| 1. |
|
|
| 2. |
- Helldin, Lars, et al.
(författare)
-
Experience of quality of life and attitude to care and treatment in patients with schizophrenia: Role of cross-sectional remission
- 2008
-
Ingår i: International Journal of Psychiatry in Clinical Practice. - 1365-1501. ; 12:2, s. 97
-
Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThe concept of cross-sectional remission was investigated in a sample of patients with schizophrenia. A total of 243 patients were tested for quality of life, burden and handicap, insight and satisfaction with the care provided in an epidemiological study. The question addressed was if remission is of importance for outcome.MethodsCross-sectional remission was defined by applying the symptom criteria of remission, where none of eight selected PANSS items should exceed 3 points. Out of 243 patients, 38% were in met cross-sectional remission. Quality of life was assessed with the MOS SF-36 and the Rosser Index. The Patients' understanding of their illness was assessed based on symptoms and disorder insight. Finally, attitudes to care and, health service were assessed by the UKU/Consumer Satisfaction Questionnaire and the Drug Attitude Inventory.ResultsPatients who were in cross-sectional remission reported higher quality of life and reduced burden related to the disorder, a greater level of insight into their symptoms and the illness, and a more positive attitude to treatment, including drugs.ConclusionThis study implies that remission, here expressed in terms of cross-sectional remission, is of importance for patients' well-being. Patients who had no interference from symptoms in their daily functioning found their life better, had a superior insight and were more positive to treatment.
|
|
| 3. |
- Olsson, Cecilia, 1971-, et al.
(författare)
-
Nurses perceptions of talking about sexuality with cancer patients (POSTER)
- 2008
-
Konferensbidrag (övrigt vetenskapligt)abstract
- Sexuality is a part of every human beings identity and it has a varying meaning for the individual person. The ability to love and feel loved is an important part of good health. People suffering from cancer often experience sexual problems due to several reasons. The purpose of this study was to describe nurses’ perception of talking to cancer patients about sexuality and their experiences of what sexuality means for cancer patients. A qualitative method with a phenomenographic approach was used. Ten nurses from different clinics, who met patients in various places during the trajectory of care were interviewed. The nurses’ perceptions are captured in two main categories and six descriptive categories. The first of the two main categories Obstacles and possibilities for the conversation describe the necessary conditions for the dialog together with three descriptive categories: Nurse’s professionalism and individual maturity, Interaction and relationship between the nurse and the patient, and The meaning of the surrounding structure. The second of the two main categories was The cancer patients’ need for support and information. It describes the nurses’ perceptions of how the patients’ need for support and information about sexuality varies during the trajectory of care. Descriptive categories to this main category were: The situation of life, The position in the trajectory of care and its meaning, and Consequences of the illness and its treatment. Conclusions: Alteration in cancer patients sexuality is a recognised problem related to the disease and its treatment. Sexuality is also a neglected aspect of cancer care. This study highlights that nurses have varied perceptions of talking about sexuality with cancer patients. Therefore knowledge in this area and competence are needed.
|
|
| 4. |
- Henricsson, Maria, et al.
(författare)
-
The outcome of tactile touch on oxytocin in intensive care patients: a randomised controlled trial
- 2008
-
Ingår i: Journal of Clinical Nursing. - 0962-1067. ; 17:19, s. 2624-2633
-
Tidskriftsartikel (refereegranskat)abstract
- Aim. To explore the effects of five-day tactile touch intervention on oxytocin in intensive care patients. The hypotheses were that tactile touch increases the levels of oxytocin after intervention and over a six-day period. Background. Research on both humans and animals shows a correlation between touch and increased levels of oxytocin which inspired us to measure the levels of oxytocin in arterial blood to obtain information about the physiological effect of tactile touch. Design. Randomised controlled trial. Method. Forty-four patients from two general intensive care units, were randomly assigned to either tactile touch ( n = 21) or standard treatment – an hour of rest ( n = 23). Arterial blood was drawn for measurement of oxytocin, before and after both treatments. Results. No significant mean changes in oxytocin levels were found from day 1 to day 6 in the intervention group (mean −3·0 pM, SD 16·8). In the control group, there was a significant ( p = 0·01) decrease in oxytocin levels from day 1 to day 6, mean 26·4 pM (SD 74·1). There were no significant differences in changes between day 1 and day 6 when comparing the intervention group and control group, mean 23·4 pM (95% CI −20·2–67·0). Conclusion. Our hypothesis that tactile touch increases the levels of oxytocin in patients at intensive care units was not confirmed. An interesting observation was the decrease levels of oxytocin over the six-day period in the control group, which was not observed in the intervention group. Relevance to clinical practice. Tactile touch seemed to reduce the activity of the sympathetic nervous system. Further and larger studies are needed in intensive care units to confirm/evaluate tactile touch as a complementary caring act for critically ill patients.
|
|
| 5. |
- Alfredsson, Stefan, 1976-, et al.
(författare)
-
Impact of 4G Wireless Link Configurations on VoIP Network Performance
- 2008
-
Ingår i: Proceedings of the 2008 IEEE International Symposium on Wireless Communication Systems. - 978-1-4244-2489-4 - 978-1-4244-2488-7
-
Konferensbidrag (refereegranskat)abstract
- The performance of applications in wireless networks is partly dependent upon the link configuration. Link characteristics varies with frame retransmission persistency, link frame retransmission delay, adaptive modulation strategies, coding, and more. The link configuration and channel conditions can lead to packet loss, delay and delay variations, which impact different applications in different ways. A bulk transfer application may tolerate delays to a large extent, while packet loss is undesirable. On the other hand, real-time interactive applications are sensitive to delay and delay variations, but may tolerate packet loss to a certain extent. This paper contributes a study of the effect of link frame retransmission persistency and delay on packet loss and latency for real-time interactive applications. The results indicate that a reliable retransmission mechanism with fast link retransmissions in the range of 2-8 ms is sufficient to provide an upper delay bound of 50 ms over the wireless link, which is well within the delay budget of voice over IP applications.
|
|
| 6. |
- Almasri, Abdullah, et al.
(författare)
-
Clustering using Wavelet Transformation
- 2008
-
Ingår i: Handbook of research on cluster theory. - Cheltenham : Edward Elgar. - 978-1-84542-516-6 - 9781845425166 ; s. 169-186
-
Bokkapitel (populärvet., debatt m.m.)
|
|
| 7. |
- Athlin, Elsy, 1945-, et al.
(författare)
-
Grupphandledning i klinisk sjuksköterskeutbildning
- 2008
-
Rapport (övrigt vetenskapligt)abstract
- I ett samarbetsprojekt finansierat av UNISKA deltog 2 högskolor från Norge, Högskolan Dalarna och Karlstads universitet. Syftet var att stötta kliniska handledare till studenter inom sjuksköterske-program. Sammanlagt 49 sjuksköterskor deltog i grupphandlednng under ett år. Rapporten beskriver och utvärderar projektet.
|
|
| 8. |
|
|
| 9. |
- Bååth, Carina, et al.
(författare)
-
Interrater reliability using Modified Norton Scale, Pressure Ulcer Card, Short Form- Mini Nutritional Assessment by registered and enrolled nurses in clinical practice
- 2008
-
Ingår i: Journal of Clinical Nursing. - 0962-1067. ; 17:5, s. 618-626
-
Tidskriftsartikel (övrigt vetenskapligt)abstract
- Aim. Examine the interrater reliability between and among registered and enrolled nurses using Modified Norton Scale, Pressure Ulcer Card and Short Form-Mini Nutritional Assessment.Background. In Sweden, registered nurses and enrolled nurses usually co-operate in patient care. National guidelines emphasize that reliable and valid assessment tools should be used. Interrater reliability for regular use of assessment tools is seldom studied.Design cross-sectional. Registered nurses and enrolled nurses made 228 assessments of patients’ skin, risk for pressure ulcer and malnutrition, in patients with hip fracture and patients who had suffered a stroke.Results. The interrater reliability of the Modified Norton Score total score was very good among registered nurses, good among enrolled nurses and between both groups. There was good, moderate and fair agreement on the subscales. Interrater reliability of Short Form Mini-Nutritional Assesment screening score was very good between both groups, good among registered nurses and moderate among enrolled nurses. There was good and moderate agreement on the items. There was good, moderate and fair agreement between and among registered nurses and enrolled nurses when using the Pressure Ulcer Card.Conclusion. The Modified Norton Scale and Short Form Mini-Nutritional Assessment were reasonably understandable and easy to utilize in clinical care. Therefore, it seems possible for nurses to accomplish assessment using these tools. The agreement level was low for most skin sites except sacrum when nurses assessed patients’ skin with the Pressure Ulcer Card.Relevance to clinical practice. The utilize of reliable and valid assessment tools is important in clinical practice. The tools could be used as an aid to the clinical judgement and therefore identify patients at risk for pressure ulcers and malnutrition. Pressure ulcer grading is a difficult skill that requires training and time to develop.
|
|
| 10. |
- Edberg, Andreas, 1974-, et al.
(författare)
-
A comparative study of three different PCR assays for detection of Mycoplasma genitalium in urogenital specimens from men and women
- 2008
-
Ingår i: Journal of Medical Microbiology. - 0022-2615. ; 57:Pt 3, s. 304-309
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to compare conventional 16S rRNA gene PCR, real-time 16S rRNA gene PCR and real-time Mycoplasma genitalium adhesin protein (MgPa) gene PCR as detection methods for M. genitalium infection. The study also determined the prevalence of M. genitalium in male and female patients attending a sexually transmitted infections clinic in a rural area in the west of Sweden. First void urine (FVU) and/or urethral swabs were collected from 381 men, and FVU and/or cervical swabs and/or urethral swabs were collected from 298 women. A total of 213 specimens were used in the PCR comparative study: 98 consecutively sampled specimens from patients enrolled in the prevalence study, 36 consecutively sampled specimens from patients with symptoms of urethritis and 79 specimens from patients positive for M. genitalium by real-time MgPa gene PCR in the prevalence study. A true-positive M. genitalium DNA specimen was defined as either a specimen positive in any two PCR assays or a specimen whose PCR product was verified by DNA sequencing. The prevalence of M. genitalium infection in men and women was 27/381 (7.1 %) and 23/298 (7.7 %), respectively. In the PCR comparative study, M. genitalium DNA was detected in 61/76 (80.3 %) of true-positive specimens by conventional 16S rRNA gene PCR, in 52/76 (68.4 %) by real-time 16S rRNA gene PCR and in 74/76 (97.4 %) by real-time MgPa gene PCR. Real-time MgPa gene PCR thus had higher sensitivity compared with conventional 16S rRNA gene PCR and had considerably increased sensitivity compared with real-time 16S rRNA gene PCR for detection of M. genitalium DNA. Real-time MgPa gene PCR is well suited for the clinical diagnosis of M. genitalium.
|
|
