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- Friberg, Danielle, et al.
(författare)
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Nytt vårdförlopp för barn med OSDB är godkänt att tas i bruk. Obstruktiv sömnrelaterad andningsstörning – ett vanligt och potentiellt allvarligt tillstånd : [New Swedish National care process for pediatric obstructive sleep disordered breathing]
- 2023
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Ingår i: Läkartidningen. - : Sveriges läkarförbund. - 0023-7205 .- 1652-7518. ; 120
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Tidskriftsartikel (refereegranskat)abstract
- Obstructive sleep disordered breathing (OSDB) is a spectrum from habitual snoring and labored breathing to obstructive sleep apnea (OSA), which is common and potentially serious in children. The process contains a new question at child care centers, directed at caretakers with children at age 18 months and 3 years, concerning habitual snoring (3 times a week or more). A primary care doctor verifies the suspicion of OSDB in case of a positive answer to one of 7 additional questions or 4 status findings (e.g. tonsil hypertrophy). The process starts with the suspicion of OSDB, from the age of 18 months to 18 years, and ends when symptoms are improved after watchful waiting or upper airway surgery. National equality is a goal, with increased access to nocturnal respiratory recordings of children with comorbidities or doubtful cases. Also, with short waiting time to first visit at ORL department, and to surgery. Children with comorbidities or severe symptoms get postoperative follow-ups with a nurse after 6 months. The new ICD code for OSDB is R06.8A.
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| 2. |
- Olah, Livia Sz. 1963-, et al.
(författare)
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Living-apart-together (lat) in contemporary Sweden : (how) does it relate to vulnerability?
- 2023
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Ingår i: Journal of Family Issues. - : Sage Publications. - 0192-513X .- 1552-5481. ; 44:1, s. 3-24
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Tidskriftsartikel (refereegranskat)abstract
- Sweden is among the countries with the highest share of single households in Europe, but not all are truly partnerless. We examine the potential vulnerability of individuals in living-apart-together relationships at age 30 and above, analyzing data from the Swedish GGS. We apply multinomial logistic regression. The results show that individuals engaging in LAT occupy an intermediate position in terms of socioeconomic resources (homeownership and economic situation), being less advantaged than co-residents but better-off than singles, especially men. We find no association between ill-health and living in a LAT arrangement. Having previous family experiences (unions with or without children) is positively associated with LAT, but childhood family composition does not matter. The majority of LAT individuals claim to be constrained to living-apart-together rather than LAT being their preferred alternative. Women and the elderly (aged 70+) are, however, more likely to engage in LAT by choice and appreciate their non-residential partnerships.
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| 3. |
- Roos, Helena, 1974-, et al.
(författare)
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Promoting basic arithmetic competence in early school years - using a response to intervention model
- 2023
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Ingår i: Journal of Research in Special Educational Needs. - : John Wiley & Sons. - 1471-3802. ; 23:4, s. 263-388
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Tidskriftsartikel (refereegranskat)abstract
- This study investigated whether mathematics education based on a multi-tiered response to intervention (RTI) model can support students' arithmetic competence in primary schools in Sweden. The intent was to identify and support students at risk of failure. In this study, 113 students participated in the intervention, and 30 students participated in the control group. Both groups were followed from Grade 1 to the end of Grade 2 and compared. During the first semester in Grade 1, all students were taught basic addition and subtraction with explicit instructions in Tier 1. Those who did not respond to Tier 1 after one semester were provided support within Tier 2 during the second semester. The same was repeated in grade 2 and the students that did not respond to Tier 2 were supported within Tier 3. At the end of Grade 2, students in the intervention group performed significantly higher on the basic arithmetic competence in the number range 1-9 than the control group. No significant difference was found in a test measuring basic arithmetic competence in the number range 10-19. This study shows that using multi-tiered RTI might be sufficient to identify and support students at risk in early arithmetic competence.
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| 8. |
- Junkka, Johan, 1981-, et al.
(författare)
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Climate vulnerability of Swedish newborns : Gender differences and time trends of temperature-related neonatal mortality, 1880–1950
- 2021
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Ingår i: Environmental Research. - : Elsevier. - 0013-9351 .- 1096-0953. ; 192
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Tidskriftsartikel (refereegranskat)abstract
- Background: In resource-poor societies, neonatal mortality (death in the first 28 days of life) is usually very high.Young infants are particularly vulnerable to environmental health risks, which are modified by socioeconomicfactors that change over time. We investigated the association between ambient temperature and neonatalmortality in northern Sweden during the demographic transition.Methods: Parish register data and temperature data in coastal Vasterbotten, ¨ Sweden, between 1880 and 1950were used. Total and sex-specific neonatal mortality was modelled as a function of mean temperature, adjustingfor age, seasonality and calendar time, using discrete-time survival analysis. A linear threshold function wasapplied with a cut point at 14.5 ◦C (the minimum mortality temperature). Odds ratios (ORs) with 95% confidence intervals (CIs) were computed. Further analyses were stratified by study period (1800–1899, 1900–1929,and 1930–1950).Results: Neonatal mortality was 32.1 deaths/1000 live births, higher in boys than in girls, and decreased between1880 and 1950, with high inter-annual variability. Mean daily temperature was +2.5 ◦C, ranging from − 40.9 ◦Cto +28.8 ◦C. At − 20 ◦C, the OR of neonatal death was 1.56 (CI 1.30–1.87) compared to the reference at +14.5 ◦C.Among girls, the OR of mortality at − 20 ◦C was 1.17 (0.88–1.54), and among boys, it was 1.94 (1.53–2.45). Atemperature increase from +14.5 to +20 ◦C was associated with a 25% increase of neonatal mortality (OR 1.25,CI 1.04–1.50). Heat- and cold-related risks were lowest between 1900 and 1929.Conclusions: In this remote sub-Arctic region undergoing socio-economic changes, we found an increased mortality risk in neonates related to low but also to high temperature. Climate vulnerability varied across time andwas particularly high among boys. This demonstrates that environmental impacts on human health are complexand highly dependent on the specific local context, with many, often unknown, contributing determinants ofvulnerability.
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| 9. |
- Karlsson, Lena, 1973-, et al.
(författare)
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Ambient temperature and stillbirth risks in northern Sweden, 1880–1950
- 2021
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Ingår i: Environmental Epidemiology. - : Wolters Kluwer. - 2474-7882. ; 5:6
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Tidskriftsartikel (refereegranskat)abstract
- Background: Climate vulnerability of the unborn can contribute to adverse birth outcomes, in particular, but it is still not well under-stood. We investigated the association between ambient temperature and stillbirth risk among a historical population in northern Sweden (1880–1950).Methods: We used digitized parish records and daily temperature data from the study region covering coastal and inland communi-ties some 600 km north of Stockholm, Sweden. The data included 141,880 births, and 3,217 stillbirths, corresponding to a stillbirth rate of 22.7 (1880–1950). The association between lagged temperature (0–7 days before birth) and stillbirths was estimated using a time-stratified case-crossover design. Incidence risk ratios (IRR) with 95% confidence intervals were computed, and stratified by season and sex.Results: We observed that the stillbirth risk increased both at low and high temperatures during the extended summer season (April to September), at −10°C, and the IRR was 2.3 (CI 1.28, 4.00) compared to the minimum mortality temperature of +15°C. No clear effect of temperature during the extended winter season (October to March) was found. Climate vulnerability was greater among the male fetus compared to the female counterparts.Conclusion: In this subarctic setting before and during industrialization, both heat and cold during the warmer season increased the stillbirth risk. Urbanization and socio-economic development might have contributed to an uneven decline in climate vulnerability of the unborn.
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| 10. |
- Karlsson, Lena, 1973-, et al.
(författare)
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Socioeconomic disparities in climate vulnerability : neonatal mortality in northern Sweden, 1880–1950
- 2021
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Ingår i: Population and environment. - : Springer. - 0199-0039 .- 1573-7810. ; 43:2, s. 149-180
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to analyse the association between season of birth, temperature and neonatal mortality according to socioeconomic status in northern Sweden from 1880 to 1950. The source material for this study comprised digitised parish records combined with local weather data. The association between temperature, seasonality, socioeconomic status and neonatal mortality was modelled using survival analysis. We can summarise our findings according to three time periods. During the first period (1880–1899), temperature and seasonality had the greatest association with high neonatal mortality, and the socioeconomic differences in vulnerability were small. The second period (1900–1929) was associated with a decline in seasonal and temperature-related vulnerabilities among all socioeconomic groups. For the last period (1930–1950), a new regime evolved with rapidly declining neonatal mortality rates involving class-specific temperature vulnerabilities, and there was a particular effect of high temperature among workers. We conclude that the effect of season of birth on neonatal mortality was declining for all socioeconomic groups (1880–1950), whereas weather vulnerability was pronounced either when the socioeconomic disparities in neonatal mortality were large (1880–1899) or during transformations from high to low neonatal rates in the course of industrialisation and urbanisation.
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