| 1. |
- Suhonen, Riitta, et al.
(författare)
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Hospitalised cancer patients' perceptions of individualised nursing care in four European countries
- 2018
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Ingår i: European Journal of Cancer Care. - : Hindawi Limited. - 0961-5423 .- 1365-2354. ; 27:1
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe hospitalised cancer patients' perceptions of individualised care in four European countries and compare these perceptions using the patients' socio-demographic characteristics and the Individualized Care Scale. The patients' socio-demographic characteristics used were: education, age, gender, type of hospital admission, previous hospitalisation and hospital length of stay. The Individualized Care Scale has two parts (1) nurses' support of individuality and (2) patients' receipt of individuality. Data (n = 599) were collected in Cyprus (n = 150), Finland (n = 158), Greece (n = 150) and Sweden (n = 141). Multivariate analysis of variance models were constructed and differences in perceptions of individualised care were analysed using the patients' socio-demographic characteristics as covariates. The level of support for individuality and receipt of individualised care was reported as moderate and good respectively. Generally, the highest assessments were made by the Swedish respondents and the lowest by those in Greece. This study revealed some between-country differences in patients' perceptions of care individualisation. These differences, for example, conceptual, educational, based in clinical practice or in the health organisation, require further research. Enquiry into the individualised care perceptions of health care providers and the families of cancer patients would also be useful.
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| 2. |
- Tucker, S., et al.
(författare)
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Improving the mix of institutional and community care for older people with dementia : an application of the balance of care approach in eight European countries
- 2016
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Ingår i: Aging and Mental Health. - Abingdon : Informa UK Limited. - 1360-7863 .- 1364-6915. ; 20:12, s. 1327-1338
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To examine whether the mix of community and institutional long-term care (ILTC) for people with dementia (PwD) in Europe could be improved; assess the economic consequences of providing alternative services for particular groups of ILTC entrants and explore the transnational application of the ‘Balance of Care’ (BoC) approach. Method: A BoC study was undertaken in Estonia, Finland, France, Germany, the Netherlands, Spain, Sweden, and the UK as part of the RightTimePlaceCare project. Drawing on information about 2014 PwD on the margins of ILTC admission, this strategic planning framework identified people whose needs could be met in more than one setting, and compared the relative costs of the possible alternatives. Results: The findings suggest a noteworthy minority of ILTC entrants could be more appropriately supported in the community if enhanced services were available. This would not necessarily require innovative services, but more standard care (including personal and day care), assuming quality was ensured. Potential cost savings were identified in all countries, but community care was not always cheaper than ILTC and the ability to release resources varied between nations. Conclusions: This is believed to be the first transnational application of the BoC approach, and demonstrates its potential to provide a consistent approach to planning across different health and social care systems. Better comparative information is needed on the number of ILTC entrants with dementia, unit costs and outcomes. Nevertheless, the findings offer important evidence on the appropriateness of current provision, and the opportunity to learn from different countries' experience.
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| 3. |
- Almosly, W., et al.
(författare)
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Neutral-current supernova-neutrino cross sections for Pb 204,206,208 calculated by Skyrme quasiparticle random-phase approximation
- 2019
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Ingår i: Physical Review C. - 2469-9985. ; 99:5
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Tidskriftsartikel (refereegranskat)abstract
- The present work constitutes a detailed study of neutral-current (NC) supernova-neutrino scattering off the stable even-even lead isotopes Pb204,206,208. This is a continuation of our previous work [Almosly et al., Phys. Rev. C. 94, 044614 (2016)10.1103/PhysRevC.94.044614] where we investigated charged-current processes on the same nuclei. As in the previous work, we have adopted the quasiparticle random-phase approximation (QRPA) as the theory framework and use three different Skyrme interactions to build the involved nuclear wave functions. We test the Skyrme forces by computing the location of the lowest-order isovector spin-multipole giant resonances and comparing with earlier calculations. We have computed the NC cross sections for (anti)neutrino energies up to 100 MeV and estimated the nuclear responses to supernova (anti)neutrinos by folding the obtained cross sections by suitably parametrized Fermi-Dirac distributions of energies of the incoming (anti)neutrinos. We compare our results with results of earlier studies in the case of Pb208, which is the only lead isotope where earlier calculations are available.
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| 4. |
- Almosly, W., et al.
(författare)
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Theoretical estimates of supernova-neutrino cross sections for the stable even-even lead isotopes : Charged-current reactions
- 2016
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Ingår i: Physical Review C - Nuclear Physics. - 0556-2813. ; 94:4
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Tidskriftsartikel (refereegranskat)abstract
- A detailed study of the charged-current supernova electron neutrino and electron antineutrino scattering off the stable even-mass lead isotopes A=204, 206, and 208 is reported in this work. The proton-neutron quasiparticle random-phase approximation (pnQRPA) is adopted to construct the nuclear final and initial states. Three different Skyrme interactions are tested for their isospin and spin-isospin properties and then applied to produce (anti)neutrino-nucleus scattering cross sections for (anti)neutrino energies below 80 MeV. Realistic estimates of the nuclear responses to supernova (anti)neutrinos are computed by folding the computed cross sections with a two-parameter Fermi-Dirac distribution of the electron (anti)neutrino energies. The computed cross sections are compared with earlier calculations and the analyses are extended to take into account the effects coming from the neutrino oscillations.
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| 5. |
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| 6. |
- Hakalehto, E., et al.
(författare)
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Some remarks on processing of slaughterhouse wastes from ecological chicken abattoir and farm
- 2016
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Ingår i: Microbiological Industrial Hygiene. - : Nova Science Publishers, Inc.. - 9781634852937 - 9781634852685 ; , s. 271-293
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- In the meat industries, it is always of high importance to follow up the zoonotic and other hazardous micro-organisms, and to prevent their risky distribution, emission and dissemination. Besides proper hygiene control, as well as organized exploitation of the side streams and slaughterhouse wastes helps in the hygienization of the biomasses, processes, and the entire industry. During this experimentation it turned out that it was possible to produce gases and chemical goods, not only from the carboxylates, but also from the more tedious protein and lipid containing wastes. Moreover, these promising results were obtained from a substrate mix with manure and wood chips. These results implied to the high versatility and flexibility of the bioprocess during Pilot A tests within the European Union Baltic Sea region project ABOWE. In Sweden these tests were carried out using the combined wastes from the ecological chicken farm and abattoir as the raw materials. This is a report of the practical set up during intensive experimentation conducted jointly by the Swedish and Finnish personnel. The report of the runs in Sweden is presented also in the public report of the European Union funded project (www.abowe.eu).
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| 7. |
- Kirsebom, O. S., et al.
(författare)
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Measurement of the 2+→0+ ground-state transition in the β decay of F 20
- 2019
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Ingår i: Physical Review C. - 2469-9985. ; 100:6
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Tidskriftsartikel (refereegranskat)abstract
- We report the first detection of the second-forbidden, nonunique, 2+→0+, ground-state transition in the β decay of F20. A low-energy, mass-separated F+20 beam produced at the IGISOL facility in Jyväskylä, Finland, was implanted in a thin carbon foil and the β spectrum measured using a magnetic transporter and a plastic-scintillator detector. The β-decay branching ratio inferred from the measurement is bβ=[0.41±0.08(stat)±0.07(sys)]×10-5 corresponding to logft=10.89(11), making this one of the strongest second-forbidden, nonunique β transitions ever measured. The experimental result is supported by shell-model calculations and has significant implications for the final evolution of stars that develop degenerate oxygen-neon cores. Using the new experimental data, we argue that the astrophysical electron-capture rate on Ne20 is now known to within better than 25% at the relevant temperatures and densities.
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| 8. |
- Schwede, Sebastian, et al.
(författare)
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Using slaughterhouse waste in a biochemical-based biorefinery – results from pilot scale tests
- 2017
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Ingår i: Environmental technology. - : Informa UK Limited. - 0959-3330 .- 1479-487X. ; , s. 1275-1284
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Tidskriftsartikel (refereegranskat)abstract
- A novel biorefinery concept was piloted using protein-rich slaughterhouse waste, chicken manureand straw as feedstocks. The basic idea was to provide a proof of concept for the production ofplatform chemicals and biofuels from organic waste materials at non-septic conditions. Thedesired biochemical routes were 2,3-butanediol and acetone–butanol fermentation. The resultsshowed that hydrolysis resulted only in low amounts of easily degradable carbohydrates.However, amino acids released from the protein-rich slaughterhouse waste were utilized andfermented by the bacteria in the process. Product formation was directed towards acidogeniccompounds rather than solventogenic products due to increasing pH-value affected by ammoniarelease during amino acid fermentation. Hence, the process was not effective for 2,3-butanediolproduction, whereas butyrate, propionate,γ-aminobutyrate and valerate were predominantlyproduced. This offered fast means for converting tedious protein-rich waste mixtures intoutilizable chemical goods. Furthermore, the residual liquid from the bioreactor showedsignificantly higher biogas production potential than the corresponding substrates. Thecombination of the biorefinery approach to produce chemicals and biofuels with anaerobicdigestion of the residues to recover energy in form of methane and nutrients that can beutilized for animal feed production could be a feasible concept for organic waste utilization.
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| 9. |
- Suhonen, R., et al.
(författare)
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Older cancer patients' perceptions of care guality - an international study
- 2016
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Ingår i: Journal of Advanced Nursing. - 0309-2402 .- 1365-2648. ; 72:S1, s. 29-29
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Tidskriftsartikel (refereegranskat)abstract
- Background: Cancer is considered as chronic condition, especially in the older people. Prevalence of cancer is especially high in the Nordic countries and Mediterranean countries. People with cancer are a common patient group in the healthcare system.Introduction: User perspective, such as patient assessments of care and care quality are central in developing healthcare services. These assessments have a high value in time when there are reforms in social and healthcare services. One core principle in these reforms is patient-centeredness. Earlier studies have shown that older patients differ from other age-based patient groups in their assessments of care quality elements. They were reported to be more positive in their evaluations.Aim: The aim of this study was to analyse cancer patients’ perceptions of patient-centered quality and individuality in care and trust in nurses, and to compare these perceptions between patients in the working age and older people. The research questions were: To what extent cancer patients perceive their care is patient-centered quality care, individualised and do they trust in nurses? Are there differences between older cancer patients and those in working age in their perceptions of person-centered quality of care, individuality in care and trust in nurses?Materials and methods: The study employed a cross-sectional comparative survey design. Data were collected using questionnaires among hospitalised cancer patients (N = 876, n = 599, 68%) in four countries: Greece, Cyprus, Sweden and Finland. The following instruments were used: The Oncology Patients perceptions of the Quality of Nursing Care Scale (OPPQNCS), the Individualised care Scale (ICS-patient) and Trust in Nurses. The data were divided into two sub-samples based on age (cut point 65 years): Older patients (n = 209) and patients in the working age (n = 387). Data were analysed statistically using cross-tabulation and chi-square statistics, or paired samples t-test.Results: In this study cancer patients’ perceptions about individualization and coordination of care, support of individuality and perceived individuality in care were only moderate. Proficiency and responsiveness as part of care quality were reported well realised. Trust in nurses was strong. Older patients and those patients in the working age did not differ in their perceptions of either patient-centered quality of care, individualised care or trust in nurses.Conclusions: The results of this study point out topics that need development in order to provide individualised and patient-centered nursing care. Contradictory to many earlier study results, age was not associated with cancer patients’ assessment.
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| 10. |
- Suhonen, R., et al.
(författare)
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Older cancer patients' perceptions of care guality - an international study
- 2016
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Ingår i: Journal of Advanced Nursing. - : Wiley-Blackwell Publishing Ltd. - 0309-2402 .- 1365-2648. ; 72:S1, s. 29-29
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Tidskriftsartikel (refereegranskat)abstract
- Background: Cancer is considered as chronic condition, especially in the older people. Prevalence of cancer is especially high in the Nordic countries and Mediterranean countries. People with cancer are a common patient group in the healthcare system. Introduction: User perspective, such as patient assessments of care and care quality are central in developing healthcare services. These assessments have a high value in time when there are reforms in social and healthcare services. One core principle in these reforms is patient-centeredness. Earlier studies have shown that older patients differ from other age-based patient groups in their assessments of care quality elements. They were reported to be more positive in their evaluations. Aim: The aim of this study was to analyse cancer patients’ perceptions of patient-centered quality and individuality in care and trust in nurses, and to compare these perceptions between patients in the working age and older people. The research questions were: To what extent cancer patients perceive their care is patient-centered quality care, individualised and do they trust in nurses? Are there differences between older cancer patients and those in working age in their perceptions of person-centered quality of care, individuality in care and trust in nurses? Materials and methods: The study employed a cross-sectional comparative survey design. Data were collected using questionnaires among hospitalised cancer patients (N = 876, n = 599, 68%) in four countries: Greece, Cyprus, Sweden and Finland. The following instruments were used: The Oncology Patients perceptions of the Quality of Nursing Care Scale (OPPQNCS), the Individualised care Scale (ICS-patient) and Trust in Nurses. The data were divided into two sub-samples based on age (cut point 65 years): Older patients (n = 209) and patients in the working age (n = 387). Data were analysed statistically using cross-tabulation and chi-square statistics, or paired samples t-test. Results: In this study cancer patients’ perceptions about individualization and coordination of care, support of individuality and perceived individuality in care were only moderate. Proficiency and responsiveness as part of care quality were reported well realised. Trust in nurses was strong. Older patients and those patients in the working age did not differ in their perceptions of either patient-centered quality of care, individualised care or trust in nurses. Conclusions: The results of this study point out topics that need development in order to provide individualised and patient-centered nursing care. Contradictory to many earlier study results, age was not associated with cancer patients’ assessment.
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