SwePub
Sök i SwePub databas

  Utökad sökning

Träfflista för sökning "swepub ;lar1:(umu);lar1:(hb)"

Sökning: swepub > Umeå universitet > Högskolan i Borås

  • Resultat 1-10 av 55
  • [1]23456Nästa
Sortera/gruppera träfflistan
   
NumreringReferensOmslagsbildHitta
1.
  • Lützen, Kim, et al. (författare)
  • Nurses as guests or professionals in home health care
  • 2008
  • Ingår i: Nursing Ethics. - 0969-7330. ; 15:3, s. 371-383
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to explore and interpret the diverse subject of positions, or roles, that nurses construct when caring for patients in their own home. Ten interviews were analysed and interpreted using discourse analysis. The findings show that these nurses working in home care constructed two positions: ;guest' and ;professional'. They had to make a choice between these positions because it was impossible to be both at the same time. An ethics of care and an ethics of justice were present in these positions, both of which create diverse ethical appeals, that is, implicit demands to perform according to a guest or to a professional norm.
  •  
2.
  • Wijk, H, et al. (författare)
  • Verksamhetsförlagd utbildning på avancerad nivå – ny utmaning för specialistutbildningar för sjuksköterskor
  • 2009
  • Ingår i: Vård i Norden. ; 29:94, s. 41-43
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this article is to discuss challenges in the development of Specialist Nursing Educations as a result of the 2007 Swedish Higher Education Reform: the implementation of the so-called Bologna process. Certain challenges follow this reform, particularly since the specialist nursing programmes will be part of the second cycle of the higher education system, and it will be possible to combine the professional degree with a masters degree (one year). Possible strategies in four areas related to the Specialist Nursing Education are discussed: integration of researchbased knowledge, experienced-based knowledge, improvement knowledge, and strategies for collaboration between university institutions and clinics. Specific didactical issues are raised.
  •  
3.
  • Perman, Jeanna, 1981-, et al. (författare)
  • The VLDL receptor promotes lipotoxicity and increases mortality in mice following an acute myocardial infarction.
  • 2011
  • Ingår i: The Journal of clinical investigation. - 1558-8238. ; 121:7, s. 2625-40
  • Tidskriftsartikel (refereegranskat)abstract
    • Impaired cardiac function is associated with myocardial triglyceride accumulation, but it is not clear how the lipids accumulate or whether this accumulation is detrimental. Here we show that hypoxia/ischemia-induced accumulation of lipids in HL-1 cardiomyocytes and mouse hearts is dependent on expression of the VLDL receptor (VLDLR). Hypoxia-induced VLDLR expression in HL-1 cells was dependent on HIF-1α through its interaction with a hypoxia-responsive element in the Vldlr promoter, and VLDLR promoted the endocytosis of lipoproteins. Furthermore, VLDLR expression was higher in ischemic compared with nonischemic left ventricles from human hearts and was correlated with the total lipid droplet area in the cardiomyocytes. Importantly, Vldlr-/- mice showed improved survival and decreased infarct area following an induced myocardial infarction. ER stress, which leads to apoptosis, is known to be involved in ischemic heart disease. We found that ischemia-induced ER stress and apoptosis in mouse hearts were reduced in Vldlr-/- mice and in mice treated with antibodies specific for VLDLR. These findings suggest that VLDLR-induced lipid accumulation in the ischemic heart worsens survival by increasing ER stress and apoptosis.
  •  
4.
  • Herlitz, Johan, 1949-, et al. (författare)
  • Can we define patients with no chance of survival after out-of-hospital cardiac arrest?
  • 2004
  • Ingår i: Heart. - 1468-201X. ; 90:10, s. 1114-8
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: To evaluate whether subgroups of patients with no chance of survival can be defined among patients with out-of-hospital cardiac arrest. Patients: Patients in the Swedish cardiac arrest registry who fulfilled the following criteria were surveyed: cardiopulmonary resuscitation (CPR) was attempted; the arrest was not crew witnessed; and patients were found in a non-shockable rhythm. Setting: Various ambulance organisations in Sweden. Design: Prospective observational study. Results: Among the 16 712 patients who fulfilled the inclusion criteria, the following factors were independently associated with a lower chance of survival one month after cardiac arrest: no bystander CPR; non-witnessed cardiac arrest; cardiac arrest occurring at home; increasing interval between call for and arrival of the ambulance; and increasing age. When these factors were considered simultaneously two groups with no survivors were defined. In both groups patients were found in a non-shockable rhythm, no bystander CPR was attempted, the arrest was non-witnessed, the arrest took place at home. In one group the interval between call for and arrival of ambulance exceeded 12 minutes. In the other group patients were older than 80 years and the interval between call for and arrival of the ambulance exceeded eight minutes. Conclusion: Among patients who had an out-of-hospital cardiac arrest and were found in a non-shockable rhythm the following factors were associated with a low chance of survival: no bystander CPR, non-witnessed cardiac arrest, the arrest took place at home, increasing interval between call for and arrival of ambulance, and increasing age. When these factors were considered simultaneously, groups with no survivors could be defined. In such groups the ambulance crew may refrain from starting CPR.
5.
  • Herlitz, J, et al. (författare)
  • Decrease in the occurrence of ventricular fibrillation as the initially observed arrhythmia after out-of-hospital cardiac arrest during 11 years in Sweden
  • 2004
  • Ingår i: Resuscitation. - 0300-9572. ; 60:3, s. 283-90
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: To describe the change in the occurrence of ventricular fibrillation as initially observed arrhythmia among patients suffering from out-of-hospital cardiac arrest in Sweden. Patients: All patients included in the Swedish cardiac arrest registry between 1991 until 2001. The registry covers 85% of the population in Sweden. Methods: All patients with bystander witnessed out-of-hospital cardiac arrest included in the Swedish Cardiac Arrest Registry between 1991 and 2001 from the same ambulance organisation each year were included in the survey. Results: Over 11 years, among patients in Sweden with a bystander witnessed out-of-hospital cardiac arrest in whom cardiopulmonary resuscitation (CPR) was attempted (n = 9666), the occurrence of ventricular fibrillation as the initially obseved arrhythmia decreased from 45% in 1991 to 28% in 2001 (P < 0.0001) if the arrest occurred at home, and from 57% to 41% if the arrest occurred outside home (P < 0.0001). This was found despite the fact that the proportion who received bystander CPR increased from 29% in 1991 to 39% in 2001 if the arrest occurred at home (P < 0.0001) and from 54% to 60% if the arrest occurred outside home (NS). There was a significant increase in age among patients with out-of-hospital cardiac arrest at home, no change in the estimated interval between collapse and call but an increase in the interval between call and arrival of the ambulance among patients with out-of-hospital cardiac arrest outside home. Conclusion: During 11 years in Sweden, there was a marked decrease in the proportion of patients found in ventricular fibrillation among patients with a bystander witnessed cardiac arrest regardless whether the arrest occurred at home or outside home. A modest increase in age and interval between call for, and arrival of, the ambulance was associated with these findings. (C) 2003 Elsevier Ireland Ltd. All rights reserved.
  •  
6.
  • Herlitz, J, et al. (författare)
  • Factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in a national perspective in Sweden
  • 2005
  • Ingår i: Am Heart J. - 1097-6744. ; 149:1, s. 61
  • Tidskriftsartikel (refereegranskat)abstract
    • AiM To describe factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in Sweden. Patients and Methods All patients suffering from an out-of-hospital cardiac arrest, which were not crew witnessed, in Sweden and in,whom cardiopulmonary resuscitation (CPR) was attempted and who were registered in the Swedish Cardiac Arrest Registry. This registry covers about 85% of the Swedish population and has been running since 1990. Results In all, 33 453 patients, 71% of whom had a cardiac etiology, were included in the survey. The following were independent predictors for an increased chance of survival in order of magnitude: (1) patients found in ventricular fibrillation (odds ratio OR 5.3, 95% confidence limits CL 4.2-6.8), (2) the interval between call for and arrival of the ambulance less than or equal to the median (OR 3.6, 95% CL 2.9-4.6), (3) cardiac arrest occurred outside the home (OR 2.2, 95% CL 1.9-2.7), (4) cardiac arrest was witnessed (OR 2.0, 95% CL 1.6-2.7), (5) bystanders performing CPR before the arrival of the ambulance (OR 2.0, 95% CL 1.7-2.4), and (6) age less than or equal to the median (OR 1.6, 95% CL 1.4-2.0). When none of these factors were present, survival to 1 m was 0.4%; when all factors were present, survival was 23.8%. Conclusion Among patients suffering from an out-of-hospital cardiac arrest, which were not crew witnessed, in Sweden and in whom CPR was attempted, 6 factors for an increased chance of survival could be defined. These include (1) initial rhythm, (2) delay to arrival of the rescue team, (3) place of arrest, (4) witnessed status, (5) bystander CPR, and (6) age.
  •  
7.
  • Herlitz, Johan, 1949-, et al. (författare)
  • Is female sex associated with increased survival after out-of-hospital cardiac arrest?
  • 2004
  • Ingår i: Resuscitation. - 0300-9572. ; 60:2, s. 197-203
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: To evaluate survival after out-of-hospital cardiac arrest in relation to sex. Methods: All patients with out-of-hospital cardiac arrest included in the Swedish Cardiac Arrest Registry between 1990 and 2000 in whom cardiopulmonary resuscitation (CPR) was attempted and who did not have a crew witnessed arrest were included. The registry covers 85% of the inhabitants of Sweden (approximately 8 million inhabitants). P-values were adjusted to differences in age. Survival was defined as patients being hospitalised alive and being alive one month after cardiac arrest. In all, 23,797 patients participated in the survey of which 27.9% were women. Results: Among women 16.4% were hospitalised alive versus 13.2% among men (P < 0.001). After one month 3.0% among women were alive versus 3.4% among men (NS). In a multivariate analysis considering differences in age and various factors at resuscitation female sex was an independent predictor for patients being hospitalised alive (odds ratio 1.66; 95% confidence limits 1.49-1.84) and for being alive after one month (odds ratio 1.27; 95% confidence limits 1.03-1.56). Women differed from men as they were older (P < 0.001), had a lower prevalence of witnessed cardiac arrest (P = 0.01), a lower occurrence of bystander CPR (P < 0.001), a lower occurrence of ventricular fibrillation as initial arrhythmia (P < 0.001) and a lower occurrence of cardiac disease judged to be the cause of cardiac arrest (P < 0.0001). On the other hand they had a cardiac arrest at home more frequently (P < 0.001). Conclusion: Among patients suffering out-of-hospital cardiac arrest in Sweden which was not crew witnessed and in whom resuscitation efforts were attempted, female sex was associated with an increased survival. (C) 2003 Elsevier Ireland Ltd. All rights reserved.
  •  
8.
  • Svensson, Leif, et al. (författare)
  • Changes in demographic factors and mortality after out-of-hospital cardiac arrest in Sweden
  • 2005
  • Ingår i: Coron Artery Dis. - 0954-6928. ; 16:1, s. 51-7
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective To describe changes between 1992 and 2003 in age, sex, factors at resuscitation and survival among patients suffering from out-of-hospital cardiac arrest in Sweden. Methods This was a prospective observational study including various ambulance organizations in Sweden. Patients suffering from out-of-hospital cardiac arrest between 1992 and 2003 included in the Swedish Cardiac Arrest Registry were followed for survival to 1 month. Results In all 19 791 cases took part in the survey. There was a slight increase in mean age from 68 to 70 years (P=0.025) and an increase of females from 29 to 32% (P=0.0001). There was a change in witnessed status (P<0.0001) with an increase in crew-witnessed cases and a decrease in non-witnessed cases. There was a decrease in cases of a cardiac etiology from 75 to 61% (P<0.0001) and a decrease in the percentage found in ventricular fibrillation from 36 to 25% (P<0.0001). When crew-witnessed cases were excluded the proportion receiving bystander cardiopulmonary resuscitation (CPR) increased from 30 to 42% (P<0.0001). There was a slight increase in the overall proportion of patients hospitalized alive from 16 to 20% (P=0.032). There was no significant change in the overall proportion of survivors at 1 month after cardiac arrest (4.5% in 1992 and 5.0% in 2003). Conclusions Among patients suffering from out-of-hospital cardiac arrest in Sweden some changes took place. The most important ones were a decrease in the proportion of patients found in ventricular fibrillation and an increase in the proportion of patients receiving bystander CPR. The proportion of patients admitted alive to hospital increased moderately, whereas the proportion of patients alive after 1 month remained unchanged.
  •  
9.
  • Svensson, Leif, et al. (författare)
  • Characteristics and outcome among children suffering from out of hospital cardiac arrest in Sweden
  • 2005
  • Ingår i: Resuscitation. - 0300-9572. ; 64:1, s. 37-40
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: To evaluate the characteristics, outcome and prognostic factors among children suffering from out of hospital cardiac arrest in Sweden. Methods: Patients aged below 18 years suffering from out of hospital cardiac arrest which were not crew witnessed and included in the Swedish cardiac arrest registry were included in the survey. This survey included the period 1990-2001 and 60 ambulance organisations covering 85%, of the Swedish population (8 million inhabitants). Results: In all 457 children participated in the survey of which 32% were bystander witnessed and 68% received bystander CPR. Ventricular fibrillation was found in 6% of the cases. The overall survival to 1 month was 4%. The aetiology was sudden infant death syndrome in 34% and cardiac in 11%. When in a multivariate analysis considering age, sex, witnessed status, bystander CPR, initial rhythm, aetiology and the interval between call for, and arrival of, the ambulance and place of arrest only one appeared as an independent predictor of an increased chance of surviving cardiac arrest occurring outside home (adjusted odds ratio 8.7; 95% CL 2.2-58.1). Conclusion: Among children suffering from out of hospital cardiac arrest in Sweden that were not crew witnessed, the overall survival is low (4%). The chance of survival appears to be markedly increased if the arrest occurs outside the patients home compared with at home. No other strong predictors for an increased chance of survival could be demonstrated.
  •  
10.
  • Svensson, Leif, et al. (författare)
  • Efficacy of bystander CPR: intervention by lay people and by health care professionals
  • 2005
  • Ingår i: Resuscitation. - 0300-9572. ; 66:3, s. 291-5
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Early cardiopulmonary resuscitation (CPR) by bystanders prior to the arrival of the rescue team has been shown to be associated with increased survival after out-of-hospital cardiac arrest. The aim of this survey was to evaluate the impact on survival of no bystander CPR, lay bystander CPR and professional bystander CPR. Methods: Patients suffering an out-of-hospital cardiac arrest in Sweden between 1990 and 2002 who were given CPR and were not witnessed by the ambulance crew were included. Results: In all, 29,711 patients were included, 36% of whom received bystander CPR prior to the arrival of the rescue team. Among the latter, 72% received CPR from lay people and 28% from professionals. Survival to I month was 2.2% among those who received no bystander CPR, 4.9% among those who received bystander CPR from lay people (p<0.0001) and 9.2% among those who received bystander CPR from professionals (p < 0.0001 compared with bystander CPR by lay people). In a multivariate analysis, lay bystander CPR was associated with improved survival compared to no bystander CPR (OR: 2.04; 95% Cl: 1.72-2.42), and professional bystander CPR was associated with improved survival compared to lay bystander CPR (OR: 1.37; 95% CI: 1. 12-1.67). Conclusion: Among patients suffering an out-of-hospital cardiac arrest, bystander CPR by lay persons (excluding health care professionals) is associated with an increased chance of survival. Furthermore, there is a distinction between lay persons and health care providers; survival is higher when the latter perform bystander CPR. However, these results may not be explained by differences in the quality of CPR.
  •  
Skapa referenser, mejla, bekava och länka
  • Resultat 1-10 av 55
  • [1]23456Nästa
Åtkomst
fritt online (14)
Typ av publikation
tidskriftsartikel (39)
doktorsavhandling (5)
konferensbidrag (4)
bokkapitel (3)
bok (2)
rapport (2)
visa fler...
visa färre...
Typ av innehåll
refereegranskat (41)
övrigt vetenskapligt (14)
Författare/redaktör
Holmberg, S (9)
Ängquist, Karl-Axel, (8)
Svensson, Leif, (7)
Herlitz, J (6)
Engdahl, J (6)
Angquist, K-A, (6)
visa fler...
Herlitz, Johan, 1949 ... (5)
Sandman, Per-Olof, (5)
Lutzen, Kim, (5)
Lindahl, Berit (5)
Rydström, Ingela (5)
Rosvall, Per-Åke (5)
Svensson, L (4)
Holm, Ann-Sofie (4)
Young, Marie (4)
Angquist, KA (4)
Hjelmér, Carina, (4)
Herlitz, Johan (3)
Ängquist, KA (3)
Silfverstolpe, J (3)
Norberg, Astrid, (3)
Lundström, Ulf, (3)
Dalheim Englund, Ann ... (3)
Engdahl, Johan, 1968 ... (3)
Young, M. (3)
Lappalainen, Sirpa (3)
Höglund, Lars, (2)
Ryden, Lars, (2)
Efendic, S (2)
Waldenström, Anders, (2)
Rasmussen, B (2)
Ryden, L. (2)
Laakso, M. (2)
Erixon Arreman, Inge ... (2)
Wisten, Aase, (2)
Lundahl, Lisbeth, (2)
Öhrn, Elisabet, 1958 ... (2)
Holmberg, Stig, (2)
Dickstein, K. (2)
Sandman, PO, (2)
Dahlheim-Englund, An ... (2)
Birkeland, K. (2)
Rasmussen, Birgit, (2)
Holritz Rasmussen, B ... (2)
Möller, Christian (2)
Rasmussen, Birgit H, (2)
Fisher, M., (2)
Bootsma, A. (2)
MacLeod, K. (2)
Öresland, Stina, (2)
visa färre...
Lärosäte
Göteborgs universitet (22)
Karolinska Institutet (21)
Lunds universitet (9)
Ersta Sköndal högskola (3)
visa fler...
Högskolan i Jönköping (2)
Karlstads universitet (1)
Luleå tekniska universitet (1)
Högskolan Dalarna (1)
Örebro universitet (1)
Linköpings universitet (1)
Chalmers tekniska högskola (1)
Malmö högskola (1)
visa färre...
Språk
Engelska (42)
Svenska (13)
Ämne (HSV)
Medicin och hälsovetenskap (9)
Samhällsvetenskap (3)

År

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy