| 121. |
|
|
| 122. |
- Eilegård Wallin, Alexandra, 1975-, et al.
(författare)
-
Bereaved siblings' perception of participating in research : a nationwide study
- 2013
-
Ingår i: Psycho-Oncology. - : John Wiley & Sons. - 1057-9249 .- 1099-1611. ; 22:2, s. 411-416
-
Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThe objective of the present study is to examine bereaved siblings' perception of research participation.MethodsA Swedish nationwide study on avoidable and modifiable health care‐related factors in paediatric oncology among bereaved siblings who lost a brother or sister to cancer between the years 2000 and 2007 was conducted. Data are presented as proportions, and the differences between groups were statistically tested at the 5% significant level using Fisher's exact test.ResultsOut of 240 eligible siblings, 174 responded (73 %). None of the siblings (0/168) thought their participation would affect them negatively in the long term. However, 13% (21/168) stated it was a negative experience to fill out the questionnaire, whereas 84% (142/169) found it to be a positive experience. Women were more likely to report their participation as positive in a long‐term perspective compared with men (p = 0.018).ConclusionsNone of the bereaved siblings in this Swedish nationwide study anticipated any long‐term negative effect from their research participation. A majority reported it as positive to revisit their needs and experiences throughout their brother or sister's illness and death 2–9 years following the loss. We believe that the stepwise approach used in this study contributed to the high acceptance.
|
|
| 123. |
- Eilegård Wallin, Alexandra, 1975-, et al.
(författare)
-
Psychological health in siblings who lost a brother or sister to cancer 2 to 9 years earlier
- 2013
-
Ingår i: Psycho-Oncology. - : Wiley-Blackwell. - 1057-9249 .- 1099-1611. ; 22:3, s. 683-691
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The objective of this study was to assess long-term psychological distress in siblings who lost a brother or sister to cancer 2 to 9 years earlier, as compared with a control group of non-bereaved siblings from the general population.METHODS: During 2009, we conducted a nationwide follow-up study in Sweden by using an anonymous study-specific questionnaire. Siblings who had lost a brother or sister to cancer between the years 2000 and 2007 and also a control group of non-bereaved siblings from the general population were invited to participate. The Hospital Anxiety and Depression Scale (HADS) was used to measure psychological distress, and to test for differences in the ordinal outcome responses between the groups, we used Wilcoxon-Mann-Whitney rank-sum test.RESULTS: Among the bereaved siblings, 174/240 (73%) participated and 219/293 (75%) among the non-bereaved. Self-assessed low self-esteem (p = 0.002), difficulties falling asleep (p = 0.005), and low level of personal maturity (p = 0.007) at follow-up were more prevalent among bereaved siblings. However, anxiety (p = 0.298) and depression (p = 0.946), according to HADS, were similar.CONCLUSION: Bereaved siblings are at increased risk of low self-esteem, low level of personal maturity and difficulties falling asleep as compared with non-bereaved peers. Yet, the bereaved were not more likely to report anxiety or depression.
|
|
| 124. |
- Ekelund, Ulf, et al.
(författare)
-
Patient throughput times and inflow patterns in Swedish emergency departments. A basis for ANSWER, A National SWedish Emergency Registry
- 2011
-
Ingår i: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. - : Springer Science and Business Media LLC. - 1757-7241. ; 19
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: Quality improvement initiatives in emergency medicine (EM) often suffer from a lack of benchmarking data on the quality of care. The objectives of this study were twofold: 1. To assess the feasibility of collecting benchmarking data from different Swedish emergency departments (EDs) and 2. To evaluate patient throughput times and inflow patterns. Method: We compared patient inflow patterns, total lengths of patient stay (LOS) and times to first physician at six Swedish university hospital EDs in 2009. Study data were retrieved from the hospitals' computerized information systems during single on-site visits to each participating hospital. Results: All EDs provided throughput times and patient presentation data without significant problems. In all EDs, Monday was the busiest day and the fewest patients presented on Saturday. All EDs had a large increase in patient inflow before noon with a slow decline over the rest of the 24 h, and this peak and decline was especially pronounced in elderly patients. The average LOS was 4 h of which 2 h was spent waiting for the first physician. These throughput times showed a considerable diurnal variation in all EDs, with the longest times occurring 6-7 am and in the late afternoon. Conclusion: These results demonstrate the feasibility of collecting benchmarking data on quality of care targets within Swedish EM, and form the basis for ANSWER, A National SWedish Emergency Registry.
|
|
| 125. |
- Elgh-Dalgren, Kristin, et al.
(författare)
-
Anaerobic bioremediation of a soil with mixed contaminants : Explosives degradation and influence on heavy metal distribution, monitored as changes in concentration and toxicity
- 2009
-
Ingår i: Water, Air and Soil Pollution. - Dordrecht : Springer Netherlands. - 0049-6979 .- 1573-2932. ; 202:1-4, s. 301-313
-
Tidskriftsartikel (refereegranskat)abstract
- Two soils with explosives and metals were evaluated for the degradation efficiency of explosives by native microorganisms under anaerobic conditions. The commercially available method Daramend®, amended with zero-valent iron (ZVI), was compared with a horse-manure amended compost and a treatment with ZVI alone. In a moderately contaminated soil, Daramend® and ZVI treatment gave significantly higher removal rates compared to compost and control treatments (Tukey’s test, P<0.05). The largest overall decrease in ecotoxicity, measured with bioluminescent bacteria (Vibrio fischeri), was achieved with ZVI-treatment. In a more contaminated soil no degradation of contaminants and no decline in soil toxicity could be distinguished after the same time period. Problems with establishment of anaerobic conditions during parts of the remediation process and low microbial activity due to acute toxicity of contaminants are plausible explanations. Redistribution that could potentially lead to mobilization of the co-contaminant Pb was not observed in either of the soils during the biological treatments.
|
|
| 126. |
- Elgh-Dalgren, Kristin, et al.
(författare)
-
Bioremediation of a soil industrially contaminated by wood preservatives : degradation of polycyclic aromatic hydrocarbons and monitoring of coupled arsenic distribution
- 2011
-
Ingår i: Water, Air and Soil Pollution. - Dordrecht : Springer Netherlands. - 0049-6979 .- 1573-2932. ; 214:1-4, s. 275-285
-
Tidskriftsartikel (refereegranskat)abstract
- Two commercially available aerobic bioremediation methods (Daramend® and BioSan) were utilized to study the aerobic biodegradation of polycyclic aromatic hydrocarbons (PAH) and the effect of the simultaneously present arsenic. The soil was collected at an old wood preservation site and the initial PAH16-concentration was 46 mg/kg, with mainly high molecular weight congeners. The As-concentration was105 mg/kg with low availability as assessed with sequential extraction. To enahce the availability of PAH, the effect of a non-ionic surfactant was evaluated. Degradation of both low and high molecular weight PAH was observed, however after 30 weeks, the degradation was generally low and no treatment was significantly better than the others. The treatments had, on the other hand, an effect on As-distribution, with increased As-concentration in the available fraction after treatment. This may be due to both the microbial activity and the presence of anoxic micro sites in the soil. The overall efficiency of the biological treatment was further evaluated using the standardized ecotoxicity test utilizing Vibrio fischeri (Microtox®). The toxicity test demonstrated that the bioremediation led to an increase in toxicity, especially in treatments receiving surfactant. The surfactant implied an increase in contaminant availability but also a decrease in surface tension, which might have contributed to the overall toxicity increase.
|
|
| 127. |
- Elgh-Dalgren, Kristin, 1980-, et al.
(författare)
-
Laboratory and pilot scale soil washing of PAH and arsenic from a wood preservation site : Changes in concentration and toxicity
- 2009
-
Ingår i: Journal of Hazardous Materials. - Amsterdam : Elsevier. - 0304-3894 .- 1873-3336. ; 172:2-3, s. 1033-1040
-
Tidskriftsartikel (refereegranskat)abstract
- Soil washing of a soil with a mixture of both polycyclic aromatic hydrocarbons (PAH) and As was evaluated in laboratory and pilot scale, utilizing both single and mixtures of different additives. The highest level of decontamination was achieved with a combination of 0.213 M of the chelating agent MGDA and 3.2xCMC* of a nonionic, alkyl glucoside surfactant at pH 12 (Ca(OH)2). This combination managed to reach Swedish threshold values within 10 min of treatment when performed at elevated temperature (50°C), with initial contaminant concentrations of As = 105±4 mg/kg and US-EPA PAH16 = 46.0±2.3 mg/kg. The main mechanisms behind the removal were the pH-effect for As and a combination of SOM-ionization as a result of high pH and micellar solubilization for PAHs. Implementation of the laboratory results utilizing a pilot scale equipment did not improve the performance, which may be due to the shorter contact time between the washing solution and the particles, or changes in physical characteristics of the leaching solution due to the elevated pressure utilized. The ecotoxicological evaluation, Microtox®, demonstrated that all soil washing treatments increased the toxicity of soil leachates, possibly due to increased availability of contaminants and toxicity of soil washing solutions to the test organism.
|
|
| 128. |
- Eliasson, Ann-Christin, 1950-, et al.
(författare)
-
Mini-MACS : development of the Manual Ability Classification System for children younger than 4 years of age with signs of cerebral palsy
- 2017
-
Ingår i: Developmental Medicine & Child Neurology. - : Mac Keith Press. - 0012-1622 .- 1469-8749. ; 59:1, s. 72-78
-
Tidskriftsartikel (refereegranskat)abstract
- AIM: To develop the Mini-Manual Ability Classification System (Mini-MACS) and to evaluate the extent to which its ratings are valid and reliable when children younger than 4 years are rated by their parents and therapists.METHOD: The Mini-MACS was created by making adjustments to the MACS. The development involved a pilot project, consensus discussions within an expert group, and the creation of a test version of the Mini-MACS that was evaluated for content validity and interrater reliability. A convenience sample of 61 children with signs of cerebral palsy aged 12 to 51 months (mean age 30.2mo [SD 10.1]) were classified by one parent and two occupational therapists across a total of 64 assessments. Agreement between the parents' and therapists' ratings was evaluated using the intraclass correlation coefficient (ICC) and the percentage of agreement.RESULTS: The first sentence of the five levels in the MACS was kept, but other descriptions within the Mini-MACS were adjusted to be more relevant for the younger age group. The ICC between parents and therapists was 0.90 (95% confidence interval [CI] 0.79-0.92), and for the two therapists it was 0.97 (95% CI 0.78-0.92). Most parents and therapists found the descriptions in the Mini-MACS suitable and easy to understand.INTERPRETATION: The Mini-MACS seems applicable for children from 1 to 4 years of age.
|
|
| 129. |
- Elvén, Maria, 1973-, et al.
(författare)
-
A tension between surrendering and being involved : An interview study on person-centeredness in clinical reasoning in the acute stroke setting
- 2023
-
Ingår i: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134. ; 112
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To explore how stroke survivors experience and prefer to participate in clinical reasoning processes in the acute phase of stroke care.METHODS: An explorative qualitative design was used. Individual interviews were conducted with 11 stroke survivors in the acute phase of care and analyzed using reflexive thematic analysis.RESULTS: The analysis identified five themes: What's going on with me?; Being a recipient of care and treatment; The need to be supported to participate; To be seen and strengthened; and Collaboration and joint understanding.CONCLUSION: Stroke survivors experience many attributes of person-centeredness in the acute phase of care but, according to their stories, their participation in clinical reasoning can be further supported. The tension between surrendering and the desire to be more actively involved in the care needs to be considered to facilitate participation in clinical reasoning.PRACTICE IMPLICATIONS: Stroke survivors' participation in clinical reasoning in the acute phase can be facilitated by health professionals noticing signs prompting a shift towards increased willingness to participate. Furthermore, health professionals need to take an active role, sharing their expertise and inviting the stroke survivors to share their perspective. The findings can contribute to further develop person-centered care in acute settings.
|
|
| 130. |
- Elvén, Maria, 1973-, et al.
(författare)
-
Assessing clinical reasoning in physical therapy : discriminative validity of the Reasoning 4 Change instrument
- 2022
-
Ingår i: Physiotherapy. - : Elsevier BV. - 0031-9406 .- 1873-1465. ; 117, s. 8-15
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives: To evaluate discriminative validity of the Reasoning 4 Change (R4C) instrument by investigating differences in clinical reasoning skills between first semester, final semester physical therapy students and physical therapy experts.Design:Cross-sectional designSetting: University and physical therapy practiceParticipantsStudents from the first (n = 87) and final semester (n = 47) of an entry-level physical therapy program and experts in physical therapy with a behavioral medicine approach (n = 14).Methods: The students and experts answered the web-based R4C instrument on one occasion. The R4C instrument includes four domains designed to assess physical therapists’ clinical reasoning skills with a focus on supporting clients’ behavior change and has demonstrated acceptable content validity, convergent validity and reliability. Data was analyzed with one-way analysis of variance and Games-Howell post hoc test.Results: Differences in all domains and subscale scores were found between the three groups. Pairwise comparisons demonstrated that experts scored higher (better clinical reasoning skills) than first semester students in all domains and subscales; and higher scores than final semester students, except for two subscales. Final semester students scored higher than first semester students, except for one subscale.Conclusions: The findings highlight differences in clinical reasoning skills focusing on clients’ behavior change among physical therapy students with different degrees of training and education in clinical reasoning and physical therapists with extensive experience and expertise. The results provide evidence for the discriminative validity of the R4C instrument which support the use of the R4C instrument in education, research and clinical practice.
|
|
