| 1. |
- Ax, Anna-Karin, 1980-, et al.
(författare)
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Cost-effectiveness of different exercise intensities during oncological treatment in the Phys-Can RCT
- 2023
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Ingår i: Acta Oncologica. - : Taylor & Francis. - 0284-186X .- 1651-226X. ; 62:4, s. 414-421
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundCost-effectiveness is important in the prioritisation between interventions in health care. Exercise is cost-effective compared to usual care during oncological treatment; however, the significance of exercise intensity to the cost-effectiveness is unclear. In the present study, we aimed to evaluate the long-term cost-effectiveness of the randomised controlled trial Phys-Can, a six-month exercise programme of high (HI) or low-to-moderate intensity (LMI) during (neo)adjuvant oncological treatment.MethodsA cost-effectiveness analysis was performed, based on 189 participants with breast, colorectal, or prostate cancer (HI: n = 99 and LMI: n = 90) from the Phys-Can RCT in Sweden. Costs were estimated from a societal perspective, and included cost of the exercise intervention, health care utilisation and productivity loss. Health outcomes were assessed as quality-adjusted life-years (QALYs), using EQ-5D-5L at baseline, post intervention and 12 months after the completion of the intervention.ResultsAt 12-month follow-up after the intervention, the total cost per participant did not differ significantly between HI (€27,314) and LMI exercise (€29,788). There was no significant difference in health outcome between the intensity groups. On average HI generated 1.190 QALYs and LMI 1.185 QALYs. The mean incremental cost-effectiveness ratio indicated that HI was cost effective compared with LMI, but the uncertainty was large.ConclusionsWe conclude that HI and LMI exercise have similar costs and effects during oncological treatment. Hence, based on cost-effectiveness, we suggest that decision makers and clinicians can consider implementing both HI and LMI exercise programmes and recommend either intensity to the patients with cancer during oncological treatment to facilitate improvement of health.
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| 2. |
- Ax, Anna-Karin, 1980-, et al.
(författare)
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Long-term resource utilisation and associated costs of exercise during (neo)adjuvant oncological treatment : the Phys-Can project
- 2022
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Ingår i: Acta Oncologica. - : Taylor & Francis. - 0284-186X .- 1651-226X. ; 61:7, s. 888-896
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Exercise during oncological treatment is beneficial to patient health and can counteract the side effects of treatment. Knowledge of the societal costs associated with an exercise intervention, however, is limited. The aims of the present study were to evaluate the long-term resource utilisation and societal costs of an exercise intervention conducted during (neo)adjuvant oncological treatment in a randomised control trial (RCT) versus usual care (UC), and to compare high-intensity (HI) versus low-to-moderate intensity (LMI) exercise in the RCT.METHODS: We used data from the Physical Training and Cancer (Phys-Can) project. In the RCT, 577 participants were randomised to HI or to LMI of combined endurance and resistance training for 6 months, during oncological treatment. The project also included 89 participants with UC in a longitudinal observational study. We measured at baseline and after 18 months. Resource utilisation and costs of the exercise intervention, health care, and productivity loss were compared using analyses of covariance (RCT vs. UC) and t test (HI vs. LMI).RESULTS: Complete data were available for 619 participants (RCT HI: n = 269, LMI: n = 265, and UC: n = 85). We found no difference in total societal costs between the exercise intervention groups in the RCT and UC. However, participants in the RCT had lower rates of disability pension days (p < .001), corresponding costs (p = .001), and pharmacy costs (p = .018) than the UC group. Nor did we find differences in resource utilisation or costs between HI and LMI exercise int the RCT.CONCLUSION: Our study showed no difference in total societal costs between the comprehensive exercise intervention and UC or between the exercise intensities. This suggests that exercise, with its well-documented health benefits during oncological treatment, produces neither additional costs nor savings.
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| 3. |
- Hägg, Elizabeth, et al.
(författare)
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Customer Service process IT-enabled support Fit or misfit? : a real world case
- 2008
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Ingår i: Asproth, V. (ed), Proceedings of 31th Information Systems Research Seminar in Scandinavia. - Sundsvall : Mittuniversitetet. - 9789186073121
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Konferensbidrag (refereegranskat)abstract
- This paper is a description of a real world case which focuses on a method to define the major gaps between functional requirements and existing support in a traditional ERP system. To identify and define the major gaps the method is using short interviews, existing documentation and graphic process diagrams. The report covers the process Customer Contact – Order Acknowledgement for a global chemicals manufacturer, Perstorp. The group in focus for this study is Customer Service. The results of this case were presented to Perstorp’s Customer Service as well as IT management as background material to assess improvement possibilities for both processes, IT support and for a new ERP strategy. Many other businesses are in similar situations. The aim in publishing this research paper is that these findings can be of practical use to other businesses as well as be an empirical foundation for other papers and possibly further research.
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| 4. |
- Hägg, Elizabeth, et al.
(författare)
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Customer Service process IT-enabled support Fit or misfit? - A real world case
- 2008
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Ingår i: Proceedings of 31th Information Systems Research Seminar in Scandinavia. - : IRIS. - 9789186073121 ; , s. 22-
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Konferensbidrag (refereegranskat)abstract
- This paper is a description of a real world case which focuses on a method to define the major gaps between functional requirements and existing support in a traditional ERP system. To identify and define the major gaps the method is using short interviews, existing documentation and graphic process diagrams. The report covers the process Customer Contact – Order Acknowledgement for a global chemicals manufacturer, Perstorp. The group in focus for this study is Customer Service. The results of this case were presented to Perstorp’s Customer Service as well as IT management as background material to assess improvement possibilities for both processes, IT support and for a new ERP strategy. Many other businesses are in similar situations. The aim in publishing this research paper is that these findings can be of practical use to other businesses as well as be an empirical foundation for other papers and possibly further research.
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| 5. |
- Johansson, Lars-Olof, et al.
(författare)
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Graphical modeling techniques and usefulness in the Model Driven Arcitechture : Which are the criteria for a "good" Computer independent model?
- 2008
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Ingår i: Proceedings of The 31st Information Systems Research Seminar in Scandinavia (IRIS31). - : IRIS. - 9789186073121 ; , s. 13-
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Konferensbidrag (refereegranskat)abstract
- The Object Management Group (OMG) has presented a framework for model driven development: Model Driven Architecture (MDA). The departure point of this paper is an interest in process oriented modeling techniques relevant for a computer independent model in the MDA. We searched for the answer on the question what constitutes a "good" computer independent model (CIM). To get an answer we were using OMG:s demands of the modeling techniques that should be used when developing CIMs and found four process oriented modeling techniques which could serve as candidates. These four process oriented modeling techniques is analyzed based by Moody"s quality criterions. The findings indicates that there are only one candidate, BPMN, that meets some of Moody"s quality criterions, but there also drawbacks in BPMN, such as the criterions; expressiveness and emphasis.
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| 6. |
- Johansson, Mikael, et al.
(författare)
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Memory for perceived and imagined pictures : an event-related potential study
- 2002
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Ingår i: Neuropsychologia, vol. 40, no. 7. - : Elsevier. ; 40:7, s. 986-1002
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Konferensbidrag (refereegranskat)abstract
- Event-related potentials (ERPs) and behavioural measures were used to investigate recognition memory and source-monitoring judgements about previously perceived and imagined pictures. At study, word labels of common objects were presented. Half of these were followed by a corresponding picture and the other half by an empty frame, signalling to the participants to mentally visualise an image. At test, participants in a source-monitoring task made a three-way discrimination between new words and words corresponding to previously perceived and imagined pictures. Participants in an old/new-recognition task indicated whether test words were previously presented or not. In both tasks, correctly identified old items elicited more positive-going ERPs than correctly judged new items. This widely distributed old/new effect was found to have an earlier onset and to be of a greater magnitude for imagined than for perceived items. Task (source versus item-memory) affected the old/new effects over prefrontal areas and the reaction times to remembered old items. The present findings are consistent with the view that a greater amount, or a different type, of information is necessary for accurate source-memory judgements than for correct recognition, and moreover, that different types of source-specifying information revive at different rates. In addition, the results add weight to the view that the late widespread ERP-old/new effect is sensitive to the quality or the amount of information retrieved from memory.
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| 7. |
- Kjellin, Harald, et al.
(författare)
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Minimizing the time spent on transformations between computer independent models and platform independent models
- 2008
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Ingår i: Proceedings of The 31st Information Systems Research Seminar in Scandinavia (IRIS31). - : IRIS. - 9789186073121 ; , s. 12-
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Konferensbidrag (refereegranskat)abstract
- A well known trade-off effect with modelling is that when it is user friendly it becomes ambiguous and when it has a formal notation, that makes it unambiguous, it becomes less user friendly. A well known solution to this dilemma is to use models on various levels of formalism where the least formalized models are known to be more user friendly and the most formalized models are well suited for being directly translated to program code. This article investigates how the user friendliness at an informal level can be combined with the accuracy needed at a more formal level of modeling. It aims at combining an informal user friendly perspective with a formal developer perspective in order to minimize the time spent on transformation mapping between user friendly models and developer models. Theoretical data and empirical data indicates possibilities of minimizing the work with transformations between models. The results show that a number of developed criteria can be used to secure the user friendliness of models that are used in communications between the designer and the end user.
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| 8. |
- Kjellin, Harald, et al.
(författare)
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Minimizing the time spent on transformations between computer independent models and platform independent models
- 2008
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Ingår i: Asproth, V. (ed), Proceedings of 31th Information Systems Research Seminar in Scandinavia. - Sundsvall : Mittuniversitetet. - 9789186073121
-
Konferensbidrag (refereegranskat)abstract
- A well known trade-off effect with modelling is that when it is user friendly it becomes ambiguous and when it has a formal notation, that makes it unambiguous, it becomes less user friendly. A well known solution to this dilemma is to use models on various levels of formalism where the least formalized models are known to be more user friendly and the most formalized models are well suited for being directly translated to program code. This article investigates how the user friendliness at an informal level can be combined with the accuracy needed at a more formal level of modeling. It aims at combining an informal user friendly perspective with a formal developer perspective in order to minimize the time spent on transformation mapping between user friendly models and developer models. Theoretical data and empirical data indicates possibilities of minimizing the work with transformations between models. The results show that a number of developed criteria can be used to secure the user friendliness of models that are used in communications between the designer and the end user.
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| 9. |
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| 10. |
- Olander, Agnes, et al.
(författare)
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The onset of sepsis as experienced by patients and family members : A qualitative interview study
- 2023
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Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 32:19-20, s. 7402-7411
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Tidskriftsartikel (refereegranskat)abstract
- Aims and Objectives: To explore the onset of sepsis based on patients' and family members' experiences.Background: Knowledge about the onset of sepsis is limited among patients and their families, which makes early recognition of sepsis difficult. Previous studies argue that their stories are important to recognising sepsis and reduced suffering and mortality.Design: A descriptive design with a qualitative approach was used.Methods: In total, 29 patients and family members participated in 24 interviews with open-ended questions, including five dyadic and 19 individual interviews. The interviews were conducted during 2021, and participants were recruited from a sepsis group on social media. A thematic analysis based on descriptive phenomenology was performed. The study followed the COREQ checklist.Findings: Two themes emerged from the experiences: (1) When health changes into something unknown, including the two subthemes; Bodily symptoms and signs being vague but still tangible and Feelings of uncertainty, and (2) Turning points when warnings signs are deemed as serious, including the two subthemes Passing borders when feeling out of control and Difficulties understanding the seriousness.Conclusions: Patients' and family members' stories of the onset of sepsis indicate that symptoms and signs appeared insidiously and then noticeably worsen. The symptoms and signs seemed not be attributed to sepsis; instead, there was uncertainty about what the symptoms and signs meant. It was mainly family members who possibly understood the seriousness of the disease.Implications for the profession and patient care: Patients' experiences of their symptoms and signs and family members' unique knowledge of the patient, indicate that healthcare professionals should listen and try to understand what the patient and family members are telling and take their concerns seriously. How the condition appears, and family members' concerns are important pieces of the assessment to recognise patients with sepsis.Patient or public contribution: Patients and family members contributed to the data collected.
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