| 1. |
- Lundström, Petra, et al.
(författare)
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Acute Response to One Bout of Dynamic Standing Exercise on Blood Glucose and Blood Lactate Among Children and Adolescents With Cerebral Palsy Who are Nonambulant
- 2022
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Ingår i: Pediatric Exercise Science. - Champaign, IL : Human Kinetics. - 0899-8493 .- 1543-2920. ; 34:2, s. 93-98
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To investigate the acute exercise effects of dynamic standing exercise (DyS) on blood glucose and blood lactate among children and adolescent with cerebral palsy (CP) who are non-ambulant. Methods: Twenty-four participants with CP who are non-ambulant performed 30 minutes of DyS using a motorized device enabling assisted passive movements in an upright weight-bearing position. Capillary blood-samples were taken from the fingertip for measurement of blood glucose and blood lactate at rest and at the end of exercise. Results: At rest, the participants had hyperlactatemia that was unaffected after exercise presented as median and interquartile range at rest 1.8 [1.3:2.7] mmol/L and after exercise 2.0 [1.1:2.5] mmol/L. Children and adolescents with GMFCS-E&R V had higher lactate levels at rest (2.5 [1.8:2.9] vs 1.4 [1.0:2.0]; p=0.030) and after exercise (2.3 [2.0:2.6] vs 1.2 [0.9:2.2]; p=0.032) compared to children and adolescents with GMFCS-E&R IV respectively. A statistically significant larger decrease in blood lactate levels after exercise was observed in children and adolescents with higher resting blood lactate levels (rho=0.56;p=0.004). There were no statistically significant changes in blood glucose. Conclusions: Forty percent of the participants had mild hyperlactatemia at rest and participants with the highest blood lactate levels at rest had the greatest decrease in blood lactate levels after one bout of exercise. Children and adolescents with classified into higher level of GMFCS-E&R had higher blood lactate levels. More studies are needed on how to prevent chronically high resting levels of lactate with exercise in children with CP who are non-ambulant.
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| 2. |
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| 3. |
- Ahmed, Niaz, et al.
(författare)
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Consensus statements and recommendations from the ESO-Karolinska Stroke Update Conference, Stockholm 11-13 November 2018.
- 2019
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Ingår i: European Stroke Journal. - : SAGE Publications. - 2396-9873 .- 2396-9881. ; 4:4, s. 307-317
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of the European Stroke Organisation-Karolinska Stroke Update Conference is to provide updates on recent stroke therapy research and to give an opportunity for the participants to discuss how these results may be implemented into clinical routine. The meeting started 22 years ago as Karolinska Stroke Update, but since 2014 it is a joint conference with European Stroke Organisation. Importantly, it provides a platform for discussion on the European Stroke Organisation guidelines process and on recommendations to the European Stroke Organisation guidelines committee on specific topics. By this, it adds a direct influence from stroke professionals otherwise not involved in committees and work groups on the guideline procedure. The discussions at the conference may also inspire new guidelines when motivated. The topics raised at the meeting are selected by the scientific programme committee mainly based on recent important scientific publications. This year's European Stroke Organisation-Karolinska Stroke Update Meeting was held in Stockholm on 11-13 November 2018. There were 11 scientific sessions discussed in the meeting including two short sessions. Each session except the short sessions produced a consensus statement (Full version with background, issues, conclusions and references are published as web-material and at www.eso-karolinska.org and http://eso-stroke.org) and recommendations which were prepared by a writing committee consisting of session chair(s), scientific secretary and speakers. These statements were presented to the 250 participants of the meeting. In the open meeting, general participants commented on the consensus statement and recommendations and the final document were adjusted based on the discussion from the general participants Recommendations (grade of evidence) were graded according to the 1998 Karolinska Stroke Update meeting with regard to the strength of evidence. Grade A Evidence: Strong support from randomised controlled trials and statistical reviews (at least one randomised controlled trial plus one statistical review). Grade B Evidence: Support from randomised controlled trials and statistical reviews (one randomised controlled trial or one statistical review). Grade C Evidence: No reasonable support from randomised controlled trials, recommendations based on small randomised and/or non-randomised controlled trials evidence.
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| 4. |
- Andersson, Ulrika, et al.
(författare)
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The unbounded body of the law of rape : the intrusive criterion of non-consent
- 2018
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Ingår i: Responsible selves. - : Routledge. - 9781315193656 - 075462160X - 9780815376514 ; , s. 331-352
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Bokkapitel (refereegranskat)abstract
- In the judicial context, the law of rape is plied chiefly around two central concepts: force and non-consent. These concepts are analogues to male and female sexuality and lie at the heart of what may be described as the dichotomy of rape law. When force is part of the legislative definition of rape, non-consent seems to be used in case law as an instrument to decide whether force may be proven. On the contrary, when the legislative definition contains non-consent, force is generally looked at in order to prove non-consent.
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| 5. |
- Arvidson, Sibylla, et al.
(författare)
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Formgivning av elektronikinkapsling till personlyft
- 2003
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Denna rapport avhandlar ett projekt inom kursen Industriell design vid Luleå tekniska universitet. Kursen kan sägas vara en generalrepetition inför examensarbetet för studenter på ingenjörsprogrammet Industriell design. Projektet genomförs på uppdrag av en av världens ledande tillverkare av personlyftar; Liko AB.Företagets har genomgående väldesignade produkter med en tydlig, egen profil. De elektroniska komponenterna med sin inkapsling köps dock in färdiga från en dansk underleverantör. Inkapslingen av dessa elektroniska komponenter har en formgivning som stämmer dåligt med personlyftarnas goda design och funktionalitet i övrigt. Dessutom använder de flesta av Likos konkurrenter identiska delar från samma leverantör. Kortfattat var uppdraget var att ta fram designkoncept för elektronikbox, batteriinkapsling och handkontroll samt laddare för väggmontering. I inledningen av projekttiden genomfördes ett omfattande underrättelsearbete för att klargöra vad som kan öka det upplevda värdet på en personlyft. Konkurrenter, inköpare och användare intervjuades. Produkter med liknade funktioner undersöktes. Med ledning av all den relevanta information som insamlats och struktuerats fastställdes de krav som det färdiga konceptet skulle uppfylla och de önskvärda egenskaper produkten skulle ha. Det kreativa arbetet, som inletts redan dag ett, intensifierades när målen var klara och resulterade i ett antal konceptförslag på de olika delarna. Dessa förslag utvärderades med akademiska metoder. De koncept som bäst motsvarade uppställda kriterier presenterades för uppdragsgivaren som bekräftade det rätta i vägvalet. Att presentera ett komplett koncept innebär också att den slutliga formen bestäms, specifika ytlösningar, materialval och detaljlösningar optimeras och visualiseras på bästa sätt. På detta stadium studerades många andra produkter med liknade delfunktioner eller liknande önskvärda uttryck. Den slutliga formbestämningen gjordes med hjälp av tredimensionella datormodeller, en tillförlitlig metod att prova ut olika lösningar på ett tidsbesparande sätt.När alla detaljer var bestämda byggdes fullskalemodeller av de ingående delarna i konceptet för att med säkerhet kunna fastställa att idéerna klarar ett möte med verkligheten. Delarna i det färdiga konceptet är, i kort-kort sammanfattning, en slank elektronikbox-batterienhet baserad på en gemensam aluminiumprofil, en ergonomisk handkontroll med kontaktlös laddning i sitt sladdlösa utförande och en diskret, elegant väggladdare. Allt med hög funktionalitet och ett formspråk i harmoni med uppdragsgivarens övriga produkter.
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| 6. |
- Backlund, Åsa, 1970-
(författare)
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Elevvård i grundskolan : Resurser, organisering och praktik
- 2007
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of the thesis is to describe and analyse the organization, resources and practice of pupil welfare work in municipal compulsory schools. In one study, telephone interviews with head masters from a random sample of 100 municipal compulsory schools have been carried out. A second study is based on material from two case studies, where the work of the pupil welfare team members and the everyday organizing of pupil welfare, are scrutinized.The distribution of special pupil welfare resources varied considerably. Almost one-third of the variation could be explained by organizational and structural variables included in a regression analysis. Practically all schools in the sample had a school nurse, while school social workers and in particular school psychologists, were available to a lesser extent. Regarding the latter two professions, the results indicate that these resources are allocated to pupils of different age groups. The involvement of different kinds of municipal service in pupil welfare work is becoming a common form of organization. The case studies show that these service units can become influential actors in the organizing of local pupil welfare work.School nurses appear to be an institutionalized resource, with regard to their presence in schools and the content of their work. The school social worker lacks a specific technology of her own that distinguishes her work from other professions. School social work is performed by several professions and for some tasks domain conflicts can arouse. These conflicts can to a certain degree be rooted in the enhanced consultative role of the pupil welfare specialists, which affects the division of labour between the actors. The pupil welfare meetings studied in the case studies where characterized by asymmetrical relationships, where little space were given for pupils and their parents to be actively involved in the decision-making process.
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| 7. |
- Backlund, Åsa, et al.
(författare)
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Institutioner för ensamkommande barn : – hur kan man förstå en snabbt expanderande och turbulent vård- och omsorgsmarknad? [Residential care for unaccompanied minors. How can a growing and turbulent care market be understood?]
- 2018
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Ingår i: Socialvetenskaplig tidskrift. - : Linkoping University Electronic Press. - 1104-1420 .- 2003-5624. ; 25:3-4, s. 211-229
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Tidskriftsartikel (refereegranskat)abstract
- The number of unaccompanied minors arriving in Sweden has grown rapidly in recent years and the care of these children has become a significant part of the Swedish child welfare system. In this article, we discuss what has happened to the residential care market (known as HVB for short) in which most of these children are placed by the municipal social services. The specific questions we seek to illuminate are: Which type of residential care actors have expanded their operations? Have new actors entered the residential care market for unaccompanied minors? How can we understand changes in the residential care market in the current situation? The study is based upon the Health and Social Care Inspectorate’s registry of all licensed residential care units in Sweden. We compare data for all residential care units that targeted unaccompanied minors in 2014 with an updated register from March 2016. The residential care units are categorized based on organizational type (municipal, large and small private companies, municipal entrepreneurs, and non-profit organizations) and the article illustrates the composition of organizational type. The results show that despite the growing need for residential care for unaccompanied minors, the composition of organizational type has not changed significantly since 2014. However, the number of beds for unaccompanied minors is higher than for traditional HVBs, and it has increased between 2014 and 2016. The study also indicates that the composition of residential care for unaccompanied minors differs from the residential care market for other groups of children and young people.
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| 8. |
- Backlund, Åsa, et al.
(författare)
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Socialtjänstens respons på "flyktingkrisen" : Mottagandet av ensamkommande barn
- 2021
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Ingår i: Socialvetenskaplig tidskrift. - 1104-1420 .- 2003-5624. ; 28:1, s. 75-94
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Tidskriftsartikel (refereegranskat)abstract
- Syftet med artikeln är att analysera organisering av och synen på mottagandet av ensamkommande barn inom socialtjänsten våren 2016 – en tidpunkt då antalet asylsökande ensamkommande barn nyligen nått en extrem omfattning under kort tid. Artikeln baseras på en totalundersökning (enkät) av socialtjänstens resurser, organisering och insatser i arbetet med ensamkommande barn och ungdomar. Resultatet visar att trots en statlig ambition om normalisering och integrering av mottagandet i den sociala barnavården, har en tydlig respons från socialtjänsten varit att specialisera verksamheten utifrån den ökande klientgruppen. Den här studien ger inget belägg för att specialiseringen lett till bättre kvalitet, tvärtom indikeras ett positivt samband mellan kvalitet och en integrerad organisation. Främst tyder studien på att resurser, övergripande samverkan och engagerade politiker har varit viktigt för hur man inom socialtjänsten uppfattar möjligheten att anpassa stödinsatser efter behov och att följa upp insatser. Noterbart med tanke på tidpunkten för studien är att en majoritet av respondenterna (företrädesvis chefer inom socialtjänstens verksamhet för ensamkommande barn) var förhållandevis nöjda med det stöd som erbjöds till ensamkommande barn/ungdomar, dock påtalades brister i möjlighet att följa upp och tillgång till insatser som matchar målgruppens behov.
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| 9. |
- Bjuhr, Åsa, 1973-
(författare)
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Avslut och fortsättning : En studie om övergången från introduktionsprogrammet språkintroduktion till nationellt program vid gymnasieskolan
- 2019
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis highlights elements of the schooling for newly arrived students aged 16-19 within the Swedish school system in six different municipalities, where the transition between the language introduction programme and national programme at upper secondary school is central. The main purpose is to provide knowledge of pupils' experiences of the aforementioned transition. In this thesis, the concept of transition has a broader and more abstract meaning than just the actual move from one activity to another, and the thesis also focuses on the time spent in the language introduction programme and the first months in a national program at upper secondary school.Three studies are included in this thesis, where discourse analysis, curriculum theory and organizational theory of the school are used as a theoretical framework. The first study is an analysis of syllabuses from 1980 to 2011 for the subject Swedish as a second language within primary and secondary schools. The second is a study that interviews teachers in the language introduction programme, and the third study is based on interviews with pupils who have studied language introduction programme, but at the time of the interviews were studying in their first semester on a national programme.The analyses show that the transition is governed by curriculum and regulations that teachers and students must adhere to. The teachers carry out their everyday work on the basis of curriculum and regulations, such as the Education Act, but also on the basis of the individual school's organization. From an organizational perspective, this gives teachers limited personal room for manoeuvre. It also appears that the choice of national programmes and other choices that students can make within the framework of their schooling are sometimes obvious to the students and made by the students themselves. Nevertheless, other times teachers and study counsellors make the choices without the students’ knowledge. An additional result shows that the students say they experience a discrepancy when it comes to teaching of the various school subjects in the language introduction programme and the national programme at upper secondary school. The linguistic support that the students received during the time at the language introduction programme is not perceived by the students to be at the same level as the national programme. A development of linguistic support in various subjects within the national programme could, from a didactic perspective, lead to a less abrupt transition for the students
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| 10. |
- Bobjer, Johannes, et al.
(författare)
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Location of retroperitoneal lymph node metastases in upper tract urothelial carcinoma : results from a prospective lymph node mapping study
- 2023
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Ingår i: European Urology Open Science. - : Elsevier. - 2666-1691 .- 2666-1683. ; 57, s. 37-44
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Tidskriftsartikel (refereegranskat)abstract
- Background: There is limited information on the distribution of retroperitoneal lymph node metastases (LNMs) in upper tract urothelial carcinoma (UTUC).Objective: To investigate the location of LNMs in UTUC of the renal pelvis or proximal ureter and short-term complications after radical nephroureterectomy (RNU) with lymph node dissection (LND).Design, setting, and participants: This was a prospective Nordic multicenter study (four university hospitals, two county hospitals). Patients with clinically suspected locally advanced UTUC (stage >T1) and/or clinical lymph node–positive (cN+) disease were invited to participate. Participants underwent RNU and fractionated retroperitoneal LND using predefined side-specific templates.Outcome measurements and statistical analysis: The location of LNMs in the LND specimen and retroperitoneal lymph node recurrences during follow-up was recorded. Postoperative complications within 90 d of surgery were ascertained from patient charts. Descriptive statistics were used.Results and limitations: LNMs were present in the LND specimen in 23/100 patients, and nine of 100 patients experienced a retroperitoneal recurrence. Distribution per side revealed LNMs in the LND specimen in 11/38 (29%) patients with right-sided tumors, for whom the anatomically larger, right-sided template was used, in comparison to 12/62 (19%) patients with left-sided tumors, for whom a more limited template was used. High-grade complications (Clavien grade ≥3) within 90 d of surgery were registered for 13/100 patients. The study is limited in size and not powered to assess survival estimates.Conclusions: The suggested templates that we prospectively applied for right-sided and left-sided LND in patients with advanced UTUC included the majority of LNMs. High-grade complications directly related to the LND part of the surgery were limited.Patient summary: This study describes the location of lymph node metastases in patients with cancer in the upper urinary tract who underwent surgery to remove the affected kidney and ureter. The results show that most metastases occur within the template maps for lymph node surgery that we investigated, and that this surgery can be performed with few severe complications.
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