| 1. |
- Mylrea-Foley, Bronacha, et al.
(author)
-
Perinatal and 2-year neurodevelopmental outcome in late preterm fetal compromise : the TRUFFLE 2 randomised trial protocol
- 2022
-
In: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 12:4
-
Journal article (peer-reviewed)abstract
- Introduction: Following the detection of fetal growth restriction, there is no consensus about the criteria that should trigger delivery in the late preterm period. The consequences of inappropriate early or late delivery are potentially important yet practice varies widely around the world, with abnormal findings from fetal heart rate monitoring invariably leading to delivery. Indices derived from fetal cerebral Doppler examination may guide such decisions although there are few studies in this area. We propose a randomised, controlled trial to establish the optimum method of timing delivery between 32 weeks and 36 weeks 6 days of gestation. We hypothesise that delivery on evidence of cerebral blood flow redistribution reduces a composite of perinatal poor outcome, death and short-term hypoxia-related morbidity, with no worsening of neurodevelopmental outcome at 2 years.Methods and analysis: Women with non-anomalous singleton pregnancies 32+0 to 36+6 weeks of gestation in whom the estimated fetal weight or abdominal circumference is <10th percentile or has decreased by 50 percentiles since 18-32 weeks will be included for observational data collection. Participants will be randomised if cerebral blood flow redistribution is identified, based on umbilical to middle cerebral artery pulsatility index ratio values. Computerised cardiotocography (cCTG) must show normal fetal heart rate short term variation (>= 4.5 msec) and absence of decelerations at randomisation. Randomisation will be 1:1 to immediate delivery or delayed delivery (based on cCTG abnormalities or other worsening fetal condition). The primary outcome is poor condition at birth and/or fetal or neonatal death and/or major neonatal morbidity, the secondary non-inferiority outcome is 2-year infant general health and neurodevelopmental outcome based on the Parent Report of Children's Abilities-Revised questionnaire.Ethics and dissemination: The Study Coordination Centre has obtained approval from London-Riverside Research Ethics Committee (REC) and Health Regulatory Authority (HRA). Publication will be in line with NIHR Open Access policy.
|
|
| 2. |
|
|
| 3. |
|
|
| 4. |
- Andersson, Anders, 1980-, et al.
(author)
-
Recreational trolling effort and catch of Atlantic salmon and brown trout in Vänern, the EU's largest lake
- 2020
-
In: Fisheries Research. - : Elsevier. - 0165-7836 .- 1872-6763. ; 227
-
Journal article (peer-reviewed)abstract
- Recreational fishing has grown substantially worldwide; for some recreational fisheries both catch and economic value now exceeds that of commercial fisheries. Monitoring of recreational fisheries effort and catch is therefore important for sustainable fisheries management. We developed and implemented an angler survey to estimate effort and catch for the recreational trolling fishery for landlocked Atlantic salmon (Salmo salar) and brown trout (S. trutta) in Lake Vänern, Sweden. Major challenges were the large spatial scale and dispersed fishing effort, a lack of revenue from fishing licence sales, and a lack of catch reporting requirements. We developed a complemented roving/mail-in survey to estimate effort and catch during the main fishing periods, spring and fall, 2014. Instantaneous counts from major access sites were used for effort estimates, and mail-in surveys were used for catch rates. Our results show that Vänern supports a salmon and trout fishery of some 28.7 ± 3.3 tonnes per year. Fishing effort was higher in the spring than in the fall, and there were seasonal differences in catch rates for trout but not for salmon. Estimates show that the recreational trolling fishery now harvests more salmon and trout annually than do the commercial and subsistence fisheries combined. This highlights the importance of continuing an angler survey program for Vänern as a key element for sustainable fisheries management, and can serve as a model for other recreational fisheries at large spatial scales.
|
|
| 5. |
- Bergman, Eva, 1959-, et al.
(author)
-
Atlantic salmon and brown trout in Lake Vänern : A proposal for a co-management system
- 2014
-
In: Aquatic Ecosystem Health & Management. - : Taylor & Francis Group. - 1463-4988 .- 1539-4077. ; 17:4, s. 365-373
-
Journal article (peer-reviewed)abstract
- Co-management is of increasing interest for fisheries management. We explore possibilities for, and barriers to, developing a co-management system, using threatened populations of landlocked Atlantic Salmon and Brown Trout as examples. Good management of natural resources requires not only knowledge about the resource but also suitable tools to collect information and make decisions. In large ecosystems this can be difficult because many actors are involved, and various societal borders and traditions become barriers. Vänern is the largest lake in the EU and it holds several distinct populations of large-bodied landlocked Atlantic Salmon and Brown Trout. The lake is used for commercial, subsistence, and sport fishing as well as for other recreational activities, and in Klarälven, the largest river entering Vänern, sport fishing is popular. These salmonid populations were at critically low levels during the 1960s, but a stocking program since then has maintained the fishery, and at least one wild stock appears to be recovering since being protected in 1993. Ecosystem users all have different needs: in the lake, sport fishermen say that catches of hatchery fish have declined, and commercial fishermen have focused on other species. In the river, wild salmon may be recovering: sport fishing is popular and an ongoing project investigates the possibilities for salmon to be able to circumvent hydro-electrical plants and reach historical Norwegian spawning areas. Not only do we lack information about the salmonids’ different life stages, we also lack a suitable socio-political organization to find sustainable solutions to the different needs of diverse user groups. We argue that a co-management system that enfranchises user groups in the Vänern-Klarälven ecosystem will improve sustainable management of wild and hatchery fish.
|
|
| 6. |
|
|
| 7. |
|
|
| 8. |
- Bergman, Eva, et al.
(author)
-
'Grasp life again'. A qualitative study of the motive power in myocardial infarction patients
- 2003
-
In: European Journal of Cardiovascular Nursing. - 1474-5151 .- 1873-1953. ; 2:4, s. 303-310
-
Journal article (peer-reviewed)abstract
- Myocardial infarction is the most common cause of death in Sweden today and is responsible for approximately 30% of all deaths. The aim of this study was to obtain increased knowledge and understanding of what motive power is and how it affects the individual's rehabilitation and return to a functioning daily life. Thirteen patients, six females and seven males, who had experienced a myocardial infarction, aged between 39 and 72 years and with a minimum interval from myocardial infarction diagnosis of at least 12 months, were interviewed. Grounded theory was the method used for data collection and analysis, since the method is focusing on social processes and interaction. The analysis process identified motive power as a core category: zest for life. The participants expressed a desire and a longing to continue living. The participants' experiences of their disease as well as being discharged from hospital forced them to reorientation. Autonomy, the individual's own active decision-making, plays a significant role in this zest for life. Care for was identified as the support base for zest for life. As health-care professionals we must, at a very early stage on the ward, form an idea of what kind of patient we have in front of us. ⌐ 2003 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.
|
|
| 9. |
- Bergman, Eva, 1959-, et al.
(author)
-
Lax och öring i Klarälven - möjligheter för vild fisk och kvalité på odlad fisk : Slutrapport 2008-2012
- 2013
-
Reports (other academic/artistic)abstract
- Data från 1800-talet visar att fångsterna av lax och öring i både älv och sjö varit mycket högre än idag. Storskaliga dämmen, kraftigt fiske i Dejeforsen, nio kraftverk i den svenska delen av Klarälvens huvudfåra, och användandet av älven för timmerflottning har bidragit till detta. Efter att utsättning av kompensationsodlad fisk startade ökade fångsten igen, även om den fortfarande är låg.Fältundersökningar av vild laxsmolt visade att 16 % av smolten klarade sig hela vägen förbi de åtta kraftverken mellan Edebäck och Forshaga. Under studien var vattenföringen, och därmed spillet, lågt, vilket troligen bidragit till de höga förlusterna. Normalt spills det inte under hela smoltvandringsperioden, vilket är olyckligt.Lax och öring uppfödda under normala odlingsförhållanden är oftast större och fetare än vild fisk. Vi födde upp lax med olika fodertyper och fodermängder. Mängden föda påverkade laxens tillväxt och smoltmognad, och lax som fått fettfattigt foder var mest ”naturlik”. Den klarade också vandringen bäst, 80 % tog sig till Vänern medan 55 % av laxen som fått normalt eller lite foder. Bara 20 % av tidigt könsmogna hanar tog sig till Vänern.Rapporten avslutas med implikationer och förslag till åtgärder och fortsatta studier.
|
|
| 10. |
|
|
