| 61. |
- Håkansson, Nina, et al.
(author)
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Improvement of animal welfare by strategic analysis and logistic optimisation of animal slaughter transportation
- 2016
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In: Animal Welfare. - : Universities Federation for Animal Welfare. - 0962-7286 .- 2054-1538. ; 25:2, s. 255-263
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Journal article (peer-reviewed)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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| 62. |
- Håkansson, Nina
(author)
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Network analysis and optimization of animal transports
- 2012
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Doctoral thesis (other academic/artistic)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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| 63. |
- Izquierdo, Milagros, 1963-, et al.
(author)
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Isometric Point-Circle Configurations on Surfaces from Uniform Maps
- 2016
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In: Springer Proceedings in Mathematics and Statistics. - Cham : Springer-Verlag New York. - 2194-1009. ; 159, s. 201-212, s. 201-212
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Journal article (peer-reviewed)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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| 64. |
- Jaarsma, Tiny, et al.
(author)
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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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In: 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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Journal article (peer-reviewed)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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| 65. |
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| 66. |
- Jacobsson, Jenny, et al.
(author)
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Injury patterns in Swedish elite athletics – part 1 : annual incidence and injury types
- 2013
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In: British Journal of Sports Medicine. - : BMJ PUBLISHING GROUP. - 0306-3674 .- 1473-0480. ; 47:15
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Journal article (peer-reviewed)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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| 67. |
- Johansson, Anna, et al.
(author)
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Evaluation of an individualised programme to promote self-care in sleep-activity in patients with coronary artery disease - a randomised intervention study
- 2014
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In: Journal of Clinical Nursing. - : Wiley-Blackwell Publishing Inc.. - 0962-1067 .- 1365-2702. ; 23:19-20, s. 2822-2834
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Journal article (peer-reviewed)abstract
- Aims and objectives: To evaluate the effectiveness of an individualised programme to promote self-care in sleep-activity in patients with coronary artery disease. Background: Recent scientific findings have shown that low physical exercise and stress interfere with coronary artery disease patients' sleep quality and sleep efficiency independent of gender, age and co-morbidity. Design: A randomised pretest-post-test control design. Methods: Forty-seven patients who had undergone a coronary revascularisation procedure and/or pharmacological treatment three to seven weeks earlier at a general hospital were randomised to either an intervention group or a control group. Data collection was carried out by questionnaires, a study-specific sleep diary and actigraphy registration for 10 consecutive 24-hour periods, with a follow-up after three to four months. The intervention group underwent a nurse-led individualised education programme to promote self-care of sleep-activity. Sleep habits and sleep-related lifestyle together formed the basis for setting up individual goals together with the nurse. Individual advice on physical training, relaxation exercise and a CD-based relaxation programme was provided by a physiotherapist. Both groups received a brochure about sleep and stress. Results: At a three- to four-month follow-up, the main improvements were seen in the intervention group regarding sleep quality, sleep duration and sleep efficiency in the sleep diary and sleep efficiency in actigraphy. Statistical improvements in health-related quality of life were revealed. This was not so obvious in the control group. Conclusions: An individualised intervention programme to promote self-care of sleep-activity including relaxation in patients with coronary artery disease led by a nurse may improve sleep quality. However, a longitudinal study to promote self-care in sleep-activity should be performed using a larger sample and multiple sites with continuous follow-ups to determine whether any positive effects remain stable over time. Relevance to clinical practice: Implementation of a multiprofessional individualised programme to promote self-care of sleep-activity including relaxation based on patients' needs, supported by a healthcare team and led by nurses, is important in clinical practice. © 2014 John Wiley & Sons Ltd.
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| 68. |
- Johansson, Anna, et al.
(author)
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Perceptions of how sleep is influenced by rest, activity and health in patients with coronary heart disease : A phenomenographical study
- 2007
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In: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 21:4, s. 467-475
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Journal article (peer-reviewed)abstract
- A framework is needed for identifying internal and external factors essential for the nursing management of psychological supportive health care and education for patients' self-care in sleep. In order to generate more knowledge from the patient's perspective, the aim of this study was to describe how patients with coronary artery disease (CAD) perceive that their sleep is influenced by rest, activity and health in outpatient care. Qualitative interviews were performed with 33 outpatients. The data were analysed using a phenomenographic method. Three descriptive categories of the phenomenon were described: my lifestyle is reflected in my sleep behaviour, handling the practices around tiredness and sleep, and feelings of negative and positive efficacy. Feelings of tiredness, fatigue and sleepiness were different pre-sleep stages, but were also related to the patient's adaptation and recovery. Creating one's own personal time and feelings of efficacy gave an inner sense of strength which is indicated as being particularly important in managing stress and the demands of everyday life in a satisfactory manner. From a contextual, holistic perspective on health, it is important to identify the patient's needs, symptoms and intentional or unintentional self-care management strategies regarding sleep and lifestyle. To promote a positive health outcome it is essential to identify sleeplessness behaviour and perceived self-efficacy for self-care in sleep. © 2007 Nordic College of Caring Science.
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| 69. |
- Johansson, Anna, et al.
(author)
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Self-care strategies to facilitate sleep in patients with heart disease : A qualitative study
- 2012
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In: International Journal of Nursing Practice. - : Wiley-Blackwell. - 1322-7114 .- 1440-172X. ; 18:1, s. 44-51
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Journal article (peer-reviewed)abstract
- Johansson A, Karlsson J, Brödje K, Edell-Gustafsson U. International Journal of Nursing Practice 2012; 18: 44-51 Self-care strategies to facilitate sleep in patients with heart disease-A qualitative study This study aimed at exploring and describing the self-care management strategies used by patients with coronary artery disease to facilitate sleep. Qualitative interviews in a dialogue manner, in a phenomenographic reference frame analyzed according to manifest and latent principles of qualitative content analysis, were performed. A purposeful sampling technique was used including 11 patients with coronary heart disease in a Heart Medical Unit in a general hospital setting. Two main themes were identified: sleep-rhythm and sleep-hygiene including four descriptive categories. The categories reveal five basic responses including emotions, cognition, physical symptoms (reactions), behaviours and/or the sleep environment, which were related to perceived or actual presence of sleep-wake problems and health that were the underlying reason for the self-care management strategies. Basically, intervention studies that address these five responses for choice of non-pharmacological methods based on cognitive behavioural therapy provided by nurses are needed.
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| 70. |
- Johansson, Anna, et al.
(author)
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Sleep, arousal and health-related quality of life in men and women with coronary artery disease.
- 2011
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In: Journal of Clinical Nursing. - : Blackwell. - 0962-1067 .- 1365-2702. ; 20:19-20, s. 2787-2801
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Journal article (peer-reviewed)abstract
- Aim. To evaluate whether there are gender differences in insomnia, sleep quality, sleep efficiency (%), general arousal, disease-specific and health-related quality of life in patients with coronary artery disease, compared with an age- and gender-matched randomly selected group from the general population. Background. There are gender difference effects of sleep disturbances in the general population, but this perspective among patients with coronary artery disease has been poorly analysed. Design. In this prospective study, comparative, descriptive and model testing designs were used. Method. The patients with coronary artery disease, 556 men and 324 women aged 25–86, were compared with a matched population-based group. Data were collected by validated and reliability-tested questionnaires. Results. The prevalence of severe insomnia varied between 17–44% in all four groups. The severe insomniac coronary artery disease patients displayed a two- or threefold higher presleep arousal, had two hours shorter nocturnal sleep duration/night and were more limited in their physical exercise level than the population-based group. Gender differences in sleep quality, sleep efficiency (%) and general arousal disappeared with increased insomnia severity. Conclusions. Independent of gender, age and comorbidity, physical exercise, general arousal behaviour and delayed poststress recovery after mental stress were found to have a negative impact on the coronary artery disease patients’ sleep quality and sleep efficiency (%), interfering with their health-related quality of life. The variables significantly explained 41% of the sleep quality outcome and 29% of the sleep efficiency (%). Relevance to clinical practice. Insomnia because of hyperarousal behaviour can be an important factor in the development of an individual self-care management programme supported by a healthcare team.
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