| 1. |
- Adolfsson, Jan, et al.
(författare)
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Clinical characteristics and primary treatment of prostate cancer in Sweden between 1996 and 2005
- 2007
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Ingår i: Scandinavian Journal of Urology and Nephrology. - : Informa UK Limited. - 0036-5599 .- 1651-2065. ; 41:6, s. 456-477
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The incidence of prostate cancer is rising rapidly in Sweden and there is a need to better understand the pattern of diagnosis, tumor characteristics and treatment. MATERIAL AND METHODS: Between 1996 and 2005, all new cases of adenocarcinoma of the prostate gland were intended to be registered in the National Prostate Cancer Register (NPCR). This register contains information on diagnosing unit, date of diagnosis, cause of diagnosis, tumor grade, tumor stage according to the TNM classification in force, serum prostate-specific antigen (PSA) levels at diagnosis and primary treatment given within the first 6 months after diagnosis. RESULTS: In total, 72,028 patients were registered, comprising >97% of all pertinent incident cases of prostate cancer in the Swedish Cancer Register (SCR). During the study period there was a considerable decrease in median age at the time of diagnosis, a stage migration towards smaller tumors, a decrease in median serum PSA values at diagnosis, a decrease in the age-standardized incidence rate of men diagnosed with distant metastases or with a PSA level of > 100 ng/ml at diagnosis and an increase in the proportion of tumors with Gleason score <6. Relatively large geographical differences in the median age at diagnosis and the age-standardized incidence of cases with category T1c tumors were observed. Treatment with curative intent increased dramatically and treatment patterns varied according to geographical region. In men with localized tumors and a PSA level of <20 ng/ml at diagnosis, expectant treatment was more commonly used in those aged > or =75 years than in those aged <75 years. Also, the pattern of endocrine treatment varied in different parts of Sweden. CONCLUSIONS: All changes in the register seen over time are consistent with increased diagnostic activity, especially PSA testing, resulting in an increased number of cases with early disease, predominantly tumors in category T1c. The patterns of diagnosis and treatment of prostate cancer vary considerably in different parts of Sweden. The NPCR continues to be an important source for research, epidemiological surveillance of the incidence, diagnosis and treatment of prostate cancer.
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| 2. |
- Varenhorst, Eberhard, 1937-, et al.
(författare)
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The National Prostate Cancer Register in Sweden 1998-2002 : trends in incidence, treatment and survival
- 2005
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Ingår i: Scandinavian Journal of Urology and Nephrology. - : Informa UK Limited. - 0036-5599 .- 1651-2065. ; 39:2, s. 117-123
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: To provide a descriptive review of the establishment of the National Prostate Cancer Register (NPCR) in Sweden, to present clinical characteristics at diagnosis and to calculate the relative survival of different risk groups after 5 years. MATERIAL AND METHODS: Since 1998, data on all newly diagnosed prostate cancers, including TNM classification, grade of malignancy, prostate-specific antigen (PSA) level and treatment, have been prospectively collected. For the 35,223 patients diagnosed between 1998 and 2002, relative survival in different risk groups has been calculated. RESULTS: Between 1998 and 2002, 96% of all prostate cancer cases diagnosed in Sweden were registered in the NPCR. The number of new cases increased from 6137 in 1998 to 7385 in 2002. The age-standardized rate rose in those aged < 70 years, while it was stable, or possibly declining from 1999, in the older age groups. The proportion of T1c tumours increased from 14% to 28% of all recorded cases. The age-adjusted incidence of advanced tumours (M1 or PSA > 100 ng/ml) decreased by 17%. The proportion of patients receiving curative treatment doubled. Patients with N1 or M1 disease or poorly differentiated tumours (G3 or Gleason score 8-10) had a markedly reduced relative 5-year survival rate. CONCLUSIONS: It is possible to establish a nationwide prostate cancer register including basic data for assessment of the disease in the whole of Sweden. The introduction of PSA screening has increased the detection of early prostate cancer in younger men and, to a lesser extent, decreased the incidence of advanced disease. The effect of these changes on mortality is obscure but the NPCR in Sweden will serve as an important tool in such evaluation.
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| 3. |
- Berglund, Leif, et al.
(författare)
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A Post-Analysis of the Introduction of the EU Directive 92/57/EEC in the Swedish Construction Industry
- 2022
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Ingår i: Buildings. - : MDPI. - 2075-5309. ; 12:10
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Tidskriftsartikel (refereegranskat)abstract
- The EU directive 92/57/EEC focuses on ensuring that health and safety-related matters are taken into consideration during every stage of construction-related work and has been introduced into the regulations of the member countries. In 2006, Sweden was tasked by the European Commission to clarify its implementation of the directive, including which management roles and responsibilities were to come into effect during both the planning and eventual execution of construction work—changes that ultimately were introduced into the national regulations in 2009. Focusing on the accident trends in the construction industry in the years immediately following these regulatory changes, we find that the new management roles and responsibilities had no apparent effect on the accident rates. Furthermore, we argue that there is a need to broaden the analysis regarding the implementation of the EU directive 92/57/EEC to also include nation-specific changes to health and safety management and policy. These qualitative studies should also include a dedicated focus on how changes to management structures and processes may affect the prevalence of occupational diseases specifically.
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| 4. |
- Berglund, Leif, et al.
(författare)
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Byggindustrins säkerhetspark - ett program för säkerhetskultur : Delrapport 1: Säkerhetskulturforskning inom byggindustrin
- 2020
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Denna rapport är en kunskapsöversikt som beskriver internationell forskning om säkerhetskultur och säkerhetsarbete i byggindustrin. I rapporten diskuteras inledningsvis hur säkerhetskultur kan förstås i relation till organisationskultur och att mycket av de distinktioner som görs inom säkerhetskulturforskningen inom byggbranschen är avhängig synen på kulturbegreppet. I den forskning som studerats i denna litteraturöversikt är det vanligt med en mer normativ ansats, dvs., den är inte neutral utan den syftar till säkerhet. Det verkar inte vara lika vanligt med säkerhetskultur-forskning som i grunden har en tolkande ansats och som ställer sig mer neutral till huruvida kulturen i sig alltid leder till en högre grad av säkerhet. Med en sådan ansats kan dock säkerhetskulturens olika delar i högre grad analyseras utan att vara upptagen med dess koppling till en normativ syn på säkerhetskultur. Med utgångpunkt i den tidigare forskningen ger vi slutligen förslag på ett antal aktiviteter som skulle kunna införlivas i säkerhetsparken som ett sätt att stärka dess säkerhetsfrämjande arbete.
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| 5. |
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| 6. |
- Berglund, Leif, et al.
(författare)
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Byggindustrins säkerhetspark – ett program för säkerhetskultur : Resultat och rekommendationer
- 2023
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Den svenska byggindustrin har gjort stora satsningar de senaste åren för att öka medvetenheten om vikten av att arbeta säkert. En del i denna satsning är att Byggföretagen (före detta Sveriges Byggindustrier) har byggt en säkerhetspark, dvs. en anläggning där de som arbetar inom industrin utbildas om säkerhet och får möjlighet att gemensamt reflektera över säkerhetsrelaterade frågor.Vår forskargrupp vid Luleå tekniska universitet, har följt parkens etablering med syfte att undersöka hur frågor rörande säkerhetskultur kan och har integrerats i säkerhetsparkens aktiviteter. Projektet finns redovisat i tre rapporter. Den första är en kartläggning av internationell forskning inom området säkerhetskultur, säkerhetsarbete och säkerhetsträning och finns redovisad i Delrapport 1: Säkerhetskulturforskning inom byggindustrin (Berglund et al, 2020). Den andra redovisar en kartläggning och karaktärisering av vilka säkerhetsinitiativ och säkerhetskulturer som finns hos Sveriges byggindustriers medlemsföretag. Den studien har presenterats i Delrapport 2: Säkerhetsinitiativ och säkerhetskultur i svensk byggindustri (Berglund et al, 2021). I denna tredje rapport som vi kallar Resultat och rekommendationer, presenterar vi en samlad analys av parkens verksamhet och avslutar med ett antal förslag till hur säkerhetsparken kan utvecklas vidare. I rapporten kan vi konstatera att säkerhetsparken finns på plats och har verkat i drygt tre år. Den består av ett stort antal stationer eller scenarion där ett antal arbetsområden, arbetssituationer och arbetsmoment speglas. Ett besök inleds inomhus med en introduktion där det besökande företaget eller skolan ges en inledande beskrivning av parkens innehåll och syfte och där ett flertal frågeställningar introduceras och diskuteras. Därefter fortsätter besöket utomhus genom att man besöker ett antal stationer som är utformade enligt den pedagogiska principen ”se, höra, göra och reflektera”. Valet av stationer som besöks görs i samråd med handledare och med det besökande företaget. Dagen avslutas på samma sätt som den inleddes, inomhus, med reflektioner om lärdomar att ta med sig hem till det egna företaget. Parken fungerar också som en display av aktuell utveckling inom branschen, inte minst när det gäller nya verktyg, utrustning, material, arbetsmoment och liknande, allt med ett fokus på förbättrad arbetsmiljö och säkerhet. Säkerhetsparken besöks idag främst av byggföretag och byggelever men även av andra representanter från andra branscher. Vi har intervjuat nyckelpersoner med anknytning till parken och omdömen om parken och besöket har i huvudsak varit goda. Vår rapport avslutas med elva utvecklingsområden som vi tror kan bidra till att göra en bra verksamhet vid säkerhetsparken ännu bättre.1. Problematisera rådande säkerhetskulturer på fler ställen, kanske stationer eller i fler moment i anläggningen.2. Den pedagogiska modellen är bra och kan utnyttjas på fler ställen i anläggningen.3. Alla besök bör ha en tydlig och specifik företagsprofilering.4. Alla besökare ska ha en arbetsuppgift när de återvänder till företaget.5. Stationerna måste vara aktuella och spegla realistiska situationer.6. Säkerhetsparken bör vara ett centrum för lärande, utveckling och innovation.7. Säkerhetsparken kan vara ett skyltfönster för ny teknik och bra utrustning.8. Jämställdhetsfrågor bör integreras i säkerhetsparkens arbete.9. Ledningens betydelse för säkerhetskultur bör betonas.10.Säkerhetsparken kan bli en resurs för utbildning av utländsk arbetskraft.11.Säkerhetsparken bör dokumentera sina erfarenheter.
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| 7. |
- Berglund, Leif, et al.
(författare)
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Exploring safety culture research in the construction industry
- 2023
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Ingår i: Work. - : IOS Press. - 1051-9815 .- 1875-9270. ; 76:2, s. 549-560
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Despite numerous regulatory initiatives to improve health and safety in the construction industry, it still ranks as one of the most accident-prone industries worldwide. A dedicated focus on safety culture has been suggested as a complement to laws, regulations and management systems.OBJECTIVE: This article explores safety culture research conducted in the construction industry, with the aim to provide insight into the specific themes that tend to be in focus as well as what theoretical and methodological approaches that tend to be favored.METHODS: Searches in scientific databases were conducted twice. In a first attempt, searches resulted in 54 hits but only two articles fit the scope of the study. A revision of the search phrase resulted in 124 hits. Ultimately, 17 articles fit the scope of the study and were included. The content of the articles was analyzed and sorted thematically.RESULTS: The results show that four themes are prevalent in the existing literature: 1) unique challenges entail a need for situated applications, 2) models developed to operationalize safety culture, 3) measuring safety culture, and 4) safety management and leadership as key factors.CONCLUSION:Although research focusing on the construction industry has come to favor certain study designs and definitions of safety culture, further research may be enriched by broadening the theoretical and methodological perspectives. Specifically, researchers should conduct more in-depth qualitative studies that take the complexity of the industry into account, including the interpersonal relations between the actors involved.
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| 8. |
- Berglund, Leif, et al.
(författare)
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Occupational accidents in Swedish construction trades
- 2021
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Ingår i: International Journal of Occupational Safety and Ergonomics. - : Taylor & Francis. - 1080-3548 .- 2376-9130. ; 27:2, s. 552-561
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study is to anazlye accidents occurring in the Swedish construction industry focusing specifically on the situation in the individual trades. The article includes all occupational accidents with at least one day of absence from work that were reported to the Swedish Social Insurance Agency for the year of 2016. The results, focusing on accident cause, injured body parts, as well as accidents per weekday, month and age, show that although the trades share commonalities regarding occupational accidents a number of trade-specific problem areas stand out. With this in mind, conclusions are drawn regarding the situation in each respective trade and suggestions are made for future studies focusing on accidents in construction industry trades.
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| 9. |
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| 10. |
- Berglund, Leif, et al.
(författare)
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Safety culture development in the construction industry : The case of a safety park in Sweden
- 2023
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Ingår i: Heliyon. - : Elsevier. - 2405-8440. ; 9:9
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Tidskriftsartikel (refereegranskat)abstract
- The problem of occupational accidents in the construction industry has necessitated a focus on proactive measures such as safety management programs. An example of this is safety parks, i.e. facilities where employees and managers from different construction companies can participate in site-specific activities and train in safety-related matters in a realistic context. Two specific focus areas are often present within these types of safety management programs: hands-on safety training and safety culture development as being within the purview of management. The purpose of this article is to investigate the developers’ intentions with the park in relation to safety culture development. Twenty interviews were conducted with experts in the area of health and safety. Results indicate that the safety park can contribute as a mirror for the companies own operations, with new information and knowledge of how work can be performed with safety being prioritized, to developing communication regarding safety-related matters, and finally the stations at the park may initiate a translation process as to how the lessons learned at the park can be applied to the participants’ own workplaces. All in all, the activities at the park can be said to be normative in nature, i.e. the developers seemingly have a desire to steer the safety culture development in a certain direction. There is a need for further research focusing on the concept of safety culture in these types of programs and, more broadly, in relation to its intended industry-wide effects.
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