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OBJECTIVE: To investigate the mode of delivery and birth outcomes in relation to the duration of the passive second stage of labour in nulliparous women. METHODS AND FINDINGS: A retrospective cohort study of all nulliparous women (n = 1131) at two delivery units in Sweden. Maternal and obstetric data were obtained from electronic medical records during 2019. The passive second stage was defined as
The objective of this investigation was to explore a hybrid application of Structural Equation Modelling (SEM) and Fuzzy-set Qualitative Comparative Analysis (FsQCA) to assess the impact of safety-related behavioural traits on the performance of bicyclists using a limited sample of data as a case study. These behavioural characteristics of cyclists are fundamental when specific cyclist groups are
Agentic AI — the new paradigm for creating autonomous systems capable of perceiving, reasoning, learning, and acting towards goals using large language models (LLMs) with minimal human oversight — offers transformative potential but also poses systemic risks that the EU AI Act only partially addresses. These agents can evolve unpredictably, interact with other agents, and operate beyond meaningful
Purpose To investigate patient-reported symptom relief day-by-day and the use of postoperative analgesics after open trigger finger release. The primary outcome of this study was the number of days to resolution of pain. Secondary outcomes were the use of analgesics and the number of days to complete resolution of stiffness and triggering. Methods In this prospective, multicenter cohort study, a t
While photosynthesis thrives at close to normal pressures and temperatures, it is presently well known that life is similarly commonplace in the hostile environments of the deep seas as well as around hydrothermal vents. It is thus imperative to understand how key biological processes perform under extreme conditions of high pressures and temperatures. Herein, comparative steady-state and picoseco
Eccentric exercises are commonly used as a treatment for various muscle and tendon injuries. During complex motions such as the forward lunge, however, it is not always clear which muscles may be contracting eccentrically and at what time. Because this exercise is used during rehabilitation, the purpose of this investigation was to determine what type of contractions take place during two differen
In this chapter I will suggest that in cultural contexts such as Sweden where English is an integral part of young people’s everyday lives and is encountered and used in a range of out-of-school domains, a particular challenge facing teachers is not so much generating motivation to succeed in long-term competency goals, but rather engaging students in day-to-day classroom activities. Based on the
Inspired by Steenbeek and van Geert’s (2015) proposal that teachers need to become process researchers of their own development, and making use of methods of retroduction, the innovation we present comes in the form of a model that provides preservice language teachers with the knowledge and tools needed to map the dynamics of identity development during practicum periods. We provide an outline of
Background: Huntington’s disease (HD) is a motor and cognitive neurodegenerative disorder due to prominent loss of striatal medium spiny neurons (MSNs). Cell replacement using human embryonic stem cells (hESCs) derivatives may offer new therapeutic opportunities to replace degenerated neurons and repair damaged circuits. Methods: With the aim to develop effective cell replacement for HD, we assess
This chapter introduces readers to the view that praise is a form of address, or is communicative in the sense of seeking uptake from its target. The proposal that praise is communicative will seem counterintuitive if we take blame to be our paradigm of what it is for a responsibility-response to be communicative. This is because blame is communicative in a manner that intuitively presupposes some
Technical infrastructures of the society are becoming more and more interconnected and interdependent, i.e. the function of an infrastructure influences the function of other infrastructures. Disturbances in one infrastructure therefore often traverse to other dependent infrastructures and possibly even back to the infrastructure where the failure originated. It is becoming increasingly important
This chapter discusses how the official religious policies stipulated in the so-called Document 19 issued by the Central Committee of the Chinese Communist Party in 1982 have transformed into the current religious laws and policies under Xi Jinping. Therefore, it analyses the most recent amendment (2017) of the Religious Affairs Regulations (RAR), Administrative Measures for Religious Groups (2020
Appropriate time discretization is crucial for real-time applications of numerical optimal control, such as nonlinear model predictive control. However, if the discretization error strongly depends on the applied control input, meeting accuracy and sampling time requirements simultaneously can be challenging using classical discretization methods. In particular, neither fixed-grid nor adaptive-gri
The advances in highly automated and autonomous transportation systems over the last decade have generated great interest in topics in the safe navigation of land vehicles. With distributed control strategies employed in the majority of applications of autonomous vehicles, such as traffic and formation control, the much-required resilience takes the form of fault-tolerance with respect to informat
This paper aims to show how systems thinking can be used to investigate barriers to organisational change management. The case study described in this paper would be useful to managers who want to implement change in their own organisations. Soft Systems Methodology and ETHICS were used due to their flexible, responsive, and emergent nature. Also, soft systems methodology (SSM) and ETHICS (Effecti
Introduction: The Person-Centred Care instrument for outpatient care (PCCoc) is a 36-item patient-reported experience measure with 4 ordered response categories, that aims to capture the degree of perceived person-centred care (PCC) from a patient perspective among persons with long-term conditions. The PCCoc is based on a framework that conceptualises outpatient PCC from lower to higher levels of
OBJECTIVE: Test the hypothesis that depressive symptoms are associated with cognitive performance and that cortisol levels may explain this association independently of Alzheimer's Disease (AD) biomarker levels.DESIGN: Longitudinal observational study.SETTING: Memory clinic, Karolinska University Hospital, Stockholm, Sweden.PARTICIPANTS: Consecutive patients (n = 162) who agreed to take part in th
