| 1. |
- Nordin Olsson, Inger, 1955-, et al.
(författare)
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Registered nurses’ perception of their professional role regarding medication management in nursing care of the elderly
- 2014
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Ingår i: Journal of Nursing Education and Practice. - : Sciedu Press. - 1925-4040 .- 1925-4059. ; 4:2, s. 153-161
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Tidskriftsartikel (refereegranskat)abstract
- Background: The role of the registered nurse (RN) in the municipality regarding medication management in care for the elderly is rarely discussed. Organizational issues related to medication management often contribute more to the management than needs of the patients, nursing skills, and collaboration with the physician in primary care.Objective: The aim of this study was to describe RNs’ perceptions of their professional role, especially regarding medication management in nursing of the elderly.Design: The study is descriptive with a qualitative approach. Interviews with 16 RNs working at nursing homes were analysed by content analysis.Results: The findings can be grouped into seven categories showing the RN in different roles while performing different aspects of her or his work: as controller, executer, messenger, supervisor, initiator, visionary and solitary worker. These themes were identified in the interviews and characterized the nurses’ own judgements and actions taken, especially regarding drug treatment. Overall, the RNs described nursing in elderly care as an undefined profession lacking leadership regarding medication management.Conclusions: The study concludes that medication management ought to be promoted in care for the elderly. To handle the challenge and risks of polypharmacy there must be sufficient and adequate reporting based on the RNs’ nursing and skills to monitor and evaluate the drug treatment in teamwork with the physician. This requires leadership with understanding of the integration of services in care for the elderly, and of the medical processes and nursing skills involved.
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| 2. |
- Nordin Olsson, Inger, et al.
(författare)
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Registered nurses’ perceptions of their professional role in medication in elderly care
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- The role of the municipal registered nurse (RN) is rarely discussed with regard to multimedication. The aim of this study was to describe RNs’ perceptions of their professional role especially regarding medication management in elderly care. The study is descriptive with a qualitative approach. Interviews with 16 RNs at nursing homes for the elderly were analysed. The RNs described an undefined profession lacking leadership. The findings can be categorized into seven roles showing different aspects of their work: controller, executer, messenger, supervisor, initiator, visionary and solitary worker. Health assessment and medication management should be promoted in elderly care. There must be sufficient and adequate reporting based on the RNs’ nursing and medical skills to monitor and evaluate the drug treatment in teamwork with the physician. This requires leadership with understanding of the integration process in care of the elderly, of the medical processes and nursing skills involved.
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| 3. |
- Olsson, Inger, 1954-, et al.
(författare)
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Social welfare in Singapore and Sweden : Differences in organisational systems of health care, social security and rehabilitation.
- 2008
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Ingår i: International Journal of Disability Mangement Research. - Brisbane : Australian Academic Press. - 1833-8550 .- 1834-4887. ; 2:3, s. 30-38
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study is to describe and compare the health care, social security and rehabilitation systems in Singapore and Sweden. Two fundamental differences can be identified. First, the system in Singapore are strongly oriented towards a free market system, while Sweden’s demonstrates strong public control. Second, following from how the systems are oriented, Singaporeans are expected to have a higher degree of independence and control over their health care, social security and rehabilitation. It appears that Singapore has had greater success in attaining and maintaining a system of health promotion, which influences the three systems. However, the Swedish welfare system provides greater security to those who are in need of health care, social security and rehabilitation.
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| 4. |
- Alharbi, Tariq, 1979, et al.
(författare)
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Experiences of person-centred care – patients’ perceptions: qualitative study
- 2014
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Ingår i: BMC Nursing. - : Springer Science and Business Media LLC. - 1472-6955. ; 13:28
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Tidskriftsartikel (refereegranskat)abstract
- Background Patient care models have been implemented and documented worldwide. Many studies have focused on features that hinder and facilitate the shift to such models, including the implementation process, staff involvement, resistance to new models and cultural dimensions. However, few studies have identified the potential effects of such new care models from a patient perspective. The aim of the present study was to investigate whether patients did in fact perceive the intentions of partnership in the new care model 1 year after its implementation. Methods Sixteen participants were interviewed, selected from two wards in a medical department where a new care model had been implemented 1 year earlier. A directed deductive content analysis was selected. The aim of the directed approach to content analysis was to investigate to what extent the new care model had been implemented, using patients’ perspectives to describe the level of implementation. A coding framework was developed based on a theoretical paper that described the key features of the new care model. Results The implementation of person-centred care had clearly occurred to a large degree, even if some patients appeared not to have been exposed to the model at all. Aspects of the newly implemented care model were obvious; however, it was also clear that implementation was not complete. The analysis showed that patients felt listened to and that their own perception of the situation had been noted. Patients spontaneously expressed that they felt that the staff saw them as persons and did not solely focus on their disease. It was also stated that not every ailment or aspect of a patient’s illness needed to be addressed or resolved for open listening to be perceived as a positive experience. Conclusions The findings indicate that even though some patients were not interested in participating and playing an active role in their own care, this might relate to a lack of understanding on how to invite them to do so and to increase their confidence. To change healthcare from a paternalistic system to care where patients are seen as partners may require pedagogical skills.
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| 5. |
- Alharbi, Tariq, 1979, et al.
(författare)
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Organizational culture and the implementation of person centered care: Results from a change process in Swedish hospital care
- 2012
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Ingår i: Health Policy. - : Elsevier BV. - 0168-8510. ; 108:2-3, s. 294-301
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Sweden has one of the oldest, most coherent and stable healthcare systems in the world. The culture has been described as conservative, mechanistic and increasingly standardized. In order to provide a care adjusted to the patient, person centered care (PCC) has been developed and implemented into some parts of the health care industry. The model has proven to decrease patient uncertainty. However, the impact of PCC has been limited in some clinics and hospital wards. An assumption is that organizational culture has an impact on desired outcomes of PCC, such as patient uncertainty. Therefore, in this study we identify the impact of organizational culture on patient uncertainty in five hospital wards during the implementation of PCC. Data from 220 hospitalized patients who completed the uncertainty cardiovascular population scale (UCPS) and 117 nurses who completed the organizational values questionnaire (OVQ) were investigated with regression analysis. The results seemed to indicate that in hospitals where the culture promotes stability, control and goal setting, patient uncertainty is reduced. In contrast to previous studies suggesting that a culture of flexibility, cohesion and trust is positive, a culture of stability can better sustain a desired outcome of reform or implementation of new care models such as person centered care. It is essential for health managers to be aware of what characterizes their organizational culture before attempting to implement any sort of new healthcare model. The organizational values questionnaire has the potential to be used as a tool to aid health managers in reaching that understanding.
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| 6. |
- Alharbi, Tariq, 1979, et al.
(författare)
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The impact of organizational culture on the outcome of hospital care: After the implementation of person-centred care
- 2014
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 42:1, s. 104-110
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Tidskriftsartikel (refereegranskat)abstract
- AIMS: To measure the effect of organizational culture on health outcomes of patients 3 months after discharge. Methods: a quantitative study using Organizational Values Questionnaire (OVQ) and a health-related quality of life instrument (EQ-5D). A total of 117 nurses, 69% response rate, and 220 patients answered the OVQ and EQ-5D, respectively. Results: The regression analysis showed that; 16% (R2 = 0.02) of a decreased health status, 22% (R2 = 0.05) of pain/discomfort and 13% (R2 = 0.02) of mobility problems could be attributed to the combination of open system (OS) and Human Relations (HR) cultural dimensions, i.e., an organizational culture being dominated by flexibility. Conclusions: The results from the present study tentatively indicated an association between an organizational culture and patients' health related quality of life 3 months after discharge. Even if the current understanding of organizational culture, which is dominated by flexibility, is considered favourable when implementing a new health care model, our results showed that it could be hindering instead of helping the new health care model in achieving its objectives.
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| 7. |
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| 8. |
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| 9. |
- Angelstam, Per, 1953-, et al.
(författare)
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Two-dimensional gap analysis : a tool for efficient conservation planning and biodiversity policy implementation
- 2003
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Ingår i: Ambio. - : Royal Swedish Academy of Sciences. - 0044-7447 .- 1654-7209. ; 32:8, s. 527-534
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Tidskriftsartikel (refereegranskat)abstract
- The maintenance of biodiversity by securing representative and well-connected habitat networks in managed landscapes requires a wise combination of protection, management, and restoration of habitats at several scales. We suggest that the integration of natural and social sciences in the form of "Two-dimensional gap analysis" is an efficient tool for the implementation of biodiversity policies. The tool links biologically relevant "horizontal" ecological issues with "vertical" issues related to institutions and other societal issues. Using forest biodiversity as an example, we illustrate how one can combine ecological and institutional aspects of biodiversity conservation, thus facilitating environmentally sustainable regional development. In particular, we use regional gap analysis for identification of focal forest types, habitat modelling for ascertaining the functional connectivity of "green infrastructures", as tools for the horizontal gap analysis. For the vertical dimension we suggest how the social sciences can be used for assessing the success in the implementation of biodiversity policies in real landscapes by identifying institutional obstacles while implementing policies. We argue that this interdisciplinary approach could be applied in a whole range of other environments including other terrestrial biota and aquatic ecosystems where functional habitat connectivity, nonlinear response to habitat loss and a multitude of economic and social interests co-occur in the same landscape.
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| 10. |
- Angerås, Oskar, 1976, et al.
(författare)
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Impact of Thrombus Aspiration on Mortality, Stent Thrombosis, and Stroke in Patients with ST-Segment-Elevation Myocardial Infarction: A Report From the Swedish Coronary Angiography and Angioplasty Registry
- 2018
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Ingår i: Journal of the American Heart Association. - : John Wiley & Sons. - 2047-9980. ; 7:1
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Tidskriftsartikel (refereegranskat)abstract
- Background-Thrombus aspiration is still being used in a substantial number of patients despite 2 large randomized clinical trials showing no favorable effect of routine thrombus aspiration during primary percutaneous coronary intervention in patients with STsegment- elevation myocardial infarction. The aim of this observational study was to evaluate the impact of thrombus aspiration on mortality, stent thrombosis, and stroke using all available data from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR). Methods and Results--We identified 42 829 consecutive patients registered in SCAAR between January 2005 and September 2014 who underwent percutaneous coronary intervention for ST-segment-elevation myocardial infarction. Thrombus aspiration was used in 25% of the procedures. We used instrumental variable analysis with administrative healthcare region as the treatmentpreference instrumental variable to evaluate the effect of thrombus aspiration on mortality, stent thrombosis, and stroke. Thrombus aspiration was not associated with mortality at 30 days (risk reduction: -1.2; 95% confidence interval [CI] , -5.4 to 3.0; P=0.57) and 1 year (risk reduction: -2.4; 95% CI, -7.6 to 3.0; P=0.37). Thrombus aspiration was associated with a lower risk of stent thrombosis both at 30 days (risk reduction: -2.7; 95% CI, -4.1 to -1.4; P < 0.001) and 1 year (risk reduction: -3.5; 95% CI, -5.3 to -1.7; P < 0.001). In-hospital stroke and neurologic complications did not differ between groups (risk reduction: 0.1; 95% CI, -0.8 to 1.1; P=0.76). Conclusions--Mortality was not different between the groups. Thrombus aspiration was associated with decreased risk of stent thrombosis. Our study provides important evidence for the external validity of previous randomized studies regarding mortality.
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| 11. |
- Baldetorp, Bo, et al.
(författare)
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Image cytometric DNA analysis in human breast cancer analysis may add prognostic information in diploid cases with low S-phase fraction by flow cytometry
- 1992
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Ingår i: Cytometry. - : Wiley. - 0196-4763 .- 1097-0320. ; 13:6, s. 577-585
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Tidskriftsartikel (refereegranskat)abstract
- Measurements of DNA ploidy can be performed either with image cytometry (ICM) or flow cytometry (FCM); both methods provide independent prognostic information in primary breast cancer. The aim of the present investigation was to compare the two methods and to relate the findings to prognosis (median follow-up 42 months). Concordance in ploidy status (diploid, tetraploid, aneuploid) was obtained in 76% of the samples (168/222). When the fraction of S-phase cells (SPF) from FCM analysis was also taken into consideration, four different groups of samples were obtained (Flow I-IV), which were considered to correspond to the Auer classification (Auer I-IV) of DNA histograms obtained from image cytometry. Complete concordance between the two techniques now was 70% (155/222). Samples classified as Flow I (diploid or near-diploid with low SPF) and Auer I had a distant metastasis rate of 3/60 (5%), as compared to 62/154 (40%) for all other combinations of the Flow and Auer classifications taken together. Thus, the only findings of prognostic importance were that some samples were Flow I but not Auer I, or vice versa. These two groups represent 17 (7.7%) and 14 (6.3%), respectively, of the total number of samples, and had frequencies of distant metastasis similar to those of the other high-risk groups, namely, 7/17 and 5/14, respectively. In a multivariate analysis, flow cytometric S-phase value was a stronger prognostic factor than either the Flow and Auer classification. We conclude that when routine FCM DNA analysis is used, diploid or near-diploid samples with a low S-phase value should be reanalyzed with ICM.
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| 12. |
- Barse Persson, Gunilla, et al.
(författare)
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Hjälpmedel - en del av stöd i boendet för personer med psykiska funktionshinder : Uppföljning av studiebesök hos HumanTeknik
- 2007
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- I och med psykiatrireformen 1995 fick Hjälpmedelsinstitutet en ny målgrupp inom sitt ansvarsområde. Personer med psykisk sjukdom blev sedda ur ett nytt perspektiv – funktionshinderperspektivet – och Hjälpmedelsinstitutet började arbeta för målgruppen.På initiativ av Hjälpmedelsinstitutet, i samverkan med Riksförbundet Social och Mental Hälsa och Schizofreniförbundet, startades ett försöksprojekt med hjälpmedel för personer med psykiska funktionshinder. Under åren 2001-2004 genomfördes pionjärprojektet ”HumanTeknik – ett projekt inom området psykiska funktionshinder och hjälpmedel” i Karlstads kommun. Syftet var att se hur olika typer av hjälpmedel och arbetsmetoder kunde underlätta vardagen för personer med psykiska funktionshinder. Projektet blev framgångsrikt och kunde visa på mycket goda resultat.En del i projekt HumanTeknik var att iordningställa en visningslägenhet där hjälpmedlen kunde förevisas. Intresset för lägenheten och för att få information om hur hjälpmedel kan vara ett stöd i vardagen har varit stort. Ett hundratal studiebesök från hela landet har genomförts. Det har varit personal från kommuner, landsting, brukare med personal och/eller närstående, personligt ombud och många fler som varit på besök.Den här rapporten har gjorts på uppdrag av Växjö Universitet, Institutionen för vårdvetenskap och socialt arbete - Boendeprojektet. Rapporten redovisar en uppföljning av studiebesök hos HumanTeknik under åren 2001-2006.Uppföljningen har syftat till att undersöka om de verksamheter som gjort studiebesök i HumanTekniks visningslägenhet börjat använda hjälpmedel i den egna verksamheten efter studiebesöket, vilka hjälpmedel som används, erfarenheter av detta samt hur tillgängligheten till hjälpmedel är.Flertalet av de besökande hade inte använt tekniska hjälpmedel innan besöket. Uppföljningen visar att flera av de verksamheter som varit på studiebesök har ökat sin användning av den här typen hjälpmedel efter besöket. Svaren visar också på att studiebesöket i vissa fall fungerat som en väckarklocka, att man fått ny kunskap om kognitiv problematik och blivit medveten om behovet av hjälpmedel.Tillgängligheten till hjälpmedel varierar stort i landet. Information om vart man vänder sig för att få tillgång till hjälpmedel i varje kommun och landsting behöver tydliggöras för den enskilde. Användning och utveckling av hjälpmedel vid psykiska funktionshinder har bara börjat och det finns mycket kvar att göra.Rapporten är nr 16 (av 24st) i Boendeprojektet som är ett riktat projekt inom ramen för kansliet för Nationell psykiatrisamordning. Projektmedel beviljades av Socialstyrelsen år 2005 för ett uppdrag inom satsningen på psykiatri och socialt stöd och omsorg för personer med psykisk sjukdom och/eller psykiska funktionshinder. Projektet har letts av David Brunt, Institutionen för vårdvetenskap och socialt arbete, Växjö universitet.
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| 13. |
- Beecham, Ashley H, et al.
(författare)
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Analysis of immune-related loci identifies 48 new susceptibility variants for multiple sclerosis.
- 2013
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Ingår i: Nature genetics. - : Springer Science and Business Media LLC. - 1546-1718 .- 1061-4036. ; 45:11, s. 1353-60
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Tidskriftsartikel (refereegranskat)abstract
- Using the ImmunoChip custom genotyping array, we analyzed 14,498 subjects with multiple sclerosis and 24,091 healthy controls for 161,311 autosomal variants and identified 135 potentially associated regions (P < 1.0 × 10(-4)). In a replication phase, we combined these data with previous genome-wide association study (GWAS) data from an independent 14,802 subjects with multiple sclerosis and 26,703 healthy controls. In these 80,094 individuals of European ancestry, we identified 48 new susceptibility variants (P < 5.0 × 10(-8)), 3 of which we found after conditioning on previously identified variants. Thus, there are now 110 established multiple sclerosis risk variants at 103 discrete loci outside of the major histocompatibility complex. With high-resolution Bayesian fine mapping, we identified five regions where one variant accounted for more than 50% of the posterior probability of association. This study enhances the catalog of multiple sclerosis risk variants and illustrates the value of fine mapping in the resolution of GWAS signals.
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| 14. |
- Bolin, Marie, et al.
(författare)
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Prediction of Preeclampsia by Combining Serum Histidine-Rich Glycoprotein and Uterine Artery Doppler
- 2012
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Ingår i: American Journal of Hypertension. - : Oxford University Press (OUP). - 0895-7061 .- 1941-7225. ; 25:12, s. 1305-1310
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundPreeclampsia is associated with both maternal and perinatal morbidity and mortality. Histidine-rich glycoprotein (HRG) is a protein interacting with angiogenesis, coagulation, and inflammatory responses, processes known to be altered in preeclamptic pregnancies. Significantly lower levels of HRG have been demonstrated as early as in the first trimester in women later developing preeclampsia compared with normal pregnancies. The aim of this study was to investigate whether the combination of HRG and uterine artery Doppler ultrasonography can be used as a predictor of preeclampsia.MethodsA total of 175 women were randomly selected from a case-control study; 86 women had an uncomplicated pregnancy and 89 women later developed preeclampsia. Blood samples and pulsatility index (PI) were obtained from both cases and controls in gestational week 14.ResultsHRG levels were significantly lower in women who developed preterm preeclampsia compared with controls, but not for women developing preeclampsia in general. PI was significantly higher in the preeclampsia group compared with controls, especially in preterm preeclampsia. The combination of HRG and PI revealed a sensitivity of 91% and a specificity of 62% for preterm preeclampsia.ConclusionsThe combination of HRG and uterine artery Doppler may predict preterm preeclampsia in early pregnancy.
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| 15. |
- Caspillo, Nasim Reyhanian, 1982-
(författare)
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Hitting the mark : studies of alterations in behaviour and fertility in ethinyl estradiol-exposed zebrafish and search related biomarkers
- 2016
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In this thesis, we have analysed the effects of EE2 on non-reproductive behaviours and fertility. We have showed that two doses of EE2 in male adult short-term exposures evokes opposite behaviours in the novel tank test. A lower dose induced increased bottom-dwelling, a sign of increased anxiety and a higher dose increased surface-dwelling, which would likely expose themselves to predation in a natural environment. Increased shoaling was observed in both exposures, possibly affecting feeding and reproduction opportunities. Fertility analysis of these fish demonstrated a complete inhibition of spawning in the highest dose group. To investigate mechanisms behind the spawning failure, we examined expression levels of genes involved in zebrafish sex differentiation and maintenance of gonadal function. We found downregulated transcription levels of male-predominant genes, suggesting a demasculinization of the testes contributing to functional sterility in these fish. We have demonstrated that non-reproductive behaviour in zebrafish is highly sensitive to EE2 exposure during development. After exposing male and female zebrafish to low doses of EE2 followed by remediation in clean water until adulthood, the fish displayed increased anxiety and shoaling behaviour, demonstrating persistent effects of EE2. Furthermore, behavioural effects were transferred to their progeny. Decreased fertilisation success of the developmentally exposed fish was observed in both sexes when mated to untreated animals of the opposite sex. These fertility effects persisted although the fish had a long remediation period, implying likely reduced fitness of fish populations in aquatic environments. Based on our findings on non-reproductive behaviours and fertility, we performed RNAsequencing analysis of the brain and testes in order to investigate possible biological mechanisms behind the persistent effects. There is a need for biomarkers allowing detection of both reversible and irreversible effects in animals exposed to estrogenic substances, hopefully contributing to better risk assessments for EDCs. Results from RNA-sequencing would serve as a basis for continued studies in pursuit of potential biomarkers.
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| 16. |
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| 17. |
- Danielsen, Yngvild, et al.
(författare)
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The relationship between life-style and cardio-metabolic risk indicators in children: the importance of screen time
- 2011
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 100:2, s. 253-259
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Tidskriftsartikel (refereegranskat)abstract
- AIMS:To examine differences between children with obesity and normal weight children (aged 7-13 years) in terms of physical activity, screen time, food intake and blood parameters indicative of cardio-metabolic risk. Further, to explore the relationship between physical activity, screen time and food intake with cardio-metabolic parameters.METHODS:Forty-three children with obesity were compared with 43 normal weight peers. Physical activity was monitored by accelerometers and screen time and food intake by diaries. Blood parameters indicative of cardio-metabolic risk were analysed.RESULTS:The group of children with obesity had significantly less vigorous activity (p = 0.013), more daily screen time (p = 0.004) and consumed more fat (p = 0.04) than the group of normal weight children. The former group also demonstrated higher values of triglycerides (p = 0.001), HbA1c (p = 0.009), C-peptide (p = 0.001), had a higher HOMA-R score (p = 0.001), and lower levels of HDL (p = 0.001). After controlling for weight category, regression analyses revealed that screen time was significantly and positively related to the HOMA-R score and C-peptide levels independent of physical activity and intake of fat and sugar.CONCLUSIONS:The results indicate that screen time is an important behavioural factor related to obesity and cardio-metabolic risk indicators in children.
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| 18. |
- Dudas, Kerstin, 1963, et al.
(författare)
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PCC- Impact at admission and discharge process, among patients with chronic heart failure
- 2013
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Ingår i: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 12:Supplement 1, s. 66-67
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Chronic heart failure (CHF) mostly affects the elderly and is a lifelong and progressive disease and the single most common cause of hospitalization with frequent re-admissions. Although many patients with CHF are independent, some patients are fragile and need extra support and care during the hospital stay and after discharge to prevent disability. A person-centred care (PCC) approach to care and planning may help to promote more efficient care and discharge-planning. Aim: To evaluate if PCC-based proactive care-planning, beginning already at admission, leads to improved efficiency in the discharge procedure compared with usual care in patients hospitalized for worsening CHF. Methods: Using a controlled before-and-after design, eligible patients with CHF were randomly assigned to either a usual care group or a PCC intervention group. Development of the PCC care and discharge plan consisted of three steps: 1) a comprehensive narrative was obtained from the patients at admission to identify each patient’s resources for and barriers to recovery; 2) a PCC plan was drawn up based on this and other clinical information and discussed with the patient Downloaded from cnu.sagepub.com at Gothenburg University Library on December 15, 2013 EuroHeartCare 2013 S67 3) the PCC plan was checked and revised where appropriate. The patients’ social situation before admission, their discharge destination, the number of days until the discharge notification was sent to the patients’ community home help service/district nurse were recorded as well as the time interval between notification and start of coordination of care between hospital staff and community home help services and district nurses. Results: 123 in the usual care group and 125 were enrolled. Most of the patients came from independent living (93.2% in the PCC group and 93.5% in the usual care group). The proportion of patients who had community home help service before admission was slightly lower in the PCC group (32.4%) compared to the usual care group (35.8%). The proportion of patients who received care from a district nurse was slightly higher in the PCC group (18.9%) than in the usual care group (13.1%). During hospitalization, the notification to the patients community home help service and/or district nurse were significantly (P = 0.04) more frequently in the PCC-group (33.8%) compared to usual care group (12.1%). Care coordination started within six days in the PCC group whereas the usual care group was more dispersed 1-29 days. Conclusion: PCC improved significantlythe efficiency of the transfer process for patients in need of community home help service and/or district nurse after discharge.
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| 19. |
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| 20. |
- Dudas, Kerstin, 1963, et al.
(författare)
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Person-centred care and empowerment
- 2014
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Ingår i: European Journal of Cardiovascular Nursing. - 1474-5151. ; 13:Suppl. 1. April 2014
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 21. |
- Dudas, Kerstin, 1963, et al.
(författare)
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Person-centred care inluences the belief in medication in patients with chronic heart failure
- 2013
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Ingår i: European Journal of Heart Failure.. - : Wiley. - 1567-4215 .- 1388-9842 .- 1879-0844. ; 12:Supplement 1
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Purpose: Many patients with chronic heart failure (CHF) seem to fail in adherence to prescribed medication. Confidence in the prescribed medication as well as misconceptions in communication between patient and health care professionals, are well known factors contributing to patients’ adherence. Moreover, patients with CHF have to manage a complex medication treatment and non-adherence seems to be more likely if there is a lack of belief in medication. Person-centered care (PCC) emphasizes partnership between patient and health care professionals including the creation of a common care-plan. Therefore we evaluated if PCC affects patients’ beliefs about prescribed medicines compared to usual care in patients hospitalized for worsening CHF. Methods: Using a controlled before-and-after design, patients hospitalized for worsening CHF were assigned to either a usual care group or a PCC intervention group. Patient-reported belief about their medication was assessed with the Belief about Medication Questionnaire (BMQ). The BMQ consists of three domains: 1) General harm, 2) General overuse, and 3) General Benefit. Results: In total, 248 patients were included in the study; 123 in the usual care group and 125 in the PCC intervention. The PCC group had a significant better score than the usual care group in the BMQ domain General Overuse, mean=9.06 (SD=2.20) vs. mean =9.76, (SD= 4.48) ( p=0.04). There were no differences between the PCC group and the Usual care group in the domain General Harm p=0.70 [mean=12.6 (SD=3.1) vs. mean =12.9 (SD= 3.4)].and General Benefit p=0.31 [mean=16.5 (SD=2.2) vs. mean =16.8 (SD= 2.0]. Conclusion: We found that patients receiving PCC did not belief that medication is overused to the same extent as patients in usual care. These results support our previous findings of less feeling of uncertainty in relation to illness and medication, shorter length of hospital stay and better functional status by applying PCC.
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| 22. |
- Dudas, Kerstin, 1963, et al.
(författare)
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Uncertainty in illness among patients with chronic heart failure is less in person-centred care than in usual care
- 2013
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Ingår i: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 12:6, s. 521-528
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Tidskriftsartikel (refereegranskat)abstract
- Background:Many patients with chronic heart failure (CHF) experience uncertainty regarding the treatment and characteristics of their illness. Person-centred care (PCC) emphasizes patient involvement in care. We have previously shown that PCC improved outcomes such as length of hospital stay and activities of daily living in patients with CHF. The impact of PCC on self-reported uncertainty in illness among patients hospitalized for CHF is still unknown.Aim:To evaluate whether PCC is associated with less self-reported uncertainty in illness compared with usual care in patients hospitalized for worsening CHF.Methods:Using a controlled before-and-after design, eligible CHF patients were assigned to either a usual care group or a PCC intervention group. Patient-reported uncertainty in illness was assessed at hospital discharge with the Cardiovascular Population Scale (CPS). The CPS consists of two domains: 1) Ambiguity (about illness severity); and 2) Complexity (of treatment and system of care).Results:Two hundred and forty-eight patients were included in the study; 123 in the usual care group and 125 in the PCC intervention. The PCC group had better scores than the usual care group in the CPS domains complexity (M=15.2, SD=4.7 vs. M=16.8, SD=4.7; p=0.020) and ambiguity (M=27.8, SD=6.6 vs. M=29.8, SD=6.9; p=0.041).Conclusion:Patients with CHF were less uncertain in their illness after PCC, which may help to equip and empower patients to manage their illness. Together with earlier findings of shortened hospital stay and improved activities of daily living, this indicates that PCC should be a standard approach for hospital care of patients with worsening CHF.
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| 23. |
- Ekman, Inger, 1952, et al.
(författare)
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Effects of person-centred care in patients with chronic heart failure: the PCC-HF study
- 2012
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Ingår i: European Heart Journal. - : Oxford University Press (OUP). - 1522-9645 .- 0195-668X. ; 33:9, s. 1112-1119
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Tidskriftsartikel (refereegranskat)abstract
- Aims: Person-centred care (PCC), emphasizes a partnership in care between patients and health care professionals and is advocated by WHO as a key component of quality health care. We evaluated outcomes of PCC in hospitalized patients with chronic heart failure (CHF) with respect to length of hospital stay (LOS), activities of daily living (ADL), health-related quality of life (HRQL) and 6-month readmission rate. Methods and results: During 2008-2010, 248 consecutive patients hospitalized for symptoms of worsening CHF were enrolled in a controlled before and after designed study. A Usual care group (n=123) was recruited according to pre-defined criteria to map usual CHF care and assess outcomes at 5 designated hospital wards. Based on the mapping, a panel of in-house clinicians and researchers developed measures aimed at aligning usual care with basic PCC principles. These measures were incorporated into a study protocol to guide care procedures at the same 5 wards. PCC was then implemented at these wards and evaluated in 125 patients. LOS and 6-month readmission were extracted from patient records. ADL was evaluated at baseline and discharge and HRQL at baseline and after three months. In the analysis of all patients, LOS was reduced by one day (p=0.16) while retaining ADL (p=0.07). When PCC was fully implemented (per protocol analysis), LOS was reduced by 2.5 days (p=0.01) and ADL level better preserved (p=0.04). HRQL and time-to-first readmission did not differ. Conclusions: In this proof-of-concept study, our findings suggest that a fully implemented PCC approach shortens hospital stay and maintains functional performance in patients hospitalized for worsening CHF, without increasing risk for readmission or jeopardizing patients’ HRQL.
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| 24. |
- Ekman, Inger, 1952, et al.
(författare)
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Person-centered care -ready for prime time.
- 2011
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Ingår i: European Journal of Cardiovascular Nursing. - : Sage Publications. - 1474-5151 .- 1873-1953. ; 10:4, s. 248-251
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Tidskriftsartikel (refereegranskat)abstract
- Long-term diseases are today the leading cause of mortality worldwide and are estimated to be the leading cause of disability by 2020. Person-centered care (PCC) has been shown to advance concordance between care provider and patient on treatment plans, improve health outcomes and increase patient satisfaction. Yet, despite these and other documented benefits, there are a variety of significant challenges to putting PCC into clinical practice. Although care providers today broadly acknowledge PCC to be an important part of care, in our experience we must establish routines that initiate, integrate, and safeguard PCC in daily clinical practice to ensure that PCC is systematically and consistently practiced, i.e. not just when we feel we have time for it. In this paper, we propose a few simple routines to facilitate and safeguard the transition to PCC. We believe that if conscientiously and systematically applied, they will help to make PCC the focus and mainstay of care in long-term illness.
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| 25. |
- El Missiry, Mohamed, et al.
(författare)
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Assessment of bone marrow lymphocytic status during tyrosine kinase inhibitor therapy and its relation to therapy response in chronic myeloid leukaemia
- 2016
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Ingår i: Journal of Cancer Research and Clinical Oncology. - : Springer Science and Business Media LLC. - 0171-5216 .- 1432-1335. ; 142:5, s. 1041-1050
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Tidskriftsartikel (refereegranskat)abstract
- Tyrosine kinase inhibitors (TKIs) used in the treatment of chronic myeloid leukaemia have been reported to induce immunomodulatory effects. We aimed to assess peripheral blood (PB) and bone marrow (BM) lymphocyte status at the diagnosis and during different TKI therapies and correlate it with treatment responses. BM and PB samples were acquired from 105 first-line TKI-treated patients. Relative number of BM lymphocytes was evaluated from MGG-stained BM aspirates, and immunophenotypic analyses were performed with multicolour flow cytometry. Early 3-month expansion of BM lymphocytes was found during all different TKIs (imatinib n = 71, 20 %; dasatinib n = 25, 21 %; nilotinib n = 9, 22 %; healthy controls n = 14, 12 %, p < 0.0001). Increased PB lymphocyte count was only observed during dasatinib therapy. The BM lymphocyte expansion was associated with early molecular response; patients with 3-month BCR-ABL1 < 10 % showed higher lymphocyte counts than patients with BCR-ABL1 > 10 % (23 vs. 17 %, p < 0.05). Detailed phenotypic analysis showed that BM lymphocyte expansion consisted of various lymphocyte subclasses, but especially the proportion of CD19+ B cells and CD3negCD16/56+ NK cells increased from diagnostic values. During dasatinib treatment, the lymphocyte balance in both BM and PB was shifted more to cytotoxic direction (increased CD8+CD57+ and CD8+HLA-DR+ cells, and low T regulatory cells), whereas no major immunophenotypic differences were observed between imatinib and nilotinib patients. Early BM lymphocytosis occurs with all current first-line TKIs and is associated with better treatment responses. PB and BM immunoprofile during dasatinib treatment markedly differs from both imatinib- and nilotinib-treated patients.
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| 26. |
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| 27. |
- Emilsson, Sofia, et al.
(författare)
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Experiences from having breast cancer and being part of a support group : Notes written in diaries by women during radiotherapy
- 2012
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Ingår i: Palliative & Supportive Care. - 1478-9515 .- 1478-9523. ; 10:2, s. 99-105
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Tidskriftsartikel (refereegranskat)abstract
- Objective:The purpose of this study was to examine the experiences of breast cancer patients participating in a support group.Method:This study explores 28 stories of women with breast cancer as expressed through written diaries. Diaries were written during a 5-week period in parallel with radiotherapy and participation in a support group in a hospital. Answers to six open-ended evaluative questions concerning the support group were included in the majority of the written diaries. A qualitative content analysis was used to identify themes.Results:Three themes were constructed during the analysis: "positive group development." "Inhibited group development." and "the individual living with the disease." Hopes and fears for the future in regards to illness and getting better, the value of family and friends, and feelings related to daily life with breast cancer such as fatigue and changes in body image were also expressed in the diaries.Significance of results:The findings suggest that the women with breast cancer found it valuable to be able to share experiences with other women in a similar situation in the context of a support group. Being part of such a group provided a space and an opportunity for reflection.
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| 28. |
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| 29. |
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| 30. |
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| 31. |
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| 32. |
- Gonzalez, Henrik, et al.
(författare)
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Intravenous immunoglobulin for post-polio syndrome: a randomised controlled trial
- 2006
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Ingår i: Lancet Neurol. ; 5:6, s. 493-500
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Survivors of poliomyelitis often develop increased or new symptoms decades after the acute infection, known as post-polio syndrome. Production of proinflammatory cytokines within the CNS indicates an underlying inflammatory process, accessible for immunomodulatory treatment. We did a multicentre, randomised, double-blind, placebo-controlled study of intravenous immunoglobulin in post-polio syndrome. METHODS: 142 patients at four university clinics were randomly assigned infusion of either 90 g in total of intravenous immunoglobulin (n=73) or placebo (n=69) during 3 consecutive days, repeated after 3 months. Seven patients were withdrawn from the study. Thus, 135 patients were assessed per protocol. Primary endpoints were muscle strength in a selected study muscle and quality of life as measured with the SF-36 questionnaire (SF-36 PCS). Secondary endpoints were 6-minute walk test (6MWT), timed up and go (TUG), muscle strength in muscles not chosen as the study muscle, physical activity scale of the elderly (PASE), visual analogue scale (VAS) for pain, multidimensional fatigue inventory (MFI-20), balance, and sleep quality. Outcome tests were done immediately before the first infusion and 3 months after the second infusion. This study is registered with , number NCT00160082. FINDINGS: Compared with baseline, median muscle strength differed by 8.3% between patients receiving intravenous immunoglobulin and placebo, in favour of the treatment group (p=0.029). SF-36 PCS did not differ significantly between the groups after treatment (p=0.321). Differences in the subscale vitality score (p=0.042) and PASE (p=0.018) favoured the active treatment group. MFI-20, TUG, muscle strength in the muscles not chosen as the study muscle, 6MWT, balance, and sleep quality did not differ between groups. For the whole study population there was no significant change in pain, as determined by VAS. Nevertheless, patients who reported pain at the study start improved in the intervention group but not in the placebo group (p=0.037). Intravenous immunoglobulin was well tolerated. INTERPRETATION: Intravenous immunoglobulin could be a supportive treatment option for subgroups of patients with post-polio syndrome. Further studies on responding subgroups, long-term effects, and dosing schedules are needed.
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| 33. |
- Hallström, Inger, et al.
(författare)
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Sjuksköterskans roll i smärtbehandling
- 2001
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Ingår i: Smärta hos barn och ungdomar. - 9789144014890 ; , s. 90-90
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 34. |
- Hammer-Olsson, Roy, et al.
(författare)
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Method of purifying potassium hydroxide
- 2007
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Patent (populärvet., debatt m.m.)abstract
- Method of purifying potassium hydroxide comprising (a) providing a solution of saturated potassium hydroxide solution having a temperature in the range from about -25 to about 60 0C (b) controling the temperature of the solution in such a way that the variation in temperature is in a range from about 0 to about 5 °C/h to form crystals of potassium hydroxide (c) separating the crystals from the solution.
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| 35. |
- Hansson, Elisabeth K, 1954, et al.
(författare)
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Person-centred care for patients with chronic heart failure - a cost-utility analysis
- 2016
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Ingår i: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 15:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Costs of care for patients with chronic heart failure have been estimated at between 1% and 2% of the total health care expenditure in Europe and North America. Two-thirds are for inpatient care. Person-centred care (PCC) asserts that patients are persons and should not be reduced to their diseases alone. Aims: The aim of this study was to estimate the cost–utility of PCC when compared with conventional care in patients hospitalized for worsening chronic heart failure. Methods and results: Data for the cost–utility analysis were collected alongside a prospective clinical intervention study with a controlled before and after design from 2008 to 2010. Patient-specific resources used and preference-based health status data were collected at an individual level. Only 63% received PCC as intended illustrating the difficulties of introducing new methods in established organizations. The group intended to have PCC yielded higher costs in comparison with the conventional care group. The incremental cost was estimated as €98. The costs for those who actually received PCC, per protocol (PP) (63%) were significantly (p=0.026) lower than for those in the conventional care group, with an incremental cost-saving of €863. For the first three months, patients in the conventional care group showed decreasing health-related quality of life, with a corresponding improvement in the PCC(PP) group. Conclusion: It must be emphasized, however, that these positive effects, both cheaper and somewhat better, were obtained only among those receiving the PCC intervention in its intended form, PCC(PP).
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| 36. |
- Hedlund, Katarina, et al.
(författare)
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Utmaningar och möjligheter
- 2022
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Ingår i: Markanvändning för en klimatpositiv framtid : En rapport om utmaningar och möjligheter i Skåne - En rapport om utmaningar och möjligheter i Skåne. - 9789198434996 - 9789198434989 ; , s. 48-60
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 37. |
- Hjorth-Hansen, H., et al.
(författare)
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Safety and efficacy of the combination of pegylated interferon-alpha 2b and dasatinib in newly diagnosed chronic-phase chronic myeloid leukemia patients
- 2016
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Ingår i: Leukemia. - : Springer Science and Business Media LLC. - 0887-6924 .- 1476-5551. ; 30:9, s. 1853-1860
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Tidskriftsartikel (refereegranskat)abstract
- Dasatinib (DAS) and interferon-a have antileukemic and immunostimulatory effects and induce deep responses in chronic myeloid leukemia (CML). We assigned 40 newly diagnosed chronic-phase CML patients to receive DAS 100 mg o.d. followed by addition of pegylated interferon-alpha 2b (PegIFN) after 3 months (M3). The starting dose of PegIFN was 15 mu g/week and it increased to 25 mu g/week at M6 until M15. The combination was well tolerated with manageable toxicity. Of the patients, 84% remained on PegIFN at M12 and 91% (DAS) and 73% (PegIFN) of assigned dose was given. Only one patient had a pleural effusion during first year, and three more during the second year. After introduction of PegIFN we observed a steep increase in response rates. Major molecular response was achieved in 10%, 57%, 84% and 89% of patients at M3, M6, M12 and M18, respectively. At M12, MR4 was achieved by 46% and MR4.5 by 27% of patients. No patients progressed to advanced phase. In conclusion, the combination treatment appeared safe with very promising efficacy. A randomized comparison of DAS +/- PegIFN is warranted.
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| 38. |
- Iversen, Aina, et al.
(författare)
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Evidence for transmission between humans and the environment of a nosocomial strain of Enterococcus faecium.
- 2004
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Ingår i: Environ Microbiol. - : Wiley. - 1462-2912. ; 6:1, s. 55-9
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Tidskriftsartikel (refereegranskat)abstract
- An ampicillin- and ciprofloxacin-resistant Enterococcus faecium (ARE) strain, named FMSE1, with a characteristic biochemical phenotype, was in a recent study found to dominate among faecal ARE isolates from patients in several Swedish hospitals. In the present study, the prevalence of this strain among 9676 enterococcal isolates from healthy children, hospital sewage, urban sewage, surface water, slaughtered animals (broilers, pigs and cattle) and pig faeces and manure was investigated. Enterococcal isolates having the same biochemical phenotype as the FMSE1 were most common in samples of hospital sewage (50%), surface water (35%), treated sewage (28%) and untreated sewage (17%), but rare in samples from healthy children (0.8%) and animals (2%). PFGE typing of FMSE1-like isolates from hospital sewage indicated that they were closely related to the nosocomial FMSE1 strain. Thus, this study indicated a possible transmission route for nosocomial E. faecium from patients in hospitals to hospital sewage and urban sewage, and further via treatment plants to surface water and possibly back to humans. This proposed route of circulation of drug-resistant enterococci might be further amplified by antibiotic usage in human medicine. In contrast, such transmission from food animals seems to play a negligible role in Sweden.
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| 39. |
- Jakobsson, Björn, et al.
(författare)
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Rehabilitering i Samverkan En process- och registerstudie av Betagruppens arbete i Kungsbacka kommun
- 2004
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Syftet med föreliggande rapport är att undersöka den fortsatta utvecklingen av arbetsmetoden; systematiserade flerpartssamtal och att studera effekterna av rehabiliteringsarbetet i Betagruppen. Den föregående utvärderingen av Betaprojektet hade en före- och efterdesign och det var inte så lätt att ställa resultaten av utvärderingen i relation till mera �konventionell� handläggning av rehabiliteringsärenden. För att få en uppfattning om effekterna av Betas arbetssätt jämförs i denna studie Betas arbetssätt med effekter av att arbeta mera �konventionellt�. I studien matchas Betagruppen med individer från andra kommuner i närområdet som har en liknande struktur som Kungsbacka kommun. Dessutom görs också en jämförelse med en riksgrupp. För att få fram effekter av de båda arbetssätten används registerstudier och för att få fram kunskaper om Betagruppens utveckling av samverkan mellan rehabiliteringsaktörerna och eventuella förändringar används gruppintervjuer och enkät.
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| 40. |
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| 41. |
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| 42. |
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| 43. |
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| 44. |
- Kim, Sung-Yong, et al.
(författare)
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Mutations in Two Aphid-Regulated β-1, 3-Glucanase Genes by CRISPR/Cas9 Do Not Increase Barley Resistance to Rhopalosiphum padi L
- 2020
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Ingår i: Frontiers in Plant Science. - : Frontiers Media SA. - 1664-462X. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Callose deposition is induced in plants by various stress factors such as when plants are attacked by herbivores and pathogens. In the case of aphids, callose plugging of aphid-damaged phloem sieve tubes is expected to reduce aphid access to the phloem sap, while aphid-induced upregulation of callose-degrading beta-1,3-glucanase genes in the host plant might counteract this negative effect on aphid performance. We have tested this hypothesis with barley mutants in which one or both of two beta-1,3-glucanase genes (1636 and 1639) have been mutated by CRISPR/Cas9 technique in cv. Golden Promise. These two genes were previously found to be upregulated by the cereal pestRhopalosiphum padiL. in susceptible barley genotypes. Four 1636/1639 double mutant, three 1636 single mutant and two 1639 single mutant lines were tested for aphid resistance along with control lines. All mutant lines had single base insertions, causing frame shifts and premature stop codons. Three of the four double mutant lines showed significantly reduced beta-1,3-glucanase activity, and bacterial flagellin-induction resulted in significantly more callose formation in the leaves of double mutant compared to control and single mutant lines. However, we found no effect of these modified plant traits on barley resistance toR. padi. Both genes were confirmed to be upregulated byR. padiin Golden Promise. The gene 1637 is another beta-1,3-glucanase gene known to be upregulated byR. padiin barley and was here found to be higher expressed in a double mutant line when compared with a control line. If this can compensate for the general reduction of beta-1,3-glucanase activity in the double mutants is difficult to discern since phloem concentrations of these proteins are unknown.
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| 45. |
- Landstad, Bodil J, 1965-, et al.
(författare)
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Personal Perspectives on Vocational Rehabilitation in Singapore and Sweden
- 2010
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Ingår i: The Asia Pacific Disability & Rehabilitation Journal. - Bangalore. ; 21:1, s. 3-25
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study is to describe and analyse personal reflections on vocational rehabilitation in Singapore and Sweden as described by employees who have been on sick leave. Further, the study investigates what similarities and differences can be discerned from the accounts provided by the participants in the different countries. Interviews were conducted with five Singaporeans and five Swedes undergoing rehabilitation due to musculoskeletal problems. The most significant result is that more differences than similarities were identified; e.g. the Singaporeans had fewer days of sickness absence, they were diagnosed more swiftly, treatment and the rehabilitation process began earlier and there were no queues for treatment. The conclusion is that the Singaporean system seems to be more effective with respect to returning people to work. However, the Swedish system creates more security for all groups of people.
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| 46. |
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| 47. |
- Lehto, Arja, 1952-, et al.
(författare)
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Jakten på en jämställd myndighet : Process- och måluppfyllelseanalys som utvärderingsmodell
- 2009. - 1:1
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Ingår i: Lärande utvärdering genom följeforskning. - Lund : Studentlitteratur. - 9789144056173 ; , s. 223-243
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- I kapitlet tas utgångspunkt i ett jämställdhetsprojekt som bedrevs inom en myndighet i Sverige. Projektet var ett förändringsarbete som pågick parallellt med en omfattande omorganisation av myndigheten. Jämställdhet skulle integreras i myndighetens organisation och verksamhet. Syftet med kapitlet är att beskriva hur köns- och organisationsforskning kan kombineras med en process- och måluppfyllelseanalysmodell i utvärdering av projekt.
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| 48. |
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| 49. |
- Lehto, Arja, 1952-, et al.
(författare)
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The hunt for an equal authority : Process- and goal achivement analysis as evaluation model
- 2009. - 1:1
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Ingår i: Learning through onging evaluation. - Lund : Studentlitteratur. - 9789144057491 ; , s. 231-252
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- This chapter is based on a gender equality project carried out within a police authority somwhere in Sweden. The project was a change management venture carried out in tandem with a radical re-organisation of the authority. Gender equality was to be integrated into the authority's organisation and activities. The aim is to describe how gender and organisational research have been combined with a process- and goal achivement model in the evaluation.
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| 50. |
- Liliequist, Inger, 1948-, et al.
(författare)
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Natur och kultur - en läng tradition i Västernorrland : KMV i skogen
- 1993
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Ingår i: Kulturmiljövård. - Stockholm : Riksantikvarieämbetet. - 1100-4800. ; :6, s. 47-48
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- I Västernorrlands län finns av tradition ett nära samarbete mellan Skogsvårdsstyrelsen och kulturmiljövården. Sedan 1987 pågår dessutom en revideringsinventering av fornlämningar i länet. Länsstyrelsen räknar därför med en stor genomslagskraft för utbildningskampanjen, vilket i sin tur bl a kommer att leda till ökad aktivitet med inrapportering till länsstyrelsen, vilket i sin tur bidrar till ökad kunskap om fornlämningarna ...
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