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Lars Morsø,1 Sisse Walløe,1 Søren Birkeland,1 Kim Lyngby Mikkelsen,2 Claire Gudex,1 Søren Bie Bogh1 1OPEN – Open Patient Data Explorative Network, Odense University Hospital, Department of Clinical Research, University of Southern Denmark, Odense C, DK-5000, Denmark; 2Danish Patient Compensation Association, Copenhagen V, DK-1560, DenmarkCorrespondence: Lars MorsøDepartment of Clinical Medicine (OPEN), University of Southern Denmark, J. B. Winsløws Vej 9a, 3rd Floor, Odense C, DK-5000, DenmarkTel +45 21 82 60 04Email lars.morsoe@rsyd.dkPurpose: The study aimed to translate and cross-culturally adapt the English version of the HCAT to produce a Danish HCAT version and to test the Danish version’s reliability.Methods: We used best-practice guidelines for linguistic translations and cultural adaptations. For cross-cultural adaptation, we conducted forward and back translation followed by expert committee review. Subsequently, two researchers assessed 140 complaint cases to test intra- and inter-rater reliability of the Danish HCAT version. We used descriptive statistics for distributions and tested for differences between English and Danish editions Intra- and inter-rater reliability used Gwet’s AC1 statistics, applying quadratic weights to assign more weight to large discrepancies.Results: The back translations showed both semantic and conceptual differences, and the expert committee thus discussed the meaning of the wording in the HCAT guide and coding form to ensure that the Danish version would be conceptually similar to the English version but also culturally appropriate for Danish settings. There was discussion about how to use the coding form to graduate problem severity, and this led to some altered wording. Pilot testing revealed the need for two new categories of “hospital-acquired infection” and “involvement of patients’ relatives”. The problem categories of the HCAT-DK showed “substantial” intra- and inter-rater reliability (0.79, and 0.79 to 0.85). In addition, there was a “substantial” agreement (0.70 to 0.73) between the original HCAT and the HCAT-DK version.Conclusion: The study translated and cross-culturally adapted the English HCAT version to produce a Danish HCAT version. Cultural and conceptual differences led to adjustments and to addition of two extra items in the HCAT-DK. The Danish version showed “substantial” intra- and inter-rater reliability and is considered suitable for coding complaint and compensation cases in Danish health care.Keywords: HCAT, translation, cross-cultural adaption, reliability, HCAT-DK

The effects and results of salting method on astaxanthin, surface coloration and process yields of cold smoke Atlantic salmon fillets are evaluated. The experiment shows that important parameters such as color, yield and salt content strongly depend on process parameters.

The application of a smoke condensate processing protocol and a traditional wood chips processing protocol in the processing of cold smoked salmon filets is investigated. Results show that WCP fillets had higher intensity of smoke taste after processing than SCP and the use of smoke condensate and drenching technology produced quality characteristics quite similar to those found in commercial traditional products.

The analysis of nineteen commercial fruit preparations for antioxidant (anti-radical) powder [ARP] and oxygen radical absorbance capacity [ORAC] is presented. The results of the analysis demonstrate the importance of using more than one method in assessing antioxidant capacity of food products.

Fish oil of high quality and stability was produced from fresh salmon offal. Salmon oil is a stable product, and even more so when stored at appropriate conditions (under nitrogen atmosphere at refrigerated temperatures).

Cold-smoke Altantic salmon is a treasured food item, and many countries have a long tradition with smoked fish products. During injection salting, the brine is injected directly into the muscle tissue using brine injection pressure unto 4 bars.

Aims Proof of concept and feasibility study for preoperative diagnostic use of mixed reality (MR) holograms of individual 3D heart models from standard cardiac computed tomography angiograms (CTA) images. Optimal repair for complex congenital heart disease poses high demands on 3D anatomical imagination. Three-dimensional printed heart models are increasingly used for improved morphological understanding during surgical and interventional planning. Holograms are a dynamic and interactive alternative, probably with wider applications. Methods and results A 3D heart model was segmented from CTA images in a patient with double outlet right ventricle and transposition of the great arteries (DORV-TGA). The hologram was visualized in the wearable MR platform HoloLens® for 36 paediatric heart team members who filled out a diagnostic and quality rating questionnaire. Morphological and diagnostic output from the hologram was assessed and the 3D experience was evaluated. Locally developed app tools such as hologram rotation, scaling, and cutting were rated. Anatomy identification and diagnostic output was high as well as rating of 3D experience. Younger and female users rated the app tools higher. Conclusion This preliminary study demonstrates that MR holograms as surgical planning tool for congenital heart disease may have a high diagnostic value and contribute to understanding complex morphology. The first users experience of the hologram presentation was found to be very positive, with a preference among the female and the younger users. There is potential for improvement of the hologram manipulation tools. [ABSTRACT FROM AUTHOR]