to their forced migration after the Second World War. The District has in the last 20 years been transformed from slum to attractive environment and

Equality Constraints in Linear Hawkes Processes

Conditional independence is often used as a testable implication of causal models of random variables. In addition, equality constraints have been proposed to distinguish between data-generating mechanisms. We show that one can also find equality constraints in linear Hawkes processes, extending this theory to a class of continuous-time stochastic processes. This is done by proving that Hawkes pro

Hemodynamic forces from 4D flow magnetic resonance imaging predict left ventricular remodeling following cardiac resynchronization therapy

Background: Patients with heart failure and left bundle branch block (LBBB) may receive cardiac resynchronization therapy (CRT), but current selection criteria are imprecise, and many patients have limited treatment response. Hemodynamic forces (HDF) have been suggested as a marker for CRT response. The aim of this study was therefore to investigate left ventricular (LV) HDF as a predictive marker

Short- and long-term direct and indirect costs of illness after ostomy creation – a Swedish nationwide registry study

Background: Despite advance in care of people with an ostomy, related complications remain prevalent. The objective of this study was to examine short- and long-term healthcare resource utilization and associated costs after ostomy creation. Methods: This observational study was based on retrospectively collected data from national and regional Swedish registries. The population consisted of peopl

A novel approach to the investigation and quantification of the stop/start process for pedestrian traffic using motion capture devices

Characterising the stop/start walking process of individuals in a crowded and congested space is an important consideration in modelling pedestrian movement. However, the reaction of pedestrians to speed changes, especially to the person in front, has not been fully characterised nor quantified for full adoption in computer models. This study, therefore, explored the different phases of the stop/s

Climate anxiety in our nature : Appraisal of climate anxiety and the role of nature connectedness

Global climate change has increasing effects on mental health and well-being (e.g., in the form of climate anxiety), both through direct exposure to its consequences (e.g., extreme weather) and through indirect exposure (i.e., the social representation or appraisal of climate change without direct contact to its physical consequences). To help people cope with distress due to climate anxiety, natu

Putting appraisal in context : Appraisal of climate anxiety and the role of nature connectedness

Global climate change has increasing detrimental effects on mental health (e.g., in the form of climate anxiety), both through direct exposure to its consequences (e.g., extreme weather) and through indirect exposure (i.e., the social representation of climate change without direct contact to its physical consequences). To help people cope with the anxious response, nature connectedness is suggest

Changes in design precipitation over the Nordic-Baltic region as given by convection-permitting climate simulations

The increased risk of flooding due to global warming and subsequent heavy rainfall events in the Nordic-Baltic region, call for recommendations directed at long-term planning. One example of such recommendations are climate change allowances. These are often based on expected changes in design precipitation as given by climate model simulations, and are used as a buffer on top of current design va

Asthma in the era of COVID-19

Since its global invasion in 2019, COVID-19 has affected several aspects of patients’ lives and posed a significant impact on the health care system. Several patient populations were identified to be at high risk of contracting SARS-CoV-2 infection and/or developing severe COVID-19-related sequelae. Conversely, anyone who has contracted SARS-CoV-2 is at risk to experience symptoms and signs consis

Opportunities and challenges of tackling Scope 3 “Indirect” emissions from residential hot water

The water sector could play a major role towards a Net Zero greenhouse gas (GHG) future if Scope 3 emissions were embraced and operationalised. Significant opportunities and challenges exist in tackling Scope 3 emissions including those associated with customer hot water use. Present GHG emission reduction practices predominantly focus on Scope 1 “within utility” and Scope 2 “purchased energy” emi

Implementing and monitoring the right to health in breast cancer : selection of indicators using a Delphi process

Background: Women with breast cancer have different chances of surviving their disease, depending on where they live. Variations in survival may stem from unequal access to prompt diagnosis, treatment and care. Implementation of the right to health may help remedy such inequalities. The right to health is enshrined in international human rights law, notably Article 12 of the International Covenant

Surgery of Schwannoma in the upper limb – sensitivity and specificity of preoperative magnetic resonance imaging and relation between tumour size and symptoms

Background: Benign peripheral nerve tumours consist of different types, most commonly Schwannomas. Preoperative Magnetic Resonance Imaging (MRI) is commonly performed before surgery and Pathoanatomical Diagnosis (PAD) confirms the diagnosis. Our aims were to study the utility of MRI and the relation between tumour size and symptoms. Methods: Retrospectively, patients, surgically treated for benign

Tree canopy extent and height change in Europe, 2001–2021, quantified using Landsat data archive

European forests are among the most extensively studied ecosystems in the world, yet there are still debates about their recent dynamics. We modeled the changes in tree canopy height across Europe from 2001 to 2021 using the multidecadal spectral data from the Landsat archive and calibration data from Airborne Laser Scanning (ALS) and spaceborne Global Ecosystem Dynamics Investigation (GEDI) lidar

Impact of an Okinawa/Nordic based diet on endocrinological and periodontal conditions in individuals with type 2 diabetes. A randomized case–control study

Objectives: To assess if the results following intake of a diet using an Okinawan-based Nordic diet (OBND) over one month differs in endocrinological, periodontal clinical outcome, and serum cytokine levels compared to a standard hospital care diet in individuals with diabetes type 2 (T2D) (control group). Background: Scientific evidence suggests that the use of diet for individuals with T2D may b

Study protocol for a feasibility study of an online educational programme for people working and living with persistent low back pain

Background: Low back pain (LBP) is the main cause of activity limitation and work absence across the world, leading to a high social and economic burden for individuals, families, the labour market and society. The overall aim of this multicentre study is to test the usability, acceptability and feasibility of an evidence-based, digital education programme for people living and working with persis