| 51. |
- Hallgren, Jenny, 1978-, et al.
(författare)
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Factors associated with increased hospitalisation risk among nursing home residents in Sweden : a prospective study with a three-year follow-up
- 2016
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Ingår i: International Journal of Older People Nursing. - : John Wiley & Sons. - 1748-3735 .- 1748-3743. ; 11:2, s. 130-139
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundHospitalisation of nursing home residents might lead to deteriorating health.AimTo evaluate physical and psychological factors associated with hospitalisation risk among nursing home residents.DesignProspective study with three years of follow-up.MethodsFour hundred and twenty-nine Swedish nursing home residents, ages 65–101 years, from 11 nursing homes in three municipalities were followed during three years. The participants' physical and psychological status was assessed at baseline. A Cox proportional hazards model was used to evaluate factors associated with hospitalisation risk using STATA.ResultsOf the 429 participants, 196 (45.7%) were hospitalised at least once during the three-year follow-up period, and 109 (25.4%) during the first six months of the study. The most common causes of hospitalisation were cardiovascular diseases or complications due to falls. A Cox regression model showed that residents who have had previous falls (P < 0.001), are malnourished (P < 0.001), use a greater number of drugs (P < 0.001) and have more diseases (P < 0.001), are at an increased risk of hospitalisation.ConclusionNursing home residents are frequently hospitalised, often due to falls or cardiovascular diseases. Study results underscore the relationships between malnutrition, previous falls, greater numbers of drugs and diseases and higher risk of hospitalisation.Implications for practicePreventive interventions aimed at malnutrition and falls at the nursing home could potentially reduce the number of hospitalisations. With improved education and support to nurses concerning risk assessment at the nursing homes, it may be possible to reduce the numbers of avoidable hospitalisation among nursing home residents and in the long run improve quality of life and reduce suffering.
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| 52. |
- Holgersson, Jesper, 1974-, et al.
(författare)
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Exploring User Participation Practice in Public E-Service Development : Why, How and in Whose Interest?
- 2018
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Ingår i: The Electronic Journal of e-Government. - : Academic Conferences and Publishing International Limited. - 1479-439X. ; 16:1, s. 72-86
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Tidskriftsartikel (refereegranskat)abstract
- User participation is seen as an important enabler for successful public e-service development. However, at the same time development of public e-services is still often characterised by an internal government perspective with little consideration for external users’ perspectives. This paper challenges the overly positive attitude that is surrounding user participation in e-government research. The paper aims to illustrate and problematize various aspects that influence why, how, and in whose interest user participation is conducted in public e-service development. First, via a literature review, we identify a set of dimensions for critically exploring how, why, and in whose interest user participation is conducted in public e-service development projects. Second, we use these dimensions in order to characterise and analyse three empirical public e-service development cases in order to test the utility, usefulness, and feasibility of the identified dimensions. Our findings highlight the importance of questioning and elaborating on the motives behind user participation (the why) in public e-service development. We also identify two basic forms of how user participation is addressed in public e-service development projects: 1) veneered participation, and 2) ad-hoc participation. Furthermore, we argue that any decisions made regarding user participation in public e-service development should be based on conscious and informed choices concerning why user participation is needed and what it may bring for different stakeholders and their interests.
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| 53. |
- Holgersson, Jesper, 1974-, et al.
(författare)
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External User Inclusion in Public e-Service Development : Exploring the Current Practice in Sweden
- 2017
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Ingår i: Electronic government. - Cham : Springer. - 9783319646763 - 9783319646770 ; , s. 60-70
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Konferensbidrag (refereegranskat)abstract
- For the last decade e-government research has underlined the importance of an external user perspective in public e-service development and there have been numerous attempts to provide guidance and directions for government agencies in this matter. Individual research studies show little progress in this matter, but a more generalisable picture of the current state of external user inclusion is missing. The aim of this paper is to provide a better and more generalisable understanding of Swedish government agencies’ current practice of external user inclusion in public e-service development. In order to do so, we have interviewed Swedish government agencies regarding their perceptions on external user inclusion. Our findings show mixed results regarding attitudes towards and current practice of external user inclusion. It is clear that organisational size and previous experience of public e-service development matter. At the same time challenges such as a general lack of resurces and a lack of time are seen as general barriers, regardless of agency level and size.
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| 54. |
- Håkansson, Nina, et al.
(författare)
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Generating structure specific networks
- 2010
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Ingår i: Advances in Complex Systems. - : World Scientific Publishing Company. - 0219-5259. ; 13:2, s. 239-250
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Tidskriftsartikel (refereegranskat)abstract
- Theoretical exploration of network structure significance requires a range of different networks for comparison. Here, we present a new method to construct networks in a spatial setting that uses spectral methods in combination with a probability distribution function. Nearly all previous algorithms for network construction have assumed randomized distribution of links or a distribution dependent on the degree of the nodes. We relax those assumptions. Our algorithm is capable of creating spectral networks along a gradient from random to highly clustered or diverse networks. Number of nodes and link density are specified from start and the structure is tuned by three parameters (gamma, sigma, kappa). The structure is measured by fragmentation, degree assortativity, clustering and group betweenness of the networks. The parameter gamma regulates the aggregation in the spatial node pattern and sigma and kappa regulates the probability of link forming.
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| 55. |
- Håkansson, Nina, et al.
(författare)
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Improvement of animal welfare by strategic analysis and logistic optimisation of animal slaughter transportation
- 2016
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Ingår i: Animal Welfare. - : Universities Federation for Animal Welfare. - 0962-7286 .- 2054-1538. ; 25:2, s. 255-263
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Tidskriftsartikel (refereegranskat)abstract
- The transportation of animals to slaughterhouses is a major welfare concern. The number of slaughterhouses has decreased over time in Europe due to centralisation. This is expected to increase transport time for animals and as a consequence negatively affect animal welfare. We propose an optimisation model based on a facility location model to perform strategic analysis to improve transportation logistics. The model is tested on the Swedish slaughter transport system. We show that, by strategic planning and redirection of transports while keeping the slaughterhouse capacities as of the originaldata, the potential exists to reduce transport distance by 25% for pigs and 40% for cattle. Furthermore, we demonstrated that approximately 50% of Swedish slaughterhouses can be shut down with a minimal effect on total transport distances. This implies that in terms of the overall welfare picture, the decision of which animals to send where plays a for more significant role than the number of slaughterhouses. In addition, by changing relative weights on distances in the optimisation function the amount of individualtransports with longjourney times can be decreased. We also show results from altered slaughterhouse capacity and geographical location of slaughterhouses. This is the first time an entire country has been analysed in great detail with respect to the location, capacity and number of slaughterhouses. The focus is mainly on the analysis of unique and detailed information of actual animal transports in Sweden and a demonstration of the potential impact redirection of the transports and/ or altering of slaughterhouses can have on animal welfare.
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| 56. |
- Håkansson, Nina
(författare)
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Network analysis and optimization of animal transports
- 2012
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis is about animal transports and their effect on animal welfare. Transports are needed in today’s system of livestock farming. Long transports are stressful for animals and infectious diseases can spread via animal transports. With optimization methods transport times can be minimized, but there is a trade-off between short distances for the animals and short distances for the trucks. The risk of disease spread in the transport system and disease occurrence at farms can be studied with models and network analysis.The animal transport data and the quality of the data in the Swedish national database of cattle and pig transports are investigated in the thesis. The data is analyzed regarding number of transports, number of farms, seasonality, geographical properties, transport distances, network measures of individual farms and network measures of the system. The data can be used as input parameters in epidemic models.Cattle purchase reports are double reported and we found that there are incorrect and missing reports in the database. The quality is improving over the years i.e. 5% of cattle purchase reports were not correctly double reported in 2006, 3% in 2007 and 1% in 2008. In the reports of births and deaths of cattle we detected date preferences; more cattle births and deaths are reported on the 1st, 10th and 20th each month. This is because when we humans don’t remember the exact number we tend to pick nice numbers (like 1, 10 and 20). This implies that the correct date is not always reported.Network analysis and network measures are suggested as tools to estimate risk for disease spread in transport systems and risk of disease introduction to individual holdings. Network generation algorithms can be used together with epidemic models to test the ability of network measures to predict disease risks. I have developed, and improved, a network generation algorithm that generates a large variety of structures.In my thesis I also suggest a method, the good choice heuristic, for generating non-optimal routes. Today coordination of animal transports is neither optimal nor random. In epidemic simulations we need to model routes as close to the actual driven routes as possible and the good choice heuristic can model that. The heuristic is tuned by two parameters and creates coordination of routes from completely random to almost as good as the Clarke and Wright heuristic. I also used the method to make the rough estimate that transport distances for cattle can be reduced by 2-24% with route-coordination optimization of transports-to-slaughter.Different optimization methods can be used to minimize the transport times for animal-transports in Sweden. For transports-to-slaughter the strategic planning of “which animals to send where” is the first step to optimize. I investigated data from 2008 and found that with strategic planning, given the slaughterhouse capacity, transport distances can be decreased by about 25% for pigs and 40% for cattle. The slaughterhouse capacity and placement are limiting the possibility to minimize transport times for the animals. The transport distances could be decreased by 60% if all animals were sent to the closest slaughterhouse 2008. Small-scale and mobile slaughterhouses have small effect on total transport work (total transport distance for all the animals) but are important for the transport distances of the animals that travel the longest.
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| 57. |
- Izquierdo, Milagros, 1963-, et al.
(författare)
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Isometric Point-Circle Configurations on Surfaces from Uniform Maps
- 2016
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Ingår i: Springer Proceedings in Mathematics and Statistics. - Cham : Springer-Verlag New York. - 2194-1009. ; 159, s. 201-212, s. 201-212
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Tidskriftsartikel (refereegranskat)abstract
- We embed neighborhood geometries of graphs on surfaces as point-circle configurations. We give examples coming from regular maps on surfaces with a maximum number of automorphisms for their genus, and survey geometric realization of pentagonal geometries coming from Moore graphs. An infinite family of point-circle v4'>v4v4 configurations on p-gonal surfaces with two p-gonal morphisms is given. The image of these configurations on the sphere under the two p-gonal morphisms is also described.
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| 58. |
- Jaarsma, Tiny, et al.
(författare)
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Palliative care in heart failure: a position statement from the palliative care workshop of the Heart Failure Association of the European Society of Cardiology.
- 2009
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Ingår i: European journal of heart failure : journal of the Working Group on Heart Failure of the European Society of Cardiology. - : Wiley. - 1388-9842 .- 1879-0844. ; 11:5, s. 433-43
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Tidskriftsartikel (refereegranskat)abstract
- Heart failure is a serious condition and equivalent to malignant disease in terms of symptom burden and mortality. At this moment only a comparatively small number of heart failure patients receive specialist palliative care. Heart failure patients may have generic palliative care needs, such as refractory multifaceted symptoms, communication and decision making issues and the requirement for family support. The Advanced Heart Failure Study Group of the Heart Failure Association of the European Society of Cardiology organized a workshop to address the issue of palliative care in heart failure to increase awareness of the need for palliative care. Additional objectives included improving the accessibility and quality of palliative care for heart failure patients and promoting the development of heart failure-orientated palliative care services across Europe. This document represents a synthesis of the presentations and discussion during the workshop and describes recommendations in the area of delivery of quality care to patients and families, education, treatment coordination, research and policy.
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| 59. |
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| 60. |
- Jacobsson, Jenny, et al.
(författare)
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Injury patterns in Swedish elite athletics – part 1 : annual incidence and injury types
- 2013
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Ingår i: British Journal of Sports Medicine. - : BMJ PUBLISHING GROUP. - 0306-3674 .- 1473-0480. ; 47:15
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Tidskriftsartikel (refereegranskat)abstract
- Objective To estimate the incidence, type and severity of musculoskeletal injuries in youth and adult elite athletics athletes and to explore risk factors for sustaining injuries. Design Prospective cohort study conducted during a 52-week period. Setting Male and female youth and adult athletics athletes ranked in the top 10 in Sweden (n=292). Results 199 (68%) athletes reported an injury during the study season. Ninety-six per cent of the reported injuries were non-traumatic (associated with overuse). Most injuries (51%) were severe, causing a period of absence from normal training exceeding 3 weeks. Log-rank tests revealed risk differences with regard to athlete category (p=0.046), recent previous injury (>3 weeks time-loss; p=0.039) and training load rank index (TLRI; p=0.019). Cox proportional hazards regression analyses showed that athletes in the third (HR 1.79; 95% CI 1.54 to 2.78) and fourth TLRI quartiles (HR 1.79; 95% CI 1.16 to 2.74) had almost a twofold increased risk of injury compared with their peers in the first quartile and interaction effects between athlete category and previous injury; youth male athletes with a previous serious injury had more than a fourfold increased risk of injury (HR=4.39; 95% CI 2.20 to 8.77) compared with youth females with no previous injury. Conclusions The injury incidence among both youth and adult elite athletics athletes is high. A training load index combing hours and intensity and a history of severe injury the previous year were predictors for injury. Further studies on measures to quantify training content and protocols for safe return to athletics are warranted.
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