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- Alme, Tomas Nordheim, et al.
(författare)
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Chronic fatigue syndromes: real illnesses that people can recover from
- 2023
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Ingår i: Scandinavian Journal of Primary Health Care. - : TAYLOR & FRANCIS LTD. - 0281-3432 .- 1502-7724. ; 41:4, s. 372-376
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Tidskriftsartikel (refereegranskat)abstract
- The Oslo Chronic Fatigue Consortium consists of researchers and clinicians who question the current narrative that chronic fatigue syndromes, including post-covid conditions, are incurable diseases. Instead, we propose an alternative view, based on research, which offers more hope to patients. Whilst we regard the symptoms of these conditions as real, we propose that they are more likely to reflect the brains response to a range of biological, psychological, and social factors, rather than a specific disease process. Possible causes include persistent activation of the neurobiological stress response, accompanied by associated changes in immunological, hormonal, cognitive and behavioural domains. We further propose that the symptoms are more likely to persist if they are perceived as threatening, and all activities that are perceived to worsen them are avoided. We also question the idea that the best way to cope with the illness is by prolonged rest, social isolation, and sensory deprivation.Instead, we propose that recovery is often possible if patients are helped to adopt a less threatening understanding of their symptoms and are supported in a gradual return to normal activities. Finally, we call for a much more open and constructive dialogue about these conditions. This dialogue should include a wider range of views, including those of patients who have recovered from them.
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| 2. |
- Helo, Petri, et al.
(författare)
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Distrubution Center Location Analysis for Nordic Countries by Using Network Optimization Tools
- 2018
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Many supply chain and logistics related location decisions are driven by demand. This paper analyses population densities in Sweden, Finland, Norway and partly Denmark and analyses how a minimum impedance approach would set up the distribution center (DC) locations. For each scenario, travel time maps are generated. Firstly, each country is analyzed separately and 1...5 DC cases are analyzed. Then a merged Nordic area is introduced and a similar approach is used to set up 1…6 DCs. Finally, a sensitivity analysis is conducted to study how the large population of Umeå or Vaasa should be increased in order to make the top five in the Nordic level. The results show distribution centers could be formed in the case of population driven demand products. This also gives insight into how the results can vary when changing perspective from national analysis to Nordic level.
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| 3. |
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| 4. |
- Helo, Petri, et al.
(författare)
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Vägledning för offentliga och privata aktörer vid planering av gränsöverskridande transporter och infrastruktur i Norden
- 2019
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- För att utveckla ett internationellt transportstråk, som Blå vägen TET-E12, krävs prioriteringar, kunskap, finansiering och gränsöverskridande internationell samverkan. På nationell nivå hanteras investeringskalkyler och beslut om åtgärder över nationsgränser mer ad hoc än för projekt som är centralt placerade i nationens nätverk. Det gäller samtliga länder i Norden. Aktörer längs stråk som binder samman gränsregioner har därför en mer komplex situation att hantera än andra regionala aktörer. Behovet att bygga en egen regionalt förankrad kompetens inom transportpolitik, transportekonomi, logistik, planering, fastighetsutveckling och data är här betydande. Vägledningen sammanfattar bl.a. erfarenheter från intervjuer med regionala aktörer som arbetat med olika gränsöverskridande projekt i Norden samt företrädare för nationella myndigheter. BA3NET har här arbetat nära INTERREG Botnia-Atlantica projektet ”E12 Atlantica Transport”.
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| 6. |
- Sandberg Hanssen, Thor-Erik, et al.
(författare)
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Dissimilarities between the national cost/benefit models of road projects : Comparing appraisals in Nordic countries
- 2020
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Ingår i: Transportation research Interdisciplinary Perspectives. - : Elsevier. - 2590-1982. ; 8
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Tidskriftsartikel (refereegranskat)abstract
- The Nordic Council has a vision to create the most integrated region globally by 2030. Nevertheless, Nordic cross-border infrastructure projects are generally developed by each nation individually. Joint Nordic infrastructure planning is thus fragmented. An example of this, as reported herein, is how road projects are assessed by the infrastructure planning authorities in Norway, Sweden, and Finland, the latter to which is included in the comparison for the first time. In each country, cost/benefit analyses (CBAs) are used. In each nation, the monetary values of changes in travel time, accidents, and environmental externalities are estimated. We then apply those values to the three national CBA models to assess an illustrative hypothetical road project. Theoretically, the models should provide similar outcomes when using a common set of parameters. Instead, we show that the choice of national model is crucial to the outcome. The Swedish model, for example, generates a higher cost of travel time than the other models irrespective of the nation from which we choose the parameters. Consequently, CBA-based assessments in the Nordic area depend strongly on the model applied and peculiarities in its coding. Finally, we discuss the policy implications of our findings for appraising national and Nordic projects.
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