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En båge genom tiden - ritualer kring en göteborgshistoria. Om Flickläroverket i Artisten
- 2024
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- 1929 bildades Göteborgs första Högre allmänna läroverk för Flickor – Flickläroverket som fick en byggnad 1935 i det kulturella centrumet, Götaplatsen. Efter några år som Kjellbergska gymnasiet, sedan Komvux, blev byggnaden del av Artisten, Högskolan för scen och musik, HSM 1992. Byggnaden har burit kvinnors utbildning, konst och kultur över många generationer, en minneskedja som nu är bruten. Boken - En båge genom tiden – ritualer kring en göteborgshistoria – en konst- och forskningsantologi – är resultatet av de offentliga minnesdagar där de deltagande drygt 200 kvinnorna (70– 97 år) som varit elever på Flickläroverket, studenter vid Artisten, konstnärer och forskare – bidrog till och deltog i gestaltande ritualer, minnesrum, dans, utställningar och samtal som gav liv åt en utbildningskultur och konst som berört samhället i generationer. I boken bidrar ett 20-tal Göteborgsbaserade konstnärer och forskare med olika perspektiv på byggnadens poetiska, sociala och konstnärliga dimensioner. Bland annat beskrivs återskapandet av Bågdansen, som dansades varje år vid Lucia mellan 1934-1972. Här beskrivs även den medie-debatt som ledde till räddningen av målningen Dansen av Nils Nilsson från 1935 och hur nedtagningen gick till. Tillsammans med ett rikt foto- och bildmaterial, filmdokumentationer och ett ljudarkiv utgör boken ett tidsdokument där konst fungerar som minnesbärare över tid och rum.
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- Fjälling, M, et al.
(författare)
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Systemic radionuclide therapy using indium-111-DTPA-D-Phe1-octreotide in midgut carcinoid syndrome.
- 1996
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Ingår i: Journal of nuclear medicine : official publication, Society of Nuclear Medicine. - 0161-5505. ; 37:9, s. 1519-21
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Tidskriftsartikel (refereegranskat)abstract
- A 55-yr-old woman with a midgut carcinoid syndrome due to metastatic spread of an ileal tumor to the liver, paraortic and mediastinal lymph nodes and to the skeleton was given systemic radionuclide therapy with 111In-DTPA-D-Phe1-octreotide. Before therapy, dosimetric calculations were performed on whole-body scintigraphs and 111In retention was shown to be long-lasting. Excretion was mainly seen during the first 24 hr after injection; thereafter whole-body retention remained stationary at 30%. Indium-111 activity in tumor biopsies and blood was measured using a gamma counter. Very high tumor-to-blood ratios were obtained: 150 for the primary tumor and 400-650 for liver metastases, which further justified radiation therapy. Indium-111-DTPA-D-Phe1-octreotide treatment was given on three separate occasions (3.0, 3.5 and 3.1 GBq) 8 and 4 wk apart. After each therapy, the patient experienced facial flush and pain over the skeletal lesions followed by symptomatic relief, even though no objective tumor regression was found radiologically after 5 mo. After initiation of octreotide treatment, there was a 14% reduction of the main tumor marker, urinary 5-HIAA. After three subsequent radionuclide therapies, there was a further 31% reduction of 5-HIAA levels. No adverse reactions, other than a slight decrease in leukocyte counts, were seen. The mean absorbed radiation dose after the three treatments was estimated to be about 10-12 Gy in liver metastases and 3-6 Gy in other tumors, depending on the size and location of the metastases. Assuming internalization of 111In into tumor cells and a radiobiological effect from short range Auger and conversion electrons, there might be a therapeutic effect on the tumor.
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| 3. |
- Gårdestedt, Caroline, et al.
(författare)
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Zinc in Soils, Crops, and Meals in the Niger Inland Delta, Mali
- 2009
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Ingår i: Ambio. - 0044-7447 .- 1654-7209. ; 38:6, s. 334-338
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Tidskriftsartikel (refereegranskat)abstract
- Zinc deficiency is a problem in developing countries and not least so in Africa. This concerns both agriculture and human food provision. Zinc deficiency in soils may severely decrease yields, whereas insufficient zinc in food intake primarily affects the immune defense, notably in children. The present investigation concerned zinc availability in soils, crops, and food in the Niger inland delta in Mali. Agricultural soils are largely deficient in plant-available zinc, however, soils in close vicinity to habitation show elevated zinc concentrations. The zinc concentrations in crops are low; in rice, they are about half of reference ranges. Zinc intake assessed from a number of sampled meals was about half the recommended requirement. When zinc concentration is higher phytate was also high, which made the zinc less available. In spite of a recorded sufficient intake of iron, anemia is common and is most likely because of the high phytate concentration in the cereal-dominated diet. Increasing zinc and iron availability would be possible through the use of malting, fermentation, and soaking in food preparation. Finally, in the long run, any trace element deficiency, especially that of zinc in agricultural soils needs to be amended by addition of appropriate amounts in commercial fertilizers.
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- Nilsson, Gertrud
(författare)
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Ankle fractures. Outcome and rehabilitation. A physiotherapeutic perspective.
- 2008
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of this work was to evaluate symptoms, subjectively scored function and physical outcome in patients with surgically treated ankle fractures. Another aim was also to evaluate the effects of a standardised but individually suited supervised training program. In all, 209 patients with surgically treated ankle fractures were included in three different samples: 54 individuals aged 18-64 years (Paper I, II and III), 50 individuals aged 65 years or older (Paper IV) and 105 patients 18-64 years (Paper V). Fifty-four uninjured persons served as a control group (Paper III). Subjective outcome was evaluated by the Olerud-Molander Ankle Scale (OMAS), the Linear Analogue Scale, Self-rated ankle function using an ordinal scale and SF-36. Physical outcome was evaluated by ankle range of motion, muscle strength in the plantar flexors and dorsiflexors, balance tests by one-leg stance on the floor and by stabilometry. Furthermore timed walking tests in a stair-case and on plain ground was evaluated. Radiological outcome was performed pre-surgery, immediately post-surgery and 12 months after surgery. Symptoms like pain, stiffness, swelling, functional ankle instability and problems when stair-walking were frequently reported from subjects in working ages one year after injury and almost fifty percent had not returned to their pre-injury physical activity level (Paper I). Subjects 40 years of age or older reported lower subjective function as measured by the OMAS compared to those under the age of 40 (Paper II). Ankle range of motion, muscle strength in the plantar flexors and dorsiflexors and standing balance capacity were decreased in the injured leg compared to the uninjured. Results from the physical tests were reflected in subjective outcome as decreased physical outcome was associated with lower subjective outcome (Paper I). At the 14-month follow-up all fractures were healed, in 40 out of 51 cases with no displacement and in eleven cases with slight displacement. Fractures with bimalleolar internal fixation showed more frequently residual displacement than those with unimalleolar fixation. Ankle osteoarthritis had developed in ten out of 51 patients, only in subjects over 40 years of age, more often in women and more often in fractures requiring bimalleolar internal fixation (Paper II). Only 40 of the 54 patients managed to complete the 25 second single-limb stance test on the force-platform whereas all controls managed. Poorer results were found in the patients’ injured leg compared to the uninjured whereas no differences were found between patients injured leg and the side-matched leg of the controls. Age over 45 years and decreased strength in the ankle plantar flexors and dorsiflexors provided a higher risk not managing the stabilometric test (Paper III). In patients 65 years or older subjectively scored function improved between six- and twelve month follow-up but still one year after injury symptoms, functional limitations and reduced physical activity were frequently reported. Health related quality of life (SF-36) was reduced in three subscales at six-month in women compared to the age and gender matched normative data of the Swedish population. At twelve month the differences were eliminated. (Paper IV). Only subjects under the age of 40 had benefits from a twelve week standardised but individually suited supervised training program starting within one week after plaster removal. Both subjectively scored function, health-related quality of life and results from a number of physical measurements were superior in the training group compared to the usual care group. At twelve months most differences had levelled out except for subjectively scored function (OMAS), muscle strength in the plantar flexors, walking speed and dynamic balance (Paper V). In conclusion, from the findings in this thesis functional limitations can be expected at least one year after a surgically treated ankle fracture and more frequent in middle-aged and older persons. The standardised but individually suited supervised training model as designed in this thesis may be useful in subjects under the age of 40. Future studies should focus on a deeper understanding of the problems in the middle-aged and elderly.
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| 5. |
- Nilsson, Gertrud, et al.
(författare)
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Balance in single-limb stance after surgically treated ankle fractures: a 14-month follow-up
- 2006
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Ingår i: BMC Musculoskeletal Disorders. - : Springer Science and Business Media LLC. - 1471-2474. ; 7
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Tidskriftsartikel (refereegranskat)abstract
- Background: The maintenance of postural control is fundamental for different types of physical activity. This can be measured by having subjects stand on one leg on a force plate. Many studies assessing standing balance have previously been carried out in patients with ankle ligament injuries but not in patients with ankle fractures. The aim of this study was to evaluate whether patients operated on because of an ankle fracture had impaired postural control compared to an uninjured age- and gender-matched control group. Methods: Fifty-four individuals (patients) operated on because of an ankle fracture were examined 14 months postoperatively. Muscle strength, ankle mobility, and single-limb stance on a force-platform were measured. Average speed of centre of pressure movements and number of movements exceeding 10 mm from the mean value of centre of pressure were registered in the frontal and sagittal planes on a force-platform. Fifty-four age- and gender-matched uninjured individuals (controls) were examined in the single-limb stance test only. The paired Student t-test was used for comparisons between patients' injured and uninjured legs and between side-matched legs within the controls. The independent Student t-test was used for comparisons between patients and controls. The Chi-square test, and when applicable, Fisher's exact test were used for comparisons between groups. Multiple logistic regression was performed to identify factors associated with belonging to the group unable to complete the single-limb stance test on the force-platform. Results: Fourteen of the 54 patients (26%) did not manage to complete the single-limb stance test on the force-platform, whereas all controls managed this (p < 0.001). Age over 45 years was the only factor significantly associated with not managing the test. When not adjusted for age, decreased strength in the ankle plantar flexors and dorsiflexors was significantly associated with not managing the test. In the 40 patients who managed to complete the single-limb stance test no differences were found between the results of patients' injured leg and the side-matched leg of the controls regarding average speed and the number of centre of pressure movements. Conclusion: One in four patients operated on because of an ankle fracture had impaired postural control compared to an age- and gender-matched control group. Age over 45 years and decreased strength in the ankle plantar flexors and dorsiflexors were found to be associated with decreased balance performance. Further, longitudinal studies are required to evaluate whether muscle and balance training in the rehabilitation phase may improve postural control.
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| 7. |
- Nilsson, Gertrud, et al.
(författare)
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Effects of a training program after surgically treated ankle fracture: a prospective randomised controlled trial
- 2009
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Ingår i: BMC Musculoskeletal Disorders. - : Springer Science and Business Media LLC. - 1471-2474. ; 10
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite conflicting results after surgically treated ankle fractures few studies have evaluated the effects of different types of training programs performed after plaster removal. The aim of this study was to evaluate the effects of a 12-week standardised but individually suited training program ( training group) versus usual care ( control group) after plaster removal in adults with surgically treated ankle fractures. Methods: In total, 110 men and women, 18-64 years of age, with surgically treated ankle fracture were included and randomised to either a 12-week training program or to a control group. Six and twelve months after the injury the subjects were examined by the same physiotherapist who was blinded to the treatment group. The main outcome measure was the Olerud-Molander Ankle Score (OMAS) which rates symptoms and subjectively scored function. Secondary outcome measures were: quality of life (SF-36), timed walking tests, ankle mobility tests, muscle strength tests and radiological status. Results: 52 patients were randomised to the training group and 58 to the control group. Five patients dropped out before the six-month follow-up resulting in 50 patients in the training group and 55 in the control group. Nine patients dropped out between the six- and twelve-month follow-up resulting in 48 patients in both groups. When analysing the results in a mixed model analysis on repeated measures including interaction between age-group and treatment effect the training group demonstrated significantly improved results compared to the control group in subjects younger than 40 years of age regarding OMAS (p = 0.028), muscle strength in the plantar flexors ( p = 0.029) and dorsiflexors ( p = 0.030). Conclusion: The results of this study suggest that when adjusting for interaction between age-group and treatment effect the training model employed in this study was superior to usual care in patients under the age of 40. However, as only three out of nine outcome measures showed a difference, the beneficial effect from an additional standardised individually suited training program can be expected to be limited. There is need for further studies to elucidate how a training program should be designed to increase and optimise function in patients middle-aged or older.
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| 8. |
- Nilsson, Gertrud, et al.
(författare)
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Outcome and quality of life after surgically treated ankle fractures in patients over 65 years of age
- 2007
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Ingår i: BMC Musculoskeletal Disorders. - : Springer Science and Business Media LLC. - 1471-2474. ; 8:127
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Tidskriftsartikel (refereegranskat)abstract
- Background Despite high incidence of ankle fractures in the elderly, studies evaluating outcome and impact of quality of life in this age group specifically are sparse. The aim of this study was to evaluate outcome and quality of life 6 and 12 months after injury in patients 65 years or older who had been operated on due to an ankle fracture. Methods Sixty patients 65 years or older were invited to participate in the study. 6 and 12 months after the injury a questionnaire including inquiry to participate, the Olerud-Molander Ankle Score (OMAS), Short-Form 36 (SF-36), Linear Analogue Scale (LAS), Self-rated Ankle Function and some supplementary questions was sent home to the patients. The supplementary questions concerned subjective experience of ankle instability, sporting and physical activity level before injury and recaptured activity level at follow-ups, need of walking aid before injury, state of living before injury and at follow-ups and co-morbidities. After the 12-month follow-up the patients were also called for a radiological examination. Results Fifty patients (83%) answered the questionnaire at 6-month and 46 (77%) at the 12-month follow-up. Although, 45 (90%) fractures were low-energy trauma 44 (88%) were bi- or trimalleolar and post-operative reduction results were complete in 23 (46%) ankles. The median OMAS improved from 60 (Interquartile range (IQR) 36) at 6-month to 70 (IQR 35) at 12-month (p = 0.002), but at 12-month still sixty percent or more of the patients reported pain, swelling, problems when stair-climbing and reduced activities of daily life. Twenty (40%) rated their ankle function as 'good' or 'very good' at 6-month and 30 (60%) at 12-month. Forty-one (82%) were physically active before injury but still one year after only 18/41 had returned to their pre-injury physical activity level. According to SF-36 four dimensions differed from the age- and gender matched normative data of the Swedish population, 'physical function', 'role physical' and 'role emotional' were below norms at 6-month for women (p = 0.010, p = 0.024 and 0.031) and 'general health' was above norms at 12-month for men (p = 0.044). Conclusion One year after surgically treated ankle fractures a majority of patients continue to have symptoms and reported functional limitations. However, SF-36 scores indicate that only females had functional status below the age- and gender matched normative data of the Swedish population.
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