| 1. |
- Ahlström, Gerd, et al.
(författare)
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Assessment of coping with muscular dystrophy : a methodological evaluation.
- 1994
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Ingår i: Journal of Advanced Nursing. - 0309-2402 .- 1365-2648. ; 20:2, s. 314-323
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Tidskriftsartikel (refereegranskat)abstract
- There is no published research on coping with muscular dystrophy among adults. In the present study, two questionnaires, the Reaction to the Diagnosis of Cancer Questionnaire (RDCQ) and the Mental Adjustment to Cancer scale (MAC), were modified in order to measure coping with muscular dystrophy (MD). A total of 60 people (16-64 years) with diagnosed MD answered the questionnaires in two interviews including semi-structured questions. The replies to these questions were analysed by two independent judges on the basis of the RDCQ and MAC categories for coping. The purpose was twofold: to investigate if cancer-coping categories could be used for the classification of interview answers concerning coping with MD, and to gain knowledge about specific coping with MD. Analysis indicated that 82% of replies to semi-structured questions concerned with emotion/appraisal-focused coping with MD can be described by means of RDCQ and MAC categories. Eight new categories were developed to classify the remaining 18%: Anticipation, Creation of new life values, Minimization, Establishment of control over everyday life, Secretiveness, Fear, Social comparison and Coping with heredity. In addition, 997 replies were classified to represent problem-focused coping. The judges reached good agreement with respect to the proportions of replies in the respective coping categories. However, kappa (kappa) values were within the range of fair to good agreement.
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| 2. |
- Ahlström, Gerd, et al.
(författare)
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Epidemiology of neuromuscular diseases, including the postpolio sequelae, in a Swedish county.
- 1993
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Ingår i: Neuroepidemiology. - 0251-5350 .- 1423-0208. ; 12:5, s. 262-269
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Tidskriftsartikel (refereegranskat)abstract
- The epidemiology of neuromuscular diseases was studied in the county of Orebro, Sweden (study population 270,000). Several different sources of data were utilized, compared and validated. On the prevalence of day (January 1, 1988) 474 patients were identified. The rate per 100,000 population was 92 for the postpolio sequelae (PPS) and 84 for the other neuromuscular diseases (motor neuron disease 9, hereditary neuropathies 9, myoneural disorders 16, myotonic disorders 19, muscular dystrophies 20 and myositis 11). Of the patients with the PPS, 80% reported late-onset symptoms. On the basis of an expanded survey including all medical records in one health care district, the prevalence of the PPS was estimated to be 186/100,000 population.
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| 3. |
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| 4. |
- Ahlström, Gerd, et al.
(författare)
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Respiratory function, electrocardiography and quality of life in individuals with muscular dystrophy.
- 1994
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Ingår i: Chest. - 0012-3692 .- 1931-3543. ; 106:1, s. 173-179
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Tidskriftsartikel (refereegranskat)abstract
- All individuals in a Swedish county afflicted with any type of hereditary muscular dystrophy (MD) were identified and 57 (85 percent) of eligible individuals in the age range 16 to 64 were included in the study. Respiratory disturbances were estimated by means of spirometry and analysis of arterial blood gases, and 58 percent yielded abnormal results on at least one of these examinations. Elevated PCO2 was found more commonly than reduced forced vital capacity (FVC) and there was a moderate association between these parameters. Respiratory symptoms, most commonly breathlessness, were encountered in 79 percent. Pathologic ECG recordings were found in 21 individuals (37 percent). Conduction disturbances and affection of the myocard were most frequent in myotonic dystrophy. Quality of life was assessed by means of the Sickness Impact Profile instrument and the Kaasa test. The results showed that quality of life was significantly related to FVC and to the symptom of abnormal fatigue. Respiratory and cardiac parameters showed a greater number of significant correlations with measures of functional ability than with subjective well-being.
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| 5. |
- Allwood, Jens, et al.
(författare)
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On the semantics and pragmatics of linguistic feedback
- 1992
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Ingår i: Journal of Semantics. - : Oxford University Press (OUP). - 0167-5133 .- 1477-4593. ; 9:1, s. 1-26
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Tidskriftsartikel (refereegranskat)abstract
- This paper is an exploration in the semantics and pragmatics of linguistic feedback, i. e. linguistic mechanisms which enable the participants in spoken interaction to exchange information about basic communicative functions, such as contact, perception, understanding, and attitudinal reactions to the communicated content. Special attention is given to the type of reaction conveyed by feedback utterances, the communicative status of the information conveyed (i. e. the level of awareness and intentionality of the communicating sender), and the context sensitivity of feedback expressions. With regard to context sensitivty, which is one of the most characteristic features of feedback expressions, the discussion focuses on the way in which the type of speech act (mood), the factual polarity, and the information status of the preceding utterance influence the interpretation of feedback utterances. The different content dimensions are exemplified by data from recorded dialogues and by data given through linguistic intuition. Finally, two different ways of formalizing the analysis are examined, one using attribute-value matrices and one based on the theory of situation semantics. ©1992 N.I.S. Foundation (1992).
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| 6. |
- Andersen, Poul, et al.
(författare)
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Tackling Dynamics in Business Networks
- 1994
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Ingår i: 10th Annual IMP Conference, Groningen. - Groningen : University of Groningen, Faculty of Management & Organization.
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Konferensbidrag (refereegranskat)
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| 7. |
- Andersson-Gäre, Boel, et al.
(författare)
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Measurement of functional status in juvenile chronic arthritis : evaluation of a Swedish version of the Childhood Health Assessment Questionnaire
- 1993
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Ingår i: Clinical and Experimental Rheumatology. - 0392-856X .- 1593-098X. ; 11:5, s. 569-76
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Tidskriftsartikel (refereegranskat)abstract
- Few well-validated self-and/or parent-administered instruments are available for measuring functional status in children with rheumatic diseases. Parts of the Stanford Health Assessment Questionnaire (HAQ) have been adapted for use in children in the so-called Child HAQ. The aim of this study was to investigate the validity of this instrument in a Swedish setting. The Child HAQ was administered to 186 patients and 211 patients participating in a population-based follow-up study of juvenile chronic arthritis (JCA) in southwestern Sweden. The EULAR criteria were used for inclusion. Children who were 9 years of age or older self-reported. Reliability, evaluated by test-retest, inter-observer correlations and internal reliability, was excellent. Convergent validity was demonstrated by strong correlations of the disability index, pain, and morning stiffness with disease activity and the Steinbrocker functional classes. Discriminant validity was evidenced by the capacity of the instrument to evaluate patients as being active or in remission. Thus, the Child HAQ showed excellent measurement performance in a Swedish setting when using parents or children more than 9 years old as responders.
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| 8. |
- Andersson-Gäre, Boel, et al.
(författare)
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Serum concentration of hyaluronan, IgM and IgA rheumatoid factors in a population based study of juvenile chronic arthritis
- 1994
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Ingår i: Scandinavian Journal of Rheumatology. - 0300-9742 .- 1502-7732. ; 23:4, s. 183-90
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Tidskriftsartikel (refereegranskat)abstract
- Increased serum levels of hyaluronan (HA) have been found in patients with liver diseases, psoriasis, malignancies as well as in rheumatoid arthritis and osteoarthritis. In the two latter groups serum HA levels may reflect the extent of synovial involvement and inflammation, rather than only unspecific information. This study was performed to elucidate the value of measuring HA in children with juvenile chronic arthritis (JCA) and to study its relation to class specific rheumatoid factors (IgM Rf and IgA Rf). HA was analysed in sera from 271 patients with JCA and 130 controls using a radiometric assay and IgM Rf and IgA Rf were analysed using an enzyme immunoassay. The results were analysed in relation to JCA subgroup, disease activity and functional outcome. In patients and controls higher levels of HA were found in young children than in older. Raised levels of HA and IgM Rf were mainly found in children with polyarticular disease. Impaired functional outcome was related to raised HA levels. No correlation was found between HA levels and IgM Rf or IgA Rf. Measurement of HA levels in JCA is of no diagnostic value because of low sensitivity. Quantification of HA may, however, have prognostic value in a subgroup of patients belonging to the polyarticular subgroup.
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| 9. |
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| 10. |
- Aronsson, Karin, et al.
(författare)
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On memory and the collaborative construction and deconstruction of custody case arguments
- 1990
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Ingår i: Human Communication Research. - : Oxford University Press (OUP). - 0360-3989 .- 1468-2958. ; 17:2, s. 289-314
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Tidskriftsartikel (refereegranskat)abstract
- In a simulation of lay judges’ deliberations, it is shown how the participants selectively misconstrued courtroom evidence, depending on their overall story frameworks. All participants had received a common set of background information (drawn from an authentic custody case). In addition, one person in each group had, unknowingly, received some unique pieces of information. The “lay judges” produced several spontaneous misrepresentations of the background material. Moreover, they would often accept and retell false “facts” (introduced by a participant with different background information), unless these “facts” were integrated into opposing account frameworks. Hence it is shown how misrepresentations are often coconstituted.
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