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Sökning: WFRF:(Olsson Bengt 1946)

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1.
  • Pramling Samuelsson, Ingrid, 1946, et al. (författare)
  • Barns lärande inom musik, poesi och dans
  • 2009
  • Ingår i: Resultatdialog 2009. Aktuell forskning om lärande. Vetenskapsrådets rapportserie 2:2009.. - Stockholm : Vetenskapsrådet. ; , s. 121-126
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)
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2.
  • Pramling Samuelsson, Ingrid, 1946, et al. (författare)
  • Konsten att lära barn estetik. En utvecklingspedagogisk studie av barns kunnande inom musik, poesi och dans.
  • 2008
  • Bok (övrigt vetenskapligt/konstnärligt)abstract
    • Hur utvecklas barns estetiska förmåga i förskola och skola? Hur får man det estetiska att växa och bli ett pedagogiskt mål i sig, i stället för att bara använda det som ett medel för att förbättra andra förmågor? Den här boken ger nya perspektiv på arbetet med att utveckla barn inom de estetiska områdena musik, poesi och rörelse/dans. Traditionellt ses estetik som ett sätt att utveckla barns kunskaper inom andra områden som språk och matematik, eller som redskap för att gynna barnets sociala och personliga utveckling. Här framhävs istället det estetiska som ett pedagogiskt mål i sig.
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3.
  • Pramling Samuelsson, Ingrid, 1946, et al. (författare)
  • The art of teaching children the arts: Music, dance, and poetry with children 2-8 years old
  • 2009
  • Ingår i: International Journal of Early Years Education. - : Informa UK Limited. - 0966-9760 .- 1469-8463. ; 17:2, s. 119-135
  • Tidskriftsartikel (refereegranskat)abstract
    • In this article, the theoretical framework of developmental pedagogy is presented as a tool in studying and developing children’s knowing within the arts. The domains of art focused on are music, poetry and dance/aesthetic movement. Through empirical examples from a large-scale research project, we illustrate the tools of developmental pedagogy and show how this perspective contributes to our understanding of children’s learning of music, dance and poetry. More specifically, we will analyse: (a) the important role of the teacher in children’s learning within the arts; (b) the importance of conversing when learning the arts; (c) what constitutes the knowledge, what we refer to as ‘learning objects’, to be appropriated within the three domains of art focused on; and (d) how to conceive of progression in children’s knowing within the arts.
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  • Barn i tid och rum
  • 1984
  • Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
    • En antologi med 10 artiklar av författare från olika discipliner. Utifrån teoretiker som Ariès, Bourdieu, Berger och Luckmann, Freud, Mead, Piaget m.fl. belyser författarna barns villkor förr och nu och där arbete och fritid flyter samman.
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6.
  • Brorsson, Annelie, 1963, et al. (författare)
  • Development and evaluation of a new seated heel-rise test in the early stages of rehabilitation after an acute Achilles tendon rupture.
  • 2014
  • Ingår i: 16th ESSKA (European Society of Sports Traumatology, Knee Surgery and Arthroscopy) Congress, 14-17 May 2014, Amsterdam, Netherlands.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • The early stages of rehabilitation appear to be of great importance for outcome after an Achilles tendon rupture. It is a challenge to evaluate the patients’ calf muscle endurance at this stage in a safe and adequate way. The aim of our study was to develop a seated heel-rise test suitable for evaluating calf muscle endurance three months after an Achilles tendon rupture. Furthermore we wanted to evaluate how the seated heel-rise test correlated to the ability to perform one-legged standing heel-rise and patient-reported symptoms. Method: Ninety-three patients, 79 men and 14 women, mean age of 40 (20-63) years, were included from a cohort of 100 patients participating in a prospective, randomized controlled trial comparing non-surgical and surgical treatment after Achilles tendon rupture. Forty-seven were treated with surgery and 46 with non-surgery. They were evaluated after 3, 6 and 12 months. Patient reported outcome was evaluated with Achilles Tendon Rupture Score (ATRS) and functional outcome with seated and standing heel-rise test. The seated heel-rise test was performed with the patient sitting with hip and knee in 90°. A leg extension weight-training machine was used to provide load onto the patient’s thigh at 50% body weight. The limb symmetry index (LSI=injured/healthy x 100) was calculated in order to compare the results from the seated and standing heel-rise test. Results: Ninety-one patients out of 93 (98%) could perform the seated heel-rise test. At the 3-month follow-up there was a significant difference (p<0.01) in the seated heel-rise test between the injured and the healthy side. There were no significant differences between the surgical and non-surgical treatment groups. There were significant differences in the seated heel-rise test and in ATRS (p<0.01) when comparing the group who could perform a standing heel-rise test at the 3-months follow-up, with the group who could not. There were significant correlations between the LSI-values in the seated heel-rise height at the 3-month follow-up and the standing heel-rise height at the 6-month (r=0.36, p<0.001, n= 91) and the 12-month follow-up (r=0.35, p=0.001, n=85). There were also significant correlations (r=0.22-0.37, p=<0.04) between the seated heel-rise test and ATRS. Conclusions: The seated heel-rise-test has the capacity to identify differences between the injured and the healthy side three months after injury. This test also correlates with patient reported outcomes and the heel-rise ability at 6 and 12 months. This test appears to be a safe and suitable test for evaluating calf muscle endurance and function in the early stages of rehabilitation after an Achilles tendon rupture.
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7.
  • Brorsson, Annelie, 1963, et al. (författare)
  • Recovery of calf muscle endurance 3 months after an Achilles tendon rupture.
  • 2016
  • Ingår i: Scandinavian journal of medicine & science in sports. - : Wiley. - 1600-0838 .- 0905-7188. ; 26:7, s. 844-853
  • Tidskriftsartikel (refereegranskat)abstract
    • The purpose of this study was to evaluate calf muscle endurance in a seated position 3 months after an Achilles tendon rupture and to evaluate how the ability to perform standardized seated heel-rises correlated to the single-leg standing heel-rise test and to patient-reported symptoms evaluated with the Achilles tendon Total Rupture Score (ATRS) 3 and 6 months after the injury. Ninety-three patients were included from a cohort of 101 patients participating in a prospective, randomized controlled trial comparing surgical and nonsurgical treatment after Achilles tendon rupture. Forty-seven patients were treated surgically and 46 nonsurgically. Ninety-one patients out of 93 (98%) could perform the standardized seated heel-rises. At the 3-month follow-up, there was a significant difference (P<0.001) between the injured and the healthy side performing standardized seated heel-rises. There were also significant correlations (r=0.29-0.37, P=<0.05) between the standardized seated heel-rises and ATRS 3 and 6 months after injury in the group who could not perform single-leg standing heel-rises. There were no significant differences between the surgical and nonsurgical treatment groups. The evaluation of standardized seated heel-rises appears to be a useful tool to quantify progress and predict future functional performance and patient-reported symptoms.
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  • Elgqvist, Jörgen, 1963, et al. (författare)
  • Administered activity and metastatic cure probability during radioimmunotherapy of ovarian cancer in nude mice with 211At-MX35 F(ab')2.
  • 2006
  • Ingår i: International journal of radiation oncology, biology, physics. - : Elsevier BV. - 1879-355X .- 0360-3016. ; 66:4, s. 1228-37
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: To elucidate the therapeutic efficacy of alpha-radioimmunotherapy of ovarian cancer in mice. This study: (i) estimated the minimum required activity (MRA), giving a reasonable high therapeutic efficacy; and (ii) calculated the specific energy to tumor cell nuclei and the metastatic cure probability (MCP) using various assumptions regarding monoclonal-antibody (mAb) distribution in measured tumors. The study was performed using the alpha-particle emitter Astatine-211 (211At) labeled to the mAb MX35 F(ab')2. METHODS AND MATERIALS: Animals were inoculated intraperitoneally with approximately 1 x 10(7) cells of the cell line NIH:OVCAR-3. Four weeks later animals were treated with 25, 50, 100, or 200 kBq 211At-MX35 F(ab')2 (n = 74). Another group of animals was treated with a nonspecific mAb: 100 kBq 211At-Rituximab F(ab')2 (n = 18). Eight weeks after treatment the animals were sacrificed and presence of macro- and microscopic tumors and ascites was determined. An MCP model was developed and compared with the experimentally determined tumor-free fraction (TFF). RESULTS: When treatment was given 4 weeks after cell inoculation, the TFFs were 25%, 22%, 50%, and 61% after treatment with 25, 50, 100, or 200 kBq (211)At-MX35 F(ab')2, respectively, the specific energy to irradiated cell nuclei varying between approximately 2 and approximately 400 Gy. CONCLUSION: As a significant increase in the therapeutic efficacy was observed between the activity levels of 50 and 100 kBq (TFF increase from 22% to 50%), the conclusion was that the MRA is approximately 100 kBq (211)At-MX35 F(ab')2. MCP was most consistent with the TFF when assuming a diffusion depth of 30 mum of the mAbs in the tumors.
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  • Elgqvist, Jörgen, 1963, et al. (författare)
  • Alpha-radioimmunotherapy of intraperitoneally growing OVCAR-3 tumors of variable dimensions: Outcome related to measured tumor size and mean absorbed dose.
  • 2006
  • Ingår i: Journal of nuclear medicine : official publication, Society of Nuclear Medicine. - 0161-5505 .- 2159-662X. ; 47:8, s. 1342-50
  • Tidskriftsartikel (refereegranskat)abstract
    • The purpose of this work was to (a) investigate the efficacy of radioimmunotherapy using 211At-MX35 F(ab')2 or 211At-Rituximab F(ab')2 (nonspecific antibody) against differently advanced ovarian cancer in mice; (b) image the tumor growth on the peritoneum; and (c) calculate the specific energy and mean absorbed dose to tumors and critical organs. METHODS: Two experiments with 5-wk-old nude mice (n = 100 + 93), intraperitoneally inoculated with approximately 1 x 10(7) NIH:OVCAR-3 cells, were done. At either 1, 3, 4, 5, or 7 wk after inoculation animals were intraperitoneally treated with approximately 400 kBq 211At-MX35 F(ab')2 (n = 50 + 45), approximately 400 kBq 211At-Rituximab F(ab')2 (n = 25 + 24), or unlabeled Rituximab F(ab')2 (n = 25 + 24). At the time of treatment 29 animals were sacrificed and biopsies were taken for determination of tumor sizes using scanning electron microscopy (SEM). Eight weeks after each treatment the animals were sacrificed and the presence of macro- and microscopic tumors and ascites was determined. The specific energy and mean absorbed dose to tumors were calculated. The activity concentration was measured in critical organs and abdominal fluid. RESULTS: When given treatment 1, 3, 4, 5, or 7 wk after cell inoculation the tumor-free fraction (TFF) was 95%, 68%, 58%, 47%, 26%, and 100%, 80%, 20%, 20%, and 0% when treated with 211At-MX35 F(ab')2 or 211At-Rituximab F(ab')2, respectively. The SEM images revealed maximum tumor radius of approximately 30 mum 1 wk after cell inoculation, increasing to approximately 340 mum at 7 wk. Specific energy to cell nuclei varied between 0 and approximately 540 Gy, depending on assumptions regarding activity distribution and tumor size. The mean absorbed dose to thyroid, kidneys, and bone marrow was approximately 35, approximately 4, and approximately 0.3 Gy, respectively. CONCLUSION: Treatment with 211At-MX35 F(ab')2 or 211At-Rituximab F(ab')2 resulted in a TFF of 95%-100% when the tumor radius was < or =30 microm. The TFF was decreased (TFF < or = 20%) for 211At-Rituximab F(ab')2 when the tumor radius exceeded the range of the alpha-particles. The specific antibody gave for these tumor sizes a significantly better TFF, explained by a high mean absorbed dose (>22 Gy) from the activity bound to the tumor surface and probably some contribution from penetrating activity.
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11.
  • Grävare Silbernagel, Karin, 1965, et al. (författare)
  • Sex Differences in Outcome After an Acute Achilles Tendon Rupture.
  • 2015
  • Ingår i: Orthopaedic journal of sports medicine. - : SAGE Publications. - 2325-9671. ; 3:6
  • Tidskriftsartikel (refereegranskat)abstract
    • Tendon healing differs between the sexes. Comparisons in outcome between the sexes after an Achilles tendon rupture are often not possible because of the small cohort (<20%) of women.
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  • Karlsson Häikiö, Tarja, 1962, et al. (författare)
  • Redovisning av de tre studierna. Forskningsrapport – Göteborgsstudien
  • 2014
  • Ingår i: Värderingskriterier och bedömningsnormer inom det konstnärliga området (Assessment in higher arts education) – ett pedagogiskt forsknings- och utvecklingsprojekt. ; , s. 6-28
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)
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14.
  • Nilsson-Helander, Katarina, 1957, et al. (författare)
  • Acute achilles tendon rupture: a randomized, controlled study comparing surgical and nonsurgical treatments using validated outcome measures
  • 2010
  • Ingår i: The American Journal of Sports Medicine. - : SAGE Publications. - 0363-5465 .- 1552-3365. ; 38:11, s. 2186-2193
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: There is no consensus regarding the optimal treatment for patients with acute Achilles tendon rupture. Few randomized controlled studies have compared outcomes after surgical or nonsurgical treatment with both groups receiving early mobilization. PURPOSE: This study was undertaken to compare outcomes of patients with acute Achilles tendon rupture treated with or without surgery using early mobilization and identical rehabilitation protocols. STUDY DESIGN: Randomized, controlled trial; Level of evidence, 1. METHODS: Ninety-seven patients (79 men, 18 women; mean age, 41 years) with acute Achilles tendon rupture were treated and followed for 1 year. The primary end point was rerupturing. Patients were evaluated using the Achilles tendon Total Rupture Score (ATRS), functional tests, and clinical examination at 6 and 12 months after injury. RESULTS: There were 6 (12%) reruptures in the nonsurgical group and 2 (4%) in the surgical group (P = .377). The mean 6- and 12-month ATRS were 72 and 88 points in the surgical group and 71 and 86 points in the nonsurgical group, respectively. Improvements in ATRS between 6 and 12 months were significant for both groups, with no significant between-group differences. At the 6-month evaluation, the surgical group had better results compared with the nonsurgically treated group in some of the muscle function tests; however, at the 12-month evaluation there were no differences between the 2 groups except for the heel-rise work test in favor of the surgical group. At the 12-month follow-up, the level of function of the injured leg remained significantly lower than that of the uninjured leg in both groups. CONCLUSION: The results of this study did not demonstrate any statistically significant difference between surgical and nonsurgical treatment. Furthermore, the study suggests that early mobilization is beneficial for patients with acute Achilles tendon rupture whether they are treated surgically or nonsurgically. The preferred treatment strategy for patients with acute Achilles tendon rupture remains a subject of debate. Although the study met the sample size dictated by the authors' a priori power calculation, the difference in the rerupture rate might be considered clinically important by some.
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15.
  • Nilsson-Helander, Katarina, 1957, et al. (författare)
  • Individualiserad behandling viktig vid akut hälseneruptur. : Individualized treatment important in acute Achilles tendon ruptures
  • 2014
  • Ingår i: Läkartidningen. - 0023-7205. ; 111:34-35
  • Forskningsöversikt (refereegranskat)abstract
    • An acute Achilles tendon rupture is a common sports-related injury in middle-aged men. The diagnosis is always clinical and it is very important that the diagnosis is not missed or delayed. The time period for tendon healing and rehabilitation is long and commonly results in functional deficits. Only half of the patients return to the preinjury lev-el of physical activity. There is no consensus in terms of the optimal treatment for patients with acute Achilles tendon rupture. Both surgical and non-surgical treatment with modern rehabilitation protocols are valid alternatives in the clinical day-by-day work. There is a need for future studies to optimize the treatment and identify predictors in order to individualize the optimal treatment.
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20.
  • Olsson, Bengt, 1946 (författare)
  • Social issues on music education
  • 2007
  • Ingår i: The International handbook of research on arts education. - Dordrecht, Netherlands : Springer.
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)
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  • Olsson, Bengt, 1946, et al. (författare)
  • Tolkningspraktiker och bedömningskulturer. Om bedömning inom högre musikutbildning – en metaanalys av några delprojekt
  • 2020
  • Ingår i: Svensk Tidskrift för musikforskning.
  • Tidskriftsartikel (refereegranskat)abstract
    • Abstract Practices of interpretation and cultures of assessment – a meta analysis of some assessment projects Research on assessment of musical performances are quite comprehensive but a major part embrace projects within schools on the primary, secondary and tertiary level. There is a lack of studies on assessments within higher music education, studies focusing on criteria, norms and values among teachers and tutors. Among the general these public assessments seem to be considered to be subjective and random and not knowledge based. In this meta study three projects are analysed and the results show contrary to that, assessment of performances rests on deeply integrated values of the context and the competence of the assessors of higher music education. In the pilot study the first results showed three dominating criteria being used by five professors were introduced: “technical and analytical skills”; performance and style or genre knowledge; and personal musical expression and communication. These three criteria have a triangular relationship and this leads to two original assessment models. The first model embraces an “integrated model”, i.e. the tensions between the three positions are diminished and they are very difficult to perceive individually. The quality of musical experience of this artistic model is also the most highly ranked assessment. The other model was a divided version in which one or more of the criteria were perceived. This the assessors considered to be a lack of quality. The musicians needed to improve their skills and knowledge to perform on a professional level to be higher ranked. In the second project fifteen professors within four Danish and Swedish universities were interviewed. Here, the individuals tutors supported the hypothetical models of the pilot study. Moreover, they introduced a more advanced discourse of the structure of the criteria. The interviewees introduced a distinction between analytical and fuzzy criteria and they further discussed the differences between concept-based and divided perspectives and integrated, holistic approaches. The connections between the two levels division and analytical criteria and integrated, fuzzy criteria respectively are obvious although clearly separated. This shows four prominent themes among the results as well. These concern the “aesthetic dimensions of the performance”, “the musicians presence on stage during the performance”, “interpretation as a way of understanding”, and, “the importance of self-government in relation to the musical style performed by the musician”. In the final analysis of the same empirical material, project three, all the results are summarised into a tentative theory of musical assessments. The theory is based on three major dimensions. The first dimension concerns the criteria triangle and the discussion of the structure and functions of that. And how the assessments are linked to the two basic models. In the second part of the dimension a distinction in the triangle based on four different themes, presented above, is further developed. This gives for example space for subjectivity in the assessments. The second dimension is connected to the assessor’s competence. This means that the question “who” is assessor, how well he/she is acquainted with a certain genre or a repertoire are important issues. In the final dimension, the importance of assessment’s context is discussed. Institutional norms and values play an important role in deciding of a performance is good or bad. What is shown in all projects discussed here is that the contexts, which belong to departments and academies within higher music education, have a crucial importance . Finally, to conclude, the three dimensions may be described as a continuum with a starting-point in a conception-based and analytical criteria tringle clearly defined and with an end-point in contextual norms closely linked to fuzzy criteria including artistic values and communication. Although all three dimensions are connected with each other, and this is reflected in all studies, you will also find a lack of balance between them. The artistic dimensions have the greatest importance due to contextual traditions and the informer’s professional musical experiences.
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24.
  • Olsson, Bengt, 1946 (författare)
  • Vad är grunden för musikaliskt lärande och bedömningar?
  • 2014
  • Ingår i: Texter om konstarter och lärande. - Göteborg : Art Monitor, Konstnärliga fakulteten, Göteborgs universitet. - 9789197847681 ; , s. 132-161
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)
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28.
  • Olsson, Niklas, et al. (författare)
  • Ability to perform a single heel-rise is significantly related to patient-reported outcome after Achilles tendon rupture.
  • 2014
  • Ingår i: Scandinavian journal of medicine & science in sports. - : Wiley. - 1600-0838 .- 0905-7188. ; 24:1, s. 152-158
  • Tidskriftsartikel (refereegranskat)abstract
    • This study evaluated the short-term recovery of function after an acute Achilles tendon rupture, measured by a single-legged heel-rise test, with main emphasis on the relation to the patient-reported outcomes and fear of physical activity and movement (kinesiophobia). Eighty-one patients treated surgically or non-surgically with early active rehabilitation after Achilles tendon rupture were included in the study. Patient's ability to perform a single-legged heel-rise, physical activity level, patient-reported symptoms, general health, and kinesiophobia was evaluated 12 weeks after the injury. The heel-rise test showed that 40 out of 81 (49%) patients were unable to perform a single heel-rise 12 weeks after the injury. We found that patients who were able to perform a heel-rise were significantly younger, more often of male gender, reported a lesser degree of symptoms, and also had a higher degree of physical activity at 12 weeks. There was also a significant negative correlation between kinesiophobia and all the patient-reported outcomes and the physical activity level. The heel-rise ability appears to be an important early achievement and reflects the general level of healing, which influences patient-reported outcome and physical activity. Future treatment protocols focusing on regaining strength early after the injury therefore seem to be of great importance. Kinesiophobia needs to be addressed early during the rehabilitation process.
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29.
  • Olsson, Niklas, et al. (författare)
  • Major functional deficits persist 2years after acute Achilles tendon rupture.
  • 2011
  • Ingår i: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. - : Springer Science and Business Media LLC. - 1433-7347. ; 19:8, s. 1385-93
  • Tidskriftsartikel (refereegranskat)abstract
    • The purpose of this prospective randomized controlled study was to evaluate the long-term results after an acute Achilles tendon rupture in patients treated surgically or non-surgically. The focus was to evaluate whether any improvements occurred between the one and 2-year evaluation.
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30.
  • Olsson, Niklas, et al. (författare)
  • Predictors of Clinical Outcome After Acute Achilles Tendon Ruptures.
  • 2014
  • Ingår i: The American journal of sports medicine. - : SAGE Publications. - 1552-3365 .- 0363-5465. ; 42:6, s. 1448-1455
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND:In patients with an acute Achilles tendon rupture, it has not been possible to determine the superiority of a single specific treatment modality over other treatments with respect to symptoms and function. When several pertinent treatment protocols are available for an injury, it is of interest to understand how other variables, such as age, sex, or physical activity level, affect outcome to better individualize the treatment. PURPOSE:To investigate predictors of both symptomatic and functional outcomes after an acute Achilles tendon rupture. STUDY DESIGN:Cohort study (Prognosis); Level of evidence, 2. METHODS:Ninety-three patients (79 men and 14 women; mean age, 40 years) were evaluated prospectively at 3, 6, and 12 months. The main outcome measures in this study were the Achilles tendon Total Rupture Score (ATRS) for symptoms and maximum heel-rise height for function. The independent variables evaluated as possible predictors of outcome included treatment, sex, age, body mass index (BMI), physical activity level, symptoms, and quality of life. RESULTS:Treatment, age, BMI, physical activity level, heel-rise height at 6 months, and the ATRS at 3 months were eligible for further analysis. Only male sex was included for the prediction models. The 4 different multiple linear regression models (predicting the ATRS at 6 and 12 months and heel-rise height at 6 and 12 months) were significant (P < .001-.002), and the R(2) values for the models were 0.222 to 0.409. Surgical or nonsurgical treatment is a moderate predictor of symptoms and a weak predictor of heel-rise height after an acute Achilles tendon rupture. At the 6-month follow-up, surgical treatment was associated with a larger heel-rise height, but the opposite was seen at 12 months. Surgical treatment resulted in a lower degree of symptoms. Increasing age was a strong predictor of reduced heel-rise height, and an increase in age of 10 years reduced the expected heel-rise height by approximately 8%. A higher BMI was also a strong predictor of a greater degree of symptoms, and a 5-unit higher BMI predicted a reduction of approximately 10 points in the ATRS. CONCLUSION:The present study identified important possible predictors of outcome. Despite having a wide range of clinically relevant variables, the models had a limited ability to predict the final individual outcome. In general, the models appear to be better at predicting function than symptoms.
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31.
  • Olsson, Niklas, et al. (författare)
  • Stable Surgical Repair With Accelerated Rehabilitation Versus Nonsurgical Treatment for Acute Achilles Tendon Ruptures: A Randomized Controlled Study.
  • 2013
  • Ingår i: The American journal of sports medicine. - : SAGE Publications. - 1552-3365 .- 0363-5465. ; 41:12, s. 2867-2876
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND:The optimal treatment for acute Achilles tendon ruptures is still a subject of debate. Early loading of the tendon is a factor that has been shown to be beneficial to recovery and to minimize complications. The main outcome of previous studies has been complications such as reruptures and deep infections, without focusing on the functional outcome relevant to the majority of patients who do not experience these complications. PURPOSE:To evaluate whether stable surgical repair and early loading of the tendon could improve patient-reported outcome and function after an acute Achilles tendon rupture. STUDY DESIGN:Randomized controlled trial; Level of evidence, 1. METHODS:A total of 100 patients (86 men, 14 women; mean age, 40 years) with an acute total Achilles tendon rupture were randomized to either surgical treatment, including an accelerated rehabilitation protocol, or nonsurgical treatment. The primary outcome was the Achilles tendon Total Rupture Score (ATRS). The patients were evaluated at 3, 6, and 12 months for symptoms, physical activity level, and function. RESULTS:There were no significant differences between the groups in terms of symptoms, physical activity level, or quality of life. There was a trend toward improved function in surgically treated patients; the results were significantly superior when assessed by the drop countermovement jump (95% CI, 0.03-0.15; P = .003) and hopping (95% CI, 0.01-0.33; P = .040). No reruptures occurred in the surgical group, while there were 5 in the nonsurgical group (P = .06). There were 6 superficial infections in the surgically treated group; however, these superficial infections had no bearing on the final outcome. Symptoms, reduced quality of life, and functional deficits still existed 12 months after injury on the injured side in both groups. CONCLUSION:The results of the present study demonstrate that stable surgical repair with accelerated tendon loading could be performed in all (n = 49) patients without reruptures and major soft tissue-related complications. However, this treatment was not significantly superior to nonsurgical treatment in terms of functional results, physical activity, or quality of life.
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32.
  • Persson, Helena, 1983-, et al. (författare)
  • TEST PLANT AND DEVELOPMENT OF TOOLS FOR DESIGN OF COMBI-HEATING SYSTEMS FOR LARGE BUILDINGS
  • 2010
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • In design, control and installation of combined heating systems with solar energy utilization various tools are required in assuring rationality and cost effectiveness. A project was therefore initiated to develop such tools involving (a) building of a full scale plant for tests of combined heating systems containing solar collectors, pellet boilers, heat pumps and heat stores, (b) evaluation of system performance for some combined heating systems with varying control strategies through measurement, and (c) development of a user-friendly data soft ware tool for evaluating system performance of the kind of combined heating systems studied. Results so far include building of the test plant and start of measurements of system and component thermal performance making use of the test plant. A TRNSYS deck of the system has been designed, and will be used for further investigations. From the results it can be concluded that user-friendly TRNSED data software would be possible to accomplish for calculation of thermal performance but also of economy, and climatic performance of combi-heating systems to best serve the needs expressed by the industrial partners of the project.
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