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Aim: To describe long-term care (LTC) use in Finland and Sweden in 2020, by reporting residential entry and exit patterns including hospital admissions and mortality, compared with the 2018–2019 period and community-living individuals. Methods: From national registers in Finland and Sweden, all individuals 70+ were included. Using the Finnish and Swedish study populations in January 2018 as the standard population, we reported changes in sex- and age-standardized monthly rates of entry into and exit from LTC facilities, mortality and hospital admission among LTC residents and community-living individuals in 2020. Results: Around 850,000 Finns and 1.4 million Swedes 70+ were included. LTC use decreased in both countries from 2018 to 2020. In the first wave (March/April 2020), Finland experienced a decrease in LTC entry rates and an increase in LTC exit rates, both more marked than Sweden. This was largely due to short-term movements. Mortality rates peaked in April and December 2020 for LTC residents in Finland, while mortality peaked for both community-living individuals and LTC residents in Sweden. A decrease in hospital admissions from LTC facilities occurred in April 2020 and was less marked in Finland versus Sweden. Conclusions: During the first wave of the pandemic mortality was consistently higher in Sweden. We also found a larger decrease in LTC use and, among LTC residents, a smaller decrease in hospital admissions in Finland than in Sweden. This study calls for assessing the health consequences of the differences observed between these two Scandinavian countries as part of the lessons from the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

This paper provides a diachronic and bibliometric overview of register studies in the past decade. A total of 545 articles were selected from the field of linguistics of the database of Web of Science Core Collection for the analysis. For bibliometric analysis, CiteSpace and VOSViewer were used in order to reveal the co-citation analysis, the high-frequency keywords, keyword clusters, and the timeline of the keyword network in register studies. The results are summarized as follows. First, register studies have been gaining considerable academic attention in the examined years. Second, the major theoretical origins of register studies were text linguistics, systemic functional linguistics, and sociolinguistics. Third, corpus analysis and discourse analysis are the main research methods, followed by genre analysis, and conversation analysis. Fourth, important research themes were extracted and classified based on the following dimensions of register studies, namely, linguistic features, register types, register variations and pragmatic function. Furthermore, Teaching and education was an important dimension in register studies. Fifth, the recent research tended to focus on the register variations caused by the audiences, and corpus analysis and discourse analysis were widely used for broad analyses in different register studies. This bibliometric analysis also shows that online registers have become the research hotspot. Plain Language Summary: A Bibliometric Analysis of Register Studies (2012-2021) Research purpose: This paper provides a diachronic and bibliometric overview of register studies in the past decade. Methods: bibliometric analysis. Conclusion: First, register studies have been gaining considerable academic attention in the examined years. Second, the major theoretical origins of register studies were text linguistics, systemic functional linguistics, and sociolinguistics. Third, corpus analysis and discourse analysis are the main research methods, followed by genre analysis, and conversation analysis. Fourth, important research themes were extracted and classified based on the following dimensions of register studies, namely, linguistic features, register types, register variations and pragmatic function. Furthermore, Teaching and education was an important dimension in register studies. Fifth, the recent research tended to focus on the register variations caused by the audiences, and corpus analysis and discourse analysis were widely used for broad analyses in different register studies. Implication: The research may be a useful resource for novice researchers and established scholars in the field, and perhaps also critical in assisting journal editors to continue to promote theoretical or methodological advances in the field. [ABSTRACT FROM AUTHOR]

Background: The incidence of pediatric and adolescent anterior cruciate ligament reconstruction (ACLR) is increasing in several countries. It is uncertain whether this trend applies to countries that traditionally prefer an initial nonoperative treatment approach whenever possible, like Norway. Nationwide, long-term patient-reported outcomes and revision rates after ACLR in the pediatric population are also lacking. Purpose: To determine the incidence of pediatric ACLR in Norway since 2005, as well as to detect trends in surgical details and describe patient-reported outcomes up to 10 years after ACLR. Study Design: Descriptive cohort study. Methods: This study is based on prospectively collected data on girls ≤14 years and boys ≤16 years, registered in the Norwegian Knee Ligament Register at the time of their primary ACLR, between 2005 and 2021. The main outcome was the incidence of ACLR, adjusted to the corresponding population numbers for each year. The time trend was analyzed by comparing the mean of the first and last 3-year period (2005-2007 and 2019-2021). Patient-reported outcomes were assessed using the Knee injury and Osteoarthritis Outcome Score preoperatively and at 2, 5, and 10 years postoperatively. Results: A total of 1476 patients (1484 cases) were included, with a mean follow-up of 8.1 years (range, 1-17). The incidence of pediatric ACLRs per 100,000 population increased from 18 to 26, which corresponds to an increase of 40% for boys and 55% for girls. Concurrent meniscal procedures increased significantly from 45% to 62%, and the proportion of meniscal repairs increased from 19% to 43% when comparing the first and last time period. The mean Knee injury and Osteoarthritis Outcome Score values for the Sport and Recreation and Quality of Life subscales were between 72 and 75 at the 2-, 5- and 10-year follow-up. The 5-year revision rate was 9.9%. Conclusion: There was a major increase in incidence of pediatric ACLR in Norway during the study period. There was a shift in the approach to concomitant meniscal procedures from resection to repair, with more than a doubling of the proportion of meniscal repairs. Patient-reported outcomes revealed long-lasting reduced knee function. [ABSTRACT FROM AUTHOR]

Background: A growing proportion of children born in Europe are born to immigrant parents. Knowledge about their health is essential for preventive and curative medicine and health services planning. Objective: To investigate differences in diagnoses given in secondary and tertiary healthcare between Norwegian-born children to immigrant and non-immigrant parents. Methods: Data from the Medical Birth Registry of Norway, the Norwegian Patient Registry and Statistics Norway were linked by the national personal identification number. The study population included children born in Norway aged 0–10 years between 2008 and 2018 (N =1,015,267). Diagnostic categories from three main domains of physical health, given in secondary or tertiary care; infections, non-infectious medical conditions and non-infectious neurological conditions were included from 2008 onwards. Hazards of diagnoses by immigrant background were assessed by Cox regressions adjusted for sex and birth year. Results: Children of immigrants generally had higher hazards than children with Norwegian background of some types of infections, obesity, nutrition-related disorders, skin diseases, blood disease and genital disease. Children of immigrants from Africa also had higher hazards of cerebral palsy, cerebrovascular diseases and epilepsy. Conversely, most groups of children of immigrants had lower hazards of acute lower respiratory tract infections, infections of the musculoskeletal system, infections of the central nervous system, diseases of the circulatory system, hearing impairment, immune system disorders, chronic lower respiratory disease and headache conditions. Conclusions: Children of immigrants did not present with overall worse health than children without immigrant background, but the distribution of health problems varied between groups. [ABSTRACT FROM AUTHOR]

Background: The course of multiple sclerosis (MS) appears to be milder in recent decades. Objective: To investigate how time from onset to disability milestones and how demographic and clinical characteristics have changed through subsequent onset cohorts of patients with MS. Methods: In the nationwide Danish Multiple Sclerosis Registry, we have registered all 13,562 Danish patients with onset of MS or clinically isolated syndrome from 1996 through 2020. For the analyses of prognosis, we used all cases with relapsing onset (N = 11,669). After stratification into 5-year onset cohorts, we computed the hazard ratios for disability endpoints for all cohorts having at least 10 years of follow-up and the oldest 1996–2000 onset cohort as reference. Results: Patients in more recent MS onset cohorts have a shorter diagnostic delay and more of them start disease-modifying treatment within 1 year since diagnosis. The prognosis was better for later onset cohorts. For the 2001–2005 cohort, the hazard ratio for confirmed Expanded Disability Status Scale (EDSS) 4 was 0.85 (95% confidence interval (CI), 0.76–0.95) and for confirmed EDSS 6: 0.76 (95% CI, 0.65–0.88). For the more recent 2006–2010 cohort, the corresponding hazard ratios were 0.70 (95% CI, 0.62–0.79) and 0.60 (95% CI, 0.50–0.71). Conclusion: We observed a considerable improvement of the prognosis in recent onset cohorts of relapsing-onset MS. [ABSTRACT FROM AUTHOR]

This study presents the first sociolinguistic examination of communication in a social dilemma. 90 participants (18 groups of 5) completed a modified public goods game with 2 rounds: an effort-based task and an unscripted online chat about the results. A linear regression shows that consensus-building language in the Round 1 chat affects cooperative behaviour in the Round 2 task. A qualitative analysis of 3 groups explores how participants use different recognisable styles of communication (registers) to strategically align with or disalign from one another (stancetaking). Each analysis is complemented with a quantitative visualisation of how (dis)alignment between participants unfolds in real-time. We found that successful groups employ registers associated with collective action, such as gameshow talk ('ouch. £69 out of a possible £120') to encourage, punish, and pledge allegiance to one another. Less successful groups use registers that risk evoking mistrust and reducing obligation, such as business talk ('I approve'). We argue that a mixed methods approach to interaction and behaviour can reveal incremental shifts in consensus building that underpin quantitative outcomes. [ABSTRACT FROM AUTHOR]

Stroke registers are recommended as a key priority by the Lancet Neurology World Stroke Organization Commission for Stroke, 2023, and the African Stroke Leaders’ Summit, 2022.This scoping review aims to map where stroke registers have been implemented in Sub-Saharan Africa (SSA). The article then compares and critiques the methods and definitions used and summarizes key results from the registers. The scoping review searched EMBASE, MEDLINE, and CABI Global Health databases and included all studies with a prospective longitudinal design in SSA, where adult acute stroke was the primary condition studied. Articles were screened against inclusion and exclusion criteria independently by two authors.We identified 42 unique stroke registers from 48 individual studies. The registers were located in 19 countries, with 19 from East Africa, 15 West Africa, 6 Central Africa, and 2 from Southern Africa. Cumulatively, the registers recruited 12,345 participants with stroke, the median number of participants was 183 (interquartile range (IQR): 121–312), and the range was 50–1018. Only one study was a population-based register, and 41 were hospital-based registers. Of the hospital-based registers, 29 were single site, 10 were conducted at two sites, and 2 at three sites. Twenty-three (54.7%) of the registers were located in the capital city of their respective country, and only one of the hospital-based registers was in a self-described rural area. Length of recruitment ranged from 4 months to 6 years; the median length of recruitment was 12 months. Methodology and definitions were heterogenous between the registers. Only seven (19.4%) registers referenced the WHO STEPwise approach to implementing stroke registers. Twenty-seven (64.3%) registers used the WHO definition of stroke. The mean neuroimaging rate was 84%, and ranged from 0% to 100%. Stroke severity was measured using the National Institute of Health Stroke Scale (NIHSS) in 22 (52.4%) registers, four registers used the Glasgow Coma Scale (GCS), two registers used the miniNIHSS, one used the Scandinavian Stroke Scale, one modified Rankin Scale (mRS), and 11 registers did not report a stroke severity measure. Seventeen (40.5%) registers used the mRS to measure function, six registers used Barthel Index alone, and three registers used both mRS and Barthel Index. Only two registers included a quality-of-life measure, the EQ-5D. Eight registers included a quality-of-care measure, and 26 (61.9%) registers recorded socioeconomic status or a socioeconomic status proxy, most frequently educational attainment.This scoping review found high heterogeneity of methods and definitions used by stroke registers, with low uptake of the WHO stepwise method of stroke surveillance. A drive to standardize methodology would improve the comparability of stroke data in SSA. The shared use of educational attainment by registers in our review may enable future meta-analyses of inequities in stroke in SSA. Incorporating health-related quality-of-life measures, such as EQ-5D, into stroke registers should be encouraged, bringing a patient perspective, and allow the estimation of quality-adjusted life years lost to stroke. Agreement on a standardized register methodology or further promotion and uptake of the WHO stepwise method is essential to produce comparable data to improve stroke prevention and care. [ABSTRACT FROM AUTHOR]

Introduction: Elderly patients with displaced femoral neck fractures (FNF) are usually operated with arthroplasty but with various combinations of implants and approaches. Thus, the optimal treatment is still controversial. We aimed to compare the results between the cemented bipolar hemiarthroplasty (HA) and total hip arthroplasty (THA) patients operated for FNF regarding revision rate at 1 year postoperatively. Methods: The data were derived from the Lithuanian Arthroplasty Register. We included patients operated with cemented bipolar HA and compared them to the most frequently used cemented THA with 28-mm head during 2011–2016. For survival analysis, we used both revision for all reasons and for dislocations as an endpoint. Cox proportional hazards models were used to analyse the influence of covariates (age groups, gender, surgical approaches and arthroplasty groups). Results: There were 1177 bipolar HA and 514 THA included in our study. 26 (2.2%) revisions had occurred among the bipolar HAs as compared to 25 (4.9%) among the THAs 1 year after surgery. The main reason for revision was dislocation. The unadjusted cumulative revision rate for any reason at 1 year after surgery was 2.4% for the bipolar HA group and 5.1% for the THA group (p = 0.0054). Cox regression analysis showed that the use of bipolar HA, anterolateral approach and younger age groups had lower risk of revision for all reasons. Conclusion: Bipolar HA and anterolateral approach had a significantly lower overall 1-year risk of revision in femoral neck fracture patients as compared to THA with 28-mm femoral heads. [ABSTRACT FROM AUTHOR]

Aims: This study aimed to examine the population-based Skåne Health-care Register (SHR) regarding feasibility for scientific research and also strengths and weaknesses. Methods: To analyse the feasibility of the SHR, we performed a bibliographic search for peer-reviewed articles based on SHR data from 2000 to 2018. To analyse strengths and weaknesses, we used original SHR data about coverage and validity. Results: We identified 58 articles based on SHR data, covering different study designs and disorders. Most studies focused on musculoskeletal disorders with a cohort design. The majority of all consultations recorded in the SHR have an assigned diagnosis. However, this differs between the levels of care and between types of consultation. For inpatient care, the proportion of consultations with an assigned diagnosis was close to 100% between 1998 and 2017. The proportion of consultations with an assigned diagnosis was lowest within primary care, although the proportion markedly increased in 2004 when the prerequisite for consultation reimbursement was linked to the requirement for an assigned diagnosis. Limitations are that the SHR does not cover health-care provided within nursing homes and equivalent facilities or treatments received by the population of Skåne outside the region. Conclusions: The SHR may be used as a reliable data source for analyses of clinical changes and improvements. Extended use of the SHR in a research context may highlight important shortcomings within the register and thus serve as a way of indirect quality control. To enhance the use of the SHR further, better harmonisation between registers, within and outside of the region and internationally, is of crucial importance. [ABSTRACT FROM AUTHOR]

"Colloquialization," and anti-colloquial effects such as "densification," have been shown to shape register change in English, with Australian English showing stronger effects of colloquiality than British English. Parliamentary Hansard records are at the intersection of writing and speech and are subject to various influencing factors possibly leading to change in this register, which we represent in a conceptual model. We apply Biber's (1988) method of multidimensional analysis to examine the co-occurrence of linguistic features in the British and Australian Hansard over five consecutive time periods. The data provide evidence of shared as well as differentiated effects of colloquialization and densification across the two varieties. The evidence also points to a new type of anti-colloquial trend observed in the parliamentary register, whereby presentation of information appears to be taking the place of a more interactive and interpersonally oriented style, a trend we term "monologization." [ABSTRACT FROM AUTHOR]

While many music teachers are familiar with strategies to prevent damage due to vocal abuse or misuse, they are generally not acquainted with other vocal problems that can affect their own or their students' singing ability. Such damage can also occur when playing a wind instrument. While vocal abuse and misuse are commonly understood in music education, problems (in children and adults) associated with laryngopharyngeal reflux (LPR), continuing unresolved issues in child voice pedagogy, and issues concerning protecting the larynx in young wind instrumentalists are not as well known to music educators. This article presents some new research of importance to music educators. [ABSTRACT FROM AUTHOR]

Background: Factors relating to the patient and anterior cruciate ligament (ACL) reconstruction may help to identify prognostic factors of long-term outcome after reconstruction. Purpose: To determine 10-year risk factors for inferior knee function after ACL reconstruction. Study Design: Cohort study; Level of evidence, 2. Methods: Prospectively collected data from the Swedish National Knee Ligament Register were extracted for patients who underwent ACL reconstruction between January 2005 and December 2006. Patients who had no data at the 10-year follow-up for the Knee injury and Osteoarthritis Outcome Score (KOOS) were excluded. Multivariable proportional odds regression modeling was used to assess 10-year patient- and surgery-related risk factors across all the KOOS subscales and the KOOS4 (mean score of 4 subscales: pain, knee-related symptoms, function in sport and recreation, and knee-related quality of life). Results: A total of 874 (41%) patients were included (male, 51.5%; median age at the time of ACL reconstruction, 27.5 years [range, 11.2-61.5 years]). An increase in the severity of concomitant articular cartilage injuries resulted in a reduced KOOS on 4 subscales (odds ratio, 0.64-0.80; P < .05). A higher preoperative KOOS pain score increased the odds of a higher score on the pain, symptoms, and sport subscales and the KOOS4. In addition, a higher preoperative body mass index was a significant risk factor for lower scores on 3 KOOS subscales and the KOOS4. No patient- or surgery-related predictor was significant across all KOOS subscales. Conclusion: This 10-year risk factor analysis identified several factors that can affect long-term knee function after ACL reconstruction. Most risk factors were related to preoperative patient-reported outcome and potentially modifiable. On the other hand, most of the surgery-related risk factors were nonmodifiable. Nevertheless, this information may be helpful to physicians and physical therapists counseling patients on their expectations of outcome after ACL reconstruction. [ABSTRACT FROM AUTHOR]

Background: There is insufficient knowledge about the way that concomitant injuries affect the short-term likelihood of a return to a knee-strenuous sport after anterior cruciate ligament (ACL) reconstruction. Hypotheses/Purpose: The purpose was to study whether patient characteristics, concomitant injuries, and graft choice at primary ACL reconstruction can predict return to sport (RTS) 1 year after surgery. The hypotheses were that younger age at the time of ACL reconstruction would positively affect RTS, while the presence of concomitant injuries would negatively affect RTS 1 year after surgery. Study Design: Case-control study; Level of evidence, 3. Methods: Data were extracted from a rehabilitation-specific register and the Swedish National Knee Ligament Register. Twelve months after surgery, all patients were evaluated for RTS via the Tegner Activity Scale. The primary outcome was a return to knee-strenuous sport, defined as a Tegner Activity Scale ≥6. Univariable and multivariable logistic regression analyses were performed with patient characteristics, concomitant knee injuries, and graft choice as independent variables. Results: A total of 272 patients (51% female) with a mean ± SD age of 25.0 ± 9.2 years were included. In the multivariable analysis, a favorable odds ratio (OR) for returning to sport was found for patients of male sex (OR, 2.58; 95% CI, 1.43-4.65; P = .0016), younger age at the time of ACL reconstruction (OR, 2.32; 95% CI, 1.59-3.33; P < .0001), a higher preinjury score on the Tegner Activity Scale (OR, 1.45; 95% CI, 1.13-1.87; P = .0038), and an absence of injury to the meniscus (OR, 1.92; 95% CI, 1.10-3.36; P = .023) and medial collateral ligament (OR, 7.61; 95% CI, 1.42-40.87; P = .018). In addition, the absence of cartilage injury was favorable in terms of RTS in the univariable analysis (OR, 2.48; 95% CI, 1.40-4.39; P = .0018). Conclusion: Positive predictors of a return to knee-strenuous sport 1 year after ACL reconstruction were male sex, younger age, a high preinjury level of physical activity, and the absence of concomitant injuries to the medial collateral ligament and meniscus. [ABSTRACT FROM AUTHOR]

Background: Complementary and alternative medicine (CAM) has been widely used by cancer patients and oncologists in the past decades. The present study aimed to examine and compare the characteristics and registration status of published studies in a sample of recently published CAM randomized controlled trial (RCT) reports of oncology in leading journals of 3 categories: general and internal medicine (GIM), clinical oncology (CO), and CAM. Methods: Articles published in the top 5 journals of the 3 categories from 2006 to 2015 were searched in PubMed. Basic characteristics, registration information, impact factor, and citations were identified and extracted from the included RCTs. Data were summarized by frequency, mean, and median and compared using χ2 test and Kruskal-Wallis H test. Results: A total of 59 RCTs were included; among them, 34 (58%) could be identified with a registration number. GIM journals (15) enjoyed the highest average number of citations per article, followed by CO (12) and CAM (3) journals (P < .0001). ClinicalTrials.gov was the most popular registry for these RCTs. Of the RCTs registered in ClinicalTrials.gov, 24% (4/17) of the published studies in CO journals put their results in the registry; however, no study in GIM and CAM journals put the result in the registry (P = .372). Conclusion: The top GIM, CO, and CAM journals rarely published CAM RCTs of oncology from 2006 to 2015, and the CAM articles of oncology were less cited. However, there was a clear improvement in the trial registration rate over the past decades. [ABSTRACT FROM AUTHOR]

We consider the linkage of two or more registers in the situation where the registers do not cover the whole target population, and relevant categorical auxiliary variables (unique to one of the registers; although different variables could be present on each register) are available in addition to the usual matching variable(s). The linked registers therefore do not contain full information on either the observations (often individuals) or the variables. By treating this as a missing data problem it is possible to construct a linked data set, adjusted to estimate the part of the population missed by both registers, and containing completed covariate information for all the registers. This is achieved using an Expectation-Maximization (EM)-algorithm. We elucidate the properties of this approach where the model is appropriate and in situations corresponding with real applications in official statistics, and also where the model conditions are violated. The approach is applied to data on road accidents in the Netherlands, where the cause of the accident is denoted by the police and by the hospital. Here the cause of the accident denoted by the police is considered as missing information for the statistical units only registered by the hospital, and the other way around. The method needs to be widely applied to give a better impression of the range of problems where it can be beneficial. [ABSTRACT FROM AUTHOR]

Background: It is not clear whether Knee injury and Osteoarthritis Outcome Score (KOOS) results will be different 1 or 2 years after anterior cruciate ligament (ACL) reconstruction. Purpose: To investigate within individual patients enrolled in the Swedish National Knee Ligament Register whether there is equivalence between KOOS at 1 and 2 years after primary ACL reconstruction. Study Design: Cohort study; Level of evidence, 2. Methods: This cohort study was based on data from the Swedish National Knee Ligament Register during the period January 1, 2005, through December 31, 2013. The longitudinal KOOS values for each individual at the 1- and 2-year follow-up evaluations were assessed through the two one-sided test (TOST) procedure with an acceptance criterion of 4. Subset analysis was performed with patients classified by sex, age, graft type, and type of injury (meniscal and/or cartilage injury). Results: A total of 23,952 patients were eligible for analysis after exclusion criteria were applied (10,116 women, 42.2%; 13,836 men, 57.8%). The largest age group was between 16 and 20 years of age (n = 6599; 27.6%). The most common ACL graft was hamstring tendon (n = 22,504; 94.0%), of which the combination of semitendinosus and gracilis was the most common. A total of 7119 patients reported on the KOOS Pain domain at both 1- and 2-year follow-ups, with a mean difference of 0.21 (13.1 SD, 0.16 SE [90% CI, −0.05 to 0.46], P < .001). The same results were found for the other KOOS subscales: symptoms (mean difference −0.54, 14.1 SD, 0.17 SE [90% CI, −0.81 to −0.26], P < .001), activities of daily living (mean difference 0.45, 10.8 SD, 0.13 SE [90% CI, 0.24 to 0.66], P < .001), sports and recreation (mean difference −0.35, 22.7 SD, 0.27 SE [90% CI, −0.79 to 0.09], P < .001), quality of life (mean difference −0.92, 20.0 SD, 0.24 SE [90% CI, −1.31 to −0.53], P < .001), and the combined KOOS-4 score (mean difference −0.41, 14.5 SD, 0.17 SE [90% CI, −0.70 to −0.13], P < .001). Analyses within specific subsets of patients showed equivalent results between the 2 follow-up evaluations. Conclusion: Equivalent results within patients were found in KOOS values at 1- and 2-year follow-ups after ACL reconstruction. The finding was consistent across all KOOS subscales and for all evaluated subsets of patients. This result implies that there is no additional value in capturing both 1- and 2-year KOOS outcomes after ACL reconstruction. However, these findings of equivalence at 1- and 2-year endpoints do not alleviate the need for longer follow-up periods. [ABSTRACT FROM AUTHOR]

Studies on the translation of literary dialects have devoted much attention to linguistic features used in the recreation of source text dialects. Only limited discussions can be found on what strategies have been used in the translation of the source text (ST) standard language that the ST dialect is contrasted with. This is because studies on dialect translation have often rested on two assumptions: that standard language in the ST is always translated into a standard neutral target variety and that the use of standard language invariably leads to the erasure of literary effect in the target text (TT). Both assumptions are related to the misconception that standard language is a single neutral register. This article challenges these assumptions by proposing that translating dialect requires translating both sides of the dialect variation, that is to say, translating both the dialect itself and the standard language against which it is set in relief. Drawing particular attention to the translation of the standard side of the variation, this article sets out to achieve two purposes: (1) to explain how register varieties from standard language can function as sociolects in dialect translation, and (2) to build a dynamic model that incorporates both sides of the linguistic variation into the translation process. The following case study on the canonized Chinese translation of The Adventures of Huckleberry Finn by Zhang Yousong and Zhang Zhenxian shows how social hierarchies and power structures in Twain’s work have been reversed in the translation so as to construct social ‘others’ as ‘us’ and a socially elevated version of ‘us’ – a ‘better us’. [ABSTRACT FROM AUTHOR]

The objectives of the study were to examine the initial, first-year anti-rheumatic outpatient therapy in patients with incident SLE, as well as the concomitant use of drugs for certain comorbidities, compared to the use in the general population. The Finnish nationwide register data on special reimbursements for medication costs was screened to identify the inception cohort of 566 adult SLE patients (87% females, mean age 46.5 ± 15.9 years) over the years 2000–2007. The patients were linked to the national Drug Purchase Register. Of those, 90% had purchased at least once some disease-modifying anti-rheumatic drugs (DMARDs) during the first year. Hydroxychloroquine was the most common (76%), followed by azathioprine (15%) and methotrexate (13%). With the exception of increase in mycophenolate mofetil, the proportions remained stable over the whole study period 2000–2007. Drugs for cardiovascular diseases, dyslipidemia, diabetes mellitus, hypothyroidism and obstructive pulmonary disease were more frequently purchased than in the sex- and age-adjusted population, with rate ratios ranging from 1.6 to 7.8. Over the years 2000–2007, almost all the patients with incident SLE in Finland started with a DMARD. Higher percentages of SLE patients were on medication for several common chronic diseases than in the population as a whole. [ABSTRACT FROM AUTHOR]

Aims: Non-response to population surveys is a common problem in epidemiological and public health research. Systematic non-response threatens the validity of results. Researchers rarely evaluate the magnitude of systematic non-response because of limited access to population data. This study explores how well morbidity and mortality in postal survey respondents aged 65 years and older represented that of the target population. Methods: The 2010 Stockholm Public Health Survey and the Swedish Population Register were linked to the Cause of Death Register and the National Patient Register in Sweden. Differences were analysed between the response group and the corresponding population in mortality, hospital admission, days spent in hospital and number of diagnoses. Finally, data were weighted for non-response to see if this improved generalizability. Results: Non-response increased with age, and this increase was more pronounced among women than men. Respondents were marginally less often admitted to hospital, hospitalized fewer days and had slightly fewer diagnoses than the population, in particular after age 80. Significantly fewer women died in the response group than in the population as a whole. In terms of mortality among men and in terms of hospitalizations for most age groups, the respondents represented the population fairly well. Non-response weighting adjustment did not improve generalizability. Conclusions: Postal questionnaires are likely to capture morbidity (hospitalization) among women and men aged 65-80 years old and mortality among men, while morbidity after age 80 and mortality in women are likely to be underestimated. [ABSTRACT FROM PUBLISHER]

One of the main assumptions of usage-based constructionist approaches is that linguistic knowledge is best conceived of as a repository of constructions, which emerge from experience with language and whose strength of mental representation (entrenchment) is a function of their usage frequency. On the basis of a multistep statistical procedure geared to identify patterns of adverbial clause constructions in two distinct registers, we argue that a model of language that generalizes over situational contexts is implausible. Instead, a more adequate model of linguistic knowledge comprises a set of subrepositories that are adapted to the discourse-functional needs of situational contexts, in which constructions have register-specific entrenchment values. [ABSTRACT FROM PUBLISHER]

This article presents a quantitative cross-register comparison of the forms and frequency of linguistic metaphor in fiction based on a 45,000-word annotated corpus containing excerpts from 12 contemporary British-English novels sampled from the British National Corpus. The results for fiction are compared to those for three other registers, namely news texts, academic discourse and conversations. The linguistic manifestations of metaphor in the corpus were identified using the MIPVU procedure (Steen et al., 2010), a revised and extended version of the original Metaphor Identification Procedure, or MIP, as developed by the Pragglejaz Group (2007). Contrary to common expectations, fiction was not the register with the highest number of metaphors, but was situated in between academic discourse and news on the one hand, and conversation on the other. However, it turned out that metaphor signals and direct expressions of metaphor (e.g. simile) were typical of fiction, as has been claimed in the literature (e.g. Goatly, 1997; Lodge, 1977; Sayce, 1953). Based on these quantitative findings, this article will show that fiction does not contain more metaphors than the other registers, but rather, different ones. [ABSTRACT FROM PUBLISHER]

Speakers must command different linguistic registers to index various social-discourse elements, including the identity of the addressee. Previous work found that English-learning children could link registers to appropriate addressees by 5 years. Two experiments found that better cues to the linguistic form or to the social meaning of register could improve 3-year-old children’s ability to access their knowledge of register. Experiment 1 contrasted children acquiring English and Spanish, as Spanish provides more consistent grammatical cues to register through its pronoun system than English does. The Spanish-learning children showed earlier success in a forced-choice comprehension task. Experiment 2 provided English-learning children with enhanced cues to register’s social meaning and also found improved performance. These results suggest that the underlying knowledge about register is available from an early age, but can be accessed only with sufficiently strong cues. [ABSTRACT FROM PUBLISHER]

Objectives: To investigate whether there are any trends in treated incidence of borderline personality disorder (BPD) in Danish psychiatric hospitals based on different diagnostic systems from 1970 to 2009. Methods: All patients diagnosed with BPD for the first time as a main or an auxiliary diagnosis treated in in- or outpatient facilities in Danish psychiatric hospitals were identified through the Danish Psychiatric Central Research Register. Age-standardized, sex-specific, and standardized rates were calculated for the International Classification of Diseases (ICD), Eighth Revision, diagnostic period from 1970 to 1993 and the ICD-10 diagnostic period from 1994 to 2009. Results: The incidence for BPD in females as a main or an auxiliary diagnosis increased linearly from 1970 to 2009 (ß = 0.69 per 100 000 per year [95% CI 0.66 to 0.73]). The rates for males also increased linearly from 1970 to 1993 (ß = 0.37 [95% CI 0.30 to 0.43]) followed by a linearly decrease (ß = -0.22 [95% CI -0.29 to -0.15]) in the ICD-10 period from 1994 to 2009. The increase in females with BPD after the mid-1990s is smaller when controlling for outpatients mandatorily registered from 1995. Conclusion: The lack of defined criteria for BPD in ICD-8 may have been interpreted broadly to mean Kernberg's overarching concept of borderline personality organization, resulting in similar rates for males and females. However, in ICD-10, clinicians using the more narrow criteria for emotionally unstable personality disorder (borderline type), tended to diagnose BPD more commonly in women. These results suggest the importance of using specific criteria in diagnosing. They also suggest the importance of stability in the diagnostic criteria for BPD and other disorders. [ABSTRACT FROM AUTHOR]

Background: Acute myocardial infarction (MI) is a leading cause for morbidity and mortality in Sweden. We aimed to compare patients with an acute MI included in the Register of information and knowledge about Swedish heart intensive care admissions (RIKS-HIA, now included in the register Swedeheart) and in the Swedish statistics of acute myocardial infarctions (S-AMI). Methods: Population based register study including RIKS-HIA, S-AMI, the National patient register and the Cause of death register. Odds ratios were determined by logistic regression analysis. Results: From 2001 to 2007, 114,311 cases in RIKS-HIA and 198,693 cases in S-AMI were included with a discharge diagnosis of an acute MI. Linkage was possible for 110,958 cases. These cases were younger, more often males, had fewer concomitant diseases and were more often treated with invasive coronary artery procedures than patients included in S-AMI only. There were substantial regional differences in proportions of patients reported to RIKS-HIA. Conclusions: Approximately half of all patients with an acute MI were included in RIKS-HIA. They represented a relatively more healthy population than patients included in S-AMI only. S-AMI covered almost all patients with an acute MI but had limited information about the patients. Used in combination, these two registers can give better prerequisites for improved quality of care of all patients with acute coronary syndromes. [ABSTRACT FROM PUBLISHER]

This article is self-consciously framed as a hypothesis, a suggestion of how we might go about the work of understanding Kalhaṇa’s Rājataraṅgiṇī (RT), as well as certain other works of Kashmirian Sanskrit. I propose that Kalhaṇa’s poem be understood as the crowning achievement of a local literary form which I term the Kashmirian ślokakathā. After a brief review of the style’s major diagnostic features, I analyse a passage drawn from the earliest extant example of the ślokakathā, Abhinanda’s Kādambarīkathāsāra, a reworking of Bāṇa’s influential seventh century prose romance. Turning to Kalhaṇa, I show the instantiation of the ślokakathā style in the RT and his particular authorial impress upon it; in particular, I suggest that Kalhaṇa modulates his reliance on the diagnostic ślokakathā features over the course of his poem, the density of which increases as the events narrated grow closer to the poet’s lifetime. Finally and most speculatively, I suggest that this increasing density (and difficulty) of Kalhaṇa’s verse suggests a connection between the RT’s stylistic realisation and his implicitly articulated theory of the nature of history and that this in turn supplies a lens through which we may view the fraught question of Kalhaṇa’s authorial project in a new way. [ABSTRACT FROM PUBLISHER]

The article offers information on a research that analyzes the charge in sex ratio in the population with multiple sclerosis in Sweden. It is mentioned that the disease is more common in females and the sex ratio is changing and in Europe the ratio lies between 1.1 to 3.4. Also, between time period 1946 to 2005, the mean women to men sex ratio has been 2.57 and no significant change in the ratio has been observed in Swedish multiple sclerosis patients.

The article discusses a study identifying factors associated with a poorer outcome of anterior cruciate ligament (ACL) reconstructions at an early stage. Data from the Swedish National Anterior Cruciate Ligament Register was analyzed and self-reported outcome scores were measured. Findings suggests that Primary ACL reconstruction significantly improves all the subscales of the Knee injury and Osteoarthritis Outcome Score (KOOS).

Aims: The Finnish Hospital Discharge Register (FHDR) is one of the oldest individual level hospital discharge registers and has been intensively used for research purposes. The aim of this study was to gather information concerning the quality of FHDR into one place in terms of a systematic review of validation studies that compare data to external information. Methods: Several reference databases were searched for validity articles published until January 2012. For each included study, focus of validation, register years examined, number of compared observations, external source(s) of data, summary of validation results, and conclusions concerning the validity of FHDR were extracted. Results: In total, 32 different studies comparing FHDR data to external information were identified. Most of the studies examined validity in the case of vascular disease, mental disorders or injuries. More than 95% of discharges could be identified from the register. Positive predictive value (PPV) for common diagnoses was between 75 and 99%. Conclusions: Completeness and accuracy in the register seem to vary from satisfactory to very good in the register as long as the recognised limitations are taking into account. Poor recording of subsidiary diagnoses and secondary operations and other rarely used items are the most obvious limitations in validity, but do not compromise the value of data in FHDR in being used in studies that are not feasible to conduct otherwise. [ABSTRACT FROM PUBLISHER]

Introduction: Statistics Denmark has a number of registers about labour market affiliation, which includes information on employees, establishments and the relation between employees and establishments. Content: The registers describe a person’s attachment to the labour market, information on the establishments and information on the relations between persons and establishments. The registers presented either include information at one specific point in time each year (end of November) or during the year. Validity and coverage: Both the validity and coverage of the registers are considered to be high. Conclusion: These registers provide valuable information on personal labour market affiliation and can be used to study determinants and consequences of labour market affiliation. [ABSTRACT FROM PUBLISHER]

Introduction: Congenital heart defects (CHD) constitute the largest group of congenital defects with a prevalence at birth of 5—11 per 1000 live births, and the population of adults with CHD is increasing. However, few population-based long-term outcome data exist. Content: The Danish Register of Congenital Heart Disease holds data on patients diagnosed with CHD since 1963 and patients below 25 years of age with other types of heart disease. Validity and coverage: Overall and defect specific validation is ongoing. Conclusion: Together with other Danish registers, the Danish Register of Congenital Heart Disease provides extensive research possibilities. [ABSTRACT FROM PUBLISHER]

Introduction: Cause-specific mortality statistics is a valuable source for the identification of risk factors for poor public health. Content: Since 1875, the National Board of Health has maintained the register covering all deaths among citizens dying in Denmark, and since 1970 has computerised individual records. Validity and coverage: Classification of cause(s) of deaths is done in accordance to WHO’s rules, since 1994 by ICD-10 codes. A change in coding practices and a low autopsy rate might influence the continuity and validity in cause-specific mortality. Conclusion: The longstanding national registration of causes of death is essential for much research. The quality of the register on causes of death relies mainly upon the correctness of the physicians’ notification and the coding in the National Board of Health. [ABSTRACT FROM PUBLISHER]

Introduction: The Danish Twin Registry (DTR) has for more than 50 years been based on surveys and clinical investigations and over the two last decades also on register linkage. Currently these two approaches are merged within Statistics Denmark. Research topics: Here we report on three major groups of register-based research in the DTR that used the uniqueness of twinning. First, we focus on the ‘‘long-term prognosis’’ of being a twin compared with being a singleton and show that Danish twins have health trajectories in adulthood similar to singletons, which is a result of interest for twins and their families as well as a test of the fetal origins hypothesis that states that fetal growth restriction has long-term health consequences. Secondly, we summarise some of the most important register-based ‘‘classical twin studies’’, e.g. heritability studies on lifespan and exceptional longevity. Finally, we illustrate how the co-twin control method in a register setting can be used to control for the effect of rearing environment and genetic factors in studies of the association between exposures and health. Conclusion: The spectrum of register-based twin studies is very wide and have changed in accordance with methodological and data resource developments. [ABSTRACT FROM PUBLISHER]

Introduction: Researchers in Denmark have unique possibilities of register-based research in relation to migration, ethnicity, and health. This review article outlines how these opportunities have been used, so far, by presenting a series of examples. Research topics: We selected six registers to highlight the process of how migrant study populations have been established and studied in relation to different registers: The Danish Cancer Registry, the Danish Central Psychiatric Research Register, the Danish National Patient Register, the Danish National Health Service Register, the Danish Injury Register, and the Danish Medical Birth Register. Conclusion: Our paper documents the unique opportunities to study migration, ethnicity, and health through Danish national registers. Our examples show that in Denmark ‘‘country of birth’’ is the most commonly used measure. It renders information on whether the person is an immigrant or not, and on ethnic background. Data on migration background (i.e. refugee status vs. family reunification, etc.) is more difficult to obtain and therefore less used. It has been debated if ethnicity should be registered upon using health services; however, some consider it discriminatory. Although, we do not register ethnicity in relation to use of health care in Denmark, our possibilities of linkage between population registers and registers on diseases and healthcare utilisation appear to render the same potentials. [ABSTRACT FROM PUBLISHER]

Introduction: To present the work previously and presently being carried out based on the nationwide Childcare Database. Research topics: The Childcare Database comprises individually linked Danish register-based data on childcare attendance, childcare facility characteristics, child and family characteristics, and infectious disease hospitalisations. The database includes about 1 million children aged 0—5 years and has, since the creation, been linked with separate disease registers on atopic disease, pneumococcal disease, and childhood cancers. The present paper is a review of epidemiological studies based on the Childcare Database. Studies of childhood infections confirmed that childcare attendance dramatically increases the risk, but emphasised that the increased risk is often transient and confined to subsets of children. Studies of childhood cancers showed that early childhood infections are likely to reduce the risk of childhood leukaemia and that this risk reduction applies to all children. Conclusion: The Childcare Database is a unique data source for studying the association between childcare attendance and health outcomes. Further linkage with Danish registers is possible on an individual level. The studies based on the Childcare Database confirm and extend previous findings of an increased risk of infection associated with childcare attendance, as well as point towards a possible protective role of early infections in childhood cancer. [ABSTRACT FROM PUBLISHER]

Introduction: Denmark has been pioneering international psychiatric register research for decades. In this article we review central publications, by Danish and international authors, based on data from the Danish Psychiatric Central Research Register and other related registers. Research topics: Our aim was to describe the history, development and achievements of psychiatric research, based on the Danish national registers. The studies considered in this review can be categorized as follows: i) health service research, mainly studies on prevalence and incidence, ii) studies on the outcome of mental disorders, iii) studies on the aetiology of mental disorders. Conclusion: Studies based on Danish registers have provided significant contributions to international psychiatric research. The major advantage of the registers is that they cover the entire population, which makes the conduction of nationwide population-based studies possible. Furthermore, all information in the registers is connected to each citizen’s unique personal identification number, which enables linkage between various registers and biobanks. Such linkage studies have provided important knowledge on the aetiology of mental disorders. Despite inherent limitations about internal and external validity, the Danish national registers have been extremely valuable to international psychiatric research and will continue to play an important role in years to come. [ABSTRACT FROM PUBLISHER]

Objective: The aim was to identify chromosomal regions possibly involved in the development of orofacial clefts and to compare syndromic cleft phenotypes with previous reports. Design: We have retrospectively gathered and analyzed chromosomal aberrations and phenotypes of Finnish cleft patients treated at the Cleft and Craniofacial Centre, Helsinki University Central Hospital. Setting: The study was carried out at the Cleft and Craniofacial Centre, Helsinki University Central Hospital. Patients: The cleft register contains information on about 7600 Finnish cleft patients. Main Outcome Measures: Identification of patients for further molecular analyses and identification of chromosomal regions associated with orofacial clefting. Results: We identified 37 cleft patients with chromosomal aberrations of putative research interest. Conclusions: We were able to efficiently select patients for further molecular analyses and identify chromosomal regions that might be associated with orofacial clefting. The percentage of submucous cleft patients among cleft patients with chromosomal aberrations was unexpectedly high. [ABSTRACT FROM AUTHOR]

Aim: The objectives were to show how utilisation of hospital care among hip fracture patients has changed in Stockholm during 1998-2007 and to explore changes in some demographic and clinical characteristics as well as surgical treatment of the patients. Methods: The Stockholm County Patient Care Register covers all public healthcare services in the region. All patients from 1998 to 2007 who had a hospital stay due to a hip fracture (ICD-10 codes S72.0, S72.1, S72.2) and had undergone hip surgery (NCSP codes NFB09-99 and NFJ39-99) were identified. Number of hospital stays, surgical procedures, deaths, and length of hospital stay were categorised according to age and sex, and presented as absolute and relative numbers year by year. Age- and sex-standardised annual incidence figures were calculated. Results: A total of 28,528 patients (72.2% women, 27.8% men) were hospitalised due to a hip fracture. The annual numbers decreased during the study period in all age groups except men 85 years and older. The age- and sex-standardised hip fracture incidence fell with 16%. Mortality was slightly reduced. The acute care hospital length of stay fell with 1.4 days to 7.0 days, and the whole hospital episode increased by 1.4 days to 17.3 days. Conclusions: Despite a continued increase in the numbers of elderly during 1998-2007, the number of patients and their utilisation of hospital services remained constant and showed a marked decrease in women over 65 years of age. Comparisons with national statistics indicate that the results can be generalised to Sweden. [ABSTRACT FROM AUTHOR]

Language alternation tends to be proscribed in formal speech situations and registers; in bilingual communities, however, the use of two languages may be observed in formal speech events and registers. This article investigates the use of Spanish and English in a formal speech event, the religious ceremony performed in the Catholic mass, which is governed by prescribed rules of linguistic conduct, in order to examine the factors that constrain language alternation and choice. A quantitative analysis of six 60-minute services was used to determine the frequency of the two languages, both overall and in ritual versus non-ritual talk, and establish an empirical basis for describing the markedness of the two languages (Myers-Scotton, 2000, 2002). Patterns of language alternation are examined both at the macro level of the mass, from section to section, and at the micro level, within sections, and languages choices are explained using the Rational Choice model described by Myers-Scotton and Bolonyai (2001). [ABSTRACT FROM AUTHOR]

Nonlinguists prove surprisingly good at recognizing dialects, even as dialects rapidly evolve. During the 2008 U.S. presidential election, Republican vice presidential candidate Sarah Palin's speech was intensely discussed among linguists, the media, and laypeople. Though Palin is from Alaska, her speech was often identified with the Upper Midwest. The authors explore what this mismatch can tell us about dialects and their perception, starting from a description of Palin's speech as commented on in the media. They review some pragmatic features and provide quantitative treatment of her "g-dropping." Then, they undertake acoustic analysis of Palin's vowels and final /z/ devoicing, including Western features and features that create an impression of her speech as Upper Midwestern. Regional settlement history, research on "new dialect formation," and research on perception of variation inform the authors' finding that a few acoustic and other characteristics trigger a specific national perception of Palin's verbal behavior. [ABSTRACT FROM AUTHOR]

In the histories of western European vernacular languages, it is widely acknowledged that literary figures have played an important role in the process of language standardization. Indeed, the codifying of language and the canonizing of literature are often seen as symbiotic processes. This article explores the links between creative writing and standardization by looking at the case of Mauritian Creole (MC). For these purposes, I carry out a linguistic analysis of selected works of Dev Virahsawmy, the pioneering and most prolific author using the medium of MC. The analysis focuses on the development of a systematic orthography, lexical, register and syntactic elaboration. In the case of MC, which did not have a written form prior to literature, it is suggested that the symbiosis mentioned by Adamson in relation to language standardization runs deeper. The article finally highlights the establishment of a standard as being subject to intentional individual pressures. [ABSTRACT FROM AUTHOR]

Objective — To examine the gender differences in long term (> 14 days) sickness absence due to musculoskeletal health problems.Design — Analysis of data from the National Sickness Benefit Register, 1994.Setting — The economically active population in Norway, except civil servants ( n = 1,978,030).Subjects — All persons, 16—66 years old, with long term sickness absence episodes due to musculoskeletal health problems in 1994 (n= 141,839).Main outcome measures — Cumulative incidence, episode frequency, and episode duration of sickness absence.Results — Women had higher cumulative incidence of sickness absence than men—80.6 pr 1,000 vs. 64.1 pr 1,000, and longer mean duration of episodes—94 calendar days vs. 86 days counted from the first day of absence. Episode frequency did not differ between the genders. After adjustment for age and income the gender ratio (men/women) in cumulative incidence changed from 0.80 to 1.08, and in mean duration from 0.91 to 0.96.Conclusion — Long term sickness absence due to musculoskeletal health problems was strongly associated with gender, age, income, and diagnosis. Multivariate analysis indicated that the large gender differences in sickness absence might be overstated due to lack of adjustment for income and income-related factors. [ABSTRACT FROM PUBLISHER]

A longitudinal study of altogether 1462 women aged 38 to 60 years started in Gothenburg, Sweden in 1968–69. Based on information from the population study and from the Swedish Cancer Registry 35 women had a history of malignant disease when initially examined in 1968–69. During a 12-year follow-up period a total of 79 malignant tumours developed in 73 women. A comparison was made between the 1988 Cancer Registry listing and the observations made in the population study. All but one out of 103 cases (99%) were registered in the Cancer Registry and all but one (99%) in the population study. It may be concluded that the accuracy of the population study registration as well as that of the Cancer Registry at that time were very high. This enables us to draw relatively safe conclusions from our own material when testing for risk factors. [ABSTRACT FROM PUBLISHER]