Epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) in Sweden 2000–2003, increasing incidence and regional differences

BACKGROUND: The occurrence of methicillin-resistant Staphylococcus aureus (MRSA) has gradually become more frequent in most countries of the world. Sweden has remained one of few exceptions to the high occurrence of MRSA in many other countries. During the late 1990s, Sweden experienced a large health-care associated outbreak which with resolute efforts was overcome. Subsequently, MRSA was made a notifiable diagnosis in Sweden in 2000. METHODS: From the start of being a notifiable disease in January 2000, the Swedish Institute for Infectious Disease Control (SMI) initiated an active surveillance of MRSA. RESULTS: The number of reported MRSA-cases in Sweden increased from 325 cases in 2000 to 544 in 2003, corresponding to an overall increase in incidence from 3.7 to 6.1 per 100000 inhabitants. Twenty five per cent of the cases were infected abroad. The domestic cases were predominantly found through cultures taken on clinical indication and the cases infected abroad through screening. There were considerable regional differences in MRSA-incidence and age-distribution of cases. CONCLUSION: The MRSA incidence in Sweden increased over the years 2000–2003. Sweden now poises on the rim of the same development that was seen in the United Kingdom some ten years ago. A quarter of the cases were infected abroad, reflecting that international transmission is now increasingly important in a low-endemic setting. To remain in this favourable situation, stepped up measures will be needed, to identify imported cases, to control domestic outbreaks and to prevent transmission within the health-care sector

A comparison of advanced heat recovery power cycles in a combined cycle for large ships

Strong motivation exists within the marine sector to reduce fuel expenses and to comply with ever stricter emission regulations. Heat recovery can address both of these issues. The ORC (organic Rankine cycle), the Kalina cycle and the steam Rankine cycle have received the majority of the focus in the literature. In the present work we compare these cycles in a combined cycle application with a large marine two-stroke diesel engine. We present an evaluation of the efficiency and the environmental impact, safety concerns and practical aspects of each of the cycles. A previously validated numerical engine model is combined with a turbocharger model and bottoming cycle models written in Matlab. Genetic algorithm optimisation results suggest that the Kalina cycle possess no significant advantages compared to the ORC or the steam cycle. While contributing to very high efficiencies, the organic working fluids possess high global warming potentials and hazard levels. It is concluded that the ORC has the greatest potential for increasing the fuel efficiency, and the combined cycle offers very high thermal efficiency. While being less efficient, the steam cycle has the advantages of being well proven, harmless to the environment as well as being less hazardous in comparison

sj-docx-1-sjs-10.1177_14574969221123389 – Supplemental material for The effect of nonsupervised physical activity before and after breast cancer surgery on quality of life: Results from a randomized controlled trial (PhysSURG-B)

Supplemental material, sj-docx-1-sjs-10.1177_14574969221123389 for The effect of nonsupervised physical activity before and after breast cancer surgery on quality of life: Results from a randomized controlled trial (PhysSURG-B) by Jenny Heiman, Aron Onerup, David Bock, Eva Haglind and Roger O. Bagge in Scandinavian Journal of Surgery</p