Dietary intake and risk of metabolic syndrome in long-term survivors of pediatric allogeneic hematopoietic stem cell transplantation.

We explored the dietary intake and metabolic syndrome (MetS) in 85 survivors of pediatric stem cell transplantation (median age 30 years, median follow-up time 20 years). Overall, the distribution of fatty acid deviated from the recommendations with a higher intake of saturated fat and a lower intake of unsaturated fat but was comparable to that of the background population. The prevalence of MetS was 27%, corresponding to that of the elderly background population.

Dual Incontinence and Risk of Fall: A Retrospective Cohort Study.

Importance: Although there is a known association between urinary incontinence (UI) and fall risk, it is unclear if having both UI and fecal incontinence, or dual incontinence (DI), increases this risk.

Objective: The objective of our study was to elucidate a relationship between DI and falls.

Study Design: This was a retrospective cohort study at a tertiary academic health system of female patients 65 years and older presenting for a new patient visit to a urogynecology health care professional for UI from 2019 to 2021.

Cross-sectoral exchange of nurses: An intervention study.

Background: In health policy, much attention has been paid to collaboration between the primary and secondary health care sectors, especially in relation to hospitalisation and discharge. Despite ideal plans for collaboration, the research literature shows that inadequate communication is a well-known problem that can be a barrier to a safe trajectory for the citizen. Based on the assumption that better knowledge of each other's work will lead to better collaboration, a cross-sectoral exchange program with nurses was initiated.

Predicting EEG Responses to Attended Speech via Deep Neural Networks for Speech.

Attending to the speech stream of interest in multi-talker environments can be a challenging task, particularly for listeners with hearing impairment. Research suggests that neural responses assessed with electroencephalography (EEG) are modulated by listener's auditory attention, revealing selective neural tracking (NT) of the attended speech. NT methods mostly rely on hand-engineered acoustic and linguistic speech features to predict the neural response.

Predicting COVID-19 Incidence Using Wastewater Surveillance Data, Denmark, October 2021-June 2022.

Analysis of wastewater is used in many settings for surveillance of SARS-CoV-2, but it remains unclear how well wastewater testing results reflect incidence. Denmark has had an extensive wastewater analysis system that conducts 3 weekly tests in ≈200 sites and has 85% population coverage; the country also offers free SARS-CoV-2 PCR tests to all residents. Using time series analysis for modeling, we found that wastewater data, combined with information on circulating variants and the number of human tests performed, closely fitted the incidence curve of persons testing positive.

Thermal stability of hierarchical microstructural features in additively manufactured stainless steel.

Additive manufacturing of austenitic stainless steel results in an unconventional hierarchical microstructure. This hierarchical microstructure was investigated in detail in the as-built condition. The hierarchical microstructure consists of elongated austenite grains and melt pool fusion boundaries with a spherical cap morphology at the largest length scale.

Atomic structural changes in the formation of transition metal tungstates: the role of polyoxometalate structures in material crystallization.

Material nucleation processes are poorly understood; nevertheless, an atomistic understanding of material formation would aid in the design of material synthesis methods. Here, we apply X-ray total scattering experiments with pair distribution function (PDF) analysis to study the hydrothermal synthesis of wolframite-type MWO (M : Mn, Fe, Co, Ni). The data obtained allow the mapping of the material formation pathway in detail.

Metabolic syndrome as a late effect of childhood hematopoietic stem cell transplantation - A thorough statistical evaluation of putative risk factors.

Background: Metabolic syndrome (MetS) is frequent among survivors of childhood hematopoietic stem-cell transplantation (HSCT), but assessment of risk factors is challenged by survivor and participation bias in long-term follow-up studies.

Methods: A cohort of 395 pediatric patients transplanted between 1980 and 2018 was investigated. MetS was assessed at follow-up between December 2018 and March 2020.

To identify normovolemia in humans: The stroke volume response to passive leg raising vs. head-down tilt.

Volume responsiveness can be evaluated by tilting maneuvers such as head-down tilt (HDT) and passive leg raising (PLR), but the two procedures use different references (HDT the supine position; PLR the semi-recumbent position). We tested whether the two procedures identify "normovolemia" by evaluating the stroke volume (SV) and cardiac output (CO) responses and whether the peripheral perfusion index (PPI) derived from pulse oximetry provides similar information. In randomized order, 10 healthy men were exposed to both HDT and PLR, and evaluations were made also when the subjects fasted.

Small intestine necrosis in catastrophic antiphospholipid syndrome: A rare and severe case.

Catastrophic antiphospholipid syndrome (CAPS) is a multisystem autoimmune disease with widespread thrombotic events. In this case report, we present a young man with primary antiphospholipid syndrome (PAPS) admitted to the hospital with abdominal pain and vomiting. Abdominal computed tomography showed pneumoperitoneum and acute explorative laparotomy revealed small intestinal necrosis indicating small vessel thrombosis without involvement of large intestine.

Size-induced amorphous structure in tungsten oxide nanoparticles.

The properties of functional materials are intrinsically linked to their atomic structure. When going to the nanoscale, size-induced structural changes in atomic structure often occur, however these are rarely well-understood. Here, we systematically investigate the atomic structure of tungsten oxide nanoparticles as a function of the nanoparticle size and observe drastic changes when the particles are smaller than 5 nm, where the particles are amorphous.

[Legionella transmission from an outdoor fountain in Oslo, Norway].

Background: Most cases of legionellosis in Norway are acquired outside the country. This was a domestic case from an unusual source.

Case Presentation: A man in his thirties was admitted with pneumonia early in the summer.

Structural Changes during the Growth of Atomically Precise Metal Oxido Nanoclusters from Combined Pair Distribution Function and Small-Angle X-ray Scattering Analysis.

The combination of in situ pair distribution function (PDF) analysis and small-angle X-ray scattering (SAXS) enables analysis of the formation mechanism of metal oxido nanoclusters and cluster-solvent interactions as they take place. Herein, we demonstrate the method for the formation of clusters with a [Bi O ] core. Upon dissolution of crystalline [Bi O (OH) (NO ) ]⋅3 H O in DMSO, an intermediate rapidly forms, which slowly grows to stable [Bi O ] clusters.

Amplification rationale for hearing aids based on characteristics of the Japanese language.

Objective: Hearing aid amplification rationales have typically been developed by using global averages of the long-term average speech spectrum (LTASS) from Western European languages. However, there are few reports on hearing-aid amplification based on acoustic-phonetic characteristics of the Japanese language. This study's objective is to investigate the LTASS for Japanese, and to compare a typical amplification rationale originally developed mainly for Western European languages with an amplification rationale specifically adjusted to the LTASS for Japanese.

Partial remission of Type 2 diabetes and changes in quality of life after gastric bypass.

Introduction: The prevalence of severe obesity is increasing and highly associated with co-morbidities such as Type 2 diabetes (T2D). Furthermore, quality of life (QoL) is negatively affected among patients with severe obesity and T2D. Studies have found that gastric bypass surgery may lead to remission of T2D and improved QoL.

Programme theory and realist evaluation of the 'Smoke-Free Vocational Schools' research and intervention project: a study protocol.

Introduction: Smoke-free school hours (SFSHs) entails a smoking ban during school hours and might be an effective intervention to reduce the high smoking prevalence in vocational schools. For SFSH to be effective, the policy must be adequately implemented and enforced; this challenge for schools constitutes a research gap. The 'Smoke-Free Vocational Schools' research and intervention project has been developed to facilitate schools' implementation of SFSH.

Insights into the composition of ancient Egyptian red and black inks on papyri achieved by synchrotron-based microanalyses.

A hitherto unknown composition is highlighted in the red and black inks preserved on ancient Egyptian papyri from the Roman period (circa 100 to 200 CE). Synchrotron-based macro-X-ray fluorescence (XRF) mapping brings to light the presence of iron (Fe) and lead (Pb) compounds in the majority of the red inks inscribed on 12 papyrus fragments from the Tebtunis temple library. The iron-based compounds in the inks can be assigned to ocher, notably due to the colocalization of Fe with aluminum, and the detection of hematite (FeO) by micro-X-ray diffraction.

Mobile X-ray outside the hospital: a scoping review.

Background: For several years mobile X-ray equipment has been routinely used for imaging in patients too unwell within the hospital, when transportation to the radiology department was inadvisable. Now, mobile X-ray examinations are also used outside the hospital. The literature describes that fragile patients may benefit from mobile X-ray, but we need to provide insights into the breadth, depth and gaps in a body of literature.

There's no place like real-space: elucidating size-dependent atomic structure of nanomaterials using pair distribution function analysis.

The development of new functional materials builds on an understanding of the intricate relationship between material structure and properties, and structural characterization is a crucial part of materials chemistry. However, elucidating the atomic structure of nanomaterials remains a challenge using conventional diffraction techniques due to the lack of long-range atomic order. Over the past decade, Pair Distribution Function (PDF) analysis of X-ray or neutron total scattering data has become a mature and well-established method capable of giving insight into the atomic structure in nanomaterials.

Mobile X-ray Outside the Hospital vs. X-ray at the Hospital Challenges Exposed in an Explorative RCT Study.

Background: For frail patients, it may sometimes be preferable to carry out X-ray examinations at the patients' own home. The general state of such patients may worsen due to transport and change of environment when transported for examination at the hospital.

Objective: The aim of the randomized controlled trial (RCT) was to investigate if mobile X-ray improves healthcare for fragile patients.

Solution Structure, Electronic Energy Levels, and Photophysical Properties of [Eu(MeOH)(NO)] Complexes.

The structure of lanthanide(III) ions in solutions high in nitrate has been debated since the early days of lanthanide coordination chemistry. The structure and properties of lanthanides in these solutions are essential in industrial rare-earth separation, as well as in the fundamental solution chemistry of these elements. Pending decades of debate, it was established that nitrate is bidentate and coordinates in the inner sphere, and complexes have been observed with as many as four nitrates coordinated to a single lanthanide(III) center in nonaqueous solutions.

Patient Activation Related to Fall Prevention: A Multisite Study.

Background: Falls are a major problem in hospitals. The fall prevention program Fall TIPS (Tailoring Interventions for Patient Safety) has been shown to be effective in preventing inpatient falls and related injuries. The purpose of this study was to examine the impact of the Fall TIPS program on patient activation related to fall prevention.

Classification of Injurious Fall Severity in Hospitalized Adults.

Background: Many hospital systems in the United States report injurious inpatient falls using the National Database of Nursing Quality Indicators categories: None, Minor, Moderate, Major, and Death. The Major category is imprecise, including injuries ranging from a wrist fracture to potentially fatal subdural hematoma. The purpose of this project was to refine the Major injury classification to derive a valid and reliable categorization of the types and severities of Major inpatient fall-related injuries.

Cognitive Impairments and Self-Reported Sleep in Early-Stage Parkinson's Disease with Versus without Probable REM Sleep Behavior Disorder.

Parkinson's disease (PD) is associated with cognitive and sleep impairments. The presence of rapid eye movement (REM) sleep behavior disorder (RBD) symptoms may represent a worse disease prognosis for PD individuals. We investigated cognitive functioning and self-reported sleep in early-stage PD individuals with ( = 19) or without ( = 31) probable RBD.