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| 2. |
- Skillbäck, Tobias, et al.
(författare)
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Sex differences in CSF biomarkers for neurodegeneration and blood-brain barrier integrity.
- 2021
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Ingår i: Alzheimer's & dementia. - : Wiley. - 2352-8729. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- As cerebrospinal fluid (CSF) neurofilament light protein (NfL) and the CSF/serum albumin ratio (QAlb) are used in the clinical routine, the impact of demographic factors on these biomarkers is important to understand.Participants were derived from two Swedish samples: the population-based H70 Study (n = 308, age 70) and a clinical routine cohort (CSF NfL, n = 8995, QAlb, n = 39252, age 0 to 95). In the population-based study, QAlb and NfL were examined in relation to sex, cardiovascular risk factors, and cerebral white matter lesions (WMLs). In the clinical cohort, QAlb and NfL sex differences were tested in relation to age.Men had higher QAlb and NfL concentrations and had higher QAlb and NfL concentrations from adolescence throughout life. NfL was not related to WML, but QAlb correlated positively with WMLs.The CSF NfL sex difference could not be explained by vascular pathology. Future studies should consider using different reference limits for men and women.
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| 3. |
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| 4. |
- Amnér, Gunilla, et al.
(författare)
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Arbetssituation och stresshantering hos kabinpersonal
- 2001
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Although serious accidents or near-accidents are relatively rare in airline traffic, when they occur cabin attendants are expected to act effectively and with authority. However, the ability of cabin attendants to intervene professionally is also called for in other critical situations, such as when incidents that are frightening for the passengers occur or when passengers suddenly become ill. The study reported deals with cabin attendants’ work situation and manner of coping with stress described by 101 cabin attendants belonging to three Swedish airlines.
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| 5. |
- Anderzén-Carlsson, Agneta, 1966-
(författare)
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Children with cancer : focusing on their fear and on how their fear is handled
- 2007
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Various fears in children with cancer have previously been identified as a result of studying e.g. symptom experiences, distress and uncertainty within this population. Studies of the meaning the children give to their fear, as well as the handling of their fear seem to be sparse, however. Also, fear has not been an exclusive focus in previous studies. Professionals in clinical practice have pointed to the need for such research, which has prompted the present research work. The overall aim of this thesis was therefore twofold; firstly, the aim was to elucidate fear in children and adolescents with cancer in order to gain an understanding from the perspective of adolescents and parents. Secondly, it was to elucidate parents’ and professionals’ handling of the fear. This in order to gain a deeper understanding of what performances and manners the children and adolescents can face when being fearful. A qualitative descriptive design was adopted in the five included studies. The methods used in the data analysis were phenomenological hermeneutical method (studies I–III) and qualitative content analysis (studies IV–V). In study I six adolescent girls, aged 14–16 years, with experiences of various cancer diagnoses, but now declared fit, were interviewed. The results reveal that they experience their fear as embodied, which in the comprehensive understanding of the results was interpreted as a threat to their personal self, their whole existence. Their fear was seen as a holistic intertwined experience, including fear related to the physical body and to the social self. Also, existential fear was described. Their described experience was interpreted as suffering. Studies II and III share the same data. Fifteen parents of children at various ages with various cancer diagnoses were interviewed in focus groups about their experience of their child’s fear. In study II the result reveals how the parents experienced and understood their child’s fear. The fear was described as a multidimensional phenomenon, which was not always easy to identify. It was contrasted to feelings of unease and to absence of fear. In the comprehensive understanding the fear was interpreted as a suffering, as that was regarded to be what was the common meaning in the narratives. The suffering was interpreted as an ethical demand to the parents to take action. In study III the parents described their actions, i.e. they described how they dealt with the fear. Their actions were described as acting in the best interests of the child, which included striving to make the child feel secure and experience wellbeing, up to a certain point. However, after this point the parents used their parental authority to maintain the child’s physical health rather than trying to prevent or relieve the child’s fear. In the comprehensive understanding the parents’ handling of their child’s fear was interpreted as revealing mercy and as being synonymous with meeting the ethical demand put on them. In study IV ten experienced nurses and physicians were individually interviewed about how they handled fear in children with cancer. The result reveals that the existential issues were dealt with within the relationship with the child, on a sliding scale between closeness and distance, and that the fear related to medical procedures occurred on a continuum between support and lack of support. The various actions involved, and the manner in which these actions were performed, was described. In the observational study (study V) eleven parents and their children as well as eleven health professionals participated. They were observed at children’s routine visits at the outpatient clinic. The aim was to study the interactions related to fear. The result reveals that when children were fearful they expressed this both verbally and non-verbally. The parents’ and professionals’ actions and interactions in these situations were found to be characterized by recognition of the fear or lack of attention to the fear. The findings can contribute to a broadened knowledge on fear in children and adolescents with cancer. Awareness and understanding of the meaning adolescents give to their fear, and furthermore, of the parents’ experience and understanding of their child’s fear can provide tools for interacting with these groups. The findings on how fear is dealt with by the ones children have claimed as important sources for support, can give insights into what the child may face when being fearful. These insights can form the basis for individual, as well as collegial, reflections on what is done when children face fear, how fear is handled on an everyday basis and why it is handled in this way. Such reflections could lead to an ethical awareness of handling fear in children with cancer.
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| 6. |
- Bengtsson, Hans, et al.
(författare)
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Development of Parent‐Young Interaction in Asynchronously Hatched Broods of Altricial Birds
- 1981
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Ingår i: Zeitschrift fuer Tierpsychologie / Journal of Comparative ethology. ; 56:3, s. 255-272
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Tidskriftsartikel (refereegranskat)abstract
- In bird species which have developed a brood reduction strategy, initial inequality among siblings is established through asynchronous hatching. After hatching, the maintenance of a weight hierarchy within the brood and its spread is governed by the allocation of feeds to the chicks and by the rate of parental feeding. In the present study, the initiation of parental feeding and subsequent changes in the feeding procedure were studied in asynchronously hatched broods of the great tit Parus major and the blackbird Turdus merula. During the period of hatching the brood was roused by a parental feeding call on most visits to the nest which made feeding niore effective. Late-hatched young initially increased their chances to receive feeding offers by showing a high rate of spontaneous begging. In addition, they were more dependent than the older young on a high rate of mobility in order to be fed and they showed increasing mobility with age. Crucial changes in the feeding procedure took place at the end of the hatching period when the parents ceased to emit feeding calls and in the last few days before the abandonment of the nest when the biggest young started to jump towards the parents at feeding. These periods were identified as critical for late-hatched young. We argue that parental feeding rate is a feature of parent-young interaction that develops in order to adapt parental investment in individual nestlings to changes in food conditions when the brood is being raised.
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| 7. |
- Bengtsson, Hans, et al.
(författare)
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Parental feeding rate in relation to begging behavior in asynchronously hatched broods of the great tit Parus major: An experimental study.
- 1983
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Ingår i: Behavioral Ecology and Sociobiology. - 1432-0762. ; 12:3, s. 243-251
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Tidskriftsartikel (refereegranskat)abstract
- Four experiments manipulated the stimulus situation encountered by great tits on their feeding visits to the brood in order to explore its effect on feeding rate. Three broods containing 8, 8, and 10 nestlings were studied. A higher feeding rate was observed under the following conditions: (1) after a period of food deprivation, as compared with normal conditions and satiation through artifical feeding; (2) in periods when recorded begging calls were played during feeding visits, as compared with control periods; and (3) after temporary removal from the nest of heavier, as compared with lighter, siblings. The lighter nestlings benefitted more (in terms of weight gain) from the increase in parental feeding rate following the playing of begging calls than did the heavier nestlings. Differences in weight within broods did not affect the amount of food the parents brought. It is concluded that parental feeding rate is affected not simply by the begging of the hungriest nestling but rather by the behavior of all the nestlings, which makes possible an adjustment of the feeding rate to the average hunger level of the brood.
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| 8. |
- Carlsson, Sven G., 1935, et al.
(författare)
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Vad är klinisk psykologi?
- 2005
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Ingår i: Psykologtidningen. - 0280-9702. ; :13, s. 8-10
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 9. |
- Engström, Carl-Peter, 1945, et al.
(författare)
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Functional status and well being in chronic obstructive pulmonary disease with regard to clinical parameters and smoking: a descriptive and comparative study.
- 1996
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Ingår i: Thorax. - 0040-6376. ; 51:8, s. 825-30
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Self-assessment questionnaires which measure the functional and affective consequences of chronic obstructive pulmonary disease (COPD) give valuable information about the effects of the disease and may serve as important tools with which to evaluate treatment. METHODS: A cross sectional comparative study was performed between patients with COPD (n = 68), stratified according to pulmonary function, and a healthy control group (n = 89). A battery of well established clinical and quality of life measures (the Sickness Impact Profile (SIP), Mood Adjective Check List (MACL), and Hospital Anxiety and Depression scale (HAD)) was used to examine in which functional and affective aspects the patient group differed from the control group and how these measures related to pulmonary function and smoking habits. RESULTS: Compared with the controls, COPD affected functional status in most areas, not just those requiring physical activity. Forty six patients with forced expiratory volume in one second (FEV1) below 50% predicted showed particularly high levels of dysfunction in ambulation, eating, home management, and recreation/ pastimes (SIP). Despite this, their level of psychosocial functioning and mood status was little different from that of the healthy controls. Among the patients, a subgroup reported substantial psychological distress, but mood status was only weakly, or not at all, related to pulmonary function. Smoking habits did not affect functional status or well being. CONCLUSIONS: Quality of life is not significantly affected in patients with mild to moderate loss of pulmonary function, possibly due to coping and/or pulmonary reserve capacity. This suggests that generic self-assessment questionnaires are of limited value for detecting the early consequences of COPD. However, in later stages of the disease they are sensitive enough to discriminate between patients with different levels of pulmonary dysfunction. The low correlations between the indices of pulmonary function and the indices of affective status suggest that well being depends, to a large extent, on factors outside the clinical domain.
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| 10. |
- Espes, Daniel, 1985-, et al.
(författare)
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Pancreatic perfusion and its response to glucose as measured by simultaneous PET/MRI
- 2019
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Ingår i: Acta Diabetologica. - : Springer. - 0940-5429 .- 1432-5233. ; 56:10, s. 1113-1120
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Tidskriftsartikel (refereegranskat)abstract
- AIMS: Perfusion of the pancreas and the islets of Langerhans is sensitive to physiological stimuli and is dysregulated in metabolic disease. Pancreatic perfusion can be assessed by both positron emission tomography (PET) and magnetic resonance imaging (MRI), but the methods have not been directly compared or benchmarked against the gold-standard microsphere technique.METHODS: Pigs (n = 4) were examined by [15O]H2O PET and intravoxel incoherent motion (IVIM) MRI technique simultaneously using a hybrid PET/MRI scanner. The pancreatic perfusion was measured both at basal conditions and after intravenous (IV) administration of up to 0.5 g/kg glucose.RESULTS: Pancreatic perfusion increased by 35%, 157%, and 29% after IV 0.5 g/kg glucose compared to during basal conditions, as assessed by [15O]H2O PET, IVIM MRI, and microspheres, respectively. There was a correlation between pancreatic perfusion as assessed by [15O]H2O PET and IVIM MRI (r = 0.81, R2 = 0.65, p < 0.01). The absolute quantification of pancreatic perfusion (ml/min/g) by [15O]H2O PET was within a 15% error of margin of the microsphere technique.CONCLUSION: Pancreatic perfusion by [15O]H2O PET was in agreement with the microsphere technique assessment. The IVIM MRI method has the potential to replace [15O]H2O PET if the pancreatic perfusion is sufficiently large, but not when absolute quantitation is required.
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