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Sökning: WFRF:(Melin Ulf)

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2.
  • Agélii Genlott, Annika, 1968- (författare)
  • Designing for Transformational Change in School : Digitalizing the Digitized
  • 2020
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Digital technologies have gained a prominent role in education and schools, but research concerning how digital technologies can create better conditions for improved teaching and enhanced learning for students is scarce and inconclusive. Successful use of digital technologies requires a complex combination of interacting factors, including integrating technology and pedagogy as well as organizing and leading a structured transformation process. The capability of school organizations to lead and support the digitalization process is an under-researched field compared to the well-established focus on individual stakeholders.This thesis examines how experimentation and innovation processes in school can be designed and pursued to support and enhance digitalization across an entire school organization by using a Design Science Research (DSR) approach to answer the question: How can a school organization at municipal level lead digital transformation through the digitalization of teaching and learning processes in an organized, professional, and, as far as possible, scientifically based way?The findings show that the design and use of the Information System Artifact model (ISA) together with a DSR development method can support both improved teaching and enhanced learning within and across a school organization. Effective use of digital technologies to improve teaching and learning across the school organization requires fundamental changes of ordinary practices and engagement as well as commitment from school authorities and school leaders.This thesis contributes with empirically and theoretically based insights from leading (digital) transformational change in school through the iterative design of IS artifacts used as a driver and quality control for the shift from digitization towards digitalization aiming at improved teaching and enhanced learning.
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3.
  • Alehagen, Siw, 1953-, et al. (författare)
  • Catecholamine and cortisol reaction to childbirth
  • 2001
  • Ingår i: International Journal of Behavioral Medicine. - 1070-5503 .- 1532-7558. ; 8:1, s. 50-65
  • Tidskriftsartikel (refereegranskat)abstract
    • One way to study the stressfulness of childbirth is to examine the output of stress hormones. In this study, urinary catecholamines and salivary cortisol from 50 primiparous women were collected for 1 day during gestational weeks 37 to 39, hourly during labor and delivery, and 2 hr and 2 days postpartum. All three stress hormones increased statistically significantly from pregnancy to labor. The increase in adrenaline and cortisol was more than 500%, and the increase in noradrenaline was about 50%. After labor, the output decreased but not statistically significantly below the levels during late pregnancy. Hormone levels during late pregnancy, during labor and delivery, and during the period postpartum mostly did not correlate systematically. However, noradrenaline and adrenaline, as well as adrenaline and cortisol, were positively correlated during labor. After administration of epidural analgesia, there was a moderate but significant decrease in noradrenaline and adrenaline, whereas cortisol did not change. In conclusion, the results of this study support the assumption that childbirth is a very stressful event and that the stress responses vary considerably among women. The substantial increase of adrenaline and cortisol compared with noradrenaline indicates that mental stress is more dominant than physical stress during labor.
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5.
  • Andersson, Anne, 1966-, et al. (författare)
  • High risk of cardiovascular side effects after treatment of Hodgkin's lymphoma : is there a need for intervention in long-term survivors?
  • 2021
  • Ingår i: Upsala Journal of Medical Sciences. - : Upsala Medical Society. - 0300-9734 .- 2000-1967. ; 126
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Hodgkin lymphoma (HL) patients have a good prognosis after adequate treatment. Previous treatment with mantle field irradiation has been accompanied by an increased long-term risk of cardiovascular disease (CVD). This study identified co-morbidity factors for the development of cardiovascular side effects and initiated an intervention study aimed to decrease morbidity and mortality of CVD in HL survivors.Design: Hodgkin lymphoma patients aged ≤45 years diagnosed between 1965 and 1995 were invited to participate. In total, 453 patients completed a questionnaire that addressed co-morbidity factors and clinical symptoms. Of these, 319 accepted to participate in a structured clinical visit. The statistical analyses compared individuals with CVD with those with no CVD.Results: Cardiovascular disease was reported by 27.9%. Radiotherapy (odds ratio [OR]: 3.27), hypertension and hypercholesterolemia were shown to be independent risk factors for the development of CVD. The OR for CVD and valve disease in patients who received radiotherapy towards mediastinum was 4.48 and 6.07, respectively. At clinical visits, 42% of the patients were referred for further investigation and 24% of these had a cardiac ultrasound performed due to previously unknown heart murmurs.Conclusion: Radiotherapy towards mediastinum was an independent risk factor for CVD as well as hypercholesterolemia and hypertension. A reasonable approach as intervention for this cohort of patients is regular monitoring of hypertension and hypercholesterolemia and referral to adequate investigation when cardiac symptoms appear. Broad knowledge about the side effects from radiotherapy in the medical community and well-structured information regarding late side effects to the patients are all reasonable approaches as late effects can occur even 40 years after cancer treatment.
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6.
  • Andersson, Anne, 1966- (författare)
  • Long-term side effects after treatment of Hodgkin's lymphoma
  • 2011
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Background Long-term side effects associated with the treatment of Hodgkin’s lymphoma (HL) have frequently been reported during the last decades. Studies have shown increased mortality in HL survivors. Following Hodgkin’s lymphoma, second malignancies (SM) and cardiovascular disease (CVD) are the most common causes of death in individuals treated for HL. This study investigates the incidence of side effects such as SM, CVD and infections in a cohort diagnosed with HL in Sweden between 1965 and 1995. In addition, this study identifies covariate risk factors for late side effects in order to develop strategies that prevent morbidity and mortality in HL survivors. Methods Using the Swedish Cancer Registry (SCR) at the National Board of Health and Welfare and the Multi-Generation Registry at Statistics (MGR) Sweden, we identified 6946 individuals diagnosed with HL between the years 1965 and 1995, and their first degree relatives (FDR) (n=17 858). In addition we identified the malignancies and inpatient care for CVD and infections for the HL cohort and their FDR. The standard incidence ratio (SIR) was calculated for the risk of SM, CVD and infections. For SM and CVD the risk also was stratified and calculated for family history of disease. The Swedish Hodgkin Intervention and Prevention study (SHIP), a prospective study, invited 702 individuals treated for HL at the age of 45 years or younger and who were treated in the region of Skåne, Uppsala or Umeå. The participants completed a questionnaire and were invited to an out-patient visit to an oncologist with clinical examination and blood tests. Any pathological findings were referred for further investigation. Results An increased risk for SM in HL long-term survivors was observed and seems to increase with the number of FDRs with cancer. There was also an increased risk for inpatient care due to congestive heart failure (CHF) and coronary artery disease (CAD). A family history of CHF and CAD further increased the risk for these diseases. The risk for inpatient care due to infections was increased and remained increased after 20 years or longer. The risk for infections was associated with splenectomy and hypothyroidism. Radiotherapy was an independent risk factor for cardiovascular disease in the cohort of the prospective study. ConclusionLong-term survivors from HL have an increased risk for developing late side effects such as SM, CVD and infections. Since many HL patients are young and the cure rate from the disease is high, it is of great importance to offer focused surveillance programs to selected individuals who are at high risk, e.g. individuals who received radiotherapy as part of their treatment and who have other known risk factors for cardiovascular disease such as hypertension, hypercholesterolemia, family history and smoking.
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7.
  • Andréasson, Ester, et al. (författare)
  • COSMIC - syndabock eller frälsare? : En fallstudie av införandet av och arbetet med ett IT-system för vård- och patientadministration inom Landstinget i Östergötland
  • 2011
  • Rapport (övrigt vetenskapligt/konstnärligt)abstract
    • Denna studie belyser införandet av och arbetet med ett elektroniskt vård- och patientadministrat-ionssystem –COSMIC– i Landstinget i Östergötland. Syftet med studien är att analysera och karak-tärisera införandet av och arbetet med COSMIC. Vi belyser särskilt fyra teman i vår analys: (1) Verksamhetsutveckling och IT, (2) Kompetens och arbete, (3) Tillit och säkerhet samt (4) Privat och offentligt. Denna fallstudie är kvalitativ och tolkande och bygger på flera typer av empiriska data. De metoder som använts är intervjuer med vårdpersonal i öppen- och slutenvård, projekt-ledning, projektmedarbetare och patienter, studier av såväl interna som externa dokument samt systemanvändning. Resultatet av vår studie visar att aktörer och aktörsgrupper bär på många olika bilder av införandeprocessen och av det system –COSMIC– som införs. Studien visar också att det finns förväntningar relaterade till COSMIC som berör förändrade och mera effektiva arbetssätt, tillgänglighet till information –exempelvis om patienters vårdhistorik och medicinering– samt en ökad patientsäkerhet. Dessa förväntningar har utmanats av farhågor i vårdverksamheten rö-rande både systeminförandet och systemets funktionalitet. Föreställningarna har sin grund bland annat i den negativa kritik som framfördes mot COSMIC i samband med pilotimplementering och uppgradering av systemet; negativ kritik som även har rapporterats i lokal och regional media. Betydelsen av att systemet utvecklas av en extern leverantör och landstingets relation till denna analyseras också. Den longitudinella studien visar också att COSMIC institutionaliseras i verksam-heten över tid; detta kommer exempelvis till uttryck genom att systemet blir en del av vårdens vardag och stegvis vinner en större acceptans. Beroendet av systemet ökar också över tid. Studien visar även att tillit och säkerhet påverkas av införandet av det nya systemet – samtidigt som nya risker tillkommer reduceras dock tidigare sådana. Vi karaktäriserar den förändring som systemet hittills bidragit till som snarare informationsteknisk, än samlat och samordnat administrativ och organisatorisk. Centralt blir därför att medvetet, utifrån lokala framgångsrika arbetssätt kombi-nerat med samlad erfarenhet på landstingsnivå, arbeta vidare med samordnad verksamhets- och IT-utveckling.
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8.
  • Andréasson, Ester (författare)
  • ”Det är väldigt mycket datoriserat är det.” – En studie om IT-utveckling i ett landsting: policy, implementering och praktik
  • 2011
  • Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Den ökade användningen av informationsteknik (IT) är en av flera förändringsprocesser i den offentliga sektorn idag. Användningen är nära kopplad till positiva föreställningar om de möjligheter IT-användningen ger för att kunna modernisera och effektivisera verksamhet. I de offentliga organisationerna råder ofta en starkt teknikpositiv diskurs. IT-utveckling ses som viktig och nödvändig och sker många gånger relativt politiskt oreflekterat.I de processer som äger rum när nya IT-system upphandlas och implementeras i offentliga organisationer samlas flera olika slag av aktörer, såväl offentliga som privata. I denna licentiatuppsats undersöks vilka aktörer som har makt i dessa förändringsprocesser kopplade till IT i den offentliga sektorn.Mer precist sker denna undersökning genom en fallstudie i ett svenskt landsting, där processerna kring införandet av ett nytt vårdinformationssystem har studerats. Studierna har skett genom dokumentstudier, observationer av olika slag samt flertalet intervjuer med tjänstemän och vårdpersonal. De empiriska resultaten analyseras i uppsatsen med hjälp av teorier kring policy, implementering samt teknik och organisation.Licentiatuppsatsen bidrar till forskningen om e-förvaltning såväl empiriskt som teoretiskt. Dess viktigaste empiriska bidrag är två. För det första har införandet av nya IT-system omfattande betydelse för organisering i offentliga organisationer. För det andra indikerar uppsatsens resultat att införandet av ny teknik i offentliga organisationer kan bidra till att sudda ut gränsen mellan det offentliga och det privata. Uppsatsens teoretiska bidrag sammanfattas i den analysmodell som presenteras, och som ger möjlighet att betrakta och analysera policy-, implementerings- och praktikprocesser rörande IT-utveckling i offentliga organisationer som integrerade sådana.
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9.
  • Andréasson, Ester (författare)
  • Digitalisering i den offentliga förvaltningen : IT, värden och legitimitet
  • 2015
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Vi lever i ett samhälle där elektronisk information och kommunikation får en allt större betydelse både i vardags- och arbetslivet. I föreliggande avhandling studeras den utveckling som innebär att offentliga organisationer digitaliseras, det som kan kallas för e-förvaltning. Utgångspunkten för dessa studier är en vilja att undersöka vilka betydelser värden har i digitaliseringsprocesser i offentliga organisationer. Tre kvalitativa, tolkande, studier har genomförts. En av dessa var en studie av svenska e-förvaltningspolicyer. De två andra delstudierna var fallstudier av digitalisering som företogs i dels Landstinget i Östergötland, dels på Försäkringskassan. Fallstudierna har baserats på intervjuer, dokumentstudier och observationer. Teoretiskt bygger avhandlingens analyser på teorier om offentliga värden, legitimitet samt samspelet mellan teknik och organisation. Analyserna visar på vilka värden som ges betydelse i digitaliseringsprocesser i det offentliga och hur digitaliseringen kan påverka grundläggande demokratiska värden i offentliga organisationer. Avhandlingens resultat kan sammanfattas i tre övergripande slutsatser: 1) Digitaliseringen av den offentliga förvaltningen är kontextberoende och sker i ett samspel mellan teknik, policy och förvaltning samt de värden som är knutna till dessa. 2) Utvecklingen mot e-förvaltning ger uttryck för en mångfald av värden, och inspireras och formas av tankegods från olika värdegrunder. 3) Digitaliseringen kan påverka de demokratiska värdenas ställning i offentliga organisationer, och därmed ha betydelse för förvaltningens legitimitet. Avhandlingens centrala kunskapsbidrag är en större förståelse för vilka implikationer e-förvaltningsreformer kan ha för förvaltningens demokratiska och byråkratiska värden och dess legitimitet. Digitaliseringsprocesser är inte värdeneutrala, utan både formas av och formar värden i samspelet mellan teknik, politiska målsättningar och förvaltningens unika organisatoriska och verksamhetsmässiga förutsättningar. En medvetenhet kring digitaliseringens värden är därför betydelsefull när e-förvaltningsreformer initieras och genomförs. Ytterligare forskning om hur de processer ser ut där värden hos teknik och offentliga organisationer formar och präglar varandra kan bidra till att upprätthålla den offentliga förvaltningens legitimitet i en digitaliserad värld.
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  • Axelsson, Karin, 1968-, et al. (författare)
  • An inter-organisational perspective on challenges in one-stop government
  • 2008
  • Ingår i: International Journal of Electronic Governance. - 1742-7509 .- 1742-7517. ; 1:3, s. 296-314
  • Tidskriftsartikel (refereegranskat)abstract
    • Fragmentation and isolated development are main problems that hinder successful e-government. This paper has an inter-organisational perspective on challenges in one-stop government. We present a conceptual framework that characterises an inter-organisational relationship and its dimensions. The conceptual framework is used for analysing data from an inter-organisational one-stop government project. When applying the framework we focus on some interesting issues and explain some of the challenges that our interviewees identified. By addressing these inter-organisational aspects we reached further understanding of the problems associated with this case, which can provide added value to discussions of e-government challenges, barriers and problems in general.
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12.
  • Axelsson, Karin, 1968-, et al. (författare)
  • Analyzing best practice and critical success factors in a health information system case : Are there any shortcuts to successful IT implementation?
  • 2011
  • Ingår i: Proceedings of the 19th European Conference on Information Systems - ECIS 2011. - : European Conference on Information Systems (ECIS) and Association for Information Systems AIS Electronic Library (AISeL). - 9789526035741 ; , s. 2157-2168
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • This paper discusses critical success factors (CSF) and best practice in relation to IT implementation in the health sector. We have studied a University Hospital’s implementation of a health information system (HIS) and particularly one clinic which implementation process was described as very successful compared to other units at this hospital. The purpose of the paper is to gain further understanding of if and how well CSFs and best practice solutions can explain this successful case. We do this in order to explore if CSFs and best practice offer any shortcuts to successful IT implementation. By understanding the reasons behind this case’s success we can identify if CSFs and best practice potentially can explain the success, or if there are other explanations in this case. Based on our findings we discuss and question the sometimes overestimated belief in CSFs and best practice as shortcuts to success performance. An important contribution from this study is that situational and contextual factors are very critical to understand and acknowledge during HIS implementations.
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  • Axelsson, Karin, 1968-, et al. (författare)
  • Citizen Participation and Involvement in eGovernment Projects : An Emergent Framework
  • 2008
  • Ingår i: Electronic Government. - Berlin, Heidelberg : Springer Berlin/Heidelberg. - 9783540852032 ; , s. 207-218
  • Konferensbidrag (refereegranskat)abstract
    • This paper reports from an action research project where focus groups have been used as an approach for taking citizens’ requirements into account during public e-service development projects. In the paper we use theories from the area of user participation in the information systems (IS) discipline in order to discuss and enhance the specific aspects of citizen participation and involvement in the eGovernment context. The main purpose of this paper is to enrich the eGovernment field in general, and to facilitate the citizen perspective in eGovernment development projects in particular, by using notions from the user participation tradition in the IS discipline. Our empirical findings from performing focus groups are discussed and compared to well-known user participation theories from the IS discipline. This results in an emergent framework for better understanding of citizen participation and involvement in the eGovernment context. The emergent framework consists of a set of questions that can be used in order to put an increased focus on the citizen perspective in future eGovernment development projects.
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15.
  • Axelsson, Karin, 1968-, et al. (författare)
  • Citizens’ Attitudes towards Electronic Identification in a Public E-service Context : An Essential Perspective in the eID Development Process
  • 2012
  • Ingår i: Electronic Government. - Berlin, Heidelberg : Springer Berlin/Heidelberg. - 9783642334887 ; , s. 260-272
  • Bokkapitel (refereegranskat)abstract
    • This book constitutes the refereed proceedings of the 11th IFIP WG 8.5 International Conference, EGOV 2012, held in Delft, The Netherlands, in September 2012. The 23 revised full papers presented were carefully reviewed and selected from more then 80 submissions. The papers are organized in topical sections on foundations; adoption and diffusion; open government and transformation; infrastructure and technology; evaluation; and citizen perspective, social inclusion, and social media. 
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  • Axelsson, Karin, 1968-, et al. (författare)
  • Communication Analysis of Public Forms : Discovering Multi-functional Purposes in Citizen and Government Communication
  • 2007
  • Ingår i: International Journal of Public Information Systems. - Sundsvall : MidSweden University. - 1653-4360. ; :3, s. 161-181
  • Tidskriftsartikel (refereegranskat)abstract
    • This paper adopts a communication perspective on forms in public e-services. This perspective emphasizes that the main purpose of such forms is to facilitate communication between citizens and government agencies. The form is perceived as a tool for performing communicative actions. A communication analysis (CA) method, originally developed for systems requirements engineering, is applied on a public form; i.e. the medical certificate used in connection with a citizen’s application for a provisional driving license in Sweden. The CA method consists of a set of questions related tothree communicative categories; conditions, actions, and consequences. The CA method is used in order to explore the communicative roles of forms in public e-services. As a result of the communication analysis four multi-functional purposes of citizen and government agency communication are discovered. These purposes contribute to the understanding and evaluation of forms in public e-services. The communicative roles, and their multi-functional purposes, are important design features to focus in the development of e-services and electronic forms. Besides these findings, another outcomeis that the CA method has been tested in an e-government context. The communication perspective, as well as the CA method, contribute with useful insights in this context.
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18.
  • Axelsson, Karin, et al. (författare)
  • Contextual Factors Influencing Health Information Systems Implementation in Public Sector : Investigating the Explanatory Power of Critical Success Factors
  • 2014
  • Ingår i: Electronic Government. - Berlin, Heidelberg : Springer. - 9783662444252 - 9783662444269 ; , s. 59-71
  • Konferensbidrag (refereegranskat)abstract
    • In this paper, we approach the field of critical success factors (CSF) by analyzing a successful case of IT implementation within the public health sector. The purpose of the paper is to gain further understanding of if and how well CSFs can explain a successful case. The main conclusion drawn is that even though the studied organization shows signs of common CSFs, this alone cannot explain the success. An important contribution from this study is thus the focus on contextual factors when trying to understand what makes an implementation project successful.
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  • Axelsson, Karin, 1968-, et al. (författare)
  • Developing public e-services for several stakeholders : a multifaceted view of the needs for an e-service
  • 2009
  • Ingår i: Proceeding of the 17th European Conference on Information Systems (ECIS 2009). - 9788861293915 ; , s. 653-664
  • Konferensbidrag (refereegranskat)abstract
    • This paper discusses how several stakeholders in a public e-service development project consider a future e-service and expected changes in administrative processes and working routines. Our findings indicate a much more multi facetted view than the common win-win situation, with increased quality for citizens and increased efficiency for agencies, which is rhetorically put forth as an effect of public e-service implementation. We have studied a development project resulting in an e-service for handling student anonymity when marking written exams in higher education. In this case we have identified five stakeholder groups related to this e-service; students, teachers, course administrators, exam guards, and the university at an agency level. All of them having certain expectations and fears about the new situation. By presenting this diversity in opinions we add further complexity to the discussion of building trust or mistrust for administration and technology when developing public e-services.
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  • Axelsson, Karin, 1968-, et al. (författare)
  • Exploring services in a smart city through socio-technical design principles: Revealing five tensions in a smart living context
  • 2024
  • Ingår i: Government Information Quarterly. - 0740-624X .- 1872-9517. ; 41:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Smart cities have been studied for many years, but smart homes and the citizens' actual living in these smart homes are less researched. We argue that for digital government research, and for governments to be successful in smart city development in practice, it is necessary not only to understand living on a societal level, but also living aspects in the narrow context of homes. Citizens populate the smart city and are the ones who are supposed to use the services provided by the government. In this article we explore and analyze digital and analogue services in smart homes developed in a new city district. We have conducted observational studies in 53 apartments during an urban living expo which we analyze by applying a set of socio-technical design principles. The research question that guides the analysis is: “What tensions between values in digital and analogue services for a smart living can be revealed by a socio-technical perspective?”. We identify five tensions between: 1) being in control and being controlled, 2) intended and undesirable use of personal data, 3) digital and analogue smartness, 4) smart home visions and practices, and 5) environmental and social sustainability. By revealing these tensions, we contribute to an understanding of the complexity of smart living. We also contribute by highlighting the importance of applying a perspective that captures both technology and citizen and user issues (i.e., social aspects) when developing services in the smart home context.
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  • Axelsson, Karin, 1968-, et al. (författare)
  • Exploring the importance of citizen participation and involvement in e-government projects : Practice, incentives, and organization
  • 2010
  • Ingår i: Transforming Government. - : Emerald Group Publishing Limited. - 1750-6166 .- 1750-6174. ; 4:4, s. 299-321
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – The purpose of this research is to investigate if, and in that case, how and what the e-government field can learn from user participation concepts and theories in general IS research. We aim to contribute with further understanding of the importance of citizen participation and involvement within the e-government research body of knowledge and when developing public e-services in practice.Design/Methodology/Approach – The analysis in the article is made from a comparative, qualitative case study of two e-government projects. Three analysis themes are induced from the literature review; practice of participation, incentives for participation, and organization of participation. These themes are guiding the comparative analysis of our data with a concurrent openness to interpretations from the field.Findings – The main results in this article are that the e-government field can get inspiration and learn from methods and approaches in traditional IS projects concerning user participation, but in e-government we also need methods to handle the challenges that arise when designing public e-services for large, heterogeneous user groups. Citizen engagement cannot be seen as a separate challenge in e-government, but rather as an integrated part of the process of organizing, managing, and performing e-government projects. Our analysis themes of participation generated from literature; practice, incentives and organization can be used in order to highlight, analyze, and discuss main issues regarding the challenges of citizen participation within e-government. This is an important implication based on our study that contributes both to theory on and practice of e-government.Practical implications – Lessons to learn from this study concern that many e-government projects have a public e-service as one outcome and an internal e-administration system as another outcome. A dominating internal, agency perspective in such projects might imply that citizens as the user group of the e-service are only seen as passive receivers of the outcome – not as active participants in the development. By applying the analysis themes, proposed in this article, citizens as active participants can be thoroughly discussed when initiating (or evaluating) an e-government project.Originality/value – This article addresses challenges regarding citizen participation in e-government development projects. User participation is well-researched within the IS discipline, but the e-government setting implies new challenges, that are not explored enough.
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23.
  • Axelsson, Karin, 1968-, et al. (författare)
  • How to Use the Potential of Learning Outcomes in IS Courses : Listening to the Voices of Students
  • 2010
  • Ingår i: 2010 ISECON Proceedings.
  • Konferensbidrag (refereegranskat)abstract
    • This study illustrates how students view the role and meaning of learning outcomes. We have conducted a focus group with students who attended the course “Enterprise (ERP) systems and organizing” within an IS bachelor program in Sweden. Our study shows that students, as a course’s main stakeholder group, regard the multi-functionality of learning outcomes. What they still miss is knowledge about the role and meaning of learning outcomes as control instruments for the entire educational process. When teachers formulate learning outcomes in a transparent and clear way, students will be able to use them actively prior to courses, during courses and after courses. In order to better use the potential of learning outcomes in practice, we need to find ways of not just formulating learning outcomes in a standardized manner, but also practicing them in our courses. When this learning outcome model has been accepted and applied in teachers’ course activities, not just their syllabus writing, we have possibilities to use the full potential of learning outcomes.
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25.
  • Axelsson, Karin, et al. (författare)
  • In search of ICT in smart cities : Policy documents as idea carriers in urban development
  • 2016
  • Ingår i: Electronic government. - Cham : Springer. - 9783319444208 - 9783319444215 ; , s. 215-227
  • Konferensbidrag (refereegranskat)abstract
    • This paper explores how policy documents carry and institutionalize smart city ideas from high policy level to concrete policy level in an urban development context. We analyze the national urban development vision for Sweden and documents in a local urban development project in a Swedish city, in order to explore what kind of roles and expectations ICT is given in these documents. We contrast this with views of how social and environmental aspects are discussed in the studied documents. In order to understand and analyze the result we apply the concept of institutional carriers from institutional theory to our findings. Our analysis shows that as carriers of how ICT can contribute to increased sustainabilityin urban development, the policy documents do not function very well. ICT aspects are not put forth by any policy-making actor, neither on national nor on local level. The notion of institutional carriers helped us understand that without a responsible actor focusing on ICT’s role in smart cities, it is easy to forget or lose sight of technology
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27.
  • Axelsson, Karin, et al. (författare)
  • Public e-services for agency efficiency and citizen benefit : findings from a stakeholder centered analysis
  • 2013
  • Ingår i: Government Information Quarterly. - : Elsevier BV. - 0740-624X .- 1872-9517. ; 30:1, s. 10-22
  • Tidskriftsartikel (refereegranskat)abstract
    • The main goals of e-government are to increase agency efficiency and offer benefits to citizens. These goals have often been addressed as two interplaying outcomes of public e-service development, which are possible to achieve in parallel. This article shows that the two frequently applied stakeholders of e-government (agencies and citizens) are much too extensive and heterogeneous in order to be meaningfully addressed in public e-service conceptualization and development. We conduct a stakeholder centered analysis of a public e-service development and implementation process in order to identify stakeholder groups and discuss how they differ in their perceptions and, consequently, also in their feelings of relevance and need related to the e-service. By adopting a multi-faceted perspective on stakeholders, public e-service development can be analyzed and understood in a way that takes several stakeholder groups into account. Our study contributes with deeper insights about a situation where stakeholder salience changes over time, while some stakeholder groups have low salience during the entire process. The result of conducting a stakeholder centered analysis is that we, by visualizing the stakeholder groups' differences, are better prepared to meet and combine different needs related to a planned e-service. Thus, we argue that a stakeholder centered analysis of expectations and opinions concerning the e-service help to develop e-services possible to succeed in offering both external service and internal efficiency.
  •  
28.
  • Axelsson, Karin, 1968-, et al. (författare)
  • Seven key lessons learned from e-government development : a reflective analysis of an e-government project
  • 2009
  • Ingår i: Scandinavian Workshop on eGovernment.
  • Konferensbidrag (refereegranskat)abstract
    • In this paper a longitudinal case study of an e-government development project is reported. The authors have followed a development project during three years, from its initiation to its end. The purpose of the paper is to identify and analyze important decisions made and external factors that occurred during the project and discuss their consequences. The findings are presented as seven key lessons that other e-government projects can learn from. The contributions are, thus, both a reflective analysis of an empirical e-government development example and normative statements about how to conduct successful e-government projects.
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29.
  • Axelsson, Karin, 1968-, et al. (författare)
  • Six key lessons for e-government projects
  • 2009
  • Ingår i: Electronic government. - Linz : TRAUNER Verlag. - 9783854996255 ; , s. 93-103
  • Konferensbidrag (refereegranskat)abstract
    • In this paper we analyze a public e-service development project from its initiation to its end and reflect upon the process as well as its results. The purpose of the paper is to develop knowledge about how e-government projects should be managed and performed in order to be successful. We do this by identifying and analyzing important decisions made and external factors that occurred during the project and discussing their consequences. The findings are presented as six key lessons for e-government projects. The novel knowledge contribution is that the lessons combine aspects from established CSFs of IT projects with e-government-focused issues. Together these six lessons can be more useful in e-government projects than previous sets of general CSFs for IT projects.
  •  
30.
  • Axelsson, Karin, et al. (författare)
  • Stakeholder Salience Changes in an e-Government Implementation Project
  • 2013
  • Ingår i: Stakeholder Salience Changes in an e-Government Implementation Project. - Berlin, Heidelberg : Springer Berlin/Heidelberg. - 9783642403576 - 9783642403583 ; , s. 237-249
  • Bokkapitel (refereegranskat)abstract
    • In this article we discuss in what ways an e-government project can give both expected and unexpected effects for agency employees and their working tasks. The purpose of this article is to illustrate the fact that, besides the aim to increase agency efficiency and citizen benefit, e-government implementation might also change the salience of involved stakeholders. We do this by focusing on one stakeholder group which was reluctant and hesitating in the beginning of the studied project; marginalized, passive, easily convinced, and old-fashioned. After the e-government implementation, this group had turned to satisfied, proud, influential, active, powerful, and modern IT users. The case shows how stakeholder salience might change over time in an e-government project. Stakeholder influence aspects and IT driven change aspects are intertwined. This makes it necessary for any e-government project to address the notion of stakeholder involvement in decision-making during the development and implementation phases, but also to acknowledge e-services force to change how things and people are perceived during these phases.
  •  
31.
  •  
32.
  • Axelsson, Karin, 1968-, et al. (författare)
  • Talking to, Not About, Citizens : Experiences of Focus Groups in Public E-Service Development
  • 2007
  • Ingår i: Electronic Government. - Berlin, Heidelberg : Springer Berlin/Heidelberg. - 9783540744436 - 9783540744443 ; , s. 179-190
  • Konferensbidrag (refereegranskat)abstract
    • This paper focuses deficient understanding of citizens’ needs regarding public e-services. In Sweden e-government efforts are motivated by dual goals of citizen benefit and agencies’ internal efficiency. Rhetorical, this is a persuasive ambition, but in practice it seems to be easier to focus agency efficiency and redesign of business processes and information systems than to find out what citizens really want. Citizens, i.e. the future users of the e-service, are in best case represented in the project by citizen organizations. More seldom do individual citizens take part in the project. User needs are, thus, sometimes “guessed” instead of analyzed. We report from an e-government project which started with little understanding of the future users. To overcome this we introduced focus groups as a method to meet and talk to citizens and find out their needs regarding the e-service. The paper discusses how focus groups can be used in e-government projects.
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33.
  •  
34.
  • Axelsson, Karin, 1968-, et al. (författare)
  • Young citizens' attitudes towards electronic identification : A neglected perspective in an on-going development and implementation process
  • 2012
  • Konferensbidrag (refereegranskat)abstract
    • This article reports from an empirical study of young Swedish university students’ attitudes towards electronic identification (eID). Three focus groups were conducted with students, as a main target group, who were asked to use a public e-service at the Swedish Board for Study Support which demanded secure electronic identification. After having conducted the assigned tasks the students’ attitudes were discussed in the focus group. Our findings show that usability and security are two main themes that the respondents found to be important in order to trust eID and e-services. This example of how citizens’ attitudes towards electronic identification can be explored in focus groups is related to the on-going national development process of a new eID solution on a strategic and artifact level. In this process no citizens are participating or involved so far. We conclude the article by discussing what might be the consequences of neglecting citizens’ attitudes in this kind of development and implementation processes.
  •  
35.
  • Bakunzibake, Pierre, 1977- (författare)
  • Improving Implementation of e-Government Services in Rwanda : An Organisational Perspective
  • 2019
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • As part of realising development programmes faster, developing countries have been adopting, from developed ones, modern ICTs and implementing e-government towards better public services. However, efforts of implementation of e-government services have been often resulting in unsatisfactory outcomes and even total failures. This is a big challenge particularly for Least Developed Countries which have fewer resources. Such outcomes are partly due to the lack of addressing organisational issues associated with implementations.This thesis addresses the question: How can the implementation of e-government services be improved from an organisational perspective in the context of Rwanda?The thesis adopts a socio-technical perspective and uses both qualitative case study methodology and a literature review approach. Two cases of implementation of e-government services were studied. The first case, an Enterprise Content Management system concerns the sharing and working on digital documents within government agencies. The second case, the onestop e-government is for providing online services by the central and local government agencies to the general public via a single portal, ‘Irembo’. This thesis shows that implementation of e-government services has been focusing on digitalisation of services superimposing ICT over existing structures with less attention to organisational change issues related to processes, organisational structure and policies. The thesis also identifies a deficit in implementation processes in terms of lacking clear goals and formal monitoring in the local government. Those insights on the implementation of e-government services of an LDC pinpoint a need for optimisation between technical and social aspects. This thesis makes an empirical contribution by bringing forth those insights. In order to help tackle a number of challenging issues found, a comprehensive model for improving the process of implementing e-government services, called Plan-Do-Evaluate-Resolve (PDER) was developed as a theoretical contribution based on a literature analysis.
  •  
36.
  • Bergkvist, Linda, 1979- (författare)
  • A Conceptual Framework for Studying the Successful Outcome of the IS Outsourcing Process from a Relationship Perspective
  • 2008
  • Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • This thesis has its point of departure in the identified knowledge gap, which includes the importance of the information systems (IS) outsourcing relationship for studying the success of IS outsourcing. This research study, therefore, is structured with the belief that the disregard of the client-IS supplier relationship when studying IS outsourcing is paradoxical. Paradoxical since the impact of the relationship on the overall IS outsourcing can make the difference between success, less success and even failure. In contrast to the majority of prior research, which has focused IS outsourcing in its entirety, this research study percieves IS outsourcing as a process. Because prior research shows that the success or failure of IS outsourcing is connected to its implementation, this thesis focuses the post-contract stage of the IS outsourcing. The purpose chosen and addressed is to develop a conceptual framework for describing and explaining the degree of successful outcome of the IS outsourcing process using a relationship perspective. To approach this purpose, a literature review study is conducted. The literature review study includes the integration of three theoretical fields: IS, interorganisational business relationships and IS outsourcing. The knowledge domains of particular interest are 'strategies, approaches and frameworks for the IS life cycle', 'the interaction approach' and 'IS outsourcing success'. The purpose is focused through the identification of key conditions, dimensions and interrelations among dimensions. These identified elements, constituting the core elements of the conceptual framework, are a result of the conducted literature review study. The key conditions are identified according to their influence on the degree of successful outcome of the IS outsourcing process from a relationship perspective. Due to the large amount of key conditions identified, they are categorised into nine dimensions: Atmosphere, Behaviour, Contract, Environment, Interatction, IS, Management, Organisation and Outcome. The identified interrelations among these dimensions are fruitful since they provide insights and a favourable point of departure for studying the degree of successful outcome of IS outsourcing processes. The main contribution of this thesis is the conceptual framework for the IS outsourcing process. The key conditions, dimensions and interrelations constitute the conceptual framework as a result of their potential for describing and explaining the degree of successful outcome of the IS outsourcing process from a relationship perspective. The application of the conceptual framework provides managers with core elements to be considered during IS outsourcing decision-making and subsequent design of IS outsourcing. Its usage, moreover, is believed to support managers during the operationalisation of the post-contract stage of IS outsourcing processes. Finally, the conceptual framework is a fruitful 'tool' for future empirical research. Fruitful in the sense that it can provide useful and important insights into how different key conditions infuence the degree of successful outcome of IS outsourcing processes and how these key conditions are interrelated.
  •  
37.
  • Björn, Johansson, et al. (författare)
  • Centralising Hosting of Software Applications - Influence from E-government Services on Sourcing Decisions
  • 2007
  • Konferensbidrag (refereegranskat)abstract
    •  There are a lot of reasons reported for why organisations start a sourcing decision. This paper discusses this theme based on two questions: Does the need and/or wish to increase e-Government services influence the start of a sourcing decision process aiming at reorganising hosting of software applications and if it does, how does it influence the start of such a decision-making process? The point of departure, besides a literature review, is a sourcing decision-making process in a Swedish municipality. When analysing the sourcing decision, five suggested propositions developed from the factors: control, core competence, capability, cost, and strategy, are used. It is concluded that municipalities in Sweden has to prepare for being more of an e-Government organisation, which means that more of the services the mu-nicipalities- employees has done before citizens will do by themselves. This demands that to be able to offer future e-Government services municipalities need to have control over soft-ware applications. From this study it is suggested that centralisation of hosting can be seen as decentralisation of work tasks from an e-Government perspective.   
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38.
  • Busch, Hillevi, et al. (författare)
  • Visuospatial and verbal memory in chronic pain patients: an explorative study.
  • 2006
  • Ingår i: Pain Practice. - : Wiley. - 1530-7085 .- 1533-2500. ; 6:3, s. 179-185
  • Tidskriftsartikel (refereegranskat)abstract
    • Cognitive bias, such as selective memory for pain-related information, is frequently observed in chronic pain patients and is assessed mostly using verbal material. Beside word lists, the current study used photographs of people presenting pain behaviours to assess memory bias in chronic pain patients. Chronic pain patients were hypothesized to show better recall of pain-related words and pictures as compared to pain-free controls. Twenty-eight female chronic neck patients and 28 pain-free female controls completed two computerized pictorial memory games and two word recall tasks. Patients and controls performed equally well in the neutral memory game. In the pain-related game, patients performed significantly worse than did controls. No significant differences were found in the word recall task. The result is discussed in terms of cognitive avoidance.
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39.
  • Busch, Hillevi, 1970- (författare)
  • When pain remains : Appraisals and adaptation
  • 2007
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • As the number one cause of sick absenteeism and disability pension, musculoskeletal pain is considered a major health problem in Sweden and many other industrialized countries. Medical findings are often insufficient to explain the pain’s intensity or duration, and psychological factors are known to be important in understanding the aetiology and maintenance of pain. The current thesis examines the relationship between non-specific chronic musculoskeletal pain and cognitions, emotions and behaviours. In Study I, chronic pain patients were interviewed about pain experiences and the results indicated that some patients use psychological defences to deal with chronic pain. Study II was an experimental approach set up to study the association between chronic pain and selective memory. In a pictorial memory game, no differences were found between patients and controls in the neutral game. In the pain-related game patients decreased – and controls improved – their performance, a finding discussed in terms of cognitive avoidance. Study III used questionnaire and register data to examine the predictive value of psychosocial variables on sustained pain-related sick absenteeism and the results showed sense of mastery and recovery beliefs to be especially important. The studies are discussed in terms of emotional and defensive coping and it is suggested that defences can be related to excessive activity, which may increase the risk of future relapses. It was suggested that an increased acceptance of pain, at both an individual and a societal level – would favour rehabilitation and return-to-work for those suffering from persistent pain.
  •  
40.
  • Christiansson, Marie-Therese, 1966-, et al. (författare)
  • Inter-organizational Public e-Service Development : Emerging Lessons from an Inside-Out Perspective
  • 2015
  • Ingår i: Electronic Government. - Cham : Springer. - 9783319224794 ; , s. 183-196
  • Konferensbidrag (refereegranskat)abstract
    • E-service development has grown to become a daily practice in most public organizations as a means for realizing digital agendas and e-government initiatives on different levels (local, regional, national and transnational governmental levels). Public e-service development is often an inter-organizational (IO) effort with multiple actors and organizations involved in the multi-faceted dimensions of design, development and delivery decisions. Still, there is a lack of research focusing on IO public e-service development practices in particular. In order to address this lack we elaborate on reported challenges and their implications for IO public e-service development in practice. By returning to two empirical cases of IO public e-service development, the IO dimension is evolved. Our purpose is to highlight challenges in IO public e-service development with implications for research and practice. Findings are presented as eight emerging lessons learned from an inside-out perspective related to phases in IO public e-service development processes.
  •  
41.
  • Cronholm, Stefan, et al. (författare)
  • Project Oriented Student Work : Group Formation and Learning
  • 2006
  • Ingår i: Proceedings of the Information Systems Education Conference, 2006, Dallas, Texas, USA, November 2-5, 2006.. ; , s. 1-11
  • Konferensbidrag (refereegranskat)abstract
    • This paper evaluates how semi-randomly formed project groups, compared to forming groups at free will, affect students’ learning in a project-oriented setting. The findings are based on empirical data. We have analyzed students’ experiences by taking a course in the subject of Information Systems. The identified experiences are considered to be either a strength or a problem. We can conclude that how we form project groups has an effect on learning. We can also conclude that several of the experiences from semi-randomly formed project groups are of both a positive and negative nature. In the concluding chapter, we give some explanations in order to understand the differences in students’ experiences.
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42.
  • Crusoe, Jonathan, et al. (författare)
  • Investigating open government data barriers : A literature review and conceptualization
  • 2018
  • Ingår i: Electronic Government. - Cham : Springer Verlag. - 9783319986890 - 9783319986906 ; , s. 169-183
  • Konferensbidrag (refereegranskat)abstract
    • When focusing on open government data (OGD) publishing and related barriers, there are several complexities present. Largely, current research is focused on publishing and usage of OGD; and we argue that there are a need to investigate and to systematise OGD barrier research in order to understand and outline an expanded scope of the phenomenon. We expand by clarifying barriers linked to the release decision and the data’s organisational context. To investigate the OGD barriers, we conduct a systematic literature review, identifying 34 articles as a point of departure for our analysis. From these articles we create, present and discuss illustrations on historical development, barrier types, and different research focuses on OGD. When analysing the articles, we identify a focus on technical, organisational, and legal barrier types, while studies on open data usage and systems are less frequent. Our analysis also identifies some possible open data research barriers. In the article we also relate barriers to an expanded OGD process (Suitability, Release, Publish, Use, and Evaluation), identifying 46 barriers with possible linkages. The results is an expanded scope and a conceptual illustration of OGD barriers. © IFIP International Federation for Information Processing 2018.
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43.
  • Crusoe, Jonathan, 1991- (författare)
  • Open Government Data as a Reform and Ecosystem : A conceptual framework for evolution and health
  • 2021
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Introduction: This doctoral thesis in Information Systems disentangles the interplay of an OGD reform and an OGD ecosystem. Open government data (OGD) refers to data shared by public organizations, in the role of providers, following certain principles for anyone to reuse. An OGD reform transforms parts of society so that an OGD ecosystem can coalesce and realize benefits (e.g., economic growth or transparency). An OGD ecosystem consists of providers sharing data, enrichers developing products or services on this data, and seekers using the data, products, or services to satisfy their needs.Problem and Purpose: Previous OGD research tends to encompass an OGD reform into an OGD ecosystem, which can restrict the possibilities to understand the evolution and health of an OGD ecosystem. Because, an OGD reform is a temporary transformation, while an OGD ecosystem includes sustained processes for a purpose. It obfuscates the possible interplay between an OGD reform and an OGD ecosystem, which could affect the health of the ecosystem. Health is an OGD ecosystem’s ability to achieve its higher purpose while benefiting its actors without harming others. Reform and evolution are related since both refer to the change of actors. The purpose of my doctoral thesis is to disentangle the interplay between an OGD reform and an OGD ecosystem to understand how it can affect the health of an OGD ecosystem.Research Design: I set out to explore the Swedish OGD ecosystem from 2016 to 2019. The research expanded to international explorations between 2019 and 2021. My research is qualitative and encompasses an introductory part and five articles. The papers include (1) a comparison between two providers, (2) an enricher framework, (3) diagnosis of the Swedish OGD ecosystem, (4) lessons drawn from public utilities, and (5) how providers and enrichers can consider seekers in their work. I then revisited my empirical material to perform additional analysis to synthesize a conceptual framework called reform-ecosystem (RE-ECO) framework.Findings: The RE-ECO framework depicts the interplay between an OGD reform and an OGD ecosystem and how it could affect the ecosystem's health. An OGD reform is conceptualized as a checkerboard and an OGD ecosystem as an ocean ecosystem. OGD actors transform a reciprocal structure to coalesce an OGD ecosystem through persuasion, collaboration, transformation, and evaluation. The OGD ecosystem consists of strands of data-information cycles and identification nodes, which work to realize certain benefits. The OGD actors can transform local conditions, step between ecosystems, and mutation-load to affect the health of an OGD ecosystem.Contribution: The theoretical contribution of this doctoral thesis is the RE-ECO framework. The thesis also concludes that an OGD ecosystem is an ancillary, symbiotic ecosystem; mutation-loading can control and fuel the change of actors; OGD actors can step between their OGD reform, their OGD ecosystem, and other ecosystems; the landscape metaphor reveals how an OGD reform can constrain the health of an OGD ecosystem; and actors can experience tensions between an OGD reform and an OGD ecosystem. OGD researchers are suggested to further study the interplay between an OGD reform and an OGD ecosystem. OGD practitioners should follow ``high-value, high-impact'' and ``publish with purpose'' principles rather than ``open by default'' or ``raw data now'' principles.
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44.
  • Crusoe, Jonathan, 1991-, et al. (författare)
  • Open Government Data Systems : Learning from a Public Utility Perspective
  • 2020
  • Ingår i: Electronic Government. - Cham : Springer International Publishing. - 9783030575984 - 9783030575991 ; , s. 275-289
  • Konferensbidrag (refereegranskat)abstract
    • Previous research on Open Government Data (OGD) struggleswith synthesising a holistic perspective of OGD systems. A perspectivethat has dealt with vast, complex systems is public utility. Publicutilities are, for example, water supply networks and electric power grids.This study explores what we can learn from a public utility perspectivewhen perceiving and organising OGD systems. We used a hermeneuticliterature review combined with a snowballing approach, resulting in aselection of 39 studies. We compare public utilities and OGD systems toderive ve lessons: (1) an OGD system can be perceived from a node- owview, (2) the foundational data ow of an OGD system starts at datacollection and ends at data used by the public in an everyday context, (3)the organisation of OGD systems needs to consider the combinability, interpretability,and boundless reusability of data, (4) OGD systems needgovernance organisations that cover the whole system, and (5) OGD systemscould replace existing data provision systems and be made a publicutility if certain characteristic problems are overcome.
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45.
  • Crusoe, Jonathan, 1991- (författare)
  • Why is it so challenging to cultivate open government data? : Understanding impediments from an ecosystem perspective
  • 2019
  • Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Introduction: This compilation licentiate thesis focuses on open government data (OGD). The thesis is based on three papers. OGD is a system that is organized when publishers collect and share data with users, who can unrestrictedly reuse the data. In my research, I have explored why it can be challenging to cultivate OGD. Cultivation is human activities that change, encourage, or guide human organizations towards a higher purpose by changing, introducing, managing, or removing conditions. Here, the higher purpose is OGD to realize believed benefits. Thus, OGD cultivation is an attempt to stimulate actors into organizing as OGD.Problem and Purpose: OGD is believed to lead to several benefits. However, the worldwide OGD movement has slowed down, and researchers have noted a lack of use. Publishers and users are experiencing a set of different impediments that are challenging to solve. In previous research, there is a need for more knowledge about what can impede the OGD organization, cause non-valuable organizing, or even collapse the organization. At the same time, there is a lack of knowledge about how impediments shape the organization of OGD. This gap can make it hard to solve and overcome the impediments experienced by publishers and users. The sought-after knowledge can bring some understanding of the current situation of OGD. In this research, I have viewed the organization of OGD as an ecosystem. The purpose of this thesis is to draw lessons about why it can be challenging to cultivate OGD ecosystems by understanding OGD impediments from an ecosystem perspective.Research Design: I set out to explore OGD through qualitative research from 2016 to 2018. My research started with a pilot case study that led to three studies. The studies are each reported in a paper and the papers form the base of this thesis. The first paper aims to stimulate the conceptually oriented discussion about actors’ roles in OGD by developing a framework that was tested on a Swedish public agency. The second paper has the purpose of expanding the scope surrounding impediments and was based in a review and systematization of previous research about OGD impediments. The third paper presents an exploration of impediments experienced by publishers, users, and cultivators in the Swedish national OGD ecosystem to identify faults. From the three papers, lessons were drawn in turn and together, that are presented in this thesis.Findings: Cultivators when cultivating OGD ecosystems are facing towering challenges. The following three main challenges are identified in this thesis: (1) to cultivate a system that can manage stability by itself without constant involvement, (2) to cultivate a system that is capable of evolving towards a “greater good” by itself, and (3) to have an up-to-date precise vocabulary for a self-evolving system that enables inter-subjective understand for coordinating problem-solving.Contribution: The theoretical contribution of this thesis is that OGD ecosystems can be viewed as a public utility. Moreover, I recommend that researchers approach the organizing of OGD as the cultivation of evolution, rather than the construction of a structure; to consider the stability of the system in growth, value, and participation; and to be cautious with how they label and describe OGD actors. For actors that are cultivating OGD, I recommend that they guide the OGD actors to help them organize; view OGD cultivation as the management of evolution (growth) towards a purpose; and view cultivation as a collaborative effort where they can supply ideas, technologies, practices, and expertise.
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46.
  • Dahlin, Anna M., 1979-, et al. (författare)
  • A genome-wide association study on medulloblastoma
  • 2020
  • Ingår i: Journal of Neuro-Oncology. - : Springer. - 0167-594X .- 1573-7373. ; 147:2, s. 309-315
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: Medulloblastoma is a malignant embryonal tumor of the cerebellum that occurs predominantly in children. To find germline genetic variants associated with medulloblastoma risk, we conducted a genome-wide association study (GWAS) including 244 medulloblastoma cases and 247 control subjects from Sweden and Denmark.Methods: Genotyping was performed using Illumina BeadChips, and untyped variants were imputed using IMPUTE2.Results: Fifty-nine variants in 11 loci were associated with increased medulloblastoma risk (p < 1 × 10–5), but none were statistically significant after adjusting for multiple testing (p < 5 × 10–8). Thirteen of these variants were genotyped, whereas 46 were imputed. Genotyped variants were further investigated in a validation study comprising 249 medulloblastoma cases and 629 control subjects. In the validation study, rs78021424 (18p11.23, PTPRM) was associated with medulloblastoma risk with OR in the same direction as in the discovery cohort (ORT = 1.59, pvalidation = 0.02). We also selected seven medulloblastoma predisposition genes for investigation using a candidate gene approach: APC, BRCA2, PALB2, PTCH1, SUFU, TP53, and GPR161. The strongest evidence for association was found for rs201458864 (PALB2, ORT = 3.76, p = 3.2 × 10–4) and rs79036813 (PTCH1, ORA = 0.42, p = 2.6 × 10–3).Conclusion: The results of this study, including a novel potential medulloblastoma risk loci at 18p11.23, are suggestive but need further validation in independent cohorts.
  •  
47.
  • Dahlin, Anna M., et al. (författare)
  • CCND2, CTNNB1, DDX3X, GLI2, SMARCA4, MYC, MYCN, PTCH1, TP53, and MLL2 gene variants and risk of childhood medulloblastoma
  • 2015
  • Ingår i: Journal of Neuro-Oncology. - : Springer Science and Business Media LLC. - 0167-594X .- 1573-7373. ; 125:1, s. 75-78
  • Tidskriftsartikel (refereegranskat)abstract
    • Recent studies have described a number of genes that are frequently altered in medulloblastoma tumors and that have putative key roles in the development of the disease. We hypothesized that common germline genetic variations in these genes may be associated with medulloblastoma development. Based on recent publications, we selected 10 genes that were frequently altered in medulloblastoma: CCND2, CTNNB1, DDX3X, GLI2, SMARCA4, MYC, MYCN, PTCH1, TP53, and MLL2 (now renamed as KMT2D). Common genetic variants (single nucleotide polymorphisms) annotating these genes (n = 221) were genotyped in germline DNA (neonatal dried blood spot samples) from 243 childhood medulloblastoma cases and 247 control subjects from Sweden and Denmark. Eight genetic variants annotating three genes in the sonic hedgehog signaling pathway; CCND2, PTCH1, and GLI2, were found to be associated with the risk of medulloblastoma (P (combined) < 0.05). The findings were however not statistically significant following correction for multiple testing by the very stringent Bonferroni method. The results do not support our hypothesis that common germline genetic variants in the ten studied genes are associated with the risk of developing medulloblastoma.
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48.
  • Dahlin, Anna M., 1979-, et al. (författare)
  • Genetic Variants in the 9p21.3 Locus Associated with Glioma Risk in Children, Adolescents, and Young Adults : A Case-Control Study
  • 2019
  • Ingår i: Cancer Epidemiology, Biomarkers and Prevention. - : American Association for Cancer Research. - 1055-9965 .- 1538-7755. ; 28:7, s. 1252-1258
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Genome-wide association studies have identified germline genetic variants in 25 genetic loci that increase the risk of developing glioma in adulthood. It is not known if these variants increase the risk of developing glioma in children and adolescents and young adults (AYA). To date, no studies have performed genome-wide analyses to find novel genetic variants associated with glioma risk in children and AYA.Methods: We investigated the association between 8,831,628 genetic variants and risk of glioma in 854 patients diagnosed up to the age of 29 years and 3,689 controls from Sweden and Denmark. Recruitment of patients and controls was population based. Genotyping was performed using Illumina BeadChips, and untyped variants were imputed with IMPUTE2. We selected 41 established adult glioma risk variants for detailed investigation.Results: Three adult glioma risk variants, rs634537, rs2157719, and rs145929329, all mapping to the 9p21.3 (CDKN2B-AS1) locus, were associated with glioma risk in children and AYA. The strongest association was seen for rs634537 (odds ratioG = 1.21; 95% confidence interval = 1.09–1.35; P = 5.8 × 10−4). In genome-wide analysis, an association with risk was suggested for 129 genetic variants (P <1 × 10−5).Conclusions: Carriers of risk alleles in the 9p21.3 locus have an increased risk of glioma throughout life. The results from genome-wide association analyses require validation in independent cohorts.Impact: Our findings line up with existing evidence that some, although not all, established adult glioma risk variants are associated with risk of glioma in children and AYA. Validation of results from genome-wide analyses may reveal novel susceptibility loci for glioma in children and AYA.
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49.
  • Ding, Yuan C, et al. (författare)
  • A nonsynonymous polymorphism in IRS1 modifies risk of developing breast and ovarian cancers in BRCA1 and ovarian cancer in BRCA2 mutation carriers
  • 2012
  • Ingår i: Cancer Epidemiology, Biomarkers and Prevention. - : American Association for Cancer Research. - 1055-9965 .- 1538-7755. ; 21:8, s. 1362-1370
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: We previously reported significant associations between genetic variants in insulin receptor substrate 1 (IRS1) and breast cancer risk in women carrying BRCA1 mutations. The objectives of this study were to investigate whether the IRS1 variants modified ovarian cancer risk and were associated with breast cancer risk in a larger cohort of BRCA1 and BRCA2 mutation carriers.METHODS: IRS1 rs1801123, rs1330645, and rs1801278 were genotyped in samples from 36 centers in the Consortium of Investigators of Modifiers of BRCA1/2 (CIMBA). Data were analyzed by a retrospective cohort approach modeling the associations with breast and ovarian cancer risks simultaneously. Analyses were stratified by BRCA1 and BRCA2 status and mutation class in BRCA1 carriers.RESULTS: Rs1801278 (Gly972Arg) was associated with ovarian cancer risk for both BRCA1 (HR, 1.43; 95% confidence interval (CI), 1.06-1.92; P = 0.019) and BRCA2 mutation carriers (HR, 2.21; 95% CI, 1.39-3.52, P = 0.0008). For BRCA1 mutation carriers, the breast cancer risk was higher in carriers with class II mutations than class I mutations (class II HR, 1.86; 95% CI, 1.28-2.70; class I HR, 0.86; 95%CI, 0.69-1.09; P(difference), 0.0006). Rs13306465 was associated with ovarian cancer risk in BRCA1 class II mutation carriers (HR, 2.42; P = 0.03).CONCLUSION: The IRS1 Gly972Arg single-nucleotide polymorphism, which affects insulin-like growth factor and insulin signaling, modifies ovarian cancer risk in BRCA1 and BRCA2 mutation carriers and breast cancer risk in BRCA1 class II mutation carriers.Impact: These findings may prove useful for risk prediction for breast and ovarian cancers in BRCA1 and BRCA2 mutation carriers.
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