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Sökning: WFRF:(Englund Emma)

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  • Akerstrom, Finn, et al. (författare)
  • Association between catheter ablation of atrial fibrillation and mortality or stroke
  • 2024
  • Ingår i: Heart. - : BMJ PUBLISHING GROUP. - 1355-6037 .- 1468-201X. ; 110, s. 163-169
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective Catheter ablation of atrial fibrillation effectively reduces symptomatic burden. However, its long-term effect on mortality and stroke is unclear. We investigated if patients with atrial fibrillation who undergo catheter ablation have lower risk for all-cause mortality or stroke than patients who are managed medically. Methods We retrospectively included 5628 consecutive patients who underwent first-time catheter ablation for atrial fibrillation between 2008 and 2018 at three major Swedish electrophysiology units. Control individuals with an atrial fibrillation diagnosis but without previous stroke were selected from the Swedish National Patient Register, resulting in a control group of 48 676 patients. Propensity score matching was performed to produce two cohorts of equal size (n=3955) with similar baseline characteristics. The primary endpoint was a composite of all-cause mortality or stroke. Results Patients who underwent catheter ablation were healthier (mean CHA(2)DS(2)-VASc score 1.4 +/- 1.4 vs 1.6 +/- 1.5, p<0.001), had a higher median income (288 vs 212 1000 Swedish krona [KSEK]/year, p<0.001) and had more frequently received university education (45.1% vs 28.9%, p<0.001). Mean follow-up was 4.5 +/- 2.8 years. After propensity score matching, catheter ablation was associated with lower risk for the combined primary endpoint (HR 0.58, 95% CI 0.48 to 0.69). The result was mainly driven by a decrease in all-cause mortality (HR 0.51, 95% CI 0.41 to 0.63), with stroke reduction showing a trend in favour of catheter ablation (HR 0.75, 95% CI 0.53 to 1.07). Conclusions Catheter ablation of atrial fibrillation was associated with a reduction in the primary endpoint of all-cause mortality or stroke. This result was driven by a marked reduction in all-cause mortality.
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  • Arneback, Emma, 1974-, et al. (författare)
  • Achieving a professional identity through writing
  • 2017
  • Ingår i: Education Inquiry. - : Taylor & Francis. - 2000-4508. ; 8:4, s. 284-298
  • Tidskriftsartikel (refereegranskat)abstract
    • In what way might writing of different kinds contribute to the development of a professional identity? By analytically distinguishing three discourses of communication, everyday, professional and academic, applied to three preschool student teachers’ conceptions of writing during their education and in their initial phase at work as preschool teachers, we attempt to understand the role of writing in their development of professional identities. What we have found is that the professional discourse which all three have achieved is something each of them creates and develops in very different forms. Their independent final projects show that all three have a mastery of academic discourse, but only in exceptional cases do they make use of that discourse in contexts other than this specific piece of work and to some extent earlier papers written as part of their teacher education. However, judging from our interviews and their responses to our questions, it seems as if they have acquired modes of expression quite close to an academic discourse, but have primarily developed and use different variants of a professional discourse. This professional discourse also seems to be an important element in their development of a professional identity.
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  • Arneback, Emma, 1974, et al. (författare)
  • Enacting the Convention on the Rights of the Child - in times of juridification
  • 2023
  • Ingår i: ECER program 2023.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • This paper takes its starting point in the fact that the Convention on the rights of the child (CRC) becamenational law in Sweden 2020. At the same time, focusing on rights in education is nothing new, and must be understood in the light of a political development over time. After the Second World War the idea of education as a citizenship right became a critical issue in the restructuring of Western democratic school systems. The growing tendency to view and discuss education through a perspective of rights has, however, led to tensions between different perspectives on rights (cf. Bobbio 1996). Focusing on children’s rights, it has for example been demonstrated that there are tensions between different views on children’s rights and parents’ rights (cf. Englund 2010, Quennerstedt 2009). That there are tensions within and between different discourses on rights is a central starting point for this paper. In Sweden, the Convention on the rights of the child was ratified in 1990 and has since then been an acknowledged perspective in education. However, in 2020 the status of the CRC changed, as it was incorporated into national law (SFS 2018:1197). In the debate preceding the decision, there were those arguing both for and against this change. What is clear, however, is that we still know far too little about how the CRC is enacted as national law. In a wider perspective, the increase and changed character in the use of juridical regulations has, in Swedish education as well as in other countries and areas, been termed as juridification (Rosén et al, 2021; also see Blichner & Molander 2008; Murphy, 2021; Novak, 2017). The rather limited research available so far has demonstrated that juridification has led to changes in the descriptions of teachers’ roles (Bergh & Arneback, 2016) and uncertainty for headmasters and teachers’ on how to act (Lindgren et al 2021). But what in addition has been reported, is that the use of legislation also can work as a support for teachers in their professional work (Karseth & Møller, 2020). A central starting point for this paper is that juridification of and in education (Rosén et al, 2021) cannot be seen as good or bad per se. Instead, we need to study the processes that follow from different laws, to contribute knowledge of importance for further actions on different levels (in legalisation and enactments of laws). As several sociologist of laws has argued (Habermas, 1987; Honneth 2015), there is on one hand a need of laws to regulate a fair democratic society, but on the other hand a risk that an overuse of laws can lead to instrumentalized actions and processes. With juridification as an overriding knowledge interest, the aim of this paper is to analyse how the CRC is enacted by civil servants at three Swedish national school authorities after it became national law, and to discuss some implications that follow with different interpretations. This is done by answering the following research questions: a) What different discourses about the Convention on the Rights of the Child are enacted by civil servants at national school authorities? b) What tensions appear within and between these discourses and what possible consequences can follow with different interpretations and usages? This paper is a part of a research project studying what happens with education in Sweden when the Convention on the rights of the child has become national law. Inline with the theme of ECER-conference, the project group is aiming for diversity in perspectives. By establishing a collaboration between researchers in pedagogy and jurisprudence (called JURED) we study relationships between juridification and education. Method The paper is based on interviews with fourteen civil servants working at three national school authorities in Sweden (National Agency for Education, National Agency for Special Needs Education and Swedish Schools Inspectorate), information at their websites and text document given to us by the informants. At each authority we have interviewed four-six people working with CRC as leaders or civil servants, with expertise in either law or education. The semi-structured interviews lasted between 60-120 minutes and were conducted by two researchers, one scholar in pedagogy and one scholar in jurisprudence, to ensure a broad competence in the collection of data. When the interviewed civil servants talked about the new juridical framing of CRC in Sweden, it became clear that they relate to different discourses. We therefore turned to discourse analysis, and more specifically to neo-pragmatism (Cherryholmes, 1988), to further analyse the different ways that the new legalisation is enacted (Ball et al. 2012) This methodological approach has enabled analysis on how different uses of language are related to past experiences, expectations on the future and actions in the present. The relation within and between different discourses is not neutral since they occur in a society with power structures and framed by rules. Consequently, the societal conditions that constitute a discursive practice nominate those who can speak with authority and create conditions for what that can be said or not be said. The analysis is done in three steps: 1) In the first step we focus on the language used in our data, by informants and in texts, on how to enact the CRC as national law, 2) secondly, we focus on bridges and tensions that appear within and between different discourses, 3) finally, we discuss possible consequences that follow from these bridges and tensions. In the process of analysis, earlier research and political discussions on children’s rights have been used abductively, with the purpose to relate our collected data to a broader context and thus tensions within and between different discourses on a societal level. Expected Outcomes The empirical result is presented as three discourses: CRC as political agenda-setting where the new law has led to increased attention of the CRC at the school authorities, but without problematizing tensions within this political discourse. The CRC is primarily handled as a practical question, more of a given agenda that needs to be followed. CRC as juridical implication of the law, for examples, has led to that decisions at school authorities are done based on the best interest of the child, and that there is a need to implement children’s right to be heard. In this juridical discourse the incorporation of the CRC is often welcomed as important and at the same time declared not to bring any legal novelties. CRC as educational practices where the law has led to new writings in the curriculum and support materials. There are few examples of tension within the educational discourse, with expectations of discussions on what kind of support that are needed from national school authorities to schools on this matter. At a societal level there are several tensions in the discourses, for examples, between different rights, on how to incorporation CRC as national law, and how to enact CRC in education. An important result is that these tensions become quite invisible when the CRC is enacted by civil servants. Rather, the tensions are more between the discourses than within them. Some informants describe that it is hard to understand each other between different professional roles. However, some collaboration between both the authorities and civil servants, trying to bridge different discourses, does take place. Altogether our results points at the importance on further studies on the complex relation between juridification and education, as possible conflicts that if not handled at the national level, eventually will erupt in local authorities and schools. References Ball, S. J., M. Maguire, and A. Braun (2012). How Schools Do Policy: Policy Enactments in Secondary Schools. Routledge. Bergh, A., and E. Arneback (2019). “Juridification of Swedish Education – Changing Conditions for Teachers’ Professional Work.” In Policing Schools: School Violence and the Juridification of Youth. Young People and Learning Processes in School and Everyday Life, edited by J. Lunneblad, (pp. 53-70). Springer. Blichner, L. C., and A. Molander (2008). “Mapping Juridification.” European Law Journal 14 (1): 36–54. Bobbio, N. (1996). The Age of Rights. Polity Press. Cherryholmes, C. (1988). Power and Criticism: Poststructural Investigations in Education. Teachers College Press. Englund, T. (2010). Questioning the parental right to educational authority - arguments for a pluralist public education system. Education Inquiry, 1(3), 235-258. Habermas, J. (1987). The Theory of Communicative Action. Vol. 2, Lifeworld and System: A Critique of Functionalist Reason. Beacon Press. Honneth, A. (2015). Freedom’s Right - the Social Foundations of Democratic Life. Columbia University Press. Karseth, B. and J. Møller (2020). Legal Regulation and Professional Discretion in Schools, Scandinavian Journal of Educational Research, 64:2, 195-210. Lindgren, J, A. Hult, S. Carlbaum and C. Segerholm (2021). To See or Not to See: Juridification and Challenges for Teachers in Enacting Policies on Degrading Treatment in Sweden, Scandinavian Journal of Educational Research, 65:6, 1052-1064, Murphy M. (2022). Taking education to account? The limits of law in institutional and professional practice, Journal of Education Policy, 37:1, 1.16. Novak, J. (2019) Juridification of educational spheres: The case of Sweden, Educational Philosophy and Theory, 51:12, 1262-1272 Rosén,M, E. Arneback and A. Bergh (2021) A conceptual framework for understanding juridification of and in education, Journal of Education Policy, 36:6, 822-842. Quennerstedt A. (2009) Balancing the Rights of the Child and the Rights of Parents in the Convention on the Rights of the Child, Journal of Human Rights, 8:2, 162-176. United Nation. (1989). Convention of the right of the child. SFS 2018:1197: Lag om Fören
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  • Arneback, Emma, 1974-, et al. (författare)
  • Formation as Communication? : an outline of analyzing student teachers’ development as writers
  • 2013
  • Konferensbidrag (refereegranskat)abstract
    • At core will be the responsive interaction with teachers and peer students and what role different forms of responses play; university teachers’ formative feedback and peer assessment play, and how they influence the development of teacher students’ writing and their sense of what matters in writing. By using two different learning and writing environments in teacher education, preschool teacher education and teacher education, we distinguish between different forms of ideals, demands and feedbacks on their writings as they are articulated and practiced in different disciplines. Thereby we analyze ‘academic literacies” and discuss what kind of ‘formation scripts’ that seems to emerge in the interactions in different social practices within teacher education. 
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  • Arneback, Emma (författare)
  • Med kränkningen som måttstock : om planerade bemötanden av främlingsfientliga uttryck i gymnasieskolan
  • 2012
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The aim of this dissertation is to map and analyse planned responses to expressions of racism in upper secondary schools. Three questions are in focus: (1) What courses of action, in response to expressions of racism, are advocated in philosophical texts and equal treatment plans for upper secondary schools? (2) What consequences have these courses of action for the formation of the mission of schools, the responsibility of teachers, and the limits of free speech? (3) What kinds of expressions of racism are these courses of action intended to be a response to? The study takes its point of departure in two theoretical traditions: Pierre-André Taguieff’s categorisations of racism are used to define the problem in the dissertation, while John Dewey’s moral philosophy provides the methodological base. From an analysis of equal treatment plans four temporal phases are identified. In the first phase, preventive measures, the purpose is to prevent students from developing racism. In phase two, limitations in schools, the dominant course of action is to prohibit violations in schools. The third phase, corrective measures, is concerned with how to handle situations that are contrary to the limitations in schools. The final phase, limitations on schools, relates to when schools are required to transfer responsibility for action to the social services, work environment or police authorities. The results indicate that the national laws (since 2006) have a strong impact on equal treatment plans, and that ‘non-violation’ becomes a dominant moral principle that displaces or subsumes other views of morality. How the non-violation principle is applied also affects the space for political conversations on topics that can be hurtful. Finally, the analysis indicates that equal treatment plans are mainly concerned with expressions of racism among students, and pay little attention to expressions of racism that occur in the organization of schools. The plans thus describe schools as a force for good that seeks to combat (potential) racism among students.
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