| 1. |
- Friedrichsen, Maria, et al.
(författare)
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Palliative care consultation team on acute wards-an intervention study with pre-post comparisons
- 2017
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Ingår i: Supportive Care in Cancer. - : SPRINGER. - 0941-4355 .- 1433-7339. ; 25:2, s. 371-380
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Tidskriftsartikel (refereegranskat)abstract
- There is little evidence regarding primary healthcare team members perceptions concerning palliative care consultation team (PCCT) and palliative care (PC) issues on their own wards. This study aimed to study whether a PCCT can influence and change primary healthcare team members perceptions regarding the palliative care at the end of life they are providing to patients in their own acute wards. The intervention was a PCCT visiting surgical and internal medicine wards in 1 year. We used a quasi-experimental design with pre-post-testing, measuring at baseline, and after 1 years intervention. A questionnaire was answered by all primary healthcare team members in three acute wards. A total of 252 team members (pre-post-intervention n = 132/n = 120) participated in the study. Overall, 11 of the 12 statements scored significantly higher after the intervention than before. Responses varied significantly between different professions and depending on the number of dying patients cared for during the last month. The five with the highest Wald values were as follows: the presence of a break point dialogue with a patient, where the changed aim and focus of care was discussed; early detection of impending death; adequate symptom relief and psychological and existential issues. It is possible to change perceptions about end-of-life care in primary healthcare team members on acute wards. Palliative care consultation teams should be a natural part wherever dying patients are cared for.
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| 2. |
- Jonsson, B. G., et al.
(författare)
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Skogspolitiken hotar biologiska mångfalden
- 2008
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Ingår i: Dagens Nyheter. ; 14 april
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Ledande svenska forskare varnar för att det nationella naturarvet äventyras: Vi skäms över våra beslutsfattares likgiltighet för miljön. Den svenska skogen har förvandlats till en jättelik odlingsyta. Där förr otaliga arter levde samman i harmoni dominerar numera helt gran, tall och inplanterade främmande trädslag. Denna skogsodling utgör ett hot mot den biologiska mångfalden vilket strider mot riksdagens miljökvalitetsmål. Den svenska skogspolitiken vilar officiellt på att produktion av skogsråvara och miljö är likvärdiga mål. Men i praktiken har produktionen satts i första rummet. Bortåt 2 000 skogslevande arters överlevnad hotas på grund av den förda politiken. Vi är djupt oroade och skäms över att det rika Sverige inte arbetar effektivt för att nå nationella och internationella miljömål. Det skriver 14 ledande forskare i bland annat växtekologi, ekologisk zoologi och botanik.
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| 5. |
- Liljeroos, Maria, et al.
(författare)
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Dying within dyads : Stress, sense of security and support during palliative home care
- 2021
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Ingår i: PLOS ONE. - : Public Library of Science. - 1932-6203. ; 16:9
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Tidskriftsartikel (refereegranskat)abstract
- Objectives To examine similarities and dissimilarities in patient and family caregiver dyads in their experience of stress, support, and sense of security. Methods 144 patients and their family caregivers participated. Patients were admitted to six Swedish specialist palliative home care units and diagnosed with a non-curable disease with an expected short survival. We analysed similarity patterns of answers within dyads (correlations) as well as dissimilarities, expressed as the difference between within-dyad responses. The latter were subjected to a model-building procedure using GLM, with 13 sociodemographic and clinical characteristics as independent variables. Results Within dyads, patients and family caregivers scored similar in their perception of support and sense of security with care. There was also dissimilarity within dyad responses in their perception of stress and support that could be attributed to sociodemographic or clinical characteristics. When patients scored higher levels of stress than family caregivers, the family caregiver was more likely to be male. Also family caregiver attachment style (attachment anxiety), patient age and the relationship of the family caregiver to the patient explained dissimilarities within the dyads. Conclusions Patients and family caregivers within the dyads often, but not always, had similar scores. We suggest that it is important that the healthcare staff identify situations in which perceptions within the dyads regarding stress and perception of support differ, such that they can recognise patients and family caregivers unique needs in different situations, to be able to provide adequate support and facilitate dyadic coping.
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| 6. |
- Manton, Michael, et al.
(författare)
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Wet Grasslands as a Green Infrastructure for Ecological Sustainability: Wader Conservationin Southern Sweden as a Case Study
- 2016
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Ingår i: Sustainability. - : MDPI. - 2071-1050. ; 8:4, s. 340-
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Tidskriftsartikel (refereegranskat)abstract
- Biosphere Reserves aim at being role models for biodiversity conservation. This studyfocuses on the unsuccessful conservation of waders (Charadrii) on wet grasslands in the KristianstadVattenrike Biosphere Reserve (KVBR) in southern Sweden. Predation on nests and young hasbeen proposed as one reason contributing to the decline of waders. We explored this hypothesisby comparing two landscapes, one with declining (KVBR) and one with stable (Östergötland)wader populations on managed wet grasslands in southern Sweden. Specifically, we tested threepredictions linked to predation on wader nests and young, namely that (1) the relative abundanceof avian predators and waders; (2) the avian predator abundance; and (3) the predation rate onartificial wader nests, should all be higher in declining versus stable populations. All predictionswere clearly supported. Nevertheless, predation may not be the ultimate factor causing waderpopulation declines. We discuss the cumulative effects of landscape change linked to increased foodresources for predators, reduced wet grassland patch size and quality. Holistic analyses of multiplewet grassland landscapes as social-ecological systems as case studies, including processes such aspredation and other factors affecting waders, is a promising avenue towards collaborative learningfor wet grasslands as a functional green infrastructure. However, if governance and managementapproaches can be improved is questionable without considerable investment in both ecological andsocial systems.
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| 8. |
- Adams, David A., et al.
(författare)
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Forest Composition and Structure onGlade-forming Limestones in Middle Tennessee
- 2012
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Ingår i: Castanea. - : Southern Appalachian Botanical Society. - 0008-7475 .- 1938-4386. ; 77:4, s. 335-347
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Tidskriftsartikel (refereegranskat)abstract
- Within a successional context, the vegetation associated with the cedar gladeecosystem in middle Tennessee develops from bare limestone bedrock to subclimax redcedar,preclimax oak-hickory, and climax mixed hardwood forests. Studies on the composition andstructure of forests associated with cedar glade–forming limestones (Lebanon, Ridley) are rare.We sampled the canopy and understory of six forest stands in middle Tennessee on theselimestones. Observed number of canopy species was 14–24 across stands; estimated richnesswas greater by 1–3 species (bootstrap) or 3–6 species (first-order jackknife) than observedrichness. With the exception of Ailanthus altissima in one stand, all other canopy species werenative. Juniperus virginiana, Fraxinus americana, Carya ovata, and Quercus muehlenbergii wereprimary canopy components in 4 or 6 stands, and C. glabra, Q. shumardii, Ulmus alata, F.quadrangulata, Q. alba, and Q. velutina in 2–3 stands. When we included stands from apreviously published study (most on the non-glade Carters Limestone) with our data, aprincipal components analysis identified three groups with the axes approximating a moisturebedrockgradient and a time-successional gradient. An examination of regeneration in ourstands predicts that (1) mesophytes and/or fire-sensitive species (Acer saccharum, Fraxinus spp.,Celtis spp.) will increase and (2) xerophytes and/or fire-adapted species (Quercus spp., Caryaspp.) will decrease. Altogether, our results strongly suggest that the oak-hickory stage shown insuccessional outlines of vegetation development associated with the cedar glade ecosystem maynot occur in its current state in the future.
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