| 1. |
- Hult, Carl, 1953-, et al.
(författare)
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Timing of retirement and mortality : A cohort study of Swedish construction workers
- 2010
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Ingår i: Social Science and Medicine. - : Elsevier. - 0277-9536 .- 1873-5347. ; 70:10, s. 1480-1486
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Tidskriftsartikel (refereegranskat)abstract
- Recent studies indicate that early retirement per se may have a negative effect on health to such an extent that it increases mortality risk. One type of early retirement often referred to in these studies is retirement with disability pension/benefit. Given the overall objective of disability benefit programmes - to help the disabled live socially and economically satisfactory lives, freed from exposure to employment health hazards and thus avoid further declines in health - the finding is challenging. This paper examined the relationship between timing of retirement and mortality using a cohort of Swedish construction workers. The mortality risk of disability pensioners - excluding those with diagnoses normally connected to increased mortality - was compared with the risk of those continuing to work. Although initial indications were in line with earlier results, it became obvious that the increased mortality risk of disability pensioners did not depend on early retirement per se but on poor health before early retirement not explicitly recognized in the diagnosis on which the disability pension rested. The results indicate that there are no general differences in mortality depending on timing of retirement. Future studies of mortality differences arising from working or not working must sufficiently control for health selection effects into the studied retirement paths.
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| 2. |
- Albinsson, Gunilla, Docent, 1953-, et al.
(författare)
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In search of a caring relationship : nursing students' notions of interactions in the nurse-patient relationship
- 2021
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Ingår i: Nurse Education in Practice. - : Elsevier. - 1471-5953 .- 1873-5223. ; 50:January, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study is to explore how nursing students talks about their notions on interactions in the relationship between nurse and patient. Empirical data has been obtained from 22 students in their first semester of the Swedish undergraduate nursing programme, applying thematic, individual interviews and using qualitative content analyses. The most significant finding is that although the students had none or limited pre-understanding of caring and the interaction between nurse and patient they were aware of the pre-supposes for establishing such an interplay, articulated in a desire to find out how to build an authentic and trustful caring relationship. Empirical data also show that the students, in the stage of beginners, were trying to identify and relate to basic concepts within caring science. The restricted understanding could then be understood as a matter of the students not being able to express more than they had words for. The results provide new insights into the interactions in the nurse-patient relationship, seen from the perspective of beginner students. These insights could be useful, for lecturers and clinical supervisors, who play a paramount role in the development of each student's acquisition of theoretical and practical knowledge.
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| 3. |
- Holmqvist, Gärd, 1950-, et al.
(författare)
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What art therapists considerto be patient's inner change and how it may appear during art therpy
- 2017
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Ingår i: The arts in psychotherapy. - Kidlington : Elsevier. - 0197-4556 .- 1873-5878. ; 56, s. 45-52
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore what art therapists consider to be patients’ inner change and how it may appear during art therapy. Thirty-eight trained art therapists with experience of using art therapy as a treatment were included in the study. They were asked to describehow they perceived their patients’ inner change and a situation during arttherapy when they observed such change. An inductive thematic analysis resulted in five themes; Therapeutic alliance, describing trust to the therapist and believe to the method, Creating, which concerns the work in the therapeutic process, while Affect consciousness, Self-awareness,and Ego-strengthare part of the therapy outcome. The situations in which an inner change can be observed have been presented by means of quotations and discussed in relation to different theories and art therapy research. The participating art therapists formed a very heterogeneous group, resulting in an unexpected consistency about what they considered to be an inner change in the patient. The study may be seen as a contribution to further discussion about the benefits of a more common language to describe patients’ inner change in art therapy
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| 4. |
- Marquer, Laurent, et al.
(författare)
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Holocene changes in vegetation composition in northern Europe: why quantitative pollen-based vegetation reconstructions matter
- 2014
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Ingår i: Quaternary Science Reviews. - : Elsevier BV. - 0277-3791 .- 1873-457X. ; 90, s. 199-216
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Tidskriftsartikel (refereegranskat)abstract
- We present pollen-based reconstructions of the spatio-temporal dynamics of northern European regional vegetation abundance through the Holocene. We apply the Regional Estimates of VEgetation Abundance from Large Sites (REVEALS) model using fossil pollen records from eighteen sites within five modern biomes in the region. The eighteen sites are classified into four time-trajectory types on the basis of principal components analysis of both the REVEALS-based vegetation estimates (RVs) and the pollen percentage (PPs). The four trajectory types are more clearly separated for RVs than PPs. Further, the timing of major Holocene shifts, rates of compositional change, and diversity indices (turnover and evenness) differ between RVs and PPs. The differences are due to the reduction by REVEALS of biases in fossil pollen assemblages caused by different basin size, and inter-taxonomic differences in pollen productivity and dispersal properties. For example, in comparison to the PPs, the RVs show an earlier increase in Corylus and Ulmus in the early-Holocene and a more pronounced increase in grassland and deforested areas since the mid-Holocene. The results suggest that the influence of deforestation and agricultural activities on plant composition and abundance from Neolithic times was stronger than previously inferred from PPs. Relative to PPs, RVs show a more rapid compositional change, a largest decrease in turnover, and less variable evenness in most of northern Europe since 5200 cal yr BP. All these changes are primarily related to the strong impact of human activities on the vegetation. This study demonstrates that RV-based estimates of diversity indices, timing of shifts, and rates of change in reconstructed vegetation provide new insights into the timing and magnitude of major human distribution on Holocene regional, vegetation, feature that are critical in the assessment of human impact on vegetation, land-cover, biodiversity, and climate in the past. (C) Elsevier Ltd.All tights reserved.
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| 5. |
- Marquer, Laurent, et al.
(författare)
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Pollen-based reconstruction of Holocene land-cover in mountain regions : Evaluation of the Landscape Reconstruction Algorithm in the Vicdessos valley, northern Pyrenees, France
- 2020
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Ingår i: Quaternary Science Reviews. - : Elsevier. - 0277-3791 .- 1873-457X. ; 228, s. 1-15
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Forskningsöversikt (refereegranskat)abstract
- Long-term perspectives on climate- and human-induced shifts in plant communities and tree line in mountains are often inferred from fossil pollen records. However, various factors, such as complex patterns of orographic wind fields and abundant insect-pollinated plants in higher altitudes, make pollen-based reconstruction in mountain regions difficult. Over the last decade the Landscape Reconstruction Algorithm (LRA) - a model-based approach in reconstruction of vegetation - has been successfully applied in various parts of the globe. However, evaluation of its effectiveness in mountain ranges is still limited. The present study assesses the extent to which the LRA approach helps quantify the local changes in vegetation cover at Vicdessos valley in northern French Pyrenees as a case study. In the study area well-dated sediment cores are available from eight bogs and ponds, 6-113 m in radius, located above the current tree line. We first use a simple simulation experiment to evaluate the way how pollen records from "landscape islands" (mountain tops and plateaus) would represent local vegetation and to clarify important factors affecting the LRA-based reconstruction in a mountainous region. This study then uses pollen records from these sites and vegetation and land-cover data both within a 50-km radius around the Vicdessos valley and within a 2-km radius from each site for evaluation of the REVEALS- and LOVE-based reconstruction of the regional and local plant cover, respectively, in the LRA approach. The land-cover data are complied for coniferous trees, broadleaved trees and non-forested areas from the CORINE and historical maps in three time windows: 1960-1970, 1990-2000 and 2000-2013. Major findings are as follows. (1) Accuracy of the regional vegetation estimates affects the reliability of the LRA-based reconstruction of vegetation within a 2-km radius; use of the CORINE data as input to the LOVE model improves reliability of the results over the use of the REVEALS-based estimates of regional vegetation. This implies that a systematic selection of pollen data only from sites above the tree line is problematic for estimating regional vegetation, and thus the entire LRA process. (2) Selection of the dispersal models for pollen transport (i.e. the Langrangian Stochastic Model vs. Gaussian Plume Model) does not affect significantly the LRA-based estimates at both the regional and local scales in the study area. (3) The LRA approach improves the pollen-based reconstruction of local vegetation compared to pollen percentage alone in northern Pyrenees. Although further empirical and simulation studies are necessary, our results emphasize the importance of site selection for the LRA-based reconstruction of vegetation in mountain regions. (C) 2019 Elsevier Ltd. All rights reserved.
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| 6. |
- Marquer, Laurent, et al.
(författare)
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Quantifying the effects of land use and climate on Holocene vegetation in Europe
- 2017
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Ingår i: Quaternary Science Reviews. - : Pergamon Press. - 0277-3791 .- 1873-457X. ; 171, s. 20-37
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Tidskriftsartikel (refereegranskat)abstract
- Early agriculture can be detected in palaeovegetation records, but quantification of the relative importance of climate and land use in influencing regional vegetation composition since the onset of agriculture is a topic that is rarely addressed. We present a novel approach that combines pollen-based REVEALS estimates of plant cover with climate, anthropogenic land-cover and dynamic vegetation modelling results. This is used to quantify the relative impacts of land use and climate on Holocene vegetation at a sub-continental scale, i.e. northern and western Europe north of the Alps. We use redundancy analysis and variation partitioning to quantify the percentage of variation in vegetation composition explained by the climate and land-use variables, and Monte Carlo permutation tests to assess the statistical significance of each variable. We further use a similarity index to combine pollen based REVEALS estimates with climate-driven dynamic vegetation modelling results. The overall results indicate that climate is the major driver of vegetation when the Holocene is considered as a whole and at the sub-continental scale, although land use is important regionally. Four critical phases of land-use effects on vegetation are identified. The first phase (from 7000 to 6500 BP) corresponds to the early impacts on vegetation of farming and Neolithic forest clearance and to the dominance of climate as a driver of vegetation change. During the second phase (from 4500 to 4000 BP), land use becomes a major control of vegetation. Climate is still the principal driver, although its influence decreases gradually. The third phase (from 2000 to 1500 BP) is characterised by the continued role of climate on vegetation as a consequence of late-Holocene climate shifts and specific climate events that influence vegetation as well as land use. The last phase (from 500 to 350 BP) shows an acceleration of vegetation changes, in particular during the last century, caused by new farming practices and forestry in response to population growth and industrialization. This is a unique signature of anthropogenic impact within the Holocene but European vegetation remains climatically sensitive and thus may continue to respond to ongoing climate change. (C) 2017 Elsevier Ltd. All rights reserved.
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| 7. |
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| 8. |
- Pernebo, Karin, et al.
(författare)
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Outcomes of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence
- 2018
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Ingår i: International Journal of Child Abuse & Neglect. - : Elsevier Ltd. - 0145-2134 .- 1873-7757. ; 79, s. 213-223
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Tidskriftsartikel (refereegranskat)abstract
- Witnessing violence toward a caregiver during childhood is associated with negative impact on children's health and development, and there is a need for effective interventions for children exposed to intimate partner violence in clinical as well as in community settings. The current effectiveness study investigated symptom reduction after participation in two established group interventions (one community-based psychoeducative intervention; one psychotherapeutic treatment intervention) for children exposed to intimate partner violence and for their non-offending parent. The study included 50 children—24 girls and 26 boys—aged 4–13 years and their mothers. Child and maternal mental health problems and trauma symptoms were assessed pre- and post-treatment. The results indicate that although children showed benefits from both interventions, symptom reduction was larger in the psychotherapeutic intervention, and children with initially high levels of trauma symptoms benefited the most. Despite these improvements, a majority of the children's mothers still reported child trauma symptoms at clinical levels post-treatment. Both interventions substantially reduced maternal post-traumatic stress. The results indicate a need for routine follow-up of children's symptoms after interventions.
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| 9. |
- Pernebo, Karin, et al.
(författare)
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Reduced psychiatric symptoms at 6 and 12 months’ follow-up of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence
- 2019
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Ingår i: International Journal of Child Abuse & Neglect. - : Elsevier. - 0145-2134 .- 1873-7757. ; 93, s. 228-238
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Tidskriftsartikel (refereegranskat)abstract
- Background: Long-term follow-up studies of interventions for children exposed to intimate partner violence are few, and the sustainability of their outcomes often remains unexplored and uncertain. Current research including follow-up assessment suggests that treatment gains may be maintained or continue post termination. In addition some children may show increased levels of symptoms. Objective: The present effectiveness study investigated the long-term outcomes of two established group interventions for children exposed to intimate partner violence and their non-offending parent. Participants and Setting: The study included 50 children, 24 girls and 26 boys, aged 4 to 13 years attending a psychotherapeutic child and adolescent mental health service intervention and a psychoeducative community-based intervention. Methods: Background information, child and parental mental health problems, trauma symptoms, and exposure to violence were assessed pre- and post treatment and at 6 and 12 months’ follow-up. Results: Sustained treatment gains and late improvements in children's internalizing and externalizing symptoms and in symptoms of traumatic stress were recorded from post treatment to the follow-up assessments (p =.004–.044; d = 0.29–0.67). No significant increase in symptoms was reported. Additionally, very little continued or renewed child exposure to violence was reported. Conclusions: The results of the study indicate that the children did benefit from the two interventions studied and that the outcomes of reduced child symptoms and protection from exposure to violence were sustainable. Children with severe trauma symptoms benefited the most, though maternal psychological problems may for some have hindered recovery. Clinical implications are discussed.
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| 10. |
- Sim, Thomas G., et al.
(författare)
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Regional variability in peatland burning at mid-to high-latitudes during the Holocene
- 2023
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Ingår i: Quaternary Science Reviews. - : Elsevier. - 0277-3791 .- 1873-457X. ; 305
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Tidskriftsartikel (refereegranskat)abstract
- Northern peatlands store globally-important amounts of carbon in the form of partly decomposed plant detritus. Drying associated with climate and land-use change may lead to increased fire frequency and severity in peatlands and the rapid loss of carbon to the atmosphere. However, our understanding of the patterns and drivers of peatland burning on an appropriate decadal to millennial timescale relies heavily on individual site-based reconstructions. For the first time, we synthesise peatland macrocharcoal re-cords from across North America, Europe, and Patagonia to reveal regional variation in peatland burning during the Holocene. We used an existing database of proximal sedimentary charcoal to represent regional burning trends in the wider landscape for each region. Long-term trends in peatland burning appear to be largely climate driven, with human activities likely having an increasing influence in the late Holocene. Warmer conditions during the Holocene Thermal Maximum (similar to 9e6 cal. ka BP) were associated with greater peatland burning in North America's Atlantic coast, southern Scandinavia and the Baltics, and Patagonia. Since the Little Ice Age, peatland burning has declined across North America and in some areas of Europe. This decline is mirrored by a decrease in wider landscape burning in some, but not all sub-regions, linked to fire-suppression policies, and landscape fragmentation caused by agricultural expansion. Peatlands demonstrate lower susceptibility to burning than the wider landscape in several instances, probably because of autogenic processes that maintain high levels of near-surface wetness even during drought. Nonetheless, widespread drying and degradation of peatlands, particularly in Europe, has likely increased their vulnerability to burning in recent centuries. Consequently, peatland restoration efforts are important to mitigate the risk of peatland fire under a changing climate. Finally, we make recommendations for future research to improve our understanding of the controls on peatland fires.(c) 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
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