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Sökning: WAKA:art > Örebro universitet

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1.
  • Aahlin, Eirik K, et al. (författare)
  • Functional recovery is considered the most important target : a survey of dedicated professionals
  • 2014
  • Ingår i: Perioperative medicine. - London, United Kingdom : BioMed Central. - 2047-0525. ; 3
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The aim of this study was to survey the relative importance of postoperative recovery targets and perioperative care items, as perceived by a large group of international dedicated professionals.Methods: A questionnaire with eight postoperative recovery targets and 13 perioperative care items was mailed to participants of the first international Enhanced Recovery After Surgery (ERAS) congress and to authors of papers with a clear relevance to ERAS in abdominal surgery. The responders were divided into categories according to profession and region.Results: The recovery targets 'To be completely free of nausea', 'To be independently mobile' and 'To be able to eat and drink as soon as possible' received the highest score irrespective of the responder's profession or region of origin. Equally, the care items 'Optimizing fluid balance', 'Preoperative counselling' and 'Promoting early and scheduled mobilisation' received the highest score across all groups.Conclusions: Functional recovery, as in tolerance of food without nausea and regained mobility, was considered the most important target of recovery. There was a consistent uniformity in the way international dedicated professionals scored the relative importance of recovery targets and care items. The relative rating of the perioperative care items was not dependent on the strength of evidence supporting the items.
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2.
  • Aam, Stina, et al. (författare)
  • The Impact of Vascular Risk Factors on Post-stroke Cognitive Impairment : The Nor-COAST Study
  • 2021
  • Ingår i: Frontiers in Neurology. - : Frontiers Media S.A.. - 1664-2295. ; 12
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: Post-stroke cognitive impairment (PSCI) is common, but evidence on the impact of vascular risk factors is lacking. We explored the association between pre-stroke vascular risk factors and PSCI and studied the course of PSCI.Materials and Methods: Vascular risk factors were collected at baseline in stroke survivors (n = 635). Cognitive assessments of attention, executive function, memory, language, and the Montreal Cognitive Assessment (MoCA) were performed at 3 and/or 18 months post-stroke. Stroke severity was assessed with the National Institutes of Health Stroke Scale (NIHSS). PSCI was measured with global z; MoCA z-score; and z-score of the four assessed cognitive domains. Mixed-effect linear regression was applied with global z, MoCA z-score, and z-scores of the cognitive domains as dependent variables. Independent variables were the vascular risk factors (hypertension, hypercholesterolemia, smoking, diabetes mellitus, atrial fibrillation, coronary heart disease, previous stroke), time, and the interaction between these. The analyses were adjusted for age, education, and sex. There were between 5 and 25% missing data for the variables for PSCI.Results: Mean age was 71.6 years (SD 11.7); 42% were females; and the mean NIHSS score at admittance was 3.8 (SD 4.8). Regardless of vascular risk factors, global z, MoCA, and all the assessed cognitive domains were impaired at 3 and 18 months, with MoCA being the most severely impaired. Atrial fibrillation (AF) was associated with poorer language at 18 months and coronary heart disease (CHD) with poorer MoCA at 18 months (LR =12.80, p = 0.002, and LR = 8.32, p = 0.004, respectively). Previous stroke was associated with poorer global z and attention at 3 and 18 months (LR = 15.46, p < 0.001, and LR = 16.20, p < 0.001). In patients without AF, attention improved from 3 to 18 months, and in patients without CHD, executive function improved from 3 to 18 months (LR = 10.42, p < 0.001, and LR = 9.33, p = 0.009, respectively).Discussion: Our findings indicate that a focal stroke lesion might be related to pathophysiological processes leading to global cognitive impairment. The poorer prognosis of PSCI in patients with vascular risk factors emphasizes the need for further research on complex vascular risk factor interventions to prevent PSCI.
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3.
  • Aarebrot, Frank, 1947-, et al. (författare)
  • Statehood, Secularisation, Cooperation : Explaining Democratic Survival in Inter-War Europe - Stein Rokkan's Conceptual Map Revisited
  • 1995
  • Ingår i: Historical social research / Historische Sozialforschung. - Köln : Zentrum für historische Sozialforschung. - 0172-6404. ; 20:2, s. 210-225
  • Tidskriftsartikel (refereegranskat)abstract
    • This article addresses itself to the crisis of democracy in inter-war Europe which saw the breakdown of one democratic regime after the other with Czechoslovakia as the only survivor case in Eastern and Central Europe by the end of this period. It is cast within the framework of Stein Rokkan's seminal conceptual map of Europe which is expanded in order to account for countries and variables originally not included in his analytical scheme. The analysis leads to the following conclusion: where the state building was weak and the legacy of empire strong, or where secular nation building was still impaired by deeply rooted religious sentiments, or where significant segments representing major cleavages where not coopted into a constitutional compromise, the chances for democratic survival in inter-war Europe were slim indeed. The conclusion applies to the inter-war era alone, but it clearly has implications for contemporary Europe. Noting that statehood and secularization ranked high on the agenda of communist Eastern Europe, the authors raise the paradoxical question if the success of democracy in this part of the world may in fact be a byproduct of the extent to which the now defunct communist regimes were successful in promoting their pet goals.
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4.
  • Aarskog, Eirik, et al. (författare)
  • What were you thinking? A methodological approach for exploring decision-making and learning in physical education
  • 2019
  • Ingår i: Sport, Education and Society. - : Routledge. - 1357-3322 .- 1470-1243. ; 24:8, s. 828-840
  • Tidskriftsartikel (refereegranskat)abstract
    • The broad purpose of this paper is to consider the relationship betweendecision-making and learning. Specifically, our aim is to propose amethodology that provides a theoretical framing along with proceduresfor investigating this relationship in Physical Education (PE). By utilizingselected parts of John Dewey’s educational theories, the paper presentsa theoretical exposition of decision-making as an individual processcontaining both ‘practical’ and ‘cognitive’ aspects. By combining thistheoretical conceptualization with a description of concrete researchmethods, the paper proposes a methodological approach enablingresearchers to get empirically closer to the phenomenon of individualdecision-making within PE learning. We argue that by doing so,researchers in the field of PE can study certain aspects of learning notexplicitly emphasized within existing methodological approaches.
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5.
  • Aarskog, Eirik, et al. (författare)
  • 'When it's something that you want to do.' : Exploring curriculum negotiation in Norwegian PE
  • 2022
  • Ingår i: Physical Education and Sport Pedagogy. - : Routledge. - 1740-8989 .- 1742-5786. ; 27:6, s. 640-653
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Student participation in curriculum negotiation has been widely regarded as beneficial for student engagement, motivation, and learning. Within the physical education (PE) context however, several scholars claim that these benefits are seldom realized. Interestingly, most investigations into curriculum negotiation in PE focus on teacher actions and behavior. Investigations of students' actions in curriculum negotiation are rare. Further, while much of the literature claims curriculum negotiation is potentially beneficial for student learning, few of the conceptual and analytical frameworks utilized within previous PE literature are based on explicit learning theories.Purpose: The purpose of this paper is to explore student participation in curriculum negotiation in Norwegian PE through the lens of an explicit learning theoretical perspective.Method: A 10th grade class with 23 students (age 15-16) and an 8th grade class with 30 students (age 13-14) from 2 different schools, and their respective teachers were recruited for the project. Within these classes, participatory observation, video observations, and stimulated recall interviews were conducted to produce empirical material related to curriculum negotiation. The material then underwent qualitative thematic analysis where select parts of John Dewey's educational philosophy were used as the analytical framework.Results and discussion: With a basis in the analytical framework developed from Deweyan educational philosophy, the results show that students within the two contexts participate in both explicit and implicit forms of curriculum negotiation. Explicit curriculum negotiations to a large degree appear to be governed by the teachers and are deemed by teachers to be part of strategies for upholding Norwegian legislations and recommendations for including students in curricular decision-making. While not as easily noticeable, implicit forms of negotiations were more prominent within the explored contexts. The analysis also suggests that from a Deweyan perspective, possibilities to increase learning through curriculum negotiations occur when teachers notice, help, and guide students in their own reflective processes surrounding how to act in PE. Such pedagogical action makes implicit negotiations occurring more explicit, and explicit negotiations more intelligent.
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6.
  • Aass, Lisbeth Kjelsrud, et al. (författare)
  • Family support and quality of community mental health care : Perspectives from families living with mental illness
  • 2022
  • Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 31:7-8, s. 935-948
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim and objectives: Describe patients' and family members' perceptions of family support from nurses and other mental healthcare professionals, and quality of care in community mental healthcare service. Further, compare the perceptions of patients and family members.Background: While patients value family involvement, family members feel unprepared and lack the necessary skills to be supportive. Since healthcare professionals predominantly focus on patients, they may fail to understand the complex needs of families. Family perceived support and quality of community mental health care may vary across patients and family members.Design and methods: Cross-sectional study with patients suffering from mental illness and family members in community mental healthcare services in Norway. Altogether 86 participants, of whom 33 patients and 33 family members had a family relationship-paired samples. Participants filled in the translated version of the Iceland Family Perceived Support Questionnaire (FPSQ-N) and Quality in Psychiatric Care-Community Out-Patient (QPC-COP) and Community Out-Patient Next of Kin (QPC-COPNK). STROBE checklist was used.Results: Family members scored family perceived support and quality of community mental health care lower than patients. Family members feel the loss of support. Patient and family members found the Patient-healthcare professionals' relationship to be of high quality, while family members gave low score to being respected and invited to take part in care by nurses and other mental healthcare professionals.Conclusion: Family members' unmet need of support highlights the need for nurses and other community mental healthcare professionals to assess complex family needs and to intervene. Barriers to collaboration exist, and family members need to be respected and invited into community mental health care. Relevance to clinical practice Contributes knowledge of how to meet the family's needs and provides a basis for further care and treatment development in similar contexts nationally and internationally.
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7.
  • Aass, Lisbeth Kjelsrud, et al. (författare)
  • It's Not a Race, It's a Marathon! : Families Living with a Young Adult Suffering from Mental Illness
  • 2021
  • Ingår i: Issues in Mental Health Nursing. - : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 42:1, s. 15-23
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study is to explore families' perceptions of everyday life when living with a young adult suffering from mental illness. Findings include: 1) Families balance between letting go and enabling the young adult to become independent while remaining close to help him/her complete education, work and have a social life. 2) Young adults try to deal with symptoms of mental illness by themselves and not be a burden, although longing for family members to understand them and the situation. 3) Healthcare professionals still hold back information although young adults have consented to giving family members insight.
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8.
  • Aass, Lisbeth Kjelsrud, et al. (författare)
  • Young Adults and Their Families Living With Mental Illness : Evaluation of the Usefulness of Family-Centered Support Conversations in Community Mental Health care Settings
  • 2020
  • Ingår i: Journal of Family Nursing. - : Sage Publications. - 1074-8407 .- 1552-549X. ; 26:4, s. 302-314
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to evaluate the usefulness of Family-Centered Support Conversations (FCSC) offered in community mental health care in Norway to young adults and their families experiencing mental illness. The FCSC is a family nursing intervention based on the Calgary Family Assessment and Intervention Models and the Illness Beliefs Model and is focused on how family members can be supportive to each other, how to identify strengths and resources of the family, and how to share and reflect on the experiences of everyday life together while living with mental illness. Interviews were conducted with young adults and their family members in Norway who had received the FCSC intervention and were analyzed using phenomenography. Two descriptive categories were identified: "Facilitating the sharing of reflections about everyday life" and "Possibility of change in everyday life." The family nursing conversations about family structure and function in the context of mental illness allowed families to find new meanings and possibilities in everyday life. Health care professionals can play an important role in facilitating a safe environment for young adults and their families to talk openly about the experience of living with and managing mental illness.
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9.
  • Abad, Esteban, et al. (författare)
  • Air monitoring with passive samplers for dioxin-like persistent organic pollutants in developing countries (2017-2019)
  • 2021
  • Ingår i: Chemosphere. - : Pergamon Press. - 0045-6535 .- 1879-1298. ; 287:Pt 1
  • Tidskriftsartikel (refereegranskat)abstract
    • As part of the global monitoring plan on persistent organic pollutants (GMP) under the Stockholm Convention passive air samplers equipped with polyurethane foam disks (PUFs) were applied to monitor dioxin-like POPs. For sampling, toluene-pretreated PUFs were exposed for three months during two years. Chemical analysis was performed in one accredited expert laboratory using internationally accepted methods; for comparison, all results were normalized to one PUF and 3 month exposure. Total TEQs, using WHO2005-TEFs, were lowest in the Pacific Islands countries (PAC) and had similar mean values in Africa (16.8 pg TEQ/PUF), Asia (16.9 pg TEQ/PUF), and Latin American and Caribbean countries (GRULAC, 13.3 pg TEQ/PUF). Using median values, Asia (13.4 pg TEQ/PUF) and GRULAC (13.1 pg TEQ/PUF) had higher amounts than Africa (6.1 pg TEQ/PUF) and PAC (2.1 pg TEQ/PUF). The contribution of PCDD/PCDF to the total TEQ was 2-3-times higher than from the dl-PCB. Mono-ortho PCB did not play a role in any of the samples. The previous 40 samples during 2010/2011 and the present 195 samples from 2017/2018 did not show a statistical difference (p value = 0.3), only for GRULAC, a downward trend was identified. It is recommended combining 4 PUFs to ‘annual’ samples.
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10.
  • Abalo, Ernesto, 1982-, et al. (författare)
  • An environmental problem in the making : how media logic molds scientific uncertainty in the production of news about artificial turf in Sweden
  • 2023
  • Ingår i: Journal of Science Communication. - : SISSA Medialab. - 1824-2049. ; 22:1
  • Tidskriftsartikel (refereegranskat)abstract
    • This study aims to contribute knowledge about how an environmental issue is discursively forged notwithstanding the prevalence of significant scientific uncertainty. This is done by studying the production of news about artificial turf as a microplastic pollutant in Sweden. Semi-structured interviews were conducted with 15 journalists and editors, public officials, politicians, industry representatives and experts, all involved in the issue of artificial turf. The study shows how media logic, among other factors, informs the interpretations of the uncertainties surrounding artificial turf as an environmental problem and concludes that the power of media logic needs to be considered also in the construction of other scientifically charged issues.
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