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Can robotic-assisted surgery support enhanced recovery programs?

Enhanced recovery after surgery (ERAS) protocols comprise a multimodal approach to optimize patient outcome and recovery. ERAS guidelines recommend minimally invasive surgery (MIS) when possible. Key components in MIS include preoperative patient education and optimization; multimodal and narcotic-sparing analgesia; prophylactic measures regarding nausea, infection, and venous thrombosis; maintena

Effect of Internet-Delivered Emotion Regulation Individual Therapy for Adolescents with Nonsuicidal Self-Injury Disorder : A Randomized Clinical Trial

Importance: Nonsuicidal self-injury is prevalent in adolescence and associated with adverse clinical outcomes. Effective interventions that are brief, transportable, and scalable are lacking. Objective: To test the hypotheses that an internet-delivered emotion regulation individual therapy for adolescents delivered adjunctive to treatment as usual is superior to treatment as usual only in reducing

Climate–ecosystem modelling made easy : The Land Sites Platform

Dynamic Global Vegetation Models (DGVMs) provide a state-of-the-art process-based approach to study the complex interplay between vegetation and its physical environment. For example, they help to predict how terrestrial plants interact with climate, soils, disturbance and competition for resources. We argue that there is untapped potential for the use of DGVMs in ecological and ecophysiological r

Integration of a Frost Mortality Scheme Into the Demographic Vegetation Model FATES

Frost is damaging to plants when air temperature drops below their tolerance threshold. The set of mechanisms used by cold-tolerant plants to withstand freezing is called “hardening” and typically take place in autumn to protect against winter damage. The recent incorporation of a hardening scheme in the demographic vegetation model FATES opens up the possibility to investigate frost mortality to

Renoprotective effects of genetically proxied fibroblast growth factor 21 : Mendelian randomization, proteome-wide and metabolome-wide association study

Background: Fibroblast growth factor 21 (FGF21) has demonstrated efficacy for reducing liver fat and reversing non-alcoholic steatohepatitis in phase 2 clinical trials. It is also postulated to have anti-fibrotic effects and therefore may be amenable to repurposing for the prevention and treatment of chronic kidney disease (CKD). Methods: We leverage a missense genetic variant, rs739320 in the FGF

Welfare conditionality and policy contingencies of school-allowance retractions in Sweden

The article analyses policy contingencies and welfare conditionalityof school allowances in Swedish upper-secondaryeducation. In contrast to most countries' use of positiveincentives toward school attendance through added cashbenefitsfor targeted students, Sweden employs sanctionson a universal study allowance that in essence constitutesan age-extension of the universal child benefit. We analysere

Modeling Multi-Fraction Coastal Aeolian Sediment Transport With Horizontal and Vertical Grain-Size Variability

Grain size affects the rates of aeolian sediment transport on beaches. Sediment in coastal environments typically consists of multiple grain-size fractions and exhibits spatiotemporal variations. Still, conceptual and numerical aeolian transport models are simplified and often only include a single fraction that is constant over the model domain. It is unclear to what extent this simplification is

Sculpting the Standard Model from low-scale gauge-Higgs-matter E8 grand unification in ten dimensions

The construction and general implications of a model with complete supersymmetric unification of the Standard Model matter content, interactions and families' replication into a single E8 gauge superfield in ten dimensions is presented. The gauge and extended Poincaré symmetries are broken through compactification of the T6/(Z3×Z3) orbifold with Wilson lines, which reduces the original symmetry an

Atherosclerotic Cardiovascular Disease in Type 2 Diabetes : A Retrospective, Observational Study of Economic and Clinical Burden in Sweden

Introduction: Individuals with type 2 diabetes (T2D) are at high risk of experiencing atherosclerotic cardiovascular disease (ASCVD), which is associated with morbidity, mortality and healthcare resource utilisation. Clinical guidelines recommend the use of glucose-lowering medications with cardiovascular benefits in individuals with T2D and cardiovascular disease, but there is evidence that this

Commemoration and the recategorization of public space : Typological transformations in Jerusalem and Tel Aviv

In this piece, I investigate how material strategies of commemoration takes part in the recategorization of public space. I look especially at how commemorative vehicles such as toponymic signs, public art and architectural design, play a role in the territorialisation of a specific public place by establishing associations to a new spatial type. This can, for example, include the transformation o

Is melancholia a distinct syndrome? : Recurrence, chronicity, and severity give evidence in the 50 year follow-up of the Lundby Study

INTRODUCTION: Whether melancholia is a distinct syndrome has long been debated. One aspect of a valid syndrome is whether it allows for determination of a prognosis. The aim of this study is to investigate the course of melancholic depression versus non-melancholic depression with a focus on: (i) time to and probability of recovery from the first depressive episode, (ii) time to and risk of the fi

A follow up on the feasibility after national implementation of magnesium sulfate for neuroprotection prior to preterm birth

INTRODUCTION: The risk for brain injury manifested as cerebral palsy is higher in very preterm born children than in term. Prenatal administration of magnesium sulfate (MgSO4 ) has been shown to be neuroprotective and reduces the proportion of very preterm born children later diagnosed with cerebral palsy. A Swedish national clinical practice guideline was implemented in March 2020, stipulating th

Genetic investigation of Nordic patients with complement-mediated kidney diseases

BackgroundComplement activation in atypical hemolytic uremic syndrome (aHUS), C3 glomerulonephropathy (C3G) and immune complex-mediated membranoproliferative glomerulonephritis (IC-MPGN) may be associated with rare genetic variants. Here we describe gene variants in the Swedish and Norwegian populations.MethodsPatients with these diagnoses (N=141) were referred for genetic screening. Sanger or nex

Hybrid zone analysis confirms cryptic species of banded newt and does not support competitive displacement since secondary contact

When two putatively cryptic species meet in nature, hybrid zone analysis can be used to estimate the extent of gene flow between them. Two recently recognized cryptic species of banded newt (genus Ommatotriton) are suspected to meet in parapatry in Anatolia, but a formal hybrid zone analysis has never been conducted. We sample populations throughout the range, with a focus on the supposed contact

Genomic analysis reveals complex population structure within the smooth newt, Lissotriton vulgaris, in Central Europe.

Species with wide-range distributions usually display high genetic variation. This variation can be partly explained by historical lineages that were temporally isolated from each other and are back into secondary reproductive contact, and partly by local adaptations. The smooth newt ( Lissotriton vulgaris) is one of the most widely distributed amphibians species across Eurasia and forms a species