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Search: WFRF:(Westling L)

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  • Naver, L., et al. (author)
  • Prophylaxis and treatment of HIV-1 infection in pregnancy - Swedish Recommendations 2017
  • 2018
  • In: Infectious Diseases. - : Informa UK Limited. - 2374-4235 .- 2374-4243. ; 50:7, s. 495-506
  • Journal article (peer-reviewed)abstract
    • Prophylaxis and treatment with antiretroviral drugs have resulted in a very low rate of mother-to-child transmission (MTCT) of HIV during recent years. Registration of new antiretroviral drugs, modification of clinical praxis, updated general treatment guidelines and increasing knowledge about MTCT have necessitated regular revisions of the recommendations for Prophylaxis and treatment of HIV-1 infection in pregnancy'. The Swedish Reference Group for Antiviral Therapy (RAV) has updated the recommendations from 2013 at an expert meeting 19 September 2017. In the new text, current treatment guidelines for non-pregnant are considered. The most important revisions are that: (1) Caesarean section and infant prophylaxis with three drugs are recommended when maternal HIV RNA >150 copies/mL (previously >50 copies/mL). The treatment target of undetectable HIV RNA remains unchanged <50 copies/mL; (2) Obstetric management and mode of delivery at premature rupture of the membranes and rupture of the membranes at full term follow the same procedures as in HIV negative women; (3) Vaginal delivery is recommended to a well-treated woman with HIV RNA <150 copies/mL regardless of gestational age, if no obstetric contraindications are present; (4) Treatment during pregnancy should begin as soon as possible and should continue after delivery; (5) Ongoing well-functioning HIV treatment at pregnancy start should usually be retained; (6) Recommended drugs and drug combinations have been updated.
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  • Breitholtz, E, et al. (author)
  • Cognitions in generalized anxiety disorder and panic disorder patients
  • 1998
  • In: Journal of Anxiety Disorders. ; 12, s. 567-577
  • Journal article (peer-reviewed)abstract
    • Forty-three patients with generalized anxiety disorder (GAD) and 44 patients with panic disorder (PD) were given a standardized interview about thoughts and images during times of anxiety. The two groups differed significantly regarding the ideational con
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  • Carlbring, P, et al. (author)
  • Paniksyndromsbehandling via Internet
  • 2000
  • In: Paper presented at Beteendeterapeutiska Föreningens årsmöte, Uppsala..
  • Conference paper (other academic/artistic)
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  • Froberg, G, et al. (author)
  • Screening and treatment of tuberculosis among pregnant women in Stockholm, Sweden, 2016-2017
  • 2020
  • In: The European respiratory journal. - : European Respiratory Society (ERS). - 1399-3003 .- 0903-1936. ; 55:3
  • Journal article (peer-reviewed)abstract
    • Swedish National tuberculosis (TB) guidelines recommend screening of active and latent TB (LTBI) among pregnant women (PW) from high-endemic countries or with previous exposure to possibly improve early detection and treatment.We evaluated cascade of care of a newly introduced TB screening programme of pregnant women in Stockholm county in 2016–2017. The algorithm included clinical data and Quantiferon (QFT) at the Maternal Health Care clinics and referral for specialist care upon positive test or TB symptoms.About 29 000 HIV-negative pregnant women were registered yearly, of whom 11% originated from high-endemic countries. In 2016, 72% of these were screened with QFT, of which 22% were QFT positive and 85% were referred for specialist care. In 2017, corresponding figures were 64%, 19% and 96%, respectively. The LTBI treatment rate among all QFT-positive pregnant women increased from 24% to 37% over time. Treatment completion with mainly rifampicin post-partum was 94%. Of the 69 registered HIV-positive pregnant women, 78% originated from high-endemic countries. Of these, 72% where screened with QFT and 15% were positive, but none was treated for LTBI. 9 HIV-negative active pulmonary TB cases were detected (incidence: 215/100 000). None had been screened for TB prior to pregnancy and only one had sought care due to symptoms.Systematic TB screening of pregnant women in Stockholm was feasible with a high yield of unknown LTBI and mostly asymptomatic active TB. Optimised routines improved referrals to specialist care. Treatment completion of LTBI was very high. Our findings justify TB screening of this risk group for early detection and treatment.
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  • Gladh, Maria, 1970-, et al. (author)
  • Feasibility and fidelity in implementation of a peer-based intervention for social play
  • 2023
  • In: JURE 2023 Book of Abstracts. ; , s. 58-59
  • Conference paper (other academic/artistic)abstract
    • Policies of early childhood education (ECE) emphasize the significance of social play with peers for children’s well-being, learning, development, social participation, and inclusion. In Swedish ECE settings, the principle of children’s agency, with access to free play is also important. Previous studies show that children with disabilities and other special educational needs (SEN) could risk engaging less in social play with peers. Previous studies also show that it could be challenging in inclusive ECE teaching to balance the principles of agency and social participation for all children, with the concept of explicit teaching. Peerbased intervention and instruction (PBII) constitute a recommended practice for learning social skills and promoting social play between children in inclusive settings. In order to examine such, researchers need to consider the implementation context and the fidelity of the intervention, both in terms of its procedures and content. This presentation provides examples of a multiple case study, exploring the implementation of a PBII for social play skills, in four inclusive Swedishpreschools. It aims to contribute to discussing the implementation of complex interventions and means for treating feasibility and treatment fidelity in various ECE contexts, where views of social play, social learning, teaching, and care might vary. 
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