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- Fränneby, Ulf, et al.
(författare)
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Validation of an Inguinal Pain Questionnaire for assessment of chronic pain after groin hernia repair.
- 2008
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Ingår i: British Journal of Surgery. - : Wiley. - 0007-1323 .- 1365-2168. ; 95:4, s. 488-493
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Long-term pain is an important outcome after inguinal hernia repair. The aim of this study was to test the validity and reliability of a specific Inguinal Pain Questionnaire (IPQ). METHODS: The study recruited patients aged between 15 and 85 years who had undergone primary inguinal or femoral hernia repair. To test the validity of the questionnaire, 100 patients received the IPQ and the Brief Pain Inventory (BPI) 1 and 4 weeks after surgery (group 1). To test reliability and internal consistency, 100 patients received the IPQ on two occasions 1 month apart, 3 years after surgery (group 2). Non-surgery-related pain was analysed in group 3 (2853 patients). RESULTS: A significant decrease in IPQ-rated pain intensity was observed in the first 4 weeks after surgery (P < 0.001). Significant correlations with corresponding BPI pain intensity items corroborated the criterion validity (P < 0.050). Logical incoherence did not exceed 5.5 per cent for any item. Values for kappa in the test-retest in group 2 were higher than 0.5 for all but three items. Cronbach's alpha was 0.83 for questions on pain intensity and 0.74 for interference with daily activities. CONCLUSION: This study found good validity and reliability for the IPQ, making it a useful instrument for assessing pain following groin hernia repair.
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- Gambarato, Renira R., et al.
(författare)
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Beyond fact and fiction : Cultural memory and transmedia ethics in Netflix’s The Crown
- 2023
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Ingår i: European Journal of Cultural Studies. - : Sage Publications. - 1367-5494 .- 1460-3551. ; 26:6, s. 803-821
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to discuss the potential ethical implications of the fictionalization of historical events represented across multiple media platforms – under the powerful umbrella of streaming media services en général and Netflix in particular – to examine the potential impact fictionalization has on what is culturally remembered and what is forgotten. Combining theoretical approaches from transmedia studies and cultural memory, the article addresses possible ethical conundrums involved in the Netflix historical drama series about the reign of Queen Elizabeth II: The Crown. Methodologically, the article is structured as a case study underpinned by the multidimensional analytical model proposed by Erll, chosen to explore how the blurred lines between fact and fiction of the flagship historical drama The Crown could have ethical implications for and impact on what is remembered and what is forgotten regarding recent memories of the British Royal Family. The research findings indicate that a deeper understanding of the conventions of the historical fiction genre, as well as the transmedial ramifications of streaming media productions, could potentially mitigate the ethical implications of The Crown, going above and beyond fact and fiction.
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- Gambarato, Renira R., et al.
(författare)
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Streaming media and the dynamics of remembering and forgetting : The Chernobyl case
- 2022
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Ingår i: Memory Studies. - : Sage Publications. - 1750-6980 .- 1750-6999. ; 15:2, s. 271-286
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to elucidate the mnemonic conditions established in the ever-increasing production and use of cultural memory in streaming media environments. To gain in-depth insight into how memories are selected for remembering and sorted for forgetting, the focus is the HBO Chernobyl mini-series. The case study of HBO?s Chernobyl is selected to qualitatively explore cultural memories across the series throughout the complexities of globally connected technologies and markets, where different cultures and languages, as well as media framings, come into play. Theoretically, the article is based on conceptualization of cultural memory studies and streaming media platforms. Methodologically, the case study is supported by the multidimensional analytical lens developed by Erll, adopted to elucidate how the cultural memory of Chernobyl is activated, mediated, and shaped by the streaming series. These three dimensions involve the intra-medial aspects of how memory is expressed within the representation itself, the inter-medial relations which designate the interplay with previous representations of the same historical event, and the pluri-medial contexts in which novels and films appear and exert their influence on cultural memory. In the three-dimension analysis, we address the construction and circulation of cultural memory from the production to the reception of the mini-series in multiple media environments and across borders, depicting the social, cultural, and political impact of streaming media productions.
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- Gunnarsson, Ulf, 1967-, et al.
(författare)
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Is elective hernia repair worthwhile in old patients?
- 1999
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Ingår i: European Journal of Surgery. - : Oxford University Press (OUP). - 1102-4151 .- 1741-9271. ; 165:4, s. 326-32
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To find out if elective herniorraphy in patients aged 75 and over is worthwhile.DESIGN: Retrospective study.SETTING: District hospital, Sweden.SUBJECTS: 146 consecutive patients aged 75 years or more, who had their hernias repaired during the period 1992-95.MAIN OUTCOME MEASURES: Patient satisfaction measured by a five-point analogue scale. Clinical and personal details, morbidity, mortality, and surgical variables were obtained from case records.RESULTS: Community social service was not required by 114 (78%) of the patients and 15 (22%) had no preoperative complaints. Our patients rated their satisfaction with their choice to have an operation, as well as its effect on their preoperative symptoms as 4.9. Emergency operations (p = 0.02), femoral hernias (p = 0.01) and direct inguinal hernias (direct:indirect ratio 0.81) were more common in this age group. Femoral and direct inguinal hernias tended to recur more often than usual. Emergency operation, dementia, and diabetes were associated with a reduced short-term survival.CONCLUSION: Elective hernia repair in an elderly population is highly appreciated by the patients, and worthwhile. If coexisting disease and domestic arrangements are controlled, the patients' need for hospital care can be minimised. Mesh is recommended in femoral and direct inguinal hernias, which were associated with an increased reoperation frequency. A more vigilant protocol of indications for hernia surgery in the aged may minimise the need for both emergency and unnecessary operations.
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