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- Holmström, Inger, et al.
(författare)
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Improving the diabetes-patient encounter by reflective tutoring for staff
- 2004
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Ingår i: Patient Education and Counseling. - : Elsevier BV. - 0738-3991 .- 1873-5134. ; 53:3, s. 325-32
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Tidskriftsartikel (refereegranskat)abstract
- There is relative consensus about the advantages of patient-centred consultations. However, they have not been easy to realise in clinical praxis. The aim of this study was to investigate whether an intervention focused on health care professionals' understanding of the diabetes-patient encounter could facilitate a patient-centred way to encounter these patients. Two GPs and two nurses participated in the year-long intervention. The intervention focused on the staff's understanding of the encounter. Staff video recorded four to five encounters each and reflected together with a supervisor on their understanding of the encounters and how they were conducted. The encounters were analysed with the Verona-MICS/Dr coding system and patients' comments were analysed separately. The content of the consultations and how they were conducted was also assessed. There was a significant change of two patient-centred items by the staff over time. Two staff seemed to change their educational model. Modern theories of competence development seem to be useful in clinical settings.
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- Karlsson, Inger A., et al.
(författare)
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Speaker verification with elicited speaking styles in the VeriVox project
- 2000
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Ingår i: Speech Communication. - 0167-6393 .- 1872-7182. ; 31:03-feb, s. 121-129
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Tidskriftsartikel (refereegranskat)abstract
- Some experiments have been carried out to study and compensate for within-speaker variations in speaker verification. To induce speaker variation, a speaking behaviour elicitation software package has been developed. A 50-speaker database with voluntary and involuntary speech variation has been recorded using this software. The database has been used for acoustic analysis as well as for automatic speaker verification (ASV) tests. The voluntary speech variations are used to form an enrolment set for the ASV system. This set is called structured training and is compared to neutral training where only normal speech is used. Both sets contain the same number of utterances. It is found that the ASV system improves its performance when testing on a mixed speaking style test without decreasing the performance of the tests with normal speech.
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- Larsson, Jan, et al.
(författare)
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Trainee anaesthetists understand their work in different ways : implications for specialist education
- 2004
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Ingår i: British Journal of Anaesthesia. - : Elsevier BV. - 0007-0912 .- 1471-6771. ; 92:3, s. 381-387
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Tidskriftsartikel (refereegranskat)abstract
- Background. Traditionally, programmes for specialist educationin anaesthesia and intensive care have been based on lists ofattributes such as skills and knowledge. However, modern researchin the science of teaching has shown that competence developmentis linked to changes in the way professionals understand theirwork. The aim of this study was to define the different waysin which trainee anaesthetists understand their work.Methods. Nineteen Swedish trainee anaesthetists were interviewed.The interviews sought the answers to three open-ended questions.(i) When do you feel you have been successful in your work?(ii) What is difficult or what hinders you in your work? (iii)What is the core of your anaesthesia work? Transcripts of theinterviews were analysed by a phenomenographic approach, a researchmethod aiming to determine the various ways a group of peopleunderstand a phenomenon.Results. Six ways of understanding their work were defined:giving anaesthesia according to a standard plan; taking responsibilityfor the patient’s vital functions; minimizing the patient’ssuffering and making them feel safe; giving service to specialistdoctors to facilitate their care of patients; organizing andleading the operating theatre and team; and developing one’sown competence, using the experience gained from every new patientfor learning.Conclusions. Trainee anaesthetists understand their work indifferent ways. The trainee’s understanding affects bothhis/her way of performing work tasks and how he/she developsnew competences. A major task for teachers of anaesthesia isto create learning situations whereby trainees can focus onnew aspects of their professional work and thus develop newways of understanding it.
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- Lindberg, Inger, 1947, et al.
(författare)
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Minoritetselevene, språket och skolen
- 2004
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Ingår i: Med språklige minoriteter i klassen : andrespråksinlaering og andrespråksundervisning.
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Tidskriftsartikel (refereegranskat)
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- Vigård, Tore, et al.
(författare)
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Low glycaemic index (GI) foods improve glucose control in children with type I diabetes.
- 2003
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Ingår i: ESPGHAN (European Society for Pediatric Gastroenterology, Hepatology and Nutrition) 36th annual meeting, Prag 4-7 June 2003, Abstract: Journal of Pediatric, Gastroenterology and Nutriton 36,4. - 0277-2116 .- 1536-4801. ; 36:4, s. 576-576
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Konferensbidrag (refereegranskat)abstract
- Aim: Does metabolic control improve in children with insulin dependent diabetes mellitus (IDDM), when modifying the quality of carbohydrates by introducing low glycaemic index (GI) foods? Methods: The inclusion criteria for the study was children with diabetes mellitus type 1, age from 7 to 11 years old, they should have a moderate glucose control with HbA1c between 7,5 to 8,5 and no allergy to cereals nor coeliac disease. Seventeen children were enrolled in the study. The design of the study was a blind cross-over study, each study period was 6 weeks with a wash-out period forthree weeks in between. One study period they got regular diabetic foods, during the other period they got foods with a lower glycaemic index (GI). A diet record was done prior to the start of the study, and one diet record in each period to see that the macro nutrient composition was the same. HbA1c, total cholesterol and triglyceridewere checked at the beginning and at the end of each period. Results: For each study person we calculated a delta value for HbA1c by subtracting the HbA1c at the start of the period from the HbA1c at the end of the same period. During the period with regular diabetic foods, the change of HbA1c was (mean±SD) −0,06±0,4, while the change of HbA1c was (mean±SD) -0,34±0,4 during the low GI period. By using Wilcoxon Signed Rank test we found out that there was a significant improvement, ie lowering of HbA1c during the period with low GI foods (p0,039). Regarding serum lipids, there were no significant changes. Conclusion: The concept of low GI foods is relevant for children with insulin dependent diabetes mellitus, it may be one way of optimizing the glucose control for those who have a slightly elevated HbA1c.
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