| 1. |
- Jørgensen, Tanja Schjødt, et al.
(författare)
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Protocol for evaluating and implementing a pragmatic value-based healthcare management model for patients with inflammatory arthritis : A Danish population-based regional cohort and qualitative implementation study
- 2018
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 8:10
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Tidskriftsartikel (refereegranskat)abstract
- Introduction The provision of healthcare for patients with inflammatory arthritis occurs in the context of somewhat conflicting targets, values and drivers. Therefore, there is a need for introducing 'value-based healthcare' defined as the value of patient relevant health outcomes in relation to costs. This term is a central part of tomorrow's healthcare sector, especially for rheumatic diseases, yet the transition is a huge challenge, as it will impact the development, delivery and assessment of healthcare. Aims The aim of this study is to compare medical and patient evaluated impact of the traditional settlement and financing production (DAGS) controlled healthcare setting with a value-based and patient-centred adjunctive to standard care. Methods and analysis Patients with inflammatory arthritis receiving treatment in routine care at the outpatient clinics in the Capital Region of Denmark will prospectively and consecutively be enrolled in a Non-Intervention-Study framework providing a pragmatic value-based management model. A Danish reference cohort, used for comparison will be collected as part of routine clinical care. The enrolment period will be from 1 June 2018 until 31December 2023. Baseline and follow-up visits will be according to routine clinical care. Registry data will be obtained directly from patients and include personal, clinical and outcomes information. The study results will be reported in accordance with the STROBE statement. Ethics and dissemination The study has been notified to the Danish Data Protection Agency and granted authorisation for the period June 2018 to January 2025 (pending). Informed consent will be obtained from all patients before enrolment in the study. The study is approved by the ethics committee, Capital Region of Denmark (H-18013158). Results of the study will be disseminated through publication in international peer-reviewed journals.
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| 2. |
- Bech, Jens-Henrik, et al.
(författare)
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Bronze age settlement and land-use in Thy, Northwest Denmark, Vol. I and Vol. II
- 2018
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- This two volume monograph about the region of Thy in the early Bronze Age provides a high resolution archaeological and ecological model of the organisation of landscape, settlements and households during the period 1500-1100 BC. Bordering the North Sea to the west, and the calmer waters of the Limfjord to the east, the region of Thy in Denmark experienced four centuries of intense economic and demographic expansion. By combining results from environmental and economic research (pollen and palaeo-botanical analyses) with intensive field surveys and excavations of farmsteads with exceptional preservation, it has been possible to open a window to the changes that transformed Bronze Age society and its environment during a few centuries of exceptional expansion and wealth consumption. The results from this interdisciplinary venture made it possible to link together the histories of local farmsteads with the wider regional and global history of the Bronze Age in North-western Europe during this period.
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| 3. |
- Gron, Kurt J., et al.
(författare)
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Archaeological cereals as an isotope record of long-term soil health and anthropogenic amendment in southern Scandinavia
- 2021
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Ingår i: Quaternary Science Reviews. - : Elsevier BV. - 0277-3791. ; 253
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Tidskriftsartikel (refereegranskat)abstract
- Maintaining soil health is integral to agricultural production, and the archaeological record contains multiple lines of palaeoclimatic and palaeoenvironmental proxy evidence that can contribute to the understanding and analysis of long-term trajectories of change that are key for contextualizing 21st century global environmental challenges. Soil is a capital resource and its nutrient balance is modified by agricultural activities, making it necessary to ensure soil productivity is maintained and managed through human choices and actions. Since prehistory this has always been the case; soil is a non-renewable resource within a human lifetime. Here, we present and interpret carbon and nitrogen isotope analysis of charred cereals from southern Scandinavia. Anthropogenic effects on soils are evident from the initiation of farming 6000 years ago, as is amendment to counteract its effects. The earliest cereals were planted on pristine soils, and by the late Neolithic, agriculture extensified. By the Iron Age it was necessary to significantly amend depleted soils to maintain crop yields. We propose that these data provide a record of soil water retention, net precipitation and amendment. From the start of the Neolithic there is a concurrent decrease in both Δ13C and δ15N, mitigated only by the replacement of soil organic content in the form of manure in the Iron Age. The cereal isotopes provide a record of trajectories of agricultural sustainability and anthropogenic adaptation for nearly the entire history of farming in the region.
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| 4. |
- Kristiansen, Kristian, 1948, et al.
(författare)
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Økokrisen i bronzealderens Thy
- 2018
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Ingår i: Skalk. - 0560-1894. ; :4, s. 9-17
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Artiklen sammenfatter i populær form resultaterne fra twobinds monografien: Bronze Age Settlement and Land Use in Thy, Northwest Jutland
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| 5. |
- Kähler Holst, Mads, et al.
(författare)
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Bronze Age 'Herostrats': Ritual, Political and Domestic Economies in Early Bronze Age Denmark
- 2013
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Ingår i: Proceedings of the Prehistoric Society. - : Cambridge University Press (CUP). - 0079-497X .- 2050-2729. ; 79, s. 265-296
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Tidskriftsartikel (refereegranskat)abstract
- In this article we argue that within the Danish Bronze Age there was a short-lived period (roughly 1500–1150 BC) that witnessed a dramatic investment of resources into the construction of monumental architecture in the form of barrows and long houses. These investments had far-reaching long-term effects on the local landscape with negative consequences for agricultural productivity. We use two extraordinary well-documented excavations of a barrow (Skelhøj) and a long house (Lega°rd) as a model for labour organisation and resource allocation, which is calculated against the number of barrows and long houses recorded in the Danish Sites and Monuments database for the period. An astonishing minimum of 50,000 barrows were constructed, devastating an estimated 120,000–150,000 hectares of grassland. During the same time period an estimated 200,000 long houses were constructed and renewed every 30–60 years. In densely settled regions the effects are easily recognisable in pollen diagrams as a near-complete deforestation. Thereby, the productive potential of the economy was, in effect, reduced. The situation was unsustainable in a long-term perspective and, at least on a local scale, it implied the risk of collapse. On the other hand, the exploitation of resources also appears to have entailed a new way of operating in the landscape, which led to a new organisation of the landscape itself and a restructuring of society in the Late Bronze Age. The intense character of these investments in monumental architecture is assumed to rely primarily on ritual and competitive rationales, and it exemplifies how the overall economy may be considered an unstable or contradictory interplay between ritual, political, and domestic rationales
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