Prostate cancer mortality in northern Sweden, with special reference to tumor grade and patient age

Endogenous nitric oxide (NO) mediates certain aspects of synaptic plasticity and neurotoxicity associated with NMDA-type glutamate receptors. Neuronal NO synthase contains a modular protein-protein interaction motif, termed the PDZ domain, that links the synthase to a synaptic protein complex containing postsynaptic density protein PSD-95 and NMDA receptors. Characterization of this pathway has provided new insights into the role of NO in brain physiology and disease.     

Element migration from glass compositions containing no added lead

Six crystal glass compositions without added lead were used to prepare standard beakers having a volume of ca. 240 ml. The experimentally determined concentrations of the elements in the glass beakers were in satisfactory agreement with the theoretically predicted values. The degree of leaching of selected elements from these beakers was determined using 4% acetic acid as described in the ISO 7086-1:2000 standard test. In addition, to the degree of leaching by 4% acetic acid, migration into cola, red wine, 40% ethanol and 0.3% citric acid was also determined. Elements tested included antimony, barium, bismuth and zinc as these were considered to be of most interest. The results show that it is possible to produce durable glass containing no added lead. The overall quality of the glasses was good and the concentrations of the various elements migrating (leaching) into the various test solutions used was very small and it is clear that they would not present a hazard to consumers in the event that they were to use glasses of any of these compositions for consumption of either alcoholic or non-alcoholic beverages. The original ISO7086-1:2000 test using a 4% acetic acid leaching solution was developed to test for lead migration from crystal containing added lead and ceramic ware containing lead glazes or colouring. This work also shows that it is an excellent leaching agent for assessing the safety of crystal containing no added lead as it gave the highest degree of migration for all the glass compositions and all the elements tested. In the case of glasses containing ZnO, it was shown that the degree of zinc migration was linearly related to the mole-% of ZnO in the glass. With respect to the durability of glasses, it was shown that the degree of attack increases when the degree of silica depolymerisation increases.     

Compositional effects on the properties of high nitrogen content alkaline-earth silicon oxynitride glasses, AE = Mg, Ca, Sr, Ba

A series of alkaline-earth element containing high nitrogen content oxynitride glasses (AESiON), with AE = Mg, Ca, Sr, Ba, were prepared in order to investigate the compositional effects on the physical properties of the alkaline-earth element. The physical properties were found to change linearly with the concentration of AE elements. The density of the glasses increases substantially with an increase in the AE atomic mass and slightly with an increase in nitrogen ratio. Ba containing glasses shows the value of density 4.16 g/cm³. Glass transition temperatures are found to be higher for Mg glasses, ca. 1020 °C, in comparison with Ba glasses, ca. 895 °C. The hardness of Mg containing glasses shows high values, up to 12.2 GPa and decreases for Ca, Sr and Ba containing glasses. Ba, containing glasses shows high values of refractive index in comparison with the Sr, Ca and Mg containing glasses.     

Professional confidence in the roles as ambulance and medical incident commander

The aim was to investigate professional confidence in the roles of ambulance and medical incident commander (AIC and MIC), and how it influences achievement of performance indicators at an incident site. A web survey based on theoretical constructs (e.g., social identity, efficacy, accountability) and questions about prehospital emergency care connected to the roles were used (n = 426 Swedish ambulance nurses and emergency medical technicians). The results showed that social identity, independence and occupation were moderators for professional confidence. Organizational support, relational trust and independence were moderators for achieving performance indicators. Strengthening group identification and independence as MIC and independence and support for women as AIC together with a stronger organizational support can increase professional confidence and improve performance.     

Studying distributed cognition of simulation-based team training with DiCoT

Health care organizations employ simulation-based team training (SBTT) to improve skill, communication and coordination in a broad range of critical care contexts. Quantitative approaches, such as team performance measurements, are predominantly used to measure SBTTs effectiveness. However, a practical evaluation method that examines how this approach supports cognition and teamwork is missing. We have applied Distributed Cognition for Teamwork (DiCoT), a method for analysing cognition and collaboration aspects of work settings, with the purpose of assessing the methodology’s usefulness for evaluating SBTTs. In a case study, we observed and analysed four Emergo Train System® simulation exercises where medical professionals trained emergency response routines. The study suggests that DiCoT is an applicable and learnable tool for determining key distributed cognition attributes of SBTTs that are of importance for the simulation validity of training environments. Moreover, we discuss and exemplify how DiCoT supports design of SBTTs with a focus on transfer and validity characteristics.

Practitioner Summary: In this study, we have evaluated a method to assess simulation-based team training environments from a cognitive ergonomics perspective. Using a case study, we analysed Distributed Cognition for Teamwork (DiCoT) by applying it to the Emergo Train System®. We conclude that DiCoT is useful for SBTT evaluation and simulator (re)design.     

Operationalising resilience for disaster medicine practitioners: capability development through training,simulation and reflection

Cognition, Technology & Work - Resilience has in recent decades been introduced as a term describing a new perspective within the domains of disaster management and safety management. Several...