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Simultaneous population genomics of hosts and their parasites with selective whole genome amplification

Background: Generating parasite genomes is challenging when little of the DNA in infected host tissue is from the parasite. We used selective whole genome amplification (SWGA) to generate genomic data from wildlife samples of the avian haemosporidian Haemoproteus majoris (lineage PARUS1) and its host, the blue tit (Cyanistes caeruleus). Methods: We used SWGA to amplify the parasite DNA in nine avi

Healthcare Systems in India

Although India has an extensive healthcare system, there are still significant quality gaps between the country’s rural and urban regions as well as between the country’s public and private healthcare sectors. Despite this, India is becoming an increasingly attractive destination for medical tourists due to the comparatively cheap rates and good quality of its private institutions. Students from o

Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans

Background: The COVID-19 pandemic has disrupted routine hospital services globally. This study estimated the total number of adult elective operations that would be cancelled worldwide during the 12 weeks of peak disruption due to COVID-19.Methods: A global expert response study was conducted to elicit projections for the proportion of elective surgery that would be cancelled or postponed during t

Mitigating the effects of climate change in children’s outdoor play environments

Background: For many children, public playgrounds represent environments that are playful and important in developing good health. Without efforts to facilitate climate change adaptation of outdoor playgrounds there may be a negative impact on children's health and well-being.Aim: With a special focus on play value, to explore the reasoning and described strategies among professionals responsible

Patient reactions to cancelled or postponed heart operations.

Objectives The aim was to survey the rate and cause of cancellations of planned cardiac operations at a Swedish clinic during 1999, and to study how the patients were affected. Design Questionnaires were distributed to 74 patients who had their operations cancelled. Their mood after discharge was measured with The Hospital Anxiety and Depression scale. Ninety-three patients, who were operated on w

Conference • NNHSH 2014 Theme: Creative and able citizens: managing health and illness during the life course

As the Nordic welfare states evolve – with ideologies that focus on an increased consumption of health services – citizens are required to be productive throughout their life course. And because fewer economic resources are being invested into basic health care, and there is a move to shift more responsibility onto the individual (patient), it is becoming essential to illuminate practices that sho

Mischaracterising density dependence biases estimated effects of coloured covariates on population dynamics

Environmental effects on population growth are often quantified by coupling environmental covariates with population time series, using statistical models that make particular assumptions about the shape of density dependence. We hypothesized that faulty assumptions about the shape of density dependence can bias estimated effect sizes of temporally autocorrelated covariates. We investigated the pr

Farmland as stopover habitat for migrating birds - effects of organic farming and landscape structure

Agricultural intensification in Europe has affected farmland bird populations negatively, both during summer and winter. Although the migratory period poses separate challenges on birds than breeding and wintering, the consequences of farming practices for birds during migration remain poorly investigated. We monitored abundance and species richness of migratory birds in autumn at matched pairs of

Water brownification may increase the invasibility of a submerged non-native macrophyte

Environmental conditions and human activities play a significant role in structuring novel assemblages of native and non-native species. Ongoing and future climatic change may alter the performance of native and non-native species and their biotic interactions. In the northern hemisphere, expected climate changes include warmer temperatures and higher precipitation, the latter of which may increas

Outpatient volumes and medical staffing resources as predictors for continuity of follow-up care during transfer of adolescents with congenital heart disease

Background: Providing continuous follow-up care to patients with congenital heart disease (CHD) remains a challenge in many settings. Previous studies highlight that patients with CHD experience discontinuation of follow-up care, but mainly describe a single-centre perspective, neglecting inter-institutional variations. Hospital-related factors above and beyond patient-related factors are believed

Differential access to facilities for medical termination of pregnancy and delivery in India: A secondary analysis

IntroductionEmerging evidence suggests a difference in access to facilities for medical termination of pregnancy (MTP) and delivery among women in different regions of the country. However, we lack assessments at a large scale across all geographies. Our study aims to describe the percent contribution of private and public sectors in institutional deliveries and MTP in India.MethodsA secondary dat

Optimized estimation of leaf mass per area with a 3d matrix of vegetation indices

Leaf mass per area (LMA) is a key plant functional trait closely related to leaf biomass. Estimating LMA in fresh leaves remains challenging due to its masked absorption by leaf water in the short-wave infrared region of reflectance. Vegetation indices (VIs) are popular variables used to estimate LMA. However, their physical foundations are not clear and the generalization ability is limited by th

Parents' experiences of their child being admitted to a paediatric intensive care unit : a qualitative study–like being in another world

Background: There is very little research on the parent's experiences of having a child admitted to a paediatric intensive care unit. Identifying and describing ‘such experiences’ could facilitate better parental support from the paediatric intensive care team and help the parents manage a stressful situation. Aims: This study aimed to describe parents' experiences of having their child admitted t

The potential to use QSAR to populate ecotoxicity characterisation factors for simplified LCIA and chemical prioritisation

Purpose: Today’s chemical society use and emit an enormous number of different, potentially ecotoxic, chemicals to the environment. The vast majority of substances do not have characterisation factors describing their ecotoxicity potential. A first stage, high throughput, screening tool is needed for prioritisation of which substances need further measures. Methods: USEtox characterisation factors

Budesonide/formoterol in a single inhaler (Symbicort®) reduces healthcare costs compared with separate inhalers in the treatment of asthma over 12 months

This open, multinational, randomised, parallel-group, six-month extension conducted in the Swedish centres of a previous six-month study compared the costs of a total of 12 months of treatment with budesonide/formoterol in a single inhaler with budesonide plus formoterol separate inhalers in 320 adults with asthma. Patients received budesonide/formoterol (Symbicort® Turbuhaler®) 160/4.5 mg deliver

Regular, sustained-release morphine for chronic breathlessness : A multicentre, double-blind, randomised, placebo-controlled trial

Introduction Morphine may decrease the intensity of chronic breathlessness but data from a large randomised controlled trial (RCT) are lacking. This first, large, parallel-group trial aimed to test the efficacy and safety of regular, low-dose, sustained-release (SR) morphine compared with placebo for chronic breathlessness. Methods Multisite (14 inpatient and outpatient cardiorespiratory and palli

Predicted and measured user-related energy usage in newly built low-energy schools in Sweden

Literature and experience show that the differences between calculated and measured building energy performance still exist. The literature shows that user-related parameters are significant with regard to energy performance in low-energy buildings and this means that the choice of parameters is one of the main factors leading to this difference. However, the parameters themselves are associated w

The Swedish Version of the eHealth Literacy Questionnaire: Translation, Cultural Adaptation, and Validation Study

Background: With the increasing digitalization in health care, an effective instrument is necessary to assess health care consumers' digital competencies-their "eHealth literacy." The 7-scale eHealth Literacy Questionnaire (eHLQ), based on the theoretically robust eHealth Literacy Framework, has shown strong psychometric properties in Denmark and Australia.Objective: The aim of this study was to t

Perceived discrimination and refraining from seeking physician's care in Sweden : an intersectional analysis of individual heterogeneity and discriminatory accuracy (AIHDA)

BACKGROUND: Discrimination may further impede access to medical care for individuals in socially disadvantaged positions. Sociodemographic information and perceived discrimination intersect and define multiple contexts or strata that condition the risk of refraining from seeking physician's care. By applying analysis of individual heterogeneity and discriminatory accuracy (AIHDA) we aimed to impro

När lagen blir ideologisk – En redogörelse för de skyddsintressen samt ideologiska värderingar som har genomsyrat den svenska lagstiftarens syn på sexhandeln, och problemen det har gett upphov till

Förbudet mot köp av sexuella tjänster har varit i kraft i 16 år. Den debatt som åtföljt lagstiftningsarbetet kan dock sägas ha pågått under närmare 40 år. Det är en debatt med starka ideologiska förtecken och det är tydligt att prostitution är en fråga som inte lämnar någon oberörd. Uppsatsens syfte är utreda vilka ideologiska värderingar och skyddsintressen som återfinns i lagstiftarens syn på pThe Swedish prohibition of the purchase of a sexual service has been in effect for 16 years. The debate accompanying the legislation process has, however, been going on for almost 40 years. It is a debate with a strong ideological nature and it is clear that prostitution is a phenomenon that leaves no one unaffected. The aim of this essay is to investigate which ideological values have affected th