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| 2. |
- Annerbo, Kerstin, 1964-, et al.
(author)
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Bibliotekarier och forskningsutställningar : "Mission impossible"?
- 2021
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In: När nyfikenhet, driv och kreativitet möts. - Stockholm : Kungliga biblioteket. - 9789170004315 - 9789170004322 - 9789170004339 ; , s. 53-61
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Book chapter (pop. science, debate, etc.)abstract
- Att bibliotekens uppgifter kan skifta eller ändra fokus, så att?arbetsformer förändras och bibliotekariers roller därigenom?omformas, är varken nytt eller konstigt. Så har det alltid varit.?En av de nya rollerna för bibliotekarier som blivit vanligare?på senare år är utvecklings- och producentrollen. Ta del av ett?samtal om hur verksamheten med att skapa forskningsutställningar har utvecklats på Linköpings universitetsbibliotek.
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| 3. |
- Dotevall, Hans, 1958, et al.
(author)
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Treatment with head-lift exercise in head and neck cancer patients with dysphagia: results from a randomized, controlled trial with flexible endoscopic evaluation of swallowing (FEES)
- 2023
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In: Supportive Care in Cancer. - : Springer Science and Business Media LLC. - 0941-4355 .- 1433-7339. ; 31:1
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Journal article (peer-reviewed)abstract
- Background: This randomized study aimed to evaluate the effects of the Shaker head-lift exercise (HLE) to improve dysphagia following oncologic treatment for head and neck cancer (HNC). Methods: Patients with dysphagia following oncologic treatment for HNC were randomly assigned to intervention (n = 23) or control (standard dysphagia management, n = 24) groups. Swallowing was evaluated at baseline and at 8-week follow-up using flexible endoscopic evaluation of swallowing (FEES) and self-perceived swallowing with the Eating Assessment Tool (EAT-10). Analysis was performed regarding secretion, initiation of swallow, residue after swallowing, and penetration/aspiration. Results: Few statistically significant differences were found in the FEES analysis. Some improvement of self-perceived swallowing function was found in both groups. Adherence to training was high. Conclusions: This randomized study regarding the effect of the HLE demonstrated that swallowing outcome measures used in assessment of FEES did not improve in patients treated with radiotherapy for patients with dysphagia following HNC.
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| 4. |
- Hansson, Max, 1956-
(author)
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Att implementera med hjälp av samverkan : En studie av implementering av ett stödboende med samverkan som metod
- 2021
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Licentiate thesis (other academic/artistic)abstract
- In this licentiate thesis studies how a systematic work of implementing a supported housing develops from idea to practice with the purpose to analyze collaboration and its impact on the development of the implementation. The study followed how the four organizations created a collaboration to implement a supported housing.; the social services in Kalmar municipality, the Swedish Prison and Probation Service in the form of the local probation service in Kalmar, the association KRIS (Kriminellas Revansch I Samhället, [Criminals' Revenge In Society]) in Kalmar and Kalmarhem AB a housing company, The starting point for the study consists of a process evaluation of an implementation process, how collaboration established between the organizations, how collaboration as a way of working affects the process and finally the split-up of the project. The study conducted in two parts: partly during the years 2006-2008 when implementation studied, partly during the years 2014-2015 when the split-up of the project studied. The methods used was interviews, participatory observations and document studies. The empirical evidence collected during the two periods forms the basis for the analysis.The results indicate that collaboration created between the actors of the implementation is of crucial importance. That is, how the actors confronted and solved the problems that arose during the implementation and that both time and various forms of resources are required to create a comprehensive collaboration. The concluding part of the study describes how a split-up of collaboration takes place. The change can attributed to a new arrangement with clear operational management in accordance with the impact of New Public Management [NPM]. A consequence for the supported housing, in line with this logic, was a separation and division of clients and contractors and division between businesses in accordance with a competitive mindset.At the time of writing, the supported housing remains, albeit in a different form. One explanation is that during the implementation, a close and sustainable collaboration was developed that could withstand some of the threats created through changed forms of governance. This indicates that the collaboration that developed between the four organizations can still provide some space if it is able to find forms that can fit into new control logics.
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| 5. |
- Henriksson, Pontus, et al.
(author)
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Body mass index and gestational weight gain in migrant women by birth regions compared with Swedish-born women : A registry linkage study of 0.5 million pregnancies
- 2020
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In: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 15:10
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Journal article (peer-reviewed)abstract
- INTRODUCTION: Women migrating to high-income countries may have increased risks of adverse pregnancy outcomes as compared with native-born women. However, little is known whether migrant women are more likely to have unhealthy body mass index (BMI) or gestational weight gain (GWG), which is of importance considering the well-established links between unhealthy BMI and GWG with adverse pregnancy outcomes. Hence, the aim of the study was to examine the prevalence and estimate odds ratios (ORs) of underweight and obesity in the first trimester as well as inadequate and excessive GWG across birth regions in migrant (first-generation) and Swedish-born women in a population-based sample of pregnant women in Sweden.METHODS: This population-based study included 535 609 pregnancies from the Swedish Pregnancy Register between the years 2010-2018. This register has a coverage of approximately 90% and includes data on body weight, height, birth country and educational attainment. BMI in the first trimester of pregnancy was classified as underweight, normal weight, overweight and obesity whereas GWG was classified as inadequate, adequate and excessive according to the recommendations from the National Academy of Medicine, USA. BMI and GWG were examined according to 7 birth regions and the 100 individual birth countries. Adjusted ORs of underweight, obesity as well as inadequate or excessive GWG by birth regions were estimated using multinomial logistic regression.RESULTS: There were large disparities in unhealthy BMI and GWG across birth regions. For instance, women born in North Africa and Middle East and Sub-Saharan Africa had 1.40 (95% CI 1.35-1.44) and 2.13 (95% CI 2.03-2.23) higher odds of obesity compared with women born in Sweden. However, women born in Sub-Saharan Africa had also considerably higher odds of underweight (OR, 2.93 [95% CI 2.70-3.18]) and inadequate GWG (OR, 1.97 [95% CI 1.87-2.07]). The limitations of the study include the lack of a validated measure of acculturation and that the study only had data on first-generation migration.CONCLUSIONS: The large differences across the 7 regions and 100 countries highlights the importance of considering birth region and country-specific risks of unhealthy BMI and GWG in first-generation migrant women. Furthermore, inadequate GWG was common among pregnant first-generation migrant women, especially in women born in Sub-Saharan Africa, which demonstrates the need to promote adequate GWG, not only the avoidance of excessive GWG. Thus, our findings also indicate that additional support and interventions may be needed for first-generation migrant women from certain birth regions and countries in order to tackle the observed disparities in unhealthy BMI and GWG. Although further studies are needed, our results are useful for identifying groups of women at increased risk of unhealthy BMI and weight gain during pregnancy.
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| 6. |
- Henriksson, Pontus, et al.
(author)
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Self-Rated Health in Migrant and Non-Migrant Women before, during and after Pregnancy : A Population-Based Study of 0.5 Million Pregnancies from the Swedish Pregnancy Register
- 2020
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In: Journal of Clinical Medicine. - : MDPI. - 2077-0383. ; 9:6
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Journal article (peer-reviewed)abstract
- Self-rated health is a strong health marker. Migrants have been suggested to have poorer self-rated health than non-migrants (i.e., native-born). However, little is known about whether there are disparities in self-reported health in relation to pregnancy. Therefore, the aim of the current study was to examine the odds of poor self-rated health before, during and after pregnancy in migrant women as compared to women born in Sweden. We utilized population-based data from the Swedish Pregnancy Register containing 0.5 million women born in Sweden (i.e., non-migrant women) and migrant women between 2010 and 2018. Self-rated health was reported on a 5-point scale (from very poor to very good). Very poor and poor health were categorized as poor self-rated health. Logistic regression was utilized to calculate odds ratios (ORs) that were unadjusted and adjusted for covariates (age, parity, educational attainment and body mass index). The results demonstrate disparities in self-rated health across birth regions. In comparison to women born in Sweden, women born in Latin America and the Caribbean, South Asia as well as North Africa and the Middle East had consistently higher odds of poor self-rated health before, during and after pregnancy (ORs ranging from 1.14 to 1.96 in both unadjusted and adjusted models). Although women born in Sub-Saharan Africa did have comparable self-rated health as to women born in Sweden before pregnancy, after accounting for covariates, they had lower odds of poor self-rated health during and after pregnancy (ORs: 0.71 and 0.80 respectively). Therefore, additional measures and support may be needed to tackle disparities in health between migrant and non-migrant women before, during and after pregnancy.
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| 7. |
- Holmgren, Kerstin, et al.
(author)
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Are perch (Perca fluviatilis L.) getting larger or smaller in Swedish lakes?
- 2023
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In: Ecology of Freshwater Fish. - : Wiley. - 0906-6691 .- 1600-0633. ; 32, s. 735-749
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Journal article (peer-reviewed)abstract
- Space-for-time approaches are often used to indicate current or future changes over time. A European gillnet standard facilitates spatial-scale comparisons of fish communities in European lakes. Fish size was generally lower and densities higher in warmer lakes, but less is known about trends over decadal time scales. We analysed the size of European perch (Perca fluviatilis L.) in 2121 Swedish lakes sampled during 1996–2021. The aim was to test whether size changed over time, and whether trends were similar in southern and northern regions. We analysed mean length and occurrence or relative abundance of size classes from the smallest (<100 mm) to the largest individuals (≥350 mm), and length at 1 and 5 years. The large data set was used to find general trends over time within regions, and within-lake trends were tested for 40 time-series lakes. The mean length of perch decreased in the southern and increased in the northern region. The proportion of the smallest perch increased in the southern, but not in the northern region. The most general trend was an increasing occurrence and proportion of the largest-sized perch in both regions in the large dataset. The average trends in the southern region of the large dataset also appeared as predominant trends within time-series lakes, although opposite trends occurred within some lakes in each region. This study also revealed that perch size at age 1 often increased within lakes over time, while more variable trends were found for size at age 5. The duration of the growth season has generally increased during the time frame of the present study, while other changes may differ between lakes in the same region. We recommend more studies based on time series of fish monitoring, including studies on possible reasons for the increased occurrence of very large perch in Swedish lakes.
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| 8. |
- Holmgren, Kerstin, et al.
(author)
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Effekter av kalkning på fisk i sjöar : Resultat av 48 års nätprovfisken
- 2021
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Reports (other academic/artistic)abstract
- Under 1970- och 1980-talen upptäcktes biologiska effekter av surt nedfall i sjöar och vattendrag i Sverige och i andra länder. Resultat från nätprovfisken under samma tid visade att försurningen gav upphov till effekter på fisk, till exempel rekryteringsproblem, minskat antal (minskad abundans) och förlust av fiskarter. Då inleddes också kalkning av många av de sjöar som fortfarande kalkas idag. I en del sjöar utfördes nätprovfisken både före och efter kalkning, och i flera fall rapporterades återupptagen rekrytering hos surhetskänsliga fiskarter efter kalkning. Samtidigt ökade antalet kalkade vatten snabbare än biologisk uppföljning av utförda åtgärder. Flertalet sjöar kalkades utan att föregås av inventering av fiskfaunan, och många provfiskades först efter påbörjad kalkning.Kalkningsuppgifter och vattenkemidata inhämtades från länsstyrelserna och kopplades till olika urval av provfiskade sjöar i den nationella databasen över sjöprovfisken. Totalt omfattar utvärderingen 4 292 provfisken från 1 343 kalkade sjöar och 2 190 provfisken från 698 okalkade sjöar. Med utgångspunkt från pH och alkalinitet klassades okalkade sjöar som sura, neutrala eller kalkrika. Det vanligaste biologiska motivet för kalkning var mört. De näst vanligaste motiven var öring och röding, men även abborre, gös, nors, sik och siklöja förekom som motiv för kalkning.Nuvarande standardnät fångar små och unga fiskar mer effektivt än de översiktsnät som användes på 1970-och 1980-talen, vilket försvårar tolkningen av fiskfaunans långsiktiga utveckling i såväl kalkade som okalkade sjöar. I provfisken med nuvarande standardnät var den ekologiska statusen (via två multimetriska fiskindex) högre i kalkade än i sura sjöar, men värdena för det surhetsspecifika indexet var lägre i kalkade än i neutrala sjöar.Med data från nuvarande standardnät undersökte vi också fiskvariabler i relation till medel-pH under tre år före provfisket. I analyserna ingick abundans och biomassa, multimetriska fiskindex samt storleks-och åldersbaserade mått relaterade till rekrytering av mört och abborre. Fiskvariablerna visade väntad respons i relation till pH i okalkade sjöar, men i kalkade sjöar hade fiskvariablerna svagare eller inte signifikanta samband med pH. Det kan finnas flera orsaker till detta.I denna rapport försöker vi också belysa flera fisk-och kalkningsrelaterade frågor som inte direkt kunde besvaras med befintliga data. Det var frågor om skillnader i biologisk respons mellan direktkalkade sjöar och sjöar med enbart uppströms kalkning, skillnader mellan överkalkning och normalkalkning, samt effekten av ytliga surstötar.
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| 9. |
- Karlsson, Therese, 1979, et al.
(author)
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Effect of the New Nordic Diet compared with usual care on glucose control in gestational diabetes mellitus: Study protocol for the randomized controlled trial intervention with new Nordic DIet in women with GestatiOnal diabetes mellitus (iNDIGO)
- 2022
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In: Contemporary Clinical Trials. - : Elsevier BV. - 1559-2030 .- 1551-7144. ; 115
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Journal article (peer-reviewed)abstract
- Background: Gestational diabetes mellitus (GDM) is a pregnancy complication associated with short- and long-term health consequences for mother and child. First line treatment is diet and exercise but there is a recognized knowledge gap as to what diet treatment is optimal. A healthy Nordic diet has been associated with improved health but no studies in women with GDM exist. The New Nordic Diet (NND) is an initiative with the purpose to develop a healthy Nordic diet including foods with the potential to grow in Nordic countries; including fruit, berries, vegetables, whole-grain cereal products, nuts, fish, and rapeseed oil. The purpose of the intervention with new Nordic DIet in women with GestatiOnal diabetes mellitus (iNDIGO) is to test if the NND compared with usual care improves glucose control in women with GDM. Methods: The iNDIGO study is a randomized parallel controlled trial where 50 women with GDM will be randomized to either an NND or usual care for 14 days (30–32 weeks of gestation). Participants in the NND group will receive menus and food bags containing foods to be consumed. Primary outcome is glycemic control (time in target) measured using continuous glucose monitoring. Compliance to the dietary intervention will be tested using dietary biomarkers and adherence questionnaires. Conclusion: Diet treatment represents first line treatment in GDM but it remains unclear what type of diets are effective. iNDIGO is an efficacy study and will provide evidence as to whether a healthy Nordic diet can improve glucose control in women with GDM. Trial registration: ClinicalTrials.gov registration Number: NCT04169243. Registered 19 November 2019, https://clinicaltrials.gov/ct2/show/NCT04169243.
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| 10. |
- Kilander, Helena, et al.
(author)
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Developing contraceptive services for immigrant women postpartum : a case study of a quality improvement collaborative in Sweden
- 2022
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In: BMC Health Services Research. - : BioMed Central (BMC). - 1472-6963. ; 22:1
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Journal article (peer-reviewed)abstract
- Background: Immigrant women use less effective contraceptive methods and have a higher risk of unintended pregnancies. Maternal health care services offer a central opportunity to strengthen contraceptive services, especially among immigrants. This study aimed to evaluate a Quality Improvement Collaborative QIC. Its objective was to improve contraceptive services for immigrant women postpartum, through health care professionals’ (HCPs) counselling and a more effective choice of contraceptive methods.Methods: The pilot study was designed as an organisational case study including both qualitative and quantitative data collection and analysis. Midwives at three maternal health clinics (MHCs) in Stockholm, Sweden participated in a QIC during 2018–2019. In addition, two recently pregnant women and a couple contributed user feedback. Data on women’s choice of contraceptive method at the postpartum visit were registered in the Swedish Pregnancy Register over 1 year.Results: The participating midwives decided that increasing the proportion of immigrant women choosing a more effective contraceptive method postpartum would be the goal of the QIC. Evidence-based changes in contraceptive services, supported by user feedback, were tested in clinical practice during three action periods. During the QIC, the proportion of women choosing a more effective contraceptive method postpartum increased at an early stage of the QIC. Among immigrant women, the choice of a more effective contraception increased from 30 to 47% during the study period. Midwives reported that their counselling skills had developed due to participation in the QIC, and they found using a register beneficial for evaluating women’s choice of contraceptive methods.Conclusions: The QIC, supported by a register and user feedback, helped midwives to improve their contraceptive services during the pregnancy and postpartum periods. Immigrant women’s choice of a more effective contraceptive method postpartum increased during the QIC. This implies that a QIC could increase the choice of a more effective contraception of postpartum contraception among immigrants.
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