| 1. |
- Berggren, Linda, et al.
(författare)
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Nordic children's conceptualizations of healthy eating in relation to school lunch
- 2017
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 117:2, s. 130-147
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Pupils' perspective should be better taken into account when developing nutrition education at school. The purpose of this paper is to explore Nordic children's perspectives on the healthiness of meals in the context of school lunches.Design/methodology/approach: In total, 78 focus group discussions were conducted with 10-11-year-old girls and boys (n=457) from schools in Finland, Iceland, Norway and Sweden, which were participating in the Nordic school meal project ProMeal during the school year 2013-2014. A flexible discussion guide and stimulus material in the form of 14 photographs displaying different school lunch contexts were used. The discussions were analyzed using thematic analysis.Findings: These Nordic children seem to share the adult-set aim of healthy eating in the school context as a socio-cultural norm. Although healthy eating was constructed as a rational, normative and acceptable way to eat at school, unhealthy eating was emphasized as negotiably acceptable when eaten occasionally and under certain circumstances (e.g. at special occasions). Unhealthy eating also comprised emotionally laden descriptions such as enjoyment and disgust. Practical implications: Children's conceptualizations of healthy eating are connected to nutritional, socio-cultural, emotional and normative dimensions, which should be reflected also when developing nutrition education in school.Originality/value: The need for research exploring children's experiences of, and understandings about, school lunch motivated this unique multicenter study with a large number of participating children. In the focus groups a child-oriented, photo-elicitation method was used.
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| 2. |
- Berggren, Linda, et al.
(författare)
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Perspectives about health outcomes related to food among Nordic children
- 2016
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Konferensbidrag (refereegranskat)abstract
- Perspectives about health outcomes related to food among Nordic childrenLinda Berggren* 1, Sanna Talvia2, Eldbjørg Fossgard3, Unnur Björk Arnfjörð4, Agneta Hörnell 1, Anna Ólafsdóttir 4,Ingibjörg Gunnarsdóttir 5, Hege Wergedahl 3, Hanna Lagström 6, Maria Waling1, Cecilia Olsson11Umeå University, Department of food and nutrition, Umeå, Sweden, 2Child and Youth Research institute, Turku, Finland,3Faculty of Education, Bergen University College, Bergren, Norway, 4School of Education, University of Iceland, 5TheNational University Hospital of Iceland , Unit for Nutrition Research, Reykjavik, Iceland, 6University of Turku, TurkuInstitute of Child and Youth Research, Turku, FinlandPreferred presentation type: Only PosterBackground and aims: Dietary intake in school has previously been studied but little is known about Nordic children’sperspectives on food healthiness in the school lunch context. This study aims to explore 10-year-old Nordic children’sperspectives on outcomes of healthy eating in the school lunch context.Methods: Seventy-two focus groups were conducted in Sweden, Finland, Norway and Iceland with a total of 423participants. A flexible topic guide and 14 preselected photos displaying different school lunch contexts were used asstimuli material. Interviews were transcribed and analyzed using thematic analysis.Results: Children reasoned that school lunch are and should be healthy since the food eaten at school has short andlong term outcomes related to cognitive and physical health. It was commonly expressed that food eaten in school affectsschool work and functioning in learning activities. It was also stated that food eaten in school can have negative andpositive effects on your mood, e.g. eating unhealthy food or an insufficient amount of food, puts you in a bad mood whichcan affect the rest of the school day. The discussions mainly relied on negative short term effects such as feeling ill andreduced stamina. Some food and food groups such as vegetables, milk and fish, were mentioned in a more positivesense highlighting the positive short- and long term outcomes on health. When describing the long-term outcomes ofeating, children mentioned that healthy eating helps to build muscles, grow and prevent diseases, such as cancer anddiabetes. Sugar and fat was frequently mentioned as being the cause of overweight and some other diseases.Conclusion: In general, Nordic children have an adequate understanding of established relations between food andhealth. Yet, we know that many pupils do not eat according to recommendations. This highlights the importance of takingthe complexity of food choice into consideration in nutritional education.Disclosure of Interest: None to declare
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| 3. |
- Ekman, Olivia, 1985-
(författare)
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Att släcka ljungeldar : Medikaliseringen av eklampsi i Sverige 1840-1930
- 2016
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This dissertation investigates the treatment of eclampsia in Sweden at the turn of the 20th century, paying particular attention to two treatments, the “Active treatment” and “Stroganoff’s treatment”. The aim is to investigate the evolving medicalization of eclampsia in Sweden by analyzing the interdisciplinary discussion on eclampsia in the Swedish medical journals. Eclampsia has been described by physicians as the “disease of a thousand theories”, an enigma or a riddle without an answer. The disease has been known since antiquity, as evidenced by its presence in the Hippocratic corpus, but has been without a cure to this day. In the latter half of the 19th century and the beginning of the 20th century, treatments of eclampsia emerged that – at the time – seemed to hold promise. Eclampsia has been described as an insidious disease that strikes the patient as lightning from a clear blue sky.In 1843 the Scottish doctor John Lever connected albuminuria with the onset of eclampsia which allowed for early diagnostic of eclampsia. This marked a new way of perceiving eclampsia; no longer was it just an acute disease, but a progressive disease that could be treated before it became life threatening. The discovery of albuminuria became an important clue in the formation of the theory that eclampsia was caused by an unknown poisoning. Since no cure could be found, preventing the onset of eclampsia became a higher priority.The only known way of ending the progression of the disease was to end the pregnancy – a method used since the 18th century. This was usually done by caesarian section, an operation that during the 19th and early 20th century could be just as fatal as the disease itself. A change came in the late the 19th century with the discovery of new operating techniques, better hygiene, and the introduction of general anesthetics, which reduced the amount of fatalities connected with operations. The caesarian section eventually became the choice of treatment for eclampsia known as the “Active treatment”. This4treatment was challenged by “Stroganoff’s treatment”, which was a reformed version of the older treatment of eclampsia. The version of “Stroganoff’s treatment” used by Swedish doctors, which incorporated caesarian section, gave them a broader range of treatments that could be modified to suit different scenarios in a way that was impossible using just the “Active treatment”. The two treatments were discussed in Swedish medical journals throughout the beginning of the 20th century, and their discussion shows the growing medicalization of eclampsia during this time.
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| 4. |
- Hällgren, Anna-Maria, 1983-
(författare)
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Skåda all världens uselhet : visuell pedagogik och reformism i det sena 1800-talets populärkultur
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This doctoral dissertation analyzes practices of looking within popular culture during the late nineteenth century. Visual attractions, illustrated press and traveling amusement shows included representations of social ills, such as poverty, criminality and prostitution. These representations were criticized in the Swedish public debate, because of their presumed negative impact on society. They were considered “far too realistic” and thus demoralizing, allegedly causing faulty ideals and creating inaccurate understandings of society. However, others emphasized the importance of beholding images, tableaus and depictions of this kind. I argue that by governing vision, certain practices of looking enabled otherwise problematic representations to become a valuable resource.While the governing of vision in educational contexts has been frequently analyzed, the way in which vision was also governed in popular culture is less well understood. This is not surprising. At the time, it was often assumed that popular culture endangered the attentive spectator, generating an uncaring, detached mind. In addition, popular culture contained various representations of social ills, which were not educational in any obvious way. However, I argue that even these representations were potentially instructional. They were part of the creation of an orderly, responsible citizen – aware of the social problems generated by the rapidly developing society and aware of his or her responsibility to actively engage in their solutions. Hence, I argue that the governing of vision within popular culture became a means of social reform during the late nineteenth century.
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| 5. |
- Kennedy, Beatrice, 1982-, et al.
(författare)
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App-based COVID-19 syndromic surveillance and prediction of hospital admissions in COVID Symptom Study Sweden
- 2022
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Ingår i: Nature Communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- The app-based COVID Symptom Study was launched in Sweden in April 2020 to contribute to real-time COVID-19 surveillance. We enrolled 143,531 study participants (≥18 years) who contributed 10.6 million daily symptom reports between April 29, 2020 and February 10, 2021. Here, we include data from 19,161 self-reported PCR tests to create a symptom-based model to estimate the individual probability of symptomatic COVID-19, with an AUC of 0.78 (95% CI 0.74-0.83) in an external dataset. These individual probabilities are employed to estimate daily regional COVID-19 prevalence, which are in turn used together with current hospital data to predict next week COVID-19 hospital admissions. We show that this hospital prediction model demonstrates a lower median absolute percentage error (MdAPE: 25.9%) across the five most populated regions in Sweden during the first pandemic wave than a model based on case notifications (MdAPE: 30.3%). During the second wave, the error rates are similar. When we apply the same model to an English dataset, not including local COVID-19 test data, we observe MdAPEs of 22.3% and 19.0% during the first and second pandemic waves, respectively, highlighting the transferability of the prediction model.
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| 6. |
- Normark, Johan, et al.
(författare)
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Maladjusted Host Immune Responses Induce Experimental Cerebral Malaria-Like Pathology in a Murine Borrelia and Plasmodium Co-Infection Model
- 2014
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Ingår i: PLOS ONE. - : PLOS ONE. - 1932-6203. ; 9:7
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Tidskriftsartikel (refereegranskat)abstract
- In the Plasmodium infected host, a balance between pro- and anti-inflammatory responses is required to clear the parasites without inducing major host pathology. Clinical reports suggest that bacterial infection in conjunction with malaria aggravates disease and raises both mortality and morbidity in these patients. In this study, we investigated the immune responses in BALB/c mice, co-infected with Plasmodium berghei NK65 parasites and the relapsing fever bacterium Borrelia duttonii. In contrast to single infections, we identified in the co-infected mice a reduction of L-Arginine levels in the serum. It indicated diminished bioavailability of NO, which argued for a dysfunctional endothelium. Consistent with this, we observed increased sequestration of CD8+ cells in the brain as well over expression of ICAM-1 and VCAM by brain endothelial cells. Co-infected mice further showed an increased inflammatory response through IL-1 beta and TNF-alpha, as well as inability to down regulate the same through IL-10. In addition we found loss of synchronicity of pro- and anti-inflammatory signals seen in dendritic cells and macrophages, as well as increased numbers of regulatory T-cells. Our study shows that a situation mimicking experimental cerebral malaria (ECM) is induced in co-infected mice due to loss of timing and control over regulatory mechanisms in antigen presenting cells.
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| 7. |
- Olsson, Cecilia, 1971-, et al.
(författare)
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The Pediatric Inventory for Parents : Swedish Translation and Psychometric Testing
- 2018
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Ingår i: Journal of Pediatric Nursing. - : Saunders Elsevier. - 0882-5963 .- 1532-8449. ; 42, s. E97-E102
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Tidskriftsartikel (refereegranskat)abstract
- The Pediatric Inventory for Parents (PIP) measures parental stress related to caring for a child with an illness. However, no Swedish translation is available. Purpose: This study reports a Swedish translation of the PIP and psychometric properties of the instrument. Design and Methods: This is a descriptive/methodological paper. The PIP was translated and culturally adapted to Swedish, and comprehensibility was tested. Data were collected twice from 48 parents of children with different illnesses, and initial psychometric properties of the instrument were examined. The IES-R (Impact of Event Scale-Revised) was used for concurrent validity. Results: The Swedish version of the PIP demonstrated good correlations with the IES-R, and temporal changes were similar. Endorsement frequencies and test-retest were also satisfactory. When comparing groups of parents, the parents of children with cancer were statistically significantly more distressed, both on total score and for emotional distress and role function. Discriminative validity was demonstrated by comparing parents of children with cancer with parents of children with other diseases. Conclusions: The Swedish version of the PIP seems to be a valid and reliable instrument. However, as we used relatively small sample, for the future, we suggest further testing with larger samples. Practice Implications: Clinicians and researchers seeking to measure parental distress in chronic illness could use the Swedish version of the PIP.
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| 8. |
- Ringnér, Anders, 1975-, et al.
(författare)
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A moment just for me : Parents’ experiences of an intervention for person-centred information in paediatric oncology
- 2021
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Ingår i: European Journal of Oncology Nursing. - : Elsevier. - 1462-3889 .- 1532-2122. ; 51
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Information can help parents of children with cancer by reducing uncertainty and giving them a sense of control in a chaotic situation. Although providing information to parents is a core activity of paediatric oncology nursing, few studies focus on interventions for informing parents. Thus, the aim of this study is to evaluate parents’ experiences after participating in a person-centred information intervention for parents of children with cancer.Method: This study is part of a process evaluation of a person-centred informational intervention in paediatric oncology for patients’ parents. Qualitative semi-structured interviews with 13 parents who had taken part in the intervention were analysed using qualitative content analysis.Results: An opening for healing emerged as the overarching theme, consisting of three categories. Gaining a deeper understanding of the entire situation describes how parents benefitted from processing current topics and moving forward by learning. Caring reflections in a safe space describes how parents appreciated having a moment just for themselves and feeling better by venting their feelings. Meeting a competent and compassionate nurse describes how parents experienced trust and being listened to.Conclusion: Having individual information meetings integrated as a primary nursing responsibility, mediated by competent and compassionate nurses also responsible for the care of the child, could enhance person-centred care and individualise parental education.
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| 9. |
- Ringnér, Anders, et al.
(författare)
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Effects of Person-Centered Information for Parents of Children With Cancer (the PIFBO Study) : A Randomized Controlled Trial
- 2023
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Ingår i: Journal of Pediatric Hematology/Oncology Nursing. - : Sage Publications. - 2752-7530 .- 2752-7549. ; 40:6, s. 369-439
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Tidskriftsartikel (refereegranskat)abstract
- Background: Conveying information to parents is a core part of pediatric oncology nursing; however, most published interventions do not tailor information to individual parental needs. Objective: To evaluate the effect on parental illness-related stress of person-centered information provided to parents of children with cancer. Methods: A multicenter, unblinded randomized controlled trial with two parallel arms recruiting parents of children diagnosed within the past two months from two tertiary children’s cancer centers in Sweden. Parents were randomized using sealed envelopes prepared and opened by an independent person. Parents in the intervention arm met four times with experienced nurses trained in the intervention, whereas controls received standard care. The effect of the intervention was measured five times regarding parents’ illness-related stress. Secondary outcomes were psychosocial states, experiences with healthcare providers, and received information. Further, we collected process data on the intervention’s content and fidelity. Results: Of the 32 parents included and analyzed in the study, 16 were randomized to the intervention, which addressed a broad variety of topics. The intervention increased parents’ knowledge about the biophysiological and functional aspects of their child’s illness, but it had no measurable effect on their distress. Discussion: Although fidelity to the intervention protocol was sufficient, the study was flawed by recruitment difficulties, primarily due to organizational factors, which may have prevented us from observing any possible effects on psychosocial distress. Having a person-centered perspective could be promising for future studies aimed at parents of children with cancer. (Registered at Clinicaltrials.gov, number NCT02332226.).
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| 10. |
- Ringnér, Anders, 1975-, et al.
(författare)
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Person-centred information to parents in paediatric oncology (the PIFBO study) : A study protocol of an ongoing RCT.
- 2015
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Ingår i: BMC Nursing. - : Springer Science and Business Media LLC. - 1472-6955 .- 1472-6955. ; 14
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Parents of children with cancer experience a demanding situation and often suffer from psychological problems such as stress. Trying to coping with the complex body of information about their child's disease is one factor that contributes to this stress. The aim of this study is to evaluate an intervention for person-centred information to parents of children with cancer that consists of four sessions with children's nurses trained in the intervention method.METHODS/DESIGN: This is a multi-centre RCT with two parallel arms and a 1:1 allocation ratio. The primary outcome is illness-related parental stress. Secondary outcomes are post-traumatic stress symptoms, anxiety, depression, satisfaction with information, expected and received knowledge, and experiences with health care providers. A process evaluation is performed to describe experiences and contextual factors. Data are collected using web questionnaires or paper forms according to the parents' preference, audio recording of the intervention sessions, and qualitative interviews with parents and the intervention nurses.DISCUSSION: Few studies have evaluated information interventions for parents of children with cancer using large multi-centre RCTs. This intervention is designed to be performed by regular staff children's nurses, which will facilitate implementation if the intervention proves to be effective.TRIAL REGISTRATION: Clinical trials NCT02332226 (December 11, 2014).
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