| 1. |
- Berglund, Helene, 1957, et al.
(författare)
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Effects of a continuum of care intervention on frail older persons' life satisfaction: a randomized controlled study
- 2015
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 24:7-8, s. 1079-1090
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives The aim of this study was to analyse effects of a comprehensive continuum of care (intervention group) on frail older persons’ life satisfaction, as compared to those receiving usual care (control group). The intervention included geriatric assessment, case management, interprofessional collaboration, support for relatives and organising of care-planning meetings in older persons’ own homes. Background Improvements in older persons’ subjective well-being have been shown in studies including care planning and coordination by a case manager. However, effects of more complex continuum of care interventions on frail older persons’ life satisfaction are not well explored. Design Randomised controlled study. Methods The validated LiSat-11 scale was used in face-to-face interviews to assess older persons’ life satisfaction at baseline and at three, six and 12 months after the baseline. The odds ratio for improving or maintaining satisfaction was compared for intervention and control groups from baseline to three-month, three- to six-month as well as six- to 12-month follow-ups. Results Older persons who received the intervention were more likely to improve or maintain satisfaction than those who received usual care, between 6 and 12 month follow-ups, for satisfaction regarding functional capacity, psychological health and financial situation. Conclusions A comprehensive continuum of care intervention comprising several components had a positive effect on frail older persons’ satisfaction with functional capacity, psychological health and financial situation. Relevance to clinical practice Frail older persons represent a great proportion of the persons in need of support from the health care system. Health care professionals need to consider continuum of care interventions’ impact on life satisfaction. As life satisfaction is an essential part of older persons’ well-being, we propose that policy makers and managers promote comprehensive continuum of care solutions.
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| 2. |
- Berglund, Helene, 1957, et al.
(författare)
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Older people's views of quality of care: a randomised controlled study of continuum of care
- 2013
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Ingår i: Journal of Clinical Nursing. - : Wiley-Blackwell. - 0962-1067 .- 1365-2702. ; 22:19-20, s. 2934-2944
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives To analyse frail older peoples views of quality of care when receiving a comprehensive continuum of care intervention, compared with those of people receiving the usual care (control group). The intervention included early geriatric assessment, case management, interprofessional collaboration, support for relatives and organising of care-planning meetings in older peoples own homes. less thanbrgreater than less thanbrgreater thanBackground Prior studies indicate that tailored/individualised care planning conducted by a case manager/coordinator often led to greater satisfaction with care planning among older people. However, there is no obvious evidence of any effects of continuum of care interventions on older peoples views of quality of care. less thanbrgreater than less thanbrgreater thanDesign Randomised controlled study. less thanbrgreater than less thanbrgreater thanMethods Items based on a validated questionnaire were used in face-to-face interviews to assess older peoples views of quality of care at three, six and 12months after baseline. less thanbrgreater than less thanbrgreater thanResults Older people receiving a comprehensive continuum of care intervention perceived higher quality of care on items about care planning (p0005), compared with those receiving the usual care. In addition, they had increased knowledge of whom to contact about care/service, after three and 12months (pandlt;003). less thanbrgreater than less thanbrgreater thanConclusions The study gives evidence of the advantages of a combination of components such as organising care-planning meetings in older peoples own homes, case management and interprofessional teamwork. less thanbrgreater than less thanbrgreater thanRelevance to clinical practice The results have implications for policymakers, managers and professionals in the area of health and social care for older people to meet individual needs of frail older people.
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| 3. |
- Berglund, Helene, 1957, et al.
(författare)
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The impact of socioeconomic conditions, social networks, and health on frail older people's life satisfaction: a cross-sectional study
- 2016
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Ingår i: Health Psychology Research. - : Open Medical Publishing. - 2420-8124. ; 4:1, s. 26-31
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Tidskriftsartikel (refereegranskat)abstract
- It has been shown that frailty is associated with low levels of wellbeing and life satisfaction. Further exploration is needed, however, to better understand which components constitute life satisfaction for frail older people and how satisfaction is related to other life circumstances. The aim of this study was to examine relationships between frail older people's life satisfaction and their socioeconomic conditions, social networks, and health-related conditions. A cross-sectional study was conducted (n=179). A logistic regression analysis was performed, including life satisfaction as the dependent variable and 12 items as independent variables. Four of the independent variables made statistically significant contributions: financial situation (OR 3.53), social contacts (OR 2.44), risk of depression (OR 2.26), and self rated health (OR 2.79). This study demonstrates that financial situation, self-rated health conditions and social networks are important components for frail older people's life satisfaction. Health and social care professionals and policy makers should consider this knowledge in the care and service for frail older people; and actions that benefit life satisfaction such as social support should be promoted.
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| 4. |
- Macheridis, Stella, et al.
(författare)
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Preliminary strontium isotope (87Sr/86Sr) baselines for the Bjäre Peninsula and Halland in southern Sweden
- 2024
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Ingår i: Frontiers in Environmental Archaeology. - 2813-432X. ; 3
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Tidskriftsartikel (refereegranskat)abstract
- During the last decade, the application of strontium isotope analysis (87Sr/86Sr) has increased rapidly. The understanding of the strontium isoscape and the construction of a strontium isotope baseline in southern Scandinavia are biased toward Denmark and southwestern to eastern Scania. We report the results of new baseline samples in Halland and the Bjäre Peninsula, adding to the rich strontium isotope library that exists for southern Scandinavia. We add nuance to the previous divisions of Scania, in which the Bjäre Peninsula is not well represented. The results show that the Bjäre Peninsula is characterized by relatively low 87Sr/86Sr values gathered in the preliminary baseline 0.7100 ± 0.0024 (2s, n = 8), similar to that of southwest Scania and Zealand in Denmark. There is a greater variation and higher values among the Halland samples. Together with previously published faunal samples, a preliminary 87Sr/86Sr baseline for Halland is 0.7122 ± 0.0055 (2s, n = 24). We apply these baseline results to archaeological cases, both human and animal, from recent excavations in the Bjäre Peninsula. The results imply that there was a certain degree ofmobility and interaction across the landscape in this region of southern Scandinavia in prehistory.
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| 5. |
- Margaryan, Ashot, et al.
(författare)
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Population genomics of the Viking world
- 2020
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Ingår i: Nature. - : Springer Science and Business Media LLC. - 1476-4687 .- 0028-0836. ; 585:7825, s. 390-396
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Tidskriftsartikel (refereegranskat)abstract
- The maritime expansion of Scandinavian populations during the Viking Age (about ad750–1050) was a far-flung transformation in world history1,2. Here we sequenced the genomes of 442humans from archaeological sites across Europe and Greenland (to a median depth of about 1×) to understand the global influence of this expansion. We find the Viking period involved gene flow into Scandinavia from the south and east. We observe genetic structure within Scandinavia, with diversity hotspots in the south and restricted gene flow within Scandinavia. We find evidence for a major influx of Danish ancestry into England; a Swedish influx into the Baltic; and Norwegian influx into Ireland, Iceland and Greenland. Additionally, we see substantial ancestry from elsewhere in Europe entering Scandinavia during the Viking Age. Our ancient DNA analysis also revealed that a Viking expedition included close family members. By comparing with modern populations, we find that pigmentation-associated loci have undergone strong population differentiation during the past millennium, and trace positively selected loci—including the lactase-persistence allele of LCT and alleles of ANKA that are associated with the immune response—in detail. We conclude that the Viking diaspora was characterized by substantial transregional engagement: distinct populations influenced the genomic makeup of different regions of Europe, and Scandinavia experienced increased contact with the rest of the continent.
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| 6. |
- Mühlemann, Barbara, et al.
(författare)
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Diverse variola virus (smallpox) strains were widespread in northern Europe in the Viking Age
- 2020
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Ingår i: Science (New York, N.Y.). - : American Association for the Advancement of Science (AAAS). - 1095-9203 .- 0036-8075. ; 369:6502
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Tidskriftsartikel (refereegranskat)abstract
- Smallpox, one of the most devastating human diseases, killed between 300 million and 500 million people in the 20th century alone. We recovered viral sequences from 13 northern European individuals, including 11 dated to ~600-1050 CE, overlapping the Viking Age, and reconstructed near-complete variola virus genomes for four of them. The samples predate the earliest confirmed smallpox cases by ~1000 years, and the sequences reveal a now-extinct sister clade of the modern variola viruses that were in circulation before the eradication of smallpox. We date the most recent common ancestor of variola virus to ~1700 years ago. Distinct patterns of gene inactivation in the four near-complete sequences show that different evolutionary paths of genotypic host adaptation resulted in variola viruses that circulated widely among humans.
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| 7. |
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| 8. |
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| 9. |
- Wilhelmson, Helene, et al.
(författare)
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Iron Age migration on the island of Öland : Apportionment of strontium by means of Bayesian mixing analysis
- 2015
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Ingår i: Journal of Archaeological Science. - : Elsevier BV. - 1095-9238 .- 0305-4403. ; 64:December 2015, s. 30-45
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Tidskriftsartikel (refereegranskat)abstract
- Migration is a complex subject to approach in archeology and the new materials and methods available, such as isotope analysis and DNA, make it possible, and necessary, to ask new questions. The objective of this paper is to highlight the possibilities with using a new approach to migration on a population level by applying Bayesian mixing analysis of strontium isotopes. The selected case, the island of Öland in the Baltic, was based on 109 human samples dated to the Early (500 BC-AD 400,n=71) and Late (AD 400-1050, n=38) periods. The results from both periods demonstrate that the distribution of Strontium (Sr) is multimodal with several peaks not associated with the local variation. Our results show a large immigration to Öland from other geological areas, with 32% of the population in the Early period and 47% in the Late period being nonlocal. In order to unravel these distributions, we use a Bayesian mixing analysis. The Bayesian mixing analysis provides us with a mean to disentangle the distribution of Sr that is not uninformed. The gravity model, however simplistic, is relevant for explaining the strontium variation in the population in Öland both in the Early and Late period. Our results indicate a significant internal migration in Scandinavia that is increasing in the Late Iron Age at the same time as the Viking expansions (the more well studied external migration), which is usually the only migration discussed. We argue that the method proposed and tested on the case of Öland adds new perspectives for approaching migration patterns in general on a population level, a perspective that is hitherto lacking in archaeology.
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| 10. |
- Wilhelmson, Helene, et al.
(författare)
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Migration and integration on the Baltic island of Öland in the Iron Age
- 2017
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Ingår i: Journal of Archaeological Science: Reports. - : Elsevier BV. - 2352-409X. ; 12, s. 183-196
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Tidskriftsartikel (refereegranskat)abstract
- This study explores a bi-isotopic approach to migration, adding δ18O values to samples with 87Sr/86Sr values for 109 individuals from the Iron Age (500 BCE–1050 CE) on the island of Öland, Sweden. Determining a local baseline for 87Sr/86Sr was complicated due to the wide range of variation in faunal samples so we divided the human values into three groups: local, non-local and undetermined. The addition of δ18O isotopes allowed identifying further non locals than the data from the 87Sr/86Sr alone provided. We found significant migration rates in both the Early period (500 BCE–400 CE) with 30% non-locals and in the Late (400–1050 CE), more than doubling to 68%. In both periods the non-locals appear to have diverse geographical origins. In order to study integration and migration patterns we use a bioarchaeological approach to these non cremated individuals who come from all types of contexts, i.e. not just burials. This allows discussing the cultural and social integration of non-locals. Integration is apparent in both periods and in the Late period, with a higher proportion of non-locals, there is both integration and diversity. The proportion of female non-locals suggest a mobility in both periods, especially the Late, that is relatively large. Our results of diverse non-local origins, female mobility and integration on Öland throughout the Iron Age add a new perspective, a Scandinavian multi-isotopic bioarchaeological perspective, to current discussions of Viking movement and expansion.
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