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| 2. |
- Grafström, Margareta, et al.
(författare)
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Silviahemmets fortsatta satsningar på en unik utbildning för undersköterskor i demensvård
- 2004
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Ingår i: Incitament : för en hälso- & sjukvård i förvandling. - 1103-503X. ; :4
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Endast 60 procent av vårdpersonalen inom vård och omsorg har adekvat utbildning, samtidigt gör nedskärningarna att de äldre som får vård blir allt sjukare.Kompetensutveckling är en viktig drivkraft för att höja vårdens kvalitet men också för att öka arbetstillfredsställelsen och arbetsglädjen inom demensvården. Ett stort problem idag är att få tid och pengar att räcka till kompetensutveckling till den personal som är närmast patienten. I denna artikel presenteras Silviahemmet och dess utbildning av Silviasystrar.
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| 3. |
- Hallgard, Elna, et al.
(författare)
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Addition of Various Carbohydrates to Beef Burgers Affects the Formation of Heterocyclic Amines during Frying
- 2004
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Ingår i: Journal of Agricultural and Food Chemistry. - : American Chemical Society (ACS). - 0021-8561 .- 1520-5118. ; 52:25, s. 7561-7566
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Tidskriftsartikel (refereegranskat)abstract
- The influence of the addition of carbohydrates with different physicochemical properties on weight loss and formation of heterocyclic amines (HAs) during the frying of beef burgers was examined. Furthermore, the capability of carbohydrates to bind HAs was tested. Beef burgers containing 1.5% NaCl and 0.3% tripolyphosphate (reference), with the addition of 1.5% carbohydrate, were fried for 5 min at 200 C in a double-sided pan fryer. The beef burgers were analyzed for HAs with solid phase extraction and liquid chromatography/mass spectrometry. 2-Amino-3,8-dimethylimidazo[4,5-f]quinoxaline (MeIQx), 2-amino-3,4,8-trimethylimidazo[4,5-f]quinoxaline (4,8-DiMeIQx), 2-amino-1-methyl-6-phenyl-imidazo[4,5-b]pyridine (PhIP), and 9H-pyrido[3,4-b]indole (Norharman) were detected in all of the beef burgers. The addition of carbohydrates affected both the weight loss and the formation of HAs during cooking. The formation of HAs could be correlated to depend on both the weight loss and the type of the added carbohydrate. Of the 11 different carbohydrates tested, raw potato starch was most capable of inhibiting the formation of HAs, while potato fiber gave the lowest weight loss and a comparably low amount of PhIP. Wheat bran and potato fiber were found to reversibly bind HAs. It is concluded that adding small amounts of certain carbohydrates may be a simple and effective way of reducing the amount of HAs and can easily be applied in households and commercial preparations of beef burgers. Keywords: Heterocyclic amines; beef burger; frying; carbohydrates; water holding; PhIP; MeIQx; 4,8-DiMeIQx; Harman; Norharman
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| 5. |
- Raman, Maya, et al.
(författare)
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Physicochemical characterisation of dietary fibre components and their ability to bind some process-induced mutagenic heterocyclic amines, Trp-P-1, Trp-P-2, AαC and MeAαC.
- 2013
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Ingår i: Food Chemistry. - : Elsevier BV. - 1873-7072 .- 0308-8146. ; 138:4, s. 2219-2224
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Tidskriftsartikel (refereegranskat)abstract
- The physicochemical properties of potato fibre, wheat bran and oat samples were investigated, along with their binding capability to heterocyclic amines (HCAs). Potato fibre displayed highest total dietary fibre content (71.8/100g dry weight basis, dwb), followed by wheat bran (57.2/100gdwb) and oat sample 2 (53.0/100gdwb). Oat samples 1, 3 and 4 displayed considerably lower dietary fibre content (20.5-28.8/100g, dwb). Oat samples 3 and 4 displayed highest soluble fibre content (70-83%), and oat sample 3 also displayed highest swelling and water retention capacity (WRC). Dietary fibre samples, except samples 3 and 4, displayed improved binding to HCAs as sample weight increased. The behaviour of wheat bran and potato fibre was similar to oat samples 1 and 2. Binding of MeAαC was comparatively greater than that of other HCAs. Dietary fibre fractions with high insoluble fibre and functional groups of HCAs may significantly contribute to the binding capacity.
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| 6. |
- Santillo, Alexander F., et al.
(författare)
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Frontotemporal demenssjukdom
- 2023. - 2
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Ingår i: Boken om demenssjukdomar. - 9789147144365 ; , s. 38-55
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Bokkapitel (populärvet., debatt m.m.)
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| 9. |
- Skog, Margareta
(författare)
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Teaching for learning and learning for teaching in care of elderly with dementia at Silviahemmet
- 2000
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of this thesis was to describe a specific non-governmental programme for training licensed practical nurses as caregivers and mentors in the care of elderly with dementia. The setting for the work was Silviahemmet in Stockholm, Sweden, and the approach was inspired by ethnography. The aim of the first study was to describe the change in outlook of the trainees toward elderly patients with dementia during their year of special education. At the beginning of the programme, the trainees saw the patients from a staff perspective. Over the course of the year, however, this was gradually toned down as they changed to a disease perspective and eventually to a human dignity perspective. The approach to their work also changed, from task-oriented to more humanitarian (I). The second study illuminates the educational programme, the philosophy of which was inspired by principles of palliative care. The findings were presented in four themes based on the cornerstones of palliative care emphasized during the education: symptom control, quality of life-communication-relationship, family support and teamwork. The paramount approach, didactic strategies and trainees' comments were also presented (II). The third study illuminates how the trainees utilize their practical training to learn about dementia. The findings showed that the trainees made use of each practical training context in a similar fashion but there were differences between the contexts (day-care, group dwelling and nursing home). In the day-care unit, a human dignity perspective was prevalent. Trainees saw no gap between theory and practice, as the programme's philosophy was applied consistently. In the group dwelling, we encountered patients with various forms of dementia and could compare them. In the nursing home, trainees took a staff perspective, with a focus on organization, management, working conditions and staff attitudes. Trainees felt that the nursing home staff needed training and mentoring but many of them wished to avoid working there. They considered it "better to withdraw than fight poorly" (III). The fourth study, "The patient as 'teacher'," examined the experiences, which the trainees gained by working with a single patient during the entire practical training period in the school's integrated day-care unit for elderly with dementia. Central themes included the role of the "personal guide" and patient relationships. As personal guides, die trainees fell into six categories (observer, shadow, converser, organizer, pal and guide) with different focuses. Another skill, which they were taught, was haw to slow the pace of their work. "Investigative mealtimes" provided an excellent opportunity for learning about dementia. For the trainees, the practical training was a new, difficult, instructive and arduous experience (IV). The last study focused on how the licensed practical nurses as Silviasystrar (Silvia nurses) shaped their roles as caregivers and mentors in their work following die education. The patient perspective was reflected in how they prioritized time spent with the elderly and how they acted forcefully as the patients' "advocate". They applied the palliative caregiving philosophy mainly as related to its four cornerstones. Moreover, the education gave the trainees a stronger identity as LPNs. They felt assured enough to stand up for their opinions. Their new role as 'Silvia nurses' can be described as a continuum from the role model as "the good caregiver" through informal peer supporter to formal course leader and lecturer outside the working place. The LPNs were divided into two groups. Those who, following the education, received jobs tailored specifically for them or were given time for teaching or mentoring felt that they were working in a positive situation. Those who fit the category "both better and worse" felt that their employers were not utilizing their skills to the extent they had hoped and looked outside the working place for ways to promote dementia issues (V).
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