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- Bäckström, Torbjörn, 1948-, et al.
(författare)
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Pathogenesis in menstrual cycle-linked CNS disorders.
- 2003
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Ingår i: Annals of the New York Academy of Sciences. - : Wiley. - 0077-8923 .- 1749-6632. ; 1007, s. 42-53
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Forskningsöversikt (övrigt vetenskapligt/konstnärligt)
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| 2. |
- Andersson, Inga-Maj
(författare)
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Second trimester medical abortion : perceptions and experiences
- 2015
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: Second-trimester abortions account for 10 - 15 % of all induced abortions worldwide with a wide variation of permits in different countries. In Sweden, second-trimester abortions account for less than 10 % of the total number of induced abortions. The indication can be fetal or socioeconomic. The medical abortion regimen with mifepristone and misoprostol, is the regimen used in Sweden. The treatment with misoprostol often causes painful contractions, and prophylactic as well as additional pain treatments are needed. The median interval from induction with the first dose of misoprostol to expulsion is 5 to 6 hours. A nurse/midwife takes care of the woman during an uncomplicated second-trimester abortion procedure. The aim of this thesis was to improve the care of women undergoing second- trimester medical abortion by increasing the knowledge about women's feelings, thoughts and experiences and nurses/midwives ́ experiences of second-trimester abortion care. Methods and findings: Study I was a qualitative study; 21 interviews with nurses/midwives were analyzed using content analysis. Taking care of women undergoing second-trimester medical abortion was perceived as a task that requires professional knowledge, empathy and the ability to reflect on ethical attitudes and considerations. The feeling of supporting women's rights bridged the difficulties nurses/midwives faced in caring for women undergoing second-trimester medical abortion. Study II was cross-sectional. 31 women answered a questionnaire prior the abortion about their expectations and feelings and 23 of them were interviewed after the abortion. The women expressed similar emotions prior the abortion, largely irrespective of the indication to the abortion. Despite strong, conflicting emotions and physical difficult experiences women did not regret their decision to have the abortion. Their rational thinking outweighed their emotional hard feelings. Study III was a mixed-method study with focus on women ́s thoughts and feelings related to the fetus and to viewing the fetus or not. Fifteen of the women from study II were telephone interviewed 6 to 10 months later. Several women expressed thoughts about the fetus prior the abortion. Most women with socioeconomic indication to the abortion no longer expressed any thoughts about the fetus, while women with fetal indication still expressed feelings of sadness over a lost child. Women who had unintentionally or intentionally viewed the fetus did not experience any negative feeling during the telephone interview. Study IV was a randomized controlled trial with 52 women randomized to a paracervical blockade, PCB, with bupivacaine, and 50 women randomized to a PCB with sodium chloride, administered one hour after the first dose of misoprostol. The primary outcome variable, highest pain intensity did not show any differences between the two groups. On a visual analogue scale, VAS from 0 to 10, 65 - 75 % of the participants reported pain as VAS >7. There were no differences in morphine consumption between the groups, or in induction-to abortion interval. The most common side effects were nausea and vomiting in connection to morphine injection, with no differences between the two groups. Conclusions: Undergoing second-trimester abortion is a vulnerable and emotionally difficult situation for many women irrespective of the indication for the abortion. They have to be treated with respect, professional knowledge and empathy. Structured work-based training for health care personnel can increase the possibility to offer optimal care for women undergoing second- trimester abortion. A caring encounter with informing guidance from the nurse/midwife and possibility for the women to express concerns and issues is crucial in second-trimester care. To actively ask women prior to the abortion about their emotions, thoughts, feelings and even about the fetus seems to help them to be mentally prepared for what will happen during and after second- trimester abortion. Women should have the chance to choose if they want to view the fetus, irrespective of the indication to the abortion. Second-trimester abortion related pain is a complex experience often with high intensity physical pain. Prophylactic PCB does not statistically significantly reduce maximal pain scores and the need for additional opiates during second-trimester medical abortion.
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| 3. |
- Andersson, Inga-Maj, et al.
(författare)
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Upplevelser och behov hos personal i abortvården
- 2018
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Ingår i: Inducerad abort. - Stockholm : Svensk förening för obstetrik och gynekologi. ; , s. 47-49
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 4. |
- Andersson, Maj-Britt, 1955-, et al.
(författare)
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Why world cultural heritage? : Democracy, local participation and knowledge production in the world culture nomination of Farms in Hälsingland, Sweden
- 2009
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Ingår i: The 16th International Congress of Anthropological and Ethnological Sciences (IUAES), Kunming, China, 27 - 31 July, 2009. Humanity, Development and Cultural Diversity. ; , s. 1-9
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Around the world there is a rush in nominating tangible and intangible sites for UNESCO’s World Culture Heritage List. The requirements for nomination are that the sites have "universal value for mankind", that they are unique and authentic, and there is a need to secure the sites’ sustainable development by opening them up for the tourist industry. Sweden has a total of fourteen natural and cultural heritage sites on the list, one of which is a natural site, twelve are cultural sites, and one is a mixed site. It was anticipated that the large timbered red-painted farmhouses of Hälsingland in the north of Sweden would be listed in June 2009. ICOMOS, however, came to another conclusion and deferred the nomination.The nomination process has lasted for over ten years and has been a painstaking process involving the local communities and the county administration board in the county town of Gävle. The local people are partly thrilled, because they assume that there is money to earn when they open up their homes for tourists; an income that for some is badly needed because of the deterioration of the buildings due to the high costs of renovation. But some are openly critical to the entire enterprise, which is seen as a status project for some politicians and threat to the landscape by disturbing the harmony between the built environment, people and the natural landscape. In a cultural heritage nomination process, a complicated interaction arises between expert knowledge and local knowledge, which generates insights that are crucial to capture and dress in words to be able to formulate a successful world heritage proposal and not the least to make it operational.
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| 5. |
- Andersson, Maj-Britt, et al.
(författare)
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Why World Culture Heritage? Democracy, local participation and knowledge production in the world culture nomination of Farms in Halsingland, Sweden
- 2011
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Ingår i: Indigenous Knowledge and Sustainable Development. - Beijing, China : The Intellectual House. - 9787513008242 ; , s. 21-33
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- This paper analyzes the nomination process of the Swedish heritage site Farms and Villages in Hiilsingland (2007) for UNESCO's World Heritage List. It was anticipated that the large timbered red-painted farmhouses of Halsingland in the north of Sweden would be listed in June 2009, but ICOMOS (International Council on Monuments and Sites) came to another conclusion, deferred the nomination and returned it to the Swedish authorities for improvements.The nomination process lasted for over 10 years and has been a painstaking process involving the local communities and the county administration board in the county town of Gavle. The costs were estimated to be 15 million Swedish Crowns (1.6 million EURO) which did not trickle down to the owners of the farmhouses. The local people were nonetheless thrilled because they assumed that a nomination would benefit them economically, especially if they were prepared to join the tourist circus and make their homes accessible for visitors. The extra income was badly needed since the restoration costs for these large houses in most cases can only with difficulties be carried by the individual house owner. But some were openly critical to the entire enterprise and they saw it as a status project for some politicians and a threat to the perceived harmony between the traditionally built environment and the landscape. A nomination would cause a disruption between old and new ways of living instead of continuity. In a cultural heritage nomination process a complicated interaction arises between expert knowledge and local knowledge, which generates insights that need to be formulated in the final product. Cultural sensitivity and local participation must be pillars in such a project to make it sustainable.
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| 6. |
- Gunningberg, Lena, 1954-, et al.
(författare)
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Pressure mapping to prevent pressure ulcers in a hospital setting : A pragmatic randomised controlled trial
- 2017
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Ingår i: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 72, s. 53-59
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Tidskriftsartikel (refereegranskat)abstract
- Background: Pressure ulcers cause suffering to patients and costs to society. Reducing pressure at the interface between the patient's body and the support surface is a valid clinical intervention for reducing the risk of pressure ulcers. However, studies have shown that knowledge of how to reduce pressure and shear and to prevent pressure ulcers is lacking. Objective: To evaluate the effect of a pressure mapping system on pressure ulcer prevalence and incidence in a hospital setting. Design: Pragmatic randomised controlled trial. Setting: A geriatric/internal medical ward with 26 beds in a Swedish university hospital. Participants: 190 patients were recruited (intervention: n = 91; control: n = 99) over a period of 9 months. Patients were eligible if they were over 50 years old, admitted to the ward between Sunday 4 pm and Friday 4 pm, and expected to stay in the ward >= 3 days. Intervention: The continuous bedside pressure mapping system displays the patient's pressure points in real-time colour imagery showing how pressure is distributed at the body mat interface. The system gives immediate feedback to staff about the patient's pressure points, facilitating preventive interventions related to repositioning. It was used from admittance to discharge from the ward (or 14 days at most). Both intervention and control groups received standard pressure ulcer prevention care. Results: No significant difference in the prevalence and incidence of pressure ulcers was shown between intervention and control groups. The prevalence of pressure ulcers in the intervention group was 24.2% on day 1 and 28.2% on day 14. In the control group the corresponding numbers were 18.2% and 23.8%. Seven of 69 patients (10.1%) in the intervention group and seven of 81 patients (8.6%) in the control group who had no pressure ulcers on admission developed category 1 and category 2 ulcers during their hospital stay. The incidence rate ratio between the intervention and control groups was 1.13 (95% CI: 0.34-3.79). Conclusions: This study failed to demonstrate a beneficial effect of a pressure mapping system on pressure ulcer prevalence and incidence. However, the study could have increased staff awareness and focus on pressure ulcer prevention, thus affecting the prevalence and incidence of pressure ulcers in a positive way in both study groups. It is important to further investigate the experience of the multidisciplinary team and the patients regarding their use of the pressure mapping system, as well as strengths and weaknesses of the system.
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