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1.
  • Björnsson, Lovisa, et al. (författare)
  • Bioolja från befintliga kraftvärmeverk-en systemstudie : Sammanfattning av ett forskningssamarbete mellan Lunds Tekniska Högskola, Karlstad universitet och Kraftringen Energi
  • 2021. - Rapport 123
  • Rapport (populärvet., debatt m.m.)abstract
    • Samhällets pågående omställning mot minskade utsläpp av växthusgaser kräver bland annat stora mängder fasta biobränslen och flytande biodrivmedel. Den svenska biobränslepotentialen domineras av bi- och restprodukter från skogen, som sågspån från sågverken och grenar och toppar (sk grot) från avverkning av skog. Att omvandla trä till flytande bränslen med hög omvandlingseffektivitet är utmanande, och kräver kommersialisering av ny och innovativ teknik. Behovet av flytande biodrivmedel i transportsektorn har därför hittills framför allt tillgodosetts genom import. Ett utökat och resurseffektivt utnyttjande av den inhemska potentialen av biomassa från skogen skulle kunna vara en viktig komponent i att nå både målet om ett fossilfritt samhälle och mål om miljömässig hållbarhet och spårbarhet för råvaran. Kraftvärmesektorn är i stora delar redan fossilfri och hanterar redan idag inhemska fasta bio-bränslen från skogen. I befintliga kraftvärmeverk finns potential för ökad nyttjandegrad av anläggningen, en befintlig infrastruktur för bränslehantering och möjlighet till värmeavsättning i fjärrvärmenät. Detta skapar förutsättningar för att i tillägg till el och värme komplettera med processer för produktion av flytande energibärare från inhemska, spårbara och hållbara biobränslen från skogen.I denna skrift sammanfattas ett forskningsprojekt där möjligheten att vidareutveckla en befintlig kraftvärmeanläggning genom integrerad produktion av pyrolysolja undersökts. Vi har ställt oss frågor som: Kan vi åstadkomma inhemsk produktion av flytande bränsle från skogsbaserade fasta biobränslen genom att kraftvärmeproduktion kombineras med pyrolysoljeproduktion? Kan detta förbättra konkurrenskraften för kraftvärmeverket vid ett framtida vikande behov av fjärrvärme inom bostadssektorn? Vad innebär möjligheten att bli producent av pyrolysolja både för egen förbrukning och för andra marknader som transportsektorn, för kraftvärmeverket och för klimatet?
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2.
  • Divanoglou, Anestis, et al. (författare)
  • Rehabilitation needs and mortality associated with the Covid-19 pandemic : a population-based study of all hospitalised and home-healthcare individuals in a Swedish healthcare region
  • 2021
  • Ingår i: eClinicalMedicine. - : Elsevier. - 2589-5370. ; 36
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: This first report of the Linkoping Covid-19 Study (LinCoS) aimed at determination of Covid-19-associated mortality, impairments, activity and participation limitations denoting rehabilitation needs four months after discharge from hospital. Methods: An ambidirectional population-based cohort study including all confirmed Covid-19 cases admitted to hospital during 1/03-31/05 and those living in home healthcare settings identified through a regional registry and evaluated through medical records, including WHO Clinical Progression Scale (CPS). All patients discharged from hospital were followed-up by structured telephone interview at 4 months post-discharge. Respondents indicated any new or aggravated persisting problems in any of 25 body functions and 12 activity/participation items and rated them for impact on daily life. Findings: Out of 734 hospitalised patients, 149 were excluded, 125 died, and 460 were alive at 4-month follow-up of whom 433 (94.1%) were interviewed. In total, 40% reported impairments and activity/participation limitations affecting daily life and warranted further multi-professional rehabilitation assessment, predominantly those with severe disease and a considerable proportion of those with moderate disease. Cognitive and affective impairments were equally common in all groups and were reported by 20-40% of cases. Limb weakness was reported by 31%, with CPS 7-9 being four times more likely to report this problem as compared to CPS 4-5. 26% of those working or studying reported difficulties returning to these activities, this being 3.5 times more likely in CPS 7-9 as compared to CPS 4-5. 25% reported problems walking >1 km, with CPS 7-9 over three times more likely to report this as compared to the other two sub-groups. 90-day mortality rate of Covid-19 associated deaths was 15.1%. Interpretation: Most rehabilitation needs after Covid-19 involved higher cerebral dysfunction both in patients with moderate and severe disease. This should be considered when designing services aiming at minimizing long-term disability. (C) 2021 The Author(s). Published by Elsevier Ltd.
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3.
  • Ingebrand, Elias, 1991- (författare)
  • Dementia and learning : The use of tablet computers in joint activities
  • 2023
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Living with dementia is generally associated with terms such as loss, confusion, and dependency; not development, agency and collaboration. Contributing to a growing body of research that acknowledges the remaining abilities of people living with dementia, and how they cope with challenges in their everyday lives, this thesis concerns a topic habitually framed by negative presumptions, namely learning. The risk of developing dementia increases with advancing age, and with an aging population the number of people living with dementia is expected to rise. Dementia is a complex condition that can have various underlying causes; it includes numerous diagnoses and is commonly characterized by a decline in cognitive and communicative functions. Due to its clinical connotations, people living with dementia often face negative assumptions about how they are, and what they can or cannot do. Alongside prevailing metaphors such as a return to childhood or empty shells, people living with dementia have been depicted as passive and disengaged communicators, incapable of initiating social action and asserting agency, who struggle to maintain attention in interactions. The aim of this thesis is to study novel learning in everyday activities for people living with dementia, taking the use of tablet computers as a case in point. Learning is approached from an interactionist perspective, where it is understood as a social and situated process, and conceptualized as changing participation in joint activities. The data used in this thesis comprises a collection of 50 video recordings where a person living with dementia, who has no previous experience of using touchscreen technologies, is using a tablet computer together with either a caregiver or another person living with dementia. The participants were asked to use the tablet computers according to their own interests, and did not receive any information regarding learning as an objective of their activities. Through four empirical studies, all using the methodological framework of multimodal conversation analysis, this thesis challenges the stereotypical belief that people living with dementia are incapable of novel learning. Study I shows how a woman living with dementia, over the course of six weeks, learns to perform the basic navigational steps needed to use an augmentative and alternative communication application. The analysis demonstrates how the participant's reliance on detailed information from her interlocutors gradually declined both during and across recordings. Study II highlights how people living with dementia position themselves as learners in unfamiliar joint activities. The results emphasize that the participants living with dementia publicly display their current understanding of the ongoing joint activities, introduce learning as a conversational topic, and are actively engaged in soliciting the information needed to partake. Study III shows how professional and family carers support the participants living with dementia in managing the tablet computers. The analysis reveals that the caregivers orient towards the doing of the participants with dementia, are attentive to their displayed understanding of the unfolding activities, and adapt any instructions with detailed multimodal cues if required. Study IV moves away from the dyadic constellations consisting of a person living with dementia together with a caregiver, and instead focuses on how people living with dementia manage the joint activities together with a peer. The results show that the participants treat the activities as collaborative endeavors, and orient towards the displayed competences of each other by offering or soliciting information when needed. Taken together, the findings from this thesis demonstrate that novel learning is possible for people living with dementia even without the use of structured interventions. The learning process is highly collaborative, and the participants actively support each other's conduct throughout the unfolding activities. Apart from possibilities for repeated participation in joint activities, procedural and agentive aspects of learning for people living with dementia are emphasized. 
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4.
  • Ingebrand, Elias, 1991-, et al. (författare)
  • People living with dementia collaborating in a joint activity
  • 2022
  • Ingår i: Learning, Culture and Social Interaction. - : Elsevier. - 2210-6561 .- 2210-657X. ; 34
  • Tidskriftsartikel (refereegranskat)abstract
    • Recent research has stressed the collaborative competences of people living with dementia, showing how they are capable of participating in a multitude of everyday activities when supported by cognitively healthy individuals. However, little is known about the collaborative work between different people living with dementia. Accordingly, this study aims to explore how people living with dementia, without the support of a cognitively healthy interlocutor, collaborate with other people living with dementia in an unfamiliar activity. The study is based on video recordings of three dyads, each comprising two individuals living with dementia, as they are using tablet computers with reminiscence and communication aiding applications. Drawing on multimodal interaction analysis, we show how the participants living with dementia treat the activities as joint endeavors and, when needed, engage in problem-solving sequences where they make their knowledge about how to progress within the activities publicly visible to their interlocutor. Our findings suggest that people living with dementia do collaborate with each other, and that the interactional labor between different people living with dementia is more symmetrical than what has been described in joint activities involving people living with dementia and cognitively healthy individuals.Previous article in issue
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5.
  • Ingebrand, Elias, et al. (författare)
  • People with dementia positioning themselves as learners
  • 2021
  • Ingår i: Educational gerontology. - : TAYLOR & FRANCIS INC. - 0360-1277 .- 1521-0472. ; 47:2, s. 47-62
  • Tidskriftsartikel (refereegranskat)abstract
    • Recent studies have demonstrated that people living with dementia, contrary to common believes, are capable of novel learning without structured interventions. Opportunities for learning throughout an individuals lifespan have been acknowledged as important factors in facilitating social participation and promoting wellbeing. However, little is still known about the situated practices used in the learning process for people living with dementia. This study aims to explore how people living with dementia in Swedish residential care facilities position, perceive, and assert, themselves as learners in a novel activity. The study is based on video recordings of eight people living with dementia, who for the first time use tablet computers as a social activity on a one-to-one basis with their formal caregivers. Through interaction analysis, we show how the participants living with dementia use the engagement displays of requests, accounts, formulations and metacomments to make their active undertaking in the ongoing activity public to their communication partner. Our findings suggest that people living with dementia might still perceive themselves as individuals capable of novel learning and that they are active and engaged agents in this process.
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6.
  • Ingebrand, Elias, 1991-, et al. (författare)
  • Supporting people living with dementia in novel joint activities: Managing tablet computers
  • 2023
  • Ingår i: Journal of Aging Studies. - : Elsevier. - 0890-4065 .- 1879-193X. ; 65
  • Tidskriftsartikel (refereegranskat)abstract
    • A bourgeoning number of studies have demonstrated that people living with dementia are capable of participating in a wide range of everyday activities when supported by care professionals or family carers. However, little remains known about the situated practices used by carers to support people living with dementia as active co-participants in novel joint activities. Taking the use of tablet computers as an example, this study focuses on the interactional organization of instructions in joint activities involving people living with dementia, who have no previous experiences of touchscreen technologies, and their carers. The study is based on forty-one video recordings of ten dyads, each comprising a person living with dementia and a carer, as they are using tablet computers with applications suited to individual interests. Drawing on multimodal interaction analysis, we show how the carers continually foster the accomplishment of their interlocutors, and rarely take over responsibility for closing an ongoing joint project themselves. Our findings suggest that the carers' instructions, realized as verbal and embodied directives, function as a form of scaffolding practice that facilitates the coordination of visual perception and embodied conduct for the participants living with dementia.
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7.
  • Myrberg, Karin, et al. (författare)
  • Instances of trouble in aphasia and dementia : an analysis of trouble domain and interactional consequences
  • 2022
  • Ingår i: Aphasiology. - : Taylor & Francis. - 0268-7038 .- 1464-5041. ; 36:11, s. 1333-1350
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Language problems in dementia resemble the symptoms of aphasia in many respects. Persons with aphasia (PWA) and persons with dementia (PWD) present rather similar results on standardised language tests and cognitive screening tools. There is limited research that compares PWA's and PWD's language abilities, and a particularly small number of studies have an interactional focus. Aims In this study, we will contribute to the emergent discussion about interaction in aphasia and dementia. The aim was to investigate instances of trouble in conversations involving PWD, PWA and speech and language pathologists (SLPs), with a particular focus on trouble domain and interactional consequences. Methods & Procedures Ten PWD and 10 PWA were video-recorded during informal conversations with SLPs. Ten minutes of each conversation were transcribed thoroughly according to Conversation Analytical principles and instances of trouble were identified and calculated throughout the data. Thereafter, the instances of trouble were categorised by trouble domain: as connected to either primarily linguistic or cognitive issues. Outcomes & results At first glance, the conversations between the PWD and PWA seemed rather similar when looking at the number of turns and the number of instances of trouble. The analyses, however, reveal that significantly more turns were spent on trouble solving in the conversations involving the PWA. The vast majority of the troubles involving the PWA were categorised as being connected primarily to linguistic issues, whereas trouble among the PWD were more evenly distributed between the trouble domains. The SLPs took a more active role in supporting the conversations of the PWA than for the PWD. Conclusions The results indicate that many conversational troubles involving PWD are connected to primarily linguistic issues. However, PWD seem to have less severe linguistic problems compared to PWA. The analyses also reveal that many of the language problems described in PWD might be a direct consequence of cognitive issues, and that SLPs may take a more passive role in trouble solving in conversations involving PWD. The lack of personal common ground and preconceived notions about the medical conditions are discussed as potential motives for the SLPs' behaviour. The analysis of instances of trouble in informal conversations might contribute to both research and clinical assessment of language abilities in PWA and PWD.
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8.
  • Myrberg, Karin, 1982- (författare)
  • Interaction and Language Assessment in Aphasia and Dementia : A Comparative Perspective
  • 2022
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Language problems in dementia resemble the symptoms of aphasia in many respects. A growing body of research discusses the cognitive deficits associated with aphasia. Despite common denominators, very little is written with a comparative perspective on the two clinical groups. Although speech and language pathologists (SLPs) play a central role in aphasia care, they are not routinely involved in healthcare services for dementia. By tradition, language assessments tend to be test-oriented, even though there is an awareness of the advantages with informal assessment approaches. The overall aim of this thesis was to examine interaction in persons with aphasia (PWA) and persons with dementia (PWD) in test conversation and more informal conversations. The thesis has an interactional focus with a comparative perspective on the two clinical groups, on conversational contexts, and on test results with reference to SLP services.  Study I, involving ten PWA, and study II, involving ten PWD, had similar approaches, investigating the organization of interaction between the participants and SLPs in test conversations and in more informal conversations. Furthermore, the participants’ interactional abilities were related to their actual test results on expressive tasks on an aphasia test battery. Study III in-volved detailed analyses of the Mini-Mental State Examination (MMSE) test interaction for both PWA and PWD. Additionally, the study set out to explore the relationship between linguistic and cognitive difficulties, in relation to assessments. Study IV investigated instances of trouble in conversations involving PWA/PWD and SLPs, with a particular focus on “trouble domain” and interactional consequences. The results of study I and II demonstrated substantial differences be-tween the organization of interaction in test conversations and informal con-versations, regardless of whom they involved. The informal conversations pro-vided opportunities for the PWA/PWD to talk more and to initiate own topics and multimodal resources were used by the PWA. This was seen to a far lesser degree among the PWD. With a few distinct exceptions, the PWD came across as rather communicatively competent. This was not necessarily reflected by the aphasia test results, since several participants struggled with a couple of test assignments. In PWA, the demonstration of aspects of communication that could be related to being a competent speaker did not fully correlate with aphasia test scores. The analyses showed that instances of trouble occurred equally often in the two conversational contexts whereas trouble characteristic differed. Mutual trouble-solving was almost solely observed in the informal conversations. Study III revealed some particularly challenging aspects of the MMSE test interaction. The study shed light on the problematic issue of separating language and cognition, since PWA and PWD had similar test results on the cognitive screening and since the “language” test items did not seem to capture linguistic problems more than the other remaining test items. Qualitative analyses of the interactional aspects of test situations may reveal information about both cognitive and linguistic abilities that otherwise would have been over-looked. The in-depth analyses of conversational trouble in study IV revealed that most troubles involving PWA were connected to primarily linguistic is-sues. Conversational trouble in PWD, however, typically labelled “lexical problems”, were many times due to primarily cognitive issues. It was also observed that the SLPs took a more passive role trouble-solving in conversations involving PWD. Less severe linguistic problems in the PWD, lack of shared personal common ground, and preconceived notions about the medical conditions alongside with SLPs’ professional culture and experience are discussed as potential motives for this behaviour.  Altogether, the results of the present thesis demonstrate that formal tests that attempt to measure language or cognition do not take into account that it is problematic to separate these abilities. Within SLP services, it would be preferable to move away from a fault-finding perspective on assessment and intervention, towards an approach in which language and cognition as co-constructed acts is central.
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9.
  • Myrberg, Karin, et al. (författare)
  • The mini-mental state examination (MMSE) from a language perspective : an analysis of test interaction
  • 2020
  • Ingår i: Clinical Linguistics & Phonetics. - : Taylor & Francis. - 0269-9206 .- 1464-5076. ; 34:7, s. 652-670
  • Tidskriftsartikel (refereegranskat)abstract
    • Assessment of language and cognitive abilities are associated with clinical challenges. The aim of the present study was to learn more about the MMSE test process from a language perspective by looking in detail at the interaction between patient and tester. In addition, we aimed to further explore the relationship between linguistic and cognitive difficulties. The study was based on an analysis of 20 MMSE test dyads, 10 persons with aphasia and 10 persons with dementia, in interaction with speech and language pathologists. All conversations were audio and video recorded and transcribed verbatim according to Conversation Analytical principles. The thorough analysis of the interactions highlighted some main findings that affected the communicative project of the test interactions. Finally, the test results were summarized and analyzed. Through the analysis, some particularly challenging aspects emerged; the understanding of the verbal instructions, the handling of the instructions and the evaluation of the answers. The test results demonstrated that there were no significant differences between the two groups of participants' MMSE results. The results in the 'language' category did not seem to capture the language disorders among many of the participants more than the remaining test items. By qualitative analyses of the interactional aspects of test situations, information about both cognitive and linguistic abilities that otherwise would have been overlooked may be revealed.
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10.
  • Piussi, Ramana, 1988, et al. (författare)
  • Wrestling with a ghost : facing an opponent I can neither see nor clinch – the experience of professional wrestlers who have suffered an ACL injury
  • 2024
  • Ingår i: BMJ Open Sport and Exercise Medicine. - London : BMJ Publishing Group Ltd. - 2055-7647. ; 10:1, s. 1-11
  • Tidskriftsartikel (refereegranskat)abstract
    • This study explored professional wrestlers’ experiences of the consequences of an anterior cruciate ligament (ACL) injury and their perception of whether the ACL injury could have been prevented. We interviewed 10 professional wrestlers (60% women, age range 21–34) treated with ACL reconstruction with semistructured interviews. Transcripts were analysed using qualitative content analysis: One major theme, ‘Wrestling with a ghost: facing an opponent I can neither see nor clinch’, supported by five main categories, emerged from the collected data. The five main categories were: My ACL injury: bad luck or bad planning?; The way back: a fight to return to sport; Only performance counts; The injury’s impact on life: a wrestling with emotions; In hindsight, personal growth. Professional wrestlers who experienced an ACL injury expressed that not only the injury itself but also the subsequent recovery posed major challenges that they did not know how to deal with and that, in some cases, ended the athletes’ wrestling careers. Professional wrestlers attributed their ACL injuries to bad luck or large training loads and wished that they had more support from the wrestling community when injured. © Author(s) (or their employer(s)) 2024.
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11.
  • Piussi, Ramana, et al. (författare)
  • Wrestling with a ghost: facing an opponent I can neither see nor clinch – the experience of professional wrestlers who have suffered an ACL injury
  • 2024
  • Ingår i: BMJ Open Sport and Exercise Medicine. - : BMJ Publishing Group. - 2055-7647. ; 10:1
  • Tidskriftsartikel (refereegranskat)abstract
    • This study explored professional wrestlers’ experiences of the consequences of an anterior cruciate ligament (ACL) injury and their perception of whether the ACL injury could have been prevented. We interviewed 10 professional wrestlers (60% women, age range 21–34) treated with ACL reconstruction with semistructured interviews. Transcripts were analysed using qualitative content analysis: One major theme, ‘Wrestling with a ghost: facing an opponent I can neither see nor clinch’, supported by five main categories, emerged from the collected data. The five main categories were: My ACL injury: bad luck or bad planning?; The way back: a fight to return to sport; Only performance counts; The injury’s impact on life: a wrestling with emotions; In hindsight, personal growth. Professional wrestlers who experienced an ACL injury expressed that not only the injury itself but also the subsequent recovery posed major challenges that they did not know how to deal with and that, in some cases, ended the athletes’ wrestling careers. Professional wrestlers attributed their ACL injuries to bad luck or large training loads and wished that they had more support from the wrestling community when injured.
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12.
  • Samuelsson, Christina, 1966-, et al. (författare)
  • A person living with dementia learning to navigate an iPad : A case study
  • 2022
  • Ingår i: Disability and Rehabilitation. - : Taylor & Francis. - 1748-3107 .- 1748-3115. ; 17:5, s. 570-579
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: This study challenges the notion that people living with dementia are unable to achieve novel learning without focussed intervention techniques. The purpose of this study is to explore how a woman living with dementia (Alzheimer’s disease) learns to use a tablet computer with support from communicative partners.Method: The study is based on video recordings and the theoretical framework of learning as changing participation in joint activities. Quantitative and qualitative focus is on changes in the interactional organizationover the course of six weeks in the activity of using an augmentative and alternative communication application.Results: Over time, the participant living with dementia, relies less on the expertise and explicit instructions of her communicative partners when navigating the application, and more on the immediate feedback provided by the tablet computer.Conclusions: The findings suggest that novel learning still is possible for people living with dementia, even without the implementation of focussed interventions. This study further emphasizes the procedural nature of learning for people living with dementia as the woman’s embodied actions were carried out in an increasingly more direct fashion.
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13.
  • Samuelsson, Jonatan, 1985- (författare)
  • Kunskap, kontrovers och kvicksilver : debatten om amalgamförgiftning i det sena 1900-talets Sverige
  • 2022
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • This dissertation in the history of science and ideas studies the Swedish dental amalgam controversy in the late 20th century. Erupting in the early 1980s, the controversy concerned the issue of whether mercury containing dental amalgams could poison those who had had their teeth filled, or whether the many patients making such claims were in fact suffering from stress, unresolved trauma, or other illnesses. Combining a contextualizing medical history approach with analytical concepts from STS and media studies, the dissertation examines how the controversy challenged and redrew cultural boundaries between science and other forms of knowledge, between science and politics, and between medicine and society more broadly.The notion of co-production of science and social order guides the overall analysis, whereas concepts of boundary-work and biocommunicability help direct the analysis towards contexts where claims of legitimate medical knowledge are made and communicated.One main finding of the dissertation is that the controversy was highly significant in channelling the epistemic practises and the social credos of the new social and environmental movements into organised medicine. The study also indicates that the amalgam controversy functioned as a blueprint for the way that subsequent controversies were handled publicly and discussed in the media. Furthermore, the media did not just function as platforms for actors involved, but were key actors in their own right, as news reports co-produced some of the controversy´s most salient epistemological arguments. Lastly, the dissertation concludes that these processes paved the way for altered understandings of amalgam, dentistry, health, knowledge, and patienthood.The results point toward a need for further research into the rise of the Swedish patient-consumer in the late modern period, particularly with regards to the active role of patients themselves, and to new ways of connecting the historical study of contested illnesses, diffuse symptoms and mediated scientific controversies.
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