1. |
- Blomqvist Mickelsson, Tony
(author)
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A Nordic sport social work in the context of refugee reception
- 2023
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Doctoral thesis (other academic/artistic)abstract
- Idrotten antas gynna positiva utfall, såsom god hälsa, utökat socialt nätverk med mera, och har alltmer kommit att ta plats som en aktör som adresserar sociala frågor. Den här avhandlingen, som består av sex publicerade artiklar, undersöker de förutsättningar som krävs för att svenska idrottsföreningar ska kunna inkludera underrepresenterade grupper, såsom människor med migrantbakgrund. Detta görs delvis i kontexten av konflikten i Ukraina, där ungefär 50.000 ukrainska människor nu befinner sig i Sverige. I sin helhet visar studierna på att idrottsföreningar, ofta i socioekonomiskt utsatta områden, har ett stort jobb framför sig. Det krävs tid, systematik och olika typer av kapital för att idrottsföreningarna ska kunna jobba hållbart med inkluderingsfrågor. Idrottsföreningarna behöver ofta någon, eller flera, med personligt driv, stark lokal förankring, och en förmåga att knyta idrottsföreningen till andra aktörer i samhället. I kontexten av detta argumenteras det för att idrottsföreningar och idrottens samhällsnytta diskuteras mer explicit i samband med som i socialt arbete kallas ’samhällsarbete’, för att tydligare karva ut och konceptualisera idrottens roll inom socialt arbetes forskning. I den senare delen av avhandlingen undersöks inkluderandet av ukrainska migranter, och hur detta har upplevts av idrottsföreningarna. Detta görs både ur ett pragmatiskt och ett kritiskt perspektiv i avhandlingens två avslutande studier. Nästintill alla idrottsföreningar är övervägande positivt inställda till ukrainska migranter och hur dessa har välkomnats in i föreningen men i ett fåtal fall finns det viss friktion kring träningstraditioner mellan ukrainska barns föräldrar och svenska tränare. I den avslutande studien visas det även på hur ukrainska migranter pratas om som mer ’förtjänta’ av en god inkludering jämfört med andra migrantgrupper. Detta grundas i idéer om ukrainare som mer kulturellt lika svenskar, att dom inte utgör ett hot såsom andra grupper av flyktingar upplevs göra, och att ukrainare är mer villiga att bidra till svenska samhället än andra grupper. Sammantaget så kartlägger avhandlingen en rad viktiga faktorer att tänka på när idrottsföreningar jobbar mot underrepresenterade grupper, men visar även på att idrottsföreningar stundtals särbehandlar vissa grupper – detta strider då mot den vedertagna idén om att idrott är till för alla, som vägleder svensk idrottsrörelse.
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2. |
- Kassman, Anders, et al.
(author)
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Hur kan ledare inom idrottsrörelsen navigera delvis motsägelsefulla förväntningar från utövare, föräldrar, styrelsen och staten?
- 2024
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Conference paper (other academic/artistic)abstract
- Genom idrottsrörelsens verksamhet förväntas ett brett spektrum av mervärden, utöver enbart idrottslig utveckling och sportsliga framgångar. Främjandet av fysisk aktivitet, samhörighet, meningsfull fritidssysselsättning, social inkludering, integration, demokratisk fostran och brottförebyggande arbete bidrar till att motivera statlig och kommunal finansiering. I det implicita kontraktet mellan staten och idrottsrörelsen ingår även en aktiv strävan att vara öppen och tillgänglig för alla. Engagemanget för breddat deltagande utspelar sig i hög grad inom lokala medlemsbaserade föreningar, där ideella ledare står inför komplexa utmaningar. Ledaren har en nyckelroll, navigerar genom behov och förväntningar från utövare, föräldrar, styrelser och stat där egna förmågor och resurser blir avgörande. För att underlätta för den ideella lokala ledaren behövs olika former av stödstrukturer som behöver synliggöras tillsammans med ledarnas förutsättningar och bidrag till idrottsrörelsen.
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3. |
- Olander, Susanne, et al.
(author)
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Angiosarcoma in the breast: a population-based cohort from Sweden
- 2023
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In: British Journal of Surgery. - : Oxford University Press. - 0007-1323 .- 1365-2168. ; 110:12, s. 1850-1856
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Journal article (peer-reviewed)abstract
- Background: Breast angiosarcoma is a rare disease mostly observed in breast cancer (BC) patients who have previously received radiotherapy (RT). Little is known about angiosarcoma aetiology, management, and outcome. The study aim was to estimate risk and to characterize breast angiosarcoma in a Swedish population-based cohort. Methods: The Swedish Cancer Registry was searched for breast angiosarcoma between 1992 and 2018 in three Swedish healthcare regions (population 5.5 million). Information on previous BC, RT, management, and outcome were retrieved from medical records. Results: Overall, 49 angiosarcomas located in the breast, chest wall, or axilla were identified, 8 primary and 41 secondary to BC treatment. Median age was 51 and 73 years, respectively. The minimum latency period of secondary angiosarcoma after a BC diagnosis was 4 years (range 4–21 years). The cumulative incidence of angiosarcoma after breast RT increased continuously, reaching 1.4‰ after 20 years. Among 44 women with angiosarcoma treated by surgery, 29 developed subsequent local recurrence. Median recurrence-free survival was 3.4 and 1.8 years for primary and secondary angiosarcoma, respectively. The 5-year overall survival probability for the whole cohort was 50 per cent (95 per cent c.i., 21 per cent–100 per cent) for primary breast angiosarcoma and 35 per cent (95 per cent c.i., 23 per cent–54 per cent) for secondary angiosarcoma. Conclusion: Breast angiosarcoma is a rare disease strongly associated with a history of previous BC RT. Overall survival is poor with high rates of local recurrences and distant metastasis.
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4. |
- Sönnerfors, Pernilla, et al.
(author)
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The challenges of recruiting never-smokers with chronic obstructive pulmonary disease from the large population-based Swedish CArdiopulmonary bioImage study (SCAPIS) cohort.
- 2024
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In: European Clinical Respiratory Journal. - : Taylor & Francis. - 2001-8525. ; 11:1, s. 2372903-
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Journal article (peer-reviewed)abstract
- BACKGROUND: A substantial proportion of individuals with COPD have never smoked, and it is implied to be more common than previously anticipated but poorly studied.AIM: To describe the process of recruitment of never-smokers with COPD from a population-based cohort (n = 30 154).METHODS: We recruited never-smokers with COPD, aged 50-75 years, from six University Hospitals, based on: 1) post broncho-dilator forced expiratory volume in 1 second/forced vital capacity (FEV1/FVC) < 0.70 and 2) FEV1 50-100% of predicted value and 3) being never-smokers (self-reported). In total 862 SCAPIS participants were identified, of which 652 were reachable and agreed to a first screening by telephone. Altogether 128 (20%) were excluded due to previous smoking or declined participation. We also applied a lower limit of normal (LLN) of FEV1/FVC (z-score<-1.64) according to the Global Lung Initiative to ensure a stricter definition of airflow obstruction.RESULTS: Data on respiratory symptoms, health status, and medical history were collected from 492 individuals, since 32 were excluded at a second data review (declined or previous smoking), prior to the first visit. Due to not matching the required lung function criteria at a second spirometry, an additional 334 (68%) were excluded. These exclusions were by reason of: FEV1/FVC ≥0.7 (49%), FEV1 > 100% of predicted (26%) or z-score ≥ -1,64 (24%). Finally, 154 never-smokers with COPD were included: 56 (36%) women, (mean) age 60 years, FEV1 84% of predicted, FEV1/FVC: 0.6, z-score: -2.2, Oxygen saturation: 97% and BMI: 26.8 kg/m2.CONCLUSIONS: The challenges of a recruitment process of never-smokers with COPD were shown, including the importance of correct spirometry testing and strict inclusion criteria. Our findings highlight the importance of repeated spirometry assessments for improved accuracy in diagnosing COPD.
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5. |
- Takman, Maria, et al.
(author)
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Assessing the potential of a membrane bioreactor and granular activated carbon process for wastewater reuse – A full-scale WWTP operated over one year in Scania, Sweden
- 2023
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In: Science of the Total Environment. - : Elsevier. - 0048-9697 .- 1879-1026. ; 895
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Journal article (peer-reviewed)abstract
- A full-scale membrane bioreactor (MBR) with ultrafiltration, followed by granular activated carbon (GAC), was examined to determine the potential of reusing treated water as a source of drinking water or for irrigation. The major part of the bacteria removal took place in the MBR, whereas the GAC removed substantial amounts of organic micropollutants. Annual variations in inflow and infiltration resulted in a concentrated influent during summer and a diluted influent in the winter. The removal of E. coli was high throughout the process (average log removal 5.8), with effluent concentrations meeting the threshold for class B water standards for irrigation (EU 2020/741) but exceeding those for drinking water in Sweden. The total bacterial concentration increased over the GAC, indicating the growth and release of bacteria; however, E. coli concentrations declined. The effluent concentrations of metals met the Swedish criteria for drinking water. The removal of organic micropollutants decreased during the initial operation of the treatment plant, but after 1 year and 3 months, corresponding to 15,000 bed volumes, the removal increased. Maturation of the biofilm in the GAC filters might have resulted in biodegradation of certain organic micropollutants, in combination with bioregeneration. Although there is no legislation in Scandinavia with regard to many organic micropollutants in drinking water and water for irrigation, the effluent concentrations were generally in the same order of magnitude as to those in Swedish source waters that are used for drinking water production.
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6. |
- Takman, Maria, et al.
(author)
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Återanvändning av renat avloppsvatten : Potential efter rening med en membranbioreaktor följt av granulerat aktivt kol
- 2022
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Reports (pop. science, debate, etc.)abstract
- The treated wastewater from a full scale MBR and GAC reached drinking water quality regarding metals, but not bacteria. The water quality is however assessed as sufficient for irrigation or as a source water for drinking water production, based on the parameters analyzed in the project. The concentrations of organic micro pollutants were similar to the ones measured in Swedish drinking water sources, and hence similar to concentrations that we accept in the water we use for drinking water production.
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