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| 2. |
- Bååth, Carina, 1959-, et al.
(författare)
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Pressure reducing intervention among persons with pressure ulcers : results from the first three national pressure ulcer prevalence surveys in Sweden
- 2014
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Ingår i: Journal of Evaluation In Clinical Practice. - : Wiley. - 1356-1294 .- 1365-2753. ; 20:1, s. 58-65
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Tidskriftsartikel (refereegranskat)abstract
- Rationale, aims and objectivesThe overall aim of this study was to describe preventive interventions among persons with pressure ulcer (PU) in three nationwide PU prevalence surveys in Sweden.MethodsA cross-sectional research design was used; more than 70 000 persons from different hospitals and nursing homes participated in the three prevalence surveys conducted in March 2011, October 2011 and March 2012.The methodology used was that recommended by the European Pressure Ulcers Advisory Panel.ResultsThe overall prevalence of PU categories I–IV in hospitals was 16.6%, 14.4% and 16.1%, respectively. Corresponding figures for nursing homes were 14.5%, 14.2% and 11.8%, respectively. Heel protection/floating heels and sliding sheets were more frequently planned for persons with PU category I.ConclusionsDespite the three prevalence studies that have showed high prevalence of PU the use of preventing interventions is still not on an acceptable level. Heel protection/floating heels and sliding sheets were more frequently planned for persons with PUs, and individual-planned repositioning also increased. However, when persons already have a PU they should all have pressure-reducing preventive interventions to prevent the development of more PUs. Preventing PUs presents a challenge even when facilities have prevention programmes. A PU prevention programme requires an enthusiastic leader who will maintain the team's focus and direction for all staff involved in patient care.
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| 3. |
- Chrcanovic, Bruno, et al.
(författare)
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A retrospective study on clinical and radiological outcomes of oral implants in patients followed up for a minimum of 20 years
- 2018
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Ingår i: Clinical Implant Dentistry and Related Research. - : John Wiley & Sons. - 1523-0899 .- 1708-8208. ; 20:2, s. 199-207
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Tidskriftsartikel (refereegranskat)abstract
- Background: Very long-term follow-up of oral implants is seldom reported in the literature. Purpose: To assess oral implant failure rates and marginal bone loss (MBL) of patients followed up for a minimum of 20 years. Materials and Methods: Implants placed in patients followed up for 20+ years were included. Descriptive statistics, survival analyses, generalized estimating equations were performed. Three-hundred implants were randomly selected for MBL. Results: 1,045 implants (227 patients) were included. Implant location, irradiation, and bruxism affected the implant survival rate. Thirty-five percent of the failures occurred within the first year after implantation, and another 26.8% in the second/third year. There was a cumulative survival rate of 87.8% after 36 years of follow-up. In the last radiological follow up, 35 implants (11.7%) had bone gain, and 35 implants (11.7%) presented at least 3 mm of MBL. Twenty-six out of 86 failed implants with available radiograms presented severe MBL in the last radiological register before implant failure. Conclusions: Most of the implant failures occurred at the first few years after implantation, regardless of a very long follow up. MBL can be insignificant in long-term observations, but it may, nevertheless, be the cause of secondary failure of oral implants in some cases.
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| 4. |
- Chrcanovic, Bruno, et al.
(författare)
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Factors influencing the fracture of dental implants
- 2018
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Ingår i: Clinical Implant Dentistry and Related Research. - : John Wiley & Sons. - 1523-0899 .- 1708-8208. ; 20:1, s. 58-67
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Tidskriftsartikel (refereegranskat)abstract
- Background: Implant fractures are rare but offer a challenging clinical situation. Purpose: To determine the prevalence of implant fracture and the possible risk factors predisposing an implant to a higher fracture risk. Materials and Methods: This retrospective study is based on 2670 patients consecutively treated with implant-supported prostheses. Anatomical-, patient-, and implant-related factors were collected. Descriptive statistics and survival analyses were performed. Generalized estimating equations (GEE) evaluated the effect of explanatory variables on implant fracture. Results: Forty-four implants (out of 10 099; 0.44%) fractured. The mean ± standard deviation time for fracture to occur was 95.1 ± 58.5 months (min-max, 3.8-294.7). Half of the occurrences of fracture happened between 2 and 8 years after implantation. Five factors had a statistically significant influence on the fracture of implants (increase/decrease in fracture probability): use of higher grades of titanium (decrease 72.9%), bruxism (increase 1819.5%), direct adjacency to cantilever (increase 247.6%), every 1 mm increase in implant length (increase 22.3%), every 1 mm increase in implant diameter (decrease 96.9%). Conclusions: It is suggested that 5 factors could influence the incidence of implant fractures: grade of titanium, implant diameter and length, cantilever, bruxism.
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| 5. |
- Costa, Filipa A., et al.
(författare)
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Provision of pharmaceutical care by community pharmacists across Europe : Is it developing and spreading?
- 2017
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Ingår i: Journal of Evaluation In Clinical Practice. - : John Wiley & Sons. - 1356-1294 .- 1365-2753. ; 23:6, s. 1336-1347
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Tidskriftsartikel (refereegranskat)abstract
- Rationale, Aims, and Objectives: Pharmaceutical care involves patient-centred pharmacist activity to improve medicines management by patients. The implementation of this service in a comprehensive manner, however, requires considerable organisation and effort, and indeed, it is often not fully implemented in care settings. The main objective was to assess how pharmaceutical care provision within community pharmacy has evolved over time in Europe. Method: A cross-sectional questionnaire-based survey of community pharmacies, using a modified version of the Behavioural Pharmaceutical Care Scale (BPCS) was conducted in late 2012/early 2013 within 16 European countries and compared with an earlier assessment conducted in 2006. Results: The provision of comprehensive pharmaceutical care has slightly improved in all European countries that participated in both editions of this survey (n=8) with progress being made particularly in Denmark and Switzerland. Moreover, there was a wider country uptake, indicating spread of the concept. However, due to a number of limitations, the results should be interpreted with caution. Using combined data from participating countries, the provision of pharmaceutical care was positively correlated with the participation of the community pharmacists in patient-centred activities, routine use of pharmacy software with access to clinical data, participation in multidisciplinary team meetings, and having specialized education. Conclusions: The present study demonstrated a slight evolution in self-reported provision of pharmaceutical care by community pharmacists across Europe, as measured by the BPCS. The slow progress suggests a range of barriers, which are preventing pharmacists moving beyond traditional roles. Support from professional bodies and more patient-centred community pharmacy contracts, including remuneration for pharmaceutical care services, are likely to be required if quicker progress is to be made in the future.
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| 6. |
- Enander, Viveka, 1967, et al.
(författare)
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Before the killing: Intimate partner homicides in a process perspective, part I
- 2021
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Ingår i: Journal of Gender-Based Violence. - : Policy Press. - 2398-6808 .- 2398-6816. ; 5:1, s. 59-74
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Tidskriftsartikel (refereegranskat)abstract
- This paper puts intimate partner homicide (IPH) into a process perspective, and describes the situational precursors that constitute the build-up, i.e. the first stage of the IPH process that precedes the deed. Fifty court files, from cases involving 40 male and 10 female perpetrators, underwent thematic analysis. Our findings indicate that the build-up phase of an IPH is complex and encompasses several different features, of which some are clearly gendered. The results point to an escalation during the build-up: of possessiveness and violent behaviour in male-to-female cases, of alcohol/drug abuse, of mental health problems and/or of fears for the future, often connected to separation. Concurrent with previous research we found that women often kill in the context of their own victimisation. However, also other situations and motives protruded as pertinent. The practical implications of these findings are that practitioners should be particularly attentive to escalation of known risk factors, especially male possessiveness, and be aware that (the victim wanting) a separation may initiate escalation with lethal consequences.
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| 7. |
- Enander, Viveka, 1967, et al.
(författare)
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The killing and thereafter : intimate partner homicides in a process perspective, part II
- 2022
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Ingår i: Journal of Gender-Based Violence. - Bristol : Policy Press. - 2398-6808 .- 2398-6816. ; 6:3, s. 501-517
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Tidskriftsartikel (refereegranskat)abstract
- This article puts intimate partner homicide (IPH) into a process perspective, and describes the latter two stages of the IPH process, that is, ‘changing the project’ and ‘the aftermath’. The focus of analysis is on the moment when the perpetrator chooses to kill the victim, and what s/he does and says in the wake of the killing. Fifty court files, from cases involving 40 male and 10 female perpetrators, underwent thematic analysis. Regarding the final trigger pertaining to changing the project, some situational factors that trigger male-perpetrated IPH seem to differ from the corresponding factors in female-perpetrated IPH. Feelings of rejection and jealousy seemed to be more common as triggers to kill for men than for women, while some cases of female-perpetrated IPH were linked to self-defence in response to IPV. Moreover, as noted previously, no female perpetrators displayed possessiveness.
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| 8. |
- Franzén, Cecilia, et al.
(författare)
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Trust as an analytical concept for the study of welfare programmes to reduce child health disparities : the case of a Swedish postnatal home visiting programme
- 2020
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Ingår i: Children and youth services review. - : Elsevier. - 0190-7409 .- 1873-7765. ; 118, s. 1-7
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this article is to outline a theoretical framework for how the concept of trust can be used as analytical tool for a study of the aim, design, output and societal legitimacy of a Swedish welfare programme conducted to reduce disparities in health and social inequities and to give newborn a positive start in life. This programme, labelled Grow Safely, implies that home visits will be conducted at six occasions at first-time parents by different professionals: child health care nurses, midwifes, dental hygienists and counsellors from the social services. Prior to when the intervention is carried out, the involved professionals in the programme will be participating in training in order to increase the possibility that the home visits will be carried out in similar ways and be followed the same manual throughout the programme.The welfare programme will be based on relationships on different levels: between professionals and parents, between different professionals, between professionals and managers, and between organisations. Trust is believed to be of significance for the development of relationships as well as for the social legitimacy of the implantation of welfare programmes. Therefore, our ambition is to embrace a broad perspective on trust, combining insights from a variety of research traditions and analyses on macro, meso and micro levels in the outline a model for how the concept of trust can be used as an analytical tool for studying welfare programmes like Grow Safely. We argue for that the model can capture the significance of trust at different levels: individual, professional, organisational and societal levels as well as interplays between these levels, and consequently be useful in to analyse implementations of welfare programmes.
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| 9. |
- Gaber, Sophie, et al.
(författare)
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Social Citizenship Through Out-of-Home Participation Among Older Adults With and Without Dementia
- 2022
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Ingår i: Journal of Applied Gerontology. - : Sage Publications. - 0733-4648 .- 1552-4523. ; 41:11, s. 2362-2373
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Tidskriftsartikel (refereegranskat)abstract
- There is limited empirical knowledge about how older adults living with dementia enact their social citizenship through out-of-home participation. This study aimed: (a) to investigate out-of-home participation among older adults with and without dementia in four countries and (b) to compare aspects of stability or change in out-of-home participation. Using a cross-sectional design, older adults with mild-to-moderate dementia and without dementia, aged 55 years and over, were interviewed using the Participation in ACTivities and Places OUTside the Home questionnaire in Canada (n = 58), Sweden (n = 69), Switzerland (n = 70), and the United Kingdom (n = 128). Data were analyzed using descriptive statistics and a two-way analysis of variance. After adjustment for age, diagnosis of dementia and country of residence had significant effects on total out-of-home participation (p < .01). The results contribute to policies and development of programs to facilitate social citizenship by targeting specific activities and places.
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| 10. |
- Gummesson, Christina
(författare)
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Lenses for learning
- 2022
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Ingår i: Physical Therapy Reviews. - : Taylor & Francis. - 1083-3196 .- 1743-288X. ; 27:1, s. 1-3
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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