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  • 51.
    Andersson, Elinor
    Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Health Sciences.
    Vad är speciellt med handledare vid klinisk undervisningsavdelning (KUA)?-En kvalitativ studie2014Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Supervising students in a clinical training ward (CTW) has been used for some 20 years. Studies show that interprofessional learning gives students an opportunity to get a comprehensive view of a particular patient’s health-care needs, as well as an increased and mutual understanding of their colleague’s position and knowledge. Only a few studies have focused on the supervisor’s view of his or her own role within the activity of the CTW. The purpose of the study was to describe the CTW supervisor and his or her own perception of her role as an interprofessional supervisor as well as to describe interprofessional learning on its own at the CTW. A qualitative method was used, and 19 interprofessional supervisors from and within occupational therapy, along with physicians, physiotherapists, and nurses, were interviewed.

    The texts were content-analysed. Three categories were identified: ‘the supervisor’, ‘the supervision’, and ‘the concept of CTW’. It turned out that the interprofessional supervisor has a genuine interest and commitment to supervise, to work pedagogically, to collaborate, and to work with students. The supervisors all used different strategies, and they worked with the team in focus, partly for the benefit of the students but also to show the team’s importance in relation to the patient’s health care situation. The CTW concept requires lots of time and dedication from the supervisor, but it is perceived as a good concept where students can develop interprofessional collaboration. The supervisor’s understanding and approach to student learning makes a huge difference in the process of supervision. Being an interprofessional supervisor requires a pedagogical knowledge and understanding of a group and of the group process. The student’s team knowledge influences the CTW, which affects the supervision. The concept of the CTW has a positive impact on the supervisors, and the interprofessional supervision is perceived to be stimulating and challenging.

  • 52.
    Andersson, Ingalena
    et al.
    Obesity Unit, M73, Huddinge University Hospital.
    Wiklund, Maria Lennernäs
    Swedish Dairy Association, Karolinska Institute.
    Rössner, Stephan
    Obesity Unit, M73, Huddinge University Hospital.
    Meal pattern and risk factor evaluation in one-year completers of a weight reduction program for obese men: The 'Gustaf' study2000In: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 247, no 1, 30-38 p.Article in journal (Refereed)
    Abstract [en]

    Objectives: To evaluate changes in meal patterns and in obesity related risk factors after 1 year of treatment in obese men. Design: Data from two 24-h dietary recalls, performed at base-line and after 1 year of treatment, were related to changes in medical risk factors. Setting: Academic obesity unit. Subjects: Sixty-three men, aged 44 (eight) years (mean [SD]) and Base- line Body Mass Index (BMI) 37.4 (4.6) kg m-2, who had completed 1 year of treatment. The men were subdivided by tertiles according to weight change: tertile I (n = 21), mean +0.3 kg, tertile II (n = 21), mean -5.8 kg and tertile III (n = 21), mean -14.2 kg. Main outcome measures: Weight loss, changes in meal patterns and in obesity related medical risk factors. Results: The reported mean energy intake decreased after treatment in tertiles II and III by 700 (1300) kcal (P < 0.05) and 700 (900) kcal (P = 0.001), respectively. In tertile III the energy-% from fat decreased (P < 0.05) with a reciprocal increase in energy-% from protein (P < 0.05). The frequency of snacks of a low nutritional quality decreased (P < 0.01) in tertile III together with an increase in energy-% from 'hot meals of good quality' (P < 0.05). Obesity related risk factors (anthropometry, blood pressure, serum lipid concentrations, blood glucose and plasma insulin) improved in a beneficial way only in tertile III. Conclusions: The weight loss in the successful tertile III men was to a great extent explained by fewer low quality snacks but more energy from high quality meals. These changes reflected the behaviour modification strategy recommended.

  • 53. Andersson, Kajsa
    et al.
    Bergvall, Ulrika
    Seniorers motivation till gruppträning: En kvantitativ studie om fysiska, psykiska och sociala motivationsfaktorer2012Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [sv]

    Hur vi tränar och hur vi motiveras till att träna är mycket individuellt. Vissa är lagindivider och trivs bäst i grupp där man kan hålla motivationen uppe emellan sig, andra är ensamvargar och tränar helst utan sällskap. Vad vi än väljer att göra är det viktigaste att vi rör på oss, detta även när vi når en högre ålder. Syftet med studien är att undersöka vilka motivationsfaktorer som är mest betydelsefulla för seniorer  till att delta i gruppträning. Vi utförde en kvantitativ undersökning på ett träningscenter där vår enkät innehöll frågor kring motivation av fysiska, psykiska och sociala faktorer samt vad som leder till att seniorer oftare deltar i gruppträning. Genom studien kunde vi konstatera att de psykiska faktorerna främst motiverar till deltagandet i gruppträning och att det är regelbunden träning som leder till hög motivation. Ett samband mellan ett tidigare fysiskt aktivt liv och hur mycket seniorer är aktiva idag kunde påvisas, därmed vikten av regelbunden träning. Vi vill med detta examensarbete öka förståelsen för hur viktigt det är för äldre att de tränar och behåller god kondition samt lyfta fram vad som kan öka seniorers motivation och vilja till att utföra fysisk aktivitet.

  • 54.
    Andersson, Lina
    et al.
    Umeå University, Faculty of Social Sciences, Department of Food and Nutrition.
    Brannelid, Maria
    Umeå University, Faculty of Social Sciences, Department of Food and Nutrition.
    Kylda matlådor inom äldreomsorgen: En studie om kundernas upplevelse kring beställning, leverans och mat2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background"Food is more than just the amount of food you eat” read the headline on an article from Skåne magazine from January 2014. The article arose because of the criticism levelled against the refrigerated lunch boxes served in senior care. The lunch boxes that were send to the elderly people were not assessed for nutrient content so there could be a lack of nutrients in the boxes. There were also a lack of procedures and controls, to show how much of the food they ate. Not getting enough nutrients and energy can lead to complications such as impaired immune system and depression.

     

    Objective The purpose of the study was to find out how customers in senior care in a selected municipality in the middle of Sweden experienced ordering, delivery, and the food that the municipality distributed them.

     

    Method A questionnaire was designed in collaboration with the dietician at the selected municipality. During the spring of 2014 170 questionnaires were distributed. It was calculated median and mean some of the results were compared with previous studies conducted in the municipality.

     

    Results From the 170 questionnaires sent out 89 samples were returned. The study came to consist of 39 male and 49 women. The informants felt overall that the food tasted good and they were satisfied with the order, delivery and food. There was some differences between the genders, men were more satisfied then the women.

     

    Conclusion The study shows that the customers in the municipality overall were satisfied with the lunch boxes. No major changes had occurred since previous studies carried out in the municipality. This indicates that the food was of good standard. What we saw in the comments were that the costumers were complaining about the vegetables that are included in the lunch boxes.  We believe that these complaints need to be resolved by the municipality. We also believe that further studies should be conducted to get at deeper picture of the consumers food experience. 

  • 55.
    Andersson, Linnéa
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Jansson, Hanna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Anhörigas upplevelser av att leva nära en person med depression: En systematisk litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Fler människor drabbas av depression, till följd av detta blir fler personer anhöriga till individer med depression. Anhöriga blir i olika utsträckning påverkade av detta, vilket vi vill undersöka med vår studie.

    Syfte: Syftet med studien är att belysa upplevelsen av att vara anhörig till en person med depression.

    Metod: Systematisk litteraturstudie utifrån 8 artiklar av kvalitativ samt kvantitativ ansats.

    Resultat: Studiens resultat visar på förändringar i upplevelse och vardag för anhöriga som lever nära en deprimerad. Studien utmynnade i följande kategorier Att inte förstå, Depressionens påverkan på den anhörige, Anhörigas upplevelse av kommunikation, Sätta sig själv i andra hand samt Ta på sig för mycket. Påverkan av relationer i olika aspekter upptäcktes. Att anhöriga ofta sätter sina egna behov åt sidan är ett utmärkande resultat för studien. Kommunikation upplevs som en stor del i förmågan att förstå den deprimerade och på så sätt uppleva en ökad känsla av sammanhang för den anhörige.

    Slutsats: Att vara anhörig till en deprimerad är utmanande på många områden, inte minst när det gäller svårigheten i att prioritera mellan sig själv och patienten. Vi anser efter studiens gång att mer forskning bör ske för att bistå med kunskap och underlätta anhörigas situation.

  • 56.
    Andersson, Linus
    et al.
    Department of Occupational and Public Health Sciences, University of Gävle.
    Claeson, Anna-Sara
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Dantoft, Thomas Meinertz
    Department of Systems Biology, Center for Biological Sequence Analysis, Technical University of Denmark.
    Skovbjerg, Sine
    Danish Research Centre for Chemical Sensitivities, Copenhagen University Hospital Gentofte.
    Lind, Nina
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Nordin, Steven
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Chemosensory perception, symptoms and autonomic responses during chemical exposure in multiple chemical sensitivity2016In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 89, no 1, 79-88 p.Article in journal (Refereed)
    Abstract [en]

    Purpose: Multiple chemical sensitivity (MCS) is a prevalent medically unexplained symptom characterized by symptom reactions to everyday chemical exposure below hygienic thresholds. The aim of this study was to investigate the expressions of hyper-reactivity in MCS during whole-body exposure to low concentrations of the odorant n-butanol.

    Methods: We exposed 18 participants with MCS and 18 non-ill controls to a low concentration of the odorantn-butanol using an exposure chamber. The first 10 min constituted blank exposure, after which then-butanol concentration increased and reached a plateau at 11.5 mg/m3.

    Results: MCS participants, compared with controls, reported greater perceived odor intensities, more unpleasantness to the exposure and increasing symptoms over time. MCS participants also expressed higher pulse rate and lower pulse rate variability than controls did. No group differences were found for breathing rate or tonic electrodermal activity responses.

    Conclusions: We conclude that MCS sufferers differ from healthy controls in terms of autonomic responses, symptoms and chemosensory perception during chemical exposure.

  • 57.
    Andersson, Mikael
    et al.
    University West, Department of Nursing, Health and Culture.
    Johansson, Josefine
    University West, Department of Nursing, Health and Culture.
    "Where I come from cannot make me who I want to be”: A Minor Field Study in the townships of Cape Town2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aims: The purpose of this thesis is to describe peer educators’ experiences from the training given to them by The Leadership South Programme. The aim is also to describe the participants’ perceived self-empowerment and perceptions about their own learning and experiences of being a peer educator. The study also aims to explore how peer educators share their skills with others.

    Methods: Grounded Theory is the method used for the research presented in this thesis. The data collection was done by open-ended questionnaires followed by qualitative interviews.

    Results: The results show that the peer educators who participated in our study show increased self-esteem and motivation. The training has also given them increased knowledge in communicating, listening and facilitating others. Furthermore peer educators experienced increased self-awareness and learned how to motivate and support their peers and share information.

  • 58.
    Andersson, Mikael
    et al.
    Department of Neuroscience, Physiotherapy, Uppsala University.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Rönmark, Eva
    National Institute for Working Life, Norrbottens Läns Landsting, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN Unit, Umeå University, Karolinska Institutet, Lung and Allergy Research.
    Lindberg, Anne
    Norrbottens Läns Landsting, OLIN studies, Sunderby Hospital, Sunderby sjukhus, Luleå, Department of Public Health and Clinical Medicine, Division of Medicine, Umeå University.
    Emtner, Margareta
    Department of Neuroscience, Physiotherapy, Uppsala University.
    Physical activity and fatigue in chronic obstructive pulmonary disease: A population based study2015In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 109, no 8, 1048-1057 p.Article in journal (Refereed)
    Abstract [en]

    Background In subjects with chronic obstructive pulmonary disease (COPD), symptoms of fatigue, concomitant heart disease and low physical activity levels are more frequently described than in subjects without COPD. However, there are no population-based studies addressing the relationship between physical activity, fatigue and heart disease in COPD. The aim was to compare physical activity levels among subjects with and without COPD in a population based study, and to evaluate if concomitant heart disease and fatigue was associated to physical activity. Methods In this, 470 subjects with COPD and 659 subjects without COPD (non-COPD) participated in examinations including structured interview and spirometry. A ratio of the forced expiratory volume in one second (FEV1)/best of forced vital capacity (FVC) and vital capacity (VC) < 0.7 was used to define COPD. Physical activity was assessed with the International Physical Activity Questionnaire (IPAQ), and fatigue with the Functional Assessment of Chronic Illness Therapy - Fatigue scale (FACIT-F). Results The prevalence of low physical activity was higher among subjects with FEV1 < 80% predicted compared to non-COPD subjects (22.4% vs. 14.6%, p=0.041). The factors most strongly associated with low physical activity in subjects with COPD were older age, OR 1.52, (95% CI 1.12 – 2.06), a history of heart disease, OR 2.11 (1.10 - 4.08), and clinically significant fatigue, OR 2.33 (1.31 - 4.13); while obesity was the only significant factor among non-COPD subjects, OR 2.26 (1.17 – 4.35). Conclusion Physical activity levels are reduced when lung function is decreased below 80% of predicted, and the factors associated with low physical activity are different among subject with and without COPD. We propose that the presence of fatigue and heart disease are useful to evaluate when identifying subjects for pulmonary rehabilitation.

  • 59.
    Andersson, P.
    et al.
    Kristianstad Univ, Dept Hlth & Soc, SE-29188 Kristianstad, Sweden..
    Hakeberg, M.
    Univ Gothenburg, Sahlgrenska Acad, Inst Odontol, Dept Behav & Community Dent, Gothenburg, Sweden.;Res Ctr, Publ Dent Serv, Vastra Gotaland, Sweden..
    Karlberg, G.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences. Karlstad Univ, Dept Hlth & Environm Sci, Karlstad, Sweden..
    Östberg, A-L
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences. Res Ctr, Publ Dent Serv, Vastra Gotaland, Sweden.;Karlstad Univ, Dept Hlth & Environm Sci, Karlstad, Sweden..
    Clinical correlates of oral impacts on daily performances2010In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 8, no 3, 219-226 p.Article in journal (Refereed)
    Abstract [en]

    Objectives: The aim of this study was to investigate the associations between oral health measures and oral health-related quality of life as captured by OIDP (oral impacts on daily performances). Methods: The study was performed in three dental clinics in Sweden and included 204 patients, 43.8% men and 56.2% women (aged 20-86 years), consecutively recruited in connection with their routine dental examination. The patients were interviewed using the OIDP followed by a clinical examination. Four bite-wing radiographs were taken in two of the clinics (n = 154). A self-administered questionnaire provided information about socio-economic data. Results: Subjects 60 years had significantly more missing teeth, lesser maximal jaw opening, higher number of sites with alveolar bone loss and proportionally more filled teeth than younger individuals. Impacts related to the oral health that affected their daily life were reported in 39.7%. Multivariate logistic regressions analysis showed that missing teeth (>= 10) and a limited jaw opening (<40 mm) were significantly associated with having one or more impact as measured with the OIDP [odds ratio (OR) 6.50, 95% CI 1.48-28.43 and OR 2.87, 95% CI 1.03-7.96, respectively]. Conclusions: Individuals with diminished functional oral health status (missing teeth and limited jaw opening) had significantly more often one or more oral impacts on daily life than those with fewer than 10 missing teeth and a jaw opening >= 40 mm. The OIDP instrument may be valuable for use in routine dental check-ups in patients with related problems to determine possible oral impacts on daily life.

  • 60.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap III. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Kavakure, Jules
    Region Skåne.
    Lingström, Peter
    Sahlgrenska akademin, Göteborg.
    The impact of oral health on daily performances and its association with clinical variables in a population in Zambia2017In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 15, no 2, 128-134 p.Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to investigate oral impacts on daily performance and to relate these data to oral clinical variables.

    Material and methods: The study was performed at a dental clinic in Livingstone, Zambia, and included 78 subjects (mean age 28, range 15–48 years) consecutively recruited in connection witha dental care visit. Data were collected through a structured interview using the Oral Impacts on Daily Performances (OIDP) index measuring oral health-related quality of life followed by a clinical examination.

    Results: Oral health affected one or more daily performances during the last 6 months for 61.5% of the subjects. ‘Difficulty of eating and enjoying food’ was the performance reported most frequently (42.3%), and ‘speaking and pronouncing clearly’ was least often reported (10.3%). DMFT was 3.8, 3.6 (mean  SD; range0–15). A majority of the individuals had periodontal pockets ≥4mm (mean 4.3, 2.6) (94.9%) and gingival bleeding on probing >20%(88.5%). Two or more decayed teeth were shown to be significantly associated (OR 4.6, CI 1.2–17.1) with one or more oral impacts on daily performances in a multivariate logistic regression analysis.

    Conclusions: This study shown that there is a significant association between decayed teeth and oral impacts on daily performances. More research is needed, however, for deeper understanding of oral health problems and their impacts on daily life in Zambia.

  • 61.
    Andersson, Sofia
    et al.
    Jönköping University, School of Engineering, JTH, Industrial Engineering and Management.
    Egger, Amanda
    Jönköping University, School of Engineering, JTH, Industrial Engineering and Management.
    Kartläggning av sjukfrånvaro på en distributionscentral2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose – The purpose of this study is to identify patterns in the absence due to illness at a distribution center with higher absence due to illness compared to other companies in the same industry, and to investigate how managers work with routines for absence due to illness. To achieve the purpose, it has been divided into two research questions:

    1. Which patterns in absence due to illness can be found at a distribution center with higher sick leave compared to other companies in the same industry?

    2. How do managers work with routines regarding the absence due to illness at a distribution center with higher sick leave compared to other companies in the same industry?

    Method – Theories about sick leave, work environment, psychosocial health, motivation, organization and leadership were collected to fulfil the purpose of the study. A case study was carried out to collect empirical data on the basis of interviews and document studies which then were compared with the theory for further analysis.

    Findings – The study identifies patterns that were found after mapping the statistics of the absence due to illness on the case company. The result shows that women have higher absence due to illness than men, mostly younger women and older men. Permanent and temporary employees have more absence due to illness than workers on deputy posts and that employees who have worked one to three years have more absence due to illness than other groups. The mapping also shows that employees have the highest sick leave in the fall, on Mondays and only one day is most prevalent. There are clear routines regarding sick leave and rehabilitation at the case company. Improvements can be made with the documentation in the web-portal for sick leave, how the first day reporting sick should be done, and that a comprehensive action plan could be designed for managers to use. The study shows that the managers who are committed and have a higher focus on creating a good group dynamic through activities generally have lower absence due to illness. By creating a satisfying work environment where employees have the opportunity to participate, influence, take responsibility, develop and be seen and heard can therefore improve productivity, motivation and workplace health.

    Implications – A mapping of absence due to illness can improve the same work on other companies and create a greater understanding of why some groups have higher absence due to illness in the workplace than others. This case study also shows that the work environment, motivation and leadership are essential to encourage health in the workplace which can be applied on companies in several sectors.

    Limitations – Deviation may have occurred as a large amount of data during the study was processed. To do a mapping is considered generalizable but the result may differ between companies, therefore is the study not applicable in all contexts. The authors consider however that the study could be applied in general to other businesses as work environment and absence due to illness is an issue in all industries. 

  • 62. Andersson, Staffan
    et al.
    Lundbäck, Bo
    Karolinska Institutet.
    Lindberg, Ann
    Sunderby sjukhus, Luleå.
    Lindström, Mai
    Rönmark, Eva
    Norrbottens Läns Landsting.
    Jonsson, A-C
    Jönsson, E
    Larsson, Lars-Gunnar
    Sunderby sjukhus, Luleå.
    Sandström, A
    Larsson, K
    Not 15 but 50% of smokers develop COPD?: report from the Obstructive Lung Disease in Northern Sweden Studies2003In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 97, no 2, 115-122 p.Article in journal (Refereed)
  • 63. Andersson, Staffan
    et al.
    Wisten, Aase
    Department of Internal Medicine, Sunderby Hospital, Lulea.
    Forsberg, Håkan
    Department of Internal Medicine, Sunderby Hospital, Lulea.
    Krantz, P
    Messner, Torbjörn
    Department of Internal Medicine, Sunderby Hospital, Lulea.
    Sudden cardiac death in the young in Sweden: electrocardiogram in relation to forensic diagnosis2004In: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 255, no 2, 213-220 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To study electrocardiogram (ECG) in relation to forensic diagnosis in young persons who suffered a sudden cardiac death (SCD) in Sweden during 1992-99. DESIGN: A register study of a national database of forensic medicine in Sweden, selecting all cases of SCD 15-35 years of age. In this group, 12-lead ECGs and clinical data were searched for in military conscription and medical records. The ECGs were re-analysed and classified according to the Minnesota code criteria. SETTING: The whole nation of Sweden. SUBJECTS: Sudden cardiac death victims (66 individuals), 15-35 years of age, where it was possible to obtain an ECG recording. RESULTS: We observed major or minor ECG abnormalities in 82% of the subjects. The most common changes were T wave abnormalities (35%), ST segment changes (32%) and conduction defects (20%). The ECGs were evaluated as pathological in 50% of the cases, more often in arrhythmogenic right ventricular cardiomyopathy (88%) and hypertrophic cardiomyopathy (82%). Cardiac-related symptoms were seen in 76% of the total group and there was a family history of a similar cardiac condition in 18%. CONCLUSIONS: Pathological ECGs were common in young SCD victims, in spite of being taken many years before death. An ECG could help identify prospective victims of SCD, and should always be taken in cases with possible cardiac-related symptoms or a family history of SCD. The pathological ECGs were often found in connection with routine screening at military enlistment for men, which raises the question of a routine screening in the young, including women

  • 64.
    Andersson, Tobias
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Linjechefens samarbete med Human Resource, företagshälsovården och Försäkringskassan i rehabiliteringsarbetet: - En kvalitativ intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 65.
    Anderzén-Carlsson, Agneta
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Örebro University Hospital.
    CHARGE syndrome: a five case study of the syndrome characteristics and health care consumption during the first year in life2015In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 30, no 1, 6-16 p.Article in journal (Refereed)
    Abstract [en]

    CHARGE syndrome is characterized by impaired vision and hearing, as well as physical malformations. The aim of this study is to describe the characteristics of the malformations and the health care consumption during the first year, in a Swedish sample having CHARGE syndrome. Three of the five individuals fulfilled all the traditional criteria for a clinical diagnosis of CHARGE syndrome. All infants were hospitalized from 26 to 230. days, subjected to 10-34 different diagnostic procedures and prescribed 10-28 different medications during their first year. Coordinated and individually adapted care is urged, as these infants and their families are in of need multiple health care contacts.

  • 66.
    Andréen, Sofia
    University of Skövde, School of Health and Education.
    Socialt välbefinnade hos barnmorskor inom förlossnings-/ BB-vård: En tvärsnittsstudie baserad på Job Related Social Well-being Scale2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 67.
    Antonsson Lundberg, Ann-Beth
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. IVL Svenska Miljöinstitutet AB.
    Hasle, Peter
    Aalborg Universitet.
    How can the context affect what strategies are effective in improving the working environment in small companies?2015Conference paper (Other academic)
  • 68.
    Antonsson Lundberg, Ann-Beth
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. IVL Svenska Miljöinstitutet AB.
    Hasle, Peter
    Aalborg Universitet.
    What kind of knowledge do small companies need to improve their working environment?2015Conference paper (Other academic)
  • 69.
    Antzutkin, Oleg
    et al.
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Sustainable Process Engineering.
    Velaga, Sitaram
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Wong, Alan
    Physics Department, University of Warwick, Coventry, UK CV4 7AL.
    Dupree, Ray
    Physics Department, University of Warwick, Coventry, UK CV4 7AL.
    Solid-state 17O, 13C and 15N NMR: from tackling structure of Alzheimer's Aβ fibrils to studies on anti-inflammatory drugs, Indomethacin-saccharin cocrystal2007Conference paper (Other academic)
  • 70.
    Anund, Anna
    Swedish National Road and Transport Research Institute, Traffic and road users, Human-vehicle-transport system interaction.
    Uttröttning - vad säger lagen?2013Report (Other academic)
    Abstract [en]

    Each year people are injured or killed in crashes caused by sleepy drivers. It is debatable whether the existing regulatory framework is clear enough to lead to punishment but also if it is clear enough for the drivers to know when it is inappropriate to drive. The aim of the project was to investigate the concept of "fatigue" with a focus on clarifying what is required for a driver who caused an accident where fatigue was a contributing factor, to be punished. In addition, the aim has been to define the term so that road users know when there may be a risk of fatigue and thus refrain from driving. An expert group with representatives from a police district, the national police, prosecutors, the Swedish Transport Administration, Swedish Transport Agency, clinicians / researchers in sleep medicine (Sahlgrenska University Hospital), VTI and Stress Research (SU) discussed pre-prepared questions at three occasions. The Swedish law stated that it is not legal to drive when you are fatigued. However, there is no clear definition of what is meant by fatigued. The conclusion was that the regulations that exist today are not enough to trap fatigued drivers or fatigued drivers that cause a crash, especially not if they are private drivers. The view is that as long as there is no trustable and objective way to measure either fatigue or performance, it is not possible to find a better solution than the regulations that exist today. A future change should be in the demands on the ability to objectively determine whether fatigue of the driver has been a contributing factor.

  • 71.
    Anund, Anna
    et al.
    Swedish National Road and Transport Research Institute, Traffic and road users, Human-vehicle-transport system interaction.
    Dukic, Tania
    Swedish National Road and Transport Research Institute, Traffic and road users, Human-vehicle-transport system interaction.
    Thornthwaite, Sian
    STC Ltd., Derby, UK.
    Falkmer, Torbjörn
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Is European school transport safe?: the need for a "door-to-door" perspective2011In: European Transport Research Review, ISSN 1867-0717, E-ISSN 1866-8887, Vol. 3, no 2, 75-83 p.Article in journal (Refereed)
    Abstract [en]

    Purpose To identify and establish the number and aetiology behind children being killed or injured during school transport from a door-to-door perspective by using experience from Sweden and the UK.

    Methods Available crash data were analysed. Results In total, 361 children in Sweden during 1994–2001, i.e. 24% of the 1,515 identified children aged 6–16 who were injured or killed were identified in 256 school transport events. The predominant reason for being killed or injured when travelling on school transportation was when children were outside the bus (74%), either when passing the bus to cross the street, running in front of the bus (21%) or behind the bus (30%). Contrary to the general belief that children older than 12 are mature enough to handle traffic, more than 50% of the fatal injuries in Sweden affected children aged 13–16. Similar results were found in the UK. The afternoon school journeys, pedestrians after alighting from the bus, and those in situations that deviated from their normal routine were found to be particularly vulnerable.

    Conclusions The travel chain perspective/or door to door perspective offers a promising approach for understanding school transport risks and for identifying effective countermeasures; including around bus stops and on the way to/from the bus stop. Data collection needs to be revised to reflect this approach.

  • 72.
    Areda, Martha
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    The role of omega-3 fatty acids in the treatment of schizophrenia through modification of membrane phospholipids2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Ever since the emergence of the hypothesis that linked the aetiology of schizophrenia with abnormal membrane phospholipids composition, an increasing number of evidences have suggested reduced membrane polyunsaturated fatty acids in patients with schizophrenia. This has led to a conduct of several studies to evaluate the efficacy of omega-3 fatty acid supplement in the modification of membrane phospholipids and treatment of schizophrenia. The two main omega-3 fatty acid classes, EPA and DHA, play a vital role in membranes. This project work reviews omega-3 fatty acid studies and summarizes their outcomes. Eight original articles (nine studies) were reviewed. Six out of nine studies measured RBC membrane fatty acids levels and all six studies reported a significant increase in EPA after EPA supplement. Two studies reported increased DHA post omega-3 fatty acid and DHA supplement, respectively. One study observed a dose-dependent increment in DHA after EPA supplement. Improved symptoms were observed in seven studies, while one study found a worsening of symptoms in patients with low baseline PUFA. Moreover, out of the six studies that evaluated the correlation between symptom change and membrane fatty acids change, three studies observed a correlation between increased EPA and symptom improvement. One study reported an increased AA associated with improved symptoms, in contrast to another study, which found a correlation between increased AA and worsened symptoms. The conclusion from this project work is that EPA supplement can increase the EPA levels in membranes; however, its therapeutic effect in schizophrenia requires further investigation using larger studies.

  • 73.
    Arnetz, Judith E.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Hamblin, Lydia
    Ager, Joel
    Aranyos, Deanna
    Upfal, Mark J.
    Luborsky, Mark
    Russell, Jim
    Essenmacher, Lynnette
    Application and Implementation of the Hazard Risk Matrix to Identify Hospital Workplaces at Risk for Violence2014In: American Journal of Industrial Medicine, ISSN 0271-3586, E-ISSN 1097-0274, Vol. 57, no 11, 1276-1284 p.Article in journal (Refereed)
    Abstract [en]

    BackgroundA key barrier to preventing workplace violence injury is the lack of methodology for prioritizing the allocation of limited prevention resources. The hazard risk matrix was used to categorize the probability and severity of violence in hospitals to enable prioritization of units for safety intervention. MethodsProbability of violence was based on violence incidence rates; severity was based on lost time management claims for violence-related injuries. Cells of the hazard risk matrix were populated with hospital units categorized as low, medium, or high probability and severity. Hospital stakeholders reviewed the matrix after categorization to address the possible confounding of underreporting. ResultsForty-one hospital units were categorized as medium or high on both severity and probability and were prioritized for forthcoming interventions. Probability and severity were highest in psychiatric care units. ConclusionsThis risk analysis tool may be useful for hospital administrators in prioritizing units for violence injury prevention efforts.  

  • 74.
    Arnoldsson, Sara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Aronsson, Bente
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
    Femåringar berättar på svenska och engelska: Referensdata och jämförelse med 6- och 7-åringar2013Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Since 2009, the EU research network COST Action IS0804 has been working towards gaining more knowledge about bilingual language acquisition in typically and atypically developing children, and towards creating assessment tools which are specifically adapted to bilingual children. Within COST Action, one working group, Narrative and discourse, focuses on narratives as a way to assess children’s language. Narratives provide more naturalistic language samples than item-based tests and are less biased against bilingual children compared to other language assessments. The Narrative and discourse group developed the assessment tool MAIN (Multilingual Assessment Instrument for Narratives). MAIN examines children’s production and comprehension of narratives on a macrostructural level (i.e. overall story structure) within the framework of story grammar (SG). One current hypothesis is that macrostructure is language independent and can therefore be compared across languages. In the current study, 16 simultaneous bilingual children (ages 4:11- 5:8, mean 5:4 years) with the language combination Swedish-English were assessed with MAIN. Their results were compared with the results of bilingual 6-7 year olds with the same language combination (Härdelin & Naylor, 2012). Results showed no significant difference regarding macrostructure between the children’s two languages, neither in production(p= 0,084) nor in comprehension (p= 0,21). However, there was a significant difference between the younger and the older children, both in production (p= 0,00099) and comprehension (p= 0,0072). Non-targetlike structures due to cross-linguistic influence,e.g. transfer and code-mixing, were noticed for both age groups. Cross-linguistic influence should thus not be mistaken for language impairment, but rather be treated as a natural part of bilingual language acquisition. In conclusion, differences in macrostructure seemed to be related to age rather than to language. The results of the current study provide insight into the performance of five-year-olds on MAIN, which has not previously been studied in a Swedish context. By comparing the results with older children, the study documents the narrative development of Swedish-English bilinguals from age 5 to 7.

  • 75.
    Aronsson, Mariana
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Lindström, Åsa
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    "Du får lite att fundera över liksom": En intervjustudie av medarbetarnas upplevelse av reflektion som arbetsmetod inom äldreomsorgen2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to investigate the employees' experience of reflection as a work method. The sample for the study consisted of 16 employees (women aged 25-55 years) from four special housing care of the elderly who regularly work with the reflection as a work method. The methodology for this study was qualitative in nature, inspired by a phenomenological approach. The empirical data collected consisted of 16 banded individual semi-structured interviews. The asked questions have been open to give the respondents the opportunity to develop their views and thoughts and to give the study a depth. All 16 interviews were then transcribed and analyzed to arrive a result.

    The theoretical framework for this study includes literature and previous research about the importance of reflection for learning and skills development in the workplace.

    The result has three overarching themes emerged;

    Learning, professionally approach and Culture. These themes summarize the categories that have emerged in the study. The study shows that reflection as a work method provides the group with a better fellowship where they learn from each other and a respectful attitude towards each other. For the individual person, the method gives greater self-insight, improved communication skills and increased competence. The conclusion of the study show that the reflective work method can be considered as a tool that lays the foundation for a common learning where employees have the opportunity to develop both elderly care as common values in order to strengthen and develop the quality of health care.

  • 76.
    Arrabi, Nathalie
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    KVINNORS KUNSKAP OM CERVIXCANCER: En litteraturstudie med kvantitativ ansats2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    SAMMANFATTNING

    Bakgrund: Varje år dör ungefär 150 kvinnor i Sverige på grund av cervixcancer. Ändå har dödsfallen minskat sedan cellprovtagning infördes som svensk prevention. Trots detta är det endast 80 % av de kvinnor som blir erbjudna cellprovtagning som deltar i denna typ av kontroll. Kvinnors kunskapsnivå om hur cervixcancer kan förebyggas genom att gå på regelbundna cellprovtagningar påverkade deltagandet i dessa undersökningar.

    Syfte: Syftet med studien är att beskriva kvinnors kunskap om cervixcancer.

    Metod: En litteraturstudie med kvantitativ ansats baserad på 9 vetenskapliga originalartiklar.  Texten analyserades enligt Forsberg och Wengström (2008) och Fribergs (2006) riktlinjer för analys av artiklar vid en modifierad systematisk litteraturstudie.

    Resultat: Studien tar upp kunskapsläget hos kvinnor om cervixcancer under kategorierna, HPV och sambandet med livmoderhalscancer, prevention och faktorer som har samband med kunskapsnivån av cervixcancer. I stort sågs brister hos kvinnor i alla dessa kategorier, dock varierade hur stort andelen kvinnor var som hade bristande kunskap.

    Slutsatser: Enligt författaren är det inte möjligt för kvinnorna som har en mycket bristfällig kunskap om cervixcancer att medvetet inneha ett förebyggande beteende gentemot denna typ av cancer. Därmed ses sjuksköterskans ansvar att informera som en viktig faktor för att förbättra preventionen.

  • 77. Arvidsson, Julia
    Difference in Jump Height and Jump Length in Youth Soccer Players Selected or Not Selected for the National Team2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: With the aim of professional status and sporting success, selection processes and talent identification in youth players are common in football clubs and national teams. Football requiring different types of abilities, standing out in certain abilities can be important in the selection process for national teams. Physical abilities including maximal power can differ between players in the same age group due to growth and maturation and might therefore be important factors in the selection process. Previous studies have mentioned maximal power as one of many performance indicators for football performance. However, few studies have investigated its importance regarding youth players selected or not selected for the national team. Aim: The study was designed to measure and compare jump height and jump length in three different jump tests between youth soccer players selected or not selected for the national team. Methods: Twenty-two (n=22) players, eleven national players and eleven non-national players performed three different jump tests. The players were 17±2 years old from the club Halmstads BK, Halmstad. The study was an observational crosssectional study that was designed to measure and compare jump height and jump length in three different jump tests between youth soccer players selected or not selected for the national team. The jump tests that were used in the present study was Countermovement Jump (CMJ), Abalakov Jump (AJ) and Standing Long Jump (SLJ). Mean scores for the tests in both groups were analyzed and compared and the criterion level for significance was set to p ≤ 0.05. Results: The results showed a significant difference between the groups regarding jump height in CMJ (p=0.013) and in AJ (p=0.010). No significant difference was found regarding jump length in SLJ (p=0.084). Conclusion: The findings of this study showed a significant difference in Countermovement Jump (CMJ) and Abalakov Jump (AJ) between national players (NP) and non-national players (NNP). The study found no significant difference between the groups in Standing Long Jump (SLJ). The results indicate the use of maximal power as a performance indicator and part of the selection of players to national teams. Anthropometric data (age, weight and height) was similar between the groups, therefore, other maturation and growth factors together with biological age are aspects that might have influenced the results. Future studies are suggested to investigate maturation status and its importance for maximal power in national players and non-national players. 

  • 78.
    Arvidsson, Patrik
    et al.
    Uppsala University, Sweden; Jonköping University, Sweden; Jonköping University, Sweden.
    Granlund, Mats
    Jonköping University, Sweden; University of Oslo, Norway.
    Thyberg, Mikael
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
    How are the activity and participation aspects of the ICF used? Examples from studies of people with intellectual disability2015In: NeuroRehabilitation (Reading, MA), ISSN 1053-8135, Vol. 36, no 1, 45-49 p.Article, review/survey (Refereed)
    Abstract [en]

    INTRODUCTION: Interdisciplinary differences regarding understanding the International Classification of Functioning, Disability and Health (ICF) concepts activity/participation may hinder its unifying purpose. In the ICF model, functioning (and disability) is described as a tripartite concept: 1) Body structures/functions, 2) Activities, and 3) Participation. Activities refer to an individual perspective on disability that does not tally with the basic structure of social models. OBJECTIVE: To review how activity and participation are actually used in studies of intellectual disability (ID). CONCLUSION: Based on 16 papers, four different usages of activity/participation were found. 1) Theoretical reference to tripartite ICF concept with attempts to use it. 2) Theoretical reference to tripartite ICF concept without actual use of activities. 3) "Atheoretical" approach with implicit focus on participation. 4) Theoretical reference to bipartite concept with corresponding use of terms. The highlighted studies have in common a focus on participation. However, the usage of the term "activity" differs both within and between studies. Such terminology will probably confuse interdisciplinary communication rather than facilitating it. Also, the use of an explicit underlying theory differs, from references to a tripartite to references to a bipartite concept of disability. This paper is focused on ID, but the discussed principles regarding the ICF and interdisciplinary disability theory are applicable to other diagnostic groups within rehabilitation practices.

  • 79.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Gilljam, Britt-Mari
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Region Halland, Halmstad, Sweden.
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Ruland, Cornelia Maria
    The Centre for Shared Decision Making and Collaborative Care Research (CSDM), Oslo University Hospital, Oslo, Norway & University of Oslo, Oslo, Norway.
    Nordby-Bøe, Trude
    The Centre for Shared Decision Making and Collaborative Care Research (CSDM), Oslo University Hospital, Oslo, Norway.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Redesign and Validation of Sisom, an Interactive Assessment and Communication Tool for Children With Cancer2016In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 4, no 2, e76Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Children with cancer undergo intensive and long treatment periods that expose them and their families to a number of difficult physical, mental, and social challenges. Empowering children by actively involving them in their care can help them to cope with these challenges. It can, however, be difficult for children to be involved and talk about their illness experiences in a "traditional" conversation with health care professionals, especially for younger children. Sisom (Norwegian acronym "Si det som det er" or "Tell it how it is") is an interactive computer-based assessment and communication tool to give children (aged 6-12 years) with cancer a "voice" in their care. Because of technological advances and widespread use of mobile devices Sisom had to be redesigned to better meet the needs of children of today.

    OBJECTIVE: To redesign Sisom for use on mobile devices and to validate and adapt it for use in a Swedish population of children with cancer.

    METHODS: A user-experience design was used. Content adaptation included forward-backward translation by Swedish and Norwegian translators. Healthy children (n=5), children with experiences of cancer treatment (n=5) and their parents (n=5), and pediatric nurses (n=2) were then involved in culturally adapting Sisom to the Swedish context. The iterative low- and high-fidelity evaluation was supported by a think aloud method, semistructured interviews, and drawings to capture children's views of Sisom. The redesign and evaluation continued until no further changes or improvements were identified by the participants or the researchers.

    RESULTS: Children, parents, and pediatric nurses offered many suggestions for improvements to the original version in terms of content, aesthetics, and usability of Sisom. The most significant change that emerged through user input was a modification that entailed not using problem-focused statements in the assessment items. The parents and pediatric nurses considered the revised assessment items to be general and less diagnosis specific. The evaluation of aesthetics resulted in brighter colors and more positive and exciting details in the animations. The evaluation of usability included improvements of the verbal instructions on how to navigate in Sisom 2, and also that the answers to assessmentitems in Sisom 2 should be saved to provide the children with the option to pause and to continue answering the remaining assessment items at a later stage.

    CONCLUSIONS: Overall, this paper describes the process of using user-experience design with children in order to redesign and validate an interactive assessment and communication tool and how the outcomes of this process resulted in a new version, Sisom 2. All participants confirmed the usability and qualities of using the final version. Future research should be directed toward the implementation of Sisom 2 in clinical practice and to evaluate outcomes from individual and organizational levels.

  • 80.
    Asp, Kenneth
    Swedish National Road and Transport Research Institute.
    Proceedings of the conference Traffic Safety on Three Continents: International conference in Moscow, Russia, 19-21 September, 2001.2001Conference proceedings (editor) (Other academic)
    Abstract [en]

    The international conference Traffic Safety on Three Continents in Moscow,19-–21 September 2001, was organised jointly by the Swedish National Road and Transport Research Institute (VTI), the State Scientific and Research Institute of Motor Transport in Moscow (NIIAT), U.S. Transportation Research Board (TRB), the South African Council for Scientific Industrial Research (CSIR), South Africa, and Forum of European Road Safety Research Institutes (FERSI). The Moscow conference was the 12th in this conference series. Conference sessions covered a number of road traffic safety issues:

    - Advanced road safety technology

    - Road safety audits

    - Policy and programmes

    - Traffic engineering

    - Vulnerable and old road users

    - Alcohol, drugs and enforcement

    - Human performance and education

    - Behaviour and attention

    - Data and models

    - Cost and environment

    - Speed and speed management

  • 81.
    Asp, Kenneth
    Swedish National Road and Transport Research Institute.
    VTI:s och KFB:s forskardagar: del 1. Rapportsammanställning av föredrag vid forskardagarna i Linköping 2000-01-12-13 beträffande: inledning - den transportpolitiska beslutsprocessen - inriktningsplaneringen och utvecklingen av de transportpolitiska målen - på väg mot hållbar utveckling? - hållbara transporter i Europa. Europa MaTs - "de elva punkterna för ökad trafiksäkerhet m.m." - trafiksäkerhet-allmänt - fler resenärer via incitamentavtal2000Conference proceedings (editor) (Other academic)
  • 82.
    Asp, Monica
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences.
    Arbete i glädje och sorg: En kvalitativ studie om arbetsglädje för personal på ett äldreboende2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Behovet av personal inom vård- och omsorg beräknas öka. Personal som arbetar i denna sektor står bakom de flesta av anmälningarna av arbetsskada. Det är betydelsefullt att arbeta förebyggande med arbetsmiljö både för att främja anställdas hälsa och utveckla verksamheter. Personal inom äldreomsorg utför ett viktigt arbete för de äldre som är i behov av vård. Syftet i denna uppsats är att genom kvalitativa intervjuer beskriva vårdpersonalens upplevelse av arbetsklimatet och ha Aaron Antonovskys teori om känsla av sammanhang - KASAM som teoretisk modell för att se vad som kan göras för att verka för ett gott arbetsklimat.

    Resultatet visar att den uppskattning personalen får av de boende gör att arbetet upplevs som meningsfullt. Det finns resursbrist i form av personalbrist men även ekonomiska enligt personalens utsagor vilket påverkar hanterbarheten. Personalen upplever att det finns få möjligheter att få utbildning i arbetet och att vidareutbildning i yrket inte lönar sig.

  • 83.
    Axelsson, Anna Karin
    Jönköping University, School of Health Science, HHJ. CHILD.
    Children with profound intellectual and multiple disabilities and their participation in family activities2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background. Families are essential parts of any community and throughout childhood one’s family serves as the central setting wherein opportunities for participation are offered. There is a lack of knowledge about participation of children with profound intellectual and multiple disabilities (PIMD) in family activities and how improved participation can be reached. Gathering such knowledge could enable an improvement in child functioning and wellbeing and also ease everyday life for families of a child with PIMD.

    Aim. The overall aim of this thesis was to explore participation seen as presence and engagement in family activities in children with PIMD and to find strategies that might facilitate this participation.

    Material and Methods. The research was cross-sectional and conducted with descriptive, explorative designs. First a quantitative, comparative design was used including questionnaire data from 60 families with a child with PIMD and 107 families with children with typical development (TD) (I, II). Following that, a qualitative, inductive design was used with data from individual interviews with parents of 11 children with PIMD and nine hired external personal assistants (III). Finally a mixed method design was conducted where collected quantitative data was combined with the qualitative data from the previous studies (IV).

    Results. It was found that children with PIMD participated less often, compared to children with TD, in a large number of family activities, however they participated more often in four physically less demanding activities. Children with PIMD also participated in a less diverse set of activities. Additionally, they overall had a lower level of engagement in the activities; however, both groups of children showed higher engagement in enjoyable, child-driven activities and lower engagement in routine activities. The motor ability of the child with PIMD was found to be the main child characteristic that affected their presence in the family activities negatively and child cognition was found to be the personal characteristic that affected their engagement in the activities. The child’s presence and engagement were influenced to a lesser extent by family socio-economic factors when compared to families with children with TD. Parents and hired external personal assistants described several strategies to be used to improve participation of the children with PIMD, such as by showing engagement in the activities oneself and by giving the child opportunities to influence the activities. The role of the hired external personal assistant, often considered as a family member for the child, was described as twofold: one supporting or reinforcing role in relation to the child and one balancing role in relation to the parents/the rest of the family, including reducing the experience of being burdened and showing sensitivity to family life and privacy.

    Conclusion. A child with PIMD affects the family’s functioning and the family’s functioning affects the child. Child and environmental factors can act as barriers that have the result that children with PIMD may experience fewer and less varied activities that can generate engaged interaction within family activities than children with TD do. Accordingly, an awareness and knowledge of facilitating strategies for improved participation in family activities is imperative. There needs to be someone in the child’s environment who sets the scene/stage and facilitates the activity so as to increase presence and engagement in proximal processes based on the child’s needs. The family, in turn, needs someone who can provide respite to obtain balance in the family system. External personal assistance includes these dual roles and is of importance in families with a child with PIMD.

  • 84.
    Axelsson, John
    et al.
    Stockholm University, Faculty of Social Sciences, Stress Research Institute.
    Kecklund, Göran
    Stockholm University, Faculty of Social Sciences, Stress Research Institute.
    Tigerström, L
    Does rapid eye movement (REM) sleep prepare the brain for wakening?2014In: Journal of sleep research, Special issue: 22nd Congress of the European Sleep Research Society, 16-20 September, 2014, Tallinn, Estonia, 2014Conference paper (Other academic)
  • 85.
    Backman, Ellen
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Ätutveckling hos barn – en gemensam utmaning för barn och dess vårdnadshavare2016In: Små & stora nyheter, ISSN 1400-4186, no maj, 10-11 p.Article in journal (Other (popular science, discussion, etc.))
  • 86.
    Backman, Ellen
    et al.
    Region Halland, Kungsbacka, Sverige.
    Eberhart, Barbara
    Västerbottens läns landsting, Umeå, Sverige.
    Gustafsson, Carin
    Region Skåne, Malmö, Sverige.
    Häggström Qvist, Camilla
    Västra Götalandsregionen, Göteborg, Sverige.
    Lindberger, Lena
    Stockholms läns landsting, Stockholm, Sverige.
    Nolemo, Maria
    Landstinget Västmanland, Västerås, Sverige.
    Nylander, Eva-Marie
    Västra Götalandsregionen, Vänersborg, Sverige.
    Ragnar, Catarina
    Region Kronoberg, Växjö, Sverige.
    Metoder för att stimulera språk och kommunikation hos barn, ungdomar och vuxna inom habiliteringen2015Report (Other academic)
    Abstract [sv]

    Språkliga och kommunikativa begränsningar är vanligt förekommande vid ett flertal av de diagnoser och tillstånd som återfinns hos personer inom habiliteringsverksamheter i Sverige och förutsätter en tvärprofessionell och långvarig insats. Syftet med föreliggande arbete är att systematiskt beskriva bästa tillgängliga evidens avseende interventioner fokuserade på språklig och kommunikativ förmåga för personer med medfödda funktionsnedsättningar från sex års ålder och uppåt inom habiliteringsverksamhet. Arbetet kan ses som en fortsättning på EBH-rapporten ”Tidiga kommunikations- och språkinsatser till förskolebarn”.Internationellt publicerade interventionsstudier från de senaste 15 åren med fokus på språkliga och kommunikativa förmågor vid typiskt förekommande diagnoser inom habiliteringsverksamhet granskades och sammanfattades. Initialt inkluderades endast översiktsartiklar och metaanalyser, men då dessa till största delen hade fokus på autism och/eller Alternativ och Kompletterande Kommunikation (AKK) utökades sökningen till att även inkludera ett antal primärstudier med annat fokus. Rapporten omfattar 67 studier.Resultatet visar att ”stark rekommendation att använda” (enligt GRADE) endast förekommer i begränsad utsträckning, och när det förekommer är det vid insatser relaterade till autism och/eller AKK. ”Stark rekommendation att inte använda” finns vid insatser relaterade till akupunktur/akupressur och faciliterad kommunikation. Det kan konstateras att det finns en stor brist på studier avseende vuxna personer respektive intellektuell funktionsnedsättning.Detta arbete tillför ytterligare kunskap till området för evidensbaserade insatser vid svårigheter när det gäller kommunikation och språk, och visar att evidens i strikt bemärkelse är svår att erhålla bland annat beroende på de små och heterogena patientgrupperna och, som en konsekvens av detta, en brist på stora randomiserade studier.

  • 87.
    Backman, Ylva
    et al.
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Alerby, Eva
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Bergmark, Ulrika
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Gardelli, Åsa
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Hertting, Krister
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Öhrling, Kerstin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Improvement of school environment from a student perspective: Tensions and opportunities2012In: Education Inquiry, ISSN 2000-4508, E-ISSN 2000-4508, Vol. 3, no 1, 19-35 p.Article in journal (Refereed)
    Abstract [en]

    Managerial documents for the national school system in Sweden have emphasised taking students’ voices as a starting point in forming education, and several previous studies have indicated the benefits of giving students opportunities to participate in school. This study aimed to explore students’ reflections on what they would do if they were to decide how to make school the best place for learning. A total of 200 students aged 11 to 15 years from four schools (rural and urban) in two municipalities in the northern part of Sweden participated. The empirical data consisted of the students’ written reflections. The findings fall within four themes: (i) influencing educational settings; (ii) striving for reciprocity; (iii) managing time struggles; and (iv) satisfying well-being needs. Tensions between the students’ previous experiences and future visions appeared. The findings can offer direction regarding aspects of the learning environment in school that could be improved.

  • 88.
    Backman, Ylva
    et al.
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Alerby, Eva
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Bergmark, Ulrika
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Gardelli, Åsa
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Hertting, Krister
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Öhrling, Kerstin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Learning within and beyond the classroom: compulsory school students voicing their positive experiences of school2012In: Scandinavian Journal of Educational Research, ISSN 0031-3831, E-ISSN 1470-1170, Vol. 56, no 5, 555-570 p.Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe, reflect upon, and create a deeper understanding of aspects relevant for promoting a positive school environment from a student perspective. The data was analyzed by using an inductive phenomenological method and based on written responses from 200 Swedish students from grades 5–9. The results indicated that the students found aspects within, as well as beyond, the classroom relevant for a positive school environment. For instance, outings were considered relevant for building and maintaining friendships and for learning processes. Moreover, the students discussed formal and informal conditions and considered social as well as structural circumstances important for having a good time in school. The relation between learning and well-being was also emphasized by the students.

  • 89.
    Ball, Martin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science.
    The Establishment of DisorderedSpeechBank: A digital archive of disordered speech across languages2016Conference paper (Refereed)
  • 90.
    Ball, Martin
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
    Isaksson, Fredrik
    Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Larsson, Elias
    Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
    Müller, Nicole
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
    Dysarthria in Swedish2016Conference paper (Other academic)
  • 91.
    Ball, Martin J.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
    Principles of clinical phonology: theoretical approaches2016 (ed. 1)Book (Refereed)
    Abstract [en]

    Those working on the description of disordered speech are bound to be also involved with clinical phonology to some extent. This is because interpreting the speech signal is only the first step to an analysis. Describing the organization and function of a speech system is the next step. However, it is here that phonologists differ in their descriptions, as there are many current approaches in modern linguistics to undertaking phonological analyses of both normal and disordered speech.

    Much of the work in theoretical phonology of the last fifty years or so is of little use in either describing disordered speech or explaining it. This is because the dominant theoretical approach in linguists as a whole attempts elegant descriptions of linguistic data, not a psycholinguistic model of what speakers do when they speak. The latter is what is needed in clinical phonology. In this text, Martin J. Ball addresses these issues in an investigation of what principles should underlie a clinical phonology. This is not, however, simply another manual on how to do phonological analyses of disordered speech data, though examples of the application of various models of phonology to such data are provided. Nor is this a guide on how to do therapy, though a chapter on applications is included. Rather, this is an exploration of what theoretical underpinnings are best suited to describing, classifying, and treating the wide range of developmental and acquired speech disorders encountered in the speech-language pathology clinic.

  • 92.
    Ball, Martin J.
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
    Howard, Sara
    Esling, John
    Dickson, Craig
    Revisions to the extIPA and VoQS symbol sets.2016Conference paper (Refereed)
  • 93.
    Barzangi, Jir
    Örebro University, School of Health Sciences.
    Infant Dental Enucleation in Sweden: Perspectives on a Practice among Residents of Eastern African Origin2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Infant dental enucleation (IDE) is a practice consisting of the removal of deciduous canine tooth buds in infants. Practiced mainly in Eastern Africa, the purpose is to treat or to prevent bodily symptoms and diseases. IDE can cause both general and oral complications. The occurrence of IDE among Eastern African immigrants in a few European countries has been reported. However, knowledge surrounding the practice in Sweden was poor. The overall aim of this work was to explore IDE in the Swedish context. Four studies were conducted. Paper I presents a review of scientific publications. An overview of IDE was gained, and some knowledge gaps were identified. Paper II describes a cross-sectional study to determine the prevalence of IDE in small children. Dental records of 1133 children (mean age 4.6 years, SD 1.4) from a multi-ethnic area were studied. Missing deciduous canines without any registered reason were documented. One or more deciduous canines were missing in 21% of the children with known Eastern African origin (n=101), compared to only three children in the rest of the population (n=1032). Six adults of Somali origin were interviewed to explore their experiences and perceptions of IDE (paper III). These experiences and perceptions were categorised in four essentially different ways: an effective and necessary treatment, a disputed tradition, an option to failure and a desperate measure. Their experiences and perceptions were found to be highly influenced by contexts. In the final study (paper IV), the knowledge, experiences and attitudes among dental and health care personnel were examined. Questionnaires were sent to licensed personnel working in emergency departments, midwifery and child health centres, school health services and public dental health services in ten municipalities. Less than 20% had any knowledge of IDE, while 12.5% of the respondents encountering children had seen at least one patient subjected to IDE. Different attitudes were reported between clinical settings regarding responsibilities and possibilities concerning the management and prevention of IDE. From the findings presented in this thesis, it was concluded that there is a need for initiatives to increase awareness of and knowledge on IDE among dental and health care professionals. Legally obligated responsibilities in these professions regarding IDE need to be clarified, and initiatives should include guidelines regarding both the management of IDE and its prevention in Sweden. Educational programmes should also be produced for residents of Eastern African origin to change their perceptions of IDE, and a culturally sensitive approach should be adopted to ensure that such programmes are effective.

  • 94.
    Barzangi, Jir
    et al.
    Örebro University, School of Health Sciences. Public Dental Health Service, Västmanland County Council, Västerås, Sweden.
    Arnrup, Kristina
    Örebro University, School of Health Sciences. Dental Research Department, Public Dental Helath Service, Region Örebro County, Örebro, Sweden.
    Unell, Lennart
    School of Helath Sciences, Örebro University, Örebro, Sweden; Dental Research Department, Public Dental Helath Service, Region Örebro County, Örebro, Sweden .
    Skovdahl, Kirsti
    Department of Nursing Science, University College of Southeast Norway, Drammen, Norway.
    Experiences and perceptions of infant dental enucleation among Somali immigrants in Sweden: A phenomenographic studyManuscript (preprint) (Other academic)
  • 95.
    Barzangi, Jir
    et al.
    Örebro University, School of Health Sciences. Public Dental Health Service, Västmanland County Council, Västerås, Sweden.
    Unell, Lennart
    School of Helath Sciences, Örebro University, Örebro, Sweden; Dental Research Department, Public Dental Helath Service, Region Örebro County, Örebro, Sweden .
    Skovdahl, Kirsti
    Department of Nursing Science, University College of Southeast Norway, Drammen, Norway.
    Arnrup, Kristina
    Örebro University, School of Health Sciences. Dental Research Department, Public Dental Helath Service, Region Örebro County, Örebro, Sweden.
    Knowledge, experiences and attitudes of dental and health care personnel in Sweden towards infant dental enucleationManuscript (preprint) (Other academic)
  • 96.
    Basavoju, Srinivas
    et al.
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Boström, Dan
    Energy Technology and Thermal Process Chemistry, Umeå University.
    Velaga, Sitaram
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Pharmaceutical salts of fluoroquinolone antibacterial drugs with acesulfame sweetener2012In: Molecular Crystals and Liquid Crystals, ISSN 1542-1406, E-ISSN 1563-5287, Vol. 562, no 1, 254-264 p.Article in journal (Refereed)
    Abstract [en]

    Novel organic salts of norfloxacin and ciprofloxacin with artificial sweeteners such as saccharin and acesulfame were prepared. The two salts 1 and 2 were characterized by differential scanning calorimetry (DSC) and powder X-ray diffraction (PXRD). Finally, the crystal structures were solved by single crystal X-ray diffraction data and the structures were analyzed in terms of supramolecular synthons. In norfloxacin acesulfamate 1, two norfloxacin cations and two acesulfame anions form an eight membered cyclic tetramer supramolecular synthon. The salt, ciprofloxacin acesulfamate 2, has a similar structure as salt 1. This study contributes the importance of crystal engineering and supramolecular chemistry to the pharmaceutical applications in terms of interactions and structural correlations in the design of new solid phases. Supplemental materials are available for this article. Go to the publisher's online edition of Molecular Crystals and Liquid Crystals to view the free supplemental file

  • 97.
    Bawa, Shaibu
    Road Research Institute, Ghana.
    Towards establishing a reliable accident data system in Ghana2001In: Proceedings of the conference Road Safety on Three Continents: International conference in Pretoria, South Africa, 20-22 September 2000 / [ed] Asp, Kenneth, Linköping: Statens väg- och transportforskningsinstitut, 2001, Vol. 15A, 272-284 p.Conference paper (Other academic)
    Abstract [en]

    Accident data collection and analysis was institutionalise in 1987 in order to provide vital data-led support to accident remedial activities pursued by the National Road Safety Committee and the road agencies of Ghana. The paper presents the modest achievements made by the Accident Analysis Unit since its creation, at local accident registration and analysis in order to identify main local problems and develop the necessary action programme. It also stresses the importance of transfer of experiences from the more developed countries to improve local safety work.

  • 98.
    Beck, Ingela
    et al.
    Lunds universitet; Högskolan Kristianstad.
    Olsson Möller, Ulrika
    Lunds universitet.
    Malmström, Marlene
    Lunds universitet.
    Klarare, Anna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Samuelsson, Henrik
    Palliativ vård och ASIH Ystad .
    Lundh Hagelin, Carina
    Sophiahemmet högskola; Karolinska institutet.
    Rasmussen, Birgit
    Lunds universitet.
    Fürst, Carl Johan
    Lunds universitet.
    Translation and cultural adaptation of the Integrated Palliative care Outcome Scale including cognitive interviewing with patients and staff2017In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 16, 49Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: To expand our clinical and scientific knowledge about holistic outcomes within palliative care, there is a need for agreed-upon patient-reported outcome measures. These patient-reported outcome measures then require translation and cultural adaptation, either from country-specific languages to English, or the other way around. The aim of this study was to translate and cross-culturally adapt the Integrated Palliative care Outcome Scale (IPOS) to the Swedish care context.

    METHODS: Swedish versions of IPOS Patient and IPOS Staff were developed and culturally adapted using recommended guidelines including cognitive interviews with patients (n = 13) and staff (n = 15) from different care contexts including general and specialised palliative care.

    RESULTS: The comprehension and judgement difficulties identified in the pre-final patient and staff versions were successfully solved during the cognitive interviewing process. IPOS was well accepted by both patients and staff, none of the questions were experienced as inappropriate, and all questions were judged important.

    CONCLUSIONS: In this study, we translated and culturally adapted the patient and staff versions of IPOS, and demonstrated face and content validity and acceptability of the scale through cognitive interviewing with patients and staff within residential care facility, surgical and specialised palliative home care units. Cognitive interviewing in parallel with patients and staff in rounds, with tentative analysis in between, was a suitable method for identifying and solving challenges with comprehension and evaluation in the pre-final version of IPOS. The Swedish IPOS is now available for use in a variety of clinical care settings.

  • 99.
    Becker, Wulf
    et al.
    National Food Administration, Uppsala.
    Wiklund, Maria Lennernäs
    Department of Medical Sciences, Nutrition, Uppsala University.
    Gustafsson, Inga Britt
    Department of Culinary Art.
    Haraldsdóttir, Johanna
    Research Department of Human Nutrition, Royal Veterinary/Agricultural University, Copenhagen.
    Nydahl, Margaretha C.
    Department of Domestic Sciences, Uppsala University.
    Vessby, Bengt O.H.
    Unit for Clinical Nutrition Research, Department of Public Health Sciences, Uppsala University.
    Ytterfors, Arne
    Unit for Clinical Nutrition Research, Department of Public Health Sciences, Uppsala University.
    Precoded food records compared with weighed food records for measuring dietary habits in a population of Swedish adults1998In: Scandinavian Journal of Nutrition/Næringsforskning, ISSN 1102-6480, E-ISSN 1651-2359, Vol. 42, no 4, 145-149 p.Article in journal (Refereed)
    Abstract [en]

    In a cross-over design, 82 women and men recorded their food intake by a precoded 7-day record book (PR) including both standard portions in household measures and photographs, and a weighed 7-day record (WR), respectively. Single 24-h urine samples, for determination of nitrogen excretion, were collected for 39 subjects during the WR period. Comparing the PR to the WR method, the mean intake of some foods, as cheese, was higher, and bread and vegetables lower. For energy and nutrients, the fat energy percent (E%) was higher, and protein E%, dietary fibre, iron, thiamin, folate, carotene and α-tocopherol were all lower. Protein intake registered by the PR method was 20% lower compared to 24-h urine samples, and 11% lower for the WR method. The results indicate that some of the standard portion sizes, used by the PR method, contributed to the observed differences in food and nutrient intakes. The subjects found it easier and less time-consuming to record their food intake with the PR than with the WR method. The time spent on processing data was reduced by 50% when using the PR method. The results of the study will be used for improvements in the design of the PR for use in large-scale dietary surveys for monitoring dietary habits.

  • 100.
    Beckhusen, Benedict
    Jönköping University, Jönköping International Business School, JIBS, Informatics.
    Mobile Apps and the ultimate addiction to the Smartphone: A comprehensive study on the consequences of society’s mobile needs2016Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The smartphone is omnipresent and is cherished and held close by people. It allows for constant connection within a digitally connected society, as well as for many other purposes such as leisure activity or informational purpose. Within the Information Systems studies deeper investigation is required as to what impact this “taken – for – granted” mobile access to information and mobile apps has for individuals and society and if a “technological addiction”can be developed when using the smartphone for everything during the day on such a constant basis.

    The aim of this study was to understand the role of the smartphone in society and to shed light on this unclear relationship between the constant use of a smartphone and its development towards an addictive quality. To reach a conclusion, in depth – interviews were conducted with participants about their relationship to the smartphone and their smartphone use based on questions derived from literature on mobile communication technologies and the types of digital addictions existing.

    The results are that the smartphone is a device that seamlessly integrates into our daily lives in that we unconsciously use it as a tool to make our daily tasks more manageable, and enjoyable. It also supports us in getting better organized, to be in constant touch with family and friends remotely, and to be more mobile which is a useful ability in today’s mobility driven society.

    Smartphones have been found to inhabit a relatively low potential to addiction. Traits of voluntary behaviour, habitual behaviour, and mandatory behaviour of smartphone use have been found. All of these behaviours are not considered a true addiction. In the end, it seems that the increase of smartphone use is mainly due to the way we communicate nowadays digitally,and the shift in how we relate to our social peers using digital means.

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