| 1. |
- Oredsson, Sven, et al.
(författare)
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A systematic review of triage-related interventions to improve patient flow in emergency departments
- 2011
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Ingår i: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. - London : Springer Science and Business Media LLC. - 1757-7241. ; 19, s. 43-
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Forskningsöversikt (refereegranskat)abstract
- Background: Overcrowding in emergency departments is a worldwide problem. A systematic literature review was undertaken to scientifically explore which interventions improve patient flow in emergency departments. Methods: A systematic literature search for flow processes in emergency departments was followed by assessment of relevance and methodological quality of each individual study fulfilling the inclusion criteria. Studies were excluded if they did not present data on waiting time, length of stay, patients leaving the emergency department without being seen or other flow parameters based on a nonselected material of patients. Only studies with a control group, either in a randomized controlled trial or in an observational study with historical controls, were included. For each intervention, the level of scientific evidence was rated according to the GRADE system, launched by a WHO-supported working group. Results: The interventions were grouped into streaming, fast track, team triage, point-of-care testing (performing laboratory analysis in the emergency department), and nurse-requested x-ray. Thirty-three studies, including over 800,000 patients in total, were included. Scientific evidence on the effect of fast track on waiting time, length of stay, and left without being seen was moderately strong. The effect of team triage on left without being seen was relatively strong, but the evidence for all other interventions was limited or insufficient. Conclusions: Introducing fast track for patients with less severe symptoms results in shorter waiting time, shorter length of stay, and fewer patients leaving without being seen. Team triage, with a physician in the team, will probably result in shorter waiting time and shorter length of stay and most likely in fewer patients leaving without being seen. There is only limited scientific evidence that streaming of patients into different tracks, performing laboratory analysis in the emergency department or having nurses to request certain x-rays results in shorter waiting time and length of stay.
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| 2. |
- Mosing, Miriam A, et al.
(författare)
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Genetic and environmental influences on the relationship between flow proneness, locus of control and behavioral inhibition
- 2012
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Ingår i: PLOS ONE. - : Public library of science. - 1932-6203. ; 7:11, s. e47958-
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Tidskriftsartikel (refereegranskat)abstract
- Flow is a psychological state of high but subjectively effortless attention that typically occurs during active performance of challenging tasks and is accompanied by a sense of automaticity, high control, low self-awareness, and enjoyment. Flow proneness is associated with traits and behaviors related to low neuroticism such as emotional stability, conscientiousness, active coping, self-esteem and life satisfaction. Little is known about the genetic architecture of flow proneness, behavioral inhibition and locus of control - traits also associated with neuroticism - and their interrelation. Here, we hypothesized that individuals low in behavioral inhibition and with an internal locus of control would be more likely to experience flow and explored the genetic and environmental architecture of the relationship between the three variables. Behavioral inhibition and locus of control was measured in a large population sample of 3,375 full twin pairs and 4,527 single twins, about 26% of whom also scored the flow proneness questionnaire. Findings revealed significant but relatively low correlations between the three traits and moderate heritability estimates of .41, .45, and .30 for flow proneness, behavioral inhibition, and locus of control, respectively, with some indication of non-additive genetic influences. For behavioral inhibition we found significant sex differences in heritability, with females showing a higher estimate including significant non-additive genetic influences, while in males the entire heritability was due to additive genetic variance. We also found a mainly genetically mediated relationship between the three traits, suggesting that individuals who are genetically predisposed to experience flow, show less behavioral inhibition (less anxious) and feel that they are in control of their own destiny (internal locus of control). We discuss that some of the genes underlying this relationship may include those influencing the function of dopaminergic neural systems.
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| 3. |
- Gentile, Michael, et al.
(författare)
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Housing allocation under socialism : the Soviet case revisited
- 2013
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Ingår i: Post-Soviet Affairs. - : Taylor & Francis (Routledge): SSH Titles. - 1060-586X .- 1938-2855. ; 29:2, s. 173-195
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Tidskriftsartikel (refereegranskat)abstract
- Social or public housing is an important component of the housing supply in most European countries. Nowhere, however, has the notion of social housing been taken as far as in the countries that formerly were ruled by socialist regimes, most notably the Soviet Union. For this reason, it may be argued that the development of theorizations on housing has much to learn from this large but inconclusively studied example. One of the avowed virtues of socialism was that the system, in theory, guaranteed its subjects equal rights to housing. That this was not quite the case is well known in the literature, but in fact no robust evidence to support this view (or the contrary) has been presented so far. Therefore, this paper's aim is to investigate the functioning of the Soviet system of housing allocation, assessing its claims to social equity and justice. Based on a detailed case study of about 3500 Soviet-era housing allocation decisions made in Daugavpils, Latvia, at five points in time covering various stages in the development of Soviet power (full coverage of decisions made in 1953, 1960, 1970, 1980, and January-April 1990), we illustrate how much living space was allocated to whom. In addition, we detail the characteristics of the waiting times involved. We apply both descriptive and regression methods on our data-set, making a significant contribution to what is known about the outcome of housing allocation under socialism and, at a more general level, under strictly supply-constrained conditions.
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| 4. |
- Gentile, Michael, et al.
(författare)
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Soviet housing : who built what and when? The case of Daugavpils, Latvia
- 2010
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Ingår i: Journal of Historical Geography. - : Elsevier. - 0305-7488 .- 1095-8614. ; 36:4, s. 453-465
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Tidskriftsartikel (refereegranskat)abstract
- Throughout much of the Soviet period, access to housing was a major consideration, both for individual citizens and employers intent on increasing their number of employees. Because of the heavy emphasis on industry, and despite the progress made within the area since the late 1950s, Soviet urban residential provision never managed to fully recover from the acute housing shortage that characterized the Stalin years. In this paper, we address the quantitative side of housing construction during the socialist era. Using the mid-sized diversified industrial town of Daugavpils (Latvia) as a case study, we set out to investigate the extent to which employers were involved in decisions concerning housing provision. To do this, we consult a large volume of archival records, our focus being on documents tracing entries indicating that new living quarters were ready and could be allocated to employees of sponsoring organizations and enterprises.
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| 5. |
- Gentile, Michael, et al.
(författare)
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Spaces of Priority : The Geography of Soviet Housing Construction in Daugavpils, Latvia
- 2010
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Ingår i: Annals of the Association of American Geographers. - : Informa UK Limited. - 0004-5608 .- 1467-8306. ; 100:1, s. 112-136
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Tidskriftsartikel (refereegranskat)abstract
- As a result of the absence of a land market, socialist-era cities tended to look different from their market-economy equivalents. The difference was made more pronounced by the fact that the command economy also favored industrial investment over infrastructure and housing. Yet, with an increasing appetite for additional labor, needed by production units to ensure plan fulfillment, housing became a means to recruit and retain employees. Not all employers could afford to put resources into such ononproductiveo investment, however, and the literature suggests that the notion of priorities allows for discriminating between those enterprises that enjoyed soft budget constraints, and therefore could afford to spend money on worker welfare, and those that could not. As a heuristic framework based on the economics of shortage, the priority model is compelling, but as yet it lacks empirical substantiation. Setting out to test the landscapes of priority model of urban development, this article details the developments of housing construction in Daugavpils, Latvia, during the Soviet period. Based on extensive archive and field research covering all newly constructed or converted housing projects over the period from 1951 to 1991, it yields considerable, if not unqualified, support for the model that until now has not been made subject to systematic empirical tests.
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| 6. |
- Nilsson, Henrik, 1971-
(författare)
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Hållbar ägarstyrning
- 2011. - 1
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Ingår i: Hållbar utveckling. - Lund : Studentlitteratur AB. - 9144075324 - 9789144075327 ; , s. 21-30
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 7. |
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