Change search
Refine search result
12 51 - 93 of 93
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 51.
    Nilsson, Helena
    et al.
    Hallands sjukhus, SWE.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Renvert, Stefan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Longitudinal evaluation of periodontitis and tooth loss among older adults2019In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051XArticle in journal (Refereed)
    Abstract [en]

    Aim: To evaluate pattern of change in periodontal variables and tooth loss in a twelve-year follow-up study of older adults living in Sweden. Methods: In a prospective population study of older adults, a clinical examination and radiographic dental examination were performed at baseline (2001–2003) and after 12 years (2013–2015). In 375 individuals, the number and proportion of sites with a distance ≥4 mm and ≥5 mm from cemento-enamel junction to the bone level, the number and proportion of teeth with pockets ≥5 mm and number of teeth lost were calculated. Dental caries was registered. Periodontitis was defined as having ≥2 sites with ≥5 mm distance from cemento-enamel junction to the marginal bone level and ≥1 tooth with pockets ≥5 mm. Results: A diagnosis of periodontitis was evident in 39% of the individuals, and 23% of the individuals lost ≥3 teeth over the study period. The proportion of sites with ≥4 mm and ≥5 mm bone loss increased with age, while the proportion of teeth with pockets remained stable. Periodontitis was the strongest predictor for losing ≥3 teeth, OR 2.9 (p <.001) in the final model. Conclusions: Periodontitis is a risk factor for future tooth loss among older adults. © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

  • 52.
    Nilsson, Helena
    et al.
    Halland Hospital, SWE.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Renvert, Stefan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Periodontitis, tooth loss and cognitive functions among older adults2018In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 22, no 5, p. 2103-2109Article in journal (Refereed)
    Abstract [en]

    Objective: This study aims to evaluate the potential association between periodontitis, the number of teeth and cognitive functions in a cohort of older adults in Sweden. Material and methods: In total, 775 individuals from 60 to 99 years of age were selected for the study. A clinical and radiographic examination was performed. The number of teeth and prevalence of periodontal pockets and bone loss was calculated and categorised. Cognitive functions were assessed using the Mini-Mental State Examination (MMSE) and clock test. The education level was obtained from a questionnaire. Data were analysed using chi-square tests and multivariate logistic regression. Results: Age and gender were associated with the prevalence of bone loss. Age and education were associated with lower number of teeth. Gender was also associated with the presence of pockets. The multivariate logistic regression analysis demonstrated a statistically significant association between prevalence of bone loss, the number of teeth and the outcome on MMSE test. This association remained even after adjustment for age, education and gender. Tooth loss was also associated with lower outcome on clock test. Presence of periodontal pockets ≥ 5 mm was not associated with cognitive test outcome. Conclusions: A history of periodontitis and tooth loss may be of importance for cognitive functions among older adults. Clinical relevance: Diseases with and inflammatory profile may have an impact on cognitive decline. © 2017 Springer-Verlag GmbH Germany, part of Springer Nature

  • 53. Nordberg, Marika
    et al.
    Forsberg, Pia
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Bjöersdorff, Anneli
    Ernerudh, Jan
    Garpmo, Ulf
    Haglund, Mats
    Nilsson, Kenneth
    Eliasson, Ingvar
    Aetiology of Tick-Borne Infections in an Adult Swedish Population: Are Co-Infections with Multiple Agents Common?2014In: Open Journal of Clinical Diagnostics, ISSN 2162-5816 , Vol. 4, no 1, p. 31-40Article in journal (Refereed)
    Abstract [en]

    In Scandinavia, tick-borne infections affecting humans include Lyme borreliosis (LB), tick-borne encephalitis (TBE) and human granulocytic anaplasmosis (HGA). Each of these infections can present with unspecific symptoms. In this prospective clinical study, we recruited patients based on two independent inclusion criteria; 1) patients with unspecific symptoms, i.e. fever (≥38.0˚C) or a history of feverishness and/or any combination of headache, myalgia or arthralgia and 2) patients with erythema migrans (EM), following an observed tick bite or tick exposure within one month prior to onset of symptoms. A total of 206 patients fulfilled the study. Among these, we could identify 186 cases of LB (174 with EM), 18 confirmed and two probable cases of HGA and two cases of TBE. Thirteen of the HGA cases presented without fever. Furthermore, 22 of the EM patients had a sub-clinical co-infection with Anaplasma phagocytophilum, based on serology. Both TBE cases had co-infections, one with Borrelia burgdorferi and one with Anaplasma phagocytophilum. We conclude that it is important to consider several causative agents and possible co-infections in the clinical management of infectious diseases where ticks may be suspected as vectors.

  • 54.
    Olsson, Anki
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Alfredsson, J.
    Linkoping Univ, SWE.
    Thelander, M.
    Blekinge Hosp, SWE.
    Svedjeholm, R.
    Linkoping Univ, SWE.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health. Blekinge Inst Technol, Dept Hlth Sci, Karlskrona, Sweden..
    Berg, S.
    Linkoping Univ, SWE.
    Activated platelet aggregation is transiently impaired also by a reduced dose of protamineIn: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006Article in journal (Refereed)
    Abstract [en]

    Objectives: Protamine reduces platelet aggregation after cardiopulmonary bypass (CPB). We studied the inhibitory effect of a reduced protamine dose, the duration of impaired platelet function and the possible correlation to postoperative bleeding. Design: Platelet function was assessed by impedance aggregometry in 30 patients undergoing cardiac surgery with CPB at baseline, before protamine administration, after 70% and 100% of the calculated protamine dose, after 20 minutes and at arrival to the intensive care unit. Adenosine diphosphate (ADP), thrombin receptor activating peptide-6 (TRAP), arachidonic acid (AA) and collagen (COL) were used as activators. Blood loss was measured during operation and three hours after surgery. Results are presented as median (25th-75th percentile). Results: Platelet aggregation decreased markedly after the initial dose of protamine (70%) with all activators; ADP 89 (71-110) to 54 (35-78), TRAP 143 (116-167) to 109 (77-136), both p < .01; AA 25 (16-49) to 17 (12-24) and COL 92 (47-103) to 60 (38-81) U, both p < .05. No further decrease was seen after 100% protamine. The effect was transient and after twenty minutes platelet aggregation had started to recover; ADP 76 (54-106), TRAP 138 (95-158), AA 20 (10-35), COL 70 (51-93) U. Blood loss during operation correlated to aggregometry measured at baseline and after protaminization. Conclusions: Protamine after CPB induces a marked decrease in platelet aggregation already at a protamine-heparin ratio of 0.7:1. The impairment seems to be transient and recovery had started after 20 minutes.

  • 55.
    Olsson, Anki
    et al.
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Alfredsson, Joakim
    Håkansson, Erik
    Svedjeholm, R.
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Berg, Sören
    Protamine reduces whole blood platelet aggregation after cardiopulmonary bypass2015In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 50, no 1, p. 58-63Article in journal (Refereed)
    Abstract [en]

    Objectives: Platelet dysfunction is an important cause of postoperative bleeding after cardiac surgery. Protamine is routinely used for reversal of heparin after cardiopulmonary bypass (CBP), but may affect platelet aggregation. We assessed changes in platelet function in relation to protamine administration. Design: Platelet aggregation was analyzed by impedance aggregometry before and after protamine administration in 25 adult cardiac surgery patients. Aggregation was also studied after in vitro addition of heparin and protamine. The activators adenosine diphosphate (ADP), thrombin receptor activating peptide-6 (TRAP), arachidonic acid (AA) and collagen (COL) were used. Results: Platelet aggregation was reduced by approximately 50% after in vivo protamine administration; ADP 640 ± 230 (AU*min, mean ± SD) to 250 ± 160, TRAP 939 ± 293 to 472 ± 260, AA 307 ± 238 to 159 ± 143 and COL 1022 ± 350 to 506 ± 238 (all p < 0.001). Aggregation was also reduced after in vitro addition of protamine alone with activators ADP from 518 ± 173 to 384 ± 157 AU*min p < 0.001, and AA 449 ± 311 to 340 ± 285 (p < 0.01) and protamine combined with heparin (1:1 ratio) with activators ADP to 349 ± 160 and AA to 308 ± 260 (both p < 0.001); and COL from 586 ± 180 to 455 ± 172 (p < 0.05). Conclusions: Protamine given after CPB markedly reduces platelet aggregation. Protamine added in vitro also reduces platelet aggregation, by itself or in combination with heparin. © 2015 Taylor & Francis

  • 56.
    Olsson, Anki
    et al.
    Blekinge Inst Technol, Dept Hlth Sci, Vallhallavagen 1, S-37179 Karlskrona, Sweden.;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.;Blekinge Hosp, Dept Cardiothorac Surg, Karlskrona, Sweden..
    Alfredsson, Joakim
    Linkoping Univ, SWE.
    Ramstrom, Sofia
    Linkoping Univ, SWE.
    Svedjeholm, Rolf
    Linkoping Univ, SWE.
    Kenny, Dermot
    Royal Coll Surgeons Ireland, IRE.
    Hakansson, Eric
    Linkoping Univ, SWE.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Berg, Soren
    Linkoping Univ, SWE.
    Better platelet function, less fibrinolysis and less hemolysis in re-transfused residual pump blood with the Ringer's chase technique: a randomized pilot study2018In: Perfusion, ISSN 0267-6591, E-ISSN 1477-111X, Vol. 33, no 3, p. 185-193Article in journal (Refereed)
    Abstract [en]

    Introduction: Residual pump blood from the cardiopulmonary bypass (CPB) circuit is often collected into an infusion bag (IB) and re-transfused. An alternative is to chase the residual blood into the circulation through the arterial cannula with Ringer's acetate. Our aim was to assess possible differences in hemostatic blood quality between these two techniques. Methods: Forty adult patients undergoing elective coronary artery bypass graft surgery with CPB were randomized to receive the residual pump blood by either an IB or through the Ringer's chase (RC) technique. Platelet activation and function (impedance aggregometry), coagulation and hemolysis variables were assessed in the re-transfused blood and in the patients before, during and after surgery. Results are presented as median (25-75 quartiles). Results: Total hemoglobin and platelet levels in the re-transfused blood were comparable with the two methods, as were soluble platelet activation markers P-selectin and soluble glycoprotein VI (GPVI). Platelet aggregation (U) in the IB blood was significantly lower compared to the RC blood, with the agonists adenosine diphosphate (ADP) 24 (10-32) vs 46 (33-65), p<0.01, thrombin receptor activating peptide (TRAP) 50 (29-73) vs 69 (51-92), p=0.04 and collagen 24 (17-28) vs 34 (26-59), p<0.01. The IB blood had higher amounts of free hemoglobin (mg/L) (1086 (891-1717) vs 591(517-646), p<0.01) and D-dimer 0.60 (0.33-0.98) vs 0.3 (0.3-0.48), p<0.01. Other coagulation variables showed no difference between the groups. Conclusions: The handling of blood after CPB increases hemolysis, impairs platelet function and activates coagulation and fibrinolysis. The RC technique preserved the blood better than the commonly used IB technique.

  • 57. Olsson Möller, Ulrika
    et al.
    Midlöv, Patrik
    Kristensson, Jimmie
    Ekdahl, Charlotte
    Berglund, Johan
    Blekinge Institute of Technology, School of Health Science.
    Jakobsson, Ulf
    Prevalence and predictors of falls and dizziness in people younger and older than 80 years of age-A longitudinal cohort study2013In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 56, no 1, p. 160-168Article in journal (Refereed)
    Abstract [en]

    The objectives were to investigate the prevalence and predictors for falls and dizziness among people younger and older than 80 years of age. The sample was drawn from the Swedish National study on Aging and Care (SNAC) and comprised 973 and 1273 subjects with data on the occurrence of falls and dizziness respectively at baseline. Follow-ups were made after 3- and 6-years. Data included socio-demographics, physical function, health complaints, cognition, quality of life and medications. The prevalence of falls was 16.5% in those under aged 80 and 31.7% in those 80+ years while dizziness was reported by 17.8% and 31.0% respectively. Predictors for falls in those under aged 80 were neuroleptics, dependency in personal activities of daily living (PADL), a history of falling, vision impairment and higher age, and in those 80+ years a history of falling, dependency in instrumental activities of daily living (IADL), fatigue and higher age. Factors predicting dizziness in those under aged 80 were a history of dizziness, feeling nervous and reduced grip strength and in those 80+ years a history of dizziness and of falling. Predictors for falls and dizziness differed according to age. Specific factors were identified in those under aged 80. In those 80+ years more general factors were identified implying the need for a comprehensive investigation to prevent falls. This longitudinal study also showed that falling and dizziness in many older people are persistent and therefore should be treated as chronic conditions. (c) 2012 Elsevier Ireland Ltd. All rights reserved.

  • 58. Ostergaard, Lars
    et al.
    Silfverdal, Sven-Arne
    Berglund, Johan
    Blekinge Institute of Technology, School of Health Science.
    Flodmark, Carl-Erik
    West, Christina
    Bianco, Veronique
    Baine, Yaela
    Miller, Jacqueline M.
    A tetravalent meningococcal serogroups A, C, W-135, and Y tetanus toxoid conjugate vaccine is immunogenic and well-tolerated when co-administered with Twinrix2012In: Vaccine, ISSN 0264-410X, E-ISSN 1873-2518, Vol. 30, no 4, p. 774-783Article in journal (Refereed)
    Abstract [en]

    The co-administration of the tetravalent meningococcal conjugate vaccine, MenACWY-TT, with a licensed hepatitis A and B vaccine, HepA/B (Twinrix (R)), was compared to their separate administration in this open, randomised, controlled study. Healthy subjects 11-17 years of age (n = 611) were randomised (3:1:1) to receive both vaccines, MenACWY-TT alone or HepA/B alone. The co-administration of both vaccines was shown to be non-inferior to their individual administration. At seven months after the first vaccination, 99.4-100% of the subjects who received both vaccines co-administered showed seroprotection against all meningococcal serogroups and at least 99.1% of them were seropositive for hepatitis A and seroprotected against hepatitis B. This study suggests that MenACWY-TT vaccine could be co-administered with HepA/B without adversely impacting the immunogenicity, safety and reactogenicity of either of the vaccines.

  • 59. Pedersen, Court
    et al.
    Breindahl, Morten
    Aggarwal, Naresh
    Berglund, Johan
    Blekinge Institute of Technology, School of Health Science.
    Oroszlan, Gyoergy
    Silfverdal, Sven Arne
    Szuts, Peter
    O'Mahony, Michael
    David, Marie-Pierre
    Dobbelaere, Kurt
    Randomized Trial: Immunogenicity and Safety of Coadministered Human Papillomavirus-16/18 AS04-Adjuvanted Vaccine and Combined Hepatitis A and B Vaccine in Girls2012In: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 50, no 1, p. 38-46Article in journal (Refereed)
    Abstract [en]

    Purpose: This randomized, open, controlled, multicenter study (110886/NCT00578227) evaluated human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine (HPV-16/18 vaccine) coadministered with inactivated hepatitis A and B (HAB) vaccine. Coprimary objectives were to demonstrate noninferiority of hepatitis A, hepatitis B, and HPV-16/18 immune responses at month 7 when vaccines were coadministered, compared with the same vaccines administered alone. Methods: Healthy girls (9-15 years) were age-stratified (9, 10-12, and 13-15 years) and randomized to receive HPV (n = 270), HAB (n = 271), or HPV + HAB (n = 272). Vaccines were administered at months 0, 1, and 6. Immunogenicity was evaluated at months 0 and 7. Results: The hepatitis A immune response was noninferior for HPV + HAB, versus HAB, for seroconversion rates (100% in each group) and geometric mean antibody titers (GMTs) (95% CI) (4,504.2 [3,993.0-5,080.8] and 5,288.4 [4,713.3-5,933.7] mIU/mL, respectively). The hepatitis B immune response was noninferior for HPV + HAB, versus HAB, for anti-HBs seroprotection rates (98.3% and 100%); GMTs were 3,136.5 [2,436.0-4,038.4] and 5,646.5 [4,481.3-7,114.6] mIU/mL, respectively. The HPV-16/18 immune response was noninferior for HPV + HAB, versus HPV, for seroconversion rates (99.6% and 100% for both antigens) and GMTs (22,993.5 [20,093.4-26,312.0] and 26,981.9 [23,909.5-30,449.1] EL.U/mL for HPV-16; 8,671.2 [7,651.7-9,826.6] and 11,182.7 [9,924.8-12,600.1] EL.U/mL for HPV-18, respectively). No subject withdrew because of adverse events. No vaccine-related serious adverse events were reported. Immune responses and reactogenicity were similar in girls aged 9 years compared with the entire study population. Conclusions: Results support coadministration of HPV-16/18 vaccine with HAB vaccine in girls aged 9-15 years. The HPV-16/18 vaccine was immunogenic and generally well tolerated in 9-year-old girls.

  • 60. Persson, Rutger
    et al.
    Berglund, Johan
    Persson, Ringmor
    Renvert, Stefan
    Prediction of hip and hand fractures in older persons with or without a diagnosis of periodontitis2011In: Bone, ISSN 8756-3282, E-ISSN 1873-2763, Vol. 48, no 3, p. 552-556Article in journal (Refereed)
    Abstract [en]

    PURPOSE: In a prospective study, we assessed if a diagnosis of osteoporosis and periodontitis could predict hip and hand fractures in older persons. MATERIALS AND METHODS: Bone density was assessed by a Densitometer. Periodontitis was defined by evidence of alveolar bone loss. RESULTS: 788 Caucasians (52.4% women, overall mean age: 76years, S.D.±9.0, range: 62 to 96) were enrolled and 7.4% had a hip/hand fracture in 3years. Calcaneus PIXI T-values<-1.6 identified osteoporosis in 28.2% of the older persons predicting a hip/hand fracture with an odds ratio of 3.3:1 (95% CI: 1.9, 5.7, p<0.001). Older persons with osteoporosis had more severe periodontitis (p<0.01). Periodontitis defined by ≥30% of sites with ≥5mm distance between the cemento-enamel junction (CEJ) and bone level (ABL) was found in 18.7% of the older persons predicting a hip/hand fracture with an odds ratio of 1.8:1 (95% CI: 1.0, 3.3, p<0.05). Adjusted for age, the odds ratio of a hip/hand fracture in older persons with osteoporosis (PIXI T-value<-2.5) and periodontitis was 12.2:1 (95% CI: 3.5, 42.3, p<0.001). CONCLUSIONS: Older persons with osteoporosis and periodontitis have an increased risk for hip/hand fractures.

  • 61.
    Rennemark, Mikael
    et al.
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Decreased cognitive functions at the age of 66, as measured by the MMSE, associated with having left working life before the age of 60: Results from the SNAC study2014In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 42, no 3, p. 304-309Article in journal (Refereed)
    Abstract [en]

    Aims: The age of retirement has financial implications as we tend to live longer, with the result that an increasing number of older inhabitants have to share limited financial resources. However, this is not only a financial issue. It is also of interest to investigate factors related to health and quality of life associated with the age of retirement. The aim of this study was to investigate changes in mood, activity level, and cognition at the age of 66 associated with leaving working life before 60. Methods: Baseline and follow-up data on 840 participants of the Swedish National Study on Aging and Care - Blekinge was used. Mood was measured by the Montgomery-sberg Depression Scale and activity level by 27 survey items. Cognition was measured by the Mini Mental State Examination. Results: Retirement before 60 years of age was not associated with lower cognitive functions and a higher score on depression at baseline, but retirees were less active. Six years later, at the age of 66, a decline in their cognition was found. Retirees were still not more depressed but less active. In a logistic regression analysis, being retired increased the odds ratio for cognitive decline by 1.36-times (OR 2.36) when gender, activity level, education level, and depression were adjusted for. Conclusions: Participants who retired before the age of 60 declined in cognitive ability over the 6-year study period.

  • 62.
    Rennemark, Mikael
    et al.
    Linnaeus Univ, SWE.
    Jogréus, Claes
    Blekinge Institute of Technology, Faculty of Engineering, Department of Mathematics and Natural Sciences.
    Elmstahl, Solve
    Lund Univ, SWE.
    Weimer, Anna-Karin
    Karolinska Inst, SWE.
    Wimo, Anders
    Karolinska Inst, SWE.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Relationships Between Frequency of Moderate Physical Activity and Longevity: An 11-Year Follow-up Study2018In: Gerontology and geriatric medicine, E-ISSN 2333-7214, Vol. 4, article id 2333721418786565Article in journal (Refereed)
    Abstract [en]

    Objectives: Moderate physical activity gains survival. There are, however, several variables that may affect this relationship. In this study, the relationship between moderate physical activity and longevity was investigated, taking into account age, gender, smoking habits, cohabitation status, body mass index, leg strength and balance, education level and cognitive function. Method: A sample of 8,456 individuals aged 60 to 96 years, representative of the Swedish population, was included. Participants were followed from 2004 to 2015. Cox regression analyses were used to investigate the predictive value of physical activity on longevity. Results: Participants still alive in the follow-up measure were more physically active on a moderate level. Being active 2 to 3 times a week or more was related to a 28% lower risk of not being alive at the follow-up measure. Discussion: The low frequency of physical activity, necessary for survival benefits should be considered in public health programs.

  • 63.
    Rennemark, Mikael
    et al.
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Lindwall, Magnus
    Halling, Anders
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Relationships between physical activity and perceived qualities of life in old age. Results of the SNAC study2009In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 13, no 1, p. 1-8Article in journal (Refereed)
    Abstract [en]

    Objectives: The aim of the present study was to investigate the relationships of different types of quality of life to strenuous and light physical activity in old age. Methods: The Swedish SNAC-Blekinge baseline database, consisting of data on 585 men and 817 women 60-96 years of age, was utilized. The independent variables were light and strenuous physical activity. Four dependent variables concerned with various quality of life components were employed (well-being, engagement, emotional support and social anchorage). Age, gender, functional ability and co-morbidity were included as possible confounders. Non-parametric bivariate and multivariate statistical tests were performed. Results: Correlations suggested there to generally be a positive relationship between physical activity and quality of life. Multivariate logistic regression analyses controlling for possible confounders showed light physical activity to increase the odds of experiencing well-being, engagement and social anchorage, whereas strenuous physical activity increased the odds of experiencing engagement and emotional support. Thus, light physical activity and strenuous physical activity differed in their relation to quality of life generally. Conclusions: The results indicate that physical activity has a salutogenic effect by enhancing the quality of life, and it can be assumed to be connected to quality of life by generating pleasure and relaxation.

  • 64. Renvert, Stefan
    et al.
    Berglund, Johan
    Opalainska, Teresa
    Persson, Ringmor
    Persson, Rutger
    Heel DXA T-scores and panoramic radiographs in the prediciton of hip and hand fractures2009In: Journal of Clinical Periodontology, wiley , 2009, Vol. 36, no suppl. 9Conference paper (Refereed)
  • 65. Renvert, Stefan
    et al.
    Persson, Rutger
    Resebo, Jan
    Berglund, Johan
    Blekinge Institute of Technology, School of Health Science.
    Forskning pågår: Fokus på sambandet munhälsa - allmänhälsa.2009In: Tandläkartidningen, ISSN 0039-6982, Vol. 101, no 7, p. 48-50Article, review/survey (Refereed)
  • 66.
    Renvert, Stefan
    et al.
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Wallin-Bengtsson, Viveca
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    G Persson, Rutger
    Peridontitis in older Swedish individuals fails to predict mortality2015In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 19, no 2, p. 193-200Article in journal (Refereed)
    Abstract [en]

    This study aims to assess mortality risk and its association to health aspects in dentate individuals 60 years of age and older. Medical and periodontal data from 870 dentate individuals (age range 60-96) participating in the Swedish National Study on Aging and Care in Blekinge (SNAC-Blekinge) with survival statistics over 6 years were studied. During 6 years of follow-up, 42/474 of the individuals (8.9 %), who at baseline were between age 60 and 75, and 134/396 individuals of the individuals (33.9 %), who at baseline were ≥75 years, died. Surviving dentate individuals had more teeth (mean 19.3, S.D. ± 7.9) than those who died (mean 15.9, S.D. ± 7.3; mean diff 3,3; S.E. mean diff 0.7; 95 % CI 2.0, 4.6; p = 0.001). A self-reported history of high blood pressure (F = 15.0, p < 0.001), heart failure (F = 24.5, p < 0.001, observed power = 0.99), older age (F = 34.7, p < 0.001), male gender (F = 6.3, p < 0.01), serum HbA1c with 6.5 % as cutoff level (F = 9.3, p = 0.002) were factors associated with mortality. A medical diagnosis of heart disease, diabetes, any form of cancer, or periodontitis failed to predict mortality. A self-reported history of angina pectoris, chronic heart failure, elevated serum HbA1c, and few remaining teeth were associated with mortality risk. A professional diagnosis of cardiovascular disease, diabetes, cancer, or periodontitis was not predictive of mortality. Self-health reports are important to observe in the assessment of disease and survival in older individual.

  • 67.
    Sandberg, Hanna
    et al.
    Blekinge Hospital, SWE.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Forssell, Henrik
    Blekinge Centre of Competence, SWE.
    Ovhed, Ingvar
    Blekinge Centre of Competence, SWE.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Increased Usage of Insulin Pump Functions Not Associated with Improved HbA1c in Children and Adolescents with Type 1 Diabetes Mellitus2016In: Journal of Diabetes Science and Technology, ISSN 1932-2968, Vol. 10, no 4, p. 997-998Article in journal (Refereed)
  • 68. Sandin Wranker, Lena
    et al.
    Rennemark, Mikael
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Elmståhl, Sölve
    Relationship between pain and Quality of Life: Findings from the Swedish National Study on Aging and Care - Blekinge study2014In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 5, no 4, p. 270-275Article in journal (Refereed)
    Abstract [en]

    Background and aims The influence of pain as well as Quality of Life (QoL) varies in accordance with biological, social, psychological and existential factors. This study investigates the influence of such factors on the relationship between pain and QoL among older adults from a gender perspective. Methods The Swedish National Study on Aging and Care (SNAC-Blekinge) baseline sample comprised 1402 individuals aged 60–96 years, of whom 769 (55%) reported pain. The participants were invited by a letter to take part in the study, which was carried out by research staff in two sessions of three hour each. Participants gave informed consent and completed a questionnaire between the two sessions. The reason for non-participation was registered among subjects who declined the invitation. Pain and insomnia were self-reported. Data on age, gender and if living alone or not were collected from the questionnaire. Co-morbidity was obtained from electronic patients records for a period of up to two years prior to participating in the SNAC study. SoC was measured by a translated short form from the original twenty-nine question instrument. QoL, was estimated using the HRQL Medical Outcome Study-Short Form (SF 12). In a model, pain, age, sex, insomnia, co-morbidity, living alone, sense of coherence (SOC), household economy, education and QoL were calculated through multivariate logistic regression. Results Among women, pain was found to have the highest OR (odds ratio) for low QoL [OR 2.27 (CI 1.36–3.78)], followed by low economic status [OR 1.75 (CI 1.08–2.84)], co-morbidity [OR 1.24 (CI 1.05–1.46)], low SOC [OR 1.08 (CI 1.06–1.10)] and lower age [OR 1.05 (CI 1.02–1.08)]. In men, insomnia was found to be the main contributor to low QoL [OR 1.86 (CI 1.04–3.33)], followed by low SOC [OR 1.08 (CI 1.05–1.11)] and lower age [OR 1.04 (CI 1.01–1.07)]. Conclusions Pain has a strong relationship with low QoL among elderly women. Insomnia is associated with low QoL among men who suffer less from pain. Thus the main result is a striking gender difference: Elderly women suffer from pain, elderly men suffer from insomnia. Implications It is important to take account of sex, age, sleep problems, co-morbidity, SOC and economic status in order to understand the relationship between pain and QoL among older adults.

  • 69. Selan, S.
    et al.
    Siennicki-Lantz, A.
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Fagerström, Cecilia
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Self-awareness of heart failure in the oldest old-an observational study of participants, ≥ 80 years old, with an objectively verified heart failure2016In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, article id 23Article in journal (Refereed)
    Abstract [en]

    Background: One of the primary reasons for hospitalisation among elderly individuals with heart failure (HF) is poor self-care. Self-awareness of having HF may be a key-element in successful self-care. The prevalence of self-awareness of HF, and how it is affected by age-and HF-related factors, remains poorly understood. The aims of the present study were to determine the prevalence of self-awareness of HF in participants, ≥ 80 years of age, and to investigate the association between this self-awareness and age-related and HF-related factors. Methods: A single-centre observational study was conducted in which non-hospitalised participants (80+) with objectively verified HF were identified (n = 90). The statement of having HF or not having HF was used to divide the participants into two groups for comparisons: aware or unaware of one’s own HF. Logistic regression models were completed to determine the impact of age-and HF-related factors on self-awareness. Results: Twenty-six percent (23/90) were aware of their own HF diagnosis. No significant differences were found between the participants who were aware of their own HF diagnosis and the participants who were not. Neither age-nor HF-related factors had influence on the prevalence of self-awareness. Conclusions: Prevalence of self-awareness of own HF in the oldest old is insufficient, and this self-awareness may be influenced by external factors. One such factor is likely the manner in which the HF diagnosis is relayed to the patient by health care professionals. © 2016 Selan et al.

  • 70. Stjernberg, Louise
    et al.
    Berglund, Johan
    Detecting ticks on light versus dark clothing2005In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 37, no 5, p. 361-364Article in journal (Refereed)
    Abstract [en]

    It is common belief that ticks are more visible and easier to detect on light clothing in comparison with dark clothing. We studied which of the clothing, light or dark, had the least attractive effect on Ixodes ricinus, thus minimizing exposure and thereby in theory help to prevent tick borne diseases in humans. Ten participants, exposed by walking in tick endemic areas, wore alternately light and dark clothing before every new exposure. Nymphal and adult ticks on the clothing were collected and counted. Totally, 886 nymphal ticks were collected. The overall mean in found ticks between the both groups differed significantly, with 20.8 more ticks per person on light clothing. All participants had more ticks on light clothing in all periods of exposure. Dark clothing seems to attract fewer ticks.

  • 71. Stjernberg, Louise
    et al.
    Berglund, Johan
    Garlic as a tick repellent2001In: Journal of the American Medical Association (JAMA), ISSN 0098-7484, E-ISSN 1538-3598, Vol. 285, no 1, p. 41-42Article in journal (Refereed)
    Abstract [en]

    Comments and reply on; Stjernberg L, Berglund J. Garlic as an insect repellent

  • 72. Stjernberg, Louise
    et al.
    Berglund, Johan
    Garlic as an insect repellent2000In: Journal of the American Medical Association (JAMA), ISSN 0098-7484, E-ISSN 1538-3598, Vol. 284, no 7, p. 831-Article in journal (Refereed)
    Abstract [en]

    Objectives: To study if Swedish marine conscripts are a population of high risk to tick-bites and tick-borne diseases and if tick-bites could be prevented by consumption of garlic. Design: Prospective, randomised double blind intervention trial. Subjects: 100 individuals from south-eastern Sweden in military service during 1998. Interventions: The survey participants consumed 1200 mg Allium sativum/placebo for eight weeks, had a wash-out period then changed to placebo/Allium sativum consumption for another ten weeks. All participants had uniform clothes, the same diet, participated in similar activities, stayed equal time in tick-endemic nature etceteras. Main outcome measures: Tick-bites were registered in a diary-sheet after daily inspection of the skin. Results: Totally 286 tick-bites were registered by the participants. On average the participants registered 0.2 tick-bites per week during military service compared to 0.03 tick-bites during leave. Results shows significant reduction in tick-bites when consuming garlic compared to placebo (p<0.05). Furthermore, during placebo consumption, a greater number of the participants were bitten by ticks (incidence per 10 weeks = garlic, intention to treat 0.5, per protocol 0.6, placebo, intention to treat 0.5, per protocol 0.7). Swedish marine conscripts are at high risk of tick bites during military service. Preventive measures, including vaccinations against tick-transmitted diseases, should be considered. However, our results suggest that garlic may be considered as a tick repellent for individuals and populations at high risk for tick bite, rather than other agents that might have more adverse effects.

  • 73. Stjernberg, Louise
    et al.
    Berglund, Johan
    Risk of acquiring tick bites in south-eastern Sweden2002In: Scandinavian journal of infectious diseases , ISSN 0035-5548, Vol. 34, no 11, p. 840-844Article in journal (Refereed)
    Abstract [en]

    The incidence and the temporal pattern of tick bites were studied in a population frequently out-of-doors in a tick endemic area in south-eastern Sweden between May 2000-March 2001. The participants, who were well aware of tick-borne diseases, inspected their skin daily from May until September and completed a diary sheet, registering visited geographical places, time out-of-doors, observed tick-bites, etc. The participants were also given questionnaires in both the initial and final stages of the study, asking questions about their earlier history of tick-bites, previous tick-borne diseases and out-of-door activities. The incidence was 0.04 (95% confidence interval 0.02-0.06) tick-bitten participants/10 h spent out-of-doors. In total, the participants registered 1767 tick bites, i.e. an incidence of 0.14 (95% CI 0.10-0.18) tick-bites/10 h spent out-of-doors. Within 6 months after the registration period, 8/235 (3%) had been treated for physician-diagnosed Lyme borreliosis. In conclusion, this study found a 4% risk to be tick-bitten per 10 h spent out-of-doors. The risk of contracting Lyme borreliosis was 1/221 tick bites (0.5%, 95% CI 0.44-0.56). Thus, our results indicate a low risk of acquiring Lyme borreliosis when using daily tick checks and we underline the opinion of not recommending routine prophylactic treatment for observed tick-bites.

  • 74. Stjernberg, Louise
    et al.
    Berglund, Johan
    Tick attachment and the colour of clothing2003Conference paper (Refereed)
    Abstract [en]

    INTRODUCTION To prevent tick bites, personal precautions such as wearing light-coloured clothing, are generally recommended. It is believed that ticks are easier to detect on light-coloured clothing in comparison with dark-coloured clothing. Studies confirming this supposition have not been found and we do not know whether colour of clothing influences the tick´s choice of hosts. The aim of this study was to determine which colour of clothing had the least attractive effect on Ixodes ricinus and thus help to prevent tick borne diseases in humans. PROCEDURES The study was performed in the archipelago of the south-eastern Sweden. Ten participants, randomised into two standardised groups, were exposed by walking in squares measuring 25x25 meters. They were exposed 12 times, twice in each square; once with light-coloured and once with dark-coloured clothing. The nymphs and adult ticks on the clothing were collected and counted. FINDINGS Totally, 892 nymphal ticks were collected and of these 552 were found on light-coloured clothing and 340 on dark-coloured clothing. The total mean found number of ticks between the both groups differed significantly, with 21.2 more ticks per person on light-coloured clothing (p=0.003, 95% CI 9.37-33.03). CONCLUSIONS All participants had more ticks on light-coloured clothing in all periods of exposure. In view of these straight results, the recommendation to use light-coloured clothing as a personal precaution in tick endemic areas must be questioned. Dark-coloured clothing seems to attract fewer ticks.

  • 75. Stjernberg, Louise
    et al.
    Berglund, Johan
    Tick prevention in a population living in a highly endemic area2005Conference paper (Refereed)
    Abstract [en]

    Background: To describe environmental and personal tick preventive measures and their predictors, taken by a population living in a highly tick-endemic area. Methods: Due to the recent confirmation of human tick-borne encephalitis cases, vaccination against tick-borne encephalitis was offered to the population living in the endemic area through the use of leaflets and media campaigns. At the time for the initial dose, information and enrollment to this cohort study was carried out. Participants´ characteristics, frequency of tick-bites and preventive measures were included in questionnaires. Logistic analysis was used to determine behavioural differences in activities taken in order to prevent tick-bites. Results: In total, 70% of the permanent residents had themselves vaccinated before the next tick-season. Of the studied participants 356/517 (69%) regularly took preventive measures in their environment (i.e. affecting the surroundings and towards animals) and/or personally (i.e. avoidance of extensive tick-areas, use of naturopathic medicine, use of repellents, clothing/boots, body examination, bath/shower). Of those taking personally preventive measures, 46% limited their time spent out-of-doors in carrying out leisure activities. Women in particular, and those previously treated for a tick-borne disease took significantly more preventive measures. When analysing all variables together, spending less time in tick-endemic area and being tick-bitten the latest tick-season significantly increased the probability of taking preventive measures. After being tick-bitten, men were more inclined to start taking preventive measures than women. Conclusion: Awareness of the risks caused by living in a high endemic area to ticks influenced the participant’s daily life through preventive activities. Public health action should be considered thus encouraging out-of-door activities for the population, without anxiety for risks for contracting tick-borne disease after being tick-bitten.

  • 76. Stjernberg, Louise
    et al.
    Berglund, Johan
    Tick prevention in a population living in a highly endemic area2005In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 33, no 6, p. 432-8Article in journal (Refereed)
    Abstract [en]

    Aims: To describe environmental and personal tick preventive measures and their predictors, taken by a population living in a highly tick-endemic area. Methods: Due to the recent confirmation of human tick-borne encephalitis cases, vaccination against tick borne encephalitis was offered to the population living in the endemic area through the use of leaflets and media campaigns. At the time for the initial dose, information and enrollment to this cohort study was carried out. Participants´ characteristics, frequency of tick-bites and preventive measures were included in questionnaires. Logistic analysis was used to determine behavioural differences in activities taken in order to prevent tick-bites. Conclusion: In total, 70% of the permanent residents had themselves vaccinated before the next tick-season. Of the studied participants 356/517 (69%) regularly took preventive measures in their environment and/or personally. Women in particular, and those previously treated for a tick-borne disease took significantly more preventive measures. When analysing all variables together, spending less time in tick-endemic area and being tick-bitten the latest tick-season significantly increased the probability of taking preventive measures. After being tick-bitten, men were more inclined to start taking preventive measures than women. Awareness of the risks caused by living in a high endemic area to ticks influenced the participant’s daily life through preventive activities. Public health action should be considered thus encouraging out-of-door activities for the population, without anxiety for risks for contracting tick-borne disease after being tick-bitten.

  • 77. Stjernberg, Louise
    et al.
    Berglund, Johan
    Tick-exposure during conscription in a high endemic area. A study of intervention.1999Conference paper (Refereed)
    Abstract [en]

    INTRODUCTION AND PURPOSE Lyme borreliosis is in Sweden the most common vector-borne disease with approximately 10.000 individuals affected each year. Previous studies have suggested that conscripts compose a population of high risk to tick-bites and others have linked tick attachment to different body odour. In several countries the peasant population have observed that garlic keep the cattle free from ticks. The purpose of this study was to determine if Swedish conscripts are a population of high risk to tick-bites and thereby tick-borne diseases and to study if tick-bites can be prevented by garlic consumption. METHODS The survey participants, n=100 (50 in each group) consumed garlic / placebo for eight weeks, had a wash-out period, then changed to placebo / garlic consumption for another ten weeks. The study drug contained 1200 mg Allium sativum, administrated 600 mg twice daily. During the study period the conscripts performed a daily inspection of their skin and filled in a diary-sheet. Questionnaires including questions on e.g. smoking habits, other medication, adverse events and tick-borne disease manifestations were answered when; entering the study, before and after the wash-out period and at the end of the study. RESULTS The total amount of registered tick-bites during the study period was 286. On average the participants registered 0.2 bites per week during military service compared to 0.03 bites per week during leave. Two of the participants developed an erythema migrans. When consuming garlic, results show a significant reduction in tick-bites, included and excluded a participant who reported 86 tick-bites on one occasion, compared to consuming placebo. Also, the incidence was lower when taking account the reported number of bitten participants both in intention to treat and per protocol. CONCLUSIONS Swedish marine conscripts are a population of high risk to tick-bites during their military service and preventive measures including vaccinations against diseases transmitted by ticks should be considered. Garlic had a preventive effect against tick-bites, however significantly differences were not seen in intention to treat calculations and more studies are needed.

  • 78. Stjernberg, Louise
    et al.
    Berglund, Johan
    Halling, Anders
    Age and gender effect on the use of herbal medicine products and food supplements among the elderly2006In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 24, no 1, p. 50-55Article in journal (Refereed)
    Abstract [en]

    Objective. To describe the users of herbal medicine products and food supplements with respect to age and gender specifically among persons aged ≥60 years. Design. A descriptive study with baseline data from a longitudinal study of the elderly, stratified into different age cohorts (60-69, 70-79, 80-89 and ≥90 years). Setting. Blekinge county, situated in the southeastern Sweden. Subjects. Totally 1380 persons aged 60-96 years (median age 78 years). Main outcome measures. Current use of herbal medicine products and the use of food supplements. Results. Of the participants, 264/1380 (19.1%) used at least one herbal medicine product, 184/1380 (13.3%) used at least one food supplement and 382/1380 (27.7%) used herbal medicine products and/or food supplements. In all regression models, women had a higher probability to use herbal medicine and/or food supplements in comparison with men. Focusing on the use of herbal medicine products alone and in the combination of using herbal medicine and/or food supplement, a decreased use was seen with increasing age. However, 27.9% were still users of herbal medicine products and/or food supplements in the age group 80-89 years. In comparison, 14% were users in the age group ≥90 years. Age did not have an impact on the probability of taking food supplements. Conclusion. General practitioners need to consider the high use of herbal medicine product and food supplements among elderly when making decisions about treatment.

  • 79.
    Stjernberg, Louise
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Holmkvist, Karin
    Berglund, Johan
    Blekinge Institute of Technology, School of Health Science.
    A newly detected tick-borne encephalitis (TBE) focus in southeastern Sweden: a follow-up study of TBE virus (TBEV) seroprevalence2008In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 40, no 1, p. 4-10Article in journal (Refereed)
    Abstract [en]

    In 2002, two cases of tick-borne encephalitis (TBE) were diagnosed in inhabitants of a tick endemic area on the island of Aspö in southeastern Sweden. During the previous 25 y, only two other cases of TBE had been diagnosed in that region of Sweden. To investigate the presence and evolution of seroprevalence of antibodies to TBE virus (TBEV), we compared inhabitants´ anti-TBEV immunoglobulin G (IgG) levels in blood samples drawn in 1991 and 2002. A significant increase in IgG antibody levels was observed in 24/200 (12.0%) 2002 blood samples compared to 7/200 (3.5%) 1991 samples. However, neutralizing antibodies were detected in only 4 of the two-step enzyme-linked immunosorbent assay (ELISA) IgG positive sera against TBEV, corresponding to a TBEV neutralizing test (NT) prevalence of 2%. Significantly more men than women were seropositive for TBEV antibodies. Compared to other age groups, the greatest increase in TBEV antibody levels was observed in the 20-29 y age group. However, the majority of seropositive samples were from participants >50 y of age. Recommending preventative measures, including vaccination against TBE, to individuals who reside in or regularly visit TBEV endemic areas is suggested.

  • 80.
    Svärd, Anna
    et al.
    Uppsala Univ, SWE.
    Renvert, Stefan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Soderlin, Maria
    Lund Univ, SWE.
    PERIODONTITIS AND SALIVA ANTIBODIES TO CITRULLINATED PEPTIDES IN RHEUMATOID ARTHRITIS2019In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, p. 1530-1530Article in journal (Other academic)
  • 81.
    Tell, Johanna
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Olander, Ewy
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    The usage of web-based national guidelines for child healthcare: A web analytic study2018In: Article in journal (Refereed)
    Abstract [en]

    The development and dissemination of information- and communication technologies in healthcare is rapid. The purpose of web-based national guidelines is to support professionals in everyday work providing equivalent, safe and qualitative healthcare. Web-based national guidelines are often not implemented effectively in healthcare why studies reflecting different aspects of use and implementation is needed. The aim of this study was to investigate the usage of web-based national guidelines for child healthcare, Rikshandboken i barnhälsovård. In this case study with cross-sectional design, usage pattern of the web-based guidelineswas studied for one year using the web analytic tool, Google Analytics. The usage data were analysed with descriptive statistics. The study showed the general usage pattern of RHB, changes in usage through the year and various usage pattern in different user groups. The usage of RHB had increased, the web-based guidelines was used in all county councils/regions and the most common visited web-page was the new national child healthcare programme. This tendency suggests a positive direction towards the RHB aim to contribute to equal , equitable and high-qualitative CHC.The result also showed the importance to study different user groups as the usage pattern differs. This provide valuable knowledge in the development of web-based national guidelines making them useful and relevant for all its users. 

  • 82.
    Tell, Johanna
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Olander, Ewy
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Implementation of a web-based national child health-care programme in a local context: A complex facilitator role2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 20_suppl, p. 80-86, article id suppl. 20Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to investigate child health-care coordinators’ experiences of being a facilitator for the implementation of a new national child health-care programme in the form of a web-based national guide. Methods: The study was based on eight remote, online focus groups, using Skype for Business. A qualitative content analysis was performed. Results: The analysis generated three categories: adapt to a local context, transition challenges and led by strong incentives. There were eight subcategories. In the latent analysis, the theme ‘Being a facilitator: a complex role’ was formed to express the child health-care coordinators’ experiences. Conclusions: Facilitating a national guideline or decision support in a local context is a complex task that requires an advocating and mediating role. For successful implementation, guidelines and decision support, such as a web-based guide and the new child health-care programme, must match professional consensus and needs and be seen as relevant by all. Participation in the development and a strong bottom-up approach was important, making the web-based guide and the programme relevant to whom it is intended to serve, and for successful implementation. The study contributes valuable knowledge when planning to implement a national web-based decision support and policy programme in a local health-care context. © 2018, © Author(s) 2018.

  • 83.
    Tell, Johanna
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Olander, Ewy
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Nurses´ use and ways of understanding web-based national guidelines for child healthcareIn: Article in journal (Refereed)
    Abstract [en]

    The national Rikshandbokenfor child healthcare, is a web-based guideline for child health care in Sweden containing knowledge- and methodological guidance and a national child health care program in progress to be implemented. The aim with the study was to examine child health care nurses use and ways of understanding the national web-basedRikshandbokenfor child health care.  Mixed method with sequential explanatory design in two phases was used; a web-survey with descriptive statistic followed by telephone interviews with phenomenographic analysis. The study showed variations in use and contribute with deeper knowledge of child healthcare nurse´s ways of understanding the unit RHB whose varied parts interact with each other. To be reliable, useful and relevant for nurses in their context, Rikshandbokenmust be kept updated and involve the end-users in the development process. Access to technical devices and optimal use of the possibilities with information and communication technology, the national web-based Rikshandbokencan be a resource for continuing learning and a tool in everyday work and a possible determinant to an equal child healthcare. The study contributes with valuable knowledge when designing web-based clinical practice guidelines for healthcare, making them useful and relevant for the end-users

  • 84.
    Tell, Johanna
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Olander, Ewy
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Nurses’ Use of a Web-Based National Guide for Child Health Care2016In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 34, no 5, p. 197-205Article in journal (Refereed)
    Abstract [en]

    Rikshandboken i BarnhÀlsovård is a Swedish Web-based guide for child healthcare, providing quality-ensured guidelines and support contributing to equality in child healthcare among all children. In 2015, a new child healthcare program was implemented and made available in this Web-based guide. The aim of this study was to investigate how child healthcare nurses use Rikshandboken i BarnhÀlsovård and factors affecting its use. The study was a comprehensive Web survey of 2376 child healthcare nurses in Sweden answered by 1309. Statistical processing was performed using descriptive and analytical methods. Rikshandboken i BarnhÀlsovård was widely used by the respondents, but regional differences and number of years in the profession affected the use. Almost all nurses were satisfied with the usability, content, and design and felt that a national guide for child healthcare is important. This indicates that an established Web-based national guide is an appropriate setting when a new national program is implemented. In order to achieve an equal and equitable child healthcare, it is essential that all nurses use the national guide to provide evidence-based practice. The value of main child healthcare units as regional facilitators in the innovation process of Rikshandboken i BarnhÀlsovård should not be underestimated.This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

  • 85.
    Vesikari, Timo
    et al.
    Univ Tampere, Sch Med, Vaccine Res Ctr, Biokatu 10, Tampere 33520, Finland..
    Richardus, Jan Hendrik
    Municipal Publ Hlth Serv GGD, Dept Infect Dis Control, Rotterdam, Netherlands..
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health. Blekinge Inst Technol, Sch Hlth Sci, Karlskrona, Sweden..
    Korhonen, Tiina
    Univ Tampere, Sch Med, Vaccine Res Ctr, Biokatu 10, Tampere 33520, Finland..
    Flodmark, Carl-Erik
    Skane Univ Hosp, Childhood Obes Unit, Malmo, Sweden..
    Lindstrand, Ann
    Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden..
    Silfverdal, Sven Arne
    Umea Univ, Dept Clin Sci, Umea, Sweden..
    Bambure, Vinod
    Quanticate, Bangalore, Karnataka, India..
    Caplanusi, Adrian
    GSK Vaccines, Wavre, Belgium..
    Dieussaert, Ilse
    GSK Vaccines, Rixensart, Belgium..
    Roy-Ghanta, Sumita
    GSK Vaccines, King Of Prussia, PA USA..
    Vaughn, David W.
    GSK Vaccines, Rixensart, Belgium..
    Immunogenicity and Safety of a Trivalent Inactivated Influenza Vaccine in Children 6 Months to 17 Years of Age, Previously Vaccinated with an AS03-Adjuvanted A(H1N1)Pdm09 Vaccine Two Open-label, Randomized Trials2015In: The Pediatric Infectious Disease Journal, ISSN 0891-3668, E-ISSN 1532-0987, Vol. 34, no 7, p. 774-782Article in journal (Refereed)
    Abstract [en]

    Background: During the influenza pandemic 2009-2010, an AS03-adjuvanted A(H1N1) pdm09 vaccine was used extensively in children 6 months of age and older, and during the 2010-2011 influenza season, the A(H1N1) pdm09 strain was included in the seasonal trivalent inactivated influenza vaccine (TIV) without adjuvant. We evaluated the immunogenicity and safety of TIV in children previously vaccinated with the AS03-adjuvanted A(H1N1) pdm09 vaccine. Methods: Healthy children were randomized (1:1) to receive TIV or a control vaccine. Children were aged 6 months to 9 years (n = 154) and adolescents 10-17 years (n = 77) when they received AS03-adjuvanted A(H1N1) pdm09 vaccine at least 6 months before study enrolment. Hemagglutination inhibition (HI) and neutralizing antibody responses against the A(H1N1) pdm09 strain were evaluated before (day 0) and at day 28 and month 6 after study vaccination. Reactogenicity was assessed during the 7 day postvaccination period, and safety was assessed for 6 months. Results: At day 0, >93.9% of all children had HI titers >= 1:40 for the A(H1N1) pdm09 strain, which increased to 100% at both day 28 and month 6 in the TIV group. Between days 0 and 28, HI antibody geometric mean titers against A(H1N1) pdm09 increased by 9-fold and 4-fold in children 6 months to 9 years of age and 10-17 years of age, respectively. Conclusion: AS03-adjuvanted A(H1N1) pdm09 vaccine-induced robust immune responses in children that persisted into the next season, yet were still boosted by TIV containing A(H1N1) pdm09. The reactogenicity and safety profile of TIV did not appear compromised by prior receipt of AS03adjuvanted A(H1N1) pdm09 vaccine.

  • 86.
    Weiber, Ingrid
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Berglund, Johan
    Blekinge Institute of Technology, School of Health Science.
    Tengland, Per-Anders
    Eklund, Mona
    Children born to women with intellectual disabilities: 5-year incidence in a Swedish county2012In: Journal of Intellectual Disability Research, Halifax, Canada: Wiley , 2012, Vol. 56, no 7-8Conference paper (Refereed)
    Abstract [en]

    Aim: The aim of this study was to investigate the five-year incidence of children born to women with intellectual disabilities (ID) in a county in Sweden. Method: In the county of Blekinge, women born between 1975 and 1989 were identified from school registers for children and adolescents with ID. The women’s personal identification numbers were linked and matched with the Swedish Medical Birth Register. Results: In 2010, a total of 98 women with ID were identified from the school registers. The Medical Birth Register showed that nine of these women had given birth to children: one woman gave birth to two children, and eight women had had one child each. The ten children were born between 2004 and 2008. Conclusion: Approximately 2.12 per thousand children are born per year to women with intellectual disabilities according to the incidence rate calculated as a result of the present study. For the whole of Sweden that rate indicates an incidence of approximately 225 children each year. The prevalence of children (aged 0–18 years) being born to women with intellectual disabilities is, on the basis of this study, estimated at about 4,050.

  • 87. Weiber, Ingrid
    et al.
    Berglund, Johan
    Tengland, Per-Anders
    Eklund, Mona
    Children born to women with intellectual disabilities: 5-year incidence in a Swedish county2011In: Journal of Intellectual Disability Research, ISSN 0964-2633, Vol. 55, no 11, p. 1078-1085Article in journal (Refereed)
    Abstract [en]

    Background: Families with parental intellectual disabilities are likely to need support in achieving a decent family life. In order to accurately plan for such support services, society needs data regarding the occurrence of those parents and their children. The aim of this study was to investigate the five-year incidence of children born to women with intellectual disabilities in a county in Sweden. Methods: Women born between 1975 and 1989 were identified from school registers for children and adolescents with intellectual disabilities in the county of Blekinge. The women’s personal identification numbers were, in 2010, linked and matched with the Swedish Medical Birth Register. Results: In total, 98 women with intellectual disabilities were identified. Nine of these had given birth to children; one woman to two children and eight women to one child each. The ten children were born between 2004 and 2008. Conclusion: The incidence rate calculated as a result of the present study indicates that approximately 2.12 per thousand children are born per year to women with intellectual disabilities. For the whole of Sweden that rate indicates an incidence of approximately 225 children each year. On the basis of this, the prevalence of children (aged 0-18 years) being born to women with intellectual disabilities is estimated at about 4,050.

  • 88. Weiber, Ingrid
    et al.
    Tengland, Per Anders
    Malmö högskola, SWE.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Eklund, Mona
    Malmö högskola, SWE.
    Everyday life when growing up with a mother with an intellectual or developmental disability: Four retrospective life-stories2018In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed)
    Abstract [en]

    Background: The voices of those who have grown up in a family with maternal intellectual or developmental disability (IDD) are valuable for gaining an understanding of their situation, which is essential in order to be able to support these families and avoid potentially detrimental situations. Aim: The study aim was to describe the experience of having grown up in a family where the mother has an IDD, with a focus on everyday life and perceived health consequences in adult life. Method: A qualitative method with retrospective narrative interviews and narrative content analysis was chosen. In-depth interviews were performed with four women who had experiences of a childhood with maternal IDD. Findings: Four themes emerged: Living under adverse circumstances; Dealing with one’s everyday life situation; Receiving insufficient support and wishing for more; and The echo from childhood into adult life. The findings revealed a distressing childhood, characterized by neglect, abuse, anxiety, and overburdening responsibilities, and also endeavors to keep the family situation a secret, while at the same time wanting the adult world to react. Discussion: The findings can hopefully stimulate occupational therapists and other professionals to more effectively identify the situation of these children and provide support to prevent adverse future health conditions and poor well-being. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

  • 89.
    Weiber, Ingrid
    et al.
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Tengland, Per-Anders
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Eklund, Mona
    Social and Healthcare Professionals' Experiences of Giving Support to Families Where the Mother Has an Intellectual Disability: Focus on Children2014In: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122 , Vol. 11, no 4, p. 293-301Article in journal (Refereed)
    Abstract [en]

    Families where the mother has an intellectual disability need support to counteract possible detrimental life circumstances for the children involved. The aim of this study was to describe social and healthcare professionals' experiences of providing support for families with maternal intellectual disability and specifically focused on if and how they believed the support practices benefited the children. Seven focus group interviews were performed with 29 professional informants. The transcripts were analyzed with qualitative content analysis. Three themes were identified: support practices, pedagogical strategies when supporting families with maternal intellectual disability, and maintaining the child perspective. The support practices mainly dealt with parenting skills, which were addressed by a variety of teaching methods and practices, while the children were at risk of not being seen or heard.

  • 90.
    Wilhelmsson, Peter
    et al.
    Linkoping Univ, Dept Clin & Expt Med, Med Microbiol, S-58185 Linkoping, Sweden..
    Fryland, Linda
    Linkoping Univ, Dept Clin & Expt Med, Infect Dis, S-58185 Linkoping, Sweden.;Linkoping Univ, Dept Clin & Expt Med, Clin Immunol, S-58185 Linkoping, Sweden..
    Lindblom, Pontus
    Linkoping Univ, Dept Clin & Expt Med, Med Microbiol, S-58185 Linkoping, Sweden..
    Sjowall, Johanna
    Linkoping Univ, Dept Infect Dis, S-58185 Linkoping, Sweden.;Linkoping Univ, Dept Clin & Expt Med, S-58185 Linkoping, Sweden..
    Ahlm, Gas
    Umea Univ, Dept Clin Microbiol, Div Infect Dis, S-90185 Umea, Sweden..
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Haglund, Mats
    Kalmar Cty Hosp, Dept Infect Dis, S-38195 Kalmar, Sweden..
    Henningsson, Anna J.
    Ryhov Cty Hosp, Dept Clin Microbiol, Div Med Serv, S-55185 Jonkoping, Sweden..
    Nolskog, Peter
    Reg Vastra Gotaland Skaraborg Hosp, Dept Communicable Dis Control & Prevent, S-54185 Skovde, Sweden..
    Nordberg, Marika
    Aland Grp Borrelia Res, Mariehamn, Aland, Finland..
    Nyberg, Clara
    Aland Grp Borrelia Res, Mariehamn, Aland, Finland..
    Ornstein, Katharina
    Hassleholm Hosp, Dept Internal Med, S-28138 Hassleholm, Sweden.;Lund Univ, Dept Clin Sci, S-22100 Lund, Sweden..
    Nyman, Dag
    Aland Grp Borrelia Res, Mariehamn, Aland, Finland..
    Ekerfelt, Christina
    Linkoping Univ, Dept Clin & Expt Med, Clin Immunol, S-58185 Linkoping, Sweden.;Linkoping Univ, Dept Clin & Expt Med, S-58185 Linkoping, Sweden..
    Forsberg, Pia
    Linkoping Univ, Dept Clin & Expt Med, Infect Dis, S-58185 Linkoping, Sweden.;Linkoping Univ, Dept Infect Dis, S-58185 Linkoping, Sweden..
    Lindgren, Per-Eric
    Linkoping Univ, Dept Clin & Expt Med, Med Microbiol, S-58185 Linkoping, Sweden..
    A prospective study on the incidence of Borrelia burgdorferi sensu lato infection after a tick bite in Sweden and On the Aland Islands, Finland (2008-2009)2016In: Ticks and Tick-borne Diseases, ISSN 1877-959X, E-ISSN 1877-9603, Vol. 7, no 1, p. 71-79Article in journal (Refereed)
    Abstract [en]

    Lyme borreliosis (LB) is a common and increasing tick-borne disease in Europe. The risk of acquiring a Borrelia infection after a tick bite is not fully known. Therefore, we investigated the incidence of Borrelia infection after a bite by a Borrelia-infected tick and if the Borrelia load and/or the duration of tick-feeding influenced the risk of infection. During 2008-2009, ticks and blood samples were collected from 1546 tick-bitten persons from Sweden and the Aland Islands, Finland. Follow-up blood samples were taken 3 months after the tick bite. The duration of tick feeding was microscopically estimated and Borrelia was detected and quantified in ticks by real-time PCR. Anti-Borrelia antibodies were detected in sera using ELISA tests and immunoblot. Five percent (78/1546) of the study participants developed Borrelia infection (LB diagnosis and/or seroconversion) after a tick bite (45% bitten by Borrelia-infected ticks and 55% bitten by uninfected ticks). Of these, 33 developed LB (whereof 9 also seroconverted) while 45 participants seroconverted only. Experience of non-specific symptoms was more frequently reported by Borrelia-infected participants compared to uninfected participants. All who seroconverted removed "their" ticks significantly later than those who did not. The Borrelia load in the ticks did not explain the risk of seroconversion. Regional and sex differences in the Borrelia seroprevalence were found. The risk of developing a Borrelia infection after a bite by a Borrelia-infected tick is small but increases with the duration of tick feeding. (C) 2015 Elsevier GmbH. All rights reserved.

  • 91.
    Wimo, A.
    et al.
    Karolinska Inst, SWE.
    Elmstål, S.
    Lunds universitet, SWE.
    Fratiglioni, L.
    Karolinska Inst, SWE.
    Sjölund, B.-M.
    Karolinska Inst, SWE.
    Sköldunger, A.
    Karolinska Inst, SWE.
    Fagerström, Cecilia
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Lagergren, M.
    Stockholm Gerontol Res Ctr., SWE.
    Formal and informal care of community-living older people: A population-based study from the Swedish National study on Aging and Care2017In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 21, no §, p. 17-24Article in journal (Refereed)
    Abstract [en]

    Objectives: Study formal and informal care of community-living older people in the Swedish National study of Aging and Care (SNAC). Design: Cross-sectional, population based cohort. Setting: Three areas in Sweden: Municipality of Nordanstig, Stockholm and Skåne County. Participants: 3,338 persons ≥72 years. Measurements: Patterns and amounts of informal and formal care by cognition and area of residence. Results: 73% received no care; 14% formal care; and 17% informal care (7% received both). In the whole study population, including those who used no care, individuals in small municipalities received 9.6 hours of informal care/month; in mid-size municipalities, 6.6; and in urban areas, 5.6. Users of informal care received 33.1 hours of informal care/month in small municipalities, 54.6 in mid-size municipalities and 36.1 in urban areas. Individuals with cognitive impairment received 14.1 hours of informal care/month, 2.7 times more than people with no/slight impairment. In the whole study population, individuals in small municipalities received an average of 3.2 hours of formal care/month; in mid-size municipalities 1.4; and in urban areas, 2.6. Corresponding figures for formal care users were 29.4 hours in small municipalities, 13.6 in mid-size municipalities and 16.7 in urban areas. Formal care users received 7.1 hours, and informal care users, 5.9 hours for each hour/month received by people in the study population as a whole. Conclusions: More informal than formal care was provided. Informal care is more frequent in small municipalities than urban areas and for those with than without cognitive impairment. The relationship between data on the whole population and the data on users or care indicates that population-based data are needed to avoid overestimates of care.

  • 92. Wranker, Lena Sandin
    et al.
    Rennemark, Mikael
    Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Pain among older adults from a gender perspective: findings from the Swedish National Study on Aging and Care (SNAC-Blekinge)2016In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 44, no 3, p. 258-263Article in journal (Refereed)
    Abstract [en]

    Background and aims: Pain is common in the elderly population and its prevalence varies according to the studied disease, clinical setting, sex and age. This study examines pain in an aging population from a gender perspective. Methods: The Swedish National study on Aging and Care (SNAC) is conducted at four research centres. Participants were recruited from the baseline sample (n=1402) at one of the research centres, SNAC-Blekinge. Individuals aged 60 years and older were included and non-participation was documented. Research personnel conducted the medical examination on two occasions. Results: The prevalence of pain was 769/1402 (54.8%), distributed as 496/817 (64.5%) women and 273/585 (35.5%) men, p<0.01. Women reported more pain located in the vertebral column, p<0.01. The most common pain location was the legs and feet. About 84% reported pain intensity as 4 or higher on the visual analogue scale (VAS). Pain intensity declines with age among men, p<0.01. The most frequent treatment was painkillers. A total of 128/263 (48.7%) of the men received no pain treatment compared with 177/478 (37.0%) of the women, p<0.01. In a multivariate logistic regression model, women yielded the highest OR [OR 1.94 (C.I. 1.51-2.49)] for pain. Conclusions: Pain is common among older adults and there are significant differences between the sexes. Almost 55% of participants reported pain, predominantly women. In the majority of cases the intensity was rated as moderate or severe (VAS >4) and women rated higher than men p<0.02. Almost half of the men (48.7%) did not receive any treatment compared to 37% of the women, p<0.01.

  • 93. Wranker Sandin, L.W
    et al.
    Rennemark, Mikael
    Blekinge Institute of Technology, School of Health Science.
    Berglund, Johan
    Blekinge Institute of Technology, School of Health Science.
    Pain among older adults with gender perspective: findings from the SNAC study2011Conference paper (Refereed)
12 51 - 93 of 93
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf