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When story-telling meets transparency in public sector reforms

Story-telling is increasingly accepted as a management strategy aiming to build commitment to, and acceptance for, ideas, brands and organizations. But what happens when story-telling meets transparency demands in public sector reform? This topic is explored in this paper. It builds on a case study of a major public sector reform, including the merger of two hospitals in the south of Sweden. The s

Mercaptopurine treatment should be considered in azathioprine intolerant patients with inflammatory bowel disease.

BACKGROUND: Adverse drug reactions are a significant reason for therapeutic failure during thiopurine treatment of inflammatory bowel disease. Some smaller series in this patient population have shown that a switch to mercaptopurine may be successful in many cases of azathioprine intolerance. AIM: To assess the long-term outcome of mercaptopurine treatment in a large patient population with azathi

Structure and pathogenicity of antibodies specific for citrullinated collagen type II in experimental arthritis.

Antibodies to citrulline-modified proteins have a high diagnostic value in rheumatoid arthritis (RA). However, their biological role in disease development is still unclear. To obtain insight into this question, a panel of mouse monoclonal antibodies was generated against a major triple helical collagen type II (CII) epitope (position 359-369; ARGLTGRPGDA) with or without arginines modified by cit

Using the 12-item Short Form health survey (SF-12) to measure quality of life among older people.

AIMS: To present descriptive data, study psychometric abilities, and investigate the characteristics of non-respondents to SF-12. METHOD: The study had a randomized sample (n=4278; age: 75-105) stratified in four age groups. Factor analyses were performed to investigate the factor structure of the instrument, and convergent and discriminant validity was assessed by correlation between summary scor

Significant effects on neonatal morbidity and mortality after regional change in management of post-term pregnancy.

Objective. To evaluate the effects on neonatal morbidity of a regional change in induction policy for post-term pregnancy from 43(+0) to 42(+0) gestational weeks (GWs). Design and setting. Nationwide retrospective register study between 2000 and 2007. Population. All singleton pregnancies with a gestational age of >41(+2) GW (n= 119,198). Methods. All Swedish counties were divided into three group

The World Hypertension League: where now and where to in salt reduction.

High dietary salt is a leading risk for death and disability largely by causing increased blood pressure. Other associated health risks include gastric and renal cell cancers, osteoporosis, renal stones, and increased disease activity in multiple sclerosis, headache, increased body fat and Meniere's disease. The World Hypertension League (WHL) has prioritized advocacy for salt reduction. WHL resou

GAFCHROMIC FILM AS A FAST VISUAL INDICATOR OF RADIATION EXPOSURE OF FIRST RESPONDERS.

Three types of Gafchromic films have been studied to investigate their potential for use as a visually readable dosemeter for persons acting as first responders in connection with radiological or nuclear emergencies. The two most sensitive film types show a pronounced variation in sensitivity by photon energy and are therefore not suitable for use in cases of unknown exposures. The third film type