| 1. |
- Godhe, Anna-Lena, et al.
(författare)
-
Förutsättningar för multimodalt meningsskapande i svenskämnets kursplaner på grundlärarutbildningen
- 2021
-
Ingår i: Högre Utbildning. - : Cappelen Damm Akademisk. - 2000-7558. ; 11:3, s. 88-88
-
Tidskriftsartikel (refereegranskat)abstract
- Med utgångspunkt i en analys av kursplaner för svenskämnet inom grundlärarprogrammet vid fyra svenska lärosäten syftar denna artikel till att belysa skillnader i förhållningssätt till multimodalt meningsskapande samt hur dessa ramar in studenternas möjligheter till multimodalt meningsskapande. Analysen visar på tre huvuddrag i förhållningssättet till multimodalitet: som digitalitet, som stöd för annat lärande och som kunskapande i sin egen rätt. Spänningar mellan dessa tre förhållningssätt utforskas vidare och visar att processen fokuseras då multimodalitet ses som kunskapande i sin egen rätt medan representationen, i form av en produkt, blir det som hamnar i fokus utifrån de andra förhållningssätten. Ett holistiskt synsätt på kvalitativa aspekter av multimodalitet möjliggörs när meningsskapande processen och relationella aspekter fokuseras.
|
|
| 2. |
- Håglin, Lena, 1948-, et al.
(författare)
-
Handgrip Strength and Anthropometry in Parkinson's Disease at Diagnosis
- 2022
-
Ingår i: Parkinson's Disease. - : Hindawi Publishing Corporation. - 2090-8083 .- 2042-0080. ; 2022
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives. To investigate how age, malnutrition, and the level of plasma cortisol and phosphate in patients with Parkinson's disease (PD) at time of diagnosis are associated with body composition and handgrip strength in males and females compared to controls. Materials & Methods. This cross-sectional study includes baseline data from a cohort of newly diagnosed patients with Parkinson's disease (N = 75; M/F = 41/34) in the New Parkinsonism in Umeå study (NYPUM). Body Impedance (BIS), handgrip strength (HGS) assessments, and evaluation of risk for malnutrition (Mini Nutritional Assessment (MNA) score) and cognitive performance (Mini-Mental State Examination (MMSE)) were performed at time of PD diagnosis. Results. Low fat-free mass index (FFMI), MNA score, and a high Unified Parkinson's Disease Rating Scale (UPDRS-total and UPDRS-III) were associated with high daytime levels of P-cortisol in total PD population but not in controls. Partial correlations reveal that high fat mass percent (FM (%)) and low FFMI were associated with older age in males with PD but not females with PD. Risk of malnutrition was associated with P-cortisol in males but not in females with PD (r =-0.511, P=0.001, and n = 41 and r =-0.055, P=0.759, and n = 34, respectively). Multiple linear regressions show that an interaction between P-cortisol and P-phosphate, older age, and high UPDRS-III score were associated with HGS in total patient population and males but not females. Conclusions. Age-and disease-associated risk factors that decrease muscle mass and HGS and increase FM (%) in patients with PD differ between males and females by an association with levels of cortisol and phosphate.
|
|
| 3. |
- Håglin, Lena, 1948-, et al.
(författare)
-
Low level of phosphate in male patients reporting swallowing disturbances in early Parkinson's disease
- 2020
-
Ingår i: Clinical Nutrition Experimental. - : Elsevier. - 2352-9393. ; 29, s. 18-29
-
Tidskriftsartikel (refereegranskat)abstract
- Background & aim: Swallowing disturbances are associated with older age as well as with other subclinical disturbances of multifactorial origin in patients with Parkinson's disease (PD). This study assesses nutritional markers and whole-body impedance data to better understand swallowing disturbances in Parkinson's disease.Design and patients included: This cross-sectional study includes baseline data from a cohort of newly diagnosed patients identified in the New Parkinsonism in Umeå study (NYPUM) (n = 75).Methods: Swallowing disturbance was registered as a score of one or more on the Unified Parkinson's Disease Rating Scale (UPDRS) section II question number 7 on swallowing. The analysis used nutritional markers in plasma and anthropometry from bioimpedance.Results: Bivariate analysis revealed that swallowing disturbances were associated with low plasma phosphate levels for males (r = −0.428; p = 0.005) and for all patients with PD (r = −0.241; p = 0.037). In males but not in females, a negative association was found between age and albumin and amount of intra-cellular water (ICW, l). Plasma albumin was associated with plasma phosphate (r = 0.315; p = 0.006; n = 75, r = 0.361; p = 0.036; n = 34, r = 0.310; p = 0.049; n = 41). Another risk pattern indicating swallowing disturbance in females was revealed by an association with visceral adiposity index (VAI), plasma triglycerides (TG), and triglyceride/high density lipoprotein (TG/HDL) ratio. The adjusted logistic regression revealed that low phosphate in males and low magnesium in females were risk factors for swallowing disturbance.Conclusion: The age-related decline in plasma phosphate in males with PD may be an important nutritional marker for swallowing disturbances. Body composition measurements and nutritional markers provide information for the study of swallowing dysfunction as part of sarcopenia.
|
|
