| 1. |
- Arlien-Soborg, Mai C., et al.
(författare)
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Acromegaly management in the Nordic countries: A Delphi consensus survey
- 2024
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Ingår i: Clinical Endocrinology. - : WILEY. - 0300-0664 .- 1365-2265.
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveAcromegaly is associated with increased morbidity and mortality if left untreated. The therapeutic options include surgery, medical treatment, and radiotherapy. Several guidelines and recommendations on treatment algorithms and follow-up exist. However, not all recommendations are strictly evidence-based. To evaluate consensus on the treatment and follow-up of patients with acromegaly in the Nordic countries.MethodsA Delphi process was used to map the landscape of acromegaly management in Denmark, Sweden, Norway, Finland, and Iceland. An expert panel developed 37 statements on the treatment and follow-up of patients with acromegaly. Dedicated endocrinologists (n = 47) from the Nordic countries were invited to rate their extent of agreement with the statements, using a Likert-type scale (1-7). Consensus was defined as >= 80% of panelists rating their agreement as >= 5 or <= 3 on the Likert-type scale.ResultsConsensus was reached in 41% (15/37) of the statements. Panelists agreed that pituitary surgery remains first line treatment. There was general agreement to recommend first-generation somatostatin analog (SSA) treatment after failed surgery and to consider repeat surgery. In addition, there was agreement to recommend combination therapy with first-generation SSA and pegvisomant as second- or third-line treatment. In more than 50% of the statements, consensus was not achieved. Considerable disagreement existed regarding pegvisomant monotherapy, and treatment with pasireotide and dopamine agonists.ConclusionThis consensus exploration study on the management of patients with acromegaly in the Nordic countries revealed a relatively large degree of disagreement among experts, which mirrors the complexity of the disease and the shortage of evidence-based data.
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| 2. |
- Arlien-Søborg, Mai C., et al.
(författare)
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Acromegaly management in the nordic countries : a Delphi consensus survey
- 2024
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Ingår i: Clinical Endocrinology. - : John Wiley & Sons. - 0300-0664 .- 1365-2265.
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Acromegaly is associated with increased morbidity and mortality if left untreated. The therapeutic options include surgery, medical treatment, and radiotherapy. Several guidelines and recommendations on treatment algorithms and follow-up exist. However, not all recommendations are strictly evidence-based. To evaluate consensus on the treatment and follow-up of patients with acromegaly in the Nordic countries.Methods: A Delphi process was used to map the landscape of acromegaly management in Denmark, Sweden, Norway, Finland, and Iceland. An expert panel developed 37 statements on the treatment and follow-up of patients with acromegaly. Dedicated endocrinologists (n = 47) from the Nordic countries were invited to rate their extent of agreement with the statements, using a Likert-type scale (1−7). Consensus was defined as ≥80% of panelists rating their agreement as ≥5 or ≤3 on the Likert-type scale.Results: Consensus was reached in 41% (15/37) of the statements. Panelists agreed that pituitary surgery remains first line treatment. There was general agreement to recommend first-generation somatostatin analog (SSA) treatment after failed surgery and to consider repeat surgery. In addition, there was agreement to recommend combination therapy with first-generation SSA and pegvisomant as second- or third-line treatment. In more than 50% of the statements, consensus was not achieved. Considerable disagreement existed regarding pegvisomant monotherapy, and treatment with pasireotide and dopamine agonists.Conclusion: This consensus exploration study on the management of patients with acromegaly in the Nordic countries revealed a relatively large degree of disagreement among experts, which mirrors the complexity of the disease and the shortage of evidence-based data.
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| 3. |
- Forsbrand, Malin, et al.
(författare)
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Comparison of the Swedish STarT Back Screening Tool and the Short Form of the Örebro Musculoskeletal Pain Screening Questionnaire in patients with acute or subacute back and neck pain
- 2017
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Ingår i: BMC Musculoskeletal Disorders. - : Springer Science and Business Media LLC. - 1471-2474. ; 18:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Patients with back and neck pain are often seen in primary care and it is important to provide them with tailored interventions based on risk stratification/triage. The STarT Back Screening Tool (SBT) is a widely used screening questionnaire which has not yet been validated for a population with back and/or neck pain with short duration. Our aim was to compare the concurrent validity of the SBT and the short form of the ÖMPSQ including psychometric properties and clinical utility in a primary care setting.METHODS: Patients who applied for physiotherapy by direct access (January 2013 to January 2014) at 35 primary care centers in south Sweden, with acute or subacute back and/or neck pain, aged 18-67 years, who were not currently on sick leave or had been on sick leave less than 60 days were asked to complete the SBT and ÖMPSQ-short questionnaire (n = 329). We used the Spearman's rank correlations to study correlations, cross tabulation and Cohen's kappa to analyze agreement of patient classification. Clinical utility was described as clinician scoring miscalculations and misclassifications of total and/or subscale scores.RESULTS: Completed SBT (9-items) and ÖMPSQ-short (10-items) data were available for 315/329 patients respectively. The statistical correlation for SBT and ÖMPSQ-short total scores was moderately strong (0.62, p < 0.01). In subgroup analyses, the correlations were 0.69 (p < 0.01) for males and 0.57 (p < 0.01) for females. The correlations were lower among older age groups, especially females over 50 years (0.21, p = 0.11). Classification to high or low risk for long-term pain and disability had moderate agreement (κ = 0.42). Observed classification agreement was 70.2%. The SBT had fewer miscalculations (13/315) than the ÖMPSQ-short (54/315).CONCLUSIONS: The correlation between the SBT and the ÖMPSQ-short scores were moderately strong for individuals with acute or subacute back and/or neck pain. SBT seemed to be clinically feasible to use in clinical practice. We therefore suggest that SBT can be used for individuals with both BP and/or NP in primary care settings but it is important to be aware of that SBT's agreement with the ÖMPSQ-short was poor among females aged over 50 years.TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT02609750 Registered: November 18, 2015.
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| 4. |
- Forsbrand, Malin H., et al.
(författare)
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Can the STarT Back Tool predict health-related quality of life and work ability after an acute/subacute episode with back or neck pain? A psychometric validation study in primary care
- 2018
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 8:12, s. 021748-021748
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: The predictive ability of the STarT Back Tool (SBT) has not yet been examined among acute/subacute back and/or neck pain in a primary care setting in respect to health-related quality of life (HRQoL) and work ability outcomes. The aim of this study was to evaluate the SBT's predictive validity for HRQoL and work ability outcomes at long-term follow-up in a population with acute/subacute back and/or neck pain. SETTING: Prospective data from 35 primary care centres in south Sweden during 2013. PARTICIPANTS: Patients (n=329) with acute/subacute back and/or neck pain, aged 18-67 years, not on sick leave or <60 days of sick leave completed the SBT when applying for physiotherapy treatment. Long-term follow-up measures (median 13 months, range 11-27 months) of HRQoL (EQ-5D) and work ability (Work Ability Score) was completed by 238 patients (72%). OUTCOMES: The predictive ability of the SBT for HRQoL and work ability outcomes was examined using Kruskal-Wallis test, logistic regression and area under the curve (AUC). RESULTS: Based on SBT risk group stratification, 103 (43%), 107 (45%) and 28 (12%) patients were considered as low, medium and at high risk, respectively. There were statistically significant differences in HRQoL (p<0.001) and work ability (p<0.001) at follow-up between all three SBT risk groups. Patients in the high risk group had a significantly increased risk of having poor HRQoL (OR 6.16, 95% CI 1.50 to 25.26) and poor work ability (OR 5.08, 95% CI 1.75 to 14.71) vs the low risk group at follow-up. The AUC was 0.73 (95% CI 0.61 to 0.84) for HRQoL and 0.68 (95% CI 0.61 to 0.76) for work ability. CONCLUSIONS: The SBT is an appropriate tool for identifying patients with a poor long-term HRQoL and/or work ability outcome in a population with acute/subacute back and/or neck pain, and maybe a useful adjunct to primary care physiotherapy assessment and practice. TRIAL REGISTRATION NUMBER: NCT02609750; Results.
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| 5. |
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| 6. |
- Hansson, Kristofer, et al.
(författare)
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Den sårbara gemenskapen : kvinnojourer under covid-19-pandemin
- 2021
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Ingår i: Sociologisk forskning. - Huddinge : Sveriges sociologförbund. - 0038-0342 .- 2002-066X. ; 58:1-2, s. 33-51
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Tidskriftsartikel (refereegranskat)abstract
- När covid-19-pandemin nådde Sverige mobiliserade kvinnojourerna snabbt eftersom de visste vad en nedstängning av samhället skulle kunna betyda för kvinnor och barn som lever under hot och med våld i sina hem. På kort tid kom myndigheternas rekommendationer om att arbeta hemma, upprätthålla social distans och undvika resor att minska möjligheterna till rörlighet. Detta gjorde det särskilt svårt för kvinnor som levde under hot och kontroll att komma i kontakt med myndigheter och kvinnojourer. Syftet med denna artikel är att förstå hur relationen mellan samhället och kvinnor som är utsatta för hot och våld i hemmet under pandemitider ser ut. Analysen utgår från en teoretisk modell för ”det immunitära livet”, för att förstå förhållandet mellan individ och samhälle. Studien består av telefonintervjuer som genomfördes våren 2020 med personal vid fem olika kvinnojourer. Ett viktigt resultat i studien är att misshandlade kvinnor under pandemin riskerar att berövas möjligheterna att skapa viktiga relationer med samhället, något som exempelvis kvinnojourer annars möjliggör.
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| 7. |
- Hansson, Kristofer, et al.
(författare)
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Digitala plattformar för att motverka våld i nära relationer : kvinnojourers digitalisering av sin verksamhet under covid-19-pandemin
- 2024
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Ingår i: Socialvetenskaplig tidskrift. - 1104-1420 .- 2003-5624. ; 31:1, s. 49-67
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Tidskriftsartikel (refereegranskat)abstract
- This study focuses on how women’s shelters in Sweden came to use digital platforms to reshape their social work during the Covid-19 pandemic. Through short telephone interviews with 14 managers of women’s shelters on several occasions during 2020 and 2021, this study highlights how their extended use of digital platforms left them with both possibilities and thresholds in their work to reach and stay in contact with abused women and children. Women’s shelters made use of both mobile and wireless platforms (such as text messages in mobile phones) and web-based platforms (such as chat groups on the Internet). The results of the study are presented in four different themes. The first theme concerns how women and youth came into contact with the women’s shelters and what platforms they used. The next theme focuses on how the digital contact was created and maintained. An important finding is that the number of contacts from young people increased, while the overall number of adult women decreased. The third theme highlights those thresholds that risk creating weak networks between the women making contact and the women’s shelters. This is also discussed in relation to the last theme, which focuses on the women’s shelters’ work with the platforms. An important result is that the digital platforms made it possible for women to come into contact with the women’s shelters during the Covid-19-pandemic; nevertheless, there are also thresholds that need to be made visible.
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| 8. |
- Hansson, Kristofer, et al.
(författare)
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Social Work and Lost Contacts with Clients during the COVID-19 Pandemic : Experiences of Shared Trauma from Three Different Civil Society Organisations
- 2023
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Ingår i: Social Work During COVID-19. - London : Routledge. - 9781003374374 - 9781032215396 ; , s. 158-170
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Bokkapitel (refereegranskat)abstract
- Early in the COVID-19 pandemic, social workers at battered women's shelters and night shelters and church deacons in Sweden warned that they were at risk of losing contact with their clients. Thus, even though Sweden was never subject to a lockdown in 2020 or 2021, many of the signals from the social workers indicated that their lost clients were at risk of increased ill health, mental illness, and violence due to the situation produced by the pandemic. The aim of this chapter is to develop a theoretical and empirical understanding of this vulnerable position that was imposed on these client groups by the COVID-19 pandemic. These developments also created fear and worry among the social workers themselves, when it became clear to them that they were at risk of losing contact with their clients. Therefore, the concept of shared trauma is used to focus on the way in which care workers are exposed to similar impacts of collective traumatic events as their clients. From the start of the project in March 2020, a total of 25 different civil society organisations have been followed through short telephone interviews. The method is inspired by rapid ethnographies.
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| 9. |
- Johnsdotter, Sara
(creator_code:cre_t, creator_code:res_t)
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Forskarnas galleri #2 : 6 om sex
- 2017
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Konstnärligt arbeteabstract
- Utgångspunkten är en presentation av sex forskare, knutna till Centrum för sexologi och sexualitetsstudier, som berättar om sina respektive forskningsfält. Utställningen består också av en tidslinje med nedslag i den svenska sexualitetshistorien, ett tittskåp med kuriosa och en samling litteratur. I en brevlåda kan besökaren kommentera eller ställa frågor till forskarna, svaren projiceras på väggen. Två offentliga samtal arrangeras och filmas; Sex och makt och Tema erotisk litteratur. I samband med utställningen visas konstprojektet "Kyss" där prästen och konstnären Kent Wisti och författaren Maria Küchen i bild och text tolkat Höga visan.
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| 10. |
- Nordgren, Camilla, et al.
(författare)
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Efterfrågas rätt kunskap och kompetens
- 2021
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Ingår i: Socionomen. - : Akademikerförbundet SSR. - 0283-1929. ; :1
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Tidskriftsartikel (populärvet., debatt m.m.)
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