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  • 1301.
    Sjöblom, Margareta
    et al.
    Luleå University of Technology, Department of Health Sciences.
    Öhrling, Kerstin
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Prellwitz, Maria
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Health throughout the lifespan: The phenomenon of the inner child reflected in events during childhood experienced by older persons2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 31486Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe and gain more knowledge of the phenomenon of the inner child, reflected in events during childhood experienced by older persons. Thirteen older persons aged 70 to 91 years old were interviewed. A hermeneutical phenomenological analysis of the data revealed two main themes: the inner child becomes visible and the inner child's presence through life. The participants' narratives showed that their understanding of the experiences included both positive and negative feelings, as well as ways to be creative, in which the inner child became visible. The participants' experiences indicated that the inner child was present throughout the lifespan, was found in challenges that occurred in life, and could turn something bad into something good. However, the presence of the inner child could also be a source for development throughout life and could interfere with the person. The findings from this study point to older persons' need to be recognized, acknowledged, and understood as a unique person living his or her own life. In addition, dimensions of well-being such as feeling safe, loved, supported, and creating space for fantasy and possibilities can be compared to the physical, mental, social, and existential dimensions of well-being found in WHO surveys and definitions of health. This calls for a holistic approach when caring for older persons.

  • 1302.
    Sjöholm, Louise
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Bergström, Susanna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    En uppväxt i skymundan: -En litteraturstudie som ur ett livsvärldsperspektiv skildrar upplevelser av att ha vuxit upp med en psykiskt sjuk förälder2013Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: När någon lider av psykisk sjukdom bidrar detta till att deras livsvärld hamnar i obalans, vilket kan visas genom att sjukdomen yttrar symtom såsom förändringar i personlighet och beteende. Många av de som behandlas inom vården för sin psykiska sjukdom är föräldrar. På grund av sjukdomen kan rollen som förälder bli påverkad negativt då man inte har förmågan att upprätthålla det ansvar som krävs för att ta hand om en familj. Barnen kan då riskera att hamna i skymundan, vilket betyder att det blir ännu viktigare att omgivningen uppmärksammar situationer där man misstänker att ett barn far illa.

    Syfte: Ur ett livsvärldsperspektiv belysa människors upplevelser av att ha vuxit upp med en psykiskt sjuk förälder.

    Metod: Litteraturstudie med kvalitativ ansats som baserats på fem biografier. Studiens resultat har bearbetats enligt Graneheim och Lundmans (2004) kvalitativa innehållsanalys.

    Resultat: Fem olika teman framträdde vid analysen av biografierna; Vikten av kommunikation, Känsla av utanförskap, Det betydelsefulla ansvarstagandet, Ovisshetens vardag och Relationen till föräldrarna.

    Slutsats: Vad som skildrats var att upplevelsen av att ha vuxit upp med en psykiskt sjuk förälder har inneburit ett liv i utsatthet, där både det fysiska och emotionella ansvaret inom familjen har fått upprätthållas av barnet självt. Något som även har påvisats är betydelsen av kommunikation, då den inom familjen, vänner, skolan och vården har varit bristande och skapat ett lidande hos barnet. På så vis förespråkar studiens resultat att anställda inom professioner som arbetar med barn, exempelvis allmänsjuksköterskor, kräver djupare kunskap gällande bemötande gentemot barn till psykiskt sjuka. 

  • 1303. Sjömark, Cecilia
    et al.
    Wingstedt, Johnny
    Luleå University of Technology.
    Axelsson, Karin
    Berg, Jan
    Luleå University of Technology.
    Musical parameters for promoting relaxation and stress-reduction in listeners2005In: Proceedings of Ambience 05, International Scientific Conference on Intelligence Ambience and Well-Being, 2005Conference paper (Refereed)
  • 1304.
    Skagerstrand, Åsa
    Örebro University, School of Health Sciences.
    Perception of disturbing sounds: Investigations of people with hearing loss and normal hearing2018Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The present thesis concerns the daily sound environment and the human perception of the same. The sound environment affects the possibility to be active in a communication. With background noise, it may be harder to hear desired signals, and when suffering from a hearing loss, negative effects of the background noise increase. Previous research has explored, that persons with hearing loss benefit from hearing aid usage, but there is a risk of non-usage due to low sound quality. The non-usage of hearing aids has furthermore been described as a cause of isolation and social withdrawal for persons with hearing loss.

    The general aim of the present thesis is to explore the concept of disturbing sounds in a daily sound environment and to examine the influence of hearing loss and hearing aid usage. Disturbing sounds were investigated in means of perception of loudness and annoyance, where loudness concerned the acoustical properties, mainly sound level, whereas annoyance concerned the psychological phenomenon, defined as an individual adverse reaction to noise. The results of studies I and II showed, that hearing aid users experience disturbing sounds more or less daily, and that those sounds resulted in a decreased usage of hearing aids. The effect of disturbing sounds seemed to rely on several factors, acoustical as well as psychological, and there was not one single factor providing a full explanation of disturbance. In study III and IV, the perception of sounds in normal hearing and hearing impaired persons were thoroughly examined and revealed that hearing thresholds affect the perceived loudness and annoyance. Furthermore, the effect of hearing aids on loudness and annoyance perception was investigated. The results showed that hearing aids restored the loudness and annoyance to levels comparable to people with normal hearing function. The results of the studies stress that additional research should focus on the implementation of knowledge of disturbing sounds in audiological rehabilitation, in order to increase the benefit of hearing aid usage.

  • 1305.
    Skagerstrand, Åsa
    et al.
    Örebro University, School of Health Sciences. Audiological Research Centre, Örebro University Hospital, Örebro, Sweden; Linnaeus Centre HEAD, Swedish Institute for Disability Research, Sweden .
    Köbler, Susanne
    Örebro University, School of Health Sciences. Audiological Research Centre, Örebro University Hospital, Örebro, Sweden; Linnaeus Centre HEAD, Swedish Institute for Disability Research, Sweden .
    Stenfelt, Stefan
    Linnaeus Centre HEAD, Swedish Institute for Disability Research, Sweden; Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden .
    Acoustic analysis of real-life sounds that affect hearing aid usageManuscript (preprint) (Other academic)
  • 1306.
    Skagerstrand, Åsa
    et al.
    Örebro University, School of Health Sciences. Audiological Research Centre, Örebro University Hospital, Örebro, Sweden; Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden .
    Köbler, Susanne
    Örebro University, School of Health Sciences. Audiological Research Centre, Örebro University Hospital, Örebro, Sweden; Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden .
    Stenfelt, Stefan
    Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden; Department of Clinical and Experimental Medicine, Linköping University, Linköping Sweden.
    Loudness and annoyance of disturbing sounds: Perception by people with hearing lossManuscript (preprint) (Other academic)
  • 1307.
    Skogelid, Ingalill
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Upplevelser vid återgång till arbete hos personer med utmattningssyndrom2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1308.
    Skytt, Bernice
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. Högskolan i Gävle.
    Ljunggren, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Engström, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Carlsson, Marianne
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Different development programmes: does it make a difference?2011In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 24, no 1, p. 29-50Article in journal (Refereed)
    Abstract [en]

    Purpose– The purpose of this paper is to examine whether two groups of first-line nurse managersperceived improvements in skills and knowledge regarding interpersonal skills and groupmanagement, achievement orientation, and organizational view and political savvy afterparticipation in two different development programmes, compared to participants in a comparisongroup. Further, to understand the first-line nurse managers’ expectations for and experiences of theprogramme as well as its strengths and weaknesses.Design/methodology/approach– A total of 13 first-line nurse managers participated in a trainingprogramme, 14 in a self-development programme, and 14 in a comparison group. Group interviewswere used to describe the managers’ expectations for and experiences of the programmes, theLeadership and Management Inventory were used to assess the impact of the programmes.Findings– The results of the interviews showed that the programmes met many of the participants’expectations. Participants perceived significant improvements – in organizational knowledge followingthe training programme and in achievement orientation following the self-development programme.

  • 1309.
    Smirthwaite, Goldina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lundström, Mats
    Lund University.
    Swahnberg, Katarina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Doctors Doing Gender at Eye Clinics: Gender Constructions in Relation to Waiting Times for Cataract Extractions in Sweden2017In: NORA: Nordic Journal of Feminist and Gender Research, ISSN 0803-8740, E-ISSN 1502-394X, Vol. 25, no 2, p. 107-125Article in journal (Refereed)
    Abstract [en]

    Why do eye clinics differ in their waiting times for women's and men's access to cataract extraction (CE)/gra starroperation? Taking a doing-gender perspective as the starting point, this study explores how gender constructions embedded in Swedish eye clinics contribute to longer waiting times for women than for men. Focus group interviews were conducted with doctors at two Swedish eye clinics: one with a larger and another with a smaller than average gender difference in waiting times for CE. Several differences were found between the clinics regarding how gender was constructed: Women and men were constructed as different with respect to ascribed traits such as assertiveness and care-seeking behaviour. Their need for visual acuity in working life was perceived as different by the doctors, and the study indicates differences between the clinics regarding their interest and awareness concerning issues related to inequity, reflected in the dissimilar prevalence of jokes with racist and misogynist connotations at the two clinics.

  • 1310.
    Smirthwaite, Goldina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Swahnberg, Katarina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Inequity in access to care in the Swedish welfare state – the example cataract extraction2014In: Voices In Nordic Gender Research : Book Of Abstracts: Roskilde University, November 5-7, 2014, Roskilde University , 2014, p. 17-19Conference paper (Other academic)
  • 1311.
    Sngh, Yuvraj N.
    et al.
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Vuddanda, Parameswara Rao
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Jain, Achint K.
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Parihar, Sarita
    Department of Orthodontics, Institute of Medical Sciences, Banaras Hindu University, Varaansi.
    Chaturvedi, Thakur P.
    Department of Orthodontics, Institute of Medical Sciences, Banaras Hindu University, Varaansi.
    Singh, Sanjay Kumar
    Department of Pharmaceutics, Indian Institute of Technology, Banaras Hindu University, Varanas.
    Mucoadhesive gel containing immunotherapeutic nanoparticulate satranidazole for treatment of periodontitis: Development and its clinical implications2015In: RSC Advances, ISSN 2046-2069, E-ISSN 2046-2069, Vol. 5, no 59, p. 47659-47670Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to alleviate shortcomings in periodontal treatment by utilizing a mucoadhesive gel containing immunotherapeutic ganglioside coated polymeric nanoparticles (G-PNP) bearing satranidazole (SZ). Nanoprecipitation was used to fabricate SZ loaded G-PNP. In our previous deliberations aqueous dispersibility of conventional SZ had raised dose consistency issues. Usage of G-PNP allayed those fears as DSC and XRD data showed that SZ was rendered amorphous (more water dispersible than crystalline SZ) when captured in a polymeric matrix of nanoparticles. G-PNP were added to sodium carboxy methyl cellulose (SCMC 30 NP) gels and compared against SCMC 30 (gel containing conventional SZ) for texture, mucoadhesion, drug release and inhibitory susceptibility of Aggregatibacter actinomycetomicans. Subsequently a 21 day single blind clinical trial comparing the efficacy of SCMC 30 NP and SCMC 30 was conducted. SCMC 30 NP showed a maximum mucoadhesion force (43.27 ± 4.10 gf), low hardness (12.28 ± 0.17 N), moderate gel strength (8.53 ± 0.21 N) and elasticity (5.50 ± 0.03 mm). 'Well' diffusion data revealed qualitatively greater antibacterial activity of SCMC 30 NP. Dissolution studies demonstrated diffusion controlled release of SZ at concentrations above MIC. SCMC 30 NP caused a significant (P < 0.05) decrease in clinical markers of periodontitis, i.e. gingival index and pocket depth as compared to SCMC 30. Also reduction in the plaque index produced by SCMC 30 NP was highly significant (P < 0.01) as compared to SCMC 30 at the end of the 21st day of clinical study. Amelioration of disease was improved due to Th-2 biased immuno shifting mediated by G-PNPs, which increased secretion of anti-inflammatory cytokines like IL-4 and TGF-β from J774 macrophages. Clinical benefits incurred along with ease of application calls for a scaled up investigation of SCMC 30 NP

  • 1312.
    Sockolow, Paulina
    et al.
    Drexel University, USA.
    Hellesø, Ragnhild
    University of Oslo, Norway;Gjøvik University College, Norway.
    Ekstedt, Mirjam
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet.
    Digitalization of Patient Information Process from Hospital to Community (Home) Care Nurses: International Perspectives2018In: Nursing Informatics 2018 / [ed] Ann Kristin Rotegård, Diane J. Skiba, Sayonara Barbosa & Angelica G. Davalos Alcázar, IOS Press, 2018, Vol. 250, p. 227-229Conference paper (Refereed)
    Abstract [en]

    For older people who transition from hospital to home, home care is an increasingly important and effective way of managing chronic illness with skilled nursing care in the home. Communication between clinicians across care settings is fundamental for continuity of care. Poor communication of patient information is acknowledged to be a root cause of sentinel events. In Scandinavia and the United States, researchers study the communication of patient information from hospital to home care. The health care systems of these two countries differ. Differences are reflected in the characteristics of patients transferred from hospital to home care, as well as the characteristics of health information systems (ICT). These differences help to elucidate key issues related to the transfer of patient information from hospital to home care.

  • 1313.
    Sohlberg, Gudrun
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjukskrivningskoordinerande sjuksköterskors erfarenheter av arbetet med att stärka sjukskrivnas självförmåga2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sweden is one of the countries with the highest sick leave and in order to reduce it, with it´s consequences för the individual and the society, the Swedish government did a financial investment called Sjukskrivningsmiljarden. This increased the ability to, due to the coordinators function, increase the efficiency of patients’ rehabilitation process. Being on sick leave has consequences for patients in many areas, not least the quality of life. The length of sick leave is dependent upon patients´ self-efficacy concerning rehabilitation and returning to work. Research, such as Noordik et al. (2011), also indicates how patients´ self-efficacy can be strengthen by the support from the coordinator and thereby increase the capability to rehabilitation and return to work.

    Aim: The aim of the study was to describe the sick leave-coordinating nurses’ experiences of strengthening self-efficacy in patients on sick leave.

    Method: A qualitative approach was used and data was collected by semi-structured interwievs. Eight sick leave-coordinating nurses participated and interviews were analysed with manifest content analysis.

    Results: Three categories resulted. The category Needs and conditions of the coordinator in order to strengthen the self-efficacy of the patient on sick leave describes the knowledge and factors needed to increase the patients self-efficacy. It is, among other things, important that the coordinator has knowledge in how the social insurance system works and that the coordinator uses her professional experiences as a nurse in contact with patients on sick leave. The relationship between the coordinator and the patient on sick leave describes the value of adopting a holistic perspective, to be available for the patient and the immanent risk of doing too much for the patient. The last category, Conducting the tasks of the coordinator, illustrates perceptions of how the coordinator conducts her work. Coordinators described how to motivate patients; how to support the patient to find comprehensibility; and how coordinators cooperate with other stakeholders.

    Conclusion: Sick leave-coordinators emphasizes the importance of the self-efficacy of the patient on sick leave. A relationship based in thrust is needed to strengthen the patients self-efficacy. The holistic perspective proposed by the coordinators opens opportunitites to individually adapt each patient´s the process of rehabilitation and return to work.

  • 1314.
    Sohlman, Eiri
    et al.
    University of Lapland, Rovaniemi.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Johansen, Ole Martin
    Department of Education at UiT The Arctic University of Norway, campus Alta.
    Ryzhkova, Inna
    Murmansk State Humanities University.
    Experiences of Cross-Border Collaboration to Promote Schoolchildren’s Health2015In: Empowering School eHealth Model in the Barents Region, Rovaniemi: Lapland University of Applied Sciences, 2015, p. 323-328Chapter in book (Refereed)
  • 1315.
    Sohlman, Eiri
    et al.
    University of Lapland, Rovaniemi.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Johansen, Ole Martin
    Department of Education at UiT The Arctic University of Norway, campus Alta.
    Ryzhkova, Inna
    Murmansk State Humanities University.
    Together for Schoolchildren’s Health!: Arguments for Cross-border Collaboration to Promote Schoolchildren’s Health through ICT Applications in the Barents Region2015In: Empowering School eHealth Model in the Barents Region, Rovaniemi: Lapland University of Applied Sciences, 2015, p. 27-33Chapter in book (Refereed)
  • 1316.
    Sohlman, Eiri
    et al.
    University of Lapland, Rovaniemi.
    Kostenius, CatrineLuleå University of Technology, Department of Health Sciences, Health and Rehab.Johansen, Ole MartinDepartment of Education at UiT The Arctic University of Norway, campus Alta.Ryzhkova, InnaMurmansk State Humanities University.Merivirta, MinttuRovaniemi University of Applied Sciences.
    Empowering School eHealth Model in the Barents Region2015Collection (editor) (Refereed)
  • 1317.
    Sojka, Peter
    et al.
    Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Stålnacke, Britt-Marie
    Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå univesity.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Playing soccer increases serum concentrations of the biochemical markers of brain damage S-100B and neuron-specific enolase in elite players: a pilot study2004In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 18, no 9, p. 899-909Article in journal (Refereed)
    Abstract [en]

    PRIMARY OBJECTIVE: To analyse serum concentrations of two biochemical markers of brain tissue damage, S-100B and NSE (neurone-specific enolase), in male soccer players in connection to the game. METHODS: Blood samples were taken in players before and after a competitive game and the numbers of headers and of trauma events during soccer play were assessed. RESULTS: Both S-100B and NSE were significantly raised in serum samples obtained after the game in comparison with the pre-game values (S-100B: 0.118 +/- 0.040 microg L(-1) vs 0.066 +/- 0.025 microg L(-1), p < 0.001; NSE: 10.29 +/- 2.16 microg L(-1) vs 8.57 +/- 2.31 microg L(-1), p < 0.001). Only changes in S-100B concentrations (post-game minus pre-gae values) were statistically significantly correlated to the number of headers (r = 0.428, p = 0.02) and to the number of other trauma events (r = 0.453, p = 0.02). CONCLUSION: Playing competitive elite soccer was found to cause increase in serum concentrations of S-100B and NSE. Increases in S-100B were significantly correlated to the number of headers, and heading may accordingly have contributed to these increases.

  • 1318.
    Sojka, Peter
    et al.
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Stålnacke, Britt-Marie
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    S-100B, a marker of brain damage: a useful tool in the managment of mild traumatic brain injuries in sport2002In: Neurological rehabilitation: proceedings of the 3rd world congress, Venice, Italy, April 2-6, 2002, Bologna: ISPRM , 2002Conference paper (Other academic)
  • 1319.
    Sparr, Sara
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Whalstedt, Carolina
    Hörapparatsutprovning i ett urval av europeiska länder: En litteraturstudie med fokus på kvalifikationskrav för professionella involverade i hörseldiagnostik och hörapparatsutprovning samt finansieringen av hörapparater2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inledning: Hörapparatsutprovning är en stor del av audiologisk rehabilitering. Flera intresseorganisationer inom hörselområdet har dock påtalat att det förekommer skillnader rörande utbildningsnivån hos hörselvårdpersonal inom Europa samt att tillhandahållen hörselvård i vissa fall är bristande.

    Syfte: Att jämföra hörapparatsutprovningsprocessen i ett urval av Europeiska länder. Fokus ligger på att belysa vilka yrkesgrupper som är involverade i hörseldiagnostik och hörapparatsutprovning samt vilken utbildningsnivå dessa har. Utöver detta kommer ländernas finansiering av hörapparater undersökas. Eventuella likheter och skillnader mellan länderna kommer sedan diskuteras ur ett patient perspektiv.Metod: En integrativ litteraturstudie har genomförts.

    Resultat: En jämförande beskrivning av de yrkesgrupper som patienter träffar under hörapparatsutprovningsprocessen i de studerade länderna samt vad hörapparaterna där kostar patienterna. Resultaten visar vidare att audiologiutbildningar varierar i omfattning mellan länderna, från 11-månaders yrkesutbildningar till 5-åriga universitetsutbildningar. Finansieringen av hörapparater i respektive land varierar också från gratis offentlig hörselvård till att patienten själv får betala hela kostnaden hos privata hörselkliniker.

    Slutsats: De skillnader i audiologiutbildning och finansiering av hörapparater som observerats motiverar fortsatt utvecklingsarbete inom området för att uppnå en likvärdigare hörselvård inom hela Europa.

  • 1320.
    Spennare Olsson, Gabriella
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Nedéus, Lisa
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Seniorers motivation till fysisk aktivitet: En kvalitativ studie om motivation hos fysiskt aktiva äldre2014Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
  • 1321.
    Sposato, Niklas
    et al.
    Scandinavian School of Osteopathy, Gothenburg, Sweden; The Institute of Orthopaedic Medicine, Gothenburg, Sweden.
    Bjerså, Kristofer
    Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Experiences of intervertebral motion palpation in osteopathic practice: – A qualitative interview study among Swedish osteopaths2017In: Journal of Bodywork & Movement Therapies, ISSN 1360-8592, E-ISSN 1532-9283, Vol. 21, no 1, p. 101-108Article in journal (Refereed)
    Abstract [en]

    Background

    Assessment in manual therapy includes quantitative and qualitative procedures, and intervertebral motion palpation (IMP) is one of the core assessment methods in osteopathic practice. The aim of this study was to explore osteopathic practitioners' experiences of clinical decision-making and IMP as a diagnostic tool for planning and evaluation of osteopathic interventions.

    Method

    The study was conducted with semi-structured interviews that included eight informants. Content analysis was used as the analytical procedure.

    Result

    In total, three categories emerged from the analysis: strategic decision-making, diagnostic usability of IMP, and treatment applicability of IMP.

    Conclusion

    The study indicated that IMP was considered relevant and was given particular importance in cases where IMP findings confirmed clinical information attained from other stages in the diagnostic process as a whole. However, IMP findings were experienced as less important if they were not correlated to other findings.

  • 1322.
    Srivastava, K.
    et al.
    Physics Department, University of Lucknow, Lucknow, India.
    Khan, E.
    Physics Department, University of Lucknow, Lucknow, India.
    Shimpi, Manishkumar
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Chemical Engineering.
    Tandon, P.
    Physics Department, University of Lucknow, Lucknow, India.
    Sinha, K.
    Physics Department, University of Lucknow, Lucknow, India.
    Velaga, Sitaram
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Molecular structure and hydrogen bond interactions of a paracetamol-4,4′-bipyridine cocrystal studied using a vibrational spectroscopic and quantum chemical approach2018In: CrystEngComm, ISSN 1466-8033, E-ISSN 1466-8033, Vol. 20, no 2, p. 213-222Article in journal (Refereed)
    Abstract [en]

    The purpose of the current study is to perform the structural and spectroscopic characterization of paracetamol-4,4′-bipyridine (PRA-BPY) cocrystal using infrared, Raman spectroscopy and density functional theory (DFT) calculations. To reveal the interactions between PRA and BPY, two models (monomer and dimer + PRA) of a cocrystal are designed and optimized using DFT with a 6-311G (d, p) basis set. An atoms in molecule study shows that the non-covalent interactions in particular hydrogen bonds involved in forming the cocrystal are moderate in nature. Natural bond orbital analysis of the second order perturbation theory of the Fock matrix suggests that interactions LP (1) N13 → π∗(C15-O16) and LP (1) N56 → σ∗(N13-H14) are responsible for the stabilization of the molecule. 

  • 1323.
    Srivastava, Karnica
    et al.
    Physics Department, University of Lucknow.
    Shimpi, Manishkumar
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Srivastava, Anubha
    Physics Department, University of Lucknow.
    Tandon, Poonam
    Physics Department, University of Lucknow.
    Sinha, Kirti
    Physics Department, University of Lucknow.
    Velaga, Sitaram
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Vibrational analysis and chemical activity of paracetamol-oxalic acid cocrystal based on monomer and dimer calculations: DFT and AIM approach2016In: RSC Advances, ISSN 2046-2069, E-ISSN 2046-2069, Vol. 6, no 12, p. 10024-10037Article in journal (Refereed)
    Abstract [en]

    The study of structural and spectral characteristics of a paracetamol-oxalic acid (PRA-OXA) cocrystal has been carried out using two models (monomer and dimer), with the aim to understand the supramolecular structure and intramolecular interactions within the cocrystal. The cocrystal has been characterized by infrared and Raman spectroscopy combined with quantum chemical calculations molecular electrostatic potential surface (MEPS), frontier orbital analysis and electronic reactivity descriptors were used to understand the role of interactions involved in affecting the chemical reactivity of individual molecules in the cocrystal. It is observed that the C=O, N-H and O-H groups of paracetamol are involved in hydrogen bonds to form cocrystals. NBO analysis suggests that the two types of interactions LP(1)(N8) -> pi*(C9-O10) and LP(2)(O10) -> sigma*(O25-H28) are responsible for the stability of the molecule. AIM analysis suggested that the non-covalent interactions are moderate in nature. The calculated HOMO-LUMO energies reveal that the charge transfer occurs within the cocrystal. Chemical reactivity parameters show that the cocrystal is more active than paracetamol.

  • 1324.
    Staaf, Emmelie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science.
    Socialt stöd av chefen inför arbetsåtergång: Förväntningar hos personer med utmattningssyndrom2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In this research study, the role of social support from the supervisor in a return to work context was examined and analysed. Five individuals on sick leave due to burnout were asked to participate in the study. Informed consent was obtained from each individual and they were then subjected to a standardised interview, which was evaluated using qualitative content analysis. The result shows that individuals with burnout have expectations of social support from the supervisor, in particular with regard to taking responsibility and established a sense safety. The supervisor is expected to structure the rehabilitation and return to work, but also display emotional commitment such as trust, sensitivity and empathy. The communication between the supervisor and the individual during sick leave and the experience of social support from the supervisor may indeed be crucial to mediate a successful recovery. This study emphasized the importance of social support from the supervisor during sick leave from burnout to optimize return to work. 

  • 1325.
    Staneva, Yanitsa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Muskuloskeletala besvär bland kvinnlig tandvårdspersonal: En kvantitativ studie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 1326.
    Stattin, Eva-Lena
    et al.
    Umeå University, Department of Medical Biosciences, Medical and Clinical Genetics.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Domellöf, Magnus
    Umeå University, Department of Clinical Sciences, Paediatrics.
    Dahl, Niklas
    Uppsala university, Department of Genetics and Pathology, The Rudbeck laboratory.
    Familial osteochondritis dissecans associated with early osteoarthritis and disproportionate short stature2008In: Osteoarthritis and Cartilage, ISSN 1063-4584, E-ISSN 1522-9653, Vol. 16, no 8, p. 890-896Article in journal (Refereed)
    Abstract [en]

    Objective: Familial osteochondritis dissecans (OCD) is a rare disorder characterised by disturbed chondro-skeletal development, disproportionate growth and deformation of the skeleton.Design: We identified a five-generation family with 15 living affected members from Northern Sweden. The disorder was diagnosed with a case definition of OCD in at least one joint. Results: Main clinical findings consisted of OCD in knees and/or hips and/or elbows, disproportionate short stature and early osteoarthritis (OA). There were no radiological indications of epiphyseal dysplasia. Anthropometric measurements of affected individuals showed short stature, a high ratio between sitting height and total height, a relatively normal arm span and head circumference. In 12 of 15 cases, onset was during late childhood or adolescence and OA had developed in seven of those patients.Conclusions: Our observation suggests that OA is a frequent complication in familial OCD even though the lesions appear before closure of physis.

  • 1327.
    Stattin, Eva-Lena
    et al.
    Umeå universitetssjukhus.
    WIklund, Fredrik
    Karolinska Institutet.
    Lindblom, Karin
    Lund University.
    Önnerfjord, Patrik
    Lund University.
    Jonsson, Björn-Anders
    Umeå universitetssjukhus.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Sasaki, Takako
    University of Erlangen-Nuernberg.
    Struglics, André
    Lund University.
    Lohmander, Stefan
    Lund University.
    Dahl, Niklas
    Uppsala University.
    Heinegård, Dick
    Lund University.
    Aspberg, Anders
    University of Copenhagen.
    A missense mutation in the aggrecan C-type lectin domain disrupts extracellular matrix interactions and causes dominant familial osteochondritis dissecans2010In: American Journal of Human Genetics, ISSN 0002-9297, E-ISSN 1537-6605, Vol. 86, no 2, p. 126-137Article in journal (Refereed)
    Abstract [en]

    Osteochondritis dissecans is a disorder in which fragments of articular cartilage and subchondral bone dislodge from the joint surface. We analyzed a five-generation family in which affected members had autosomal-dominant familial osteochondritis dissecans. A genome-wide linkage analysis identified aggrecan (ACAN) as a prime candidate gene for the disorder. Sequence analysis of ACAN revealed heterozygosity for a missense mutation (c.6907G > A) in affected individuals, resulting in a p.V2303M amino acid substitution in the aggrecan G3 domain C-type lectin, which mediates interactions with other proteins in the cartilage extracellular matrix. Binding studies with recombinant mutated and wild-type G3 proteins showed loss of fibulin-1, fibulin-2, and tenascin-R interactions for the V2303M protein. Mass spectrometric analyses of aggrecan purified from patient cartilage verified that V2303M aggrecan is produced and present in the tissue. Our results provide a molecular mechanism for the etiology of familial osteochondritis dissecans and show the importance of the aggrecan C-type lectin interactions for cartilage function in vivo.

  • 1328.
    Stattin, Eva-Lena
    et al.
    Umeå University, Department of Medical Biosciences, Medical and Clinical Genetics.
    Wiklund, Fredrik
    Karolinska institutet, Medical Epidemiology and Biostatistics.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Dahl, Niklas
    Uppsala university, Department of Genetics and Pathology, The Rudbeck laboratory.
    AGC1 gene missense mutation associated with familial osteochondritis dissecans and early osteoarthritis2007In: 8th Meeting of the International Skeletal Dysplasia Society: Albi, France July 19-22, 2007, International Skeletal Dysplasia Society , 2007, p. 6-Conference paper (Other academic)
  • 1329.
    Stavås, Emma
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Erfarenheter av det förstärkta samarbetet mellan Arbetsförmedlingen och Försäkringskassan: - En intervjustudie om samverkan i den arbetslivsinriktade rehabiliteringen2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1330.
    Stenebrand, Agneta
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Wide Boman, Ulla
    Department of Behavioral and Community Dentistry Institute of Odontology, The Sahlgrenska Academy University of Gothenburg, Sweden.
    Hakeberg, Magnus
    Department of Behavioral and Community Dentistry Institute of Odontology, The Sahlgrenska Academy University of Gothenburg, Sweden.
    Dental anxiety and symptoms of general anxiety and depression in 15-year-olds2013In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 11, no 2, p. 99-104Article in journal (Refereed)
    Abstract [en]

    Objectives:  The objective of the study was to analyse the relationship between dental anxiety and symptoms of general anxiety and depression among 15-year-old individuals. Methods:  The sample analysed included 221 randomly selected 15-year-old individuals living in the city of Jönköping, Sweden. One questionnaire captured sociodemography and dental history, while dental anxiety was assessed by the Dental Fear Survey (DFS) and symptoms of general anxiety and depression by the Hospital Anxiety and Depression Scale (HADS). Results:  About 6% of the adolescents were classified as dentally anxious. Symptoms of general anxiety and depression were significantly correlated with dental anxiety in both the bivariate and multivariate analyses. The latter analyses were adjusted for gender and previous painful experiences of dental care. Individuals with high dental anxiety showed general anxiety scores on a clinical level (mean = 9.8, SD = 4.3). Conclusions:  Symptoms of general anxiety and depression were shown to be significantly correlated with dental anxiety among 15-year-old individuals.

  • 1331.
    Stevenson-Ågren, Jean
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    A project to promote equality in ante-natal care for women who do not speak Swedish2017Conference paper (Other academic)
    Abstract [en]

    Background

    Health care in Sweden aims to be equal. In antenatal care, women who do not speak Swedish have a higher rate of maternal and infant mortality (Essen et al. 2001, Wahlberg et al. 2013). Cultural and communicative problems have been identified as one reason for this disparity. Due to recent immigration, Arabic-speaking women (ASW) have been identified as a vulnerable group. Technology has the potential to solve language and cultural barriers (Haith-Cooper 2014). A pilot study in which midwives were interviewed suggested that an ‘app’ for a tablet with multimodal components could be an aid to cultural and linguistic understanding (Axelsson et al. 2016).

     

    Aim

    The aim of the project is to identify women’s and midwives’ information needs and cultural issues, and subsequently, to develop an app with norm-critical design for interactive communication in antenatal care (ANC). The app will serve as a complement to interpreters and provide essential information about ANC.

    Method

    Two data collection methods will be used. The first is to observe meetings between midwives and pregnant women. The second is to interview midwives in focus groups so that they can freely express their wishes. Following this, a trial version of the app will be constructed, which will then be tested and evaluated iteratively in midwifery practice. The material will be analysed in workshops using linguistic and norm critique methods.

    Results

    The app is expected to improve and ensure the quality of ANC for ASW and improve their understanding of pregnancy, fetal development and parenting. It will hlep midwives to be sure that women have been given the correct information and improve patient safety. We will improve our own understanding of the risks in communication that can arise when two parties do not understand each other, and of how communication can be promoted through an app.

     

    References

    Essen, B. et al. (2001) Increased perinatal mortality among sub-Saharan immigrants in a city-population in Sweden.  [Dissertation]. Malmö and Lund: Lund University; 2001.

    Haith-Cooper, M. (2014) Mobile translators for non-English-speaking women accessing maternity services. British Journal of Midwifery. 2014; 22: 795-803. http://www.magonlinelibrary.com/doi/abs/10.12968/bjom.2014.22.11.795

    Axelsson, C. et al. (2016). ”Det kan bli så mycket fel”: Förstudie om barnmorskors upp­levelser av kommunikation med gravida kvinnor utan funktionell behärskning av svenska. Kalmar/Växjö: Linnéuniversitetet.

    Wahlberg, A. et al. (2013) Increased risk of severe maternal morbidity (near-miss) among immigrant women in Sweden: a population register-based study  Epidemiology. 2013 Department of Women’s and Children’s Health, International Maternal and Child Health, Uppsala, Sweden

  • 1332.
    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)
  • 1333.
    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)
  • 1334.
    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.

  • 1335.
    Strandberg, Thomas
    Örebro University, School of Law, Psychology and Social Work.
    Case-management – rehabilitation support for people with Acquired Brain Injury2018Conference paper (Refereed)
    Abstract [en]

    Approximately 70 000 acquire a brain injury yearly in Sweden which often result in disabilities. Acquired brain injury (ABI) can be caused by trauma, stroke or disease. The rehabilitation process is divided into acute and subacute phase and the late stage. Studies shows that clients with moderate and severe injuries have difficulties in coordinating rehabilitation and societal support. Rehabilitation can be a long-term process and clients with ABI are often referred to next of kin for coordinating societal support, e.g. rehabilitation and social services. Case-management have since 1980’s been a rehabilitation support in an international perspective, but in a Swedish context it is a relatively new form of support.

    The aim is to describe, based on a book chapter (Strandberg 2018), how this form of support has been developed in Sweden, as well as putting the form of support in relation to the client’s empowerment.

    The results show that there are different theoretical models for how Case-management can be organized, the support is designed differently in different countries and context. Furthermore, it is demonstrated that the support may be helpful to the client as well as the next of kin in terms of participation.

    Although, Case-management has been known since 1980s, the scientific studies are limited and there is no evidence for the clinical significance using this support. Research is therefore necessary to demonstrate its clinical significance.

  • 1336.
    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.

  • 1337.
    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. 

  • 1338.
    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.

  • 1339.
    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)
  • 1340.
    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.

  • 1341.
    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.

  • 1342.
    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.

  • 1343.
    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.

  • 1344.
    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.

  • 1345.
    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.

  • 1346.
    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.

  • 1347.
    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)
  • 1348.
    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.

  • 1349.
    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 Rehabilitation.
    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)
  • 1350.
    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)
24252627282930 1301 - 1350 of 1661
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