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Sökning: L773:1876 2018

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1.
  • Lundqvist, Lars-Olov, 1958-, et al. (författare)
  • Indonesian adaptation of the Quality in Psychiatric Care-Inpatient (QPC-IP) instrument : Psychometric properties and factor structure
  • 2018
  • Ingår i: Asian Journal of Psychiatry. - : Elsevier. - 1876-2018 .- 1876-2026. ; 34, s. 1-5
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: The aim of the present study was to adapt and evaluate the psychometric properties and factor structure of the Indonesian version of the Quality in Psychiatric Care - Inpatient (QPC-IP) instrument.Methods: The QPC-IP is based on a definition of quality of care from the patient's perspective; it consists of 30 items covering six factors. A sample of 150 inpatients at general psychiatric wards in Indonesia completed the QPC-IP questionnaire.Results: Confirmatory factor analysis revealed that the factor structure of the Indonesian version was equivalent to that of the original Swedish QPC-IP, with the exception of the secluded environment factor. The results thus demonstrate that the concept of quality of care expressed in the QPC-IP is to a large extent equivalent among inpatients in fundamentally different health care systems and cultural contexts. Internal consistency for the full QPC-IP was adequate, but poor for the separate factors.Conclusion: The Indonesian QPC-IP is a useful instrument for evaluating psychiatric inpatient care, and thus contributes to health care improvement in the field of psychiatry.
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2.
  • Phoosuwan, Nitikorn, et al. (författare)
  • Antenatal depressive symptoms during late pregnancy among women in a north-eastern province of Thailand : Prevalence and associated factors
  • 2018
  • Ingår i: Asian Journal of Psychiatry. - : Elsevier BV. - 1876-2018 .- 1876-2026. ; 36, s. 102-107
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Globally, depression is prevalent during pregnancy and several factors have been associated with antenatal depressive symptoms (ADS). However, ADS have rarely been investigated in Thailand. This study aimed at exploring the prevalence of ADS and factors associated with these symptoms among Thai women in late pregnancy.Methods: A cross-sectional study including 449 women in late pregnancy was carried out. The Edinburgh Postnatal Depression Scale (EPDS) was used to detect depressive symptoms with a score of 10 points or higher. Socio-demographic characteristics and psychosocial risks were measured in association with ADS. Percentage and 95% confidence interval (CI) were used to assess the prevalence of ADS. Odds ratio (OR) and 95%CI were used to determine ADS-related risk factors among women.Results: The prevalence of ADS was 46.8% (95%CI 42.3–51.4). Pregnant women aged less than 20 years (OR 2.58, 95%CI 1.14–5.84) and those not having enough money (OR 2.71, 95%CI 1.22–6.05) had an increased risk of ADS. Psychosocial risks related to ADS for women were low psychological well-being (OR 3.12, 95%CI 1.75–5.58), low self-esteem (OR 2.08, 95%CI 1.24–3.49), and low sense of coherence (OR 1.82, 95%CI 1.12–2.95).Conclusions: The prevalence of ADS among Thai women in their late pregnancy is high. Socio-demographic characteristics and psychosocial factors are independently associated with ADS. Healthcare providers in Thailand should consider EPDS as a standardised screening tool for ADS and use it at antenatal care clinics. Implementing programs focusing on both pregnant women and their family might increase the prevention of perinatal depression.
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3.
  • Singh, Nagendra Madan, et al. (författare)
  • Early and late postictal cardiac electrophysiological changes associated with low, moderate, and high dose electroconvulsive shocks
  • 2018
  • Ingår i: Asian Journal of Psychiatry. - : Elsevier. - 1876-2018 .- 1876-2026. ; 33, s. 78-83
  • Tidskriftsartikel (refereegranskat)abstract
    • Studies have examined the effects of electroconvulsive therapy (ECT) on human cardiac electrophysiology. However, no study has so far examined whether these effects vary with the magnitude of the electrical dose used to elicit the seizure. Because the benefits and adverse effects of the ECT seizure are dose-dependent, we examined the effects of different electrical doses of electroconvulsive shocks (ECS) on cardiac electrophysiology in an animal model with a view to determine whether cardiac electrophysiology could be a useful proxy to evaluate the quality of the ECT seizure.
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4.
  • Seo, Jungryul, et al. (författare)
  • Accurate position and orientation independent step counting algorithm for smartphones
  • 2018
  • Ingår i: Journal of Ambient Intelligence and Smart Environments. - : IOS Press. - 1876-1364 .- 1876-1372. ; 10:6, s. 481-495
  • Tidskriftsartikel (refereegranskat)abstract
    • Step counting (SC) algorithms can be applied to different areas such as well-being applications, games, and indoor navigation. Many existing SC algorithms for smartphones use data from inertial sensors to infer the number of steps taken, but their usefulness in real-life situations is limited since typically only a few positions and orientations are supported. Moreover, the algorithms may suffer from dynamic orientation and position changes during walking. To alleviate these shortcomings, we propose the Position and Orientation Independent Step Counting Algorithm (POISCA), which uses an accelerometer and a gyroscope to count the number of steps while allowing the smartphone’s position and orientation to change dynamically. In a nutshell, the algorithm first determines the orientation of the smartphone, and then detects zero crossings with a predetermined buffer range. 48 young adults (36 males, 12 females) participated in an experiment that simulated a real-life scenario to evaluate the performance of POISCA against three other step counting algorithms. The data from 24 participants were randomly assigned to a training group, which was then used to establish threshold parameters for POISCA. The remaining 24 participants’ data were used for accuracy measurement. The results show that POISCA outperforms the other algorithms with a Symmetric Mean Absolute Percentage Error of 4.54%, which can be lower if the algorithm is calibrated for each user. The results suggest that POISCA has potential for use in real-life situations where changes in position and orientation of the smartphone are dynamic.
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5.
  • Vestin, M., et al. (författare)
  • Emergency department staffs’ knowledge, attitude and patient communication about complementary and alternative medicine – A Swedish survey
  • 2018
  • Ingår i: European Journal of Integrative Medicine. - : Elsevier BV. - 1876-3820 .- 1876-3839. ; 19, s. 84-88
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: International studies report high use of complementary and alternative medicine (CAM) by emergency department (ED) patients and low levels of knowledge about CAM among registered nurses (RNs) and physicians. However, the current situation in Swedish EDs is unknown. This study explored knowledge, attitudes, and patient communication about CAM among physicians and RNs working within the Swedish ED context. Method: This research was performed as a cross-sectional questionnaire study at six EDs in the middle of Sweden. Results: Both RNs and physicians (84.7% of all participants) rated their CAM knowledge as low, but wished to gain more knowledge in the area (62.7%). A majority (58.8%) of the participants believed it to be of some importance that they had knowledge about CAM. Of the participants, 68% were interested in taking part in CAM research, and 43.8% had the opinion that more research resources should be reserved for CAM research. 41.2% reported their patient communication about CAM as non-existent or low. Conclusion: Knowledge about CAM and CAM research among Swedish ED staff was indicated as very low, but with a presence of gaining more knowledge. The opinion that more funding should be allocated to CAM research existed. Communication with patients about CAM rarely occurred. © 2018 Elsevier GmbH
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6.
  • Abelsson, Anna, 1971-, et al. (författare)
  • Learning High-Energy Trauma Care Through Simulation
  • 2018
  • Ingår i: Clinical Simulation in Nursing. - : Elsevier. - 1876-1399 .- 1876-1402. ; 17, s. 1-6
  • Tidskriftsartikel (refereegranskat)abstract
    • Simulation provides the opportunity to learn how to care for patients in complexsituations, such as when patients are exposed to high-energy trauma such as motor vehicle accidents.The aim of the study was to describe nurses’ perceptions of high-energy trauma care through simulationin prehospital emergency care. The study had a qualitative design. Interviews were conductedwith 20 nurses after performing a simulated training series. Data were analyzed using a phenomenographicmethod. The result indicates that simulation establishes, corrects, and confirms knowledge andskills related to trauma care in prehosp ital emergency settings. Trauma knowledge is readily availablein memory and can be quickly retrieved in a future trauma situation.
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7.
  • Andersson Lilja, Peter, et al. (författare)
  • Mismatch(es) in the [gå och V ‘walk/go’and V] construction in Swedish
  • 2018
  • Ingår i: Constructions and Frames. - : John Benjamins Publishing Company. - 1876-1933 .- 1876-1941. ; 10:2, s. 147-177
  • Tidskriftsartikel (refereegranskat)abstract
    • This article studies the pseudo-coordination [ga 'go/walk och 'and' V]. The construction has several meanings and it also has subordination counterparts in Modern Swedish, unlike most Swedish pseudo-coordinations. Our diachronic study shows that [ga och V] cannot readily be reduced to the verbs in isolation and that synchronic lexicocentric perspectives based on syntactic (re)configurations cannot capture the constructional meaning such as the assumed inference of 'surprise' or 'unexpectedness. We argue that a detailed analysis of the historical development makes the picture clearer. In the development of [ga och V], item-based analogy continuously facilitates new verbs in the V slot. At a certain stage, there is a mismatch between the agentivity of the construction and the non-agentivity of events denoted by the second verb. This mismatch is resolved by the override principle that forces non-agentive verbs to be interpreted agentively and promote a more abstract and lexicalized version of the construction. The exemplar-based view to constructions proposed by Bybee (2010, 2013) seems favorable, since frequent exemplars of [ga och V] allow for redundant or marginal features to serve as the model for novel expansions of the construction.
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8.
  • Andersson, Peter, 1974, et al. (författare)
  • Matches and mismatches in Swedish gå och V 'go/walk and V'. An exemplar-based perspective
  • 2018
  • Ingår i: Constructions and Frames. - : John Benjamins Publishing Company. - 1876-1933 .- 1876-1941. ; 10:2, s. 147-177
  • Tidskriftsartikel (refereegranskat)abstract
    • This article studies the pseudo-coordination [ga 'go/walk och 'and' V]. The construction has several meanings and it also has subordination counterparts in Modern Swedish, unlike most Swedish pseudo-coordinations. Our diachronic study shows that [ga och V] cannot readily be reduced to the verbs in isolation and that synchronic lexicocentric perspectives based on syntactic (re)configurations cannot capture the constructional meaning such as the assumed inference of 'surprise' or 'unexpectedness. We argue that a detailed analysis of the historical development makes the picture clearer. In the development of [ga och V], item-based analogy continuously facilitates new verbs in the V slot. At a certain stage, there is a mismatch between the agentivity of the construction and the non-agentivity of events denoted by the second verb. This mismatch is resolved by the override principle that forces non-agentive verbs to be interpreted agentively and promote a more abstract and lexicalized version of the construction. The exemplar-based view to constructions proposed by Bybee (2010, 2013) seems favorable, since frequent exemplars of [ga och V] allow for redundant or marginal features to serve as the model for novel expansions of the construction.
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9.
  • Galli, Francesca, et al. (författare)
  • Addressing food poverty in systems : governance of food assistance in three European countries
  • 2018
  • Ingår i: Food Security. - : Springer Science and Business Media LLC. - 1876-4517 .- 1876-4525. ; 10:6, s. 1353-1370
  • Tidskriftsartikel (refereegranskat)abstract
    • Emergency food poverty relief is one of the possible entry points to understanding food poverty in affluent societies, whereas the visibility of food poverty relief initiatives has evolved, together with large-scale food recovery organizations and networks aiming at reducing and valorising surplus in food systems. There is a substantial diversity of actors and resources involved, resulting in differently shaped initiatives and programs. It can be described as a continuum encompassing third sector initiatives, large and small businesses, and institutional intervention programs: by bringing together institutions, companies, organisations and civil society, public-private food assistance addresses food poverty in a way that is not viable by any of these actors alone and by adopting context specific governance arrangements. This paper contributes to this debate with the analysis of governance relations in food assistance initiatives across different European countries (Italy, The Netherlands and Ireland). By approaching food assistance from a systems perspective, we further the understanding of these initiatives and their modes of governance. The case studies offer a mapping of food assistance by identifying functions and outcomes, actors and resources involved, and the links the initiatives have to those elements, thus highlighting where collaborative food poverty reduction takes place that goes beyond traditional boundaries. Food assistance initiatives are a civil initiated response shaped by and complementing the social welfare and food systems in which they are embedded. The interpretation of food assistance functions leads to challenging the boundaries of food assistance and potentially triggering innovative approaches to improving food and nutrition security. Discussions show that while they have managed to find innovative and collaborative governance solutions to address the very immediate issues rather effectively, they do not negate the need for food system transformation to address the ultimate reasons for food poverty.
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10.
  • Keys, Patrick W., et al. (författare)
  • Green water and African sustainability
  • 2018
  • Ingår i: Food Security. - : Springer Science and Business Media LLC. - 1876-4517 .- 1876-4525. ; 10:3, s. 537-548
  • Tidskriftsartikel (refereegranskat)abstract
    • Sub-Saharan Africa faces an enormous challenge in meeting the basic needs of a population that will nearly triple between now and the end of the twenty-first century. Managing water effectively, sustainably, and equitably will be a critical component for meeting this challenge, especially in the context of the Sustainable Development Goals (SDGs). We focus on green water (i.e. the water that comprises evaporation and precipitation flows), rather than blue water (i.e. the liquid water flowing in rivers, lakes, and aquifers), since green water is primarily used for food production. We examine three key insights into green water management at their relevant spatial and temporal scales: farm-based food production using the vapor shift (annual, local); landscape and ecosystem interventions (multi-year, national/regional), and moisture recycling (decadal, regional/continental). As such, these insights are organized into a spatial and temporal framework, which helps to clarify how feedbacks within and among these different scales create opportunities for intervention. Our key finding is that green water management at the landscape-scale constitutes the best entry point for providing leverage at both smaller and larger scales, in terms of time, space, and policy. We conclude by highlighting the urgent need for much more resilient, cross-scale green water systems that can accommodate the impending, nonstationary changes related to climate change. This urgency is further underlined by the very short time horizon for achieving the SDGs by 2030.
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