| 1. |
- Andersson, Lena, et al.
(författare)
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Living with heart failure without realising : A qualitative patient study
- 2012
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Ingår i: British Journal of Community Nursing. - : MA Healthcare Ltd.. - 1462-4753 .- 2052-2215. ; 17:12, s. 630-637
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Tidskriftsartikel (refereegranskat)abstract
- Heart failure is an important problem in Swedish primary healthcare as in the UK. In spite of that little is known about how people with heart failure experience support from primary healthcare. This paper investigates how people with heart failure experience support in primary healthcare. Semi structured interviews were conducted with five men and five women, born 1922-1951. The interviews were analyzed with qualitative content analysis in accordance with Graneheim and Lundman (2004). The participants experienced they had not received information about their diagnosis or about the cause of their condition. They had not been informed they had heart failure. Instead the participants believed their symptoms were caused by age, thus being part of normal ageing. They did not experience they needed care or support to cope with illness or disease. Instead their main needs for support in daily life concerned help with practical matters.There is a risk primary healthcare abandons people with heart failure meaning the patients are forced to develop strategies on their own in order to manage symptoms. When inadequately informed there is also a risk they make up their own explanations signifying possible difficulties to handle their health situation.
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| 2. |
- Flores-García, Erik, et al.
(författare)
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Simulation-based Optimization for Facility Layout Design in Conditions of High Uncertainty
- 2018
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Ingår i: Procedia CIRP. - : Elsevier. - 2212-8271. ; 72, s. 334-339
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Tidskriftsartikel (refereegranskat)abstract
- Despite the increased use of Simulation based Optimization, the design of facility layout is challenged by high levels of uncertainty associatedwith new production processes. Addressing this issue, this paper aims to understand the conceptual modeling activities of Simulation-basedOptimization for facility layout design in conditions of high uncertainty. Based on three in-depth case studies, the results of this paper showhow characterization criteria of production systems can be used in conceptual modelling to reduce uncertainty. These results may be essentialto support managers and stakeholders during the introduction of new production processes in the design of facility layouts.
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| 3. |
- Hafskjold, Linda, et al.
(författare)
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A cross-sectional study on person-centred communication in the care of older people : the COMHOME study protocol.
- 2015
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 5:4
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: This paper presents an international cross-sectional study on person-centred communication with older people receiving healthcare (COMHOME). Person-centred care relies on effective communication, but few studies have explored this with a specific focus on older people. The main aim of the COMHOME study is to generate knowledge on person-centred communication with older people (>65 years) in home healthcare services, radiographic and optometric practice.METHODS AND ANALYSIS: This study will explore the communication between care providers and older persons in home care services. Home healthcare visits will be audiorecorded (n=500) in Norway, the Netherlands and Sweden. Analyses will be performed with the Verona Coding Definitions for Emotional Sequences (VR-CoDES), the Roter Interaction Analysis System (RIAS) and qualitative methods. The content of the communication, communicative challenging situations as well as empathy, power distance, decision-making, preservation of dignity and respect will be explored. In Norway, an additional 100 encounters, 50 in optometric practice (video recorded) and 50 in radiographic practice (audiorecorded), will be analysed. Furthermore, healthcare providers' self-reported communication skills, empathy, mindfulness and emotional intelligence in relation to observed person-centred communication skills will be assessed using well-established standardised instruments.ETHICS AND DISSEMINATION: Depending on national legislation, approval of either the central ethical committees (eg, nation or university), the national data protection officials or the local ethical committees (eg, units of home healthcare) was obtained. Study findings will be disseminated widely through peer-reviewed publications and conference presentations. The research findings will add knowledge to improve services provided to this vulnerable group of patients. Additionally, the findings will underpin a training programme for healthcare students and care providers focusing on communication with older people.
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| 4. |
- Jukkala, Tanya, et al.
(författare)
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The Historical Development of Suicide Mortality in Russia, 1870-2007
- 2015
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Ingår i: Archives of Suicide Research. - : Routledge. - 1381-1118 .- 1543-6136. ; 19:1, s. 117-130
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Tidskriftsartikel (refereegranskat)abstract
- Russia has one of the highest suicide mortality rates in the world. This study investigates the development of Russian suicide mortality over a longer time period in order to provide a context within which the contemporary high level might be better understood. Annual sex- and age-specific suicide-mortality data for Russia for the period 1870-2007 were studied, where available. Russian suicide mortality increased 11-fold over the period. Trends in male and female suicide developed similarly, although male suicide rates were consistently much higher. From the 1990s suicide has increased in a relative sense among the young (15-34), while the high suicide mortality among middle-aged males has reduced. Changes in Russian suicide mortality over the study period may be attributable to modernization processes.
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| 5. |
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| 6. |
- Rådestad, Ingela, et al.
(författare)
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Tears in the vagina, perineum, sphincter ani, and rectum and first sexual intercourse after childbirth : A Nationwide Follow-up
- 2008
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Ingår i: Birth. - : Wiley Interscience. - 0730-7659 .- 1523-536X. ; 35:2, s. 98-106
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Tidskriftsartikel (refereegranskat)abstract
- Background: The first sexual intercourse after childbirth may be challenging for women, especially if the birth resulted in injuries in the genital area. The purpose of this study was to investigate whether or not tears in the vagina, perineum, sphincter ani, or rectum hindered sexual intercourse during the year after childbirth. Methods: We obtained information from 2,490 women in a population-based cohort identified at antenatal care. Information about first sexual intercourse was collected by means of a questionnaire sent 1 year after birth to the women and about women's tears reported in the population-based Swedish Medical Birth Register. Results: Adjusted relative risks with 95 percent confidence intervals for not having had sexual intercourse within 3 and 6 months, respectively, after childbirth were 1.5 (95% CI 1.2–1.8) and 1.6 (95% CI 1.2–2.3) for tears in the vagina, 1.4 (95% CI 1.1–1.6) and 1.5 (95% CI 1.1–2.1) for tears in the perineum, and 2.1 (95% CI 1.4–3.1) and 2.2 (95% CI 1.1–4.6) for tears in the sphincter ani and rectum. No statistically significant differences were found at 1-year follow-up. No associations between episiotomy and delay in resuming intercourse were found after adjusting the relative risks. Conclusions: Tears in the vagina, perineum, sphincter ani, or rectum are associated with a delay in women's resumption of sexual intercourse 6 months after childbirth in Sweden
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| 7. |
- Sandström, Margareta, 1946-, et al.
(författare)
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Working with gender pedagogics at 14 Swedish preschools
- 2013
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Ingår i: Journal of Early Childhood Research. - : Sage Publications. - 1476-718X .- 1741-2927. ; 11:2, s. 123-132
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Tidskriftsartikel (refereegranskat)abstract
- In Sweden, gender pedagogics has been on the political agenda the last decade. Consequently, gender matters have been given much attention in Swedish preschools, and specialized pedagogues have also been trained to counteract socially constructed gender distinctions. Therefore, we have explored the enactment of gender pedagogics. We asked 17 preschool teachers to describe the situations revolving around gender issues that they have experienced, using the critical incident method. In all, 34 critical incidents were described and subsequently discussed in groups of 6–10 individuals. Afterward, the data were analyzed qualitatively, with the objective to explore the preschool teachers’ understanding of gender approaches. The analysis led us to single out four “ideal type approaches,” that is, “instrumental,” “co-productive,” “facilitative,” “proactive,” and “agitative” gender approach. The gender approaches were made up by the different ways of interacting with the children as regards gender described by the preschool teachers and by the different ways of reflecting over the described situations. We argue that the four different types of gender interaction emanate from corresponding underlying conceptions of gender, and that they may exercise influence on the children’s identity process.
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| 8. |
- Weishaupt, Holger, et al.
(författare)
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Batch-normalization of cerebellar and medulloblastoma gene expression datasets utilizing empirically defined negative control genes
- 2019
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Ingår i: Bioinformatics. - : Oxford University Press. - 1367-4803 .- 1367-4811. ; 35:18, s. 3357-3364
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Tidskriftsartikel (refereegranskat)abstract
- Motivation: Medulloblastoma (MB) is a brain cancer predominantly arising in children. Roughly 70% of patients are cured today, but survivors often suffer from severe sequelae. MB has been extensively studied by molecular profiling, but often in small and scattered cohorts. To improve cure rates and reduce treatment side effects, accurate integration of such data to increase analytical power will be important, if not essential.Results: We have integrated 23 transcription datasets, spanning 1350 MB and 291 normal brain samples. To remove batch effects, we combined the Removal of Unwanted Variation (RUV) method with a novel pipeline for determining empirical negative control genes and a panel of metrics to evaluate normalization performance. The documented approach enabled the removal of a majority of batch effects, producing a large-scale, integrative dataset of MB and cerebellar expression data. The proposed strategy will be broadly applicable for accurate integration of data and incorporation of normal reference samples for studies of various diseases. We hope that the integrated dataset will improve current research in the field of MB by allowing more large-scale gene expression analyses.
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