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1.	Ali, Lilas, 1981, et al. (författare) Person-centred care by a combined digital platform and structured telephone support for people with chronic obstructive pulmonary disease and/or chronic heart failure: study protocol for the PROTECT randomised controlled trial 2020 Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 10:7 Tidskriftsartikel (refereegranskat)abstract BACKGROUND: A core feature of chronic obstructive pulmonary disorder (COPD) and chronic heart failure (CHF) is that symptoms may change rapidly because of illness progression. Thus, these chronic conditions are associated with high rehospitalisation rates. Person-centred care (PCC) has been shown to have several benefits for patients with COPD or CHF (or both disorders) but it has not yet been investigated through e-health services. AIM: The project aims to evaluate the effects of PCC by a combined digital platform and structured telephone support for people with COPD and/or CHF. METHODS AND ANALYSIS: A randomised controlled trial with open, parallel groups which employs a participatory design process will be used. This project will also include process and health economic evaluation of the intervention. ETHICS AND DISSEMINATION: Ethical approval has been secured from the Regional Ethical Review Board in Gothenburg, Sweden (Dnr 063-17 and T063-18). Results will be presented at conferences and to healthcare professionals, participants and patient organisations. Findings will also be submitted for publication in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT03183817.
2.	Bensch, Åsa, et al. (författare) Sten i detalj – utemiljö 2011 Bok (populärvet., debatt m.m.)abstract Syftet med denna bok är att inspirera och förenkla arbetet för beställare av natursten i konstruktioner i vår utemiljö. De exempel som visas i boken är inte specialtillverkade för en viss plats, utan skulle kunna fylla en eller flera funktioner på andra platser. Rena utsmyckningar eller konstverk behandlas därför inte i denna bok. Boken ingår i en trilogi om stenarkitektur, vars syfte är att vara ett inspirerande och illustrerande komplement till den tekniskt strikta Stenhandboken framtagen av Stenindustrins Forskningsinstitut.
3.	Berg, Hanna, et al. (författare) De-identification of Clinical Text for Secondary Use : Research Issues 2021 Ingår i: Proceedings of the 14th International Joint Conference on Biomedical Engineering Systems and Technologies - (Volume 5). - : SciTePress. - 9789897584909 ; , s. 592-599 Konferensbidrag (refereegranskat)abstract Privacy is challenged by both advances in AI-related technologies and recently introduced legal regulations. The problem of privacy has been extensively studied within the privacy community, but has largely focused on methods for protecting and assessing the privacy of structured data. Research aiming to protect the integrity of patients based on clinical text has primarily referred to US law and relied on automatically recognising predetermined, both direct and indirect, identifiers. This article discusses the various challenges concerning the re-use of unstructured clinical data, in particular in the form of clinical text, and focuses on ambiguous and vague terminology, how different legislation affects the requirements for de-identification, differences between methods for unstructured and structured data, the impact of approaches based on named entity recognition and replacing sensitive data with surrogates, as well as the lack of measures for usability and re-identification risk.
4.	Bergkvist, John, et al. (författare) Maintenance and enhancement of forest ecosystem services: a non-industrial private forest owner perspective 2023 Ingår i: European Journal of Forest Research. - 1612-4669 .- 1612-4677. Tidskriftsartikel (refereegranskat)abstract The transition to a fossil-free society in Sweden is expected to cause an increased demand for forest-derived products which may intensify existing conflicts between forest ecosystem services. This study investigated the preferences among non-industrial private forest owners for maintaining multiple forest ecosystem services and their preferences for future forest development. The findings were related to their prioritizations for and knowledge of forest management. The study results were generated through the means of a survey which revealed a consistent high valuation among all respondents of ecosystem services relating to water quality, timber quality, recreation, and biodiversity. A majority of the respondents desired increasing proportions of mixed species and broadleaved stands within the future forest landscape. Certified forest owners who were members of a forest owner association (CMs) prioritized achieving high economic income through roundwood production with strong preferences for the ecosystem services high stand growth and high timber quality. For CMs, carbon substitution was the preferred means of mitigating climate change. Forest owners lacking both certification and membership in a forest owner association ranked the ecosystem services recreation and biodiversity significantly higher, and also preferred retaining more old forest within the landscape. The survey results revealed a higher management activity among CMs, resulting in a more frequent establishment of mixed and broadleaved stands. Forest owners with medium to large scale properties were well-represented within the CM category. The results indicated that while the CMs have stronger preferences for roundwood production compared to owners of small properties, they are also more likely to have taken adaptive measures favoring risk management and biodiversity.
5.	Berndt, Hanna, et al. (författare) Childhood living conditions, education and health among the oldest old in Sweden 2016 Ingår i: Ageing & Society. - : Cambridge University Press (CUP). - 0144-686X .- 1469-1779. ; 36:3, s. 631-648 Tidskriftsartikel (refereegranskat)abstract The objectives were to investigate the associations between social and financial living conditions in childhood, education and morbidity in old age. The study population (N = 591; 76+ years old) was assembled from two nationally representative Swedish surveys, in 1968 and 2011, that together made longitudinal analysis possible. Morbidity in old age comprised self-reported measures of musculoskeletal disorders, cardiovascular disease, self-rated health and impaired mobility. There were no independent associations between adverse childhood living conditions and morbidity. However, adverse childhood living conditions were associated with an increased likelihood of low education. Moreover, low education was associated with a higher probability of health problems in old age. The results did not show any associations between adverse childhood conditions and late-life morbidity. However, adverse childhood conditions were associated with lower levels of education which, in turn, was associated with health problems and attrition from the study. These results suggest that adverse childhood conditions may indeed be associated with health and survival in old age, but mainly through mechanisms acting earlier in the lifecourse.
6.	Berndt, Hanna, et al. (författare) Childhood living conditions, education and health among the oldest old in Sweden 2016 Ingår i: Ageing & Society. - 0144-686X .- 1469-1779. ; 36:3, s. 631-648 Tidskriftsartikel (refereegranskat)abstract The objectives were to investigate the associations between social and financial living conditions in childhood, education and morbidity in old age. The study population (N = 591; 76+ years old) was assembled from two nationally representative Swedish surveys, in 1968 and 2011, that together made longitudinal analysis possible. Morbidity in old age comprised self-reported measures of musculoskeletal disorders, cardiovascular disease, self-rated health and impaired mobility. There were no independent associations between adverse childhood living conditions and morbidity. However, adverse childhood living conditions were associated with an increased likelihood of low education. Moreover, low education was associated with a higher probability of health problems in old age. The results did not show any associations between adverse childhood conditions and late-life morbidity. However, adverse childhood conditions were associated with lower levels of education which, in turn, was associated with health problems and attrition from the study. These results suggest that adverse childhood conditions may indeed be associated with health and survival in old age, but mainly through mechanisms acting earlier in the lifecourse.
7.	Blanck, Elin, et al. (författare) Self‐efficacy and healthcare costs in patients with chronic heart failure or chronic obstructive pulmonary disease 2023 Ingår i: ESC Heart Failure. - 2055-5822. Tidskriftsartikel (refereegranskat)abstract Abstract Aims This study aims to explore possible associations between self‐efficacy and healthcare and drug expenditures (i.e. direct costs) in patients with chronic heart failure (CHF) or chronic obstructive pulmonary disease (COPD) in a study investigating the effects of person‐centred care delivered by telephone. Methods and results This exploratory analysis uses data from an open randomized controlled trial conducted between January 2015 and November 2016, providing remote person‐centred care by phone to patients with CHF, COPD, or both. Patients hospitalized due to worsening of CHF or COPD were eligible for the study. Randomization was based on a computer‐generated list, stratified for age ≥ 75 and diagnosis. At a 6 month follow‐up, 118 persons remained in a control group and 103 in an intervention group. The intervention group received person‐centred care by phone as an addition to usual care. Trial data were linked to register data on healthcare and drug use. Group‐based trajectory modelling was applied to identify trajectories for general self‐efficacy and direct costs. Next, associations between self‐efficacy trajectories and costs were assessed using regression analysis. Five trajectories were identified for general self‐efficacy, of which three indicated different levels of increasing or stable self‐efficacy, while two showed a decrease over time in self‐efficacy. Three trajectories were identified for costs, indicating a gradient from lower to higher accumulated costs. Increasing or stable self‐efficacy was associated with lower direct costs ( P = 0.0013). Conclusions The findings show that an increased or sustained self‐efficacy is associated with lower direct costs in patients with CHF or COPD. Person‐centred phone contacts used as an add‐on to usual care could result in lower direct costs for those with stable or increasing self‐efficacy.
8.	Cederberg, Matilda, et al. (författare) Effects of a Person-Centered eHealth Intervention for Patients on Sick Leave Due to Common Mental Disorders (PROMISE Study): Open Randomized Controlled Trial 2022 Ingår i: Jmir Mental Health. - : JMIR Publications Inc.. - 2368-7959. ; 9:3 Tidskriftsartikel (refereegranskat)abstract Background: Sick leave due to common mental disorders (CMDs) is a public health problem in several countries, including Sweden. Given that symptom relief does not necessarily correspond to return to work, health care interventions focusing on factors that have proven important to influence the return to work process, such as self-efficacy, are warranted. Self-efficacy is also a central concept in person-centered care. Objective: The aim of this study is to evaluate the effects of a person-centered eHealth intervention for patients on sick leave due to CMDs. Methods: A randomized controlled trial of 209 patients allocated to either a control group (107/209, 51.2%) or an intervention group (102/209, 48.8%) was conducted. The control group received usual care, whereas the intervention group received usual care with the addition of a person-centered eHealth intervention. The intervention was built on person-centered care principles and consisted of telephone support and a web-based platform. The primary outcome was a composite score of changes in general self-efficacy (GSE) and level of sick leave at the 6-month follow-up. An intention-to-treat analysis included all participants, and a per-protocol analysis consisted of those using both the telephone support and the web-based platform. Results: At the 3-month follow-up, in the intention-to-treat analysis, more patients in the intervention group improved on the composite score than those in the control group (20/102, 19.6%, vs 10/107, 9.3%; odds ratio [OR] 2.37, 95% CI 1.05-5.34; P=.04). At the 6-month follow-up, the difference was no longer significant between the groups (31/100, 31%, vs 25/107, 23.4%; OR 1.47, 95% CI 0.80-2.73; P=.22). In the per-protocol analysis, a significant difference was observed between the intervention and control groups at the 3-month follow-up (18/85, 21.2%, vs 10/107, 9.3%; OR 2.6, 95% CI 1.13-6.00; P=.02) but not at 6 months (30/84, 35.7%, vs 25/107, 23.4%; OR 1.8, 95% CI 0.97-3.43; P=.06). Changes in GSE drove the effects in the composite score, but the intervention did not affect the level of sick leave. Conclusions: A person-centered eHealth intervention for patients on sick leave due to CMDs improved GSE but did not affect the level of sick leave.
9.	Cederberg, Matilda, et al. (författare) Person-centred eHealth intervention for patients on sick leave due to common mental disorders: study protocol of a randomised controlled trial and process evaluation (PROMISE) 2020 Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 10:9 Tidskriftsartikel (refereegranskat)abstract INTRODUCTION: The number of people dealing with common mental disorders (CMDs) is a major concern in many countries, including Sweden. Sickness absence resulting from CMDs is often long-lasting and advancing return to work is a complex process impacted by several factors, among which self-efficacy appears to be an important personal resource. Person-centred care (PCC) has previously shown positive effects on self-efficacy however this needs to be further investigated in relation to patients with CMDs and in an eHealth context. METHODS AND ANALYSIS: This study is an open randomised controlled trial comparing a control group receiving standard care with an intervention group receiving standard care plus PCC by telephone and a digital platform. The primary outcome measure is a composite score of changes in sick leave and self-efficacy. Participants will include 220 primary care patients on sick leave due to CMDs and data will mainly be collected through questionnaires at baseline and 3, 6, 12 and 24 months from the inclusion date. Inclusion is ongoing and expected to be completed during the fall of 2020. A process and health economic evaluation will also be conducted. ETHICS AND DISSEMINATION: This study was approved by the Regional Ethical Review Board in Gothenburg, Sweden. Results will be published in peer-reviewed scientific journals and presented at national and international scientific conferences. This project is part of a broader research programme conducted at the Gothenburg Centre for Person-Centred Care (GPCC), where extensive work is undertaken to disseminate knowledge on and implementation of PCC. TRIAL REGISTRATION NUMBER: NCT03404583.
10.	Deiaco, Hanna, et al. (författare) Utvärdering av Länsstyrelsen i Stockholms läns hantering av covid-19 2021 Rapport (populärvet., debatt m.m.)abstract Covid-19-pandemin har påverkat hela Sverige, inte minst genom dess stora effekter på liv och hälsa. Den utgör en så kallad ”gränsöverskridande kris” som har pågått under lång tid och där kunskapen kring viruset och dess effekter fortlöpande utvecklats. Krisen har förutsatt omfattande samverkan mellan aktörer på samtliga samhällsnivåer. Covid-19-pandemin är därför intressant att dra lärdomar ifrån.Syftet med utvärderingen har varit att analysera och utvärdera Länsstyrelsens i Stockholms län (länsstyrelsen) krishantering under covid-19 samt att identifiera möjliga utvecklingsområden i länsstyrelsens arbete med krisberedskap. Målet med utvärderingen är att bidra till länsstyrelsens arbete med krisberedskap samt till kunskapsuppbyggnad och forskning om svensk krisberedskap och den samlade svenska hanteringen av covid-19 och dess konsekvenser. Förhoppningen är att utvärderingen ska gynna svensk krisberedskap i stort.Länsstyrelsen har, framförallt genom det regionala geografiska områdesansvaret, viktiga uppgifter i svensk krisberedskap. Länsstyrelsen ska, bland annat, verka för gemensam inriktning, prioritering och samordning av åtgärder och aktörer i länet. På ett övergripande plan har länsstyrelsens hantering och hur den utvecklats över tid gynnats av länsstyrelsens krislednings (landshövding, länsöverdirektör, Chef i beredskap corona) engagemang och ändamålsenliga agerande, av en flexibel samverkan mellan länsstyrelsen och Samverkan Stockholmsregionens (SSR) samverkansstab samt av en effektiv användning av samarbetet mellan aktörerna inom SSR. Länsstyrelsens krisledning har, på ett ändamålsenligt och positivt sätt, agerat självständigt för att bevaka Stockholms läns intressen både inom ramen för det länsstyrelsegemensamma samordningskansliet och bilateralt med nationella myndigheter. Länsstyrelsens arbete med inriktning och samordning inom länet (både inom ramen för samarbetet med SSR och i bilaterala konstellationer) bedöms sammantaget ha bidragit på ett positivt sätt till arbetet med att uppnå de mål som finns formulerade för länsstyrelsernas krisberedskap.Flera lärdomar kan dras av länsstyrelsens krishantering utifrån utvärderingen, framförallt gällande samverkan, organisation och kommunikation.Länsstyrelsen har en central roll att spela i svensk krisberedskap vid komplexa och gränsöverskridande kriser och rollen i dessa händelser blir mer omfattande än att verka för samordning inom länet. Snarare befinner sig länsstyrelserna i en skärningspunkt där nationella, regionala och lokala perspektiv kan samlas, vilket innebär att förmågan till samlad analys och situationsförståelse blir viktig. Rollen kan emellertid inte nödvändigtvis lösas av länsstyrelserna gemensamt då detta skapar ett filter i den vertikala samverkan, utan varje länsstyrelse har här en viktig funktion att fylla. Därtill kan inte heller länsstyrelserna förlita sig på att behoven identifieras underifrån eftersom att hanteringen då riskerar att bli reaktiv.SSR har visat sig vara en effektiv plattform för att uppnå gemensam inriktning, samordning och enhetlig kommunikation i länet. Samarbetet inom ramen för SSR har gynnat hanteringen och medförde att de relevanta aktörerna i Stockholms län kunde börja samverka i ett tidigt skede då de inte behövde bygga upp en struktur och kontaktvägar. SSR:s former för informationsinhämtning har gjort det möjligt för länsstyrelsen att agera buffert mellan nationella myndigheter och kommunerna genom att begränsa och effektivisera förfrågningar om information. Länsstyrelsens krisledning har också haft förmågan att identifiera behov av samordning som inte låtit sig lösas genom SSR och har hanterat dessa i andra forum. Tillsammans med SSR:s RSIB har länsstyrelsens krisledning också haft förmågan att anpassa strukturerna efter de krav som händelsen har ställt. Förmågan till anpassning och flexibilitet är viktig att slå vakt om.Det är sannolikt att Stockholm som län behöver en struktur som SSR för att utföra uppgifterna inom ramen för det geografiska områdesansvaret. Det finns anledning att dra lärdom av erfarenheterna av samarbetet under pandemin för att utveckla SSR och integrering av länsstyrelsens och SSR:s respektive krisorganisationer. Det kan också finnas behov av att tydliggöra och ytterligare förankra ansvarsfördelningen mellan länsstyrelsens krisorganisation och SSR:s kansli/samverkansstab och då särskilt gentemot SSR aktörerna. Det är inte helt entydigt för SSR-aktörerna eller på länsstyrelsen var ansvarsfördelningen går mellan länsstyrelsen stab och SSR:s samverkansstab. I förlängningen innebär en sådan otydlighet en viss risk vid ansvarsutkrävande.Länsstyrelsens samverkan med och inom det länsstyrelsegemensamma samordningskansliet har varit gynnsam. Det har till exempel inneburit att kontakter med nationella myndigheter kunnat samordnas. Det hade samtidigt underlättat ytterligare för länsstyrelsen om man kunnat rapportera lägesbilder enligt en gemensam mall till samtliga mottagande aktörer. Det gemensamma arbetet kan dock hämmas på grund av ”rättviseperspektivet” och att länsstyrelserna tillsammans blir mer av en nationell aktör än en regional. Länsledningen har utöver engagemanget i det länsstyrelsegemensamma arbetet också behövt ha förmåga att samverka enskilt med nationella myndigheter.Sammantaget kan inte länsstyrelsens roll i svensk krisberedskap, och särskilt inte vid gränsöverskridande kriser, fullt lösas genom arbetet inom ramen för SSR respektive det nationella samarbetet mellan länsstyrelserna. Erfarenheterna från hanteringen av pandemin visar på centrala uppgifter för och förmågor hos länsstyrelsen vid kriser. Dessa erfarenheter bör omhändertas i länsstyrelsens krisplanering men det är samtidigt av särskild vikt att inte bygga organisationen för att kunna hantera pandemier, utan att ta hänsyn till bredden i länsstyrelsens uppdrag. Vidare utveckling av länsstyrelsens krisorganisation bör beakta samarbetet med SSR då detta visat sig centralt i hanteringen. Utvecklingsarbetet bör också ta hänsyn till integreringen mellan krisorganisation och linjeorganisation och se till att staben kan stödja länsstyrelsens beslutsprocesser. I alla utvecklingsprocesser är övning och träning av medarbetare av central betydelse.Några aspekter i hanteringen framstår som särskilt viktiga lärdomar som kan användas för att utveckla länsstyrelsens krisorganisation. Anpassningen av länsstyrelsens stabsstruktur, integreringen med SSR:s samverkansstab, tillsättningen av rollen som insatschef/Chef i beredskap corona och att länsstyrelsen utnyttjade befintlig delegationsordning framstår ha gynnat hanteringen och bör således inarbetas i krisplaneringen.Några ytterligare utvecklingsområden har identifierats. Rutiner för hur överlämningen mellan stabschefer sker kan förbättras och bör fortsatt diskuteras för att skapa mer kontinuitet för respektive stabschef. Erfarenheter från utvärderingen visar också att länsstyrelsens krisorganisation endast i begränsad utsträckning har bidragit till målet att verka för att samordna information i länet. Länsstyrelsen behöver även stärka sin kriskommunikationsförmåga som del av sitt samordningsansvar under en kris. Länsstyrelsens TiB har aktiverat ledningsorganisationen och tagit initiativ till samverkan och aktiverat SSR. Aktiveringen av SSR initierade också beslutet att aktivera länsstyrelsens stab. Underlaget till aktiveringen togs dock inte fram på beslut av länsstyrelsen. Länsstyrelsen bör försäkra sig om att det finns en egen förmåga till omvärldsbevakning för att kunna initiera samverkan utan att förlita sig på SSR.Slutligen är länsstyrelsens analysförmåga i behov av utveckling. Utvärderingen indikeraratt länsstyrelsens krisorganisation bör innefatta en starkare analysförmåga med en övad analysgrupp som arbetar utifrån tydliga, systematiska och strukturerade processer och metoder. Analysprocessen bör också tydligare sättas in i länsstyrelsens övriga processer (särskilt processer för beslutsfattande) och tillgodose en förmåga att initiera och driva samverkan även i situationer där behoven inte identifierats av SSR:s aktörer. Även detta arbete bör ske i samverkan med SSR.Sammantaget visar utvärderingen av Länsstyrelsen i Stockholms läns krishantering i samband med covid-19-pandemin på relevanta lärdomar för länsstyrelsens krisorganisation. Slutligen indikerar erfarenheterna och analysen i projektet att forskningen om hanteringen av gränsöverskridande kriser behöver inriktas mot regionala och ämnesövergripande aktörer och mot organisation för samverkan och ledning.
11.	Dekker, Joost, et al. (författare) Definition and Characteristics of Behavioral Medicine, and Main Tasks and Goals of the International Society of Behavioral Medicine : an International Delphi Study 2021 Ingår i: International Journal of Behavioral Medicine. - New York : Springer. - 1070-5503 .- 1532-7558. ; 28:3, s. 268-276 Tidskriftsartikel (refereegranskat)abstract Background: In the past decades, behavioral medicine has attained global recognition. Due to its global reach, a critical need has emerged to consider whether the original definition of behavioral medicine is still valid, comprehensive, and inclusive, and to reconsider the main tasks and goals of the International Society of Behavioral Medicine (ISBM), as the umbrella organization in the field. The purpose of the present study was to (i) update the definition and scope of behavioral medicine and its defining characteristics; and (ii) develop a proposal on ISBM's main tasks and goals.Method: Our study used the Delphi method. A core group prepared a discussion paper. An international Delphi panel rated questions and provided comments. The panel intended to reach an a priori defined level of consensus (i.e., 70%).Results: The international panel reached consensus on an updated definition and scope of behavioral medicine as a field of research and practice that builds on collaboration among multiple disciplines. These disciplines are concerned with development and application of behavioral and biomedical evidence across the disease continuum in clinical and public health domains. Consensus was reached on a proposal for ISBM's main tasks and goals focused on supporting communication and collaboration across disciplines and participating organizations; stimulating research, education, and practice; and supporting individuals and organizations in the field.Conclusion: The consensus on definition and scope of behavioral medicine and ISBM's tasks and goals provides a foundational step toward achieving these goals.
12.	Delshammar, Tim, et al. (författare) Examensarbeten i forskningsprojekt. Genomförande och examination 2011 Rapport (övrigt vetenskapligt/konstnärligt)
13.	Ebrahimi, Zahra, et al. (författare) Integrating Health Promotion with and for Older People - eHealth (IHOPe) – Evaluating remote integrated person-centred care - Protocol of a randomised controlled trial with effectiveness, health economic, and process evaluation 2023 Ingår i: BMC Geriatrics. - : Springer Science and Business Media LLC. - 1471-2318. ; 23:1 Tidskriftsartikel (refereegranskat)abstract Abstract Background Healthcare and welfare systems worldwide are unprepared to accommodate the growing population of older people. Simultaneously, the cost of reactive care for older people is increasing. However, healthcare systems in many countries are reforming towards integrated and person-centred care with a focus on health promotion and proactive actions. The Integrating Health Promotion with and for Older People – eHealth (IHOPe) project aims to describe and evaluate a person-centred e-support intervention that promotes a sustainable partnership between community dwelling frail older people and health and social care professionals. Methods The IHOPe project is designed as a randomised controlled trial comparing a control group receiving standard care with an intervention group receiving standard care and add-on person-centred care through telephone support and a digital platform. The primary outcome measure is a composite score of changes in general self-efficacy and the need for unscheduled hospital care. The project is conducted in Gothenburg, Sweden. At least 220 participants aged ≥ 75 years will be included after being screened using a frailty instrument. The study design, intervention components, digital platform, and questionnaires were developed in close collaboration with an advisory group of inter-professional researchers, stakeholders, clinicians, and older representatives. Data will mainly be collected through questionnaires at baseline and 3, 6, and 12 months after inclusion in the study. Recruitment is ongoing and should be completed during 2023. Data will be analysed using quantitative and qualitative methods. The evaluation will include effectiveness, process, and health economics. The study was approved by the Regional Ethical Review Board in Gothenburg, Sweden (Dnr 2019–05364, Dnr 2020–03550, Dnr 2021–03255). Discussion The findings will expand our knowledge of remotely integrated person-centred care for frail older people. Thereby, the IHOPe project is expected to fill highlighted knowledge gaps on intervention evaluations including the triad of person-centred, digital, and integrated care elements, as well as economic evaluations of remote health services for frail older people. The study is ongoing, and the results are not completed but if they turn out to be positive, implementation is not limited to time or location. Trial registration ClinicalTrial.gov: NCT04416815. Registered 07/06/2021.
14.	Fors, Andreas, 1977, et al. (författare) Effectiveness of person-centred care after acute coronary syndrome in relation to educational level: Subgroup analysis of a two-armed randomised controlled trial 2016 Ingår i: International journal of cardiology. - : Elsevier BV. - 0167-5273 .- 1874-1754. ; 221, s. 957-962 Tidskriftsartikel (refereegranskat)abstract AIM: The aim of this study was to evaluate the effects of person-centred care (PCC) after acute coronary syndrome (ACS) in relation to educational level of participants. METHOD: 199 Patients <75years with ACS were randomised to PCC plus usual care or usual care alone and followed for 6months from hospital to outpatient care and primary care. For the PCC group, patients and health care professionals co-created a PCC health plan reflecting both perspectives, which induced a continued collaboration in person-centred teams at each health care level. A composite score of changes that included general self-efficacy assessment, return to work or previous activity level, re-hospitalisation or death was used as outcome measure. RESULTS: In the group of patients without postsecondary education (n=90) the composite score showed a significant improvement in favour of the PCC intervention (n=40) vs. usual care (n=50) at six months (35.0%, n=14 vs. 16.0%, n=8; odds ratio (OR)=2.8, 95% confidence interval (CI): 1.0-7.7, P=0.041). In patients with postsecondary education (n=109), a non-significant difference in favour of the PCC intervention (n=54) vs. usual care (n=55) was observed in the composite score (13.0%, n=7 vs 3.6%, n=2; OR=3.9, 95% CI: 0.8-19.9, P=0.097). CONCLUSION: A PCC approach, which stresses the necessity of a patient-health care professional partnership, is beneficial in patients with low education after an ACS event. Because these patients have been identified as a vulnerable group in cardiac rehabilitation, we suggest that PCC can be integrated into conventional cardiac rehabilitation programmes to improve both equity in uptake and health outcomes. TRIAL REGISTRATION: Swedish registry, Researchweb.org, ID NR 65 791.
15.	Fors, Andreas, 1977, et al. (författare) Person-centred care after acute coronary syndrome is effective in persons with lower socioeconomic position 2016 Ingår i: International Forum on Quality and Safety in Healthcare, 12-15 April 2016, Gothenburg, Sweden. Konferensbidrag (övrigt vetenskapligt/konstnärligt)
16.	Fors, Carina, 1978-, et al. (författare) Nordic certification system for road marking materials : Version 9:2022 2022 Rapport (övrigt vetenskapligt/konstnärligt)abstract A Nordic certification system for road marking materials was introduced in 2015. The system is based on documented performance measurements of material samples applied on test fields on public roads. The certification system includes both flat (type I) and structured/profiled (type II) markings, antiskid materials (materials with enhanced friction), temporary markings, inlaid markings (Norway only), materials for hand application and materials with enhanced durability for illuminated high-traffic urban areas. Material tests are carried out at two test sites: one in Norway and one in Denmark. The test fields are situated on public roads and the tested materials are thus exposed to real traffic conditions and to weather conditions representative for the Nordic countries. The materials are followed up by performance measurements for one or two years. The certification includes requirements on coefficient of retroreflected luminance RL under dry and wet conditions, luminance coefficient under diffuse illumination Qd, friction and chromaticity coordinates. The number of wheel passages is measured at the test sites annually. The certification system includes material identification, which allows for future material sampling and analysis. The certification system is based on the European standards EN 1824 Road marking materials – Road trials, EN 1436 Road marking materials – Road marking performance for road users, EN 12802 Road marking materials – Laboratory methods for identification, and EN 1423 Road marking materials – Drop on materials – Glass beads, antiskid aggregates and mixtures of the two. This document constitutes the guidelines for the Nordic certification system. The document describes the certification procedure, what type of products that are included in the system and the requirements for certification. Furthermore, the procedures and methods used for application of materials, performance measurement and identification analysis are described. The document also gives specifications and practical information regarding the test sites and regarding registration and application of products for certification.
17.	Fors, Carina, 1978-, et al. (författare) Nordic certification system for road marking materials : Version 10:2024 2024 Rapport (övrigt vetenskapligt/konstnärligt)abstract A Nordic certification system for road marking materials was introduced in 2015. The system is based on documented performance measurements of material samples applied on test fields on public roads. The certification system includes both flat (type I) and structured/profiled (type II) markings, antiskid materials (materials with enhanced friction), temporary markings, inlaid markings (Norway only), materials for hand application and materials with enhanced durability for illuminated high-traffic urban areas. Material tests are carried out at two test sites: one in Norway and one in Denmark. The test fields are situated on public roads and the tested materials are thus exposed to real traffic conditions and to weather conditions representative for the Nordic countries. The materials are followed up by performance measurements for one or two years. The certification includes requirements on coefficient of retroreflected luminance RL under dry and wet conditions, luminance coefficient under diffuse illumination Qd, friction and chromaticity coordinates. The number of wheel passages is measured at the test sites annually. The certification system includes material identification, to verify that the manufacturer’s declaration of constituents agrees with the material applied on the test field. The certification system is based on the European standards EN 1824 Road marking materials – Road trials, EN 1436 Road marking materials – Road marking performance for road users, EN 12802 Road marking materials – Laboratory methods for identification, and EN 1423 Road marking materials – Drop on materials – Glass beads, antiskid aggregates and mixtures of the two. This document constitutes the guidelines for the Nordic certification system. The document describes the certification procedure, what type of products that are included in the system and the requirements for certification. Furthermore, the procedures and methods used for application of materials, performance measurement and identification analysis are described. The document also gives specifications and practical information regarding the test sites and regarding registration and application of products for certification.
18.	Fors, Hanna (författare) Experiences from a tree planting project 2009 Konferensbidrag (refereegranskat)
19.	Fors, Hanna, et al. (författare) Forvaltning og governance av utemiljøer : Del 4: Forvalterens nye roller for rettferdig forvaltning og governance 2022 Ingår i: Park & Anlegg. - 1503-1950. ; 21, s. 34-39 Tidskriftsartikel (populärvet., debatt m.m.)
20.	Fors, Hanna, et al. (författare) From borders to ecotones - Private-public co-management of urban woodland edges bordering private housing 2018 Ingår i: Urban Forestry & Urban Greening. - : Elsevier BV. - 1618-8667 .- 1610-8167. ; 30, s. 46-55 Tidskriftsartikel (refereegranskat)abstract This paper conceptualises and evaluates so-called co-management zones as an approach for user participation in urban forestry, specifically in the management of public woodland edges bordering residential areas. Co-management zones can metaphorically be viewed as 'ecotone-like' spaces, i.e. zones where overlapping interest - in this case residents' and municipal authorities' - can be used to create richness and meetings rather than boundaries. Building on the perspectives of ecotone thinking and governance arrangements, co-management zones in the Danish residential area of Sletten in Holstebro were evaluated. The presented case study combined interviews with residents and interviews with three key green space professionals who had led the planning, design, establishment and management of the woodland and the implementation of co-management. The resident participation in the co-management zone was also assessed and photo documented in a field survey, categorising individual households according to type and degree of physical signs of participation. Findings illustrate the potential of co-management zones to initiate collaboration between residents and public woodland managers in creating recreationally valuable and varied meetings between private gardens and urban woodlands. Challenges with establishing co-management zones were also highlighted, especially the need for clear guidelines and continuous communication between residents and the municipality. Perspectives and implications related to residents, managers and green space quality are discussed.
21.	Fors, Hanna, et al. (författare) Förvaltarens nya roller för rättvis förvaltning och governance 2021 Ingår i: Tidskriften Landskap. - 2001-1903. ; , s. 26-29 Tidskriftsartikel (populärvet., debatt m.m.)
22.	Fors, Hanna (författare) Gröna och blå strukturer för en hållbar stadsutveckling 2010 Rapport (övrigt vetenskapligt/konstnärligt)abstract Syftet med föreliggande rapport är att inspirera till en helhetssyn på stadens friytor och deras roll för en hållbar stad. Rapporten beskriver hur planering, förvaltning och utveckling av stadens obebyggda ytor, vatten och vegetation kan bidra till en hållbar stadsutveckling. Rapporten tar fasta på mark och vatten mellan byggnader, men även vegetation på och i anslutning till byggnader behandlas. Det är vegetation och vatten i tätorten som är i fokus, det vill säga tätortens gröna och blå strukturer
23.	Fors, Hanna, et al. (författare) Interdisciplinary insights into navigating the maze of landscape multifunctionality 2024 Ingår i: People and Nature. - 2575-8314. ; 6, s. 519-534 Forskningsöversikt (refereegranskat)abstract Increasing demands for land to deliver multiple and sometimes conflicting services to people and nature have led to the development of an extensive body of research focussed on multifunctional landscapes. However, this has created both insight and confusion, as authors from a variety of disciplines have independently tackled the question of how to manage the trade-offs and synergies inherent in landscapes that are required to produce multiple functions and services. We employed an interdisciplinary perspective to formulate some key questions that researchers of multifunctional landscapes can use to identify blind spots. Our process resulted in a question-based analysis support scheme that supports reflection and recursive thinking about multifunctional landscapes, beginning with objective setting and visions for addressing it, grounded in baseline mapping, then assessing landscape functions and their single and multiple interactions; as well as the analysis of sensitivity to spatial and temporal dimensions. Other key points identified are the need for clarity and examination of unstated assumptions, from aims to definitions; accounting for scale; incorporating stakeholder needs throughout the process and applying suitable methods of measurement and aggregation. The focus on asking guided questions derives from the insight that there is no universal correct approach to multifunctional landscapes; the aim should instead be to find the most appropriate methods for the given circumstances and goals. Policy implications. Tackling current and future socio-ecological challenges is an interdisciplinary undertaking, necessitating collaborative efforts between research fields that each bring valuable and distinct insights. To effectively combat these challenges, multifunctional landscapes require a clear process and focused objective in their implementation. Multifunctionality should be seen as a means to an end, rather than an end in itself.Read the free Plain Language Summary for this article on the Journal blog.okade krav pa att landskap ska leverera flera och ibland motstridiga tjanster till manniskor och natur har lett till utvecklingen av en omfangsrik forskning med fokus pa multifunktionella landskap. Detta har skapat bade insikter och oklarheter, eftersom forskare fran en rad olika discipliner oberoende av varandra har tagit sig an fragan om hur man ska hantera de kompromisser och synergier som uppstar i landskap som maste producera flera olika funktioner och tjanster. Genom ett interdisciplinart perspektiv har vi formulerat nyckelfragor som forskare som studerar multifunktionella landskap kan anvanda for att identifiera sina blinda flackar. Var process resulterade i ett fragebaserat analysstod for reflektion och rekursivt tankande om multifunktionella landskap. Det borjar med malsattning och visioner for att adressera detta, som sedan forankras i kartlaggning av forutsattningar, och fortsatter med bedomning av landskapsfunktioner och hur de interagerar men enskilda eller flera andra landskapsfunktioner; samt med analys av kanslighet for rumsliga och tidsmassiga dimensioner. Andra centrala punkter som identifierats ar behovet av tydlighet och granskning av outtalade grundantaganden, fran mal till definitioner; att skalan tas i beaktande; inforlivande av intressenters behov genom hela processen och tillampning av lampliga metoder for matning och aggregering av information. Vart fokus pa att stalla vagledande fragor kommer fran insikten att det inte finns nagot universellt korrekt tillvagagangssatt for multifunktionella landskap; syftet bor istallet vara att hitta de mest lampliga metoderna for de givna omstandigheterna och malen. Betydelse for politiken. Att ta itu med nuvarande och framtida socioekologiska utmaningar ar ett interdisciplinart atagande som kraver samarbete mellan forskningsomraden som vart och ett bidrar med vardefulla och specifika insikter. For att mota dessa utmaningar pa ett effektivt satt kravs en tydlig process och ett fokuserat mal for implementeringen av multifunktionella landskap. Multifunktionalitet bor ses som ett medel for att na ett mal, snarare an ett mal i sig.Read the free Plain Language Summary for this article on the Journal blog.
24.	Fors, Hanna, et al. (författare) När en gräns förvandlas till ett möte 2012 Ingår i: Movium magasin. - 2001-1865. ; 2012, s. 24-27 Tidskriftsartikel (populärvet., debatt m.m.)
25.	Fors, Hanna, et al. (författare) Personal and environmental drivers of resident participation in urban public woodland management - A longitudinal study 2019 Ingår i: Landscape and Urban Planning. - : Elsevier BV. - 0169-2046 .- 1872-6062. ; 186, s. 79-90 Tidskriftsartikel (refereegranskat)abstract Woodlands are a core component of urban green infrastructure in terms of both ecosystem service provision and areal cover, with particular relevance and potential for engaging citizens in co-management approaches. Despite widespread agreement on the importance of user participation, there is still a lack of comprehensive knowledge on the underlying drivers. Extending existing knowledge is important for efforts by local authorities to facilitate and sustain participation. The present longitudinal mixed-method study investigated residents' drivers for participating in the management of urban woodland bordering their gardens in a so-called co-management zone in the Danish residential area Sletten, Holstebro. Repeated field surveys of physical signs of participation were combined with a field survey of woodland vegetation characteristics and demographic data on residents. Mixed generalised linear modelling was performed to identify the dominant personal, physical environmental and social environmental variables explaining level of resident participation. The statistical analysis was complemented by interviews with residents. Both personal and environmental drivers explained participation. Interest in gardening, stand height and residents inspiring their neighbours helped explain participation in 2010, while increase in participation between 2010 and 2015 was supported by forest edge type and length of residence. Thus, a stronger focus on the temporal dimension is recommended for future studies. Green space managers wanting to facilitate co-management can encourage participation by identifying people interested in gardening who inspire others, combined with strategic woodland vegetation design and management aimed at increasing visual and physical accessibility, i.e. establishing one-step and semi-open forest edges and sufficient tree height.
26.	Fors, Hanna, et al. (författare) Samarbete för mer autismvänliga offentliga grönområden i Malmö stad 2023 Ingår i: Tidskriften Landskap. - 2001-1903. ; 4, s. 47-49 Tidskriftsartikel (populärvet., debatt m.m.)
27.	Fors, Hanna (författare) Samförvaltningszonen i Holstebro 2017 Ingår i: Tidskriften Landskap. - 2001-1903. ; , s. 15-17 Tidskriftsartikel (populärvet., debatt m.m.)
28.	Fors, Hanna, et al. (författare) Sletten (DK) - offering residents spaces for activities between the garden and the woods 2016 Ingår i: 'Scape. - 1661-7371. ; 15, s. 114-115 Tidskriftsartikel (populärvet., debatt m.m.)
29.	Fors, Hanna, et al. (författare) Striving for Inclusion — A Systematic Review of Long-Term Participation in Strategic Management of Urban Green Spaces 2021 Ingår i: Frontiers in Sustainable Cities. - : Frontiers Media SA. - 2624-9634. ; 3 Tidskriftsartikel (refereegranskat)abstract This systematic review contributes to the research field of user participation by suggesting a new holistic approach comprising a cyclic process model for long-term participation in the strategic management of urban green spaces, including analysis, design, and implementation phases, each followed by an evaluation. User participation in urban green spaces is encouraged in international conventions. Such initiatives aim to involve citizens more closely in decisions regarding local spaces, based on the premise that this will create better, more inclusive, and sustainable local environments. However, a social inclusion perspective is largely absent in the growing body of European scientific literature on urban green spaces. Further, user participation processes are often carried out within projects, with uncertainties about which strategic management phase (planning, design, construction, and/or maintenance) to emphasize and about the long-term sustainability of project-based participation. Therefore, the literature was examined for tools for participation with the focus on participation of local users in the strategic management of urban green spaces, and in particular, marginalized groups. A systematic review based on peer-reviewed scientific papers revealed the necessity for adapting participation processes to the known needs of different participant groups, including those of marginalized groups often excluded in the past. Local authorities have several pathways to socially inclusive and long-term participation. These include choosing and employing a suitable participation approach, anchoring repeated project-based participation in existing municipal long-term strategies, continuously supporting participating users and evaluating ongoing participation processes, and employing a mix of participation types and approaches. The “cyclic process model for long-term participation in strategic management of UGS” presented in this paper could guide such efforts.
30.	Fors, Hanna, et al. (författare) The Impact of Resident Participation on Urban Woodland Quality—A Case Study of Sletten, Denmark 2018 Ingår i: Forests. - : MDPI AG. - 1999-4907. ; 9 Tidskriftsartikel (refereegranskat)abstract Despite the potential of urban woodlands for recreational use and participatory management, citizens' perception of urban woodland quality, as well as the impact of citizens' co-management on urban woodland quality, have not been thoroughly studied to date. The present study investigated how residents in Holstebro, Denmark define urban woodland quality in their neighborhood named Sletten and how they perceive the quality impact of their participation in the management and maintenance of a transition from private gardens to public urban woodland—the so-called co-management zone. Field survey of participation for all housing units with a co-management zone (n = 201) informed strategic selection of residents for individual interviews (n = 16). It was found that social, experiential, functional, and ecological dimensions are all part of residents' perception of urban woodland quality, whereby maintenance, accessibility, and nature are dominating aspects of these dimensions. While these aspects are already integrated in quality assessment schemes for other types of urban green space, our study revealed the importance of structural and species diversity between and within woodland stands as central for the perceived woodland quality—a quality aspect that distinguishes woodland from other types of urban green space. Participation in the management and maintenance positively influenced the perceived woodland quality. Residents found that their participation in the co-management zone created functional and ecological, physical qualities in the woodland. Moreover, the active participation provided the residents with a range of social and experiential benefits, many of which they themselves argue that they would have missed out on if they were only allowed to use the woodland passively. These findings suggest a large—but also largely untapped—potential of participatory urban woodland management to contribute physical qualities to urban woodlands and benefits to its users.
31.	Fors, Hanna (författare) Trädplanteringsprojekt : ett sätt att ge brukarna kontakt med träd 2009 Ingår i: Gröna fakta. - 0284-9798. Annan publikation (populärvet., debatt m.m.)
32.	Fors, Hanna (författare) User participation in public urban woodland management : drivers and impact on green space quality 2018 Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract There is widespread agreement on the many benefits citizens gain from recreational use of local green spaces such as urban woodlands, and the importance of involving users in the development of their everyday landscapes. Despite this, the impact of user participation on the quality of public green spaces has not been thoroughly studied. In this PhD thesis, resident participation in public urban woodland management including drivers for participating, impact on the quality of the woodland, and ways in which local authorities can facilitate it in a long-term perspective was explored. The topic was studied through a literature review and a seven-year longitudinal, mixed-method case study of the residential area Sletten in Holstebro, Denmark. The literature review identified a general lack of empirical support for the many assumed positive outcomes of user participation in the different phases of green space development. A particularly large disparity was found between assumed and empirically substantiated knowledge on how participation may directly benefit physical urban green spaces. The purpose of the case study was to investigate the topic with focus on resident participation in management of public urban woodlands. In Sletten, residents participate in the maintenance and management of the public woodland edge zone bordering their private gardens, called the co-management zone. It was found that clear guidelines and continuous local authority–resident communication, including municipal guidance, inspiration and control, were crucial for a functional co-management zone. The study of residents’ drivers of participation pointed at combinations of both personal and environmental drivers, the relative importance of which changed over time from gardening interest, stand height and residents inspiring their neighbours in 2010, to forest edge type and length of residence in 2015. Local authorities aiming to facilitate co-management should be aware of this temporal dimension and encourage participation by identifying people interested in gardening who inspire others, combined with strategic woodland vegetation design and management increasing visual and physical accessibility. In Sletten, it was found that social, experiential, functional, and ecological dimensions were all included in residents’ perceptions of ‘urban woodland quality’. Maintenance, accessibility, nature and facilities are aspects that occur repeatedly in quality assessment schemes for other types of urban green space. These were also central to urban woodland quality, apart from facilities. In addition, the study revealed the importance of structural and species diversity between and within woodland stands – a quality aspect that distinguishes woodland from other types of urban green space. It was also found that participation had additional benefits for participants. This research has contributed new insights, useful to green space managers in their work when involving users in management, and has provided new approaches to the scientific discussion on green space quality.
33.	Fors, Hanna, et al. (författare) User participation in urban green spaces - for the people or the parks? 2015 Ingår i: Urban Forestry & Urban Greening. - : Elsevier BV. - 1618-8667 .- 1610-8167. ; 14, s. 722–734- Forskningsöversikt (refereegranskat)abstract The provision and administration of high quality urban public green spaces intertwines issues of planning, design, management and maintenance with governance. The benefits of such spaces are often tied to social justice, public health and recreation, biodiversity and helping cities to deal with climate change. International policies and changes in public administration have encouraged user participation across multiple phases of green space development. Although sceptics towards participation are easily found supporting arguments sometimes stand without critique, not questioning how participation affects the physical quality of green spaces. This literature review surveyed empirical scientific studies seeking to answer the following research question: How does research to date reflect over user participation's contribution to public urban green space quality? The review includes 31 articles from peer-reviewed scientific journals and finds an array of arguments used to support and attribute potential benefits to participation. However, analysing what has been empirically tested in these articles shows an even and general lack of proof for these arguments, implying that many arguments for participation are taken for granted. A particularly large disparity was found between the discussing and testing of many arguments regarding how participation may directly benefit urban green spaces. Rather than assessing the physical outputs of participation, most of the empirical studies tested process benefits to users and administrators. Due to the discovered predominance of these process-driven studies, it remains unclear whether participation actually improves green spaces, or if it is just for the benefit of the people involved. The gap in scientific knowledge found here calls for a re-focus to case level research, empirically testing where the actual benefits of participation lie and how participation processes might best lead to high quality green spaces in practice.
34.	Fors, Kikki, et al. (författare) Arbetsmiljö och säkerhet vid surgörning av flytgödsel : Rapport från WP2, Aktivitet 5 2018 Rapport (övrigt vetenskapligt/konstnärligt)abstract Stallgödsel från animalieproduktion är en källa för kvävetillförseln till Östersjön i form av utsläpp till vatten och atmosfäriskt nedfall. Ammoniakavgång kommer från gödseln vid hantering i stallar, vid lagring och spridning. Jordbruket står för största delen av ammoniakutsläppen och åtgärder för att minska ammoniak-avgången från jordbruket har därför stor effekt på de totala utsläppsmängderna. Att minska kväveläckaget från jordbruket är en viktig del i att minska övergöd-ningen av Östersjön. Minskade kväveförluster från stallgödseln ger även ökad växtnäring till de odlade grödorna och en effektivare recirkulation av kvävet. Ökat växtnäringsvärde hos stallgödseln leder till bättre utvecklade grödor, som förmår att ta upp mer av miljöbelastande fosfor jämfört med sämre utvecklade grödor. Att minska kväveförlusterna genom att förbättra hanteringen av stall-gödseln ger därmed många vinster för miljön och odlaren.Surgörning av flytgödsel är en känd metod för att minska ammoniakavgången från stallgödsel i stall, i lager och vid och efter spridning i fält (Petersen, 2012). Metoden praktiseras dock inte i Sverige, till stor del för att tekniken inte är till-gänglig och för att det i stort saknas erfarenheter. Teknik för surgörning finns nu utvecklad i Danmark, där 18 % av all flytgödsel försurades år 2014 (SEGES, 2015). Vid surgörningen minskas förlusterna av kväve genom att den kemiska jämvikten mellan ammonium och ammoniak förskjuts mot större andel ammoniumkväve, som inte kan avgå i gasform.Teknik finns för surgörning i stallar, i lager respektive vid spridning. I stallar och lager strävar man efter att pH-värdet i gödseln ska vara mindre än 5,5 för att få effekt under längre tid dvs. under efterföljande lagring och spridning. I test enligt VERA:s testprotokoll minskade ammoniakavgången i medeltal med 64 % från de två studerade svinstallarna när man surgjorde gödseln i stallet med tekniken från JH Forsuring NH4+ jämfört med ingen surgörning (ETA-Danmark, 2011). I ett av de två studerade stallarna kunde man påvisa en årlig luktminskning med 29 procent vid surgörning. För Sverige är det dock inte aktuellt med surgörning i stallar med nuvarande system och lagstiftning. Istället kan system för tillförsel av syra i lager vara aktuellt. Vid tillförsel i lager strax innan spridning eftersträvas pH<6. För att begränsa mängden syra som behöver tillsättas är det då viktigt att snarast möjligt påbörja spridningen efter att svavelsyran blandats med gödseln i lagret, med tanke på gödselns buffrande förmåga (pH stiger). För att surgöra flytgödseln under spridning doseras svavelsyran till gödseln automatiskt under körning i fält med på marknaden olika tekniker. Målet är då att gödseln håller pH <6,4 vid spridningstillfället för att det ska vara godkänt i Danmark som ammoniakbegränsande åtgärd, och ett alternativ till att mylla ner gödseln vid spridning. Enligt VERA:s testprotokoll så minskade ammoniakavgången med 49 % vid surgörning till pH 6,4 vid spridning med tekniken SyreN jämfört med ingen försurning (VERA, 2012). Det gick inte att påvisa någon luktminskning med surgörning.
35.	Gunnarsson, Allan, et al. (författare) Vegetationsstyrning för ökad trygghet 2012 Rapport (övrigt vetenskapligt/konstnärligt)abstract Otrygghet i parker och bostadsområden är ett stort samhällsproblem som begränsar människors möjligheter att röra sig i sin närmiljö och leva ett rikt och hälsosamt liv. Många av dagens så kallade naturlika planteringar har anlagts utan en tanke på trygghet och utebliven skötsel har skapat en tät och snårig karaktär. I den här rapporten föreslås hur vegetationsstyrande insatser kan ge ökad trygghet utan att stora skötselproblem skapas. Vinsterna med en bevarad vegetation är många, bland annat för lek och samvaro, rekreation, vindskydd, luftrening och biologisk mångfald. Ofta varierar upplevd otrygghet mellan individer samt mellan sociala grupper, åldrar och kön. Men forskning har lyft fram egenskaper hos vegetationen som många ser som trygghetsfrämjande. Det handlar om hur vegetationen är utformad i förhållande till utemiljön i stort, möjligheter att överblicka och kontrollera miljön, vegetationens täthet och genomsiktlighet samt karaktär och skötselnivå. Genom två studier genomförda i Lund 2009-2011 undersöktes boendes trygghetsupplevelser längs två gång- och cykelstråk före och efter trygghetsfrämjande vegetationsstyrning. Resultaten visade att insatserna var uppskattade. Avståndet till vegetationen, vad som fanns på olika sidor samt vegetationens samspel med belysning var viktigt för tryggheten, liksom att ha översikt, att se in i vegetationen och ett välskött intryck. Många av de önskade egenskaperna hos vegetationen uppnåddes genom röjningar av buskskiktet. Vid trygghetsfrämjande vegetationsstyrning bör man först välja ut ett lämpligt stråk eller plats, där resultatet har förutsättning att bli positivt för tryggheten och samtidigt hållbart ur ett skötselperspektiv. Därefter väljs en lämplig röjningsmodell där öppenhet nås samtidigt som uppslag av rot- och stubbskott samt fröplantor dämpas av sparad vegetation. I ett tredje steg väljs träd och buskar som ska sparas ut med tanke på långsiktighet, innan slutligen röjningen genomförs. Föreslagna röjningsmodeller handlar om att vidga trånga passager, glesa ut täta partier, underröjning på en eller två sidor i olika stor omfattning samt för att framhäva belysning. Grundprincipen för att få hållbara resultat utan alltför stora skötselbehov är att spara skuggande träd- och buskarter som bildar ett stabiliserande tak. Det är viktigt att ta hänsyn till vilka ljus- och skuggegenskaper olika arter har vid röjningen. I vissa fall kan det vara relevant att fräsa bort stubbar, särskilt från arter som skjuter mycket stubbskott. Uppslag av vegetation kan också hindras genom att etablera marktäckande växter.
36.	Jansson, Märit, et al. (författare) Brukarorienterad förvaltning och governance 2021 Ingår i: Tidskriften Landskap. - 2001-1903. ; , s. 33-37 Tidskriftsartikel (populärvet., debatt m.m.)
37.	Jansson, Märit, et al. (författare) Experiences of safety in neighbourhood green environments 2012 Annan publikation (övrigt vetenskapligt/konstnärligt)
38.	Jansson, Märit, et al. (författare) Forvaltning og governance av utemiljøer : Del 3: Brukerorientert forvaltning og governance 2022 Ingår i: Park & Anlegg. - 1503-1950. ; 21, s. 26-33 Tidskriftsartikel (populärvet., debatt m.m.)
39.	Jansson, Märit, et al. (författare) Gröna lekplatser främjar lek och hälsa i Paris 2019 Ingår i: Tidskriften Landskap. - 2001-1903. ; , s. 19-21 Tidskriftsartikel (populärvet., debatt m.m.)
40.	Jansson, Märit, et al. (författare) Orienteret mod brugerne 2022 Ingår i: Grønt miljø. - 0108-4755. ; , s. 36-38 Tidskriftsartikel (populärvet., debatt m.m.)abstract Udemiljøet har forskellige brugere, nogle med særlige behov. Hvordan kan en forvaltning håndtere dét? Når forvaltning og governance bliver brugerorienterede, kan man - med viden og kundskab - fremme flere anvendelser og gøre udemiljøet mere inkluderende.
41.	Jansson, Märit, et al. (författare) Perceived personal safety in relation to urban woodland vegetation - A review 2013 Ingår i: Urban Forestry & Urban Greening. - : Elsevier BV. - 1618-8667 .- 1610-8167. ; 12, s. 127-133 Forskningsöversikt (refereegranskat)abstract Urban woodland vegetation provides people with many aesthetic, ecological and psychological benefits, but can also generate problems concerning people's perception of safety. This paper reviews existing knowledge about perceived personal safety in relation to vegetation, particularly woodland vegetation, in urban green spaces such as parks and residential areas. Individual and social factors, but also vegetation character, maintenance and design, proved to be important for perceived personal safety. Vegetation-related aspects identified as being of particular importance include landscape design, possibilities for overview and control, vegetation density, and vegetation character and maintenance. Vegetation of an open character with low density undergrowth might have positive effects on perceived personal safety without reducing other benefits. Issues for future research include context-based studies to consider several aspects of vegetation and their interactions. (C) 2013 Elsevier GmbH. All rights reserved.
42.	Jansson, Märit, et al. (författare) Sammanställning av artikelserien: Utemiljöns förvaltning och governance 2022 Ingår i: Tidskriften Landskap. - 2001-1903. Annan publikation (populärvet., debatt m.m.)abstract Ämnesgruppen Landskapets governance och förvaltning är en del av SLU Landskap i Alnarp. Vi arbetar med att öka kunskapen om utemiljöförvaltning genom forskning, undervisning och samarbeten. Vår expertis berör till stor del professionell förvaltning av utemiljöer. Detta särtryck från artikelserien och boken det baseras på är resultatet av flera års strategiskt arbete för att stärka och lyfta kunskapen om utemiljöförvaltning inom forskning, utbildning och praktik. Artikelserien ger en överblick över den kunskap om förvaltning och governance av utemiljöer som vi utvecklar i gruppen.
43.	Jansson, Märit, et al. (författare) The governance of landscape management: new approaches to urban open space development 2019 Ingår i: Landscape Research. - : Informa UK Limited. - 0142-6397 .- 1469-9710. ; 44, s. 952-965 Tidskriftsartikel (refereegranskat)abstract The concept and practice of urban open space (UOS) management is becoming increasingly influenced by varying governance arrangements for participatory co-development. These varying arrangements generate multifaceted approaches to UOS management as well as to landscape architecture more broadly. Governance and management constitute two central themes within UOS development, but their combination has so far been little addressed, despite its potential in addressing different desired values and processes. This paper uses a secondary case study approach to highlight and analyse this combination in different contexts and discusses conceptual use and knowledge gaps within landscape architecture, critically rethinking current process logics, reflecting on new tendencies for co- and self-management and discussing consequences for theory and practice. The conceptual understanding of governance approaches in UOS management presented may be useful for sustainable long-term development of UOS.
44.	Jansson, Märit, et al. (författare) Trygghet i bostadsområdets gröna utemiljöer : en kunskapssammanställning 2012 Rapport (övrigt vetenskapligt/konstnärligt)
45.	Jansson, Märit, et al. (författare) User-oriented urban open space governance and management 2020 Ingår i: Urban open space governance and management. - 9780367173029 ; , s. 68-92 Bokkapitel (refereegranskat)
46.	Jerndal, Hanna, PhD-student, et al. (författare) WCN23-0624 acute kidney injury and covid-19 2023 Ingår i: Kidney International Reports, Supplements. - : Elsevier. - 2468-0249. ; 8:3, s. S438-S438 Tidskriftsartikel (refereegranskat)abstract Introduction: COVID-19 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This emerging disease has become a public health emergency worldwide.Acute Kidney Injury (AKI) secondary to COVID-19 has been described in different studies, but information characterising patients with subsequent AKI is limited. The cause of kidney involvement in COVID-19 is thought to be multifactorial. Cardiovascular comorbidity and predisposing factors (e.g. sepsis and nephrotoxins) are considered as important contributors. The tubular damage has been linked to the cytopathic effects of kidney-resident cells and cytokine storm syndrome. To gain better understanding of the effect of COVID-19 on renal function, large clinical and register based studies have been requested.The objective of this study was to quantify the risk of acute kidney injury during and after covid-19.Methods: This was a Swedish prospective cohort study where Generalised Estimating Equation methods (GEE) was used to map the kinetics of kidney injury markers such as serum-creatinine (s-creatinine), cystatin and eGFR for the hospitalised patients in the cohort, comparing patients with moderate and severe COVID-19 during and after the acute infection. Furthermore, we will investigate if patients with kidney dysfunction during COVID-19 have more severe disease outcome compared with the whole cohort, adjusting for age, sex, and comorbidities. We will also compare start values of kidney injury markers with the latest values and count the percentage worsening among all disease severity groups.Cohort: Approximately 550 COVID-19 patients were recruited to the study following informed and signed consent at 2 Swedish University Hospitals. A case report form was filled in at pre-specified time points, and samples collected consecutively. A database was then created containing dates and information regarding symptoms, laboratory samples, complications, and disease severity (e.g., need of oxygen, intensive care, mechanical ventilation, death).Results: There was a significant increase in s-creatinine among hospitalised and intensive care unit patients (n=126) during the acute phase of COVID-19 (day 0-6 post disease onset) when compared to the follow up samples after 90 days from disease onset. There was also a decrease in s-creatinine in day 11-21 and 31-70 among hospitalised and intensive care unit COVID-19 patients when compared to the same follow up samples. This analysis was adjusted for age and sex. See figure 1.Conclusions: Our preliminary results show that s-creatinine was increased during the first days of COVID-19 followed by decreased levels compared to baseline.The higher levels of s-creatinine day 0-6 of COVID-19 could be an effect of the acute infection, but it could also be caused by other factors such as dehydration or medication. The lower levels of s-creatinine might be caused by dietary changes or loss of muscle mass due to immobilisation during hospitalisation. Knowledge about fluctuations in s-creatinine in COVID-19 patients may be of use for treating physicians.
47.	Johnson, Randi K., et al. (författare) Metabolite-related dietary patterns and the development of islet autoimmunity 2019 Ingår i: Scientific Reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 9:1 Tidskriftsartikel (refereegranskat)abstract The role of diet in type 1 diabetes development is poorly understood. Metabolites, which reflect dietary response, may help elucidate this role. We explored metabolomics and lipidomics differences between 352 cases of islet autoimmunity (IA) and controls in the TEDDY (The Environmental Determinants of Diabetes in the Young) study. We created dietary patterns reflecting pre-IA metabolite differences between groups and examined their association with IA. Secondary outcomes included IA cases positive for multiple autoantibodies (mAb+). The association of 853 plasma metabolites with outcomes was tested at seroconversion to IA, just prior to seroconversion, and during infancy. Key compounds in enriched metabolite sets were used to create dietary patterns reflecting metabolite composition, which were then tested for association with outcomes in the nested case-control subset and the full TEDDY cohort. Unsaturated phosphatidylcholines, sphingomyelins, phosphatidylethanolamines, glucosylceramides, and phospholipid ethers in infancy were inversely associated with mAb+ risk, while dicarboxylic acids were associated with an increased risk. An infancy dietary pattern representing higher levels of unsaturated phosphatidylcholines and phospholipid ethers, and lower sphingomyelins was protective for mAb+ in the nested case-control study only. Characterization of this high-risk infant metabolomics profile may help shape the future of early diagnosis or prevention efforts. © 2019, The Author(s).
48.	Juma, Ibrahim, et al. (författare) Avocado Production and Local Trade in the Southern Highlands of Tanzania: A Case of an Emerging Trade Commodity from Horticulture 2019 Ingår i: Agronomy. - : MDPI AG. - 2073-4395. ; 9 Tidskriftsartikel (refereegranskat)abstract Avocado crop in Tanzania is sparingly investigated regardless of being an important fruit commodity. This study was undertaken to explore the yield and the value chain of this crop in the country. Data were collected mainly by face-to-face interviews with 275 avocado farmers, 231 avocado traders and 16 key informants. Descriptive statistics, Chi-square test and one-way analysis of variance were used for data analysis. The average crop yield ranged from 76 to 124 kg plant(-1) between regions. The average price for the farmers' produce ranged from US$ 0.30 to 0.45 kg(-1) between regions. About 72% of the farmers were dissatisfied with avocado business whereas 79% of the traders were pleased with it. A number of challenges were found hindering the development of the avocado industry in Tanzania, which in turn affects the fruit yield and the value chain. Addressing these challenges at the national, regional, district and village levels is important for improving the livelihood of Tanzanian farmers growing this crop, given the fact that a good proportion of the country's population is employed in the agricultural sector and most of the reported challenges also affect the value chain of other crops.
49.	Katsoularis, Ioannis, 1986-, et al. (författare) Risk of arrhythmias following COVID-19 : nationwide self-controlled case series and matched cohort study 2023 Ingår i: European Heart Journal Open. - : Oxford University Press. - 2752-4191. ; 3:6 Tidskriftsartikel (refereegranskat)abstract Aims: COVID-19 increases the risk of cardiovascular disease, especially thrombotic complications. There is less knowledge on the risk of arrhythmias after COVID-19. In this study, we aimed to quantify the risk of arrhythmias following COVID-19.Methods and Results: This study was based on national register data on all individuals in Sweden who tested positive for SARS-CoV-2 between 1 February 2020 and 25 May 2021. The outcome was incident cardiac arrhythmias, defined as international classification of diseases (10th revision) codes in the registers as follows: atrial arrhythmias; paroxysmal supraventricular tachycardias; bradyarrhythmias; and ventricular arrhythmias. A self-controlled case series study and a matched cohort study, using conditional Poisson regression, were performed to determine the incidence rate ratio and risk ratio, respectively, for an arrhythmia event following COVID-19.A total of 1 057 174 exposed (COVID-19) individuals were included in the study as well as 4 074 844 matched unexposed individuals. The incidence rate ratio of atrial tachycardias, paroxysmal supraventricular tachycardias, and bradyarrhythmias was significantly increased up to 60, 180, and 14 days after COVID-19, respectively. In the matched cohort study, the risk ratio during Days 1–30 following COVID-19/index date was 12.28 (10.79–13.96), 5.26 (3.74–7.42), and 3.36 (2.42–4.68), respectively, for the three outcomes. The risks were generally higher in older individuals, in unvaccinated individuals, and in individuals with more severe COVID-19. The risk of ventricular arrhythmias was not increased.1 057 174 exposed (COVID-19) individuals were included in the study as well as 4 074 844 matched unexposed individuals. The incidence rate ratio of atrial tachycardias, paroxysmal supraventricular tachycardias and bradyarrhythmias was significantly increased up to 60, 180 and 14 days after COVID-19, respectively. In the matched cohort study, the risk ratio during day 1-30 following COVID-19/index date was 12.28 (10.79-13.96), 5.26 (3.74-7.42) and 3.36 (2.42-4.68), respectively for the three outcomes. The risks were generally higher in older individuals, unvaccinated individuals and in individuals with more severe COVID-19. The risk of ventricular arrhythmias was not increased.Conclusion: There is an increased risk of cardiac arrhythmias following COVID-19, and particularly increased in elderly vulnerable individuals, as well as in individuals with severe COVID-19.
50.	Katsoularis, Ioannis, 1986-, et al. (författare) Risk of atrial tachycardias after covid-19 : nationwide self-controlled cases series and matched cohort study 2023 Ingår i: European Heart Journal. - : Oxford University Press. - 0195-668X .- 1522-9645. ; 44:Suppl. 2 Tidskriftsartikel (refereegranskat)abstract Background: COVID-19 is a multiorgan disease. We previously identified COVID-19 as a risk factor for myocardial infarction, stroke (1), venous thromboembolism and bleeding (2). Less evidence exists on the risk of arrhythmias after COVID-19. Previous studies included mainly hospitalized patients with severe COVID-19, and there are no nationwide studies published.Purpose: The aim of this study was to estimate the risk of atrial tachycardias (atrial fibrillation and atrial flutter) following COVID-19, including all individuals tested positive for SARS-CoV-2 in Sweden, regardless of disease severity.Method: COVID-19 has been a notifiable disease in Sweden. All individuals in Sweden who were tested positive for SARS-CoV-2 between February 1, 2020 and May 25, 2021 were included in the study. We identified four control individuals for each COVID-19 individual matched on age, sex, and county of residence. Using Personal Identification Numbers, we cross-linked data from national registries: COVID-19 registry; Inpatient and Outpatient Registry; Cause of Death Registry; Prescribed Pharmaceutical Registry and Intensive Care Registry. Outcomes are cardiovascular events, defined using ICD-10 diagnosis codes for atrial fibrillation and atrial flutter in the registries. We performed a ‘’first-ever event’’ analysis, i.e., we excluded individuals with events before the study period. The self-controlled case series (SCCS) method was used to determine the incidence rate ratio (IRR) of a first atrial tachycardia during the risk periods 1-7, 8-14, 15-30, 31-60, 61-90, and 91-180 days after COVID-19. In the matched cohort study (MCS), Poisson regression was performed to calculate the risk ratio (RR) of a first arrhythmia event in the risk period 1-30 days following COVID-19, after adjusting for the effect of confounders, such as cardiac disease, treatment with antiarrhythmics, comorbidities and vaccination status.Results: 1 057 174 cases and 4 074 844 controls were included in the study. In the SCCS, the risk of first atrial tachycardia was significantly increased up to 60 days following COVID-19. Specifically, during days 1-7 and 8-14 post-COVID-19 the IRRs were approximately 12 and 10 respectively. Similarly, in the MCS the RR for the first atrial tachycardia during day 1-30 post-COVID-19 was approximately 11. The risks were higher in patients with more severe COVID-19; and during the first pandemic wave compared to the second and third wave.Conclusions: This study suggests that COVID-19 is a risk factor for atrial tachycardias, based on information obtained on all people who tested positive for SARS-CoV-2 in Sweden, regardless of disease severity. These results could impact recommendations on diagnostic and prophylactic strategies against atrial tachycardias after COVID-19. The importance of preventive strategies, such as risk factor control; vaccination to prevent severe COVID-19; and early review of high-risk individuals after COVID-19, is indicated.

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