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  • 1301.
    Stiwne, Dan
    Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
    Det är inte lätt att leva väl: erfarenheter från en existensiell terapipraktik2018In: Existens och psykisk hälsa: om hur liv och levnad förhåller sig till hälsa och ohälsa / [ed] Dan Stiwne, Lund: Studentlitteratur AB, 2018, p. 89-110Chapter in book (Other academic)
  • 1302.
    Stiwne, Dan
    et al.
    Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
    Belfrage, LennartPrivatpraktiserande psykolog i Helsingborg.
    Existens och psykisk hälsa: om hur liv och levnad förhåller sig till hälsa och ohälsa2018Collection (editor) (Other academic)
  • 1303.
    Strand, Filip
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Thomasson, Lina
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Den transhumerala protesens biomekaniska påverkan på stående och gång.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: People with transhumeral amputation have an asymmetrical anatomy. The influence of this asymmetry on gait and standing has not been well studied, neither has the potential problems that this could cause.

    OBJECTIVE: To investigate if any difference in standing posture and gait kinematics occur when people with transhumeral amputation use a prosthesis compared to when they don’t. Furthermore, the aim is to investigate if back problems are prevalent among people with this amputation level.

    METHODS: Two transhumeral amputees participated in this study. Static and gait analysis was conducted with and without prosthesis. The participants completed a survey regarding musculoskeletal problems.

    RESULTS: No major difference has been found in thorax tilt and pelvic kinematics when the subjects walk with compared to without prosthesis. However we have found a thorax obliquity towards the amputated side during walking, which is reduced when the subjects use their prosthesis. The subjects are leaning towards the amputated side when standing without prosthesis. When using the prosthesis the obliquity is reduced. The subjects do not suffer from any back problems.

    CONCLUSIONS: Use of an arm prosthesis seems to give people with transhumeral amputation a more upright posture during walking and standing.

  • 1304.
    Strandberg, Thomas
    et al.
    Örebro University, School of Law, Psychology and Social Work.
    Möller, Kerstin
    Örebro University, School of Health Sciences.
    Widén, Stephen
    Örebro University, School of Health Sciences.
    Doctoral theses within the Swedish Institute for Disability Research 2000-2012: A review of content and interdisciplinarity2017In: International Journal of Health Sciences, ISSN 2372-5060, Vol. 5, no 2, p. 1-10Article in journal (Refereed)
    Abstract [en]

    The Swedish Institute for Disability Research (SIDR) was founded in 2000. The SIDR graduate programmedis a leading research programmedin disability science. The scientific method at SIDR is based on an interdisciplinary approach.The aim of this study is to describe content of doctoral theses presented within SIDR, and to analyzethe occurrence of interdisciplinarywithin the theses published between 2000 and 2012. Forty-one theses were included in the study. First, the manifest data was categorized in a matrix, and second, the latent content was analyzedwithin a scheme. The scheme included seven criteria within interdisciplinary theory, namely: Is the phenomenon multi-dimensional? Does the aim reflect an interdisciplinary approach? Are the studies non-reductionist? Have multiple methods been used? Is the knowledge integrated? Are the results discussed as a whole?Do they explicitly show an interdisciplinaryknowledge?Findings show a variety of disability groups studied within SIDR, but the main disabilities are hearing impairment or deafness, and cognitive and communication difficulties. Different theoretical perspectives are used within the theses. To different extents, an interdisciplinary approach is used as an overall meta-theory.

  • 1305.
    Stridbäck, Maria
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences, Educational science.
    Förändringsgrad av fysisk aktivitet: En intervjustudie om hinder och möjligheter2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tidigare forskning har visat att vi i dagens samhälle är allt mer fysisk inaktiva, samtidigt som kunskapen om betydelsen av fysisk aktivitet är stor. Hälsofrämjande arbete är ett sätt att främja befolkningens hälsa och det finns många faktorer som påverkar hur aktiva vi är. Studiens syfte var att ta reda på hur deltagare i ett hälsoprojekt upplevde att deras fysiska aktivitetsgrad varierade under projektet och vad de upplevde påverkade förändringen. Studien har även undersökt hur de upplevde att motivationen förändrades under projektet. Semi-strukturerad intervju har använts som undersökningsmetod. Urvalet var fem individer som genomfört ett hälsoprojekt. Resultatet visade att social gemenskap har stor betydelse för att utföra fysisk aktivitet. Gemenskapen medförde även att ett förtroende utvecklades som innebar att inte svika de andra i projektet vilket motiverade till fysisk aktivitet. Undersökningen visade även att projektet i sig var positivt för att öka aktivtetsgraden men att den till viss del sjönk i slutet av projekttiden. Andra påverkansfaktorer som nämns är prioriteringen av tid samt avbrott i aktiviteten såsom semester och jul. Vädret påverkade också valet av att vara aktiv eller inte. 

  • 1306.
    Stridsman, Caroline
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Backman, Helena
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Eklund, Britt-Marie
    The OLIN Studies, Norrbotten County Council.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    Hedman, Linnea
    Luleå University of Technology, Department of Health Sciences, Nursing Care. Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN unit, Umeå University.
    Adolescent girls with asthma have worse asthma control and health-related quality of life than boys: A population based study2017In: Pediatric Pulmonology, ISSN 8755-6863, E-ISSN 1099-0496, Vol. 52, no 7, p. 866-872Article in journal (Refereed)
    Abstract [en]

    Background

    Population-based studies investigating health-related quality of life (HRQoL) among asthmatic adolescents are rare. Further, among subjects with asthma, HRQoL may be affected by asthma control and severity.

    Aim

    To investigate HRQoL in relation to asthma control and asthma severity among adolescents.

    Method

    As a part of the population-based OLIN pediatric study, 266 adolescents with current asthma (14-15 yr) were identified. N = 247 completed the DISABKIDS HRQoL asthma module, including the domains impact and worry. The Asthma Control Test (ACT) was used and a disease severity score was calculated based on symptoms and medicine use.

    Results

    The prevalence of current asthma was 11%. Well-controlled asthma was reported by 15% of the adolescents, and 53% had partly controlled asthma. The prevalence of uncontrolled asthma was significantly higher among girls than boys (38% vs 25%), and girls also reported lower HRQoL scores. There was a fairly strong correlation between the ACT and DISABKIDS scores. Independent risk factors for low HRQoL impact (a score <67) were female sex (OR 4.66, 95%CI 1.82-9.54) and decreased ACT scores (1.38, 1.18-1.62). Risk factors for low HRQoL worry (a score <70) were female sex (3.33, 1.41-7.86), decreased ACT scores (1.35, 1.16-1.57), severe asthma (6.23, 1.46-16.50), and having current eczema (2.68, 1.00-7.24).

    Conclusion

    Only a minority of the asthmatic adolescents reported well-controlled asthma, and poor asthma control and female sex were risk factors for low HRQoL. Our results demonstrate that evaluation of asthma control is of great importance for asthma management.

  • 1307.
    Stridsman, Caroline
    et al.
    Luleå University of Technology, Department of Health Sciences.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Hedman, Linnea
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lindberg, Anne
    Fatigue and decreased health can predict mortality in COPD2013Conference paper (Other academic)
  • 1308.
    Stridsman, Caroline
    et al.
    Luleå tekniska universitet, Medicinsk vetenskap.
    Skär, Lisa
    Luleå tekniska universitet, Omvårdnad.
    Hedman, Linnea
    Luleå tekniska universitet, Omvårdnad.
    Rönmark, Eva
    Norrbottens Läns Landsting.
    Lindberg, Anne
    OLIN studies, Norrbotten County Council.
    Fatigue affects health status and predicts mortality among subjects with COPD-report from the population-based OLIN COPD study2015In: COPD: Journal of Chronic Obstructive Pulmonary Disease, ISSN 1541-2555, E-ISSN 1541-2563, Vol. 12, no 2, p. 199-206Article in journal (Refereed)
    Abstract [en]

    Background: COPD is associated to increased fatigue, decreased health status and mortality. However, these relationships are rarely evaluated in population-based studies. Aims: To describe the relationship between health status, respiratory symptoms and fatigue among subjects with and without COPD. Further, to evaluate whether fatigue and/or health status predicts mortality in these groups. Methods: Data were collected in 2007 from the population-based OLIN COPD study. Subjects participated in lung function tests and structured interviews, and 434 subjects with and 655 subjects without COPD were identified. Fatigue was assessed by FACIT-Fatigue and health status by the generic SF-36 questionnaire including physical (PCS) and mental (MCS) components. Mortality data until February 2012 were collected. Results: Fatigue greatly impacts the physical and mental dimensions of health status, both among subjects with and without COPD. Among subjects with clinically significant fatigue, COPD subjects had significantly lower PCS-scores compared to non-COPD subjects. Fairly strong correlations were found between FACIT-F, SF-36 PCS and MCS, respectively. In multivariate models adjusting for covariates, increased fatigue, decreased physical and mental dimensions of health status were all associated to mortality in subjects with COPD (OR 1.06, CI 1.02-1.10, OR 1.04, CI 1.01-1.08 and OR 1.06, CI 1.02-1.10), but not in non-COPD. Conclusions: Fatigue and decreased health status were closely related among subjects with and without COPD. Not only physical health status, but also fatigue and mental health predicted mortality among subjects with COPD. Fatigue assessed by FACIT-F, can be a useful instrument of prognostic value in the care of subjects with COPD.

  • 1309.
    Stridsman, Caroline
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Hedman, Linnea
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Rönmark, Eva
    Norrbottens Läns Landsting.
    Lindberg, Anne
    OLIN studies, Norrbotten County Council.
    Fatigue affects health status and predicts mortality among subjects with COPD-report from the population-based OLIN COPD study2015In: COPD: Journal of Chronic Obstructive Pulmonary Disease, ISSN 1541-2555, E-ISSN 1541-2563, Vol. 12, no 2, p. 199-206Article in journal (Refereed)
    Abstract [en]

    Background: COPD is associated to increased fatigue, decreased health status and mortality. However, these relationships are rarely evaluated in population-based studies. Aims: To describe the relationship between health status, respiratory symptoms and fatigue among subjects with and without COPD. Further, to evaluate whether fatigue and/or health status predicts mortality in these groups. Methods: Data were collected in 2007 from the population-based OLIN COPD study. Subjects participated in lung function tests and structured interviews, and 434 subjects with and 655 subjects without COPD were identified. Fatigue was assessed by FACIT-Fatigue and health status by the generic SF-36 questionnaire including physical (PCS) and mental (MCS) components. Mortality data until February 2012 were collected. Results: Fatigue greatly impacts the physical and mental dimensions of health status, both among subjects with and without COPD. Among subjects with clinically significant fatigue, COPD subjects had significantly lower PCS-scores compared to non-COPD subjects. Fairly strong correlations were found between FACIT-F, SF-36 PCS and MCS, respectively. In multivariate models adjusting for covariates, increased fatigue, decreased physical and mental dimensions of health status were all associated to mortality in subjects with COPD (OR 1.06, CI 1.02-1.10, OR 1.04, CI 1.01-1.08 and OR 1.06, CI 1.02-1.10), but not in non-COPD. Conclusions: Fatigue and decreased health status were closely related among subjects with and without COPD. Not only physical health status, but also fatigue and mental health predicted mortality among subjects with COPD. Fatigue assessed by FACIT-F, can be a useful instrument of prognostic value in the care of subjects with COPD.

  • 1310.
    Stridsman, Caroline
    et al.
    Luleå tekniska universitet, Medicinsk vetenskap.
    Zingmark, Karin
    Luleå tekniska universitet, Omvårdnad.
    Lindberg, Anne
    NLL.
    Skär, Lisa
    Luleå tekniska universitet, Omvårdnad.
    Creating a balance between breathing and viability: Experiences of well-being when living with chronic obstructive pulmonary disease2015In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 16, no 1, p. 42-52Article in journal (Refereed)
    Abstract [en]

    Aim To describe experiences of well-being among people with moderate to very severe chronic obstructive pulmonary disease (COPD). BACKGROUND: Living with COPD is related to a complex life situation, and quality of life (QOL) is shown to decrease because of respiratory symptoms and fatigue. However, studies describing well-being in COPD as a subjective description of QOL are rare. METHODS: Ten participants with moderate to very severe COPD from the Obstructive Lung Disease in Northern Sweden (OLIN) COPD study were interviewed about their experiences of well-being. A latent qualitative content analysis was used to analyse the data. Findings To achieve well-being despite breathlessness, the participants had to adapt to their limitations and live towards the future. They created a balance between breathing and viability by adjusting to a lifelong limitation, handling variations in illness, relying on self-capacity and accessibility to a trustful care. The participants adjusted to lifelong limitations through acceptance and replacement of former activities. They handled variations in illness by taking advantage of the good days and using emotional adaptation strategies. The participants relied on their own self-capacity, feeling that smoking cessation, physical activity and breathing fresh air increased their well-being. They requested accessibility to a trustful care and highlighted the need for continuous care relationships and access to medications. These findings can enhance health-care professionals' understanding of the possibilities for increased well-being for people living with COPD.

  • 1311.
    Stridsman, Caroline
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Zingmark, Karin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lindberg, Anne
    NLL.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Creating a balance between breathing and viability: Experiences of well-being when living with chronic obstructive pulmonary disease2015In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 16, no 1, p. 42-52Article in journal (Refereed)
    Abstract [en]

    Aim To describe experiences of well-being among people with moderate to very severe chronic obstructive pulmonary disease (COPD). BACKGROUND: Living with COPD is related to a complex life situation, and quality of life (QOL) is shown to decrease because of respiratory symptoms and fatigue. However, studies describing well-being in COPD as a subjective description of QOL are rare. METHODS: Ten participants with moderate to very severe COPD from the Obstructive Lung Disease in Northern Sweden (OLIN) COPD study were interviewed about their experiences of well-being. A latent qualitative content analysis was used to analyse the data. Findings To achieve well-being despite breathlessness, the participants had to adapt to their limitations and live towards the future. They created a balance between breathing and viability by adjusting to a lifelong limitation, handling variations in illness, relying on self-capacity and accessibility to a trustful care. The participants adjusted to lifelong limitations through acceptance and replacement of former activities. They handled variations in illness by taking advantage of the good days and using emotional adaptation strategies. The participants relied on their own self-capacity, feeling that smoking cessation, physical activity and breathing fresh air increased their well-being. They requested accessibility to a trustful care and highlighted the need for continuous care relationships and access to medications. These findings can enhance health-care professionals' understanding of the possibilities for increased well-being for people living with COPD.

  • 1312.
    Strinnholm, Åsa
    et al.
    Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Winberg, Anna
    Department of Clinical Sciences, Pediatrics, Umeå University.
    Hedman, Linnea
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    Lindh, Viveka
    Department of Clinical Sciences, Pediatrics, Umeå University.
    Reintroduction failure is common among adolescents after double-blind placebo-controlled food challenges2017In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, no 2, p. 282-287Article in journal (Refereed)
    Abstract [en]

    AIM:

    There has been a lack of research on adolescents' who undergo double-blind placebo-controlled food challenges. The aim of this study was to investigate food allergic adolescents' experiences and consequences of double-blind placebo-controlled food challenges.

    METHODS:

    This qualitative, descriptive interview study included 17 adolescents aged 14-15 years with total elimination of cows' milk, hens' eggs or cod due to food allergies. The participants, who were initially identified from a large population-based cohort study, were interviewed 18 months after completing their challenges.

    RESULTS:

    The double-blind placebo-controlled food challenge proved to be a complex experience for the adolescents, involving fear of potential reactions and the hope that the food could be reintroduced. Experiences during the challenge were described in three themes: facing fears in a secure environment, being hesitant but curious about unknown tastes and waiting for unknown food reactions. Experiences after the challenge were desribed in two themes: gaining control and freedom and continuing old habits. A negative challenge was not consistently associated with the reintroduction of the challenged food.

    CONCLUSION:

    This study highlighted the importance of considering the adolescents' expectations and experiences of the challenge and the reintroduction process to ensure desirable changes in their dietary habits. Follow ups should be performed regardless of the outcome of challenges.

  • 1313.
    Ström, Maria
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    RYTMISK INSMÖRJNING ENLIGT WEGMAN/HAUSCHKA – en intervjustudie om patienters upplevelser av beröringsterapi i öppenvård2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Rhythmical Einreibungen according to Wegman/Hauschka (RE) is a soft massage therapy for use in medicine and nursing extended through anthroposophy. RE is practiced by nurses working with integrative health care in the public financed health system, both with inpatients and outpatients (e.g. in primary care). The ontological definitions of caring science grounded in lifeworld theory of the human body, health and suffering is to a high extent corresponding with anthroposophic medicine.

    Aim: To explore how outpatients receiving RE have experienced that the therapy have affected them.

    Method: A quality content analysis, according to Lundman and Hällgren Graneheim (2012), based on semi structured interviews with five patients.

    Results: A decrease in physical suffering such as pain, reduced lung capacity, IBS and sleeping disorders was experienced. Psychological and spiritual improvement was experienced in cognitive functions, sense of relaxation, meaning, hope, confirmation, security and vitality. Improved health was experienced despite severe illness.

    Conclusion: RE is a therapy where caring science seems to be put in practice. This study on outpatients receiving RE indicates that it may improve health physically, psychologically and spiritually. The results match with earlier studies on inpatients receiving RE. Further studies, e.g. in comparison with psychotherapy or medical treatments, would be of great interest.

  • 1314.
    Strömberg, Josephine
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Bergeå, Johanna
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Tävlingsryttares uppfattning gällande styrketräning2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Equestrian sport is one of the biggest sports in Sweden with 29 600-competition riders. Equestrian sport demands a high physical capacity and competition riders need to have both strength, endurance and balance. Therefore, strength training should always be a part of a competition rider´s training regime, because strength training can lead to enhanced performance at the same time as it prevents injuries. Despite this, research that show how much strength training a competition rider perform is limited. Some say that competition riders most often don´t perform any training outside of riding, while some say that physical training is a natural element in a competition rider everyday life.

    Purpose

    : The purpose of this study was to describe competition rider´s perceptions regarding strength training as well as the motivation for strength training. Furthermore, the study aims at examining how much and what kind of strength training competition riders perform as well as why/why not strength training is being performed.

    Method:

    Information was gathered through questionnaires and through interviews. The selection for the questionnaire was based of competition riders over the age of 18 that compete in islandic horse-competition. The selection for the interviews was based of equestrian trainers in the south of Dalarna that all train competition rider.

    Results:

    The result showed that more than half of the competition riders that were part of this study reach the recommendations that are set for strength training. The result also showed a generally positive attitude towards strength training where a perception of strength training leading to a better riding performance was noticeable. The reasons why competition riders perform strength training turned out to be "To be healthy" and "To become a better rider". The reasons why competition rider’s don´t perform strength training turned out to be "Lack of time", "Lack of motivation" and to some extent also "Lack of knowledge".

    Slutsatser

    : The competition riders and equestrian trainers in this study generally have a positive attitude towards strength training, but despite of this there are some barriers that prevent strength training. Competition riders should work to overcome these barriers, because strength training has been showed important when performing on top in equestrian sport.

  • 1315.
    Strömbäck, Ulrica
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lundqvist, Robert
    Department of Research, Norrbotten County Council, Luleå.
    Lundblad, Dan
    Sunderby Research Unit, Department of Public Health and Clinical Medicine, Umeå University.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    The second myocardial infarction: Is there any difference in symptoms and prehospital delay compared to the first myocardial infarction?2018In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    Knowledge is limited concerning the type of symptoms and the time from onset of symptoms to first medical contact at first and second myocardial infarction in the same patient.

    AIM:

    This study aimed to describe the type of symptoms and the time from onset of symptoms to first medical contact in first and second myocardial infarctions in men and women affected by two myocardial infarctions. Furthermore, the aim was to identify factors associated with prehospital delays ≥2 h at second myocardial infarction.

    METHODS:

    A retrospective cohort study with 820 patients aged 31-74 years with a first and a second myocardial infarction from 1986 through 2009 registered in the Northern Sweden MONICA registry.

    RESULTS:

    The most common symptoms reported among patients affected by two myocardial infarctions are typical symptoms at both myocardial infarction events. Significantly more women reported atypical symptoms at the second myocardial infarction compared to the first. Ten per cent of the men did not report the same type of symptoms at the first and second myocardial infarctions; the corresponding figure for women was 16.2%. The time from onset of symptoms to first medical contact was shorter at the second myocardial infarction compared to the first myocardial infarction. Patients with prehospital delay ≥2 h at the first myocardial infarction were more likely to have a prehospital delay ≥2 h at the second myocardial infarction.

    CONCLUSIONS:

    Symptoms of second myocardial infarctions are not necessarily the same as those of first myocardial infarctions. A patient's behaviour at the first myocardial infarction could predict how he or she would behave at a second myocardial infarction.

  • 1316.
    Strömbäck, Ulrica
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Lundblad, Dan
    Department of Public Health and Clinical Medicine, Sunderby Research Unit, Umeå University.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Time from onset of symptoms to medical presence at the first and at the second myocardial infarction: a comparative study2013In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 57, no Suppl. 120, p. 27-Article in journal (Other academic)
  • 1317.
    Strömbäck, Ulrica
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Lundblad, Dan
    Sunderby Research Unit, Department of Public Health and Clinical Medicine, Umeå University.
    Lundqvist, Robert
    Department of Research, Norrbotten County Council, Luleå.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    The second myocardial infarction: Higher risk factor burden and earlier second myocardial infarction in women compared to men : The Northern Sweden MONICA study2017In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no 5, p. 418-424Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    Several studies have examined various parameters and experiences when patients suffer their first myocardial infarction (MI), but knowledge about when they suffer their second MI is limited.

    AIM:

    To compare risk factors for MI, that is, diabetes, hypertension and smoking, for the first and second MI events in men and women affected by two MIs and to analyse the time intervals between the first and second MIs.

    METHODS:

    A retrospective cohort study of 1017 patients aged 25-74 years with first and second MIs from 1990 through 2009 registered in the Northern Sweden MONICA registry.

    RESULTS:

    More women than men have diabetes and hypertension and are smokers at the first MI. Similar differences between the genders remain at the time of the second MI for diabetes and hypertension, although both risk factors have increased. Smoking decreased at the second MI without any remaining difference between genders. Women suffer their second MI within a shorter time interval than men do. Within 16 months of their first MI, 50% of women had a second MI. The corresponding time interval for men was 33 months.

    CONCLUSION:

    Patients affected by an MI should be made aware of their risk of recurrent MI and that the risk of recurrence is highest during the first few years after an MI. In patients affected by two MIs, women have a higher risk factor burden and suffer their second MI earlier than men do and thus may need more aggressive and more prompt secondary prevention.

  • 1318.
    Strömbäck, Ulrica
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Lundblad, Dan
    Sunderby Research Unit, Department of Public Health and Clinical Medicine, Umeå University.
    Lundqvist, Robert
    Department of Research, Norrbotten County Council, Luleå.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    The second myocardial infarction: Women have a higher risk factor burden and suffer a second myocardial infarction earlier than men do. The Northern Sweden MONICA study2017In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no Suppl. 1, p. S62-S63, article id 165Article in journal (Refereed)
  • 1319.
    Strömgren, Frida
    et al.
    GIH, Stockholm.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Kenttä, Göran
    GIH, Stockholm.
    Risberg, Anitha
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Hormone Smart Health Promotion: A Psychologica Perspective of Young and Adult Female Athletes Menstrual Status and Well=being2014Conference paper (Other academic)
  • 1320.
    Strömwall, Annette
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Patienters erfarenheter av att vårdas av sjuksköterskestudenter som handleds och vårdar i par.
    Patienters erfarenheter av att vårdas av sjuksköterskestudenter som handleds och vårdar i par: -Vid Utvecklande och Lärande Vårdenheter2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nursing students can complete clinical training in educational hospital wards. A model called Developing and Learning Care Unit (ULVE), where students care and supports in pair. Studies show that the model supports student learning, but there are few studies about how patients perceive to be cared for by students in pairs. It would be of interest to examine what patient’s experience are, what they think about being cared of students who work in pairs and if they believe that they receive good care. 

    Aim: The aim of this study is to describe how patients’ experience being cared for by student nurses who are caring and supervised in pairs.    

    Method: The study was conducted with a reflective lifeworld approach based on phenomenological epistemology. The phenomenon of the study is ”to be cared for by  student nurses caring and supports in pairs”. Data was collected through interviews of seventeen patients cared for  within ULVE.      

    Results: The care of students who are supported in pairs means to become involved in student learning and to meet the responsibility and a desire to nurture and learn. Patients feel secure and are positive to be looked after by student nurses in pair.  Confidence in the healthcare provided under the supervision also contributes to security in the care situation. The result is further described with four meaningful elements: Being involved  in learning and caring, being the center of care,  confidence and trust in the quality of care and  getting something out of the ”ordinary”.

    Conclusion: The study showed that patients cared by pairs of students is taken seriously and humanly during supervision of nursing clinician and it focuses in a patient centered care. This method of pair nursing students care shows respect, thoughtfulness, engagement and presence to patients where needs are fulfilled.

     

  • 1321.
    Sturesson, Marine
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Edlund, Curt
    Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Falkdal, Annie H.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Swedish Association of Local Authorities and Regions, Stockholm, Sweden.
    Bernspång, Birgitta
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Healthcare encounters and return to work: a qualitative study on sick-listed patients' experiences2014In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 15, no 4, p. 464-475Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Sickness absence is a complex phenomenon affected by aspects other than disease. One important factor that can affect sick leave is the individual's experience of healthcare encounters. It is therefore essential to consider the quality of the encounter with health professionals and its impact on the patient's rehabilitation and return to work.

    AIM: The aim was to explore how sick-listed patients in Sweden perceive their contact with healthcare professionals in primary healthcare and to analyse what they view as crucial components for returning to work.

    METHODS: A qualitative approach was used. Data were collected by semi-structured telephonic interviews with patients who were or had been on sick leave. The transcribed interview text was analysed according to qualitative content analysis.

    FINDINGS: The analysis revealed two themes that highlight important areas for persons on sick leave in their healthcare encounters. The theme 'Trust in the relationship' contains categories describing the patients' feelings of participation, and of being believed, confirmed, and listened to, and also dedication on the part of healthcare providers. Healthcare encounters that were characterised by professionalism, knowledge, continuity, and a holistic approach seemed to create trust. The theme 'Structure and balance' contains the participants' views on important factors that could support the return-to-work process. All participants stated the importance of follow-up and a plan for rehabilitation. Sick leave itself can make a person passive, and participants in this study asked for support to balance activity, exercise, and work demands, which could facilitate their return to work.

    CONCLUSION: Healthcare professionals can facilitate sick-listed persons' rehabilitation back to work by providing a clear structure in the process and support in occupational balance. The healthcare encounters must build on a mutual trust.

  • 1322.
    Sturm, Dennis
    et al.
    KTH, School of Technology and Health (STH), Medical sensors, signals and systems (MSSS).
    Parida, Vinit
    Luleå University of Technology.
    Larsson, Tobias C.
    Luleå University of Technology.
    Isaksson, Ola
    Luleå University of Technology.
    Design of user-centred wireless sensor technology in sports: An empirical study of elite kayak athletes2011Conference paper (Refereed)
    Abstract [en]

    University research is demanded to be more need-driven and user-centred in order to address and solve problems and needs of the market. In the present study a group of athletes and coaches has been analysed on their lead user characteristics. Some of the lead users have contributed with advanced user insights and aidin trend foresight in this sport. In a combined qualitative and quantitative approach the value of lead users in sports technology was examined and four users were identified as lead users. In consistence with previous research the results indicate that involving lead users will foster superior insight and research.

  • 1323.
    Stylianou, Fotos
    et al.
    Computational Sciences Laboratory (UCY-CompSci), Department of Mechanical and Manufacturing Engineering, University of Cyprus.
    Pečnik, René
    Process and Energy Department, Delft University of Technology.
    Kassinos, Stavros C.
    Computational Sciences Laboratory (UCY-CompSci), Department of Mechanical and Manufacturing Engineering, University of Cyprus.
    A general framework for computing the turbulence structure tensors2015In: Computers & Fluids, ISSN 0045-7930, E-ISSN 1879-0747, Vol. 106, p. 54-66Article in journal (Refereed)
    Abstract [en]

    Good measures of the turbulence structure are important for turbulence modeling, flow diagnostics and analysis. Structure information is complementary to the componentality anisotropy that the Reynolds stress tensor carries, and because structures extend in space, structure information is inherently non-local. Given access to instantaneous snapshots of a turbulence field or two-point statistical correlations, one can extract the structural features of the turbulence. However, this process tends to be computationally expensive and cumbersome. Therefore, one-point statistical measures of the structural characteristics of turbulence are desirable. The turbulence structure tensors are one-point statistical descriptors of the non-local characteristics of the turbulence structure and form the mathematical framework for constructing Structure-Based Models (SBM) of turbulence. Despite the promise held by SBM, the tensors have so far been available only in a small number of DNS databases of rather simple canonical flows. This inhibits further SBM development and discourages the use of the tensors for flow analysis and diagnostics. The lack of a clear numerical recipe for computing the tensors in complex domains is one the reasons for the scarce reporting of the structure tensors in DNS databases. In particular, the imposition of proper boundary conditions in complex geometries is non-trivial. In this work, we provide for the first a time a rigorous and well-documented description of a mathematical and computational framework that can be used for the calculation of the structure tensors in arbitrary turbulent flow configurations

  • 1324.
    Stylianou, Fotos
    et al.
    Computational Sciences Laboratory (UCY-CompSci), Department of Mechanical and Manufacturing Engineering, University of Cyprus.
    Pečnik, René
    Process & Energy Department, Delft University of Technology.
    Kassinos, Stavros C.
    Computational Sciences Laboratory (UCY-CompSci), Department of Mechanical and Manufacturing Engineering, University of Cyprus.
    Analyzing a turbulent pipe flow via the one-point structure tensors: Vorticity crawlers and streak shadows2016In: Computers & Fluids, ISSN 0045-7930, E-ISSN 1879-0747, Vol. 140, p. 450-477Article in journal (Refereed)
    Abstract [en]

    Efforts to identify and visualize near-wall structures typically focus on the region y+≳5, where large-scale structures with significant turbulent kinetic energy content reside, such as the high-speed and low-speed streaks associated with sweep and ejection events. While it is true that the level of the turbulent kinetic energy drops to zero as one approaches the wall, the organization of near-wall turbulence does not end at y+≈5. Large-scale structures with significant streamwise extent and spatial organization exist even in the immediate proximity of the wall y+<5. These coherent structures have received less attention so far, but it would be both useful and enlightening to bring them to focus in order, on one hand, to understand them, but also to analyze their interaction with the energetic structures that reside at somewhat higher distances from the wall. We have recently developed a rigorous mathematical and computational framework that can be used for the calculation of the turbulence structure tensors in arbitrary flow configurations. In this work, we use this new framework to compute, for the first time, the structure tensors in a fully-developed turbulent pipe flow. We perform Direct Numerical Simulation (DNS) at Reynolds number Reb=5300, based on the bulk velocity and the pipe diameter. We demonstrate the diagnostic properties of the structure tensors, by analyzing the DNS results with a focus on the near-wall structure of the turbulence. We develop a new eduction technique, based on the instantaneous values of the structure tensors, for the identification of inactive structures (i.e. large-scale structures without significant turbulent kinetic energy). This leads to the visualization of “vorticity crawlers” and “streak shadows”, large-scale structures with low energy content in the extreme vicinity of the wall. Furthermore, comparison with traditional eduction techniques (such as instantaneous iso-surfaces of turbulent kinetic energy) shows that the structure-based eduction method seamlessly captures the large-scale energetic structures further away from the wall. We then show that the one-point structure tensors reflect the morphology of the inactive structures in the extreme vicinity of the wall and that of the energy-containing large-scale structures further away from the wall. The emerging complete picture of large-scale structures helps explain the near-wall profiles of all the one-point structure tensors and is likely to have an impact in the further development of Structure-Based Models (SBMs) of turbulence

  • 1325.
    Stylianou, Fotos
    et al.
    Computational Sciences Laboratory (UCY-CompSci), Department of Mechanical and Manufacturing Engineering, University of Cyprus.
    Sznitman, Josué
    Department of Biomedical Engineering, Technion - Israel Institute of Technology, Haifa.
    Kassinos, Stavros C.
    Computational Sciences Laboratory (UCY-CompSci), Department of Mechanical and Manufacturing Engineering, University of Cyprus.
    Direct numerical simulation of particle laden flow in a human airway bifurcation model2016In: International Journal of Heat and Fluid Flow, ISSN 0142-727X, E-ISSN 1879-2278, Vol. 61, p. 677-710Article in journal (Refereed)
    Abstract [en]

    During the delivery of inhaled medicines, and depending on the size distribution of the particles in the formulation, airway bifurcations are areas of preferential deposition. Previous studies of laminar flow through airway bifurcations point to an interplay of inertial and centrifugal forces that leads to rich flow phenomena and controls particle deposition patterns. However, recent computational studies have shown that the airflow in the upper human airways is turbulent during much of the respiratory cycle. The question of how the presence of turbulence modifies these effects remains open. In this study, we perform for the first time Direct Numerical Simulations (DNS) of fully developed turbulent flow through a single human airway bifurcation model, emulating steady prolonged inspiration and expiration. We use the rich information obtained from the DNS in order to identify key structures in the flow field and scrutinize their role in determining deposition patterns in the bifurcation. We find that the vortical structures present in the bifurcation during expiration differ from those identified during inspiration. While Dean vortices are present in both cases, a set of three dimensional “carinal vortices” are identified only during expiration. A set of laminar simulations in the same geometries, but at lower Reynolds numbers, allow us to identify key differences in aerosol deposition patterns between laminar and turbulent respiration. We also report deposition fractions for representative Stokes numbers for both laminar and turbulent conditions. Given the suspected role of external mechanical stress on the airway epithelium in determining mucus clearance and chronic disease development, here we report wall shear stress distributions for both the turbulent and laminar cases. Finally, we also perform Large Eddy Simulations (LES) and Reynolds-Averaged Navier-Stokes (RANS) simulations for the same configuration in order to asses their performance as compared to DNS. We find that LES and RANS perform well and that they are able to capture the key characteristics of the flow field. The agreement between DNS and RANS holds true only for the mean flow field, which is primarily influenced by curvature effects

  • 1326.
    Styrwoldt, Eva
    et al.
    Sophiahemmet University.
    Hybinette, Caroline
    Sophiahemmet University.
    Läkemedel inom ambulanssjukvården2016In: Prehospital akutsjukvård / [ed] Björn-Ove Suserud & Lars Lundberg, Stockholm: Liber, 2016, 2, p. 534-539Chapter in book (Other academic)
  • 1327.
    Stålnacke, Britt-Marie
    et al.
    Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Ohlsson, A.
    Umeå University, Department of Surgical and Perioperative Science, Sports Medicine.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Sojka, Peter
    Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Serum concentrations of two biochemical markers of brain tissue damage S-100B and neurone specific enolase are increased in elite female soccer players after a competitive game2006In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 40, no 4, p. 313-6Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: It is a matter of debate whether or not ordinary heading of the ball in soccer causes injury to brain tissue. OBJECTIVE: To analyse concentrations of the biochemical markers of brain tissue damage S-100B and neurone specific enolase (NSE) in serum of female elite soccer players in association with a competitive game. METHODS: Venous blood samples were obtained from 44 female soccer players before and after a competitive game for analysis. The number of headers and trauma events (falls, collisions, etc) was assessed from videotape recordings for each player. RESULTS: Concentrations of both brain damage markers were increased after the game (S-100B, 0.18 (0.11) v 0.11 (0.05) microg/l (p = 0.000); NSE, 10.14 (1.74) v 9.05 (1.59) microg/l (p = 0.001)). There was a significant correlation between changes in S-100B concentrations and both the number of headers (r = 0.430, p = 0.004) and the number of other trauma events (r = 0.517, p < 0.001). CONCLUSION: The concentrations of both S-100B and NSE were increased by game associated activities and events. The increases in S-100B concentration were significantly related to the number of headers and other trauma events, which indicates that both these factors may have contributed to these increases.

  • 1328.
    Stålnacke, Britt-Marie
    et al.
    Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Sojka, Peter
    Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Kan hjärnvävnadsskademarkören S-100B användas som prediktor av lämplig tidpunkt för återgång till aktiv idrottsutövning efter lätt skallskada/hjärnskakning?2001In: Program & sammanfattningar: Svenska Läkaresällskapets riksstämma, Svenska läkaresällskapet , 2001, p. 309-Conference paper (Other academic)
  • 1329.
    Stålnacke, Britt-Marie
    et al.
    Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Sojka, Peter
    Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Matchspel ökar serumkoncentrationen av hjärnvävnadsskademarkören S-100B hos ichockey- och basketspelare2001In: Program & sammanfattningar: Svenska Läkaresällskapets riksstämma, Svenska läkaresällskapet , 2001, p. 203-Conference paper (Other academic)
  • 1330.
    Stålnacke, Britt-Marie
    et al.
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Magnusson, Nils-Göran
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    Sojka, Peter
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    Can the marker of brain damage S-100B be used for prediction of time for return to sport after mild heal injury/concussion2002In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 16, no 7, p. 803-Article in journal (Other academic)
  • 1331.
    Stålnacke, Britt-Marie
    et al.
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Sojka, Peter
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    Does heading in soccer have impact on brain tissue?: a field study using analysis of markers of brain tissue injury S-100B and NSE2004In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 38, no 5, p. 655-Article in journal (Refereed)
  • 1332.
    Stålnacke, Britt-Marie
    et al.
    Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Sojka, Peter
    Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Playing ice hockey and basketball increases serum levels of S-100B in elite players: a pilot study2003In: Clinical Journal of Sports Medicine, ISSN 1050-642X, E-ISSN 1536-3724, Vol. 13, no 5, p. 292-302Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To investigate changes in serum concentrations of the biochemical markers of brain damage S-100B and neuron-specific enolase (NSE) in ice hockey and basketball players during games. DESIGN: Descriptive clinical research. SETTING: Competitive games of the Swedish Elite Ice Hockey League and the Swedish Elite Basketball League. PARTICIPANTS: Twenty-six male ice hockey players (from two teams) and 18 basketball players (from two teams). INTERVENTIONS: None. MAIN OUTCOME MEASURES: S-100B and NSE were analyzed using two-site immunoluminometric assays. The numbers of acceleration/deceleration events were assessed from videotape recordings of the games. Head trauma-related symptoms were monitored 24 hours after the game using the Rivermead Post Concussion Symptoms Questionnaire. RESULTS: Changes in serum concentrations of S-100B (postgame - pregame values) were statistically significant after both games (ice hockey, 0.072 +/- 0.108 microg/L, P = 0.00004; basketball, 0.076 +/- 0.091 microg/L, P = 0.001). In basketball, there was a significant correlation between the change in S-100B (postgame-pregame values) and jumps, which were the most frequent acceleration/deceleration (r = 0.706, P = 0.002). For NSE, no statistically significant change in serum concentration was found in either game. For one ice hockey player who experienced concussion during play, S-100B was increased more than for the other players. CONCLUSIONS: S-100B was released into the blood of the players as a consequence of game-related activities and events. Analysis of the biochemical brain damage markers (in particular S-100B) seems to have the potential to become a valuable additional tool for assessment of the degree of brain tissue damage in sport-related head trauma and probably for decision making about returning to play.

  • 1333.
    Stålnacke, Britt-Marie
    et al.
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Sojka, Peter
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    Playing soccer causes increases in serum concentration of the biomechanical markers of brain damage S-100B and NSE in elite players2003In: Proceedings of the 2nd world congress of the International Society of Physical and Rehabilitation Medicine - ISPRM: Prague, Czech Republic, May 18-22, 2003 : [free papers] / [ed] Nachum Soroker; Haim Ring, Bologna: ISPRM , 2003Conference paper (Other academic)
  • 1334.
    Sundbaum, Johanna
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Hepatitis B: is the risk increased in patients with rheumatois arthritis?2012Conference paper (Refereed)
  • 1335.
    Sundbaum, Johanna
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Arkema, Elizabeth
    Enheten för klinisk epidemiologi, Karolinska universitetssjukhuset/institutet.
    Feltelius, Nils
    Läkemdelsverket, Enheten för reumatologi, Institutionen för medicin, Karolinska universitetssjukhuset/institutet.
    Baecklund, Eva
    Enheten för reumatologi, Institutionen för medicinska vetenskaper, Uppsala universitet.
    Askling, Johan
    Enheten för klinisk epidemiologi, Karolinska universitetssjukhuset/ Karolinska Institutet.
    Hepatit B infektion hos patienter behandlade med biologiska läkemedel för reumatisk sjukdom: svenska fall 1999-20112011Conference paper (Refereed)
  • 1336.
    Sundbaum, Johanna
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Back, Johan
    Institutionen för medicinska vetenskaper, Uppsala Universitet.
    Lehto, Niklas
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Baecklund, Eva
    Institutionen för medicinska vetenskaper, Uppsala Universitet.
    Kontrollprovtagning vid metotrexatebehandling av RA patienter: Erfarenheter från en reumatologklinik2014Conference paper (Other academic)
  • 1337.
    Sundbaum, Johanna
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Berglund, V.
    Uppsala University, Dermatologic Section, Department of Medical Science.
    Back, Johan
    Institutionen för medicinska vetenskaper, Uppsala Universitet.
    Lehto, Niklas
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Rollman, O.
    Uppsala University, Dermatologic Section, Department of Medical Science.
    Baecklund, Eva
    Enheten för reumatologi, Institutionen för medicinska vetenskaper, Uppsala universitet, Institutionen för medicinska vetenskaper, Uppsala Universitet.
    Methotrexate in rheumatoid arthritis and psoriasis/psoriatic arthritis: a comparative study of hepatotoxicity2014In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 43, p. 29-Article in journal (Refereed)
  • 1338.
    Sundberg, Nina
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Larsson, Maria
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Oral alterations and assessment of Oral health status in oncology care2013Conference paper (Refereed)
  • 1339.
    Sundell, Jonas
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Dogan, Dilber
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Finns det indikationer på samband mellan företags arbetsmiljöarbete och deras börsvärde?: En studie av arbetsmiljöarbetets-indikatorer och börsvärde hos ett urval svenska företag2015Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to use SAM-index data and data on factors from the report Det Goda Arbetet from the Swedish Work Environment Authority and identify if there is any relation between listed companies' market values and their systematic work environment management. This master’s work is limited to Forty-seven companies on the Swedish stock market that responded to the Work Environment Authority survey NU2012.

     

    The method in this study is a quantitative approach in which statistical, quantifiable results were sought. The companies that participated in the NU2012 survey was divided into three groups based on their results from: i) Work Environment SAM index data and ii) data on factors from the report Det Goda Arbetet.

     

    Results from SAM- index data show a relation between companies’ systematic work environment management and market capitalization for the year 2012 while the results from Det Goda Arbetet show that scores for the highest average varies between the groups. Results for the years 2008-2011 (the year when we don`t have access to the baseline study) shows that there is a tendency for a relation between share price, turnover, number of employees and work environment for these years.

     

    The main conclusion based on the analyzes of the data on the share price and the work environment in Sweden as well as the literature review included in the study, it is found that companies that have a good work Environment tend to have higher stock price and better stock market performance than companies with poor work environment management.

    Keywords: Work environment, SAM index, Stock price, Quality, Skills, Productivity.

  • 1340.
    Sundewall Thorén, Elisabet
    et al.
    Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Health Sciences.
    Svensson, Monica
    Lund University.
    Tornqvist, Anna
    Lund University.
    Andersson, Gerhard
    Linköping University, Department of Behavioural Sciences and Learning, Clinical and Social Psychology. Linköping University, Faculty of Arts and Sciences.
    Carlbring, Per
    Umeå University.
    Lunner, Thomas
    Linköping University, Department of Clinical and Experimental Medicine, Technical Audiology. Linköping University, Faculty of Health Sciences.
    Online self-help via a controlled discussion forum2009In: Binaural Processing and Spatial Hearing, Ballerup: The Danavox Jubilee Foundation , 2009Conference paper (Other academic)
    Abstract [en]

    Recent studies on hearing rehabilitation with group discussions show similar long-term benefits as conventional professional counselling (Abrams et al., 2002; Hickson et al., 2007). The use of professional support for self-help via Internet may reduce anxiety and depression (Andersson et al., 2005). Inspired by those results, we created an online discussion forum for self-help where 29 experienced hearing-aid users communicated, on their own for five weeks. Each week they started the discussions from a given topic, without any professional assistance. We measured their reported subjective hearing problems online using standardized questionnaires (HHIE, IOI-HA and SADL) pre and post the online intervention. The findings show that the participants reduced their reported subjective hearing problems significantly by taking part in the discussions. Six months after the online intervention was finished the significant reduction was persistent.

    By using manifest qualitative content analysis of the participants’ online communication we will present results including typical categories and themes in the discussions, as well as peer-to-peer helping behavior.

    The findings indicates that interacting with peers have a positive significant effect on the long-term outcome of their hearing rehabilitation. Further development of this tool could be a very useful instrument in the rehabilitation of hearing impaired adults.

     

    References: Abrams, H., Chisholm., T. H., McArdle, R. (2002). A cost-utility analysis of adults group audiologic rehabilitation: Are the benefits worth the cost? Journal of Rehabilitation Research and Development, 5, 549-558.

    Andersson, G., Bergström, J., Carlbring, P., Lindefors, N. (2005). The use of internet in the treatment of anxiety disorders. Current opinion in Psychiatry, 18, 73-77.

    Hickson, L., Worrall, L., Scarinci, N. (2007). A randomized controlled trial evaluating the Active Communication Education program for older people with hearing impairment. Ear and Hearing, 28, 212-230.

  • 1341.
    Sundquist, Pontus
    Halmstad University, School of Business, Engineering and Science.
    A Test-Retest Reliability Study of Cooper's Test In Adolescents Aged 16-19 Years2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The maximum rate of oxygen consumption (V̇O2max) can be measured through numerous tests, either directly or indirectly, where direct methods are considered more accurate, whereas indirect methods are more of an estimation with various degrees of reliability. Cooper's Test is one example of an indirect method considered reliable in estimating V̇O2max, with reliability coefficients ranging between 0.897-0.960. Cooper's Test is thus a test that is often used when estimating V̇O2max. However, there is a lack of test-retest research done utilising Cooper's Test on a younger population, which is the reasoning behind this study focusing on adolescents. Aim: The aim of the study was to study the test-retest reliability of Cooper's Test, in adolescents aged 16-19 years. Methods: Twelve healthy adolescents, aged 16-19 years, attending a sports high school participated in a test-retest study (test 1 and test 2) of Cooper's Test. The tests were performed on the short sides of a synthetic grass field, with 66 metres between the two sides, were the participants were instructed to cover as much distance as possible, with high motivation and intensity, for the whole 12 minutes of the Cooper's Test. Each individual participant's data was measured, recorded and later analysed. The total distance covered was then translated into miles and compared to Cooper's original estimated maximal oxygen consumption table for an estimation of each participant's V̇O2max value in ml*kg-1*min-1 from test 1 and test 2. The data from the test-retest and its variance was then analysed by a two-way mixed model of intraclass correlation coefficient (ICC) with an absolute agreement type. Results: The analysed data from test 1 and test 2 of Cooper's Test showed the results of an ICC (95% CI) of 0.06 (-0.353 to 0.544), indicating a substantial error variance between the two separate Cooper's Tests. Conclusion: The data and analysis from this study implied that Cooper's Test was not reliable in the study population, consisting of adolescents. Possible factors influencing the result however were lack of participant motivation and the level of intensity variance during the test-retest of Cooper's Test. Further researchers and amateur and professional users should keep these factors in mind when utilising Cooper's Test to predict V̇O2max. More research is needed within this study's age population to draw any definite conclusions on the reliability of Cooper's test on adolescents.

  • 1342.
    Sundqvist, Ann-Sofie
    Örebro University, School of Health Sciences.
    Perioperative patient advocacy: having the patient's best interests at heart2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Patient advocacy implies taking action on someone else’s behalf, and has been described as a key element of nurses’ professional care. In the perioperative setting, it involves not only critical decision making, but also all the small things that the nurses do for the sake of the patients during their working day. Since previous research on the advocacy role of a registered nurse anesthetist (RNA) is sparse, and has not been conducted in a Swedish context, this thesis was intended to contribute to a greater understanding of advocacy in the perioperative context. The overall aim was therefore to explore the characteristics and consequences of perioperative patient advocacy (Study I), and to describe RNAs’ views of advocacy in anesthetic nursing through interviews (Study II), a questionnaire (Study III), and observations (Study IV).

    The synthesis of the characteristics and consequences of perioperative patient advocacy was interpreted in this thesis as the RNAs having the patient’s best interests at heart, in that they (1) had control of the situation, (2) preserved human values, and finally (3) were emotionally affected, as the results from the four studies suggested this as the core of perioperative patient advocacy.

    Perioperative patient advocacy is not always perceived as easy. In praxis, it is linked to the code of ethics outlined by the International Council of Nurses, which states that all registered nurses, regardless of their working context, shall respect human rights, promote health, prevent illness, and ensure that the individual receives accurate and sufficient information. This thesis elaborates on how this is done by describing how RNAs exert perioperative patient advocacy and how they interact in order to facilitate the best possible care for the patient. The results deepen the understanding of perioperative patient advocacy from the RNA’s perspective and contribute to a new insight in the RNA’s professional role.

  • 1343.
    Sundqvist, Ann-Sofie
    et al.
    Örebro University, School of Health Sciences.
    Nilsson, Ulrica
    Örebro University, School of Health Sciences.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Anderzén-Carlsson, Agneta
    Örebro University, School of Health Sciences. Örebro University Hospital.
    Registered nurse anaesthetists practicing of perioperative patient advocacy: an observational studyManuscript (preprint) (Other academic)
  • 1344.
    Svantesson, Katarina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Söderberg, Susanna
    Mälardalen University, School of Health, Care and Social Welfare.
    FYSIOTERAPEUTSTUDENTERSATTITYDER TILLBEHANDLINGSMODELLER FÖRPATIENTER MED LÅNGVARIGOSPECIFIK LÄNDRYGGSSMÄRTA: En jämförande studie mellan två utbildningar2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1345.
    Svedbo Engström, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Göteborgs universitet, Sahlgrenska akademin, Institutionen för medicin.
    Capability Approach2013Conference paper (Other academic)
  • 1346.
    Sveen, Josefin
    et al.
    Uppsala universitet.
    Dyster-Aas, Johan
    Uppsala universitet.
    Willebrand, Mimmie
    Uppsala universitet.
    Attentional bias and symptoms of posttraumatic stress disorder one year after burn injury2009In: Journal of Nervous and Mental Disease, ISSN 0022-3018, E-ISSN 1539-736X, Vol. 197, no 11, p. 850-855Article in journal (Refereed)
    Abstract [en]

    Trauma-related attentional bias is suggested to play a role in maintaining posttraumatic stress disorder (PTSD). Although being burn injured is a traumatic event for many patients, there are no prospective studies investigating attentional bias. The aims were to assess burn-specific attentional bias 1 year after burn, and its associations with risk factors for PTSD and symptoms of PTSD. A total of 38 adult patients with burns were assessed with a structured clinical interview and a Swedish version of the Impact of Event Scale-Revised up to 1-year after burn. The Emotional Stroop Task was used to assess attentional bias 1 year after burn. In total 29 participants displayed burn-specific attentional bias. This group had more previous life events, perceived life threat, larger burns, and higher PTSD symptom severity. In conclusion, the majority of the patients had burn-specific attentional bias 1 year after burn and this was related to symptoms of PTSD.

  • 1347.
    Sveen, Josefin
    et al.
    Uppsala universitet.
    Low, Aili
    Uppsala universitet.
    Dyster-Aas, Johan
    Uppsala universitet.
    Ekselius, Lisa
    Uppsala universitet.
    Willebrand, Mimmie
    Uppsala universitet.
    Gerdin, Bengt
    Uppsala universitet.
    Validation of a swedish version of the impact of event scale-revised (IES-R) in patients with burns2010In: Journal of Anxiety Disorders, ISSN 0887-6185, E-ISSN 1873-7897, Vol. 24, no 6, p. 618-622Article in journal (Refereed)
    Abstract [en]

    The Impact of Event Scale (IES) and the Impact of Event Scale-Revised (IES-R) are often used as self-reportinstruments for symptoms of post-traumatic stress disorder (PTSD). However, there are few validationsof the IES and the IES-R against structured clinical interviews. In this study the two scales, together withthe three subscales of the IES-R, were assessed for their agreement with a diagnosis of PTSD in patientswith burns 1 year after injury. Sixty patients with burns were evaluated 1 year after injury using theStructured Clinical Interview for the DSM-IV Axis I (SCID-I) psychiatric disorders and a Swedish versionof the IES-R. The total score of the IES-R had the best discriminant ability (0.89) with a sensitivity of 1.0and a specificity of 0.78. In conclusion, the total IES-R had good properties as a screening tool for PTSDand subsyndromal PTSD 1 year after burn injury.

  • 1348.
    Sveen, Josefin
    et al.
    Uppsala universitet.
    Orwelius, Lotti
    Linköpings universitet.
    Gerdin, Bengt
    Uppsala universitet.
    Huss, Fredrik
    Linköpings universitet.
    Sjöberg, Folke
    Linköpings universitet.
    Willebrand, Mimmie
    Uppsala universitet.
    Psychometric properties of the impact of event scale-revised in patients one year after burn injury2010In: Journal of Burn Care & Research, ISSN 1559-047X, E-ISSN 1559-0488, Vol. 31, no 2, p. 310-318Article in journal (Refereed)
    Abstract [en]

    Burn injury can be a life-threatening and traumatic event. Despite considerable risk for psychological morbidity, few outcome measures have been evaluated. The aim of this study was to examine the psychometric properties of a Swedish version of the Impact of Event Scale-Revised (IES-R) in patients 1 year after burn injury (N = 147). A principal component analysis was performed, and the results supported the three-factor structure of the IES-R. High internal consistency and intelligible associations with concurrent psychological symptoms and known risk factors for distress after trauma indicate satisfactory psychometric properties. Thus, the study supports the use of the IES-R as a screening tool for measuring traumatic distress after burn.

  • 1349.
    Svensson Bygnér, Jeanette
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Fysisk aktivitet och hälsa: Leder fysisk aktivitet i form av träning till en bättre självupplevd hälsa i både arbetslivet och på fritiden?2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The relationship between physical activity and mental health has in recent years been studied more frequently. Physical activity can help prevent various diseases and many reports supports that exercise is good. For the body to function optimally physical activity is needed. Sedentary occupations and poor exercise is for many a lifestyle. People seem to be more unhealthy . Physical activity could be part of the solution to a healthier lifestyle. There is an connection between exercise and better health and ability. In my question, I think that a regular exercise provides a healthier individual in their everyday jobs (work / studies). More studies in this area is needed to enlighten people about the improvements you can do yourself to their health and inner wellbeing. Objective: Purpose of the study was to investigate whether the self-perceived effect of physical activity is positive in terms of concrete improvements in health. Method: The content analysis was used to analyze the manifest content of the text. Results: All of the participants describe specific health improvements in both the physical and mental everyday everyday life. Stress levels had decreased pain, back pain was minimized and well-being had improved. The joy of working and socializing had been increased and several of the participants mentioned their blood sugar levels was key factor that had improved. Discussion: In order to maintain a good health at work and during leisure regular physical activity is needed. Conclusions: Physical activity should be promoted more and used more in prevention purposes than they do today. A better physical ability simply provides a healthier living.

  • 1350.
    Svensson, Cecilia
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Rothoff, Emma
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Etableringsuppdraget: Flyktingars etablering på arbetsmarknaden2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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