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Optimising health systems to deliver tobacco-dependence treatment

While HCPs lack training in smoking cessation, health systems lack engagement with preventive care; few offer a system-level intervention or a full package of best practice cessation services. There is a need to incorporate innovative and system-level cessation interventions into healthcare and community settings, as part of wider tobacco action plans.This chapter describes successful examples of

Multigrid Preconditioners for the Discontinuous Galerkin Spectral Element Method : Construction and Analysis

Discontinuous Galerkin (DG) methods offer a great potential for simulations of turbulent and wall bounded flows with complex geometries since these high-order schemes offer a great potential in handling eddies. Recently, space-time DG methods have become more popular. These discretizations result in implicit schemes of high order in both spatial and temporal directions. In particular, we consider

Recording Patient Data in Burn Unit Logbooks in Rwanda : Who and What Are We Missing?

Systematic data collection in high-income countries has demonstrated a decreasing burn morbidity and mortality, whereas lack of data from low- and middle-income countries hinders a global overview of burn epidemiology. In low- and middle-income countries, dedicated burn registries are few. Instead, burn data are often recorded in logbooks or as one variable in trauma registries, where incomplete o

Characterizing ultrashort laser pulses with second harmonic dispersion scans

The dispersion scan (d-scan) technique has emerged as a simple-to-implement characterization method for ultrashort laser pulses. D-scan traces are intuitive to interpret and retrieval algorithms that are both fast and robust have been developed to obtain the spectral phase and the temporal pulse profile. Here, we shortly review the second harmonic generation d-scan technique, focusing predominantl

Exposure levels from radiology procedures used in myeloma diagnostics

Purpose: Myeloma diagnostics have traditionally been performed using a radiographic skeletal survey. CT scanning has been suggested as a replacement and has been introduced in our institution. Effective doses have been reported in the literature, without correlation with body mass index (BMI). We have evaluated the effective doses imparted to the patients during this procedure.Methods and Material

Development of an international Core Outcome Set (COS) for best care for the dying person: study protocol

Background: In contrast to typical measures employed to assess outcomes in healthcare such as mortality or recovery rates, it is difficult to define which specific outcomes of care are the most important in caring for dying individuals. Despite a variety of tools employed to assess different dimensions of palliative care, there is no consensus on a set of core outcomes to be measured in the last d

Early Onset Ataxia with Comorbid Dystonia : Clinical, Anatomical and Biological Pathway Analysis Expose Shared Pathophysiology

In degenerative adult onset ataxia (AOA), dystonic comorbidity is attributed to one disease continuum. However, in early adult onset ataxia (EOA), the prevalence and pathogenesis of dystonic comorbidity (EOAD+), are still unclear. In 80 EOA-patients, we determined the EOAD+-prevalence in association with MRI-abnormalities. Subsequently, we explored underlying biological pathways by genetic network

Assessment of look-alike, sound-alike and read-alike (Lasara) medicine – Errors in pharmacy

Objective: To estimate chances of potential look-alike, sound-alike and read-alike (LASARA) errors in secondary-care hospital pharmacies through prescriptions screening. Design: Cross-sectional, prospective study. Place and duration of study: Al-Khidmat Hospital Pharmacy, Karachi, Pakistan from August to October, 2016. Methodology: Dispensed medicine data was collected from three pharmacies of a s

Electrolyte handling in the isolated perfused rat kidney : demonstration of vasopressin V2-receptor-dependent calcium reabsorption

Background: The most profound effect of vasopressin on the kidney is to increase water reabsorption through V2-receptor (V2R) stimulation, but there are also data suggesting effects on calcium transport. To address this issue, we have established an isolated perfused kidney model with accurate pressure control, to directly study the effects of V2R stimulation on kidney function, isolated from syst

Longitudinal changes in risk status in pulmonary arterial hypertension

Aims: Low-risk status in pulmonary arterial hypertension (PAH) predicts better survival. The present study aimed to describe changes in risk status and treatment approaches over multiple clinical assessments in PAH, taking age and comorbidity burden into consideration. Methods and results: The study included incident patients from the Swedish PAH registry, diagnosed with PAH in 2008–2019. Group A

The body and the deed. Places of rape in Swedish court narratives

A fundamental starting point for this article is that place in a broad sense is a crucial, yet forgotten, dimension in the legal analysis of rape. Therefore, in this study I ask what role place has in the adjudication of rape; in the interpretation of rape law as well as in the evaluation of evidence. I analyze three Swedish rape cases, two from the Supreme Court, marking out the sexual act of rap