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- Astrom, M., et al.
(författare)
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EQ-5D-Y-5L as a patient-reported outcome measure in psychiatric inpatient care for children and adolescents - a cross-sectional study
- 2020
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Ingår i: Health and Quality of Life Outcomes. - : Springer Science and Business Media LLC. - 1477-7525. ; 18:1
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Tidskriftsartikel (refereegranskat)abstract
- Background Psychiatric disorders have a major individual and societal impact. Until now, the association between health-related quality of life and physical disorders has been far more investigated than the association with psychiatric disorders. Patient-reported outcome measures makes it possible to capture the patient perspective to improve treatments and evaluate treatment outcomes. The aim of this study is to measure health-related quality of life with the EQ-5D-Y-5L among patients in child and adolescent psychiatric inpatient care and to test the instrument's psychometric properties in terms of feasibility and construct validity. Methods Data were collected at the child and adolescent psychiatric inpatient facility in Region Stockholm. A questionnaire including the EQ-5D-Y-5L instrument, the Strengths and Difficulties Questionnaire with an impact supplement and a self-rated health question, was administered for self-completion using paper and pencil, with an interviewer present. The Chi-square test was used to investigate differences in proportion of reported problems in the EQ-5D-Y-5L dimensions and the Mann-Whitney U test was used for differences in mean EQ VAS scores. Feasibility was assessed by investigating proportion of missing and ambiguous answers and Spearman's and Pearson's correlation were used to examine construct validity. Results In total 52 adolescents participated in the study and the majority were girls. The most common diagnosis at admission was depressive episode/recurrent depressive disorder. All participants reported problems on at least one dimension. Most problems were reported in the dimension 'feeling worried, sad or unhappy', where 64% reported severe or extreme problems. Mean EQ VAS score was 29.2. Feasibility was supported and construct validity indicated as some of the hypothesised correlations between the EQ-5D-Y-5 L and the Strengths and Difficulties Questionnaire were found, however, for 'doing usual activities' and 'having pain or discomfort' the correlations were weaker than hypothesised. Conclusions This is the first study where the newly developed EQ-5D-Y-5L instrument has been used in psychiatric inpatient care for youth. Participants reported problems in all severity levels in most of the EQ-5D-Y-5L dimensions; mean EQ VAS score was considerably low. Feasibility of the EQ-5D-Y-5L was supported, however other psychometric properties need to be further tested in a larger sample.
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| 3. |
- Bogetofte, Helle, et al.
(författare)
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PARK2 mutation causes metabolic disturbances and impaired survival of human iPSC-derived neurons
- 2019
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Ingår i: Frontiers in Cellular Neuroscience. - : Frontiers Media SA. - 1662-5102. ; 13
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Tidskriftsartikel (refereegranskat)abstract
- The protein parkin, encoded by the PARK2 gene, is vital for mitochondrial homeostasis, and although it has been implicated in Parkinson’s disease (PD), the disease mechanisms remain unclear. We have applied mass spectrometry-based proteomics to investigate the effects of parkin dysfunction on the mitochondrial proteome in human isogenic induced pluripotent stem cell-derived neurons with and without PARK2 knockout (KO). The proteomic analysis quantified nearly 60% of all mitochondrial proteins, 119 of which were dysregulated in neurons with PARK2 KO. The protein changes indicated disturbances in oxidative stress defense, mitochondrial respiration and morphology, cell cycle control, and cell viability. Structural and functional analyses revealed an increase in mitochondrial area and the presence of elongated mitochondria as well as impaired glycolysis and lactate-supported respiration, leading to an impaired cell survival in PARK2 KO neurons. This adds valuable insight into the effect of parkin dysfunction in human neurons and provides knowledge of disease-related pathways that can potentially be targeted for therapeutic intervention.
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| 7. |
- Hvelplund, P., et al.
(författare)
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Stability and Structure of Protonated Clusters of Ammonia and Water, H+(NH3)(m) (H2O)(n)
- 2010
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Ingår i: Journal of Physical Chemistry A. - : American Chemical Society (ACS). - 1089-5639 .- 1520-5215. ; 114:27, s. 7301-7310
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Tidskriftsartikel (refereegranskat)abstract
- Mass spectrometric experiments show that protonated mixed ammonia/water clusters predominant exist in three forms namely H+(NH3)(4)(H2O)(n), H+(NH3)(5)(H2O)(n), and H+(NH3)(6)(H2O)(n) (n = 1-25). For the first two series the collisional activation mass spectra are dominated by loss of water, whereas ions of the latter series preferably lose ammonia. The quantitative characteristics of these observations are reproduced by quantum chemical calculations that also provide insight into the geometrical structures of the clusters. Although the experiments and the calculations agree that clusters with five ammonia are thermodynamically preferred, this does not indicate a rigid tetrahedral structure with one central ammonium covered with an inner solvation shell of four ammonia molecules, with water outside, Instead, water and ammonia have comparable affinities to the binding sites of the first shell, with a preference for ammonia for the first two sites, and water for the last two. The "leftover" ammonia molecules bind equally strong as water molecules to sites in the second shell due to synergistic hydrogen binding. Finally, it is discussed whether the observation of enhanced stability of the H+(NH3)(5)(H2O)(20) in terms of magic numbers and associated geometries may be related to a tetrahedral ammonium core encapsulated in a dodecahedral (H2O)(20) structure, typically found in clathrates.
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| 9. |
- Larsson, Per, et al.
(författare)
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Contaminated sediment as a source of PCBs in a river system
- 1990
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Ingår i: Canadian Journal of Fisheries and Aquatic Sciences. - : Canadian Science Publishing. - 0706-652X .- 1205-7533. ; 47:4, s. 746-754
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Tidskriftsartikel (refereegranskat)abstract
- The transport of PCBs (Aroclor 1242) in a river system in southern Sweden was governed by outflow from sediment in a 26-ha contaminated lake. Experiments in the lake revealed that 14 g PCBs/d escaped from the sediment, while sedimentation was 3 g PCB/d. Volatilization of PCBs from the lake surface was 0.02 g/d, which was considerably higher than the atmospheric fallout . The majority of the sediment-desorbed compounds (80%) remained at the river mouth, 60 km downstream, and entered the Baltic Sea. Desorption increased the ratio of tetrachlorobiphenyls to pentachlorobiphenyls in the water. Transport across the water/air interface was higher for trichlorobiphenyls, while atmospheric deposition was dominated by penta- and hexachlorobiphenyls. Therefore, the sediment of the lake acted as a source of PCBs entering the river system as well as the atmosphere.
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| 10. |
- Lundgren, Julie S., et al.
(författare)
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Swedish parents' satisfaction and experience of facilitators and barriers with Family Check‐up : A mixed methods study
- 2023
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Ingår i: Scandinavian Journal of Psychology. - : Wiley. - 0036-5564 .- 1467-9450. ; 64:5, s. 618-631
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Tidskriftsartikel (refereegranskat)abstract
- Family Check-up (FCU) was introduced in Sweden more than a decade ago. Little is known about what parents experience as FCU’s key mechanisms leading to changes in parenting. The aim of this study was to investigate Swedish parents’ satisfaction with FCU, and their experiences of facilitators and barriers for making changes in their parenting. A mixed methods approach was employed using a parent satisfaction questionnaire (n = 77) and focusgroups (n = 15). General satisfaction with FCU was adequate, with an average rating of 4 on a five-point scale (range 3.1–4.6). The analysis of quantitative and qualitative data resulted in eight themes representing facilitators and four themes representing barriers, organized into three categories: (1) access and engagement; (2) therapeutic process; and (3) program components. Ease of access to FCU facilitated initial engagement. Individual tailoring and access to FCU during different phases of change facilitated sustained engagement and change. Therapeutic process facilitators were a meaningful, supportive relationship with the provider, psychological benefits for parents and benefits for the whole family. Program components that facilitated change in parenting were new learning of parenting strategies and use of helpful techniques such as videotaping and home practice. Negative experiences with service systems prior to starting FCU, parent psychological barriers, and parent-provider mismatch were described as potential barriers. Some parents desired other program formats that were not offered, and some felt that new learning was insufficient to improve child behavior. Understanding the parent perspective can contribute to successful future work with implementing FCU.
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