| 1. |
- Andersson, Siv Folkhammar, et al.
(author)
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Arthritis management in primary care : A study of physiotherapists' current practice, educational needs and adherence to national guidelines
- 2017
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In: Musculoskeletal Care. - Chichester : John Wiley & Sons. - 1478-2189 .- 1557-0681. ; 15:4, s. 333-340
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Journal article (peer-reviewed)abstract
- BACKGROUND: With an increasing number of patients with osteoarthritis (OA) and rheumatoid arthritis (RA) in primary care, our aim was to investigate arthritis-related practice in physiotherapy and to study adherence to evidence-based care.METHODS: Seventy physiotherapists (PTs) working in primary care were emailed a questionnaire to investigate current practice and the number of roles assumed by PTs, the degree of confidence, educational needs and adherence to national guidelines in managing patients with OA or RA. Interventions supported by national guidelines were compared with reports of treatment modalities in the questionnaire.RESULTS: Sixty-four (91%) PTs responded, and they reported a higher degree of confidence in assessment, treatment and education of patients with OA than for those with RA (p < 0.001). The total number of roles assumed by the PTs was higher in the management of OA than for RA (p < 0.001). PTs who assumed a greater number of roles also reported a stronger degree of confidence in assessing OA (p = 0.036). Those who assumed fewer roles also reported less confidence in RA treatment (p = 0.045). Recommendations in the guidelines were followed by the majority of PTs for eight of 11 treatment modalities in OA and for six of six in RA.CONCLUSIONS: PTs reported a lower degree of confidence and the assumption of fewer roles in managing patients with RA compared with OA. There was good adherence to the national guidelines for almost all the treatment modalities listed. Even so, the results indicate a need for education, especially in chronic inflammatory arthritis care.
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| 2. |
- Arvidsson, Susann, 1965-, et al.
(author)
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Psychometric Properties of the Swedish Rheumatic Disease Empowerment Scale, SWE-RES-23
- 2010
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In: Svenska Läkaresällskapets Riksstämma 2010. ; , s. 3-3
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Conference paper (peer-reviewed)abstract
- Empowerment is a central concept in a patient-focused rheumatology care. WHO describes empowerment as a process in which the person receives more control over decisions and actions that affect the own life and health. Today there is no Swedish empowerment instrument for rheumatic diseases created or transl[...]The already existing questionnaire, Swedish Diabetes Empowerment Scale (SWE-DES-23), was adapted for use in patients with rheumatic diseases by exchanging the word diabetes with rheumatic disease in all the questions. No items were added or removed. The adapted questionnaire was called SWE-RES-23. In 2009, 260 patients with rheumatic diseases from a rheumatology unit in the southwest of Sweden completed the questionnaire.In order to establish discriminant validity, a question about self-perceived health from SF-36 was used in addition to SWE-RES-23.Construct validity was tested by using exploratory factor analysis. In order to determine unidimensionality of the empowerment subscales, inter-item correlations were calculated. Internal consistency reliability was tested by the use of the Cronbach-α coefficient.The exploratory factor analysis resulted in five factors (empowerment subscales) with Eigenvalues >1 explaining 64.1% of the variance. The five empowerment subscales were: Goal achievement and overcoming barriers to goal achievement, Self-awareness, Managing stress, Assessing dissatisfaction and readiness to change, and Support for caring. The Cronbach-α values ranged from 0.59 to 0.91 and for the total score 0.92. All inter-item correlations were significant. Patients with very good and good self-reported health scored significantly higher on three empowerment subscales (Goal achievement, Self-awareness and Managing stress). The same patterns were seen in the other two empowerment subscales (Readiness to change and Support for change), but did not reach significance.The SWE-RES-23 was a first step in developing a questionnaire for assessment of empowerment of patients with rheumatic diseases. The questionnaire possesses acceptable validity and reliability. To fully validate the SWE-RES-23 further studies are needed, but the instrument is even now possible to use in empowerment education programmes for patients with rheumatic diseases.
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| 3. |
- Bengmark, Karin, et al.
(author)
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Mellan öken och hav
- 2012
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In: Ohlinsalen, Artisten, Göteborg, 1 mars, 2012.
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Artistic work (other academic/artistic)abstract
- Vackra arabiska sånger översatta till svenska. Många av sångerna har flera hundra år på nacken och härstammar från det vidsträckta arabisktalande området från södra Spanien till Irak. Karin Bengmark, sång, Ahmad al Khatib, oud, Michael Andersson, slagverk, Stefan Bergman, bas och Sten Källman, saxofon
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| 4. |
- Bengmark, Karin, et al.
(author)
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Mellan öken och hav
- 2014
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In: Release på Artisten.
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Artistic work (other academic/artistic)
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| 5. |
- Bergman, Lina, 1982, et al.
(author)
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Study for Improving Maternal Pregnancy And Child ouTcomes (IMPACT): a study protocol for a Swedish prospective multicentre cohort study
- 2020
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In: BMJ Open. - : BMJ. - 2044-6055 .- 2044-6055. ; 10:9, s. e033851-e033851
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Journal article (peer-reviewed)abstract
- Introduction First-trimester pregnancy risk evaluation facilitates individualised antenatal care, as well as application of preventive strategies for pre-eclampsia or birth of a small for gestational age infant. A range of early intervention strategies in pregnancies identified as high risk at the end of the first trimester has been shown to decrease the risk of preterm pre-eclampsia (<37 gestational weeks). The aim of this project is to create the Improving Maternal Pregnancy And Child ouTcomes (IMPACT) database; a nationwide database with individual patient data, including predictors recorded at the end of the first trimester and later pregnancy outcomes, to identify women at high risk of pre-eclampsia. A second aim is to link the IMPACT database to a biobank with first-trimester blood samples. Methods and analysis This is a Swedish prospective multicentre cohort study. Women are included between the 11th and 14th weeks of pregnancy. At inclusion, pre-identified predictors are retrieved by interviews and medical examinations. Blood samples are collected and stored in a biobank. Additional predictors and pregnancy outcomes are retrieved from the Swedish Pregnancy Register. Inclusion in the study began in November 2018 with a targeted sample size of 45 000 pregnancies by end of 2021. Creation of a new risk prediction model will then be developed, validated and implemented. The database and biobank will enable future research on prediction of various pregnancy-related complications. Ethics and dissemination Confidentiality aspects such as data encryption and storage comply with the General Data Protection Regulation and with ethical committee requirements. This study has been granted national ethical approval by the Swedish Ethical Review Authority (Uppsala 2018-231) and national biobank approval at Uppsala Biobank (18237 2 2018 231). Results from the current as well as future studies using information from the IMPACT database will be published in peer-reviewed journals.
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| 6. |
- Emilson, Christina, et al.
(author)
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Association between health care utilization and musculoskeletal pain. A 21-year follow-up of a population cohort
- 2020
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In: Scandinavian Journal of Pain. - : Walter de Gruyter GmbH. - 1877-8860 .- 1877-8879. ; 20:3, s. 533-543
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Journal article (peer-reviewed)abstract
- Background and aims: Few studies have reported the long-term impact of chronic pain on health care utilization. The primary aim of this study was to investigate if chronic musculoskeletal pain was associated with health care utilization in the general population in a 21-year follow-up of a longitudinal cohort. The secondary aim was to identify and describe factors that characterize different long-term trajectories of health care utilization. Methods: A prospective cohort design with a baseline sample of 2,425 subjects (aged 20-74). Data were collected by self-reported questionnaires, and three time points (1995, 2007, and 2016) were included in the present 21-year follow up study. Data on health care utilization were dichotomized at each time point to either high or low health care utilization. High utilization was defined as >5 consultations with at least one health care provider, or >= 1 consultation with at least 3 different health care providers during the last 12 months. Low health care utilization was defined as <= 5 consultations with one health care provider and <3 consultations with different health care providers. The associations between baseline variables and health care utilization in 2016 were analyzed by multiple logistic regression. Five different trajectories for health care utilization were identified by visual analysis, whereof four of clinical relevance were included in the analyses. Results: Baseline predictors for high health care utilization at the 21-year follow-up in 2016 were chronic widespread pain (OR: 3.2, CI: 1.9 5.1), chronic regional pain (OR:1.8, CI: 1.2-2.6), female gender (OR: 2.0, CI: 1.4-3.0), and high age (OR: 1.6, CI:0.9-2.9). A stable high health care utilization trajectory group was characterized by high levels of health care utilization, and a high prevalence of chronic pain at baseline and female gender (n =23). A stable low health care utilization trajectory group (n=744) was characterized by low health care utilization, and low prevalence of chronic pain at baseline. The two remaining trajectories were: increasing trajectory group (n =108), characterized by increasing health care utilization, chronic pain at baseline and female gender, and decreasing trajectory group (n=107) characterized by decreasing health care utilization despite a stable high prevalence of chronic pain over time. Conclusions: The results suggest that chronic pain is related to long-term health care utilization in the general population. Stable high health care utilization was identified among a group characterized by female gender and a report of chronic widespread pain.
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| 7. |
- Emilson, Christina, et al.
(author)
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Concurrent validity and stability of subgroup assignment based on three levels of pain condition severity in patients with musculoskeletal pain
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Journal article (peer-reviewed)abstract
- Pain screening instruments have been used to identify risk factors for poor prognosis and are recommended for the stratification of treatment for musculoskeletal pain. The aim of this study was to investigate the concurrent validity of subgroup assignment based on the Örebro Musculoskeletal Pain Screening Questionnaire compared with reference instruments: The Pain Disability Index, the Tampa Scale for Kinesiophobia, and the Pain Catastrophizing Scale. A secondary aim was to investigate the stability of the subgroup assignment over a defined period of time. Participants (n=40) aged 18-65 years were recruited from five primary health care centers in Sweden. Data were collected using self-reported questionnaires. The subgroups based on the Örebro Musculoskeletal Pain Screening Questionnaire were predefined to low, moderate or high pain condition severity. The reference instrument data were dichotomized into low or high level based on previously used cut-off scores. Concurrent validity was analyzed with Fisher´s exact test. Stability was calculated using quadraticweighted kappa analysis. The results indicated acceptable psychometric properties of the subgroup assignment based on the Örebro Musculoskeletal Pain Screening Questionnaire regarding concurrent validity, and the stability over two to three weeks. To further increase validity, it is suggested that subgroup assignment is complemented with other measures assessing e.g. pain catastrophizing. In conclusion, assignment to subgroups with low, moderate and high pain condition severities based on the Örebro Musculoskeletal Pain Screening Questionnaire, could be used as a valid base for stratified treatment for patients with musculoskeletal pain.
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| 8. |
- Güsten, R., et al.
(author)
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APEX - The Atacama Pathfinder Experiment
- 2006
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In: Proceedings of SPIE - The International Society for Optical Engineering. - : SPIE. - 0277-786X .- 1996-756X. ; 6267 I
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Conference paper (peer-reviewed)abstract
- APEX, the Atacama Pathfinder Experiment, has been successfully commissioned and is in operation now. This novel submillimeter telescope is located at 5107 m altitude on Llano de Chajnantor in the Chilean High Andes, on what is considered one of the world's outstanding sites for submillimeter astronomy. The primary reflector with 12 m diameter has been carefully adjusted by means of holography. Its surface smoothness of 17-18 μm makes APEX suitable for observations up to 200 μm, through all atmospheric submm windows accessible from the ground.
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| 9. |
- Karlsson, Anton, et al.
(author)
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Active real-time electric field control of the e-jet in near-field electrospinning using an auxiliary electrode
- 2021
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In: Journal of Micromechanics and Microengineering. - : Institute of Physics Publishing (IOPP). - 0960-1317 .- 1361-6439. ; 31:3
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Journal article (peer-reviewed)abstract
- Near-field electrospinning (NFES) is an additive manufacturing technique that allows for both high-resolution 3D structures and a wide variety of printed materials. Typically, a high electric field between a nozzle, the spinneret, and the substrate creates a mu m-sized jet of a supplied liquid material. With mm distances between spinneret and sample, it is possible to have a fair control of the lateral placement of the deposited material. The placement is, however, distributed by various electrostatic phenomena, and this is one of the present challenges in developing NFES into a more versatile technique. In this paper, a higher degree of control in NFES placement was achieved through manipulation of the electric field direction, using an auxiliary steering electrode. The position of a polycaprolactone plastic jet was determined in real-time with a camera attached to a stereo microscope. The measured position was used to calculate an applied potential to the steering electrode to guide the plastic jet to the desired position. The placement accuracy was measured both at the substrate and during flight using the camera and microscope. The higher control was revealed through the deposition of plastic fibers in a pattern with decreasing separation, with and without the active steering electrode enabled. It is in the authors' opinion that the fabrication of dense structures could be possible with further refinement of the technique.
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| 10. |
- Lagrosen, Stefan, 1960-
(author)
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Kvalitetsstyrning i skolan? : en analys av TQM:s tillämpbarhet inom den svenska grundskolan sett från en företagsekonomisk utgångspunkt
- 1997
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Doctoral thesis (other academic/artistic)abstract
- This is a study of the application of the theoretical framework, total quality management (TQM) which has been developed in the private manufacturing sector, in the Swedish school system. The purpose is to highlight the effects of the use of TQM in schools and thereby to see whether it is advisable to promote this use and to study ways of refining the framework in order to make it more applicable to organisations such as schools. The study is done from a business management perspective. It is based on qualitative research methods and has its theoretical foundation in TQM and service management.The empirical basis of the study is a quality project which took place in four schools in the municipality of Täby, north of Stockholm, during the years 1992-94. The data has been generated through observation, in-depth interviews and focus group interviews. Quality dimensions for the different participant groups have been defined in order to clarify what quality in schools mean. These dimensions have been compared with the set of values that permeates TQM as well as with the substance of the specific quality model that has been used, the model for the Swedish Quality Award, (USK). On this ground the relevance of TQM for use in schools has been assessed. A summary of the effects of the studied quality project is also done.The result of this comparison is that TQM is substantially relevant and suitable for use in schools. Certain parts of the theory suffers, however, from a limited view of knowledge which is insufficient for the school-sector whose activities consist of human interaction. The effects of the specific quality project that has been studied has been found to be highly positive.The conclusion that is drawn is that it is advisable to use TQM in schools providing that one is aware of the above-mentioned limitation and that the transfer of methods is done with a certain discrimination. The Service Management theories are also recommended as a theoretical starting-point for quality improvement in schools. Finally examples are given as to how these methods can be put to practical use in schools in a suitable manner.
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