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Sökning: LAR1:gu > (2010) > Högskolan i Jönköping

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  • Akerman, Eva, et al. (författare)
  • Use and practice of patient diaries in Swedish intensive care units: a national survey.
  • 2010
  • Ingår i: Nursing in Critical Care. - 1362-1017 .- 1478-5153. ; 15:1, s. 26-33
  • Tidskriftsartikel (refereegranskat)abstract
    • AIMS AND OBJECTIVES: To describe and compare the extent and application of patients' diaries in Sweden. BACKGROUND: Since 1991, patient diaries have been used in intensive care unit (ICU) follow-up in Sweden. There is paucity of relevant data evaluating the effect of this tool and also on what premises patients are enrolled. Likewise, data are sparse on the diaries' design, content structure and the use of photographs. DESIGN: Descriptive explorative design by a semi-structured telephone interview. METHODS: The interview results were analysed with descriptive statistics and differences between the ICU levels were explored by chi(2) analysis. Qualitative manifest content analysis was performed to explore the purpose of diary writing. RESULTS: Of all ICUs (n = 85), 99% responded and 75% used diaries. The source of inspiration was collegial rather than from scientific data. The main reason for keeping a diary was to help the patient to recapitulate the ICU stay. Discrepancies between the different levels of ICUs were detected in patient selection, dedicated staff for follow-up and the use of photographs. Comparison between the chi(2) analysis and the content analysis outcome displayed incongruence between the set unit-goals and the activities for achievement but did not explain the procedural differences detected. CONCLUSION: The uses of diaries in post ICU follow up were found to be common in Sweden. A majority used defined goals and content structure. However, there were differences in practice and patient recruitment among the levels of ICUs. These discrepancies seemed not to be based on evidence-based data nor on ongoing research or evaluation but merely on professional judgement. As ICU follow-up is resource intense and time consuming, it is paramount that solid criteria for patient selection and guidelines for the structure and use of diaries in post-ICU follow-up are defined.
  • Algurén, Beatrix, et al. (författare)
  • Functioning of stroke survivors--A validation of the ICF core set for stroke in Sweden.
  • 2010
  • Ingår i: Disability and rehabilitation. - 0963-8288. ; 32:7, s. 551-9
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose. To validate the body functions and activities and participation part of the extended International Classification ofFunctioning, Disability, and Health (ICF) core set for stroke with a Swedish population in the first 3 months post-stroke.Method. At 6 weeks and at 3 months post-stroke, stroke survivors were evaluated by 59 ICF categories of body functions, 59 categories of activities and participation from the stroke ICF core set (extended version).Results. The study sample included 99 stroke survivors (54% women) with an average age of 72 years. Statistical significantproblems were identified in 28 ICF categories of body functions and in 41 ICF categories of activities and participation atboth time points, at 6 weeks and at 3 months. About 17 ICF categories were reported as problems in independent (i.e. modified Rankin Scale (mRS)<img src="http://www.diva-portal.org/cgi-bin/mimetex.cgi?%5Cleq" />2) and about 34 categories in dependent (i.e. mRS42) stroke survivors.Conclusions. The results suggest a possible reduction of the stroke ICF core set from 59 to 28 categories of body functionsand from 59 to 41 categories of activities and participation. Hence, feasibility of the core set for multiprofessional assessment increases and the core set might find more integration in clinical practice. The number of problems in mobility and self-care mainly distinguished between independent and dependent stroke survivors.
  • Axelsson, Åsa B, et al. (författare)
  • European cardiovascular nurses' experiences of and attitudes towards having family members present in the resuscitation room.
  • 2010
  • Ingår i: European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology. - 1873-1953. ; 9:1, s. 15-23
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: To investigate cardiovascular nurses experiences of and attitudes towards the presence of family members during resuscitation of adult patients. Methods: A 36-item questionnaire exploring the experiences of and attitudes towards family members being present in the resuscitation room was distributed to a convenience sample of nurses attending three national and one international cardiovascular nursing conferences held in Europe during 2007. Results: Of 820 questionnaires distributed, 411(50%) completed ones were returned. Of these 411 respondents, 178 (44%) had experienced at least one situation of families being present. Positive (23%) and negative (21%) experiences of family presence were equally distributed. Only 28 (7%) respondents stated that their unit had a protocol covering family presence. Nurses in Ireland (n=30; 59%) and the UK (n=18; 55%) were most likely to have experienced family presence and protocols relating to this were most commonly found in the UK (n=4; 14%). Conclusion: Less than half of the included European cardiovascular nurses had experienced a situation of families being present during resuscitation and protocols pertaining to this were rare. There was no clear attitude towards family presence, though experience in nursing made nurses more favourable towards it.
  • Berntson, Martin, 1972- (författare)
  • Reformation and counter-culture in Maribo abbey
  • 2010
  • Ingår i: Saint Birgitta, Syon and Vadstena. Papers from a Symposium in Stockholm 4-6 October 2007. - Stockholm. ; s. 216-226
  • Konferensbidrag (refereegranskat)
  • Burman, Erik, 1968-, et al. (författare)
  • Fictitious domain finite element methods using cut elements: I. A stabilized Lagrange multiplier method
  • 2010
  • Ingår i: Computer Methods in Applied Mechanics and Engineering. - 0045-7825. ; 199:41-44, s. 2680-2686
  • Tidskriftsartikel (refereegranskat)abstract
    • We propose a fictitious domain method where the mesh is cut by the boundary. The primal solution is computed only up to the boundary; the solution itself is defined also by nodes outside the domain, but the weak finite element form only involves those parts of the elements that are located inside the domain. The multipliers are defined as being element-wise constant on the whole (including the extension) of the cut elements in the mesh defining the primal variable. Inf-sup stability is obtained by penalizing the jump of the multiplier over element faces. We consider the case of a polygonal domain with possibly curved boundaries. The method has optimal convergence properties.
  • Burman, Erik, et al. (författare)
  • Interior-penalty-stabilized Lagrange multiplier methods for the finite-element solution of elliptic interface problems
  • 2010
  • Ingår i: IMA Journal of Numerical Analysis. - 0272-4979. ; 30:3, s. 870-885
  • Tidskriftsartikel (refereegranskat)abstract
    • In this paper we propose a class of jump-stabilized Lagrange multiplier methods for the finite-element solution of multidomain elliptic partial differential equations using piecewise-constant or continuous piecewise-linear approximations of the multipliers. For the purpose of stabilization we use the jumps in derivatives of the multipliers or, for piecewise constants, the jump in the multipliers themselves, across element borders. The ideas are illustrated using Poisson's equation as a model, and the proposed method is shown to be stable and optimally convergent. Numerical experiments demonstrating the theoretical results are also presented.
  • Cassel, Björn, et al. (författare)
  • Deflections of an implant-supported cantilever beam subjected to vertically directed loads : In vitro measurements in three dimensions using an optoelectronic method. II Analysis of methodological errors.
  • 2010
  • Ingår i: Clinical Oral Implants Research. - 0905-7161. ; 22:6, s. 645-650
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: The aim of this study was to evaluate the accuracy, i.e. trueness (validity) and precision (repeatability) for load-dependent deflections in three dimensions of an implant-supported cantilever beam obtained with an optoelectronic motion analysis system compared with a well-known reference method.Materials and methods: A cantilever beam with a length of 22 mm (roughly corresponding to the width of two premolars) was screw-connected to an implant–abutment unit stiffly anchored in a steel plate. The positional changes of beam-end were measured when the beam-end step by step was subjected to four loads, 15.5–40.1 N. This measurement procedure was repeated to comprise six consecutive measurements. The trueness of the method was estimated by comparing the data obtained for vertical deflections with those from a reference method where a hydraulic test system was used to measure the load-deflection ratios of the same beam when subjected to the four mentioned vertical loads.Results: All applied transducer-mediated loads had accuracies (truenesses and repeatabilities below 0.05%). Also, the trueness and precision of the reference method, regarding both movements (deflections) of tested objects and magnitude of applied loads, were tested and found to be high, not exceeding 0.5%.The optoelectronic method however underestimated the smallest vertical deflections for the cantilever beam when compared with the data obtained from the reference method. The underestimation was 26.4%, 15.5% and 8.6% for loads 15.5, 26.6 and 32.6 N, respectively, while there was a slight overestimation of 1.2% for 40.1 N. The precision for the optoelectronic method was found to be for z-axis 1.8 ?m, y-axis 3.8 ?m and x-axis 1.9 ?m.Conclusion: It can be concluded that the trueness (validity) for the optoelectronic method is very high for deflections above 143 ?m. The precision (repeatability) of the optoelectronic method was found to be very high.
  • Dahl, Anna, 1975-, et al. (författare)
  • Being overweight in midlife is associated with lower cognitive ability and steeper cognitive decline in late life.
  • 2010
  • Ingår i: The journals of gerontology. Series A, Biological sciences and medical sciences. - 1758-535X. ; 65:1, s. 57-62
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Although an increasing body of evidence links being overweight in midlife with an increased risk for dementia in late life, no studies have examined the association between being overweight in midlife and cognitive ability in late life. Our aim was to examine the association between being overweight in midlife as measured by body mass index (BMI) and cognitive ability assessed over time. METHODS: Participants in the Swedish Adoption/Twin Study Aging were derived from a population-based sample. The participants completed baseline surveys in 1963 or 1973 (mean age 41.6 years, range 25-63 years). The surveys included questions about height, weight, diseases, and lifestyle factors. Beginning in 1986, the same individuals were assessed on neuropsychological tests every 3 years (except in 1995) until 2002. During the study period, 781 individuals who were 50 years and older (60% women) had at least one complete neuropsychological assessment. A composite score of general cognitive ability was derived from the cognitive test battery for each measurement occasion. RESULTS: Latent growth curve models adjusted for twinness showed that persons with higher midlife BMI scores had significantly lower general cognitive ability and significantly steeper longitudinal decline than their thinner counterparts. The association did not change substantially when persons who developed dementia during the study period were excluded from the analysis. CONCLUSIONS: Higher midlife BMI scores precede lower general cognitive ability and steeper cognitive decline in both men and women. The association does not seem to be mediated by an increased risk for dementia
  • Dahl, Anna K, et al. (författare)
  • Agreement between self-reported and measured height, weight and body mass index in old age : a longitudinal study with 20 years of follow-up
  • 2010
  • Ingår i: Age and Ageing. - 0002-0729. ; 39:4, s. 445-451
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: self-reported body mass index (BMI) based on self-reported height and weight is a widely used measure of adiposity in epidemiological research. Knowledge about the accuracy of these measures in late life is scarce. OBJECTIVE: the study aimed to evaluate the accuracy and changes in accuracy of self-reported height, weight and BMI calculated from self-reported height and weight in late life. DESIGN: a longitudinal population-based study with five times of follow-up was conducted. Participants: seven hundred seventy-four community-living men and women, aged 40-88 at baseline (mean age 63.9), included in The Swedish Adoption/Twin Study of Aging. METHODS: participants self-reported their height and weight in a questionnaire, and height and weight were measured by experienced research nurses at an in-person testing five times during a 20-year period. BMI was calculated as weight (kilogramme)/height (metre)(2). RESULTS: latent growth curve modelling showed an increase in the mean difference between self-reported and measured values over time for height (0.038 cm/year) and BMI (0.016 kg/m(2)/year), but not for weight. CONCLUSIONS: there is a very small increase in the mean difference between self-reported and measured BMI with ageing, which probably would not affect the results when self-reported BMI is used as a continuous variable in longitudinal studies.
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