Not okay: Preschool teachers talk about inappropriate touching

This study investigates views and experiences described by Swedish preschool teachers regarding inappropriate and unprofessional physical touching between educators and children. The empirical material consists of semi-structured interviews with 30 preschool teachers. The interviews were analysed with thematic analysis, and further examined in the light of the concepts ‘becoming’ and ’being’. The results show that educators consider it inappropriate and unprofessional for staff to grab or restrain a child, or to touch a child without observing the child’s signals, as doing so violates the child’s integrity. It is also deemed wrong to carry or ‘help’ a capable child, as this is considered undermining the child’s agency. Further, to kiss a child is also deemed inappropriate and unprofessional. The informants have, however, slightly different approaches and experiences regarding kissing. The results show that preschool teachers struggle with these issues. The boundaries between appropriate and inappropriate touching may be difficult to draw up. And in concrete situations, the concepts ‘becoming’ and ‘being’ are not always easy to separate. The study concludes that both preschool teacher education and workplaces should pay attention to the subtle, but culturally and socially permeated, issues of touch

Body Mass Index in young women and risk of cardiomyopathy: a long-term follow-up study in Sweden

Incidence rates of cardiomyopathies, which are a common cause of heart failure in young people, have increased during the last decades. An association between body weight in adolescence and future cardiomyopathy among men was recently identified. Whether or not this holds true also for women is unknown. The aim was therefore to determine whether for young women being overweight or obese is associated with a higher risk of developing cardiomyopathy. This was a registry-based national prospective cohort study with data collected from the Swedish Medical Birth Register, 1982 to 2014, with up to 33 years of follow-up. Included women were of childbearing age (18-45 years) during the initial antenatal visit in their first or second pregnancy (n=1 393 346). We obtained baseline data on body mass index (BMI), smoking, education, and previous disorders. After exclusions, mainly because of previous disorders, the final sample was composed of 1 388 571 women. Cardiomyopathy cases were identified by linking the Medical Birth Register to the National Patient and Cause of Death registers. In total, we identified 1699 cases of cardiomyopathy (mean age at diagnosis, 46.2 [SD 9.1] years) during the follow-up with an incidence rate of 5.9 per 100 000 observation years. Of these, 481 were diagnosed with dilated cardiomyopathy, 246 had hypertrophic cardiomyopathy, 61 had alcohol/drug-induced cardiomyopathy, and 509 had other forms. The lowest risk for being diagnosed with a cardiomyopathy was detected at a BMI of 21 kg/m , with a gradual increase in risk with higher BMI, particularly for dilated cardiomyopathy, where a hazard ratio of 4.71 (95% CI, 2.81-7.89) was found for severely obese subjects (BMI ≥35 kg/m ), as compared with BMI 20 to <22.5. Elevated BMI among young women was associated with an increased risk of being diagnosed with a subsequent cardiomyopathy, especially dilated cardiomyopathy, starting already at mildly elevated body weight, whereas severe obesity entailed an almost 5-fold increase in risk. With the increasing numbers of persons who are overweight or obese, higher rates of cardiomyopathy can be expected in the future, along with an altered disease burden related to adiposity

Infiltration sintering of WCu alloys from copper-coated tungsten composite powders for superior mechanical properties and arc-ablation resistance

W70Cu30(W-30 wt.% Cu) alloys were fabricated using cold pressing and infiltration sintering methods from two types of powders, i.e., mixed copper-tungsten (M-Cu-W) powders and our newly developed copper-coated tungsten composite (Cu@W) powders. Microstructure, mechanical and arc-ablation properties of the W70Cu30 alloys were investigated, and the mechanism of enhanced physical/mechanical properties and arc-erosion resistance of the W70Cu30 alloys was discussed. For the W70Cu30 alloys prepared using the Cu@W powders, their physical properties, including hardness, electrical conductivity and relative density were much better than those prepared from the M-Cu-W powders. The W70Cu30 alloys fabricated from the Cu@W powders were free of cracks, and showed homogenous distributions of W and Cu network structures. Whereas for the alloys prepared from the M-Cu-W powders, segregation of Cu was observed and the segregation size was about 40–100 μm. Characterization of arc-erosion morphologies of the W70Cu30 alloys prepared with the Cu@W powders revealed the occurrence of evaporation of Cu phase; whereas that of W70Cu30 alloys prepared with the M-Cu-W powders revealed the occurrence of the sputtering of Cu. After arc breakdown for 200 times, mass loss of alloys made using the mixed powders was twice as much as those made using the coated composite powders. Based on the experimental results and theoretical analysis, an arc breakdown mechanism of the WCu-C alloys using the composite powders was proposed which is attributed to the formation of a homogeneous Cu-Cu network structure to uniformly disperse arc energy and dissipate the generated heat, thus prolonging the service life of the WCu alloy contacts

Renal function after liver transplantation : Real-world experience with basiliximab induction and delayed reduced-dose tacrolimus

Background: Routine use of delayed reduced-dose calcineurin-inhibitor treatment with induction immunosuppression in liver transplantation to minimize post-operative kidney injury is still scarce. im: To evaluate real-world experience of basiliximab induction with delayed reduced-dose tacrolimus. Methods: In a retrospective cohort study, kidney function was evaluated pre-and postoperatively by mea-sured glomerular filtration rate (mGFR). Adult patients undergoing liver transplantation between 20 0 0 and 2017 were divided into a conventional treatment group (immediate-introduction of tacrolimus, tar-get trough levels 10-15 ng/mL, and corticosteroids, n = 203) and a revised treatment group (basiliximab induction, reduced-dose tacrolimus, target through levels 5-8 ng/mL, delayed until day three, and my-cophenolate mofetil 20 0 0 mg/day, n = 343). Results: Mean mGFR was similar between groups at wait-listing (85.3 vs 84.1 ml/min/1.73m2, p = 0.60), but higher in the revised treatment group at 3 (56.8 vs 63.4 ml/min/1.73m2, p = 0.004) and 12 months post-transplant (60.9 vs 69.7 ml/min/1.73m2, p < 0.001); this difference remained after correcting for mul-tiple confounders and was independent of pre-transplant mGFR. In the revised treatment group, biopsy proven acute rejection rate was lower (38% vs. 21%, p < 0.001), and graft-survival better ( p = 0.01). Conclusion: Basiliximab induction with delayed reduced-dose tacrolimus is associated with less kidney injury when compared to standard-dose tacrolimus, without increased risk of rejection, graft loss or death. (c) 2021 The Authors. Published by Elsevier Ltd on behalf of Editrice Gastroenterologica Italiana S.r.l.Peer reviewe

Dietary l-tryptophan leaves a lasting impression on the brain and the stress response

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COVID-19 in people aged 18-64 in Sweden in the first year of the pandemic: Key factors for severe disease and death

Background: Studies on risk factors for severe COVID-19 in people of working age have generally not included non-working persons or established population attributable fractions (PAFs) for occupational and other factors. Objectives: We describe the effect of job-related, sociodemographic, and other exposures on the incidence, relative risks and PAFs of severe COVID-19 in individuals aged 18–64. Methods: We conducted a registry-based study in Swedish citizens aged 18–64 from 1 January 2020 to 1 February 2021 with respect to COVID-19-related hospitalizations and death. Results: Of 6,205,459 persons, 272,043 (7.5%) were registered as infected, 3399 (0.05%) needed intensive care, and 620 (0.01%) died, with an estimated case fatality rate of 0.06% over the last 4-month period when testing was adequate. Non-Nordic origin was associated with a RR for need of intensive care of 3·13, 95%CI 2·91–3·36, and a PAF of 32·2% after adjustment for age, sex, work, region and comorbidities. In a second model with occupation as main exposure, and adjusted for age, sex, region, comorbidities and origin, essential workers had an RR of 1·51, 95%CI, 1·35–1·6, blue-collar workers 1·18, 95%CI 1·06–1·31, school staff 1·21, 95%CI 1·01–1·46, and health and social care workers 1·89, 95%CI 1·67–2·135) compared with people able to work from home, with altogether about 13% of the PAF associated with these occupations. Essential workers and blue-collar workers, but no other job categories had higher risk of death, adjusted RRs of 1·79, 95%CI 1·34–2·38 and 1·37, 95%CI 1·04–1·81, with adjusted PAFs of altogether 9%. Conclusion: Among people of working age in Sweden, overall mortality and case fatality were low. Occupations that require physical presence at work were associated with elevated risk of needing intensive care for COVID-19, with 14% cases attributable to this factor, and 9% of deaths

Quality of life in liver transplant recipients and the influence of sociodemographic factors

Abstract OBJECTIVE To verify the influence of sociodemographic factors on the quality of life of patients after liver transplant. METHOD Cross-sectional study with 150 patients who underwent liver transplant at a referral center. A sociodemographic instrument and the Liver Disease Quality of Life questionnaire were applied. The analysis of variance (ANOVA) was performed, as well as multiple comparisons by the Tukey test and Games-Howell tests when p <0.05. RESULTS Old age had influence on domains of symptoms of liver disease (p = 0.049), sleep (p = 0.023) and sexual function (p = 0.03). Men showed better significant mean values than women for the loneliness dimension (p = 0.037). Patients with higher educational level had higher values for the domain of stigma of liver disease (p = 0.014). There was interference of income in the domains of quality of social interaction (p = 0.033) and stigma of the disease (p = 0.046). CONCLUSION In half of the quality of life domains, there was influence of some sociodemographic variable