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  • 2601. Stenholm, Sari
    et al.
    Head, Jenny
    Kivimäki, Mika
    Kawachi, Ichiro
    Aalto, Ville
    Zins, Marie
    Goldberg, Marcel
    Zaninotto, Paola
    Magnusson Hanson, Linda
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Stressforskningsinstitutet.
    Westerlund, Hugo
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Stressforskningsinstitutet.
    Vahtera, Jussi
    Smoking, physical inactivity and obesity as predictors of healthy and disease-free life expectancy between ages 50 and 75: a multicohort study2016Inngår i: International Journal of Epidemiology, ISSN 0300-5771, E-ISSN 1464-3685, Vol. 45, nr 4, s. 1260-1270Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Smoking, physical inactivity and obesity are modifiable risk factors for morbidity and mortality. The aim of this study was to examine the extent to which the co-occurrence of these behaviour-related risk factors predict healthy life expectancy and chronic disease-free life expectancy in four European cohort studies.

    METHODS: Data were drawn from repeated waves of four cohort studies in England, Finland, France and Sweden. Smoking status, physical inactivity and obesity (body mass index ≥30 kg/m(2)) were examined separately and in combination. Health expectancy was estimated by using two health indicators: suboptimal self-rated health and having a chronic disease (cardiovascular disease, cancer, respiratory disease and diabetes). Multistate life table models were used to estimate sex-specific healthy life expectancy and chronic disease-free life expectancy from ages 50 to 75 years.

    RESULTS: Compared with men and women with at least two behaviour-related risk factors, those with no behaviour-related risk factors could expect to live on average8 years longer in good health and 6 years longer free of chronic diseases between ages 50 and 75. Having any single risk factor was also associated with reduction in healthy years. No consistent differences between cohorts were observed.

    CONCLUSIONS: Data from four European countries show that persons with individual and co-occurring behaviour-related risk factors have shorter healthy life expectancy and shorter chronic disease-free life expectancy. Population level reductions in smoking, physical inactivity and obesity could increase life-years lived in good health.

  • 2602. Stenholm, Sari
    et al.
    Westerlund, Hugo
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Stressforskningsinstitutet.
    Head, Jenny
    Hyde, Martin
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Stressforskningsinstitutet.
    Kawachi, Ichiro
    Pentti, Jaana
    Kivimäki, Mika
    Vahtera, Jussi
    Comorbidity and Functional Trajectories From Midlife to Old Age: the Health and Retirement Study2015Inngår i: The journals of gerontology. Series A, Biological sciences and medical sciences, ISSN 1079-5006, E-ISSN 1758-535X, Vol. 70, nr 3, s. 332-338Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The number of diseases and physical functioning difficulties tend to increase with age. The aim of this study was to examine the trajectories of physical functioning across age groups and whether the trajectories differ according to disease status in different population subgroups.

    METHODS: Repeat data from a nationally representative population sample, the Health and Retirement Study, was used. Participants were 10,709 men and 13,477 women aged 60-107 years at baseline with biennial surveys from 1992 to 2010. Average length of follow-up was 10.3 years ranging from 0 to 18 years. Disease status and physical functioning was asked about at all study phases and 10 items were summed to obtain a physical functioning score (0-10).

    RESULTS: Age modified the relationship between number of chronic diseases and physical functioning with older participants having more physical functioning difficulties with increasing number of diseases. An average 70-year-old participant with no diseases had 0.89 (95% CI: 0.85-0.93) physical functioning difficulties, with one disease 1.72 (95% CI: 1.69-1.76) difficulties, with two diseases 2.57 (95% CI: 2.52-2.62) difficulties, and with three or more diseases 3.82 (95% CI: 3.76-3.88) difficulties. Of the individual diseases memory-related diseases, stroke, pulmonary diseases, and arthritis were associated with significantly higher physical functioning difficulties compared with other diseases.

    CONCLUSIONS: Comorbidity is associated with greater burden of physical functioning difficulties. Of the studied diseases, memory-related diseases, stroke, pulmonary diseases, and arthritis alone or in combination limit most physical functioning.

  • 2603.
    Stening, Kent
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Olsson, Jan
    Linnéuniversitetet, Polisutbildningen.
    Forensisk omvårdnad - ökad rättssäkerhet: Debattartikel , Västerbottens-kuriren 1207252012Annet (Annet (populærvitenskap, debatt, mm))
  • 2604.
    Stenmark, Nathalie
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Beslut om rättsmedicinsk undersökning av avliden: En studie av den svenska beslutsprocessen enligt gällande rätt2010Student paper other, 5 poäng / 7,5 hpOppgave
    Abstract [sv]

    Ur ett förvaltningsrättsligt perspektiv är Sverige indelat i många olika myndigheter, vilka har tilldelats uppgifter och befogenhet inom vissa områden. I ett samhälle är det lämpligt att beslut fattas av den myndighet som är bäst lämpad vad gäller kunskap och ekonomi. Att beslut tas på rätt nivå är också en förutsättning för ett rättssäkert samhälle. Inom svensk rätt talar man ofta om just rättssäkerhet. Av debattens allmänna ordalag kan man sluta sig till att detta begrepp står för ett tillstånd som man inom svensk rätt alltid strävar efter att uppnå. Begreppet rättssäkerhet definieras dock sällan utan förefaller vara en självklarhet för var och en. Begreppet kan dock ha mer än en innebörd och därför framstår det som relevant att definiera vad som avses i detta sammanhang. I denna uppsats syftar begreppet på ett rättsligt tillstånd där lika fall behandlas lika samt att reglerna i samhället är tydliga och förutsebara för samhällsmedborgarna. Rättssäkerhetsaspekter gör sig gällande när det kommer till institutet rättsmedicinsk undersökning. I Sverige finns det idag en myndighet som har till uppgift att utföra rättsmedicinska undersökningar och som besitter specialistkunskap på området. Trots detta har denna myndighet inte tilldelats någon beslutsbefogenhet vid beslutet om huruvida rättsmedicinsk undersökning ska företas. Lagstiftaren har istället gett beslutsbefogenheten till en annan myndighet och det är ändamålsenligheten med detta som uppsatsen avser att undersöka.

  • 2605.
    Stensson, Niclas
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Ghafouri, Nazdar
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Träff, Håkan
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Anderson, Chris D.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för cellbiologi. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Hudkliniken i Östergötland.
    Gerdle, Björn
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Ghafouri, Bijar
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Identification of Lipid Mediators in Peripheral Human Tissues Using an Integrative In Vivo Microdialysis Approach2016Inngår i: Journal of analytical and bioanalytical techniques, ISSN 2155-9872, Vol. 7, nr 2, artikkel-id 1000306Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Endocannabinoids and related N-acylethanolamines (NAEs) are lipid mediators involved in a number of physiological and pathological mechanisms in peripheral tissues. Microdialysis (MD) technique allows continues sampling of endogenous substances in the interstitial fluids of the tissues. The main limitation of MD sampling of lipophilic compounds is low recovery due to adsorption to the MD system and particularly to the catheter membranes. In this in vivo study microdialysate samples were collected from human trapezius muscle and forearm skin. The levels of arachidonoylethanolamide (AEA), 2-arachidonoylglycerol (2-AG), oleoylethanolamide (OEA), palmitoylethanolamide (PEA), and stearoylethanolamide (SEA) were analyzed in both microdialysate and in catheter membrane samples using liquid chromatography tandem mass spectrometry.

    OEA, PEA and SEA were identified in all microdialysate and catheter membrane samples from trapezius and skin. 2-AG was found in all catheter membrane samples from both tissues but not in the actual microdialysate.

    In conclusion sampling of OEA, PEA and SEA was achievable from trapezius and skin with the presented MD set-up. 2-AG is present in both trapezius muscle and skin tissue but adsorbs to the membranes in a higher extent than the NAEs. Furthermore, consideration of data conserved in the membrane during an MD experiment could be a relevant and more broadly applicable extension of MD sampling methodology which could fill an "information gap" and enhance an adequate interpretation of microdialysate data outcomes.

  • 2606.
    Stenzelius, Karin
    et al.
    Lund University.
    Westergren, Albert
    Lund University.
    Mattiasson, Anders
    Lund University.
    Rahm Hallberg, Ingalill
    Lund University.
    Older women and men with urinary symptoms2006Inngår i: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 43, nr 2, s. 249-265Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim was to compare urinary symptoms and their influence on daily life among elderly (75+) women and men in a sample that previously had reported difficulties controlling urine (urine incontinence (UI)) and/or other urinary symptoms (OU). A further aim was to find underlying structures of urinary symptoms and to identify symptomsthat had an impact on seeking medical help and need of help in daily activities (dependency). In total, 771persons (352menand419women) over75 years answered a questionnaire, addressed to those (n = 1881) who in a previous population-based study had reported having symptoms of UIand/orOUusing theBristolFemaleLower UrinaryTractSymptoms(BF-LUTS) questionnaire and International Continence Society male (ICSmale) questionnaire. The groups with UI, OU, women and men reported similar symptoms of frequency, day and night, as well as influence on social life, and avoidance of places and situations due to the urinary symptoms although they differed in storage and voiding symptoms. Feeling incomplete emptying of bladder differed between the UI, OU, and mixed symptoms (MS) groups but not between genders. Of the whole sample, 43.3% had sought medical help.Factoranalysis of similarquestions inBF-LUTSandICSmalequestionnaire resulted inthe factors labeled voiding, storage, pain, frequency, and daily life. Predictors of the urinary symptoms for needing help in daily activities were frequent micturition day and night (OR 3.2) when aged was controlled for. Influence on daily life(OR2.5), storage symptoms(OR2.2), and pain symptoms(OR2.1)predicted seeking medical help. The results show that urinary symptoms are equally bothersome among men and women. There is a need to encourage elderly to seek medical help and to obtain treatment or alleviations for symptoms that give most bother and indicate dependency, such as frequent micturition day and night and difficulties to reach the toilet in time without leakage.

  • 2607.
    Sternäng, Ola
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lövdén, Martin
    Aging Research Center, Karolinska Institutet, Solna, Sweden.
    Kabir, Zarina N.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.
    Hamadani, Jena D.
    International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
    Wahlin, Åke
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi.
    Different context but similar cognitive structures: Older adults in rural Bangladesh2016Inngår i: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 31, nr 2, s. 143-156Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Most research in cognitive aging is based on literate participants from high-income and Western populations. The extent to which findings generalize to low-income and illiterate populations is unknown. The main aim was to examine the structure of between-person differences in cognitive functions among elderly from rural Bangladesh. We used data from the Poverty and Health in Aging (PHA) project in Bangladesh. The participants (n = 452) were in the age range 60–92 years. Structural equation modeling was used to estimate the fit of a five-factor model (episodic recall, episodic recognition, verbal fluency, semantic knowledge, processing speed) and to examine whether the model generalized across age, sex, and literacy. This study demonstrates that an established model of cognition is valid also among older persons from rural Bangladesh. The model demonstrated strong (or scalar) invariance for age, and partial strong invariance for sex and literacy. Semantic knowledge and processing speed showed weak (or metric) sex invariance, and semantic knowledge demonstrated also sensitivity to illiteracy. In general, women performed poorer on all abilities. The structure of individual cognitive differences established in Western populations also fits a population in rural Bangladesh well. This is an important prerequisite for comparisons of cognitive functioning (e.g., declarative memory) across cultures. It is also worth noting that absolute sex differences in cognitive performance among rural elderly in Bangladesh differ from those usually found in Western samples.

  • 2608.
    Sternäng, Ola
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Södertörn University, Huddinge, Sweden.
    Palmer, Katie
    Stockholm University, Sweden.
    Kabir, Zarina N.
    Karolinska Institutet, Stockholm, Sweden.
    Hasan, Mohammed I.
    International Center for Diarrhoeal Disease Research, Dhaka, Bangladesh.
    Wahlin, Åke
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi.
    Associations between functional biological age and cognition among older adults in rural Bangladesh: Comparisons with chronological age2019Inngår i: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, Vol. 31, nr 5, s. 814-836Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: We constructed a functional biological age (fBioAge) indicator by using four functional variables: grip strength, forced expiratory lung volume, visual acuity, and hearing. Our aim was to compare how chronological age (ChronAge) and fBioAge are related to cognitive abilities in older adults.

    Method: We used data from the Poverty and Health in Aging project, Bangladesh. Participants (N = 400) were 60+ years of age and diagnosed as nondemented. Examined cognitive abilities were four episodic memory measures (including recall and recognition), two verbal fluency indicators, two semantic knowledge, and two processing speed tasks.

    Results: fBioAge accounted for cognitive variance beyond that explained by ChronAge also after controlling for medical diagnoses and blood markers.

    Discussion: Compared with ChronAge, fBioAge was a stronger predictor of cognition during a broad part of the old adult span. fBioAge seems, in that respect, to have the potential to become a useful age indicator in future aging studies. 

  • 2609.
    Sternäng, Ola
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi.
    Reynolds, Chandra A.
    University of California, Riverside, CA, USA.
    Finkel, Deborah
    Department of Psychology, Indiana University Southeast, New Albany, IN, USA.
    Ernsth-Bravell, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi.
    Pedersen, Nancy L.
    Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.
    Dahl Aslan, Anna K.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi.
    Factors associated with grip strength decline in older adults2014Inngår i: Age and Ageing, ISSN 0002-0729, E-ISSN 1468-2834, Vol. 44, nr 2, s. 269-274Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: few studies have examined associations of multi-faceted demographic, health and lifestyle factors with longterm change in grip strength performance across the adult lifespan. The aim of this study was to examine the associations of risk factors in specific parts of the adult lifespan (e.g. in early midlife, in late midlife and in old adulthood) separately for women and men.

    Methods: data came from the longitudinal Swedish Adoption/Twin Study of Aging (SATSA). Grip strength performance was followed in 849 participants who were 5088 years of age at baseline. The follow-up period with seven waves of data of grip strength was 22 years, and the risk factors were measured up to 20 years before the assessment of grip strength. Latent growth modelling was used for the longitudinal analyses.

    Results: a gender difference in the type of factors associated with grip strength performance and development across the adult lifespan was found. Significant factors for the age slopes for women were stress, smoking and dementia. For men, marital status, mean arterial pressure, physical activity at work and having a chronic disorder were of importance. These factors varied in their associations with grip strength across the adult lifespan.

    Conclusion: factors measured earlier in adulthood were associated with grip strength decline in late midlife and old adulthood. Gender-specific patterns of risk factors suggest that it may be worthwhile to conduct research on grip and muscle strength (and biological vitality) separately for men and women.

  • 2610.
    Stevenson-Ågren, Jean
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). University of Sheffield.
    Israelsson, Johan
    Kalmar County Hospital, Sweden.
    Nilsson, Gunilla
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Petersson, Göran
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO).
    Bath, Peter
    University of Sheffield, UK.
    Documentation of vital signs in electronic records: the development of workarounds2015Inngår i: Health informatics for enhancing health and well-being: Proceedings of the seventeenth International Symposium for Health Information Management Research, York, UK 24-26 June 2015 / [ed] P. Bath, H. Spring, &, B Sen, B, 2015Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Workarounds are commonplace in health care settings. An increase in the use of electronic health records (EHR) has led to an escalation of workarounds as health care professionals cope with systems which are inadequate for their needs. Closely related to this, the documentation of vital signs in EHR has been problematic. The accuracy and completeness of vital sign documentation has a direct impact on the recognition of deterioration in a patient’s condition. We examined work flow processes to identify workarounds related to vital signs in a 372-bed hospital in Sweden. In three clinical areas, a qualitative study was performed with data collected during observations and interviews and analysed through thematic content analysis. We identified paper workarounds in the form of hand-written notes and a total of eight pre-printed paper observation charts. Our results suggested that nurses created workarounds to allow a smooth workflow and to ensure patients safety.

  • 2611.
    Stevenson-Ågren, Jean
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO). University of Sheffield, UK.
    Israelsson, Johan
    Linnéuniversitetet, Fakulteten för teknik (FTK), Sjöfartshögskolan (SJÖ). Kalmar County Hospital ; Linköping University.
    Petersson, Göran
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO).
    Bath, Peter
    University of Sheffield, UK.
    Factors influencing the quality of vital signs data in electronic health records: a qualitative study2018Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 5-6, s. 1276-1286Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims and objectives

    To investigate reasons for inadequate documentation of vital signs in an electronic health record.

    Background

    Monitoring vital signs is crucial to detecting and responding to patient deterioration. The ways in which vital signs are documented in electronic health records have received limited attention in the research literature. A previous study revealed that vital signs in an electronic health record were incomplete and inconsistent.

    Design

    Qualitative study.

    Methods

    Qualitative study. Data were collected by observing (68 hr) and interviewing nurses (n = 11) and doctors (n = 3), and analysed by thematic analysis to examine processes for measuring, documenting and retrieving vital signs in four clinical settings in a 353-bed hospital.

    Results

    We identified two central reasons for inadequate vital sign documentation. First, there was an absence of firm guidelines for observing patients’ vital signs, resulting in inconsistencies in the ways vital signs were recorded. Second, there was a lack of adequate facilities in the electronic health record for recording vital signs. This led to poor presentation of vital signs in the electronic health record and to staff creating paper “workarounds.”

    Conclusions

    This study demonstrated inadequate routines and poor facilities for vital sign documentation in an electronic health record, and makes an important contribution to knowledge by identifying problems and barriers that may occur. Further, it has demonstrated the need for improved facilities for electronic documentation of vital signs.

    Relevance to clinical practice

    Patient safety may have been compromised because of poor presentation of vital signs. Thus, our results emphasised the need for standardised routines for monitoring patients. In addition, designers should consult the clinical end-users to optimise facilities for electronic documentation of vital signs. This could have a positive impact on clinical practice and thus improve patient safety.

  • 2612.
    Stevenson-Ågren, Jean
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO). University of Sheffield, UK.
    Petersson, Göran
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO).
    Israelsson, Johan
    Kalmar County Hospital.
    Bath, Peter
    University of Sheffield, UK.
    Reasons for poor vital sign documentation in electronic health records: A qualitative study2017Inngår i: European Society of Cardiology Congress, Barcelona, 26-30 August, 2017, 2017Konferansepaper (Fagfellevurdert)
  • 2613.
    Stoeva, Silvana
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Läkaren som sakkunnig i en rättsprocess och bevisvärdering av rättsmedicinska utlåtanden2010Student paper other, 5 poäng / 7,5 hpOppgave
    Abstract [sv]

    Med ett rättsintyg brukar man avse ett av läkare avgivet skriftligt utlåtande rörande en levande person.[1] Enligt lag om rättsintyg i anledning av brott (2005:225) avses med rättsintyg sådana skriftliga medicinska utlåtanden av läkare som inhämtas av polismyndighet eller åklagarmyndighet i syfte att användas i en brottsutredning eller som bevis i en rättegång i anledning av brott.

     

    Rättsintyget används således främst som bevisning i rättegång och som underlag om förundersökning ska inledas eller inte. Rättsintyget är också användbart vid åklagarens bedömning av åtalsfrågan och utredning av brottet. Åklagaren kan även besluta att åtal ska läggas ned om det t.ex. visar sig att skadorna är självförvållade. Det är ofta avgörande att snabbt dokumentera kroppsskador hos både offret och gärningsmannen och kunna föra bevisning härom i kommande rättegång.

     

    Normalt grundar sig ett rättsintyg på en kroppsundersökning av den misstänkte eller offret. Det kan även avse ett yttrande över skriftliga handlingar. Detta sker främst då offret uppsökt sjukvården för vård men rättsintyg begärs senare. Rättsintyget grundar sig i då på den dokumentation som finns från besöket som journaler, röntgenbilder och fotografier.[2] Rättsintyget kan även användas vid skadeståndstalan till brottsoffret inom ett rent civilrättsligt förfarande eller i samband med åtal.[3]

    [1] Edelstam H., Sakkunnigbeviset, Uppsala 1991, s. 499 ff.

    [2]Rättsmedicinalverket,http://www.rmv.se/fileadmin/RMVFiles/pdf/utbildningsmaterial/kapitel_2_ordningen_for_utfardande_av_rattsintyg.pdf

    [3]A.a.

  • 2614. Stomby, Andreas
    et al.
    Boraxbekk, Carl-Johan
    Lundquist, Anders
    Nordin, Annelie
    Nilsson, Lars-Göran
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen, Kognitiv psykologi. Umeå University, Sweden.
    Adolfsson, Rolf
    Nyberg, Lars
    Olsson, Tommy
    Higher diurnal salivary cortisol levels are related to smaller prefrontal cortex surface area in elderly men and women2016Inngår i: European Journal of Endocrinology, ISSN 0804-4643, E-ISSN 1479-683X, Vol. 175, nr 2, s. 117-126Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Elevated cortisol levels with aging have been associated with atrophy of the hippocampus and prefrontal cortex (PFC), as well as with impaired cognitive functions in men. However, coexisting diseases have confounded many studies examining these relationships. Studies in women are lacking. Our objective was to test whether salivary cortisol levels were related to morphology of the hippocampus and the PFC, and to cognitive performance.

    Design: A cross-sectional study including 200 elderly (55-80 years old) men and women.

    Method: We used magnetic resonance imaging, tests of episodic-, semantic-, and working memory, visuospatial ability, and cortisol levels in four saliva samples collected during 1 day.

    Results: Area under the curve (AUC) for cortisol levels was negatively related to cortical surface area of the left anterior cingulate gyrus (caudal P < 0.001; rostral P = 0.006), right lateral orbitofrontal cortex (P = 0.004), and right rostral middle frontal gyrus (P = 0.003). In women, there was also a negative relationship with cortical surface area in the left rostral middle frontal gyrus (P = 0.006). No relationship was found between cortisol levels and hippocampal volume.

    Conclusion: This study suggests that the structure of the medial PFC is related to cortisol levels in both elderly women and men.

  • 2615.
    Storey, Maria
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Malml, Tori
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Här är jag!: -upplevelsen av samhällets syn på yrkesverksamma personer meddiagnosen Spinal muskelatrofi2015Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 2616.
    Strand, Susanne
    et al.
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete. Centre for Forensic Behavioural Science (CFBS), Swinburne University of Technology, Melbourne, Australia.
    Holmberg, Gunnar
    Den rättspsykiatriska vården2018 (oppl. 2)Bok (Annet vitenskapelig)
  • 2617.
    Strandberg, Thomas
    et al.
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Matérne, Marie
    Habiliteringens forskningscentrum, HFC, Örebro läns landsting, Örebro, Sweden.
    Återkomst i arbetslivet efter förvärvad hjärnskada2013Inngår i: Hjärnskadeforum 2013, 2013Konferansepaper (Fagfellevurdert)
  • 2618.
    Strandell, Lina
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Mårtensson, Lena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Sjuksköterskans roll i omvårdnaden till patienter med tuberkulos och deras närstående.: En litteraturstudie.2013Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Tuberkulos (TB) är en infektionssjukdom som dödar nära två miljoner människor varje år och utgör ett stort lidande för de människor som är drabbade. Sjukdomen är en av de vanligaste i världen och fortsätter att växa globalt.Syfte: Syftet med denna litteraturstudie var att beskriva sjuksköterskans roll i omvårdnaden till patienter med TB och deras närstående. Syftet varockså att granska kvalitén på de i studien ingående artiklarna avseende urval.Metod: Studien genomfördes som en beskrivande litteraturstudie där 13 artiklar granskades. Varav nio kvantitativa, tre kvalitativa och en med både kvantitativ och kvalitativ ansats. Resultat: Sjuksköterskan har ett ansvar i omvårdnaden av patienter med TB och deras närstående. Sjuksköterskans roll är att ge stöd och informera om behandling, läkemedel och smittspridning på ett sätt så att patienten kan ta till sig den informationen. Deltagarna i de ingående artiklarna hade valts ut genom slumpmässigt och strategisk urval. De utvalda deltagarna var sjuksköterskor, sjuksköterskestudenter och annan vårdpersonal. Deltagarna rekryterades från privata och offentliga sjukhus, vårdcentraler, hushåll och MDR-program, vilket är ett samhällsbaserat för behandling av multiresistent TB. Slutsats: Föreliggande studie visar att sjuksköterskan har en viktig roll i omvårdnaden av TB patienter och deras närstående. Om sjuksköterskan brister i kunskap, information och stöd till patieneten, kan det påverka patientens beslut till att fullfölja behandlingen. Patienter behöver mer information och stöd gällande sjukdom , behandling och dess biverkningar, så de kan grunda sitt beslut på relevant kunskap. Om sjuksköterskan kan motivera fler TB patienter till att genomgå behandling, kan det leda till minskad smittspridning.

  • 2619.
    Strindhall, Jan
    et al.
    Jonköping University, Sweden.
    Löfgren, Sture
    Ryhov County Hospital, Sweden.
    Framsth, Caroline
    Ryhov County Hospital, Sweden.
    Matussek, Andreas
    Ryhov County Hospital, Sweden; Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
    Bengner, Malin
    Ryhov County Hospital, Sweden.
    Ernerudh, Jan
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Diagnostikcentrum, Klinisk immunologi och transfusionsmedicin.
    Wikby, Anders
    Jönköping University, Sweden.
    CD4/CD8 ratio < 1 is associated with lymphocyte subsets, CMV and gender in 71-year old individuals: 5-Year follow-up of the Swedish HEXA Immune Longitudinal Study2017Inngår i: Experimental Gerontology, ISSN 0531-5565, E-ISSN 1873-6815, Vol. 95, s. 82-87Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    n/a

  • 2620.
    Strindhall, Jan
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Löfgren, Sture
    Division of Medical Diagnostics, Ryhov County Hospital, Jönköping, Sweden.
    Främsth, Caroline
    Division of Medical Diagnostics, Ryhov County Hospital, Jönköping, Sweden.
    Matussek, Andreas
    Division of Medical Diagnostics, Ryhov County Hospital, Jönköping, Sweden.
    Bengner, Malin
    Department of Infectious Diseases, Ryhov County Hospital, Jönköping, Sweden.
    Ernerudh, Jan
    Division of Clinical Immunology, Department of Molecular and Clinical Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Wikby, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    CD4/CD8 ratio < 1 is associated with lymphocyte subsets, CMV and gender in 71-year old individuals: 5-Year follow-up of the Swedish HEXA Immune Longitudinal Study2017Inngår i: Experimental Gerontology, ISSN 0531-5565, E-ISSN 1873-6815, Vol. 95, s. 82-87Artikkel i tidsskrift (Fagfellevurdert)
  • 2621.
    Strobl, Christina
    et al.
    Med Univ Innsbruck, Inst Legal Med, Mullerstr 44, A-6020 Innsbruck, Austria.
    Eduardoff, Mayra
    Med Univ Innsbruck, Inst Legal Med, Mullerstr 44, A-6020 Innsbruck, Austria.
    Bus, Magdalena M.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för immunologi, genetik och patologi, Medicinsk genetik och genomik.
    Allen, Marie
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för immunologi, genetik och patologi, Medicinsk genetik och genomik.
    Parson, Walther
    Med Univ Innsbruck, Inst Legal Med, Mullerstr 44, A-6020 Innsbruck, Austria;Penn State Univ, Forens Sci Program, University Pk, PA 16802 USA.
    Evaluation of the precision ID whole MtDNA genome panel for forensic analyses2018Inngår i: Forensic Science International: Genetics, ISSN 1872-4973, E-ISSN 1878-0326, Vol. 35, s. 21-25Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Mitochondrial DNA (mtDNA) amplification and Massively Parallel Sequencing (MPS) using an early access version of the Precision ID Whole MtDNA Genome Panel (Thermo Fisher Scientific) and the Ion Personal Genome Machine (PGM) were evaluated using 15 forensically relevant samples. Samples were selected to represent typical forensic specimens for mtDNA analysis including hairs, hair shafts, swabs and ancient solid tissue samples (bones and teeth) that were stored in the freezer for up to several years after having been typed with conventional Sanger-type Sequencing and Capillary Electrophoresis. The MPS haplotypes confirmed the earlier results in all samples and provided additional sequence information that improved discrimination power and haplogroup estimation. The results raised the appetite for further experiments to validate and apply the new technology in forensic practice.

  • 2622.
    Strub, D. S.
    et al.
    Department of Psychology, Simon Fraser University, Vancouver, Canada .
    Douglas, Kevin S.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för samhällsvetenskap. Department of Psychology, Simon Fraser University, Burnaby, Canada.
    Nicholls, T. L.
    Department of Psychiatry, University of British Columbia, British Columbia, Canada .
    The Validity of Version 3 of the HCR-20 Violence Risk Assessment Scheme Amongst Offenders and Civil Psychiatric Patients2014Inngår i: International Journal of Forensic Mental Health, ISSN 1932-9903, Vol. 13, nr 2, s. 148-159Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The current study presents an empirical evaluation of the performance of the third version of the HCR-20. This prospective research project was conducted using a sample of 106 offenders and psychiatric patients who were transitioning out of institutions and into the community. Results provided strong support for the bivariate associations between the ratings of the presence and relevance of risk factors, as well as summary risk ratings, and violence at 4 to 6 weeks and 6 to 8 months. Although relevance ratings did not add incrementally to presence ratings, summary risk ratings added incrementally to both. Findings were not moderated by either sub-sample or gender. Version 3 of the HCR-20 was highly correlated with Version 2. Associations with violence were comparable between instruments. Findings were supportive of these basic elements of Version 3. © 2014 International Association of Forensic Mental Health Services.

  • 2623. Ströberg, Peter
    et al.
    Boman, Hans
    Gellerstedt, Martin
    Högskolan Väst, Institutionen för ekonomi och it, Avd för juridik, ekonomi, statistik och politik.
    Hedelin, Hans
    Relationships between lower urinary tract symptoms, the bother they induce and erectile dysfunction.2006Inngår i: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, Vol. 40, nr 4, s. 307-312Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To study the relationships between lower urinary tract symptoms (LUTS), LUTS-induced bother, age and erectile dysfunction. MATERIAL AND METHODS: A survey consisting of two questionnaires, the International Prostate Symptom Score (IPSS) (reflecting LUTS) and the International Index of Erectile Function (IIEF)-5 (reflecting erectile function), together with instructions on how to perform timed micturition, was sent to 2000 randomly selected men (age range 60-70 years) living in the five counties surrounding our hospital. The IPSS questionnaire included a question concerning the degree of bother induced by LUTS. RESULTS: The survey was answered by 1096 men; after the exclusion of incomplete answers, 924 surveys were evaluated. Of these 924 men, 725 (78%) were sexually active and included in the analyses. The prevalence of moderate-to-severe LUTS (IPSS>or=8) was 45%. The prevalence of erectile dysfunction (ED), defined as an IIEF-5 score of

  • 2624.
    Ström, Leila
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Patienters upplevelser av sjuksköterskors bemötande, på en psykiatrisk avdelning, efter ett mordförsök - en litteraturstudie.2013Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
  • 2625.
    Strömbäck, Edit
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Idrottsmedicin.
    Aasa, Ulrika
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Fysioterapi.
    Gilenstam, Kajsa
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Idrottsmedicin.
    Berglund, Lars
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Fysioterapi.
    Prevalence and consequences of injuries in powerlifting: a cross-sectional study2018Inngår i: The Orthopaedic Journal of Sports Medicine, ISSN 2325-9671, Vol. 6, nr 5, artikkel-id 2325967118771016Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Powerlifting consists of the squat, bench press, and dead lift, and extreme loads are lifted during training and competitions. Previous studies, which have defined an injury as an event that causes an interruption in training or competitions, have reported a relatively low frequency of powerlifting injuries (1.0-4.4 injuries/1000 hours of training). No previous study has investigated the prevalence of injuries, defined as a condition of pain or impairment of bodily function that affects powerlifters’ training, in a balanced sample of men and women, and no studies have established possible risk factors for an injury.

    Purpose: To investigate the prevalence, localization, and characterization of injuries among Swedish subelite classic powerlifters, with an emphasis on differences between men and women, and to investigate whether training and lifestyle factors are associated with an injury.

    Study Design: Cross-sectional study; Level of evidence, 3.

    Methods: A total of 53 female and 51 male Swedish subelite powerlifters answered an online questionnaire including questions about background characteristics, training habits, and lifestyle factors. The main part of the questionnaire included questions about injuries and their consequences. An injury was defined as a condition of pain or impairment of bodily function that affects powerlifters’ training.

    Results: Seventy percent (73/104) of participants were currently injured, and 87% (83/95) had experienced an injury within the past 12 months. The lumbopelvic region, shoulder, and hip were the most commonly injured areas for both sexes. Women experienced a significantly greater frequency of injuries in the neck and thoracic region than men. Injuries seemed to occur during training, although only 16% (11/70) of those currently injured had to completely refrain from training. Training frequency, greater personal best in the dead lift, injury onset during bench-press and dead-lift training, use of straps, alcohol consumption, and dietary issues were associated with current injuries.

    Conclusion: Injuries are very common in subelite powerlifters. Men and women report similar injury frequencies but different anatomic locations. These injuries do not prevent powerlifters from training and competing, but they may change the content of training sessions. Why powerlifters develop injuries is still unclear; however, it is likely that the management of training loads and optimization of the lifting technique during the squat, bench press, and dead lift are of importance.

  • 2626. Sturup, J
    et al.
    Jinghede, A
    Eriksson, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Staged crime scenes in homicides: A surbey-generted study2014Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Introduction: Publications on staged homicide, i.e. homicides arranged to pose like a suicide, accident or natural death, are scarce (Schlesinget et al., 2014). The staging activity is aimed to redirect the crime investigation, and Keppel and Weis (2004) reported that 0.1% among 5,224 homicides was staged. No Swedish study has examined the prevalence and nature of staging in homicides. This paper will present a forthcoming Swedish study on staged homicides and the aim of the presentation is to get feedback from the audience.

    Method and material: Data will be collected with a survey method using a questionnaire to: 1) forensic pathologists, 2) crime scene investigators, 3) detectives at major crimes units, 4) other key individuals in the criminal justice system (such as the Profiler Unit at the National Police Department), and 5) researchers within the forensic field.

    The participants will be asked to give information about cases and where more information can be found. Police files, court verdicts and autopsy reports will be collected and analyzed.

    Scientific significance: Due to methodological factors the study will not be able to answer a research question regarding prevalence of staged homicides but can elucidate the nature of detected cases of staging. The study will be focused on the crime scene reports, autopsy findings, and to describe the victimology and the criminological and clinical features of the offenders.

  • 2627.
    Sturup, Joakim
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Kriminologiska institutionen. National Board of Forensic Medicine, Sweden; Karolinska Institutet, Sweden.
    Karlberg, Daniel
    Kristiansson, Marianne
    Unsolved homicides in Sweden: A population-based study of 264 homicides2015Inngår i: Forensic Science International, ISSN 0379-0738, E-ISSN 1872-6283, Vol. 257, s. 106-113Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The clearance rates for homicides have decreased internationally. This retrospective population-based study of all Swedish homicide incidents between 2007 and 2009 (n = 264) aims to investigate factors associated with solvability in homicides. Victims were identified in an autopsy registry and offenders in a criminal-conviction registry. Autopsy reports, police files, court verdicts and criminal records were systematically collected and linked. The clearance rate was 86.4% (n = 228), and almost three quarters of cases (71.9%) were solved within the first week. Nine factors were significantly associated with the case status; however, only four factors remained significant in the multivariate logistic-regression model. Cases were more likely to be solved if there was an eyewitness and if the victim was intoxicated with alcohol. Moreover, cases were less likely to be solved if the victim had a criminal record in the past five years and was killed by a firearm. In the final model, a Cox proportional-hazards model, where time to arrest was taken into account, only alcohol intoxication were positively and firearms negatively significantly associated with clearance status. The study concludes that cases involving these factors should be granted extra, intensive and lasting resources.

  • 2628.
    Ståhl, Christian
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Linköpings universitet, HELIX Competence Centre.
    Gustavsson, Maria
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Arbete och arbetsliv. Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och sociologi. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, HELIX Competence Centre.
    Introducing motivational interviewing in a sickness insurance context: Translation and implementation challenges2018Inngår i: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 28, nr 2, s. 357-364Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Motivational interviewing (MI) is a conversational method to support clients in need of behavioral change. In an organizational reform, most Swedish sickness insurance officials were trained in MI to promote clients’ return to work (RTW) after sick leave. The aim of this article is to investigate experiences of introducing MI as a tool to promote clients’ RTW within a sickness insurance context, with a special focus on the translation and implementation of the method. Methods A qualitative approach, comprising 69 interviews with officials, managers, and regional coordinators on two occasions. The material was analyzed through qualitative content analysis. Results Officials were positive about MI, but the application was limited to using certain tools with extensive individual variation. Officials struggled with translating MI into a sickness insurance context, where the implementation strategy largely failed to o er adequate support, due to low managerial priority, competing initiatives, and a high workload. Results of the educational intervention could therefore be seen on an individual but not an organizational level. Conclusions In order to translate MI into a sickness insurance context, training needs to be supported by organizational approaches that promote collective learning and sharing of experiences among officials. The results also illustrate how a method cannot be assumed to be implemented simply because training has been provided. Consequently, the application of the method needs to be carefully monitored in studies of interventions where MI is claimed to be used, in order to measure its effectiveness. 

  • 2629.
    Ståhlberg, Ola
    et al.
    National Board of Forensic Medicine, Department of Forensic Psychiatry, Gothenburg, Sweden, Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden.
    Boman, Sofia
    Swedish Prison and Probation Services, Gothenburg, Sweden.
    Robertsson, Christina
    Child and Adolescent Psychiatry, Stenungsund/Tjorn, Kungalvs Hospital, Sweden.
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Anckarsäter, Henrik
    Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden, Forensic psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Ragarden, House 1, SU – East Hospital, SE-416 85 Gothenburg, Sweden.
    Nilsson, Thomas
    Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden, Forensic psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Ragarden, House 1, SU – East Hospital, SE-416 85 Gothenburg, Sweden.
    A 3-year follow-up study of Swedish youths committed to juvenile institutions: Frequent occurrence of criminality and health care use regardless of drug abuse2017Inngår i: International Journal of Law and Psychiatry, ISSN 0160-2527, E-ISSN 1873-6386, Vol. 50, s. 52-60Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This 3-year follow-up study compares background variables, extent of criminality and criminal recidivism in the form of all court convictions, the use of inpatient care, and number of early deaths in Swedish institutionalized adolescents (N = 100) with comorbid substance use disorders (SUD) and Attention-Deficit/Hyperactivity Disorder (ADHD) (n = 25) versus those with SUD but no ADHD (n = 30), and those without SUD (n = 45). In addition it aims to identify whether potential risk factors related to these groups are associated with persistence in violent criminality. Results showed almost no significant differences between the three diagnostic groups, but the SUD plus ADHD group displayed a somewhat more negative outcome with regard to criminality, and the non-SUD group stood out with very few drug related treatment episodes. However, the rate of criminal recidivism was strikingly high in all three groups, and the use of inpatient care as well as the number of untimely deaths recorded in the study population was dramatically increased compared to a age matched general population group. Finally, age at first conviction emerged as the only significant predictor of persistence in violent criminality with an AUC of .69 (CI (95%) .54–.84, p = .02). Regardless of whether SUD, with or without ADHD, is at hand or not, institutionalized adolescents describe a negative course with extensive criminality and frequent episodes of inpatient treatment, and thus requires a more effective treatment than present youth institutions seem to offer today. However, the few differences found between the three groups, do give some support that those with comorbid SUD and ADHD have the worst prognosis with regard to criminality, health, and untimely death, and as such are in need of even more extensive treatment interventions.

  • 2630.
    Stålnacke, Anneli
    Umeå universitet, Teknisk-naturvetenskapliga fakulteten, Kemiska institutionen.
    Inköp och rådgivning kring receptfria läkemedel.En enkätundersökning bland föräldrar till barn i årskurserna 1-4 i Kiruna.2014Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
  • 2631. Stålnacke, Britt-Marie
    et al.
    Östman, Anna
    Post-traumatic stress in patients with injury-related chronic pain participating in a multimodal rehabilitation program 2010Inngår i: Neuropsychiatric Disease and Treatment, Vol. 6, s. 59-66Artikkel i tidsskrift (Fagfellevurdert)
  • 2632. Sui, Ping
    et al.
    Miliotis, Tasso
    Astra Zeneca.
    Davidson, Max
    Nanoxis AB.
    Karlsson, Roger
    Department of Chemistry, University of Gothenburg.
    Karlsson, Anders
    Nanoxis AB.
    Membrane protein digestion - comparison of LPI HexaLane with traditional techniques.2011Inngår i: Gel-free proteomics: Methods and Protocols / [ed] Kris Gevaert (ID1); Joël Vandekerckhove (ID2), Germany: Humana Press, 2011, s. 129-142Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [en]

    Membrane protein profiling and characterization is of immense importance for the understanding of vital processes taking place across cellular membranes. Traditional techniques used for soluble proteins, such as 2D gel electrophoresis, are sometimes not entirely applicable to membrane protein targets, due to their low abundance and hydrophobic character. New tools have been developed that will accelerate research on membrane protein targets. Lipid-based protein immobilization (LPI) is the core technology in a new approach that enables immobilization and digestion of native membrane proteins inside a flow cell format. The presented method is described in the context of comparing the method to traditional approaches where the sample amount that is digested and analyzed is the same.

  • 2633.
    Suljanovic, Sabina
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Rydin, Maria
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Benämningsförmåga och språkförståelse hos äldre individer: Boston Naming test och Token test i en population 85-åringar2012Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Väl etablerade normativa data för äldre individer är av stor betydelse för att särskilja mellan normalt åldrande och tecken på demenssjukdom. Kortversioner av Boston Naming test och Token test ingår i screeningbatterier och används ofta vid neuropsykologiska undersökningar. Dock är befintliga normativa data för BNT30 och Token test begränsade vad gäller antalet individer över 80 år och inbegriper endast optimalt friska deltagare med hög utbildningsgrad. Denna tvärsnittsstudie inkluderar 213 kognitivt intakta 85-åringar. Syftet var att undersöka resultaten av benämningsförmåga och språkförståelse mätt med kortversioner av Boston Naming test (BNT30) och Token test (deltest V) samt att jämföra resultaten från denna studie med befintliga normativa data för BNT30 och Token test. Alla deltagare rekryterades ursprungligen till Linköping Screening Assessment (ELSA-85) projektet, en populationsbaserad studie med 85-åriga invånare i Linköping, Sverige. De resultat som erhållits i den aktuella studien avseende BNT30 (M = 24,71 ±3,13) och Token test (M = 4,88  ±1,05), visar på lägre resultat, med större variation, än vad som rapporteras i befintliga normativa data. Samband mellan demografiska variabler och prestation på testen undersöktes också. Data tyder på att utbildning och genus påverkar benämningsförmågan, mätt med BNT30. De normativa data från denna studie omfattar det hittills största urvalet individer över 80 år och är mer demografiskt varierade än i tidigare studier. Därför är de normer som denna studie presenterar mer representativa för kognitivt intakta 85-åringar. Dock ifrågasätter vi validiteten av den version av Token test som ingår i KSB (Kognitiva Screening Batteriet).

  • 2634.
    Sundberg, Emelie
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Juridiska fakulteten, Juridiska institutionen. Uppsala Universitet.
    Beslutsoförmögna patienter i hälso- och sjukvården: - Ett laglöst land?2017Independent thesis Advanced level (professional degree), 20 poäng / 30 hpOppgave
  • 2635.
    Sundberg, Johan
    et al.
    KTH, Tidigare Institutioner (före 2005), Talöverföring och musikakustik.
    Ternström, Sten
    KTH, Tidigare Institutioner (före 2005), Talöverföring och musikakustik.
    Perkins, William H
    University of Southern California.
    Gramming, Patricia
    Malmö General Hospital.
    Long-time average spectrum analysis of phonatory effects of noise and filtered auditory feedback1988Inngår i: Journal of Phonetics, ISSN 0095-4470, E-ISSN 1095-8576, Vol. 16, s. 203-219Artikkel i tidsskrift (Fagfellevurdert)
  • 2636.
    Sundbom Thunander, Lena
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap.
    Hedborg, Kerstin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap.
    Association between prescribed antidepressants and other prescribed drugs differ by gender : a nationwide register-based study in Sweden2019Inngår i: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: People with depression are prescribed more drugs than people in general,partly due to comorbidity with other conditions. However, little research has been done on depression-related drug use from a gender perspective.

    Aim: Examine the association between antidepressants, other types of prescribed drugs, and polypharmacy, by gender.

    Methods: Data on drugs dispensed October to December 2016 to all Swedish citizens aged 18-84 years were collected from the Swedish prescribed drug register. Logistic regression analyses were performed to examine the associations between antidepressantsand other drugs, by gender.

    Results: For both men and women, associations were found between antidepressants and drugs for alimentary tract problems, respiratory problems, blood, nervous system, analgesics, and polypharmacy. However, for women, but not men, associations were alsofound for drugs for diabetes, musculoskeletal problems, dermatological problems, and systemic hormones. 

    Conclusions: Associations were found between antidepressants and many other types of drugs for both men and women; indicating comorbidity between depression and other conditions.Further, several of the associations between antidepressants and other drugs were found to be specific among women. Whether this indicates that men and women differ in comorbidity between depression and other conditions cannot be concluded based on this cross-sectional study. However, comorbidity impairs the possibility of recovery; in the somatic condition as well as the depression. Thus,physicians need to be aware of that the association between antidepressants and other types of drugs are more common among women than men.

  • 2637.
    Sundelin Wahlsten, Viveka
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för neurovetenskap, Barn- och ungdomspsykiatri.
    Hallberg, Gunilla
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Gynekologisk endokrinologi.
    Helander, Anders
    Karolinska Inst, Dept Lab Med, Stockholm, Sweden.; Karolinska Univ Lab Huddinge, Stockholm, Sweden.;.
    Higher alcohol consumption in early pregnancy or low-to-moderate drinking during pregnancy may affect children's behaviour and development at one year and six months2017Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, nr 3, s. 446-453Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: It is unclear whether low-to-moderate alcohol consumption during pregnancy affects child development. This study examined the effects that a mother's self-reported alcohol consumption had on her pregnancy and her child's birth, behaviour and development.

    METHODS: We asked 291 Swedish women to report their alcohol consumption before and during pregnancy using the Alcohol Use Disorders Identification Test (AUDIT); provide data on their pregnancy, labour and neonatal period; and complete a child behaviour and development questionnaire when their child was one year and six months of age. The mothers were separated into four subgroups based on their AUDIT scores.

    RESULTS: There were no group differences in gestational length, but children were shorter at birth if their mother drank during pregnancy. Mothers with the highest alcohol consumption before pregnancy were generally younger and more likely to smoke, have unplanned pregnancies and have children who displayed behavioural problems than controls who reported abstinence before and during pregnancy. Mothers who drank more during pregnancy than before were more likely to have had abortions and unplanned pregnancies and less likely to breastfeed for more than six months.

    CONCLUSION: Our results suggested that low-to-moderate alcohol consumption during pregnancy may negatively influence a child's development and behaviour in several ways.

  • 2638.
    Sundelin Wahlsten, Viveka
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för neurovetenskap, Barn- och ungdomspsykiatri.
    Sarman, Ihsan
    Neurobehavioural development of preschool-age children born to addictedmothers given opiate maintenance treatment with buprenorphine duringpregnancy2013Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 102, nr 5, s. 544-549Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM:

    To study the neurobehavioural development and somatic growth of children at preschool-age born to opioid-addicted mothers given opiate maintenance treatment (OMT) with buprenorphine during pregnancy.

    METHODS:

    Twenty-eight children, whose 21 opiate-addicted mothers were treated with OMT during pregnancy and accepted participation to the study, went through a battery of neurobehavioural tests (WPPSI-R, McCarthy, BROWN and SDQ). Twenty-five children fulfilled the tests at an age of 5-6 years.

    RESULTS:

    The children showed evidence of serious visual motor and attention problems in the field of performance (WPPSI-R scales) and major problems in the field of motor skills and memory abilities (McCarthy Scales). The results of behavioural tests also showed significantly elevated levels of hyperactivity, impulsivity and attention problems on the attention deficit hyperactivity disorder (ADHD) scale in BROWN and in SDQ tests estimated by the teachers, while the parents estimated no problems for their children. Regarding the outcomes, there were no significant differences in terms of neonatal abstinence syndrome, gender or socio-economic factors. The somatic growth of the children corresponded to the mean values of the normal population in weight, length and head circumference at birth and at preschool-age, respectively.

    CONCLUSIONS:

    Children to opiate-addicted mothers with buprenorphine maintenance treatment during pregnancy constitute a risk population, which should be recognized before start of the school. Whether the effects are associated with buprenorphine exposition during foetal life or not are discussed and need further investigation.

  • 2639.
    Sundell, Anna Lena
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Käkkliniken US. The Institute for Postgraduate Dental Education, Department of Paediatric Dentistry, Jönköping, Sweden.
    Children with orofacial clefts: dental caries and health-related quality of life2016Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Background. The current understanding on caries and enamel developmental defects prevalence and frequency, caries risk, health-related quality life (HRQoL) and stress response in young children with cleft lip and/or palate (CL/P) are sparse. In this thesis these aspects were investigated in 5- and 10- year-old children with CL/P in comparison to non-cleft children in the same ages.

    Design. The studies in this thesis have a cross-sectional case-control design. Participants. The study group consisted of 139 children with CL/P (80 children aged 5 years and 59 aged 10 years) and 313 non-cleft controls (144 children aged 5 years and 169 aged 10 years).

    Method. Caries was scored according to International Caries Detection and Assessment System (ICDAS II) and developmental enamel defects were measured as presence and frequency of hypoplasia and hypomineralization. Oral hygiene was assessed using Quigley-Hein plaque index. Stimulated saliva samples were analyzed for mutans streptococci, lactobacilli, buffering capacity and secretion rates. Information regarding children’s oral hygiene routines, dietary habits and fluoride exposure were collected with questionnaires. Caries risk was evaluated with algorithm-based software, Cariogram while HRQoL was perceived with KIDSCREEN-52. Stress response was analyzed with cortisol concentration in saliva at three different time points using a commercial competitive radioimmunoassay.

    Results. Caries prevalence (36% versus 18%) and caries frequency (1.2 dmfs versus 0.9 dmfs) was significantly higher in 5-year-old children with CL/P in comparison to non-cleft controls. In 10-yearolds no significant difference was found between children with CL/P and non-cleft controls in caries prevalence (47% versus 38%) or in caries frequency (0.7 DMFS versus 0.5 DMFS). Children with CL/P had significantly higher prevalence of enamel defects, higher counts of salivary lactobacilli and less good oral hygiene. The odds of being categorized with high caries risk were elevated in children with CL/P. Children with CL/P had similar HRQoL and salivary cortisol concentrations as non-cleft controls. However, 10-year-old boys with CL/P had significantly higher cortisol concentrations in the evening than non-cleft boys.

    Conclusions. Preschool children with CL/P seem to have more caries in the primary dentition than non-cleft controls. Children with CL/P had increased odds of being categorized as high caries risk individuals compared to controls. Some of the contributing factors seem to be higher prevalence of enamel defects, impaired oral hygiene and elevated salivary lactobacilli. Furthermore, as measured with the help of cortisol concentrations in saliva, children with CL/P were not more stressed than noncleft controls and their HRQoL was comparable to a European norm population. It appears that regular comprehensive preventive oral care in children with CL/P is effective in preventing caries development in permanent teeth. However, children with CL/P are at risk of caries development and preventive oral care should be implemented and started earlier than today.

  • 2640.
    Sundell, Christoffer
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Bio- och miljösystemforskning (BLESS).
    Samband mellan sprintförmåga och 1RM knäböj respektive vertikalhoppsförmåga hosjuniorfotbollsspelare2015Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: I en fotbollsmatch genomförs 150-250 högintensiva sprinter som varar i 2-4 sekunder. Sprinter kan vara en avgörande del i fotbollsmatcher vilket indikerar att det är viktigt för fotbollsspelare att utveckla sin sprintförmåga. Att träna upp sin maximala styrka har visat sig vara en viktig aspekt för att utveckla sprintförmåga på korta distanser eftersom kontaktiden med marken är längre vid start och accelerationsfasen. Även vertikal hoppförmåga har visat på samband med sprintförmåga. Det finns relativt få studier som har undersökt unilateral hoppförmåga och dess samband med sprintförmåga på viktiga distanser upp till 30 hos fotbollsspelare. Syfte: Syftet med studien var att undersöka om maximal styrka i nedre extremiteter har ett starkare samband med sprintförmåga upp till 30 m än vad unilateral hoppförmåga har Metod: Ett juniorfotbollslag inbjöds att medverka i studien. Maximal styrka i nedre extremiteter mättes med 1RM knäböjstest (kg) och den unilaterala hoppförmågan mättes med ett countermovement jump (UCMJ) (s) utfört på det dominanta benet. Sprintförmågan (s) mättes vid 5 m, 10 m, 15 m och 30 m. Spearman’s korrelationskoefficient (rs) användes för att studera sambandet mellan de olika testerna och ett rs >0,6 ansågs påvisa ett starkt samband. Resultat: Tretton fotbollsspelare deltog vid sprint-testet och vid test av 1RM i knäböj medan tio fotbollsspelare medverkade vid UCMJ. Samtliga fotbollsspelare var mellan 17-19 år gamla. Både 1RM i knäböj och UCMJ hade svaga samband med samtliga sprintdistanser. Korrelationerna mellan1RM i knäböj och sprintdistanser upp till 15 m (rs = -0,49, -0,58, -0,54, -0,21) var högre jämfört med korrelationerna mellan UCMJ och sprintdistanser upp till 15 m (rs = -0,37, -0,34, - 0,22, -0,32). Slutsats: Sambandet mellan sprintförmåga och maximal styrka respektive explosivitet i nedre extremiteter var svagt men något högre för 1RM i knäböj och sprintdistanser upp till 15 m än för UCMJ och samtliga sprintdistanser.

  • 2641.
    Sundell, Claes-Göran
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Idrottsmedicin.
    Bergström, Erik
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik.
    Larsén, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Klinisk fysiologi.
    Low back pain and associated disability in Swedish adolescents2019Inngår i: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 29, s. 393-399Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Low back pain (LBP) defined as ache or pain in the lowest part of the back is a common experience among people all over the world. The lifetime prevalence is reported to be as high as 84%, and the prevalence of LBP seems to be almost the same among adolescents as among adults. The risk for having LBP later in life if you experienced LBP in adolescence is high.

    Material and Methods: In this cross‐sectional study of 2550 students aged 16‐20 years, we used the Standardized Nordic Questionnaire for the analysis of musculo‐skeletal symptoms. We studied gender difference, prevalence, and disability of Low back pain. We also studied differences in LBP in adolescent athletes depending on hours spent on sports or physical activity.

    Results: Significantly, more girls than boys had had problems sometimes during their life. Those who participated in sports reported LBP to a significantly higher extent than those who were physically inactive in their spare time. Gender and spare time sports were important risk factors for getting LBP some time in life. There was a higher risk for girls to have low back pain problems more than 30 days or daily the last year if they had had low back pain some time earlier in life.

    Conclusion: This study shows that low back pain (LBP) is common among Swedish adolescents, more common among girls than boys. High sport activity was associated with the risk of having LBP, length of time with LBP, and disability due to LBP.

  • 2642.
    Sundell, Claes-Göran
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Idrottsmedicin.
    Jonsson, Håkan
    Department of Orthopaedics, Spinal Unit, Akademiska sjukhuset, Uppsala, Sweden.
    Ådin, L.
    Diagnostic Radiology, Skellefteå, Sweden.
    Larsén, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Klinisk fysiologi. The Swedish School of Sport and Health sciences, Dean’s office, Stockholm, Sweden.
    Stress Fractures of Pars Interarticularis in Adolescent Athletes a Classification System with MRI and CT Enabling Evaluation of The Healing Process2018Inngår i: Journal of Exercise, Sports & Orthopedics, E-ISSN 2374-6904, Vol. 5, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: The purpose of this study was to evaluate healing frequency in different stages of stress reactions in the Pars Interarticularis (PI) using a classification system with MRI and CT. The intervention was 3-month rest from physical activity, without a brace, with the exception of activities of daily living.

    Materials & Method: Twelve adolescent athletes with different stages of Spondolysis were included in the study. They had pathology in the Pars Interarticularis and were clinically examined with MRI and CT 3-6 weeks after debut of Low Back Pain (LBP) and re-evaluated after 3 months intervention with rest from physical activity.

    Results: A combination of MRI and CT scanning to investigate suspected injuries to Pars Interarticularis in adolescent athletes revealed 6 different stages of Spondolysis that ranged from marrow oedema to pseudoarthrosis. After 3 months of rest from physical activity the early stages of Pars Interarticularis injuries healed significantly better than the later stages with rest from physical activity.

    Conclusion: The combination of MRI and CT revealed 6 stages of stress reactions instead of 4 as in Hollenberg’s staging with MRI only. In the 3 earliest stages, of these 6, rest from physical activity for 3 months can heal the stress reaction.

  • 2643.
    Sundell, Kerstin
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Farmaceutiska fakulteten, Institutionen för farmaceutisk biovetenskap. University of California San Francisco.
    Dihydroartemisinin-Piperaquine as Chemoprevention for Uncomplicated Malaria in Young Ugandan Children: an Adherence and Pharmacodynamic Analysis2014Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [en]

    Introduction: The majority of the malaria related deaths occurs in young African children. When the promising antimalarial dihydroartemisinin-piperaquine (DHA-PQ) was administered with a directly observed therapy (DOT) as chemoprevention to healthy adults in Thailand, DHA-PQ reviled a protective efficacy (PE) of 98% when compared to a no chemoprevention arm. However, in a recently published study of DHA-PQ given to 98 young African children in Uganda without DOT, the PE was only 56%, which was much lower than expected and suggests a less than optimal adherence. Aim: To estimate an average adherence score per child and investigate whether adherence was predictive of the risk for uncomplicated malaria in the Tororo cohort of children. Materials and Methods: Based on observed PQ concentrations collected at random times during the Tororo trial between 2010 and 2012, pharmacokinetic profiles of PQ with variability were simulated using a previously described pharmacometric population model for the same drug and drug regimen given to Thai children. An adherence score was assigned to each of the collected pharmacokinetic measurements. Results: When the PE was reanalysed, this time stratified by 4 adherence quartiles generated from the average adherence scores per child, the greatest PE (88%, 95% CI, 0.07%-0.21%, p<0.001) was calculated for the most adherent quartile. Conclusions:  Despite the fact that several assumptions had to be made in order to accomplish this analysis, this report presents a method to retrospectively measure the impact of adherence on the overall effect of DHA-PQ in the completed Tororo trial, something that this trial was not designed to measure initially. This new adherence info sheds new light on the effectiveness of DHA-PQ for this paediatric population. 

  • 2644.
    Sundh, Josefin
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Respiratory Medicine, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Ekström, Magnus
    Department of Clinical Sciences, Division of Respiratory Medicine & Allergology, Lund University, Lund, Sweden.
    Dyspnoea-12: a translation and linguistic validation study in a Swedish setting2017Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, nr 5, artikkel-id e014490Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Dyspnoea consists of multiple dimensions including the intensity, unpleasantness, sensory qualities and emotional responses which may differ between patient groups, settings and in relation to treatment. The Dyspnoea-12 is a validated and convenient instrument for multidimensional measurement in English. We aimed to take forward a Swedish version of the Dyspnoea-12.

    METHODS: The linguistic validation of the Dyspnoea-12 was performed (Mapi Language Services, Lyon, France). The standardised procedure involved forward and backward translations by three independent certified translators and revisions after feedback from an in-country linguistic consultant, the developerand three native physicians. The understanding and convenience of the translated version was evaluated using qualitative in-depth interviews with five patients with dyspnoea.

    RESULTS: A Swedish version of the Dyspnoea-12 was elaborated and evaluated carefully according to international guidelines. The Swedish version, 'Dyspné-12', has the same layout as the original version, including 12 items distributed on seven physical and five affective items. The Dyspnoea-12 is copyrighted by the developer but can be used free of charge after permission for not industry-funded research.

    CONCLUSION: A Swedish version of the Dyspnoea-12 is now available for clinical validation and multidimensional measurement across diseases and settings with the aim of improved evaluation and management of dyspnoea.

  • 2645.
    Sundin, Greta
    Umeå universitet, Teknisk-naturvetenskapliga fakulteten, Kemiska institutionen.
    ”Polypills” vid prevention av hjärt-kärlsjukdom?: En litteraturstudie2014Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
  • 2646.
    Sundin, Sofia
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap.
    The association between visual ergonomics and visual performance: Are visual well-being and health a mediator in this association or not2018Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [en]

    The purpose of this study was to investigate if there is an association between perceived visual ergonomics work conditions, visual well-being and health and visual performance at the Swedish Tax Agency by a digitalized questionnaire. The questionnaire was sent to ninety-four respondents. Out of them, eighty-six participants, 54 women (63%), 31 men (36 %) and 1 person (1%) who did not want to be identified with any gender answered the questionnaire. Multiple regressions analysis investigated the association between visual ergonomics work conditions and visual performance, with and without visual well-being and health used as a mediator. Screen time outside of work was used as a covariate in all analysis. Descriptive results reported visual ergonomics (M=8.86, SD=2.06), visual well-being and health (M=10.40, SD=11.02) and visual performance (M=15.72, SD=9.51). Results from the multiple regression analysis displayed a significant association between visual ergonomics and visual well-being and health (r2=.098, β=.254, p<0.05) and between visual ergonomics and self-rated visual performance (r2=.304, β=.307, p<0.01). When visual well-being and health was used as a mediator, the association between visual ergonomics and self-rated visual performance remained the same (r2=.310, β=.295, p<0.01). Conclusion drawn from this study was that a reduction in visual performance seemed to occur in isolation from any impact of visual well-being and health.

  • 2647.
    Sundkvist, Eva-Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd.
    Metodstöd för koordinering av sjukskrivning och rehabilitering: En studie av ett förbättringsarbete med syfte att stärka koordineringen av sjukskrivning och rehabilitering i Region Jönköpings län2017Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [sv]

    Rehabkoordinatorn är en resurs i det försäkringsmedicinska arbetet i vården. Rehabkoordinering kan ske på olika nivåer (nivå 1-8). Den högsta bedöms ge bäst effekt på patientens sjukskrivning/rehabilitering. För att nå högsta nivån behövs tydliga rutiner, stöd från chef och tid för uppdraget. Syftet med förbättringsarbetet var att genom att utveckla ett metodstöd för rehabkoordinering skulle fler vårdenheter erbjuda patienter stöd enligt nivå 7-8. På sikt var förhoppningen att minska sjukskrivningarna. Studiens syfte var att beskriva hur metodstödet påverkar rehabkoordinatorns professionella utveckling. Med hjälp av förbättringsverktyg utvecklades ett webbaserat metodstöd som utvärderades med hjälp av enkäter. För att fånga rehabkoordinatorernas erfarenheter genomfördes en kvalitativ studie med hjälp av fokusgruppsmetod. Nivå 7-8 uppnåddes av 81 procent av vårdenheterna med rehabkoordinator. Ingen påverkan på sjukskrivningar upptäcktes. Rehabkoordinatorn upplevdes stödja patienter och det interna arbetet med sjukskrivningar på vårdenheten samt beskrevs fungera som samarbetspartners till externa aktörer (Försäkringskassan/Arbetsförmedlingen och arbetsgivare). Metodstödet upplevdes skapa tydlighet för uppdraget och fungerade som ett stöd i det dagliga arbetet. Metodstödet är implementerat och används. Den del av metodstödet som handlar om det patientnära arbetet behöver fortsatt utvecklas och förbättras för att säkerställa att rehabkoordinatorerna arbetar med rätt patienter i rätt tid.

  • 2648.
    Sundström, Elisabet
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Psykoterapi.
    Aspekter på tystnaden i terapirummet: Intervjustudie med psykodynamiska psykoterapeuter2016Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med denna studie var att undersöka och beskriva erfarna psykoterapeuters erfarenheteroch hantering av tystnad i terapirummet. Tre intervjuer genomfördes och analyserades medhjälp av tematisk analys. Analysen resulterade i fyra huvudteman; tystnadens många skepnader,fruktbara och hindrande tystnader, förutsättningar för den goda tystnaden och grundtankarom tystnaden i terapi. Till varje huvudtema hörde ett antal subteman. Terapeuterna beskriveratt tystnaden är något annat än teknik och kommunicerar något ordlöst och ger utrymmeför reflektion. Tystnaden i det psykoterapeutiska samtalet kommunicerar något sommed hjälp av en inkännande och lyhörd terapeut kan fångas upp bland annat med hjälp avmetaforer. Vidare är tilliten central; den goda alliansen är en förutsättning för ett positivt utfallvid tystnad i det terapeutiska samtalet. Slutligen betonar informanterna vikten av att ipsykoterapiutbildningar lyfta tystnadens betydelse och föreslår olika inslag i kommande utbildningar.

  • 2649.
    Sundström, Eva-Marie
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Psykoterapi.
    Allians - en möjlighet att åstadkomma mer djupgående förändring: En systematisk litteraturstudie2016Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Studiens syfte var att undersöka vilka metoder/interventioner som är verksamma för att reparera alliansbrott i psykoterapi. Tre frågeställningar formulerades. (1) vilka typer av forskning finns om alliansreparerande metoder/interventioner? (2) vilken typ av interventioner beskrivs i studierna? (3) har interventionerna effekt på ökad allians och behandlingsutfall? Systematisk litteraturstudie av vetenskapliga artiklar valdes som metod. Litteratursökning genomfördes i flera steg med hjälp av PsycINFO. Sökorden Therapeutic Alliance, Rupture och Repair resulterade slutligen i 64 träffar. Därefter gallrades artiklar som inte besvarade frågeställningarna bort viket ledde till att 11 artiklar analyserades noggrant i en datamatris. Resultaten visade att det fanns stor variation i designen för de utvalda studierna. Verkningsfulla interventioner återfanns inom ramen för BRT (brief relational therapy) och AFT (alliance focused training). Reparation av allians rupturer beskrevs som centralt i alla studierna. Slutsatsen var att det är viktigt att hitta en balans mellan psykoterapeutisk teknik och relationella/emotionella aspekter av det psykoterapeutiska arbetet.

  • 2650.
    Sundström, G
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Ángeles Tortosa, M
    Dahl, A
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi.
    Kåreholt, I
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Malmberg, B
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Sternäng, O
    Domestic animals and loneliness of older persons in Spain and Sweden2014Inngår i: Revista Iberoamericana de Geriatria y GerontologiaArtikkel i tidsskrift (Fagfellevurdert)
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