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- Nyström, Bo, et al.
(författare)
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Clinical outcome following anterior arthrodesis in patients with presumed sacroiliac joint pain
- 2017
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Ingår i: Scandinavian Journal of Pain. - : Walter de Gruyter GmbH. - 1877-8860 .- 1877-8879. ; 17, s. 22-29
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND:It has been reported that in 13-32% of patients with chronic low back pain, the pain may originate in the sacroiliac (SI) joints. When treatment of these patients with analgesics and physiotherapy has failed, a surgical solution may be discussed. Results of such surgery are often based on small series, retrospective analyses or studies using a minimal invasive technique, frequently sponsored by manufacturers.PURPOSE:To report the clinical outcome concerning pain, function and quality of life following anterior arthrodesis in patients presumed to have SI joint pain using validated questionnaires pre- and post-operatively. An additional aim was to describe the symptoms of the patients included and the preoperative investigations performed.MATERIAL AND METHODS:Over a 6 year period we treated 55 patients, all women, with a mean age of 45 years (range 28-65) and a mean pelvic pain duration of 9.1 years (range 2-30). The pain started in connection with minor trauma in seven patients, pregnancy in 20 and unspecified in 28. All patients had undergone long periods of treatment including physiotherapy, manipulation, needling, pelvic belt, massage and chiropractic without success, and 15 had been operated for various spinal diagnoses without improvement. The patients underwent thorough neurological investigation, plain X-ray and MRI of the spine and plain X-ray of the pelvis. They were investigated by seven clinical tests aimed at indicating pain from the SI joints. In addition, all patients underwent a percutaneous mechanical provocation test and extra-articular local anaesthetic blocks against the posterior part of the SI joints. Before surgery all patients answered the generic Short-Form-36 (SF-36) questionnaire, the disease specific Balanced Inventory for Spinal Disorders (BIS) questionnaire and rated their level of pelvic and leg pain (VAS, 0-100). At follow-up at a mean of 2 years 49 patients completed the same questionnaires (89%).RESULTS:At follow-up 26 patients reported a lower level of pelvic pain than before surgery, 16 the same level and six a higher level. Applying Svensson's method RPpelvic pain=0.3976, with 95% CI (0.2211, 0.5740) revealed a statistically significant systematic improvement in pelvic pain. At follow-up 28 patients reported a higher quality of life and 26 reported sleeping better than pre-operatively. In most patients the character of the pelvic pain was dull and aching, often accompanied by a stabbing component in connection with sudden movements. Referred pain down the leg/s even to the feet and toes was noted by half of the patients and 29 experienced frequency of micturition.CONCLUSIONS:It is apparent that in some patients the SI joints may cause long-term pain that can be treated by arthrodesis. We speculate that continued pain despite a healed arthrodesis may be due to persistent pain from adjacent ligaments. The next step should be a prospective randomized study comparing posterior fusion and ligament resection with non-surgical treatment.IMPLICATIONS:Anterior arthrodesis can apparently relieve pain in some patients with presumed SI joint pain. The problem is how to identify these patients within the low back pain group.
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- Almgren, Birgitta, et al.
(författare)
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Alfred Rosenberg und die Nordische Gesellschaft : Der ’nordische Gedanke’in Theorie und Praxis
- 2008
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Ingår i: NORDEUROPAforum. - Berlin : Humboldt-Universität. - 1863-639X. ; :2, s. 7-51
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Tidskriftsartikel (refereegranskat)abstract
- This contribution traces the emergence, Gleichschaltung, expansion and demise of the Nordische Gesellschaft [Nordic Society] with a special focus on its leading protagonist Alfred Rosenberg. In the beginning of the article, the history of ideas and the organisational foundations of the society are being set as a background. In the main part of the text the Nordische Gesellschaft’s activity during the “Third Reich” and under Rosenberg’s auspices is being analysed. Sources used comprise both archival material as well as the NG’s own publications.
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- Almgren, Birgitta
(författare)
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DDR-forskning i fokus
- 2011
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Ingår i: Historisk Tidskrift. - : Svenska Historiska Föreningen. - 0345-469X .- 2002-4827. ; :3, s. 631-642
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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- Almgren, Birgitta, 1958-
(författare)
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Endotracheal Suction a Reopened Problem
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- During mechanical ventilation, patients are connected to the ventilator by an endotracheal tube. The tube needs to be cleaned from mucus by suction, which can cause negative effects such as lung collapse, hypoxemia and desaturation. These can be avoided by preoxygenation, change of ventilator settings, use of closed suction systems and recruitment manoeuvres. The aim of the study was to investigate the effects of endotracheal suction during different ventilator settings and by different suction methods. A method to reverse side effects was investigated.In anaesthetized pigs, the effect of suction during volume and pressure-controlled ventilation was investigated, and the effect of different suction systems and catheter sizes were compared. Suction efficacy was investigated in a bench study. The effect of recruitment manoeuvre added after suction, i.e. post-suction recruitment manoeuvre was evaluated.Endotracheal suction causes lung volume loss leading to impaired gas exchange, an effect that is more severe in pressure-controlled ventilation than in volume-controlled ventilation. When 14 French suction catheters were used more side effects were found compared to 12 French catheters, but no difference was found between open and closed suction system in pressure-controlled ventilation. Open suction system was more effective to remove mucus compared to closed system. Post-suction recruitment manoeuvre restored the side effects after the first recruitment when it was applied directly after suction.In conclusion, open endotracheal suction causes impairment in gas exchange and lung mechanics, and more so in pressure-controlled than in volume-controlled mode. These changes can be minimized if smaller suction catheters are used. A post-suction recruitment manoeuvre applied directly after suction restores lung function. It is obvious that the recruitment manoeuvre should be added directly after suction, because if the manoeuvre is delayed and the lung is collapsed and left collapsed, it will be more difficult to recruit the lung.
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- Almgren, Birgitta
(författare)
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Germanistik
- 2008
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Ingår i: Kulturwissenschaften und Nationalsozialismus. - Stuttgart : Steiner. - 9783515092821 ; , s. 625-646
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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- Almgren, Birgitta
(författare)
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Illusion und Wirklichkeit : Individuelle und kollektive Denkmuster in nationalsozialistischer Kulturpolitik und Germanistik in Schweden 1928-1945
- 2001. - 1
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Wie reagierten die schwedischen Universitäten und insbesondere die Germanisten in Schweden als Repräsentanten der deutschen Sprache und der deutschen Kultur nach der nationalsozialistischen Machtübernahme?Anhand bisher unveröffentlichter Dokumente wird die nationalsozialistische Kulturpropaganda in Schweden und die strategische Rolle der Deutschen Akademie und des DAAD dabei beleuchtet. Mit Hilfe eines semantisch-textlinguistischen Modells wird diskurshistorisch untersucht, wie das Kulturklima und die Vorstellungen aussahen, die Menschen gegenüber nationalsozialistischen Strömungen empfänglich, bzw. resistent machten.
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- Almgren, Birgitta
(författare)
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Inte bara spioner
- 2011
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Bok (övrigt vetenskapligt/konstnärligt)
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- Almgren, Birgitta, 1943-
(författare)
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Inte bara spioner : Stasi-infiltration i Sverige under kalla kriget
- 2021. - 2. rev. utök.
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Inte bara spioner handlar om människoöden under kalla kriget, om hemliga förbindelser, om värvning av spioner, om utpressning, tvång och ångest, men också om materiella fördelar, äventyrslystnad, spänning och ideologisk övertygelse. 53 misstänkta Stasibelastade personer stiger fram ur Säpos och Stasis arkiv.
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- Almgren, Birgitta
(författare)
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Kontakt och konflikt : Sverige - DDR 1949-1990
- 2011
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Ingår i: Kulturtransfer och kulturpolitik. - Uppsala : Historiska institutionen. - 9789197963206 ; , s. 109-146
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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- Almgren, Birgitta
(författare)
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Language, Culture and Politics
- 2005
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Ingår i: The challenge of the Baltic sea region. - Huddinge : Södertörns högskola. - 9789189315594 ; , s. 47-56
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 45. |
- Almgren, Birgitta
(författare)
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Latin i Arboga
- 2004
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Ingår i: Årsbok / Hembygdsföreningen Arboga minne. - Arboga. - 0440-680X. ; , s. 102-114
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 47. |
- Almgren, Birgitta
(författare)
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Mer om König
- 2013
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Ingår i: Axess. - 1651-0941. ; :5, s. 9-
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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