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  • 1301.
    Velaga, Sitaram
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Nikjoo, Dariush
    Luleå University of Technology, Department of Engineering Sciences and Mathematics, Material Science.
    Rao Vuddanda, Parameswara
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Drying Kinetics of Polymeric Films: theoretical and experimental studies2016Conference paper (Refereed)
  • 1302.
    Velaga, Sitaram
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Nikjoo, Dariush
    Luleå University of Technology, Department of Engineering Sciences and Mathematics, Material Science.
    Rao Vuddanda, Parameswara
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Experimental Studies and Modeling of the Drying Kinetics of Multicomponent Polymer Films2018In: AAPS PharmSciTech, ISSN 1530-9932, E-ISSN 1530-9932, Vol. 9, no 1, p. 425-435Article in journal (Refereed)
    Abstract [en]

    The process of drying thin polymer films is an important operation that influences the film structure and solid state, and the stability of the product. The purpose of this work was to study and model the drying kinetics of multicomponent films based on two polymers: hydroxypropyl methylcellulose (HPMC, amorphous) and polyvinyl alcohol (PVA, semicrystalline). The isothermal drying kinetics of the films at different temperatures (40, 60, and 80°C) were studied using thermo-gravimetric analysis (TGA) and convection oven methods. Solid-state characterization tools used in the study included polarization and hot-stage microscopy, scanning electron microscopy (SEM), and differential scanning calorimetry (DSC). The drying kinetics of HPMC and PVA films in the TGA apparatus and convection oven were comparable. The three-parameter (Wmax, τ, n) Hill equation successfully modeled the experimental drying kinetics. The time factor τ in the Hill equation nicely explained two drying phases in the films. Solid-state phase changes occurring in the films during dehydration had a bearing on the drying kinetics and mechanisms. TGA can be used as a simple tool to determine the end points in drying processes using ovens or tunnels. The three-parameter Hill equation explained the drying kinetics and diffusion mechanisms of the solvent through the polymer films for the first time. This study advances our understanding of film drying, in particular for pharmaceutically relevant thin films.

  • 1303.
    Velaga, Sitaram
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Vangala, Venu R.
    Basavoju, Srinivas
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Boström, Dan
    Umeå university.
    Polymorphism in acesulfame sweetener: structure-property and stability relationships of bending and brittle crystals2010In: Chemical Communications, ISSN 1359-7345, E-ISSN 1364-548X, Vol. 46, no 21, p. 3562-3564Article in journal (Refereed)
    Abstract [en]

    Acesulfame is found to exist in two crystalline forms of which Form I (needles) shows bending upon mechanical stress. Crystal structures explain their mechanical response. This is the first case of aliphatic organic compounds featuring a bending phenomenon. Form I is physically more stable than Form II in ambient conditions.

  • 1304.
    Velden, Therese MH van der
    Duch Transport Safety Board, The Netherlands.
    N=1: Independent investigation into single accidents, added value for road safety research2001In: Proceedings of the conference Traffic Safety on Three Continents: International conference in Moscow, Russia, 19-21 September, 2001 / [ed] Asp, Kenneth, Linköping: Statens väg- och transportforskningsinstitut, 2001, Vol. 18A:1, p. 10-Conference paper (Other academic)
    Abstract [en]

    There are more than 200 countries in the world and roughly ten of them have an independent safety board or transport safety board. These boards conduct investigations into single accidents in the aviation, shipping, rail and road transport sectors and sometimes pipelines. This paper will concentrate on two aspects of accident investigations as conducted by transport safety boards: depth and independence. The position defended here is as follows: independent and in-depth investigations of single accidents as conducted by the transport safety boards also generate added value in the case of road traffic.

  • 1305.
    Velic, Mersiha
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Upplevelser i samband med akuta tandvårdsbesök: En jämförelse mellan syriska asylsökande och svenska patienter samt den behandlade personalen2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 1306.
    Vellone, Ercole
    et al.
    Tor Vergata University, Rome, Italy.
    Jaarsma, Tiny
    University of Linköping.
    Strömberg, Anna
    University of Linköping.
    Fida, Roberta
    Sapienza University, Italy.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. University of Linköping.
    Rocco, Gennaro
    Center of Excellence for Nursing Scholarship, Italy.
    Cocchieri, Antonello
    Tor Vergata University, Italy.
    Alvaro, Rosaria
    Tor Vergata University, Italy.
    The European Heart Failure Self-care Behaviour Scale: new insights into factorial structure, reliability, precision and scoring procedure.2014In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 94, no 1, p. 97-102, article id S0738-3991(13)00367-4Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To evaluate a new factorial structure of the European Heart Failure Self-care Behaviour Scale 9-item version (EHFScBS-9), and to test its reliability, floor and ceiling effect, and precision. To propose a new 0-100 score with a higher score meaning better self-care.

    METHODS: A sample of 1192 Heart Failure (HF) patients (mean age 72 years, 58% male) was enrolled. Psychometric properties of the EHFScBS-9 were tested with confirmative factor analysis, factor score determinacy, determining the floor and ceiling effect, and evaluating the precision with the standard error of measurement (SEM) and the smallest real difference (SRD).

    RESULTS: We identified three well-fitting factors: consulting behaviour, autonomy-based adherence, and provider-based adherence (comparative fit index=0.96). Reliability ranged from 0.77 to 0.95. The EHFScBS-9 showed no floor and ceiling effect except for the provider-based adherence which had an expected ceiling effect. The SEM and the SRD indicated good precision of the EHFScBS-9.

    CONCLUSION: The new factorial structure of the EHFScBS-9 showed supportive psychometric properties.

    PRACTICE IMPLICATIONS: The EHFScBS-9 can be used to compute a total and specific scores for each identified factor. This may allow more detailed assessment and tailored interventions to improve self-care. The new score makes interpretation of the EHFScBS-9 easier.

  • 1307. Videhult Pierre, Pernilla
    et al.
    Fridberger, Anders
    Karolinska Institutet / Karolinska University Hospital, Stockholm, Sweden.
    Wikman, Anders
    Alexanderson, Kristina
    Self-reported hearing difficulties, main income sources, and socio-economic status; a cross-sectional population-based study in Sweden2012In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 12Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Hearing difficulties constitute the most common cause of disability globally. Yet, studies on people with hearing difficulties regarding socio-economic status (SES), work, long-term unemployment, sickness absence, and disability pension are scarce. The aim of the present study was to investigate the main income sources of men and women of working ages with and without self-reported hearing difficulties and associations with gender, age, SES, type of living area, and country of birth.

    METHODS: A cross-sectional population-based study, using information on self-reported hearing difficulties and SES of 19 045 subjects aged 20-64 years participating in Statistics Sweden's annual Living Conditions Surveys in any of the years 2004 through 2008. The information was linked to a nationwide database containing data on demographics and income sources. Odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated, using binary logistic regression analysis.

    RESULTS: Hearing difficulties increased with age and were more common in men (age-adjusted OR: 1.42 (95% CI: 1.30-1.56)) with an overall prevalence of 13.1% in men and 9.8% in women. Using working men as reference, the OR of having hearing difficulties was 1.23 (0.94-1.60) in men with unemployment benefits and 1.36 (1.13-1.65) in men with sickness benefits or disability pension, when adjusting for age and SES. The corresponding figures in women were 1.59 (1.17-2.16) and 1.73 (1.46-2.06). The OR of having sickness benefits or disability pension in subjects with hearing difficulties was 1.36 (1.12-1.64) in men and 1.70 (1.43-2.01) in women, when adjusting for age and SES and using men and women with no hearing difficulties as reference.

    CONCLUSIONS: Hearing difficulties were more prevalent in men. After adjustment with age and SES as well as with type of living area and country of birth, a significant association with unemployment benefits was found only in women, and the associations with long-term sickness absence and disability pension tended to be stronger in women.

  • 1308.
    Vidman, Åsa
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Begreppet "social omsorg" från olika perspektiv1992In: Social omsorg, ISSN 0280-848X, no 6, p. 8-11Article in journal (Other academic)
  • 1309.
    Vijayakumar, Mahalingam Rajamanickam
    et al.
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Kosuru, Ramoji
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Vuddanda, Parameswara Rao
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Singh, Sanjay Kumar
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Singh, Sanjay
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Trans resveratrol loaded DSPE PEG 2000 coated liposomes: An evidence for prolonged systemic circulation and passive brain targeting2016In: Journal of Drug Delivery Science and Technology, ISSN 1773-2247, Vol. 33, p. 125-135Article in journal (Refereed)
    Abstract [en]

    Trans resveratrol (RSV) is a natural molecule proved for cardioprotective effects, vasodilation, anti-inflammatory, cancer preventive and therapeutic activities devoid of any potential side effects. Recently, anti cancer potential against glioma cells were also reported with proven molecular mechanisms. However, the therapeutic application of RSV in clinical disease management is restricted because of its rapid elimination from systemic circulation and thereby low biological half life in mammals. Therefore, the main objective of this study was to improve the systemic circulation and biological half life of RSV using DSPE PEG 2000 decorated (PEGylated) liposomes. Moreover, brain distribution of RSV loaded PEGylated liposomes (RSV-PEG-Lipo) and non-PEGylated liposomes (RSV-Lipo) was also evaluated for proving their passive brain targeting ability. In vitro drug release of both liposomes was found to be sustained up to 48 h. RSV-PEG-Lipo showed higher area under the curve, plasma half life and mean residence time and lower volume of distribution and clearance than that of pristine RSV solution and RSV-Lipo. Pharmaokinetics results clearly indicated that the RSV-PEG-Lipo will be promising tool for enhancing plasma half life and prolong the systemic circulation of RSV. Brain distribution studies revealed that the liposomal formulations can be applied as an effective tool for passive brain targeting useful in the treatment of glioma.

  • 1310.
    Vijayakumar, Mahalingam Rajamanickam
    et al.
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Kumari, Lakshmi
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Patel, Krishna Kumar
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Vuddanda, Parameswara Rao
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Vajanthri, Kiran Yellappa
    School of Biomedical Engineering, Indian Institute of Technology (Banaras Hindu University).
    Mahto, Sanjeev Kumar
    School of Biomedical Engineering, Indian Institute of Technology (Banaras Hindu University).
    Singh, Sanjay
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Intravenous administration of trans-resveratrol-loaded TPGS-coated solid lipid nanoparticles for prolonged systemic circulation, passive brain targeting and improved in vitro cytotoxicity against C6 glioma cell lines2016In: RSC Advances, ISSN 2046-2069, E-ISSN 2046-2069, Vol. 6, no 55, p. 50336-50348Article in journal (Refereed)
    Abstract [en]

    trans-Resveratrol (RSV), a natural molecule isolated from red wine, is widely known for several therapeutic potentials. RSV is proved for cardioprotective, vasodilation, anti-inflammatory, and anticancer effects. Recently, anticancer potential against glioma cells has also been reported. However, the clinical application of RSV in glioma treatment is largely limited because of its rapid metabolism and elimination from systemic circulation thereby exhibiting low biological half-life and poor brain distribution as well. Therefore, the main objective of this study was to enhance the circulation time, biological half-life and passive brain targeting of RSV using D-α-tocopheryl polyethylene glycol 1000 succinate (TPGS)-coated solid lipid nanoparticles (RSV-TPGS-SLN). RSV-TPGS-SLN formulations were prepared by a solvent emulsification evaporation method and evaluated for several nanoparticulate characteristics. In vitro anticancer potential and cellular internalization of nanoparticles were also investigated in C6 glioma cell lines. Pharmacokinetics and biodistribution studies were carried out following intravenous administration in healthy Charles Foster rats. RSV-TPGS-SLN showed significantly higher in vitro cytotoxicity against C6 glioma cell lines and excellent cellular internalization. RSV-TPGS-SLN showed 11.12 and 9.37 times higher area under the curve and plasma half-life than RSV solution, respectively. Moreover, brain distribution of RSV-TPGS-SLN was found to be 9.23 times higher in comparison to that of RSV alone. Thus, we anticipate that the RSV-TPGS-SLN formulation can be applied as a potential tool for improving circulation time, biological half-life and passive brain targeting of RSV, thereby being immensely useful in the treatment of glioma.

  • 1311.
    Viklund, Åsa
    et al.
    Trafikverket.
    Appeltofft, Katarina
    Trafikverket.
    Anund, Anna
    Swedish National Road and Transport Research Institute, Traffic and road users, Human-vehicle-transport system interaction.
    SAFEWAY2SCHOOL: EU-projekt om skolskjuts 2009-20122013Report (Other academic)
    Abstract [sv]

    Denna rapport är en sammanfattning av resultaten från EU-projektet SAFEWAY2SCHOOL, som bedrivits inom 7:e ramprogrammet under åren 2009 till och med augusti 2012. Rapporten är särskilt inriktad på den svenska fältstudien i Örnsköldsvik, där lagstadgad hastighet 30 km/tim har testats, samt de förbättringsförslag inom lagstiftnings- och regelområdet som pekats ut som extra viktiga att beakta ur ett europeiskt perspektiv. Rapporten vänder sig till svenska beslutsfattare och övriga intresserade inom skolskjutsområdet.

  • 1312.
    Vikström, Johanna
    et al.
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.
    Sandberg, Mathilda
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.
    Stress, fysisk aktivitet och stresshantering: En kvantitativ studie gjord på gymnasieelever2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Aim

    The aim of the study was to examine the relationship between the three variables perceived stress, physical activity and coping on high-school students.

    • Are there a relationship between perceived stress and coping?
    • Are there a relationship between perceived stress and physical activity?
    • Are there differences in the relationship between the low and high physical activity groups in these variables?

    Method

    The questionnaire was divided into three different parts: physical activity, perceived stress and coping. The study had 123 high-school students (year 1-2) participating from two different schools in two different suburbs to Stockholm. The students were divided into two groups based on their physical activity levels and regression analyses were made. The analysis was based on three variables where perceived stress was the dependent variable and coping and physical activities were the independent variables. To reassure that there is statistical difference between the two groups in each variable a Mann-Whitney U-test were performed. 

    Result

    The results of this study for the high-activity group (N 67) shows a statistically predicted negative relationship of affect between perceived stress and coping (β 0,637 p<0,001). Variables that were significant in this group were: total coping (p=0,014), earlier experiences (p=0,013), ability to deal with the problem (p=0,004) and physical activity as a coping strategy (p=0,045). The results in the low-active group (N 56) show a significant predicted positive relationship of affect between perceived stress and physical activity (β -0,286 P=0,0012) but also a statistically predicted negative relationship of affect between perceived stress and coping (β 0,613 p<0,001). Variables that were significant in this group were: total coping (p=0,001), minutes with low-intensity physical activity (p=0,001), distracting activities (p=0,004), ability to handle the problem (p=0,009) and not talking to anyone (p=0,009).

    Conclusion Results in this study shows a relationship between perceived stress, physical activity and coping in the lowactivity group. In the highactivity group the results shows a relationship between perceived stress and coping.

  • 1313.
    Vilhelmsson, Tova
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Mertner, Emmy
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    “MÅNGA GÅNGER ÄR INTE ALLT SORGLIGT, DET ÄR VÄLDIGT OFTA VI SKRATTAR”: En intervjustudie om sjuksköterskans upplevelse av att vårda cancerpatienter2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Det ska finnas en balans i relationen mellan sjuksköterskan och patienten vilket skapas genom att sjuksköterskan har en balans mellan närhet och distans. För att ha en balans ska upprätthållas krävs det att det finns ett stöd från kollegor genom användbara råd av någon mer erfaren.

    Syfte: Syftet med studien var att undersöka sjuksköterskans upplevelse av att vårda cancerpatienter.

    Metod: Studien grundade sig på en kvalitativ metod genom intervjuer för att undersöka sjuksköterskors upplevelser. Texterna har transkriberats och en innehållsanalys har utförts.

    Resultat: Resultatet baseras på två olika kategorier en var vårdrelationens påverkan på sjuksköterskan med underkategorierna positiva och negativa effekter på vårdrelationen. Den andra var sjuksköterskans behov av stöd och utveckling i sin profession med underkategorierna stöd från arbete och privatlivet samt sjuksköterskans egna resurser. Slutsats: Sjuksköterskorna i denna studie påverkades både negativt och positivt av vårdrelationen med patienten, därför drar författarna slutsatsen att sjuksköterskans upplevelse av att vårda cancerpatienter behöver belysas för att sjuksköterskans hälsa ska bibehållas.

     

  • 1314.
    Vuddanda, Parameswara Rao
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Mathew, Aji P.
    Luleå University of Technology, Department of Engineering Sciences and Mathematics, Material Science.
    Velaga, Sitaram
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Electrospun nanofiber Mats for ultrafast release of ondansetron2016In: Reactive & functional polymers, ISSN 1381-5148, E-ISSN 1873-166X, Vol. 99, p. 65-72Article in journal (Refereed)
    Abstract [en]

    Nanofiber mats or films are promising platforms that can offer unique opportunities in oromucosoal drug delivery. However, the conventional film forming technologies are unable to produce mats with unique internal microstructure and properties. Thus, the present study was aimed to develop electrospun nanofiber mats of a model drug -ondansetron hydrochloride (OND) for ultrafast drug release. Polyvinyl alcohol (PVA), a water soluble synthetic polymer was used in the preparation of nanofiber mats and casting film. The OND nanofiber mats and conventional films were prepared by electrospinning and casting methods, respectively. Different electrospinning process variables (feed rate, electric voltage and tip to collector distance) were investigated. Nanofiber mats and casted films were characterized using Scanning electron microscopy (SEM), Atomic force microscopy (AFM), Differential scanning calorimetry (DSC), Powder X-ray diffraction (PXRD), and Attenuated total reflection – Fourier transform infrared spectroscopy (ATR-FTIR). The folding endurance, drug content, wetting behaviour and disintegration properties and in-vitro drug release studies were also performed.The SEM and AFM had revealed that the nanofiber mats were formed with smooth uniform texture. Solid state studies indicated that the OND was in amorphous state and uniformly dispersed in PVA mats and a film. The electrospun nanofiber mat and casted film of OND showed sufficient mechanical properties. Wet sponge method suggested that OND nanofiber mats were simultaneously wetted and disintegrated within 10 s, which is ultrafast compared to casted films. The total amount of OND was released in 90 s (1.5 min) and 1800 s (30 min) from OND-PVA electrospun nanofiber mats and casted film, respectively. OND nanofiber mats can be promising alternatives to existing solid dosage forms for ultrafast release of drugs.

  • 1315.
    Vuddanda, Parameswara Rao
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Velaga, Sitaram
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Singh, Sanjay
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Boswellic acid: medicinal use of an ancient herbal remedy2016In: Journal of Herbal Medicine, ISSN 2210-8033, Vol. 6, no 4, p. 163-170Article in journal (Refereed)
    Abstract [en]

    Boswellic acid (BA) is an ancient herbal drug prescribed in the Indian traditional medicine systems (Ayurveda) for treatment of coughs, colds, hoarseness, bronchitis, asthma, dyspnea and diarrhea. Current research suggests it also has therapeutic potential in modern medical practice. Therefore, it is of interest to the research community to consolidate the preclinical and clinical findings on BA. The aim of this review was to comprehensively cover the plant sources, phytochemistry and physicochemical properties of BA along with its medicinal properties, safety, toxicity, and regulatory status. The review also discussed the challenges associated with drug delivery and some feasible approaches for addressing these. Four electronic databases (Scifinder, Unbound Medline, PubMed and Science Direct) and two internet search engines (Scirus and Google Scholar) were extensively searched without any time constraint.The many studies discussed in the review indicated therapeutic potential for BA in the treatment of a range of chronic diseases including arthritis, cancer, asthma and diabetes. It is hoped that this review will help researchers identify relevant research questions leading to the development of effective formulations and a better understanding of the safety of BA, with the aim of promoting it as a mainstream treatment for various diseases in clinical practice. 

  • 1316.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Can early intervention have an impact on future life? A study of life events, social interaction, and child behavior among mothers at psychosocial risk and their children eight years after interaction treatment2012In: Journal of Family Social Work, ISSN 1052-2158, E-ISSN 1540-4072, Vol. 15, no 1, p. 78-95Article in journal (Refereed)
    Abstract [en]

    Forty-six mothers at psychosocial risk who had undergone interaction treatment when their children were babies were studied with respect to experienced negative life events, social network, and behavior problems in children. One reference group comprising 45 nontreated mothers at psychosocial risk and one comprising 56 mothers without psychosocial problems was used. Children in the study group had experienced more life events than the children of nonrisk mothers but fewer than the children of untreated psychosocial risk mothers. They had a poorer social network than nonrisk mothers, and the children had fewer acting-out behavior than the children of nontreated risk mothers.

  • 1317.
    Waller, Simon
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    The presence of post-concussion symptoms among Swedish elite female football players2017Independent thesis Basic level (professional degree), 20 credits / 30 HE creditsStudent thesis
  • 1318.
    Wallin, Gisela van der Ster
    et al.
    Department of Nutrition, University of Uppsala.
    Norring, Claes E.A.
    Eating Disorder Unit Department of Psychiatry Uppsala University.
    Wiklund, Maria Lennernäs
    National Food Administration, Uppsala.
    Holmgren, Sven
    Eating Disorder Unit Department of Psychiatry Uppsala University.
    Food selection in anorectics and bulimics: Food items, nutrient content and nutrient density1995In: Journal of the American College of Nutrition (Print), ISSN 0731-5724, E-ISSN 1541-1087, Vol. 14, no 3, p. 271-277Article in journal (Refereed)
    Abstract [en]

    The food selection and nutrient intake were investigated in women with anorexia nervosa, bulimia nervosa and controls. Methods Dietary data was obtained by 24-hour recall, and 7-day recording among eating disordered patients, and by 3-day registration among controls. Results: The intake of energy and nutrients differed from controls, as expected, while there were no differences between anorectics and bulimics in this respect, except for iron. There were only minor differences among the three groups studied with respect to nutrient density. Energy percentages of protein, fat, and carbohydrates, were similar in all groups, but a subdivision of the macronutrients into respective sources showed that bulimics had a lower relative and absolute intake of carbohydrates from bread and cereals than anorectics and controls. Conclusion: Eating disorder patients, despite their marginal food intake, still met the minimum requirement for most nutrients according to the Nordic Nutrient recommendations. Abbreviations: AN = anorexia nervosa, AN/BN = anorectic bulimics, BMI = body mass index, BN = bulimia nervosa, DSM-III-R = Diagnostic and Statistical Manual of Mental Disorders, ED = eating disorder, NNR = Nordic Nutrient Recommendation

  • 1319.
    Wallin, Gisela van der Ster
    et al.
    Department of Nutrition, University of Uppsala.
    Wiklund, Maria Lennernäs
    Department of Nutrition, University of Uppsala.
    Andersson, Michael I.
    Department of Nutrition, University of Uppsala.
    Comparisons between recalled and observed dietary intake in anorectics and bulimics: A validation study1995In: Journal of human nutrition and dietetics (Print), ISSN 0952-3871, E-ISSN 1365-277X, Vol. 8, no 3, p. 201-208Article in journal (Refereed)
    Abstract [en]

    A validation study was performed in order to compare the observed versus the self-reported food consumption in anorectics (n = 9), anorectic bulimics (n = 6) and bulimics (n = 10). The observed meals (breakfast, lunch and/or dinner) were served in a hospital setting. Foods on plates were unobtrusively weighed before and after serving to each subject, and the foods consumed were compared with data from a 24-hour recall the subsequent day. Data analyses via a nutrient database comprised amounts of food items from seven food groups as well as energy, macro nutrients, vitamin C, calcium and iron. Analyses of recalled intakes showed consistently high correlations with observed intakes, suggesting that the 24-hour recall gives valid results, and could thus be suitable for this category of patients. This notion contrasts with previous statements, although no validation studies have been undertaken in order to support this view

  • 1320.
    Wallinder, Nils-Henrik
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    En konklusion över sjuksköterskans förmåga och möjligheter att påverka patientens följsamhet i egenvård - en litteraturöversikt2008Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Människors ovilja eller oförmåga att följa givna råd är ett problem för den samhällsfinansierade sjukvården och som leder till ökade kostnader och ökad ohälsa bland befolkningen. Sjuksköterskan har här en viktig uppgift att fylla som utbildare, informatör och vägledare för att öka compliance. Syfte: Syftet med uppsatsen var att genom en litteraturstudie belysa hur sjuksköterskans strategival vad gäller åtgärder och pedagogiska ansats påverkar patientens följsamhet gentemot rekommendationer och ordinationer. Metod: En litteraturstudie genomfördes, där resultaten från kontrollerade studier om compliance analyserats, vägts samman och presenterats. Resultat: Sammanställningen visade på flera faktorer, såsom att patientens förmåga till delaktighet och inlärning, samt sjuksköterskans pedagogiska och analytiska förmåga är viktiga beståndsdelar för att förstärka compliance. Även plats, tillfälle, teknik-anpassning och förmågan att anpassa och förstärka sitt budskap med olika hjälpmedel väger tungt för hur resultatet ska bli. Diskussion: Trots den allmänna hållningen av studiens resultat, kan ändå slutsatsen dras att sjuksköterskan, genom att vara nära patienten i många vårdsituationer, kan välja ett aktivt agerande i sin pedagogiska uppgift och därmed få ett stort inflytande på patientens hälsa och välbefinnande.

  • 1321.
    Wandin, Helena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation.
    Alternativ kommunikation och ätsvårigheter.2012In: Barn med funktionsnedsättning. / [ed] Lagerkvist, B & Lindgren, C, Lund: Studentlitteratur AB, 2012Chapter in book (Other (popular science, discussion, etc.))
  • 1322.
    Wandin, Helena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation.
    Early communication intervention in Rett Syndrome2013In: 3rd European Rett Syndrome Conference / [ed] Smeets, E & Curfs, L, Maastricht: European Rett Syndrome Conference Maastricht Foundation , 2013Conference paper (Refereed)
  • 1323.
    Warne, Maria
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sun, snow, skiing, work and a lot of party – HR leaders and seasonal workers’ views on alcohol and alcohol prevention at a ski resort in Northern Sweden.2016In: Inkluderande och hållbart arbetsliv: Book of abstracts – FALF 2016, Östersund: Mittuniversitetet , 2016, p. 13-14Conference paper (Refereed)
    Abstract [en]

    Winter tourism hires thousands of young seasonal workers every year. Work, but mostly skiing and party attracts them to stay at the ski resort for four or five months.  Previous research shows that seasonal employment is associated with hazardous drinking and risk taking behaviors. Seasonal workers’ health and healthy working environment are important issues for the tourism sector. Between 2014 and 2016 the project “Safe in Åre – employer against drugs” is running with the purpose to reduce alcohol and drugs among seasonal employees.  

    A qualitative method was used to understand critical factors for alcohol prevention among seasonal workers. Twelve HR managers in tourism companies were interviewed about alcohol prevention and the role of alcohol in seasonal workers’ daily lives. The interviews were analyzed with content analysis together with one open ended questions about seasonal workers view of the companies’ alcohol- and drug prevention. The question was answered by 611 of 1313 employees.  

    The results shows that HR managers view on alcohol prevention was two-edged. They contribute to the preservation of existing alcohol norm but have policies to control soberness at work. Emerging themes were: Retention of existing alcohol norms and Alcohol-controlled working environment. But it was also a tendency of a preventive approach among some HR managers. 

    The results are in progress but the preliminary conclusion is that the double message from the manager to the seasonal workers with restrictions and control of alcohol use at work but invitations to drink in the evening is problematic and contribute to the norm of “party culture”.

  • 1324.
    Warnicke, Camilla
    Örebro University, School of Health Sciences. Örebro University Hospital.
    The co-creation of communicative projects within the Swedish Video Relay Service (VRS)Manuscript (preprint) (Other academic)
  • 1325.
    Warnicke, Camilla
    Örebro University, School of Health Sciences. Örebro University Hospital.
    The headset as an interactional resource in a Video Relay Interpreting (VRI) service settingManuscript (preprint) (Other academic)
  • 1326.
    Warnicke, Camilla
    Örebro University, School of Health Sciences.
    Tolkning vid förmedlade samtal via Bildtelefoni.net: interaktion och gemensamt meningsskapande2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The Swedish Bildtelefoni.net is a service that people who use Swedish Sign Language (SSL) through a video phone can call in order to get in touch with people who speak through a telephone, or vice versa. In relayed calls via the Swedish video relay service (FBT), the interlocutors have different access to the visual arena and the auditive space. They are also physically separated from each other. An interpreter, working in a studio, enables the interaction across the different media, and the interpreter is the only person who has direct contact with both users of the service. FBT has been provided in Sweden since 1996, and is administrated by The Swedish Post and Telecom Authority (PTS).

    The overall aim of the dissertation is to describe, analyse and discuss participants’ interaction and their joint construction of meaning within FBT. The theoretical and methodological frameworks for the dissertation are dialogism and Conversation Analysis (CA). The dissertation is based on twenty-five authentic calls from FBT, recorded during two periods of time: in the years 2009–2010, and in 2013. One stimulated recall is also made with one interpreter, concerning a call from the second collection. The project has been ethically approved by the Swedish Ethical Review Board.

    The interaction within FBT is dynamic and dependent on different media, modalities, resources, and also related to several conventions specific for the setting. All this influences the interlocutors, their actions as well as the entire activity. This kind of complexity has not previously been studied in the regular service. Analysis of the recordings focuses on the actions and activities of the participants who interact in the FBT, on a moment-to-moment basis. As results of the research, four phenomena are addressed, and presented as papers: I: the organisation of turns; II: the headset as an interactional resource; III: positioning and bimodal mediation with a focus on the interpreter; IV: the co-creation of communicative projects among the interlocutors. A main conclusion of the results is that the interaction is a joint construction of meaning among all of the interlocutors, although, the interpreter has a key function.

    Further research of interaction within FBT needs to be conducted, since investigations on this institutional interaction are rare despite the fact that this kind of service is widespread all over the world.

  • 1327.
    Wecke, Maria
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Orsak och konsekvens  av nålstickskador hos sjuksköterskor  - En litteraturöversikt2013Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 1328.
    Wells, Michael
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Sarkadi, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Salari, Raziye
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Mothers’ and fathers’ attendance in a community-based universally offered parenting program in Sweden2016In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 44, no 3, p. 274-280Article in journal (Refereed)
    Abstract [en]

    Aim: Using a public health perspective, this study examined the characteristics of mothers and fathers who attended, compared to those who did not attend, a community-based practitioner-led universally offered parenting program.

    Method: Mothers (141) and fathers (96) of 4- to 5-year-olds completed a set of questionnaires, including their demographic characteristics, their child’s behavioral and emotional problems, and their own parenting behavior. They were all then given the opportunity to attend level 2 of the Triple P – Positive Parenting Program. During the first six months of the study, 33 mothers and 11 fathers opted to attend the program.

    Results: The relation between program attendance and parental characteristics was similar for mothers and fathers. In general, fathers, non-native and lower educated parents were less likely to attend the program. Mothers, but not fathers, were more likely to attend if they reported more child behavior problems, while fathers, but not mothers, were observed at a trend level to attend if they perceived their child as having more emotional problems. In addition, parents in general were more likely to attend if they used more harsh parenting strategies.

    Conclusions: Although the universal offer did not reach parents universally, generally those parents who needed it were more likely to attend. Furthermore, this study shows that different factors may impact mothers’ and fathers’ attendance; therefore, parental data should be analyzed separately and different recruitment strategies should be used for mothers and fathers.

  • 1329.
    Westergren, Robert
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Nasser, Mehdi
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Patient satisfaction and mobility with their assistive device and service2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective: To gather knowledge related to patient satisfaction and mobility with lower limb prosthetic and orthotic devices and to investigate satisfaction with services received. Another purpose of this study is to analyze potential differences between orthotic and prosthetic patients in relation to patient satisfaction and mobility.

    Design: Cross-sectional study

    Subjects: 21 participants with a mean age of 58 (SD 16) with an average duration of use of devices of 10 (SD 10) years. 12 out of the 21 participants were orthotic users and 9 were prosthetic users.

    Methods: Patients were asked to complete two questionnaires, one regarding satisfaction with assistive device and service (QUEST 2.0) and one regarding mobility.

    Results: Patients mean score regarding satisfaction with assistive device and service were 4.0 (SD 0.8) and 4.2 (SD 1.0) respectively. 91% reported that they had the ability to walk at least 100 meters with their assistive device. The areas where participants experienced most difficulties were walking on uneven ground (70%), walking up and down a hill (57%) and walking on stairs (57%).

    Conclusion: Overall this study demonstrates that participants were quite satisfied with their assistive device and the service received by the P&O clinic. No statistically significant differences regarding satisfaction with assistive device and service, or mobility, were found between prosthetic and orthotic participants.

  • 1330.
    Westerling, Ragnar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    [Admission after interview. New principles of selection for medicaleducation]1997In: Lakartidningen, Vol. 94, p. 1053-Article in journal (Other academic)
  • 1331.
    Westgren, N
    et al.
    Solberga Project, Karolinska Institute and Centre for Neurotraumatology, Karolinska Hospital,, Stockholm, Sweden.
    Levi, Richard
    Solberga Project, Karolinska Institute and Centre for Neurotraumatology, Karolinska Hospital, Stockholm, Sweden.
    Motherhood after traumatic spinal cord injury.1994In: Paraplegia, ISSN 0031-1758, Vol. 32, no 8, p. 517-523Article in journal (Refereed)
    Abstract [en]

    The present study includes all women with a traumatic spinal cord injury in Sweden who became pregnant and delivered live infants during 1980-1991. This group comprises six tetraplegic and 20 paraplegic patients, all confined to a wheelchair. During the above mentioned period the patients had delivered a total of 47 children. The study evaluated parental ability and quality of family life as regards interpersonal relationships, family relationships, social integration, recreational interests and demand for external assistance. An individual standardised interview was performed with all patients. In addition a standardised questionnaire was sent to all spouses (n = 20) and to all children above 10 years of age (n = 10). All 26 patients participated, 18 spouses completed and returned the questionnaires and all children took part in the study. We found an overall favourable outcome as regards the parameters evaluated. The families seem to live a rich and complete family life with very little demand for external help. They report a well functioning social network and seem socially integrated both as individuals and as families. To conclude, the study indicates that there is no reason to question females with an SCI in their roles as parents. The spinal cord injury per se, in females, thus does not preclude the possibility of having a family and caring for children adequately.

  • 1332.
    Wettergren, L
    et al.
    Uppsala University / Karolinska Institute.
    Björkholm, M
    Karolinska University Hospital and Karolinska Institute.
    Langius-Eklöf, Ann
    Red Cross University College of Nursing. Karolinska Institute.
    Validation of an extended version of the SEIQoL-DW in a cohort of Hodgkin lymphoma' survivors2005In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 14, no 10, p. 2329-2333Article in journal (Refereed)
    Abstract [en]

    Individual measures of quality of life (QoL) have been initiated to overcome the possible limitations with standardized measures using predefined domains for evaluation. The Schedule for the Evaluation of Individual Quality of Life-Direct Weighting (SEIQoL-DW) uses personal interviews to explore the five most important areas in life, both positive and negative, crucial for QoL. The nominated areas are rated regarding satisfaction and weighted to capture the importance of each selected area. The Swedish version has been extended with a disease-specific module, which evaluates the areas in life influenced by disease. The aim of this study was to validate the disease-specific SEIQoL-DW and furthermore, to evaluate the influence of the importance ratings on the overall index score in a cohort of Hodgkin lymphoma survivors. The results support the construct validity of the disease-specific SEIQoL-DW and indicate that the instrument appears to be a sensitive measure with ability to differentiate between groups with disparate subjective health status. The SEIQoL-DW succeeds to capture both positive and negative areas in life influenced by disease. The present study gave no evidence that the weighting procedure has any impact on the total index. The results support the use of the new extended version including a disease-specific module.

  • 1333.
    Wibe, Torunn
    et al.
    Oslo University Hospital, Norway ; University of Oslo, Norway ; Abildsø Nursing Home, Norway.
    Hellesø, Ragnhild
    University of Oslo, Norway.
    Varsi, Cecilie
    Oslo University Hospital, Norway.
    Ruland, Cornelia
    Oslo University Hospital, Norway ; University of Oslo, Norway.
    Ekstedt, Mirjam
    Oslo University Hospital, Norway ; KTH Royal Institute of Technology.
    How does an online patient-nurse communication service meet the information needs of men with recently diagnosed testicular cancer?2012In: ISRN Nursing, ISSN 2090-5483, E-ISSN 2090-5491, Vol. 2012, article id 260975Article in journal (Refereed)
    Abstract [en]

    Online communication has become a potential means of communication between patients and health care providers, but so far few studies are published about online communication as part of nursing care. The aim of this study was to explore how an online patient-nurse communication (OPNC) service meets the information needs of men with newly diagnosed testicular cancer. We applied a qualitative approach by examining the content of online messages sent by patients to nurses in a specialist cancer unit. In addition, individual interviews were conducted with patients who had used the OPNC service. Four themes became distinct through a synthesis of the material from the interviews and the messages: "a means for managing illness-related concerns at home," "a means for ensuring information flow," "a means for strategic information seeking," and "not yet available when needed most." Individualized information provided by nurses with access to their medical record was shown to be important to these patients. The findings of this study indicate that not only may access to an OPNC service help patients fulfill their otherwise unmet information needs, but also it may prevent delays and discontinuity in care due to informational gaps and lead to improved patient safety.

  • 1334.
    Wibe, Torunn
    et al.
    Oslo Universitet.
    Hellesø, Ragnhild
    Oslo Universitet.
    Varsi, Cecilie
    Oslo University Hospital.
    Ruland, Cornelia
    Oslo University Hospital.
    Ekstedt, Mirjam
    KTH, School of Technology and Health (STH).
    How does an online patient-nurse communication service meet the information needs of men with recently diagnosed testicular cancer?2012In: ISRN Nursing, ISSN 2090-5483, E-ISSN 2090-5491, Vol. 2012Article in journal (Refereed)
    Abstract [en]

    Online communication has become a potential means of communication between patients and health care providers, but so far few studies are published about online communication as part of nursing care. The aim of this study was to explore how an online patient-nurse communication (OPNC) service meets the information needs of men with newly diagnosed testicular cancer. We applied a qualitative approach by examining the content of online messages sent by patients to nurses in a specialist cancer unit. In addition, individual interviews were conducted with patients who had used the OPNC service. Four themes became distinct through a synthesis of the material from the interviews and the messages: "a means for managing illness-related concerns at home," "a means for ensuring information flow," "a means for strategic information seeking," and "not yet available when needed most." Individualized information provided by nurses with access to their medical record was shown to be important to these patients. The findings of this study indicate that not only may access to an OPNC service help patients fulfill their otherwise unmet information needs, but also it may prevent delays and discontinuity in care due to informational gaps and lead to improved patient safety.

  • 1335.
    Widehammar, Cathrine
    et al.
    Örebro University, School of Health Sciences. Department of Pediatrics, Örebro University, Örebro, Sweden; University Health Care Research Center, Örebro University, Örebro, Sweden.
    Lidström, Helene
    Department of Social and Welfare Studies , Linköping University , Linköping , Sweden.
    Hermansson, Liselotte
    Örebro University, School of Health Sciences. University Health Care Research Center, Örebro University, Örebro , Sweden; Department of Prosthetics and Orthotics , Örebro University , Örebro , Sweden.
    Environmental barriers to participation and facilitators for use of three types of assistive technology devices2017In: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614Article in journal (Refereed)
    Abstract [en]

    The aim was to compare the presence of environmental barriers to participation and facilitators for assistive technology (AT) use and study the relation between barriers and AT use in three different AT devices. A cross-sectional survey was conducted. Inclusion criteria were ?one year of experience as a user of myoelectric prosthesis (MEP), powered mobility device (PMD), or assistive technology for cognition (ATC) and age 20-90 years. Overall, 156 participants answered the Swedish version of the Craig Hospital Inventory of Environmental Factors and a study-specific questionnaire on facilitating factors. Non-parametric tests were used for comparisons. Barriers to participation were lowest in MEP users (md = 0.12; p < 0.001), and highest in ATC users (md = 1.56; p < 0.001) with the least support for AT use (p < 0.001 - p = 0.048). A positive correlation between fewer barriers and higher use of MEP was seen (r = 0.30, p = 0.038). The greatest barriers to participation were Natural environment, Surroundings and Information, and the most support came from Relatives and Professionals. Support, training and education are vital in the use of AT. These factors may lead to a more sustained and prolonged use of AT and may enable increased participation. Future research should focus on interventions that meet the needs of people with cognitive disabilities.

  • 1336.
    Widehammar, Cathrine
    et al.
    Örebro University, School of Health Sciences. Department of Pediatrics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; University Health Care Research Center, Faculty of medicine and health, Örebro University, Örebro, Sweden.
    Lidström, Helene
    Department of Social and Welfare Studies, Faculty of Medicine, Linköping University, Linköping, Sweden.
    Hermansson, Liselotte
    Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center, Faculty of medicine and health, Örebro University, Örebro, Sweden; Department of Prosthetics and Orthotics, Örebro University, Örebro, Sweden.
    Environmental barriers to participation and facilitators for use of three types of assistive technology devices2017In: MEC 2017 - A Sense of What´s to Come: Myoelectric Controls and Upper Limb Prosthetics Symposium, Fredericton, New Brunswick, Canada: University of New Brunswick , 2017, p. 36-36Conference paper (Refereed)
  • 1337.
    Widehammar, Cathrine
    et al.
    Örebro University, School of Health Sciences. Department of Pediatrics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; .
    Lidström, Helene
    Department of Social and Welfare Studies, Faculty of Medicine, Linköping University, Linköping, Sweden.
    Hermansson, Liselotte
    Örebro University Hospital. Örebro University, School of Health Sciences. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Environmental barriers to participation and facilitators for use of three types of assistive technology devices2017In: Nobelday Festivities Orebro University, 2017Conference paper (Refereed)
    Abstract [en]

    Background: In rehabilitation, assistive technology (AT) is prescribed in order to improve activity and participation for individuals with disability. Research shows that many devices are not used to the extent or to the benefits expected. The aim of this study was to compare the presence of environmental barriers to participation and facilitators for AT use and study the relation between barriers and AT use in three different types of AT devices.

    Methods: A cross-sectional survey was conducted. Inclusion criteria were: ≥1 year experience as user of myoelectric prosthesis (MEP), powered mobility device (PMD), or assistive technology for cognition (ATC) and age 20-90 years. The survey contained the Swedish version of Craig Hospital Inventory of Environmental Factors and a study-specific questionnaire focusing on facilitating factors. Overall, 156 participants answered the survey. Non-parametric tests were used for comparisons.

    Results: Barriers to participation were significantly lowest in MEP users (md=0.12; p<0.001), and highest in ATC users (md=1.56; p<0.001-p=0.048). A positive correlation between fewer barriers and higher use of MEP was seen (r=0.30, p=0.038). Compared to the other groups, users of ATC with more use reported more barriers for participation. The greatest barriers to participation were: Natural environment, Surroundings, and, Information. Most support came from Relatives and Professionals.

    Conclusions: There is a difference in how users of different AT devices experience the environment in terms of barriers for participation and facilitators for use. The environment may facilitate AT use but barriers in the environment can still restrict participation in AT users. Future research should comprise the influence of AT use on participation.

  • 1338.
    Wigston, Christine
    et al.
    Curtin University, Australia.
    Falkmer, Marita
    Curtin University, Australia; Jonköping University, Sweden.
    Vaz, Sharmila
    Curtin University, Australia.
    Parsons, Richard
    Curtin University, Australia.
    Falkmer, Torbjörn
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Curtin University, Australia; La Trobe University, Australia.
    Participation in extracurricular activities for children with and without siblings with autism spectrum disorder2017In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 20, no 1, p. 25-39Article in journal (Refereed)
    Abstract [en]

    Objective: To compare the number, frequency, enjoyment and performance in extracurricular activities of siblings of children with autism spectrum disorders (ASD) to their typically developing (TD) peers, and to identify differences between actual and desired participation. Methods: A case-control study with 30 siblings of children with ASD and 30 siblings of TD children was conducted using the Paediatric Interest Profiles and a questionnaire. Results: Siblings of children with ASD participated in fewer extracurricular activities than those with TD siblings. ASD symptoms were significantly associated with the sibling participating in fewer extracurricular activities. Children with TD siblings had higher enjoyment scores in relaxation activities than children with siblings with ASD. Conclusion: While results were mainly positive, some differences indicated that having a sibling with ASD may impact participation in extracurricular activities. Assessments of participation barriers, as well as support to minimise participation restrictions among siblings of children with ASD are required.

  • 1339.
    Wiitavaara, Birgitta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Well but ill: Lay perspectives on health among people with musculoskeletal disorders.2012Conference paper (Refereed)
    Abstract [en]

    This study departs from questions arisen in previous interview studies of health experiences with people with musculoskeletal disorders. During data collection about health experiences in this group a common comment to the question –“How do you experience your health”? was –“Well, but”…  This awoke our interest to further explore this topic. Thus the aim of present study was to investigate lay perspectives on health among people with musculoskeletal disorders. Semi-structured interviews were performed with 68 women and men with long term (>3 months) musculoskeletal disorders in neck, shoulder and/or low back. All informants were recruited as participants in previous studies on health experiences among people with MSDs (Wiitavaara et al., 2007a, b, 2008, 2009). The informants (39 women and 29 men), were 18-64 years old and most of them were occupationally active in a variety of different occupations. Analysis was performed using qualitative content analysis (Graneheim & Lundman, 2003). The lay perspective on health in this group of people with musculoskeletal problems was perceived as “Having resources and possibilities to lead the life one want”. This theme incorporated three main categories as the informants perceived health to include “A good enough physical and psychological functioning and balance”; “Freedom of action”; and “A positive state of emotion and an enriching social life”. The informants expressed a holistic view of health, encompassing physical, psychological, emotional, as well as social aspects, which can be interpreted from an action theoretical perspective (Nordenfelt, 2007).

  • 1340.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Implications for theory: a challenge for researchers?2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 3, p. 417-418Article in journal (Other academic)
  • 1341.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    När begreppen tar gestalt – hermeneutisk tillägnelse genom språk och metaforer2007In: Gryning III: Vårdvetenskap och hermeneutik / [ed] Eriksson, K., Lindström, UÅ., Matilainen, D. & Lindholm, L., Åbo Akademi, Vasa: Enheten för vårdvetenskap , 2007, p. 45-57Chapter in book (Other academic)
  • 1342.
    Wiklund, Maria Lennernäs
    Högskolan i Kristianstad.
    Att äta är en fråga om tajmning2010In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, no 36, p. 2084-2089Article in journal (Refereed)
  • 1343.
    Wiklund, Maria Lennernäs
    Swedish Dairy Association, Karolinska Institute.
    Dietary assessment and validity: To measure what is meant to measure1998In: Scandinavian Journal of Nutrition/Næringsforskning, ISSN 1102-6480, E-ISSN 1651-2359, Vol. 42, no 2, p. 63-65Article in journal (Refereed)
    Abstract [en]

    Nutritional assessment is the interpretation of information obtained from dietary, biochemical, anthropometric and clinical studies. In individuals, qualitative or quantitative food consumption data may be collected by food frequency questionnaires or interviews (retrospective methods), by use of food records (prospective methods); weighed food record, estimated food record or menu record, or by observations. Nutrient values derived from food composition data or direct chemical analysis represent the maximum available to the body and not the amount actually absorbed and utilized. The design of the study is crucial and the methods for carrying it out are aimed at minimizing bias to improve internal and external validity. This paper will focus on factors of importance to improve the internal validity of dietary assessment studies; selection of method; data collection, assessment of nutrient intakes from food consumption data and evaluation of data.

  • 1344.
    Wiklund, Maria Lennernäs
    Nutritionstorskning, Svensk Mjolk AB.
    Dygnsrytm, matlust och udda matvanor2000In: Scandinavian Journal of Nutrition/Næringsforskning, ISSN 1102-6480, E-ISSN 1651-2359, Vol. 44, no 3, p. 118-120Article in journal (Refereed)
    Abstract [en]

    Not only what we eat, but also when we eat seems to be of importance for well-being, nutritional status, and health. The regulation of food intake (amounts) operates through feed backs from the periphery reporting to the central nervous system about the energy content of the body. Timing of eating is controlled by circadian rhythms in activity and sleep, internal rhythms being entrained by the external light-dark rhythm. Disturbed behavioural rhythms, e.g. shift work and travelling across time zones, interact strongly with internal physiology. Life-style in the 24-hour society makes people stay awake, eat and sleep at the wrong times with respect to human circadian rhythms in metabolism and performance.

  • 1345.
    Wiklund, Maria Lennernäs
    Swedish Dairy Association.
    En hungrig elev är en rastlös elev2002In: Vaar Foeda, ISSN 0042-2657, Vol. 54, no 2, p. 33-Article in journal (Other (popular science, discussion, etc.))
  • 1346.
    Wiklund, Maria Lennernäs
    Swedish Dairy Association.
    Geléhallon dyrare än morötter: prispolitik löser inte fetmaproblemet2003In: Vaar Foeda, ISSN 0042-2657, Vol. 55, no 5, p. 14-, article id 1Article in journal (Other (popular science, discussion, etc.))
  • 1347.
    Wiklund, Maria Lennernäs
    Mejerierna Service AB.
    Goda matvanor1998In: Barn och ungdom med övervikt, Stockholm: Gothia Förlag AB, 1998, p. 15-27Chapter in book (Other (popular science, discussion, etc.))
  • 1348.
    Wiklund, Maria Lennernäs
    Swedish Dairy Association.
    Kan vi lita på alla larmrapporter?: minisymposium om epidemiologi och kostrekommendationer1998In: Vaar Foeda, ISSN 0042-2657, Vol. 50, no 7, p. 28-29Article in journal (Other (popular science, discussion, etc.))
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    Department of Nutrition, University of Uppsala.
    När på dygnet ska vi äta?1996In: Vaar Foeda, ISSN 0042-2657, Vol. 48, no 1, p. 3-7Article in journal (Other (popular science, discussion, etc.))
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    Swedish Dairy Association.
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