| 1. |
|
|
| 2. |
- Johansson, Gerd, et al.
(författare)
-
Hemtjänstpersonalens arbetsmiljö och hälsa i fyra skånska kommuner
- 2021
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- I denna rapport presentas resultaten från en arbetsmiljöenkät som genomförts ihemtjänsten i fyra skånska kommuner (2 landsortskommuner, 1 medelstor stad, 1 storstad). Enkäten syftade till att brett kartlägga hemtjänstpersonalens arbetsmiljö, hälsa och välmående och är en del av det fyraåriga forskningsprojektet ”Att skapa en bättre arbetsmiljö i hemtjänsten - participativt förändringsarbete i praktiken”. Projektet har finansierats av Forskningsrådet för hälsa, arbetsliv och välfärd (FORTE).Totalt svarade 114 personer varav 99 var kvinnor, 14 män och en person som inte angivit kön på enkäten. Andelen av hemtjänstpersonalen som svarade på enkäten var 73%. Personerna svarade på frågor om övergripande arbetssituation inklusive ergonomiska förhållanden och psykosocial arbetsmiljö och om hälsa.De allra flesta (mer än 90%) uppgav att de trivs med sitt arbete och sin arbetsplats. De angav också att stämningen var god, att de kände en gemenskap på arbetsplatsen och upplevde ett stort stöd från sina arbetskamrater, vilket medför att de har möjlighet att få råd och att lära av andra. En majoritet uppgav att de också hade ett gott stöd från närmaste chef. Däremot upplevde de att de ganska sällan fick uppskattning eller belöning för sitt arbete. Det kan också noteras att två tredjedelar av deltagarna kände att de ville arbeta kvar på nuvarande arbetsplats om fem år.Hemtjänstpersonalen lyfter i sina enkätsvar främst fram tre problem i arbetet;bristen på vikarier, att tiden att ägna sig åt varje omsorgstagare är för kort samt att antalet omsorgstagare som varje person ska besöka under en vecka är för stort.Bristen på tid hos omsorgstagarna medför bl.a. att de inte hinner sköta andrakringuppgifter, att tiden att förflytta sig mellan olika omsorgstagare äts upp ochnågon tid för att kunna varva ner finns inte. Möjligen kan denna brist på mikropauser i vardagen bidra till både ökad stress och fysisk belastning.Av samtliga undersökningsdeltagare angav mer än hälften i sina enkätsvar attnuvarande arbete hade gjort deras hälsa något eller mycket sämre. Förekomsten av besvär från muskler och leder var anmärkningsvärt hög jämfört med andra yrkesgrupper och även jämfört med tidigare studier av personal inom hemtjänst. Det var särskilt vanligt med besvär från rygg och armbågar/händer.För bedömning av indikation för utmattning har tre olika instrument använts.Dessa visar att en fjärdedel till en tredjedel av de hemstjänstanställda rapporterarstress och/eller utmattningsreaktioner på en nivå som indikerar risk för utmattningssyndrom eller annan relaterad psykisk ohälsa om deras situation blir långvarig.Sammanfattningsvis anser vi att de positiva sociala aspekterna av arbetsmiljön iform av trivsel på arbetsplatsen, god gemenskap med stöd från både ledning ochkollegor betyder att bilden av hemtjänsten som en oattraktiv arbetsplats inte är entydig. Det finns resurser i organisationen och bland personalen som det går attbygga vidare på.Vad gäller individens fysiska och psykologiska arbetsmiljö ser vi dock ett antalutmaningar i form av hög fysisk belastning och risk för stress och utmattning. Allt detta måste åtgärdas för att öka attraktionen för yrket och minska riskerna för arbetsskador och sjukskrivning. Även om organisatoriska förändringar och användning av tekniska hjälpmedel i vissa fall kan minska problemen så måste det anställas fler personer för att personalen ska kunna ge omsorgstagarna den vård- och omsorg de behöver. För att fler personer ska välja att arbeta inom hemtjänst krävs också förbättrade anställningsförhållanden som tillsvidareanställning, förbättrade löneförmåner, möjlighet till fortbildning, en arbetsmiljö som inte påverkar hälsan negativt och möjlighet att påverka hur arbetet utförs.
|
|
| 3. |
|
|
| 4. |
- Lohmander, Anette, et al.
(författare)
-
Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 4. Speech outcomes in 5-year-olds - velopharyngeal competency and hypernasality
- 2017
-
Ingår i: Journal of Plastic Surgery and Hand Surgery. - : TAYLOR & FRANCIS LTD. - 2000-656X .- 2000-6764. ; 51:1, s. 27-37
-
Tidskriftsartikel (refereegranskat)abstract
- Background and aim: Adequate velopharyngeal function and speech are main goals in the treatment of cleft palate. The objective was to investigate if there were differences in velopharyngeal competency (VPC) and hypernasality at age 5 years in children with unilateral cleft lip and palate (UCLP) operated on with different surgical methods for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy. Design: Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Sweden, Norway, and the UK. Methods: Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with a non-syndromic UCLP. Speech audio and video recordings of 391 children (136 girls, 255 boys) were available and perceptually analysed. The main outcome measures were VPC and hypernasality from blinded assessments. Results: There were no statistically significant differences between the prevalences in the arms in any of the trials. VPC: Trial 1, A: 58%, B: 61%; Trial 2, A: 57%, C: 54%; Trial 3, A: 35%, D: 51%. No hypernasality: Trial 1, A: 54%, B: 44%; Trial 2, A: 47%, C: 51%; Trial 3, A: 34%, D: 49%. Conclusions: No differences were found regarding VPC and hypernasality at age 5 years after different methods for primary palatal repair. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.
|
|
| 5. |
- Persson, Erik, et al.
(författare)
-
Cultural Relict Plants in the Nordic Region
- 2014
-
Ingår i: Sources to the history of gardening : Four interdisciplinary seminars 2010-2013 arranged by the Nordic Network for the Archaeology and Archaeobotany of Gardening - Four interdisciplinary seminars 2010-2013 arranged by the Nordic Network for the Archaeology and Archaeobotany of Gardening. - 9789187117862 ; 2014:25, s. 299-312
-
Bokkapitel (refereegranskat)
|
|
| 6. |
- Persson, Erik, et al.
(författare)
-
What’s in a name? : Exploring the definition of ‘Cultural Relict Plant’
- 2014
-
Ingår i: Sources to the history of gardening : Four Interdisciplinary Seminars 2010–2013 Arranged By the Nordic Network for the Archaeology and Archaeobotany of Gardening (NTAA) - Four Interdisciplinary Seminars 2010–2013 Arranged By the Nordic Network for the Archaeology and Archaeobotany of Gardening (NTAA). - 9789187117862 ; 2014:25, s. 289-298
-
Bokkapitel (refereegranskat)
|
|
| 7. |
- Persson, Johanna, et al.
(författare)
-
A framework for participatory work environment interventions in home care - success factors and some challenges
- 2022
-
Ingår i: BMC Health Services Research. - : Springer Nature. - 1472-6963. ; 22:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background Home care is beset with work environment issues and high staff turnover, while research concerned with interventions to improve the work environment is sparse. Few of the existing interventions apply a participative approach, despite this being associated with more positive outcomes and sustainable change. This paper presents a framework, rooted in action research and action learning, for participatory work environment interventions in home care, and demonstrates how this framework has been implemented in four Swedish home care organizations. Methods The framework has three phases (pre-intervention, intervention planning and intervention implementation) and consists of cycles of action and reflection in three constellations: a group of researchers, a reference group with labour market organization representatives and home care managers, and intervention work groups in the home care organizations. The work was documented and analysed with focus on the realization of the framework and challenges that were met on the way. The interventions were evaluated using a pre-/post-test questionnaire design. Results Parts of the framework were successfully implemented. The pre-intervention phase and the intervention planning phase, with intervention work groups, worked well. All four groups identified one intervention relevant to their own context. However, only two of the proposed interventions were fully implemented and evaluated. The high staff and management turnover, and the high rate of organizational changes made it impossible to evaluate the interventions statistically. Yet, data from open-ended questions in the post questionnaire showed that the two implemented interventions were perceived as successful. Conclusions The participatory framework, presented in this paper, seems promising for work environment interventions in home care. The framework was designed to reduce the risk of known disturbances affecting the process in unstable organizations. Despite this, it proved challenging to execute the framework, and especially the interventions, due to changes happening at high speed. In the two cases where organizational changes were not dominating, the interventions were implemented successfully. While the prerequisites for participation and successful implementation could be improved somewhat, the main issue, the instability of the organizational context, is hard for researchers or the individual home care units to tackle alone.
|
|
| 8. |
- Rydenfält, Christofer, et al.
(författare)
-
Exploring Local Initiatives to Improve the Work Environment : A Qualitative Survey in Swedish Home Care Practice
- 2021
-
Ingår i: Home Health Care Management & Practice. - : SAGE Publications. - 1084-8223 .- 1552-6739. ; 33:3, s. 154-161
-
Tidskriftsartikel (refereegranskat)abstract
- Home care for the elderly constitutes a large and growing part of the social welfare system. Though, home care work is associated with a number of work environment-related challenges, including an increased risk for injuries, musculoskeletal disorders, high levels of sick leave and staff turnover, as well as stress and high workload, research is sparse. The present study explores local initiatives to improve the work environment initiated by the home care organizations themselves, and asks whether or not these initiatives affected gender equality. A qualitative web survey was sent to Swedish home care organizations, with open questions about change initiatives intended to have a positive effect on the work environment. There is an impressive amount of local work environment-related change initiatives going on. 80 categories of change initiatives were identified in answers from 178 units. However, these change initiatives were seldom evaluated or made accessible to stakeholders outside the organization. Main themes were concerned with work organization, digitalization, and planning, which largely follows trends in society (ie, digitalization, teamwork), rather than the actual needs identified by research (eg, musculoskeletal disorders). Despite apparent gender-related challenges, little of the work was associated with gender equality. The results indicates that there is a huge learning potential as the identified initiatives can serve as inspiration for others. However, to fully take advantage of these type of initiatives, more systematic evaluations are required.
|
|
| 9. |
- Semb, Gunvor, et al.
(författare)
-
A Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 1. Planning and management.
- 2017
-
Ingår i: Journal of Plastic Surgery and Hand Surgery. - : Taylor & Francis. - 2000-656X .- 2000-6764. ; 51:1, s. 2-13
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND AIMS: Longstanding uncertainty surrounds the selection of surgical protocols for the closure of unilateral cleft lip and palate, and randomised trials have only rarely been performed. This paper is an introduction to three randomised trials of primary surgery for children born with complete unilateral cleft lip and palate (UCLP). It presents the protocol developed for the trials in CONSORT format, and describes the management structure that was developed to achieve the long-term engagement and commitment required to complete the project.METHOD: Ten established national or regional cleft centres participated. Lip and soft palate closure at 3-4 months, and hard palate closure at 12 months served as a common method in each trial. Trial 1 compared this with hard palate closure at 36 months. Trial 2 compared it with lip closure at 3-4 months and hard and soft palate closure at 12 months. Trial 3 compared it with lip and hard palate closure at 3-4 months and soft palate closure at 12 months. The primary outcomes were speech and dentofacial development, with a series of perioperative and longer-term secondary outcomes.RESULTS: Recruitment of 448 infants took place over a 9-year period, with 99.8% subsequent retention at 5 years.CONCLUSION: The series of reports that follow this introductory paper include comparisons at age 5 of surgical outcomes, speech outcomes, measures of dentofacial development and appearance, and parental satisfaction. The outcomes recorded and the numbers analysed for each outcome and time point are described in the series.TRIAL REGISTRATION: ISRCTN29932826.
|
|
| 10. |
- Willadsen, Elisabeth, et al.
(författare)
-
Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 5. Speech outcomes in 5-year-olds - consonant proficiency and errors
- 2017
-
Ingår i: Journal of Plastic Surgery and Hand Surgery. - : TAYLOR & FRANCIS LTD. - 2000-656X .- 2000-6764. ; 51:1, s. 38-51
-
Tidskriftsartikel (refereegranskat)abstract
- Background and aim: Normal articulation before school start is a main objective in cleft palate treatment. The aim was to investigate if differences exist in consonant proficiency at age 5 years between children with unilateral cleft lip and palate (UCLP) randomised to different surgical protocols for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy. Design: Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Norway, Sweden, and the UK. Methods: Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with non-syndromic UCLP. Speech audio- and video-recordings of 391 children (136 girls and 255 boys) were available and transcribed phonetically. The main outcome measure was Percent Consonants Correct (PCC) from blinded assessments. Results: In Trial 1, arm A showed statistically significant higher PCC scores (82%) than arm B (78%) (p=.045). No significant differences were found between prevalences in Trial 2, A: 79%, C: 82%; or Trial 3, A: 80%, D: 85%. Across all trials, girls achieved better PCC scores, excluding s-errors, than boys (91.0% and 87.5%, respectively) (p=.01). Conclusions: PCC scores were higher in arm A than B in Trial 1, whereas no differences were found between arms in Trials 2 or 3. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.
|
|
| 11. |
- Aden, A S, et al.
(författare)
-
The growth chart - a road to health chart? : Maternal comprehension of the growth chart in two Somali villages
- 1990
-
Ingår i: Paediatric and Perinatal Epidemiology. - : Wiley. - 0269-5022 .- 1365-3016. ; 4:3, s. 340-350
-
Tidskriftsartikel (refereegranskat)abstract
- Growth monitoring is so far not implemented on a large scale in the Somali health services. Available reports indicate that growth faltering is common. However, the use of growth charts as a tool for health education has been questioned. This study examines the ability of 199, predominantly illiterate, rural Somali mothers to understand the growth chart message after an intensive period of growth chart use and education. During a home-based interview the mothers were asked to combine a set of four growth curves with a set of four pictures, showing the corresponding developments of four children. The mothers managed significantly better to interpret the charts than could be expected by chance alone. Maternal age, number of children and literacy did not differ much between those who correctly and incorrectly combined pictures and charts. Almost all mothers recognised the value of the growth chart as being good for the control and promotion of their children's health and/or growth. We conclude that the growth chart may be an applicable and appropriate tool even with illiterate mothers, provided that other prerequisites for successful growth monitoring, e.g. appropriate health services, are available.
|
|
| 12. |
|
|
| 13. |
- Al-Adili, Lina, et al.
(författare)
-
Self‐reported documentation of goals and outcomes of nutrition care : A cross‐sectional survey study of Scandinavian dietitians
- 2023
-
Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 37:2, s. 472-485
-
Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe documentation of goals and outcomes of nutrition care in Electronic Health Records is insufficient making further exploration of this of particular interest. Identifying common features in documentation practice among Scandinavian dietitians might provide information that can support improvement in this area.AimsTo explore the associations between clinical dietitians' self-reported documentation of patients' goals and outcomes and demographic factors, self-reported implementation of the systematic framework the Nutrition Care Process 4th step (NCP) and its associated terminology, and factors associated with the workplace.MethodsData from a cross-sectional study based on a previously tested web-based survey (INIS) disseminated in 2017 to dietitians in Scandinavia (n = 494) was used. Respondents were recruited through e-mail lists, e-newsletters and social media groups for dietitians. Associations between countries regarding the reported documentation of goals and outcomes, implementation levels of the NCP 4th step, demographic information and factors associated with the workplace were measured through Chi-square test. Associations between dependent- and independent variables were measured through logistic regression analysis.ResultsClinically practicing dietitians (n = 347) working in Scandinavia, Sweden (n = 249), Norway (n = 60), Denmark (n = 38), who had completed dietetic education participated. The reported documentation of goals and outcomes from nutrition intervention was highly associated with the reported implementation of NCP 4th step terminology (OR = 5.26; p = 0.009, OR = 3.56; p = 0.003), support from the workplace (OR = 4.0, p < 0.001, OR = 8.89, p < 0.001) and area of practice (OR = 2.02, p = 0.017). Years since completed dietetic training and educational level did not have any significant associations with documentation practice regarding goals and outcomes.ConclusionFindings highlight strong associations between the implementation of the NCP 4th step terminology and the documentation of goals and outcomes. Strategies to support dietitians in using standardized terminology and the development of tools for comprehensive documentation of evaluation of goals and outcome are required.
|
|
| 14. |
- Aleman, J, et al.
(författare)
-
Saving more neonates in hospital : an intervention towards a sustainable reduction in neonatal mortality in a Nicaraguan hospital
- 1998
-
Ingår i: Tropical doctor. - 0049-4755 .- 1758-1133. ; 28:2, s. 88-92
-
Tidskriftsartikel (refereegranskat)abstract
- A process of change was initiated in a Nicaraguan regional hospital in order to achieve a sustainable reduction of early neonatal mortality. A series of organizational, educational and hygienic measures was introduced, involving all staff in antenatal care, delivery care and neonatal care. Neonatal mortality decreased from 56/1000 live births in 1985 to 11/1000 in 1993. A commission of maternal and child health, a weekly perinatal audit, the active involvement of all staff and dedicated work of key individuals, as well as national policy decisions, are considered important determinants of the process. Keeping neonatal mortality in focus through continuous analysis of care routines, and through external exchange of ideas is important in order to sustain improvements and to decrease further the mortality.
|
|
| 15. |
- Alijagic, Andi, 1992-, et al.
(författare)
-
A Novel Nanosafety Approach Using Cell Painting, Metabolomics, and Lipidomics Captures the Cellular and Molecular Phenotypes Induced by the Unintentionally Formed Metal-Based (Nano)Particles
- 2023
-
Ingår i: Cells. - : MDPI. - 2073-4409. ; 12:2
-
Tidskriftsartikel (refereegranskat)abstract
- Additive manufacturing (AM) or industrial 3D printing uses cutting-edge technologies and materials to produce a variety of complex products. However, the effects of the unintentionally emitted AM (nano)particles (AMPs) on human cells following inhalation, require further investigations. The physicochemical characterization of the AMPs, extracted from the filter of a Laser Powder Bed Fusion (L-PBF) 3D printer of iron-based materials, disclosed their complexity, in terms of size, shape, and chemistry. Cell Painting, a high-content screening (HCS) assay, was used to detect the subtle morphological changes elicited by the AMPs at the single cell resolution. The profiling of the cell morphological phenotypes, disclosed prominent concentration-dependent effects on the cytoskeleton, mitochondria, and the membranous structures of the cell. Furthermore, lipidomics confirmed that the AMPs induced the extensive membrane remodeling in the lung epithelial and macrophage co-culture cell model. To further elucidate the biological mechanisms of action, the targeted metabolomics unveiled several inflammation-related metabolites regulating the cell response to the AMP exposure. Overall, the AMP exposure led to the internalization, oxidative stress, cytoskeleton disruption, mitochondrial activation, membrane remodeling, and metabolic reprogramming of the lung epithelial cells and macrophages. We propose the approach of integrating Cell Painting with metabolomics and lipidomics, as an advanced nanosafety methodology, increasing the ability to capture the cellular and molecular phenotypes and the relevant biological mechanisms to the (nano)particle exposure.
|
|
| 16. |
- Andersson, Inger, 1964, et al.
(författare)
-
Health-related quality of life in patients undergoing allogeneic stem cell
- 2009
-
Ingår i: Cancer Nursing. - 0162-220X. ; 32:4
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this prospective study was to describe health-related quality of life (HRQOL) in patients during the first year after stem cell transplantation (SCT) who were undergoing reduced intensive conditioning (RIC) compared with patients undergoing myeloablative conditioning (MAC). Fifty-seven patients (25 for MAC and 32 for RIC) were enrolled in the study. HRQOL was assessed at 6 occasions during the first year after SCT using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and the 19-item treatment-specific module High-Dose Chemotherapy. Both groups reported most symptoms and worst functioning 1 month after SCT, but there were substantial differences. The MAC group deteriorated considerably in 20 symptom scales compared with 8 in the RIC group (score differences <10; P values ranged from .001 to .05). Dry mouth, sore mouth, appetite loss, and change of taste were among the most frequent symptoms in both groups. Thereafter, the functioning improved and the symptom scores decreased and returned to baseline in both groups, except dry mouth, which remained a worse problem for the MAC group. Overall, the RIC group regained health and QOL faster than the MAC group did. However, there were no significant differences in global QOL between the groups 1 year after SCT.
|
|
| 17. |
- Andersson, Inger, 1964, et al.
(författare)
-
Health related quality of life in stem cell transplantation: clinical and psychometric validation of the questionnaire module, High Dose Chemotherapy (HDC-19).
- 2008
-
Ingår i: Acta oncologica (Stockholm, Sweden). - : Informa UK Limited. - 0284-186X .- 1651-226X. ; 47:2, s. 275-85
-
Tidskriftsartikel (refereegranskat)abstract
- The objective of this study was to assess the psychometric properties of the HDC-19, a module questionnaire for assessing symptoms and problems of patients undergoing stem cell transplantation (SCT) following high-dose chemotherapy (HDC). It consists of 19 questions and was developed for use in conjunction with EORTC QLQ-C30. Psychometric evaluations were performed according to guidelines recommended by the EORTC. The principal component analyses suggested that nine of the HDC-19 items could be reduced to four components (sexual functioning, future health perspectives, skin irritations and joint/muscle pain). Multitrait scaling analysis showed that most item-scale correlation coefficients met the standards of convergent (>0.40) and discriminant validity. Test-retest reliability coefficients between assessments at inclusion and admission were high, indicating that perceived health status remained virtually unchanged during this period. As expected, correlations between admission and one month after transplantation were considerably lower. The internal consistency of the multi-item scales was also satisfactory, (Cronbach's alpha 0.59-0.87). Overall, the known-groups comparisons showed smaller differences between designated groups than expected. As expected, changes in the HDC-19 mirrored changes in QLQ-C30 'global quality of life'. These results lend support to the validity of the HDC-19 as a supplementary questionnaire for assessing specific health-related quality of life (HRQOL) issues relevant for SCT patients.
|
|
| 18. |
- Andersson, Inger, 1964, et al.
(författare)
-
Patients' perception of health-related quality of life during the first year after autologous and allogeneic stem cell transplantation.
- 2011
-
Ingår i: European journal of cancer care. - : Hindawi Limited. - 1365-2354 .- 0961-5423. ; 20:3, s. 368-379
-
Tidskriftsartikel (refereegranskat)abstract
- Little attention has been paid to examine health-related quality of life (HRQoL) the first year post-transplant, despite that this period is crucial for returning to normal life and functioning and to prevent delayed psychosocial adjustment. The purpose of the present study was to describe HRQoL after autologous versus allogeneic stem cell transplantations during the first year post-transplant. The allogeneic group was further divided into two groups: allogeneic stem cell transplantation after reduced intensive conditioning and allogeneic stem cell transplantation after myeloablative conditioning. All together 202 patients were enrolled in the study. HRQoL was assessed by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and the treatment-specific module High-Dose Chemotherapy (HDC-19). The questionnaires were filled out at six occasions (from inclusion to 12 months after transplantation). The reduced intensive conditioning group seemed to recover in the same way as the autologous group and these two groups were closer in their scoring compared with the myeloablative conditioning group. One month after the transplantation there were no significant differences in change scores between the autologous and reduced intensive conditioning group, and 1 year after the transplantation levels of symptoms and functioning were back to baseline or better. The myeloablative conditioning group, who perceived more symptoms and lower levels of functioning during the whole period, was still impaired in 10 out of 29 scales 1 year after the transplantation and no significant improvements compared with baseline were observed for this group.
|
|
| 19. |
|
|
| 20. |
- Angerås, Oskar, 1976, et al.
(författare)
-
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
-
Ingår i: Journal of the American Heart Association. - : John Wiley & Sons. - 2047-9980. ; 7:1
-
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.
|
|
| 21. |
|
|
| 22. |
|
|
| 23. |
- Arvidsson, Inger, et al.
(författare)
-
Burnout among school teachers : quantitative and qualitative results from a follow-up study in southern Sweden
- 2019
-
Ingår i: BMC Public Health. - : BioMed Central. - 1471-2458. ; 19
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Teachers are at high risk of stress-related disorders. This longitudinal study aimed to (a) identify which occupational, sociodemographic and life-style factors and self-efficacy at baseline that were of importance for burnout, (b) explore associations between changes in the studied factors versus changes in burnout, and (c) by interviews increase the understanding of perceived job demands among teachers.Methods: A cohort of 310 Swedish teachers in school-years 4–9 responded to a questionnaire of occupational, sociodemographic and life-style factors, self-efficacy and burnout, at baseline and at follow-up (mean 30 months later). A combined measure with four levels of burnout was crafted, based on exhaustion, cynicism and professional efficacy (Maslach Burnout Inventory-General Survey). Quantitative data were analysed with multiple ordinal regression, and qualitative data were analysed with content analysis of interview responses from a subgroup of the teachers (n = 81).Results: The occurrence of high burnout (level 2 and 3 combined) were similar at baseline and follow-up (14% vs. 15%). However, many teachers fluctuated between the levels of burnout (28% increased and 24% decreased). Burnout at baseline was of importance for change of work or being off duty at follow up. In the multi-exposure model, low self-efficacy [OR 0.42; CI 0.26–0.68] and high job demands [OR 1.97; CI 1.02–3.8] were the strongest explanatory variables. Low self-efficacy remained as the strongest explanatory factor after adjustment for burnout at baseline. Increased job demands during follow-up was associated with an increased level of burnout [OR 3.41; CI 1.73–6.69], whereas increased decision latitude was associated with a decreased level of burnout [OR 0.51; CI 0.30–0.87]. Two major categories of demands emerged in the qualitative analysis; i.e. too high workload and a sense of inadequacy.Conclusions: A substantial proportion of teachers showed signs of burnout at both occasions. Low self-efficacy and high job demands was of importance for burnout, and changes in burnout was further associated with changes in decision latitude. The results points to the need of actions on individual, organizational and a societal levels.
|
|
| 24. |
- Arvidsson, Inger, et al.
(författare)
-
Burnout among Swedish school teachers - a cross-sectional analysis
- 2016
-
Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 16:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Teachers are at high risk of stress-related disorders. This study aimed to examine the occurrence of burnout in a sample of Swedish school-teachers, to test a combined measure of three burnout dimensions on the individual level, to characterize associations between burnout and factors encountered during work and leisure time, and to explore any differences between the genders. Methods: A questionnaire of occupational, sociodemographic and life-style factors was answered by 490 teachers in school years 4-9. Outcome measures were (a) the single burnout dimensions of exhaustion, cynicism and professional efficacy (Maslach Burnout Inventory-General Survey), and (b) a combined measure based on high or low values in the three dimensions. The combined measure was used to stratify the study population into four levels (0-3) of burnout. Multivariable Poisson regression was applied on level 2 + 3 vs. level 0 + 1, for variables that we considered as relevant risk factors for burn out. Results: Half of the teachers reported low values in all three dimensions (level 0), whereas 15 were classified as having high burnout in at least two out of the three dimensions (level 2 + 3), and 4 % in all three dimensions (level 3). Almost all psychosocial factors were incrementally more unfavourably reported through the rising levels of burnout, and so were dissatisfaction with the computer workstation, pain, sleep problems and lack of personal recovery. There was no association between gender and rising levels of overall burnout (p > 0.30). Low self-efficacy, poor leadership, high job demands and teaching in higher grades were the variables most clearly associated with burnout in multivariable Poisson regression. Conclusions: Even if circa 50 % of the teachers appear do well with respect to burnout, the results points to the need of implementing multifaceted countermeasures that may serve to reduce burnout.
|
|
| 25. |
- Arvidsson, Inger, et al.
(författare)
-
Should I Stay or Should I Go? : Associations between Occupational Factors, Signs of Exhaustion, and the Intention to Change Workplace among Swedish Principals
- 2023
-
Ingår i: Sustainable Healthy Working Life for All Ages. - : MDPI Books. ; , s. 139-158
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- A high turnover among principals may disrupt the continuity of leadership and negativelyaffect teachers and, by extension, the students. The aim was to investigate to what extent variouswork environment factors and signs of exhaustion were associated with reported intentions tochange workplace among principals working in compulsory schools. A web-based questionnaire wasadministered twice, in 2018 and in 2019. Part I of the study involved cross-sectional analyses of theassociations 2018 (n = 984) and 2019 (n = 884) between occupational factors, signs of exhaustion, andthe intention to change workplace, using Generalized Estimating Equations models. Part II involved631 principals who participated in both surveys. The patterns of intended and actual changes ofworkplace across two years were described, together with associated changes of occupational factorsand signs of exhaustion. Supportive management was associated with an intention to stay, whiledemanding role conflicts and the feeling of being squeezed between management and co-workers(buffer-function) were associated with the intention to change workplace. The principals whointended to change their workplace reported more signs of exhaustion. To increase retention amongprincipals, systematic efforts are probably needed at the national, municipal, and local level, in orderto improve their working conditions
|
|
| 26. |
- Arvidsson, Inger, et al.
(författare)
-
Should I stay or should I go? Associations between occupational factors, signs of exhaustion and the intention to change workplace among swedish principals
- 2021
-
Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 18:10, s. 1-20
-
Tidskriftsartikel (refereegranskat)abstract
- A high turnover among principals may disrupt the continuity of leadership and negatively affect teachers and, by extension, the students. The aim was to investigate to what extent various work environment factors and signs of exhaustion were associated with reported intentions to change workplace among principals working in compulsory schools. A web-based questionnaire was administered twice, in 2018 and in 2019. Part I of the study involved cross-sectional analyses of the associations 2018 (n = 984) and 2019 (n = 884) between occupational factors, signs of exhaustion, and the intention to change workplace, using Generalized Estimating Equations models. Part II involved 631 principals who participated in both surveys. The patterns of intended and actual changes of workplace across two years were described, together with associated changes of occupational factors and signs of exhaustion. Supportive management was associated with an intention to stay, while demanding role conflicts and the feeling of being squeezed between management and co-workers (buffer-function) were associated with the intention to change workplace. The principals who intended to change their workplace reported more signs of exhaustion. To increase retention among principals, systematic efforts are probably needed at the national, municipal, and local level, in order to improve their working conditions.
|
|
| 27. |
- Arvidsson, Inger, et al.
(författare)
-
Should I stay or should I go? Associations between occupational factors, signs of exhaustion and the intention to change workplace among swedish principals
- 2021
-
Ingår i: International Journal of Environmental Research and Public Health. - : MDPI Multidisciplinary Digital Publishing Institute. - 1661-7827 .- 1660-4601. ; 18:10, s. 1-20
-
Tidskriftsartikel (refereegranskat)abstract
- A high turnover among principals may disrupt the continuity of leadership and negatively affect teachers and, by extension, the students. The aim was to investigate to what extent various work environment factors and signs of exhaustion were associated with reported intentions to change workplace among principals working in compulsory schools. A web-based questionnaire was administered twice, in 2018 and in 2019. Part I of the study involved cross-sectional analyses of the associations 2018 (n = 984) and 2019 (n = 884) between occupational factors, signs of exhaustion, and the intention to change workplace, using Generalized Estimating Equations models. Part II involved 631 principals who participated in both surveys. The patterns of intended and actual changes of workplace across two years were described, together with associated changes of occupational factors and signs of exhaustion. Supportive management was associated with an intention to stay, while demanding role conflicts and the feeling of being squeezed between management and co-workers (buffer-function) were associated with the intention to change workplace. The principals who intended to change their workplace reported more signs of exhaustion. To increase retention among principals, systematic efforts are probably needed at the national, municipal, and local level, in order to improve their working conditions.
|
|
| 28. |
- Atapour, Masoud, et al.
(författare)
-
Corrosion of Binder Jetting Additively Manufactured 316L Stainless Steel of Different Surface Finish
- 2020
-
Ingår i: Journal of the Electrochemical Society. - : The Electrochemical Society. - 0013-4651 .- 1945-7111. ; 167:13
-
Tidskriftsartikel (refereegranskat)abstract
- One technique of additive manufacturing is the binder-jetting technique that has the advantages of low costs, printing at room temperature and in air, and no need of a support structure. The aim of this study was to investigate the corrosion behavior of printed 316L surfaces with and without different post surface treatments of blasting and superfinishing. Comparative studies were performed on abraded wrought 316L. Surface topography, porosity, surface oxide composition, and electrochemical characteristics, including pitting corrosion, were investigated at room temperature as a function of post surface treatments in diluted hydrochloric acid at pH 1.5. The blasting and superfinishing treatment significantly reduced the surface roughness and level of surface porosity. Blasting detrimentally affected on the pitting corrosion resistance. The superfinishing process induced an enrichment of chromium in the surface oxide and improved the pitting corrosion resistance. All surfaces revealed slightly reduced susceptibility to pit initiation and metastable pitting as compared to wrought 316L, possibly explained by the absence of inclusions. Once pitting propagation was induced, repassivation was hindered for all surfaces compared with the wrought surface. The pitting corrosion resistance of the as-superfinished 316L was improved compared with wrought 316L.
|
|
| 29. |
- Barse Persson, Gunilla, et al.
(författare)
-
Hjälpmedel - en del av stöd i boendet för personer med psykiska funktionshinder : Uppföljning av studiebesök hos HumanTeknik
- 2007
-
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.
|
|
| 30. |
|
|
| 31. |
- Benzein, Eva, 1951-, et al.
(författare)
-
Metoder inom familjecentrerad forskning
- 2017. - 2
-
Ingår i: Att möta familjer inom vård och omsorg. - Lund : Studentlitteratur AB. - 9789144115870 ; , s. 107-122
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
| 32. |
- Bergh, Anne-Louise, et al.
(författare)
-
Nurses’ Patient Education Questionnaire : development and validation process
- 2015
-
Ingår i: Journal of Research in Nursing. - : Sage Publications Ltd.. - 1744-9871 .- 1744-988X. ; 20:3, s. 181-200
-
Tidskriftsartikel (refereegranskat)abstract
- Abstract Conditions for nurses’ daily patient education work are unclear and require clarification. The aim was to develop and validate the Nurses’ Patient Education Questionnaire, a questionnaire that assesses nurses’ perceptions of appropriate conditions for patient education work: what nurses say they actually do and what they think about what they do. The questionnaire was developed from a literature review, resulting in the development of five domains. This was followed by ‘cognitive interviewing’ with 14 nurses and dialogue with 5 pedagogical experts. The five domains were identified as significant for assessing nurses’ beliefs and knowledge; education environment; health care organisation; interdisciplinary cooperation and collegial teamwork; and patient education activities. A content validity index was used for agreement of relevance and consensus of items by nurses (n¼10). The total number of items in the final questionnaire is 60, consisting of demographic items, what nurses report they do and perceptions about patient education in daily work. The questionnaire can be used by managers and nurses to identify possibilities and barriers to patient education in different care contexts.
|
|
| 33. |
- Berndtsson, Inger, 1957, et al.
(författare)
-
Specialpedagogik. Temaintroduktion
- 2007
-
Ingår i: Pedagogisk Forskning i Sverige. - : Göteborg : Institutionen för pedagogik och didaktik, Göteborgs universitet. - 1401-6788 .- 2001-3345. ; 12:2, s. 81-83
-
Tidskriftsartikel (refereegranskat)
|
|
| 34. |
|
|
| 35. |
|
|
| 36. |
|
|
| 37. |
|
|
| 38. |
- Boström, Eva, et al.
(författare)
-
Clinical challenges and ongoing role changes for primary health-care nurses
- 2012
-
Ingår i: British Journal of Community Nursing. - : Mark Allen Group. - 1462-4753 .- 2052-2215. ; 17:2, s. 68-74
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate the perceptions of primary health-care nurses (PHNs) about clinical demands and future challenges.METHOD: Qualitative content-analysis of open questions from a questionnaire. A total of 121 PHNs from health-care districts in northern Sweden filled in a questionnaire during a mandatory educational day.RESULTS: Key issues that were raised included: defending the specific professional role of the PHNs; strengthening their self-governance and authority; and ensuring adequate care in the future through education that focuses more on nursing practice than on academic work.CONCLUSION: To ensure that the role of the PHN continues to develop, it is necessary to enable them to articulate, discuss, and evaluate their profession and to learn, in concrete forms, how to implement science in clinical practice.
|
|
| 39. |
- Brechter, Anna Bernhold, et al.
(författare)
-
Kinin B1 and B2 receptor expression in osteoblasts and fibroblasts is enhanced by interleukin-1 and tumour necrosis factor-alpha. Effects dependent on activation of NF-kappaB and MAP kinases.
- 2008
-
Ingår i: Bone. - : Elsevier BV. - 8756-3282 .- 1873-2763. ; 43:1, s. 72-83
-
Tidskriftsartikel (refereegranskat)abstract
- Pro-inflammatory mediators formed by the kallikrein-kinin system can stimulate bone resorption and synergistically potentiate bone resorption induced by IL-1 and TNF-alpha. We have shown that the effect is associated with synergistically enhanced RANKL expression and enhanced prostaglandin biosynthesis, due to increased cyclooxygenase-2 expression. In the present study, the effects of osteotropic cytokines and different kinins on the expression of receptor subtypes for bradykinin (BK), des-Arg10-Lys-BK (DALBK), IL-1beta and TNF-alpha have been investigated. IL-1beta and TNF-alpha enhanced kinin B1 and B2 receptor binding in the human osteoblastic cell line MG-63 and the mRNA expression of B1 and B2 receptors in MG-63 cells, human gingival fibroblasts and intact mouse calvarial bones. Kinins did not affect mRNA expression of IL-1 or TNF receptors. EMSA showed that IL-1beta and TNF-alpha activated NF-kappaB and AP-1 in MG-63 cells. IL-1beta stimulated NF-kappaB via a non-canonical pathway (p52/p65) and TNF-alpha via the canonical pathway (p50/p65). Activation of AP-1 involved c-Jun in both IL-1beta and TNF-alpha stimulated cells, but c-Fos only in TNF-alpha stimulated cells. Phospho-ELISA and Western blots showed that IL-1beta activated JNK and p38, but not ERK 1/2 MAP kinase. Pharmacological inhibitors showed that NF-kappaB, p38 and JNK were important for IL-1beta induced stimulation of B1 receptors, and NF-kappaB and p38 for B2 receptors. p38 and JNK were important for TNF-alpha induced stimulation of B1 receptors, whereas NF-kappaB, p38 and JNK were involved in TNF-alpha induced expression of B2 receptors. These data show that IL-1beta and TNF-alpha upregulate B1 and B2 receptor expression by mechanisms involving activation of both NF-kappaB and MAP kinase pathways, but that signal transduction pathways are different for IL-1beta and TNF-alpha. The enhanced kinin receptor expression induced by the pro-inflammatory cytokines IL-1beta and TNF-alpha might be one important mechanism involved in the synergistic enhancement of prostaglandin formation caused by co-treatment with kinins and one of the two cytokines. These mechanisms might help to explain the enhanced bone resorption associated with inflammatory disorders, including periodontitis and rheumatoid arthritis.
|
|
| 40. |
- Brännström, Inger, 1945-, et al.
(författare)
-
Changing social patterns of risk factors for cardiovascular disease in a Swedish community intervention programme
- 1993
-
Ingår i: International Journal of Epidemiology. - : Oxford University Press. - 0300-5771 .- 1464-3685. ; 22:6, s. 1026-1037
-
Tidskriftsartikel (refereegranskat)abstract
- Since 1985 a small-scale community-based cardiovascular disease (CVD) preventive programme has been in operation in an inland municipality, Norsjö, in Northern Sweden. The aim of this study was to assess the development of the relationship between social position and CVD risk factors in repeated cross-sectional surveys (1985-1990) among all men and women aged 30, 40, 50 and 60 years in the study area, using an age-stratified random sample from the Northern Sweden MONICA Study of 1986 and 1990 as reference population. These multiple cross-sectional surveys comprised a self-administered questionnaire and a health examination. Of the study population 95% (n = 1499) and 80% of those in the reference area (n = 3208) participated. Subjects were classified with regard to demographic, structural and social characteristics in relation to CVD risk factors and self-reported health status. Time trends in classical risk factor occurrence were assessed in terms of age- and sex- adjusted odds ratios using Mantel-Haenszel procedures. When simultaneously adjusting for several potential confounders we used a logistic regression analysis. Initially, more than half of the study population, both males and females, had and elevated (> or = 6.5 mmol/l) serum cholesterol level. After adjustments had been made for age and social factors it was found that the relative risk of hypercholesterolaemia dropped substantially and significantly among both sexes during the 6 years of CVD intervention in the study area. However, the probability of being a smoker was significantly reduced only in highly educated groups. Among other risk factors no single statistically significant change over time could be found. In the reference area there were no changes over time for the selected CVD risk factors. People in the study area had a less favourable perception of their health than those in the reference area. Social differences were found when perceived good health was measured, especially in variables indicating emotional and social support. When sex, age and social factors had been accounted for there was not clear change over the years in perceived good health.
|
|
| 41. |
- Brännström, Inger, 1945-
(författare)
-
Community participation and social patterning in cardiovascular disease intervention
- 1993
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This study addresses health policy and public health in the field of cardiovascular disease (CVD) on the local level in Sweden. The overall aim is to contribute to the assessment of structural and social conditions within public health by analysing participation processes and outcome patterns in a local health programme. The northern Swedish MONICA study served as a reference area. The research strategy has been to integrate quantitative and qualitative methodologies and, thereby, focus on different aspects of the health programme under study.The mortality rate was excessive in the study area of Norsjö relative to both provincial and national figures over a period of more than 10 years. This finding formed the basis for a tenyear comprehensive and community-based health programme towards the prevention of CVD and diabetes.Even in this seemingly homogeneous area it was found that socio-economic circumstances were associated with the public health. Almost half of the study population had hypercholesterolaemia (;>6.5 mmol/1), 19% of men and 25% of women were smokers and 30% and 29%, respectively, had high blood pressure. Age had a strong impact on all outcome measures. After adjustments for age and social factors it was found that the relative risk of having hypercholesterolaemia dropped significantly in both sexes during the six years of intervention. The probability of being a smoker was significantly reduced only in highly educated groups. No statistically significant change over time could be found for the risk of suffering high blood pressure. In the reference area of northern Sweden there were no changes over time for any of the selected risk factors. The likelihood of self-assessed good health decreased with increasing risk factor load, with the exception of hypercholesterolaemia , in all social strata.The authorities, including the health and medical staff, were the main actors on the mediastage. Men in manual occupations were least affected by the media coverage. The actors and the public as well as the media viewed the health programme as orientated towards individual lifestyles. Community participation was mainly defined by the actors based on the medical and health planning approach. Differences in interpretations, social interests, personal conflicts and ideological constraints among the actors at local level were observed. Some critical attitudes towards the organization and management of the health programme were also noted among the citizens. However, a majority of the public wanted the health programme to continue. The present study underlines the importance of considering age, gender and social differences in the planning and evaluation of CVD preventive programmes.
|
|
| 42. |
- Brännström, Inger, 1945-, et al.
(författare)
-
Gender and social patterning of health : the Norsjö cardiovascular preventive programme in northern Sweden 1985-1990
- 1994
-
Ingår i: Scandinavian Journal of Primary Health Care. - : Informa Plc.. - 0281-3432 .- 1502-7724. ; 12:3, s. 155-161
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To assess the extent to which the impact of social stratification on cardiovascular disease (CVD) risk factors was different among men and women.DESIGN: Pooled data from six (1985-90) cross-sectional health surveys.SETTING: The intervention area is an inland municipality, Norsjö, in northern Sweden with a population of 5,300 inhabitants.MAIN OUTCOME MEASURES: Smoking, high blood pressure, hypercholesterolaemia, and perceived health status.RESULTS: Almost half of the study population had hypercholesterolaemia (> or = 6.5 mmol/l), 19% of men and 25% of women were smokers, and 30% and 29%, respectively, had hypertension. Age had a strong impact on all outcome measures. Social factors were associated with smoking in women and with hypercholesterolaemia in men. There were no sex differences in perceived good health. The likelihood of self-assessed good health decreased with increasing risk factor load, with the exception of hypercholesterolaemia, in all social strata.CONCLUSION: The present study implies the importance of considering age, gender, and social differences in intervention and evaluation of CVD preventive programmes. The study also demonstrate that self-defined health contains important information on cardiovascular risk profile.
|
|
| 43. |
- Brännström, Inger, 1945-, et al.
(författare)
-
Towards a framework for outcome assessment of health intervention : Conceptual and methodological considerations
- 1994
-
Ingår i: European Journal of Public Health. - : Oxford University Press. - 1101-1262 .- 1464-360X. ; 4:2, s. 125-130
-
Tidskriftsartikel (refereegranskat)abstract
- We provide a framework for assessing the outcome of community-based intervention programmes for the promotion of cardiovascular health at local level. Particular attention is therefore given to conceptual components connected with community participation in health programmes and to methodological approaches in the evaluation of cardiovascular disease (CVD)-prevention programmes. In a search of the literature covering more than 20 years (1966–1988) in 2 databases (MEDLINE and SOCA), we found that the concepts of ‘community participation’ and ‘community involvement’ have mainly been used during the latter half of the study period. The concepts were often used interchangeably and with no statement as to their precise meanings. The methodological examination of 2 well-known community-based CVO-preventive programmes revealed that most of the scientific papers from these programmes dealt with health behavioural and/or medical effects. The suggested framework presented in this study is designed as a longitudinal process analysis focusing on critical key steps along the path from input to output. The suggested research strategy is problem-orientated, inter-disciplinary and based on a multi-method approach.
|
|
| 44. |
|
|
| 45. |
- Bulow, Pia, et al.
(författare)
-
Delaktighet i och genom samtal inom vård, omsorg och socialt arbete
- 2012. - 1
-
Ingår i: Delaktighetens praktik. - Malmö : Gleerups Utbildning AB. - 9789140677303 ; , s. 7-17
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Delaktighet och kommunikation är centrala ideal inom vård, omsorg och socialt arbete. Men vad innebär delaktighet i praktiken och hur kan teorier om delaktighet och professionella samtal förstås i olika praktiska sammanhang? Med utgångspunkt i svensk och internationell forskning ger den här boken en djupare inblick i villkor och möjligheter för professionella samtal. I ett tvärvetenskapligt perspektiv på kommunikation presenteras exempel från nya studier på vad delaktighet innebär inom en rad miljöer: nödsamtal, akut- och specialistsjukvård, äldreomsorg, biståndsbedömning, arbetsrelaterad rehabilitering och vårdutbildning. Boken passar väl för utbildningar till sjuksköterska, socionom, arbetsterapeut, sjukgymnast och läkare. I boken beskrivs även olika metoder för datainsamling och analys av data. Det innebär att boken med fördel kan knytas till metodundervisning och examensarbete på avancerad nivå.
|
|
| 46. |
- Cousins, Sara, et al.
(författare)
-
I nattviolens hage
- 2008
-
Ingår i: Olsson, R. (red), Mångfaldsmarker. - Uppsala : Centrum för biologisk mångfald. - 9789189232297 ; , s. 9-28
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- I en svensk naturbetesmark kan man hitta över 40 växtarter inom en enda kvadratmeter. Det är världsrekord. En stor del av de arter som finns i betesmarkerna förekommer inte i andra naturtyper. Idag återstår inte mer än en tiondel av den areal naturbetesmarker som fanns i Sverige för drygt 100 år sedan. Igenväxningen hotar inte bara en lång rad arter. Också stora kulturhistoriska värden och vårt vackra, variationsrika odlingslandskap står på spel. Fortsatt hävd förutsätter att det finns en levande landsbygd med bärkraftiga jordbruksföretag.
|
|
| 47. |
- Cousins, Sara, et al.
(författare)
-
I nattviolens hage
- 2008
-
Ingår i: Olsson, R. (red), Mångfaldsmarker. - Uppsala : Centrum för biologisk mångfald. ; , s. 9-28
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- I en svensk naturbetesmark kan man hitta över 40 växtarter inom en enda kvadratmeter. Det är världsrekord. En stor del av de arter som finns i betesmarkerna förekommer inte i andra naturtyper. Idag återstår inte mer än en tiondel av den areal naturbetesmarker som fanns i Sverige för drygt 100 år sedan. Igenväxningen hotar inte bara en lång rad arter. Också stora kulturhistoriska värden och vårt vackra, variationsrika odlingslandskap står på spel. Fortsatt hävd förutsätter att det finns en levande landsbygd med bärkraftiga jordbruksföretag.
|
|
| 48. |
-
Delaktighetens praktik : det professionella samtalets villkor och möjligheter
- 2012. - 1
-
Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Delaktighet och kommunikation är centrala ideal inom vård, omsorg och socialt arbete. Men vad innebär delaktighet i praktiken och hur kan teorier om delaktighet och professionella samtal förstås i olika praktiska sammanhang? Med utgångspunkt i svensk och internationell forskning ger den här boken en djupare inblick i villkor och möjligheter för professionella samtal. I ett tvärvetenskapligt perspektiv på kommunikation presenteras exempel från nya studier på vad delaktighet innebär inom en rad miljöer: nödsamtal, akut- och specialistsjukvård, äldreomsorg, biståndsbedömning, arbetsrelaterad rehabilitering och vårdutbildning. Boken passar väl för utbildningar till sjuksköterska, socionom, arbetsterapeut, sjukgymnast och läkare. I boken beskrivs även olika metoder för datainsamling och analys av data. Det innebär att boken med fördel kan knytas till metodundervisning och examensarbete på avancerad nivå.
|
|
| 49. |
- Donohue, Shane, et al.
(författare)
-
The Use of Geophysics for Sensitive Clay Investigations
- 2014
-
Ingår i: Landslides in Sensitive Clays. - Dordrecht : Springer Netherlands. ; , s. 159-178
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Marine clay deposits in coastal, post-submarine areas of Scandinavia and North America may be subjected to quick clay landslides and hence significant efforts are being taken to map their occurrence and extent. Recently, considerable efforts by a number of researchers have been made to investigate areas of sensitive clay using a range of geophysical techniques. Although the majority of this work has focussed on measurements of electrical resistivity, other electromagnetic and seismic geophysical techniques have also received attention in the literature. The purpose of this paper is to review recent research concerning the effectiveness of a number of geophysical techniques for investigating sensitive clays. In addition to discussing a number of case studies, this review will also consider recent work showing the correlation of geophysical measurements, and in particular electrical resistivity, with a range of relevant engineering properties.
|
|
| 50. |
|
|
