| 11. |
- Buckley, Sarah, et al.
(författare)
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Maternal and newborn plasma oxytocin levels in response to maternal synthetic oxytocin administration during labour, birth and postpartum : a systematic review with implications for the function of the oxytocinergic system
- 2023
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Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The reproductive hormone oxytocin facilitates labour, birth and postpartum adaptations for women and newborns. Synthetic oxytocin is commonly given to induce or augment labour and to decrease postpartum bleeding.AIM: To systematically review studies measuring plasma oxytocin levels in women and newborns following maternal administration of synthetic oxytocin during labour, birth and/or postpartum and to consider possible impacts on endogenous oxytocin and related systems.METHODS: Systematic searches of PubMed, CINAHL, PsycInfo and Scopus databases followed PRISMA guidelines, including all peer-reviewed studies in languages understood by the authors. Thirty-five publications met inclusion criteria, including 1373 women and 148 newborns. Studies varied substantially in design and methodology, so classical meta-analysis was not possible. Therefore, results were categorized, analysed and summarised in text and tables.RESULTS: Infusions of synthetic oxytocin increased maternal plasma oxytocin levels dose-dependently; doubling the infusion rate approximately doubled oxytocin levels. Infusions below 10 milliunits per minute (mU/min) did not raise maternal oxytocin above the range observed in physiological labour. At high intrapartum infusion rates (up to 32 mU/min) maternal plasma oxytocin reached 2-3 times physiological levels. Postpartum synthetic oxytocin regimens used comparatively higher doses with shorter duration compared to labour, giving greater but transient maternal oxytocin elevations. Total postpartum dose was comparable to total intrapartum dose following vaginal birth, but post-caesarean dosages were higher. Newborn oxytocin levels were higher in the umbilical artery vs. umbilical vein, and both were higher than maternal plasma levels, implying substantial fetal oxytocin production in labour. Newborn oxytocin levels were not further elevated following maternal intrapartum synthetic oxytocin, suggesting that synthetic oxytocin at clinical doses does not cross from mother to fetus.CONCLUSIONS: Synthetic oxytocin infusion during labour increased maternal plasma oxytocin levels 2-3-fold at the highest doses and was not associated with neonatal plasma oxytocin elevations. Therefore, direct effects from synthetic oxytocin transfer to maternal brain or fetus are unlikely. However, infusions of synthetic oxytocin in labour change uterine contraction patterns. This may influence uterine blood flow and maternal autonomic nervous system activity, potentially harming the fetus and increasing maternal pain and stress.
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| 12. |
- Dina, Fikrije, et al.
(författare)
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How school nurses experience their work with schoolchildren who have mental illnes : a qualitative study in a Swedish context
- 2014
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Ingår i: Global Journal of Health Science. - 1916-9736 .- 1916-9744. ; 6:4, s. 34110-
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Tidskriftsartikel (refereegranskat)abstract
- Background: Reports from research have shown that mental illness has increased dramatically in recent years and is currently one of the biggest problems among Swedish children and adolescents.Aim: The aim of this study was to describe how Swedish school nurses experience their work with schoolchildren who have mental illnessMethod: Data were gained by individual interviews with school nurses (n = 10) and were analyzed by using manifest qualitative content analysis.Results: The results of the study showed that school nurses used various tools when working with schoolchildren who have mental illness. The working tools were regular health talks, motivational interviewing, individual counseling, family counseling, creating trust, and affirming the child's confidence. Conclusion: Results of the study demonstrate the need for further research on schoolchildren's experience of getting help and support from the school nurse.
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| 13. |
- Dina, Fikrije, et al.
(författare)
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How school nurses experience their work with schoolchildren who have mental illnes : a qualitative study in a Swedish context
- 2014
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Ingår i: Global Journal of Health Science. - : Canadian Center of Science and Education. - 1916-9736 .- 1916-9744. ; 6:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Reports from research have shown that mental illness has increased dramatically in recent years and is currently one of the biggest problems among Swedish children and adolescents. Aim: The aim of this study was to describe how Swedish school nurses experience their work with schoolchildren who have mental illness Method: Data were gained by individual interviews with school nurses (n = 10) and were analyzed by using manifest qualitative content analysis. Results: The results of the study showed that school nurses used various tools when working with schoolchildren who have mental illness. The working tools were regular health talks, motivational interviewing, individual counseling, family counseling, creating trust, and affirming the child's confidence. Conclusion: Results of the study demonstrate the need for further research on schoolchildren's experience of getting help and support from the school nurse.
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| 14. |
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| 15. |
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| 16. |
- Klimczuk, Andrzej, et al.
(författare)
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State of the art on ethical, legal, and social issues linked to audio-and video-based AAL solutions
- 2021
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Ambient assisted living (AAL) technologies are increasingly presented and sold as essential smart additions to daily life and home environments that will radically transform the healthcare and wellness markets of the future. An ethical approach and a thorough understanding of all ethics in surveillance/monitoring architectures are therefore pressing. AAL poses many ethical challenges raising questions that will affect immediate acceptance and long-term usage. Furthermore, ethical issues emerge from social inequalities and their potential exacerbation by AAL, accentuating the existing access gap between high-income countries (HIC) and low and middle-income countries (LMIC). Legal aspects mainly refer to the adherence to existing legal frameworks and cover issues related to product safety, data protection, cybersecurity, intellectual property, and access to data by public, private, and government bodies. Successful privacy-friendly AAL applications are needed, as the pressure to bring Internet of Things (IoT) devices and ones equipped with artificial intelligence (AI) quickly to market cannot overlook the fact that the environments in which AAL will operate are mostly private (e.g., the home). The social issues focus on the impact of AAL technologies before and after their adoption. Future AAL technologies need to consider all aspects of equality such as gender, race, age and social disadvantages and avoid increasing loneliness and isolation among, e.g. older and frail people. Finally, the current power asymmetries between the target and general populations should not be underestimated nor should the discrepant needs and motivations of the target group and those developing and deploying AAL systems. Whilst AAL technologies provide promising solutions for the health and social care challenges, they are not exempt from ethical, legal and social issues (ELSI). A set of ELSI guidelines is needed to integrate these factors at the research and development stage.
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| 17. |
- Norberg, Erika, et al.
(författare)
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”Mat efter behov”
- 2012
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Annan publikation (populärvet., debatt m.m.)
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| 18. |
- Norberg, Erika, et al.
(författare)
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”Mat efter behov”
- 2012
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Annan publikation (övrigt vetenskapligt/konstnärligt)
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| 19. |
- Norberg, Erika, et al.
(författare)
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"Matiga smörgåsar"
- 2012
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Annan publikation (populärvet., debatt m.m.)
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| 20. |
- Norberg, Erika, et al.
(författare)
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"Matiga smörgåsar"
- 2012
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Annan publikation (övrigt vetenskapligt/konstnärligt)
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