| 1. |
- Ali, Abdulemir, et al.
(författare)
-
Preoperative Anxiety and Depression Correlate With Dissatisfaction After Total Knee Arthroplasty : A Prospective Longitudinal Cohort Study of 186 Patients, With 4-Year Follow-Up
- 2017
-
Ingår i: Journal of Arthroplasty. - : Elsevier BV. - 0883-5403. ; 32:3, s. 767-770
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: After more than 4 decades experience of total knee arthroplasty (TKA), there is still a group of patients who are not satisfied with the outcome. In spite of the improvement of many aspects around the procedure, for unexplainable reasons, patient dissatisfaction is still approximately the same. We conducted this study to analyze correlations between preoperative psychological aspects and dissatisfaction after TKA.METHODS: A total of 186 patients were operated with a primary TKA. Patients filled out the Hospital Anxiety and Depression Scale, Visual Analog Pain Scale (0-100), and Knee injury and Osteoarthritis Outcome Score preoperatively and 4 years postoperatively. Four years postoperatively, the patients also scored their satisfaction degree with the outcome of the surgery.RESULTS: Of 186 patients, 27 (15%) reported that they were dissatisfied or uncertain with the result of their TKA 4 years postoperatively. Sixteen of those 27 patients had reported anxiety/depression preoperatively compared with 11 of 159 (7%) in the satisfied or very satisfied groups. Patients with preoperative anxiety or depression had more than 6 times higher risk to be dissatisfied compared with patients with no anxiety or depression (P < .001). Patients with deep prosthetic infection had 3 times higher risk to be dissatisfied with the operation outcome (P = .03). Dissatisfied patients had 1-day longer hospital stay compared with the satisfied group (P < .001).CONCLUSION: Preoperative anxiety and/or depression is an import predictor for dissatisfaction after TKA. Psychological assessment and treatment preoperatively might improve degree of satisfaction.
|
|
| 2. |
- Ali, Abdulemir, et al.
(författare)
-
Similar patient-reported outcomes and performance after total knee arthroplasty with or without patellar resurfacing : A randomized study of 74 patients with 6 years of follow-up
- 2016
-
Ingår i: Acta Orthopaedica. - : Informa UK Limited. - 1745-3674 .- 1745-3682. ; 87:3, s. 274-279
-
Tidskriftsartikel (refereegranskat)abstract
- Background and purpose — Knee pain after total knee arthroplasty (TKA) is not uncommon. Patellar retention in TKA is one cause of postoperative knee pain, and may lead to secondary addition of a patellar component. Patellar resurfacing in TKA is controversial. Its use ranges from 2% to 90% worldwide. In this randomized study, we compared the outcome after patellar resurfacing and after no resurfacing. Patients and methods — We performed a prospective, randomized study of 74 patients with primary osteoarthritis who underwent a Triathlon CR TKA. The patients were randomized to either patellar resurfacing or no resurfacing. They filled out the VAS pain score and KOOS questionnaires preoperatively, and VAS pain, KOOS, and patient satisfaction 3, 12, and 72 months postoperatively. Physical performance tests were performed preoperatively and 3 months postoperatively. Results — We found similar scores for VAS pain, patient satisfaction, and KOOS 5 subscales at 3, 12, and 72 months postoperatively in the 2 groups. Physical performance tests 3 months postoperatively were also similar in the 2 groups. No secondary resurfacing was performed in the group with no resurfacing during the first 72 months Interpretation — Patellar resurfacing in primary Triathlon CR TKA is of no advantage regarding pain, physical performance, KOOS 5 subscales, or patient satisfaction compared to no resurfacing. None of the patients were reoperated with secondary addition of a patellar component within 6 years. According to these results, routine patellar resurfacing in primary Triathlon TKA appears to be unnecessary.
|
|
| 3. |
- Levine, Hagai, et al.
(författare)
-
Male reproductive health statement (XIIIth international symposium on Spermatology, may 9th-12th 2018, Stockholm, Sweden
- 2018
-
Ingår i: Basic and Clinical Andrology. - : Springer Science and Business Media LLC. - 2051-4190. ; 28:1
-
Tidskriftsartikel (refereegranskat)abstract
- On the occasion of the XIIIth International Symposium on Spermatology held from 9 to 13 May 2018 in Stockholm (Sweden), participants (guest speakers and audience) collectively felt the need to make a public statement on the general issue of male reproductive health. Our intention is to raise awareness of what we believe is a neglected area of research despite alarming situations around the world. The disclosure strategy desired by the co-authors is to bring it to the attention of the greatest number partly by considering co-publication in the various periodicals dealing with Reproductive Biology and Andrology. BaCA's editorial office accepted this mission and found it natural that our periodical, the official journal of the French Andrology Society (SALF), should carry this message.
|
|
| 4. |
- Schollin Ask, Lina, et al.
(författare)
-
Receiving early information and trusting Swedish child health centre nurses increased parents' willingness to vaccinate against rotavirus infections
- 2017
-
Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 106:8, s. 1309-1316
-
Tidskriftsartikel (refereegranskat)abstract
- Aim: Rotavirus vaccines are effective against severe infections, but have a modest impact on mortality in high-income countries. Parental knowledge and attitudes towards vaccines are crucial for high vaccination coverage. This study aimed to identify why parents refused to let their infant have the vaccination or were unsure. Methods: This cross-sectional study was based on 1,063 questionnaires completed by the parents of newborn children in 2014. Stepwise logistic regression was used to identify the main predictors. Results: Most (81%) parents intended to vaccinate their child against the rotavirus, while 19% were unwilling or uncertain. Parents with less education and children up to five weeks of age were more likely to be unwilling or uncertain about vaccinating their child. Factors associated with a refusal or uncertainty about vaccinating were not having enough information about the vaccine, no intention of accepting other vaccines, paying little heed to the child health nurses' recommendations, thinking that the rotavirus was not a serious illness and not believing that the vaccine provided protection against serious forms of gastroenteritis. Conclusion: Early information, extra information for parents with less education and close positive relationships between parents and child health nurses were important factors in high rotavirus vaccination rates.
|
|
| 5. |
- Stam, Maria, 1958-
(författare)
-
Medier, lärande och det mediespecifika : en undersökning om den rörliga bildens plats och betydelse i ett ämnesövergripande projekt
- 2016
-
Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall purpose of this licentiate thesis is to explore how different media is considered and valued by teachers in an interdisciplinary project in which the subjects of Art and Swedish are included. In the project, The Horror Genre in Literature and Film, a variety of mediations are represented: speech, writing, still- and moving images. The study focuses on the teaching strategies and approaches that participating teachers have in relation to the project's various mediations. My central concern is how the media of moving images is considered in the project. Of particular interest for my study is the question if teachers takes into account the media's special possibilities and limitations in their teaching. The theoretical framework is sociocultural theory, narrative theory and theories from the field of media and multimodality. The study was conducted in a Swedish primary school where three classes in 8th grade participated. The empirical material consists of interviews with three teachers in the subject Swedish and with one Art teacher. Also part of the empirical material, are the films produced by the pupils in the project. These films were analysed with the purpose of identifying to what degree the pupils used a narrative that is particular to the medium of moving image. The project in my study was carried out as an interdisciplinary project. Nonetheless, the results show that the teachers in the various subjects work toward the goals set in their own school subjects and that no common goals or overall objectives were formulated in the project. My study also shows that the mediations that are rewarded and have a superior role in the project are the spoken and the written word. The media of moving images has a marginalised place in the project and is regarded as less important. The main result of my study shows the problems that may arise when different forms of mediation co-exist in project-based learning within a school context. It also points out the difficulties that interdisciplinary projects have to face in terms of national regulations, frame factors such as the distribution of lesson hours, resources, as well as other factors that can affect the possibility of cooperation between the subjects.
|
|
| 6. |
- W-Dahl, Annette, et al.
(författare)
-
Ten-year results of physical activity after high tibial osteotomy in patients with knee osteoarthritis.
- 2017
-
Ingår i: Knee Surgery, Sports Traumatology, Arthroscopy. - : Springer Science and Business Media LLC. - 1433-7347 .- 0942-2056. ; , s. 902-909
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose was to describe physical activity with respect to leisure and working activity in patients operated on by high tibial osteotomy using the hemicallotasis technique for knee osteoarthritis (OA), preoperatively and 10 years postoperatively.
|
|
