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Efficacy and cost-effectiveness of therapist-guided internet-delivered behaviour therapy for children and adolescents with Tourette syndrome : study protocol for a single-blind randomised controlled trial

Background: Treatment guidelines recommend behaviour therapy (BT) for patients with Tourette syndrome (TS) and chronic tic disorder (CTD). However, BT is rarely accessible due to limited availability of trained therapists and long travel distances to specialist clinics. Internet-delivered BT has the potential of overcoming these barriers through remote delivery of treatment with minimal therapist

Fidelity of delivery and contextual factors influencing children's level of engagement : Process evaluation of the online remote behavioral intervention for tics trial

Background: The Online Remote Behavioral Intervention for Tics (ORBIT) study was a multicenter randomized controlled trial of a complex intervention that consisted of a web-based behavioral intervention for children and young people with tic disorders. In the first part of a two-stage process evaluation, we conducted a mixed methods study exploring the reach, dose, and fidelity of the intervention

Responsiveness of the patient-specific Canadian occupational performance measure and a fixed-items activity limitations measure in patients with dupuytren disease

Background: Patients with Dupuytren disease experience various activity limitations. Treatment aims to reduce finger joint contractures to improve hand function and activity performance. For assessing improvement different patient-centered measures have been used. The Canadian Occupational Performance Measure (COPM) was developed as an interview-based outcome measure to detect changes over time in

FRIENDLY is required for efficient dark-induced mitophagy and controlled senescence in Arabidopsis

Mitochondria play essential roles in plant metabolism, supporting both development and stress responses. To maintain a healthy pool of mitochondria, several quality control systems are in place. Selected degradation of mitochondria by autophagy -mitophagy- has been extensively studied in yeast and animals, but information on mitophagy components in plants is limited. The ‘Friendly Mitochondria’ (F

The influence of bottlenecks on innovation systems performance : Put the slowest climber first

This paper contributes to the literature with a methodology that helps identify the functions that constrain the overall performance of an innovation system, hence providing clear guidelines to policymakers on the direction of their interventions. This methodology relies on the notion of penalty for bottleneck, which is defined as the weakest link or the binding constraint that holds back system p

N2 binding to the E0–E4 states of nitrogenase

Nitrogenase is the only enzyme that can convert N2 into NH3. The reaction requires the addition of eight electrons and protons to the enzyme and the mechanism is normally described by nine states, E0–E8, differing in the number of added electrons. Experimentally, it is known that three or four electrons need to be added before the enzyme can bind N2. We have used combined quantum mechanical and mo

Auditory vs. audiovisual prominence ratings of speech involving spontaneously produced head movements

Visual information can be integrated in prominence perception, but most available evidence stems from controlled experimental settings, often involving synthetic stimuli. The present study provides evidence from spontaneously produced head gestures that occurred in Swedish television news readings. Sixteen short clips (containing 218 words in total) were rated for word prominence by 85 adult volun

Development strategies in a context of world system disorder

The world has been through several major crises since the beginning of the new millennium and the old-world order, with the US as hegemonic power, is challenged by the rise of China. There has been a reversal of, as well as directional change in, the globalization trend. A weakening of international collaboration is taking place against a backdrop of global challenges such as climate change, digit

The importance of the setting during sedation for intrathecal chemotherapy in pediatric oncology care : A case study

Increasing survival rates for childhood cancer have brought attention to the high level of burden of cancer and its treatment. Improving supportive care for children throughout their cancer trajectory is thus important and could reduce the difficulties related to treatment, including time-consuming treatments and the waiting time associated with treatment procedures. The aim of this study is to de

Creating a shielding place for children with leukaemia during sedation for intrathecal chemotherapy : A grounded theory study

Purpose: Childhood cancer invades the child's daily life and has a strong influence on their living conditions and lifestyle. The treatment is an unpleasant experience and the children often perceive the treatment as worse than the actual disease. The aim of the present study was thus to explore the process of how healthcare professionals improved care for children undergoing sedation for intrathe

Participation in paediatric perioperative care : ‘what it means for parents’

Aims and objectives: To explore what it means for parents to participate in their children's paediatric perioperative care. Background: Allowing parents to participate in paediatric perioperative care can make a major difference for children in terms of their well-being, a decreased need for painkillers, fewer sleeping disorders and a more positive experience for both parties. The nurse anaestheti

The perspective of children on factors influencing their participation in perioperative care

Aims and objectives: To describe the experiences of participation in perioperative care of 8- to 11-year-old children. Background: All children have the right to participate in decisions that affect them and have the right to express their views in all matters that concern them. Allowing children to be involved in their perioperative care can make a major difference in terms of their well-being by

The governmentalisation of risk in liberal democracies : Four processes both making and breaking the governing of risk on the societal level

Numerous risks threaten modern society. Some are new, while others have existed since the beginning of time, but none have been governed on a societal level since their inception. Despite the abundance of literature addressing the governance of various risks, the processes by which they become governable in the first place have gotten little attention. As a result, this paper aims to improve our k

Reconceptualizing Cross-Cutting Political Expression on Social Media : A Case Study of Facebook Comments During the 2016 Brexit Referendum

Political communication research has long sought to understand the effects of cross-cutting exposure on political participation. Here, we argue for a paradigm shift that acknowledges the agency of citizens as producers of cross-cutting expression on social media. We define cross-cutting expression as political communication through speech or behavior within a counter-attitudinal space. After expli