Endre søk
Begrens søket
1234 51 - 100 of 162
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Treff pr side
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
Merk
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 51. Hamnerius, N.
    et al.
    Berglund, Johan
    Faergemann, J.
    Pedal dermatophyte infection in psoriasis.2004Inngår i: British Journal of Dermatology, ISSN 0007-0963, Vol. 50(6), s. 1125-1118Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Dermatophyte infections have been considered rare in psoriasis. However, there are data indicating that tinea unguium is as common or even more common in psoriasis compared with healthy controls. Tinea unguium is generally a secondary event to tinea pedis infection. OBJECTIVES: To study the prevalence of tinea pedis and tinea unguium in psoriasis compared with a control group. METHODS: Consecutive psoriasis outpatients aged 18-64 years attending a department of dermatology were examined. Samples for direct microscopy and culture were taken from the interdigital spaces, soles and toenails. Consecutive patients without signs of psoriasis or atopic dermatitis seeking examination of moles constituted the control group. RESULTS: In total, 239 patients with psoriasis and 245 control patients were studied. The prevalence of tinea pedis was 8.8%[95% confidence interval (CI) +/- 3.6%] in the psoriasis group and 7.8% (95% CI +/- 3.4%) in the control group. The corresponding figures for prevalence of tinea unguium were 4.6% (95% CI +/- 2.7%) and 2.4% (95% CI +/- 1.9%), respectively. The differences found in the psoriasis vs. the control groups were not statistically significant. CONCLUSIONS: This study does not support the hypothesis that the prevalence of tinea pedis and tinea unguium in patients with psoriasis differs from that in a normal population.

  • 52. Heath, Christian
    et al.
    Luff, Paul
    Svensson, Marcus Sanchez
    Video and qualitative research: analysing medical practice and interaction2007Inngår i: Medical education, ISSN 1365-2929, Vol. 41, nr 1, s. 109-116Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There has been a longstanding recognition that video provides an important resource within medical education particularly, perhaps, for training in primary health care. As a resource for research, and more specifically within qualitative social science studies of medical practice, video has proved less pervasive despite its obvious advantages. In this paper, we sketch an approach for using video to inform the analysis of medical practice and the ways in which health care is accomplished through social interaction and collaboration. Drawing on our own research we discuss two brief examples; one the use of computing technology in primary health care and secondly informal instruction during surgical operations. The examples illustrate the multimodal character of medical work, how activities are accomplished through the interplay of talk, the visual and the use of material artefacts. They also illustrate the ways in which video provides access to the complex forms of social interaction and collaboration that underpin health care. We reflect upon the research opportunities afforded by video and the ways in which video based studies of interaction can contribute to the practice and practicalities of medicine.

  • 53. Hellström, Amanda
    et al.
    Hagell, Peter
    Fagerström, Cecilia
    Willman, Ania
    Measurement properties of the Minimal Insomnia Symptom Scale (MISS) in an elderly population in Sweden.2010Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 10:84Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Insomnia is common among elderly people and associated with poor health. The Minimal Insomnia Symptom Scale (MISS) is a three item screening instrument that has been found to be psychometrically sound and capable of identifying insomnia in the general population (20-64 years). However, its measurement properties have not been studied in an elderly population. Our aim was to test the measurement properties of the MISS among people aged 65 + in Sweden, by replicating the original study in an elderly sample. Methods: Data from a cross-sectional survey of 548 elderly individuals were analysed in terms of assumptions of summation of items, floor/ceiling effects, reliability and optimal cut-off score by means of ROC-curve analysis and compared with self-reported insomnia criteria. Results: Corrected item-total correlations ranged between 0.64-0.70, floor/ceiling effects were 6.6/0.6% and reliability was 0.81. ROC analysis identified the optimal cut-off score as ≥7 (sensitivity, 0.93; specificity, 0.84; positive/negative predictive values, 0.256/0.995). Using this cut-off score, the prevalence of insomnia in the study sample was 21.7% and most frequent among women and the oldest old. Conclusions: Data support the measurement properties of the MISS as a possible insomnia screening instrument for elderly persons. This study make evident that the MISS is useful for identifying elderly people with insomnia-like sleep problems. Further studies are needed to assess its usefulness in identifying clinically defined insomnia.

  • 54. Holst, Göran
    A family based model for dementia care in Blekinge, Sweden2009Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The studies' purpose was to investigate mood/emotional well-being in people with dementia living in their ordinary homes where they are most commonly cared for by their relatives, with special focus on the relationships between mood and stage of dementia, functional dependency and receiving support from a next of kin in daily personal care, and finally, the association between family caregivers feelings of burden, self-reported health, and mood of the patient. Baseline survey from a small longitudinal study, the Dementia in Blekinge Study (DIBS). 64 persons (53 % female) with a suspected or diagnosed dementia disease and 58 family caregivers (68 % female) participated. Data was collected by dementia nurses during a house call. Measurements used were: Mini Mental test and Clocktest (cognitive functioning); Berger scale (grade of dementia); Patient Mood Assessment Scale (mood-emotional well-being); ADL-staircase (dependency in activities); COPE index (career support, health and well-being). The results showed that a person with a moderate dementia who was dependent on help from others for personal care, was more often reported to have a bad mood. 28 % of the informal caregivers giving regular support answered that they quite often, or almost always, experienced it as a burden. There was a significant correlation between age and feeling burdened. Patient's children acting as caregivers more often reported themselves as feeling burdened by the role. Correlation between next of kin’s feelings of burden, and patient’s mood and emotional reactions, was weak.

  • 55. Hult, Tommy
    et al.
    Mohammed, Abbas
    Application of Space-Time Signal Processing and Active Control Algorithms for the Suppression of Electromagnetic Fields2011Inngår i: Applied Signal and Image Processing: Multidisciplinary Advancements / [ed] Qahwaji, Rami; Green, Roger; Hines, Evor, Hershey: IGI Global , 2011, s. 45-60Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    Several studies have been conducted on the effects of radiation on the human body. This has been especially important in the case of radiation from hand held mobile phones. The amount of radiation emitted from most mobile phones is very small, but given the close proximity of the phone to the head it might be possible for the radiation to cause harm. The suggested approach involves the use of adaptive active control algorithms and a full space-time processing system setup (i.e. multiple antennas at both the transmitter and receiver side or MIMO), with the objective of reducing the possibly harmful electromagnetic radiation emitted by hand held mobile phones. Simulation results show the possibility of using the adaptive control algorithms and MIMO antenna system to attenuate the electromagnetic field power density.

  • 56.
    Iqbal, Danyal
    et al.
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Paslawski Saleh, Darian
    Sjuksköterskors upplevelser av att använda sig av en tolk inom hälso- och sjukvården: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Sammanfattning

    Bakgrund: Behovet av tolk vid vårdrelaterade besök har ökat i samband med den ökade migrationen till Europa. Drygt en miljon människor på flykt ifrån krig och förföljelser beräknades år 2015 passera inom ramarna av Europa, vilket är den genom tiden största migrationen till Europa dokumenterad. Detta innebär att dagens sjuksköterskor kommer att ställas inför allt fler sammanhang där det finns ett behov av en tolk. Enligt ICN:s etiska kod för sjuksköterskor bär sjuksköterskor på ett ansvar att förmedla begriplig information till patienten vilket gör att tolkar behöver bokas in vid vårdmöten där ett tolkbehov finns. Brister kommunikationen mellan sjuksköterskan och patienten hotas patientsäkerheten och vårdkvaliteten.

    Syfte: Syftet med studien var att undersöka sjuksköterskors upplevelser av att använda sig av en tolk inom hälso- och sjukvården.

    Metod: Denna litteraturstudie gjordes med en kvalitativ ansats som baserades på 9 vetenskapliga artiklar. Vid kvalitetsgranskningen av dessa artiklar användes CASP mallen som används som mall för kvalitativa studier. Analysen gjordes med Graneheim och Lundmans beskrivning av en kvalitativ innehållsanalys.

    Resultat: Resultatet presenteras i 2 huvudkategorier och 7 underkategorier. De 2 huvudkategorierna är Behovet av att använda en tolk samt Problematik kring tolkanvändning.

    Slutsats: För att kunna kommunicera med och förmedla information till en patient som inte talar samma språk som sjuksköterskan behövs en tolk. Utan en tolk vid vårdmötet där behovet finns kan sjuksköterskan inte verifiera patientens tillstånd och försäkra sig om att patienten förstått vad som sagts under vårdmötet. Trots nödvändigheten och behovet att ha med en tolk finns det begränsningar och problem kring tolkanvändning som missförstånd, feltolkning av tolken samt brist på tolktillgänglighet. Sammanställningen av studien kan bidra till en ökad förståelse för tolkens betydelse för kommunikationen och kommunikationens betydelse för vårdkvaliteten. Vidare forskning kring ämnet kan vara att belysa om utbildning i tolkanvändning har någon inverkan på vårdmötet när en tolk nyttjas.

  • 57. Isovaara, Sten
    et al.
    Arman, Maria
    Rehnsfeldt, Arne
    Family Suffering Related to War Experiences: an Interpretative Synopsis Review of the Literature from a Caring Science Perspective2006Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318 , Vol. 20, nr 3, s. 241-250Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to conduct a synopsis review of findings from families' experiences related to combat and war events and to interpret these findings from the perspective of theories of suffering. The method used in the study was a synopsis review of 12 articles dealing with family suffering related to war or combat experiences and an interpretation of the articles from a caring science perspective. Findings from the synopsis review were that the dominant part of the articles viewed suffering in general and post-traumatic stress disorders (PTSD) in particular from a medical, psychiatric or psychologically behaviouristic perspective. PTSD and other distress-related conditions were mainly described in terms of their symptoms and dealt with in terms of pathology. The interpretation of the articles from a caring science perspective generated three significant themes: first, interdependence as a spiritual dimension of dependence, secondly, familial communion as sharing moral and spiritual values and thirdly, familial suffering visualized by compassion. The study's conclusion is that, from a caring science perspective, the appearance of family suffering should be comprehended in terms of expressed compassion and that any disturbance within familial communion is likely to have an emotional impact on all of the family members, as a result of their interdependence

  • 58. Jakubowski, Elke
    et al.
    Bjegovic-Mikanovic, Vesna
    Müller-Nordhorn, Jaqueline
    Stjernberg, Louise
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Foldspang, Anders
    Equity across the European region: the European action plan for strengthening Public Health Services and Capacity2014Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Plenary: After key note presentation by Elke Jakubowski, the plenary session continued as panel discussion dedicated to innovation and good-practice in public health education based on interface between public health operations, competences and performance.

  • 59.
    Jama Mahmud, Amina
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Designing ICT-Supported Health Promoting Communication in Primary Health Care2013Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Increasing lifestyle-related ill health, escalating health care costs, expanding health inequalities within and between nations, and an aging population are challenges facing governments globally. Governments, especially in industrialized countries like Sweden, are investing in health promotion and health communication, especially in ICT-supported health communication as a way to increase health literacy and empowerment at individual and population levels. Studies show that many eHealth communication efforts are narrow in scope, medical oriented and therefore not enough to address the complexity of lifestyle-related ill health and equity issues. This thesis proposes integrating health promotion values and principles in the design process of eHealth systems for health promotion in order to develop usable, sustainable, engaging, eHealth resources that are adaptable to their context of use and user’s skills. The overall aim of this thesis was study the participatory development process of an interactive ICT-supported health communication channel for health promotion and enhancing health literacy in PHC context. Participatory Action Research (PAR) with a multi-phase and multi-method approach was used in this thesis. A model entitled Spiral Technology Action Research’ (STAR) was used to guide the development of the health channel. This design process was framed in three developmental and evaluation phases corresponding to formative, process and outcome evaluation. A total of 146 participants consisting of professionals from primary health care services, information technology and academia, and local citizens participated in the project’s different phases. A triangulation of methods was used to collect the data; survey, document analysis, participatory observations with field notes, individual interviews, focus groups, think aloud protocols and log statistics. Qualitative and quantitative content analyses were used to analyse data. The results revealed that integrating health promotion values and principles in the design process proved to be valuable not only to the content of the channel, but also in PHC practice. The different design phases yielded valuable results that built into each other and contributed to an eHealth channel that was perceived as relevant to the local people’s need for health communication; accessible and user friendly. The results also indicated that an Internet based interactive health channel, could be a valuable resource for enhancing health literacy if users are involved in the design.

  • 60.
    Jama Mahmud, Amina
    et al.
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Olander, Ewy
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Eriksén, Sara
    Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation.
    Haglund, Bo
    Health communication in primary health care -A case study of ICT development for health promotion2013Inngår i: BMC Medical Informatics and Decision Making, ISSN 1472-6947, E-ISSN 1472-6947, Vol. 13, nr 17, s. 1-15Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Developing Information and Communication Technology (ICT) supported health communication in PHC could contribute to increased health literacy and empowerment, which are foundations for enabling people to increase control over their health, as a way to reduce increasing lifestyle related ill health. However, to increase the likelihood of success of implementing ICT supported health communication, it is essential to conduct a detailed analysis of the setting and context prior to the intervention. The aim of this study was to gain a better understanding of health communication for health promotion in PHC with emphasis on the implications for a planned ICT supported interactive health channel. Methods A qualitative case study, with a multi-methods approach was applied. Field notes, document study and focus groups were used for data collection. Data was then analyzed using qualitative content analysis. Results Health communication is an integral part of health promotion practice in PHC in this case study. However, there was a lack of consensus among health professionals on what a health promotion approach was, causing discrepancy in approaches and practices of health communication. Two themes emerged from the data analysis: Communicating health and environment for health communication. The themes represented individual and organizational factors that affected health communication practice in PHC and thus need to be taken into consideration in the development of the planned health channel. Conclusions Health communication practiced in PHC is individual based, preventive and reactive in nature, as opposed to population based, promotive and proactive in line with a health promotion approach. The most significant challenge in developing an ICT supported health communication channel for health promotion identified in this study, is profiling a health promotion approach in PHC. Addressing health promotion values and principles in the design of ICT supported health communication channel could facilitate health communication for promoting health, i.e. ‘health promoting communication’.

  • 61. Jarefors, Sara
    et al.
    Bennet, Louise
    You, Elin
    Forsberg, Pia
    Ekerfelt, Christina
    Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Ernerudh, Jan
    Lyme borreliosis reinfection: might it be explained by a gender difference in immune response?2006Inngår i: Immunology, ISSN 0019-2805, E-ISSN 1365-2567, Vol. 118, nr 2, s. 224-232Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Lyme borreliosis is a tick-borne disease often manifesting as a circular skin lesion. This cutaneous form of the disease is known as erythema migrans. In a 5-year follow-up study in southern Sweden, 31 of 708 individuals initially diagnosed with erythema migrans and treated with antibiotics were found to be reinfected with Borrelia burgdorferi. Although men and women were tick-bitten to the same extent, 27 of the 31 reinfected individuals were women, all of whom were over 44 years of age. The aim of this study was to determine whether this discrepancy in gender distribution could be a result of differences in immunological response. Twenty single-infected and 21 reinfected women and 18 single-infected and three reinfected men were included in the study. None of the participants showed any sign of an ongoing B. burgdorferi infection, and thus the habitual response was captured. Lymphocytes were separated from blood and stimulated with antigens. The secretion of interleukin (IL)-4, IL-6, IL-10, interferon (IFN)-gamma and tumour necrosis factor (TNF)-alpha was measured by enzyme-linked immunosorbent assay (ELISA), enzyme-linked immunosorbent spot-forming cell assay (ELISPOT) or Immulite. No difference was detected in cytokine secretion between single-infected and reinfected individuals. We also compared the immunological response in men and women, regardless of the number of B. burgdorferi infections. Women displayed a significantly higher spontaneous secretion of all cytokines measured. The ratios of IL-4:IFN-gamma and IL-10:TNF-alpha were significantly higher in women. Gender differences in immune reactivity might in part explain the higher incidence of reinfection in women. The higher IL-4:IFN-gamma and IL-10:TNF-alpha ratios seen in women indicate that postmenopausal women have T helper type 2 (Th2)-directed reactivity with impaired inflammatory responses which might inhibit the elimination of spirochetes.

  • 62. Laar, A.
    et al.
    Manu, A.
    Laar, M.
    El-Adas, A.
    Amenyah, R.
    Atuahene, K.
    Quarshie, Dave
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för industriell ekonomi.
    Adjei, A. A.
    Quakyi, I.
    Coping strategies of HIV-affected households in Ghana2015Inngår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: HIV and negative coping mechanisms have a cyclical relationship. HIV infections may lead to the adoption of coping strategies, which may have undesired, negative consequences. We present data on the various coping mechanisms that HIV-affected households in Ghana resort to. Methods: We collected data on coping strategies, livelihood activities, food consumption, and asset wealth from a nationally representative sample of 1,745 Ghanaian HIV-affected households. We computed coping strategies index (CSI), effective dependency rate, and asset wealth using previously validated methodologies. Results: Various dehumanizing coping strategies instituted by the HIV-affected households included skipping an entire day’s meal (13%), reducing portion sizes (61.3%), harvesting immature crops (7.6%), and begging (5.6%). Two-thirds of the households were asset poor. Asset-poor households had higher CSI than asset-rich households (p <0.001). CSI were also higher among female-headed households and lower where the education level of the household head is higher. Households caring for chronically ill members recorded higher CSI in comparison with their counterparts without the chronically ill (p < 0.05). Conclusions: Institution of degrading measures by HIV-affected households in reaction to threat of food insecurity was prevalent. The three most important coping strategies used by households were limiting portion size (61.3%), reducing number of meals per day (59.5%) and relying on less expensive foods (56.2%). The least employed strategies included household member going begging (5.6%), eating elsewhere (8.7%) and harvesting immature crop (7.6%). Given that household assets, and caring for the chronically ill were associated with high CSI, a policy focusing on helping HIV-affected households gradually build up their asset base, or targeting households caring for chronically ill member(s) with conditional household-level support may be reasonable. © 2015 Laar et al.

  • 63.
    Lagergren, Marten
    et al.
    Stockholm Gerontol Res Ctr, Stockholm, Sweden..
    Fagerstrom, Cecilia
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Sjolund, Britt-Marie
    Karolinska Inst, Dept Neurobiol, Aging Res Ctr, Care Sci & Soc, Solna, Sweden.;Stockholm Univ, Solna, Sweden..
    Sanmartin Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Fratiglioni, Laura
    Stockholm Gerontol Res Ctr, Stockholm, Sweden.;Karolinska Inst, Dept Neurobiol, Aging Res Ctr, Care Sci & Soc, Solna, Sweden.;Stockholm Univ, Solna, Sweden..
    Nordell, Eva
    Lund Univ, Dept Hlth Sci, Div Geriatr Med, Malmo, Sweden.;Skane Univ Hosp, Malmo, Sweden..
    von Strauss, Eva
    Karolinska Inst, Dept Neurobiol, Aging Res Ctr, Care Sci & Soc, Solna, Sweden.;Stockholm Univ, Solna, Sweden.;Red Cross Hosp, Nonprofit Org, Stockholm, Sweden.;Red Cross Univ Coll, Stockholm, Sweden..
    Wimo, Anders
    Karolinska Inst, Dept Neurobiol, Alzheimers Dis Res Ctr, Care Sci & Soc, Solna, Sweden..
    Elmstahl, Solve
    Lund Univ, Dept Hlth Sci, Div Geriatr Med, Malmo, Sweden.;Skane Univ Hosp, Malmo, Sweden..
    Horizontal and vertical targeting: a population-based comparison of public eldercare services in urban and rural areas of Sweden2016Inngår i: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 28, nr 1, s. 147-158Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The concepts of target efficiency can be used to assess the extent to which service provision is in line with the needs of the population. Horizontal target efficiency denotes the extent to which those deemed to need a service receive it and vertical target efficiency is the corresponding extent to which those who receive services actually need them. The aim of this study was to assess the target efficiency of the Swedish eldercare system and to establish whether target efficiencies differ in different geographical areas such as large urban, midsize urban and rural areas. Vertical efficiency was measured by studying those people who received eldercare services and was expressed as a percentage of those who received services who were functionally dependent. To measure horizontal target efficiency, data collected at baseline in the longitudinal population study SNAC (Swedish National study on Aging and Care) during the years 2001-2004 were used. The horizontal efficiency was calculated as the percentage of functionally dependent persons who received services. Functional dependency was measured as having difficulty with instrumental activities of daily living (IADL) and/or personal activities of daily living (PADL). Services included long-term municipal eldercare services (LTC). Horizontal target efficiency for the public LTC system was reasonably high in all three geographical areas, when using dependency in PADL as the measure of need (70-90 %), but efficiency was lower when the less restrictive measure of IADL dependency was used (40-50 %). In both cases, the target efficiency was markedly higher in the large urban and the rural areas than in the midsize urban areas. Vertical target efficiency showed the same pattern-it was almost 100 % in all areas for IADL dependency, but only 50-60 % for PADL dependency. Household composition differed in the areas studied as did the way public long-term care was provided to people living alone as compared to those co-habiting.

  • 64. Lagergren, Mårten
    et al.
    Fratiglioni, Laura
    Hallberg, Ingalill R
    Berglund, Johan
    Elmståhl, Sölve
    Hagberg, Bo
    Holst, Göran
    Rennemark, Mikael
    Sjölund, Britt-Marie
    Thorslund, Mats
    A longitudinal study integrating population, care and social services data. The Swedish National study on Aging and Care (SNAC).2004Inngår i: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 16, nr 2, s. 158-168Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND AND AIMS: A large, national, long-term, longitudinal, multi-purpose study has been launched in Sweden--the Swedish National study on Aging and Care (SNAC). The study involves four research centers collecting data in four different areas of Sweden. METHODS: The study consists of two parts: the population part and the care and services part. In the population part, a large, representative panel of elders in different age cohorts is followed over time to record and describe the aging process from different aspects. In the care and services part, a systematic, longitudinal, individually-based collection of data is performed concerning provision of care and services together with functional ability, specific health care problems, and living conditions of the recipients living in the area. RESULTS: The data collection in the population part of the SNAC is not yet completed. In the present article, some preliminary results are reported from the care and services part. These pertain to comparisons between the participating areas with respect to the prevalence of disability among those receiving care and social services in their ordinary homes and those receiving care in special accommodation. A comparison is also presented with regard to the amount of home help provided to subjects with a given disability. CONCLUSIONS: This project has several advantages. It is expected to generate a rich data base relevant for future research on aging and care and to have a direct impact on the future Swedish system of care and services for the elderly.

  • 65. Lagergren, Mårten
    et al.
    Sjölund, Britt-Marie
    Fagerström, Cecilia
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Berglund, Johan
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Fratiglioni, Laura
    Nordell, Eva
    Wimo, Anders
    Elmståhl, Sölve
    Horizontal and vertical target efficiency – a comparison between users and non-users of public long-term care in Sweden2014Inngår i: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 34, nr 4, s. 700-719Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The extent to which a system of services is in tune with the needs of the population can be expressed in terms of target efficiency, which includes horizontal target efficiency – the extent to which those deemed to need a service receive it – and vertical target efficiency – the corresponding extent to which those who receive a service actually need it. Vertical efficiency can be measured by looking only at those receiving services. To measure horizontal target efficiency in a population, one must have access to population surveys. Data were taken from the baseline survey of the Swedish National Study on Ageing and Care (SNAC study). The results show that more than 80 per cent of those dependent in personal activities of daily living in the studied geographic areas were users of public long-term care (LTC). Dependency in instrumental activities of daily living was identified as the most important predictor of using LTC. Vertical target efficiency was 83–95 per cent depending on age, gender and type of household, if need was defined as dependency in instrumental activities of daily living. It was considerably lower, 35–61 per cent when defined as dependency in personal daily activities. Overall, long-term target efficiency in Sweden must be regarded as high. Few persons who need public LTC services fail to receive them.

  • 66. Larsson-Mauleon, Annika
    Newly graduated nurse anesthetists' experiences and views on anesthesia nursing -- a phenomenographic study2002Inngår i: AANA Journal , ISSN 0094-6354, Vol. 70, nr 4, s. 281-287Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This qualitative study identifies and describes different ways in which newly graduated nurse anesthetist (NAs) experience and perceive nurse anesthesia. It explains different approaches to nurse anesthesia care and, thus, to clinical nursing care ( in an anesthesia and surgical context), provided by new NAs. One month after graduation, all NAs who had completed an anesthesia program responded to 4 open-ended questions. A phenomnographic method was used to analyze their responses. The results were divided into 3 categories, which describe nurse anesthesia from the perspectives of (1) maintaining physical well-being; (2) being protectors and advocates; and (3) ability to perform good nurse anesthesia given all the demands placed on the NAs. The results indicate that, for new NAs, the nurse anesthesia care situation was largely influenced by context and generated feelings of inadequacy because the NAs could not provide the emotional support that they believed their patients required.

  • 67. Lavesson, Niklas
    Predicting the Risk of Future Hospitalization2010Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Elderly over 80 is the fastest growing segment of the Swedish population. With this increase in age the proportion of people with more than one chronic disease, multiple prescribed drugs, and disabilities is getting larger. At the same time, hospitalization accounts for a large amount of the total cost of healthcare. We hypothesize that the number and duration of these hospitalizations could be reduced if the primary care was given suitable tools to predict the risk and/or duration of hospitalization, which then could be used as a basis for providing suitable interventions. In this paper, we investigate the possibility to learn how to predict the risk of hospitalization of the elderly by mining patient data, in terms of age, sex, as well as diseases and prescribed drugs for a large number of patients. We have obtained diagnosis and drug use data from 2006, and associate these data with the number of days of hospitalization from 2007 for 406,272 subjects from the Östergötland county healthcare database. We suggest a data mining approach for automatically generating prediction models and empirically compare two learning algorithms on the problem of predicting the risk for hospitalization.

  • 68. Li, Wenchen
    et al.
    Schenkman, Bo
    Brunnström, Kjell
    Night Vision Systems in Cars: A Review of Principles, Experimental Results and Recommendations2008Inngår i: Ergonomia: An International Journal of Ergonomics and Human Factors, ISSN 0137-4990, Vol. 30, nr 2, s. 99-114Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The effects of using a vision enhancement system when driving a car at night, especially those based on infrared image information are reviewed. Principles and a short technical background are given for night vision systems in cars. The following issues are discussed: Human vision at night, infrared image information, and human factors of night vision systems. A proposal is made for using the terms indirect viewing panel and direct viewing panel instead of the terms head up display and head down display. The advantages for older drivers are pointed out. Methodological aspects of how to study human factor aspects of night vision systems are also reviewed. Measures to be used as dependent variables are suggested: Speed, time to collision, eye movements, reaction time, lateral position of the car on the road, and the workload of the driver. Recommendations, based on visual ergonomics, taking into account different visual fields for where to put the image are given. Here suitable image distances, locations, and sizes are discussed.

  • 69.
    Lilje, Stina
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Behandling hos naprapat kan avlasta köer till ortopeder2010Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, nr 40Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 70.
    Lilje, Stina C.
    et al.
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Skillgate, Eva
    Anderberg, Peter
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Negative psychosocial and heavy physical workloads associated with musculoskeletal pain interfering with normal life in older adults: Cross-sectional analysis2015Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, nr 5, s. 453-459Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims: Pain is one of the most frequent reasons for seeking health care, and is thus a public health problem. Although there is a progressive increase in pain and impaired physical function with age, few studies are performed on older adults. The aim of this study was to investigate if there are associations between musculoskeletal pain interfering with normal life in older adults and physical and psychosocial workloads through life. Methods: The association of heavy physical workload and negative psychosocial workload and musculoskeletal pain interfering with normal life (SF 12) was analyzed by multiple logistic regression. The model was adjusted for eight background covariates: age, gender, growing-up environment, educational level, if living alone or not, obesity, smoking, and leisure physical activity. Results: Negative psychosocial and heavy physical workloads were independently associated with musculoskeletal pain interfering with normal life (adjusted OR: 4.44, 95% CI: 2.84-6.92), and (adjusted OR: 1.88, 95% CI: 1.20-2.93), respectively. The background covariates female gender and higher education were also associated with musculoskeletal pain interfering with normal life, and physical leisure activity was inversely associated. Conclusions: The findings suggest that negative psychosocial and heavy physical workloads are strongly associated with musculoskeletal pain interfering with normal life in older adults.

  • 71. Lilje, Stina
    et al.
    Friberg, Håkan
    Wykman, Anders
    Skillgate, Eva
    Naprapathic Manual Therapy or Conventional Orthopedic Care for Outpatients on Orthopedic Waiting Lists? A pragmatic randomized controlled trial.2010Inngår i: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 26, nr 7, s. 602-610Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: Traditionally, orthopedic outpatient waiting lists are long, and many referrals are for conditions that do not respond to interventions available at an orthopedic outpatient department. The overall objective of this trial was to investigate whether it is possible to reduce orthopedic waiting lists through integrative medicine. Specific aims were to compare the effects of naprapathic manual therapy to conventional orthopedic care for outpatients with nonurgent musculoskeletal disorders unlikely to benefit from surgery regarding pain, physical function, and perceived recovery. Methods: Seventy-eight patients referred to an orthopedic outpatient department in Sweden were included in this pragmatic randomized controlled trial. The 2 interventions compared were naprapathic manual therapy (index group) and conventional orthopedic care (control group). Pain, physical function, and perceived recovery were measured by questionnaires at baseline and after 12, 24, and 52 weeks. The number of patients being discharged from the waiting lists and the level of agreement concerning management decisions between the naprapath and the orthopedists were also estimated. Results: After 52 weeks, statistically significant differences betweenthe groups were found regarding impairment in pain, increasedphysical function, and regarding perceived recovery, favoring theindex group. Sixty-two percent of the patients in the index group agreed to be discharged from the waiting list. The level of agreement concerning the management decisions was 80%. Discussion: The trial suggests that naprapathic manual therapy may be an alternative to consider for orthopedic outpatients with disorders unlikely to benefit from surgery.

  • 72.
    Lindberg, Terese
    et al.
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Bohman, Doris M.
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Elmstahl, Solve
    Lund Univ, Dept Hlth Sci, Lund, Sweden..
    Jogreus, Claes
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för matematik och naturvetenskap.
    Berglund, Johan Sanmartin
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG2016Inngår i: Clinical Interventions in Aging, ISSN 1176-9092, E-ISSN 1178-1998, Vol. 11, s. 1083-1090Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: With longer life expectancies, the prevalence of arrhythmias is increasing; thus, there is a need for new methods to screen the older outpatient population. This population-based study describes the prevalence of arrhythmias in 200 outpatients aged. 66 years. We also investigated the feasibility of wireless long-term recording (LTR) using the ECG-BodyKom (R). Methods: Two hundred elderly persons aged 66-93 years were recruited from the Swedish National Study on Aging and Care in 2010-2013, and data were collected via wireless LTR ECG-BodyKom. Results: Screening with the LTR ECG revealed that persistent atrial fibrillation (AF) occurred in 10% of the outpatient population aged. 66 years. Paroxysmal AF occurred in 5.5% of the population, with no difference between younger (60-80 years) and older (>80 years) elderly participants. Furthermore, all patients with paroxysmal AF had a CHA(2)DS(2)VASc score of >= 2 and were therefore potential candidates for follow-up and medical examination. LTR ECG-BodyKom can be considered a feasible method to screen for arrhythmias in older outpatient populations. This simple method requires little of the user, and there was high satisfaction with the equipment and a good overall experience wearing it. Conclusion: The increasing occurrence of arrhythmias in the older population, as well as the high number of untreated cases of arrhythmias such as persistent AF and paroxysmal AF, poses a challenge for health care. Therefore, it is essential to develop effective strategies for their prevention and treatment.

  • 73.
    Lindberg, Terese
    et al.
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Wimo, Anders
    Karolinska Inst, SWE.
    Elmstahl, Solve
    Lund Univ, SWE.
    Qiu, Chengxuan
    Karolinska Inst, SWE.
    Bohman, Doris
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Sanmartin Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Prevalence and Incidence of Atrial Fibrillation and Other Arrhythmias in the General Older Population: Findings From the Swedish National Study on Aging and Care2019Inngår i: Gerontology and geriatric medicine, E-ISSN 2333-7214, Vol. 5Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To study the prevalence and cumulative incidence of arrhythmias in the general population of adults aged 60 and older over a 6-year period. Study Design and Setting: Data were taken from the Swedish National Study on Aging and Care (SNAC), a national, longitudinal, multidisciplinary study of the general elderly population (defined as 60 years of age or older). A 12-lead resting electrocardiography (ECG) was performed at baseline and 6-year follow-up. Results: The baseline prevalence of atrial fibrillation (AF) was 4.9% (95% confidence interval [CI] = [4.5%, 5.5%]), and other arrhythmias including ventricular premature complexes (VPCs), supraventricular tachycardia (SVT), and supraventricular extrasystole (SVES) were seen in 8.4% (7.7%, 9.0%) of the population. A first- or second-degree atrioventricular (AV) block was found in 7.1% of the population (95% CI = [6.5%, 7.7%]), and there were no significant differences between men and women in baseline arrhythmia prevalence. The 6-year cumulative incidence of AF was 4.1% (95% CI = [3.5%, 4.9%]), or 6.9/1,000 person-years (py; 95% CI = [5.7, 8.0]). The incidence of AF, other arrhythmias, AV block, and pacemaker-induced rhythm was significantly higher in men in all cohorts except for the oldest. Conclusion: Our data highlight the prevalence and incidence of arrhythmias, which rapidly increase with advancing age in the general population.

  • 74. Lindholm, Lisbet
    et al.
    Rehnsfeldt, Arne
    Arman, Maria
    Hamrin, Elisabeth
    Significant others' experience of suffering when living with women with breast cancer2002Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, s. 248-255Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This is an inquiry into how significant others experience being close to a woman suffering from breast cancer. In order to find this out, theme interviews were arranged with 17 women and 16 significant others from four different caring cultures in Sweden and Finland. A phenomenological case study methodology was adopted and in the analysis of the data a scientific teamwork model was employed, based on ideas developed at the Vancouver School of Doing Phenomenology. The findings show that the significant others experience deep often unrelieved suffering. They consider themselves prisoners of a situation of uncertainty and powerlessness when standing by the woman. They are torn between their own suffering and their desire to alleviate the woman's suffering. A vicious circle of mutual protection intensifies the suffering of the significant other, while actively sharing the suffering brings relief. The gravity of the situation creates an ethical urge in the significant other to assume responsibility for life in common with the woman.

  • 75. Lindström, V.
    et al.
    Andersson, K.
    Lintrup, Mats
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Holst, Göran
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Berglund, Johan
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Prevalence of sleep problems and pain among the elderly in Sweden2012Inngår i: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 16, nr 2, s. 180-83Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background/Objectives: Sleep problems and pain are common among the elderly and have been shown to affect quality of life. The objectives were to determine the prevalence of sleep problems and pain among the elderly and to compare the two factors in relation to age and gender. Design: A cross-sectional study based on baseline material collected by the Swedish National Study on Aging and Care in Blekinge (SNACBlekinge). Setting: The data were gathered from questionnaires distributed between the years 2001 and 2003 in the municipality of Karlskrona, Sweden. Participants: The participants comprised 1402 Swedish men and women aged 60-96. Results: Of all the participants 70 percent met the criteria for sleep problems and 62 percent indicated some experience of pain during the preceding 4 weeks. Both sleep problems and pain were more frequent among women than men and sleep problems tended to be more common with increasing age. Among the participants who experienced pain during the preciding 4 weeks 77 percent suffered from sleep problems. Conclusions: Sleep problems and pain are common among older people. Furthermore it is common to suffer from sleep problems when pain has been experienced during the preciding 4 weeks.

  • 76. Lindwall, Magnus
    et al.
    Rennemark, Mikael
    Halling, Anders
    Berglund, Johan
    Hassmén, P
    Depression and exercise in elderly men and women: findings from the Swedish national study on aging and care.2007Inngår i: Journal of Aging and Physical Activity, ISSN 1063-8652, E-ISSN 1543-267X, Vol. 15, nr 1, s. 41-55Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study investigated the relationship between light and strenuous exercise and depression, as well as gender differences in this relationship, in a representative sample of 860 elderly Swedish suburb-dwelling men and women in age cohorts from 60 to 96 years, drawn from among participants in the Swedish National Aging and Care study. The relationship between depression and self-reported changes in exercise status over time was also examined. Exercise activities were measured with four survey questions, and depression, with the Montgomery Asberg Depression Rating Scale. The inactive elderly had higher depression scores than more active individuals, both in terms of light and strenuous exercise. The continuously active group had lower depression scores than both continuously inactive individuals and individuals reporting a shift from activity to inactivity during the preceding year. Light exercise had a somewhat stronger effect on depression for women.

  • 77.
    Lundberg, Jenny
    et al.
    Linnaeus Univ, SWE..
    Claesson, Lena
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för tillämpad signalbehandling.
    Early Signs of Diabetes Explored from an Engineering Perspective2019Inngår i: Lecture Notes in Networks and Systems / [ed] Auer, ME Langmann, R, SPRINGER INTERNATIONAL PUBLISHING AG , 2019, s. 22-31Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Undetected diabetes is a global issue, estimated to over 200 million persons affected. Engineering opportunities in capturing early signs of diabetes has a potential due to the complexity to interpret early signs and link it to diabetes. Persons with untreated diabetes are doubled in risk of getting cardiovascular diseases and may also suffer other consequent diseases. In Sweden, approximately 450 thousand have diabetes where 80-90% are of type 2 with 1/4 unaware of it, i.e. approx. 100 thousand. Screening approaches, searching specifically for diabetes in persons not showing symptoms has been initiated with positive results. However, some general drawbacks of screening such as false sense of security are an issue. In this publication, we focus upon in home measurements and empowering of the individual in identifying early signs of diabetes. The methods in this publication are to gather data, evaluate and give suggestion if clinical test to confirm or reject diabetes. In home measurements, education process with companies for innovation possibilities.

  • 78.
    López-Fauqued, M.
    et al.
    GSK, Wavre, BEL.
    Campora, L.
    GSK, Wavre, BEL.
    Delannois, F.
    GSK, Wavre, BEL.
    El Idrissi, M.
    GSK, Rixensart, BEL.
    Oostvogels, L.
    GSK, Wavre, BEL.
    De Looze, F. J.
    University of Queensland, AUS.
    Diez-Domingo, J.
    Fundación para el Fomento de la Investigación Sanitaria y Biomédica, ESP.
    Heineman, T. C.
    GSK, King of Prussia, USA.
    Lal, H.
    GSK, King of Prussia, USA.
    McElhaney, J. E.
    ealth Sciences North Research Institute, CAN.
    McNeil, S. A.
    Dalhousie University, CAN.
    Yeo, W.
    University of Wollongong, AUS.
    Tavares-Da-Silva, F.
    GSK, Wavre, BEL.
    Ahonen, A.
    University of Tampere, FIN.
    Avelino-Silva, T. J.
    University of São Paulo, BRA.
    Barba-Gomez, J. F.
    Instituto Dermatológico de Jalisco, MEX.
    Sanmartin Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Safety profile of the adjuvanted recombinant zoster vaccine: Pooled analysis of two large randomised phase 3 trials2019Inngår i: Vaccine, ISSN 0264-410X, E-ISSN 1873-2518, Vol. 37, nr 18, s. 2482-2493Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The ZOE-50 (NCT01165177) and ZOE-70 (NCT01165229) phase 3 clinical trials showed that the adjuvanted recombinant zoster vaccine (RZV) was ≥90% efficacious in preventing herpes zoster in adults. Here we present a comprehensive overview of the safety data from these studies. Methods: Adults aged ≥50 (ZOE-50) and ≥70 (ZOE-70) years were randomly vaccinated with RZV or placebo. Safety analyses were performed on the pooled total vaccinated cohort, consisting of participants receiving at least one dose of RZV or placebo. Solicited and unsolicited adverse events (AEs) were collected for 7 and 30 days after each vaccination, respectively. Serious AEs (SAEs) were collected from the first vaccination until 12 months post-last dose. Fatal AEs, vaccination-related SAEs, and potential immune-mediated diseases (pIMDs) were collected during the entire study period. Results: Safety was evaluated in 14,645 RZV and 14,660 placebo recipients. More RZV than placebo recipients reported unsolicited AEs (50.5% versus 32.0%); the difference was driven by transient injection site and solicited systemic reactions that were generally seen in the first week post-vaccination. The occurrence of overall SAEs (RZV: 10.1%; Placebo: 10.4%), fatal AEs (RZV: 4.3%; Placebo: 4.6%), and pIMDs (RZV: 1.2%; Placebo: 1.4%) was balanced between groups. The occurrence of possible exacerbations of pIMDs was rare and similar between groups. Overall, except for the expected local and systemic symptoms, the safety results were comparable between the RZV and Placebo groups irrespective of participant age, gender, or race. Conclusions: No safety concerns arose, supporting the favorable benefit-risk profile of RZV. © 2019 GlaxoSmithKline Biologicals SA

  • 79. M., Naseer
    et al.
    H., Forssell
    Cecilia, Fagerström
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Malnutrition, functional ability and mortality among older people aged ⩾60 years: a 7-year longitudinal study2016Inngår i: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 70, nr 3, s. 399-404Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background/Objectives:This study aimed to assess the association between risk of malnutrition and 7-year mortality, controlling for functional ability, socio-demographics, lifestyle behavior and diseases, and investigate the interaction between risk of malnutrition and functional ability on the risk of mortality.Subjects/Methods:A longitudinal study on home-living and special-housing residents aged â©Ÿ60 years was conducted. Of 2312 randomly invited participants, 1402 responded and 1203 provided information on both nutritional status and functional ability. The risk of malnutrition was estimated by the occurrence of at least one anthropometric measure (BMI, MAC and CC) below cut-off in addition to the presence of at least one subjective measure (decreased food intake, weight loss and eating difficulty).Results:At baseline, 8.6% of subjects were at risk of malnutrition and during the 7-year follow-up 34.6% subjects died. The risk of malnutrition was independently associated with 7-year mortality (hazard ratio (HR) 1.84, 95% confidence interval (CI) 1.28–2.65). Additional independent predictors were dementia (HR 2.76, 95% CI 1.85–4.10), activity of daily living (ADL) dependence (HR 2.08, 95% CI 1.62–2.67), heart disease (HR 1.44, 95% CI 1.16–1.78), diabetes (HR 1.41, 95% CI 1.03–1.93) and older age (HR 1.09, 95% CI 1.07–1.10). Moreover, the risk of malnutrition and ADL dependence in combination predicted the poorest survival rate (18.7%, P<0.001).Conclusions:The risk of malnutrition significantly increases the risk of mortality in older people. Moreover, risk of malnutrition and ADL dependence together explain a significantly poorer survival rate; however, the importance of this interaction decreased in the multivariable model and risk of malnutrition and ADL dependence independently explained a significant risk of mortality.European Journal of Clinical Nutrition advance online publication, 25 November 2015; doi:10.1038/ejcn.2015.196. © 2015 Macmillan Publishers Limited

  • 80.
    Mahmud, Amina Jama
    et al.
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Olander, Ewy
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Haglund, Bo
    Gustavsson, Rune
    Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation.
    Virtual Health Square: a new Health Promotion Setting?2008Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Health Square is a new health promotion setting in Sweden. Health Squares are meeting places for health; offering activities such as information on health management, advice on lifestyle related health issues and advice on when and where to seek medical help in case of illness. Health Squares also provide access to Internet based health information from trustworthy sites through a “customer computer”. The concept was initiated in collaboration between Primary Health Care and the Pharmacy Association of Sweden in order to provide community members a supportive environment for health. Health communication is an integral part of Health Square activities. Technologies for health communication need to be adapted to the needs and local contexts of the consumers. Health Square integrates both the local context and uses interactive technology to support the visitors in their effort to make informed healthy lifestyle choices but there is a need to involve the community in order to make technology accessible, reliable and sustainable. The aim The aim of this paper is to present a planned intersectorial research project on the development of a multi-lingual- Health Square Channel (HS channel) using Participatory Action Research (PAR) methods. Background The information and communication landscape is rapidly changing, especially in developed countries such as Sweden. Information and communication technology (ICT) are widely used in the health sector. This has resulted in a great burden being placed on the individual to seek information on self-care and healthy lifestyle choices. This is not an easy task for the majority of the population despite the offensive health information in the public spheres. Information alone does not lead to better lifestyle choices. The consumer (of the information) must be health literate. Health literacy as a concept encompasses more than transmitting information and developing skills, it entails improving people’s access to health information and capacity to use it effectively. Accessibility also entails providing health information in other languages besides that of the majority. Health promotion and ICT have a long-standing and productive relationship. New technologies are revolutionizing health promotion by providing easily accessible and timely information to consumers in the comfort of their homes. Digital Interactive Television (DiTV) is a new platform for Health Communication. Little is known on the potential of DiTV as a tool for health promotion communication in communities. There is a need to explore the potential and application of modern technology in health promotion using health promotion principals. There is a call for the use of Participatory Action Research (PAR) in Health Promotion and information systems research. The underpinning essence of PAR is the concept of equity and social justice. Equity in health is also the central concept in the Swedish national health policy, whose overarching aim is to create social conditions to ensure good health on equal terms for the entire population, and it’s first goal is to ensure participation and influence of the citizens. Methods Health Square (HS) channel will be based on a Health Square in a small town in the South of Sweden. The HS channel will be developed in collaboration between different professional categories and laymen. This work will be done in a workshop physically based at the HS. The project will be implemented between 2008-2011. Symbolic interaction and PAR form the theoretical base for the proposed research project which will stretch over the period Multiple research methods will be used for data collection due to the complexity of the planned project. A modified adaptation of a model named; Spiral Technology Action Research (STAR) will be used in the different stages of the research project. STAR model is a developmental process model that combines health promotion, principles social theories, Participatory action research approach and Freire’s (1970) “critical pedagogy. The research studies will be carried in four phases: 1) Exploration of HS as a setting for Health Promotion. 2) Case study; needs assessment of the provider and user of the HS channel in an environment of open dialogue. 3) “Workshop” and collaborative process of developing the HS channel. 4) Testing the accessibility and usability of the developed HS channel to a selected population in stratified local residential areas. Corresponding author: Amina Jama Tel: 0046455385427 E-mail: amina.jama.mahmud@bth.se

  • 81. Mahmud, Amina Jama
    et al.
    Olander, Ewy
    Wallenberg, Lovisa
    Haglund, Bo
    Health promoting settings in primary health care - "hälsotorg": an implementation analysis2010Inngår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 10, nr 707Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Sweden, like many other western countries, faces increasing rates of lifestyle related diseases and corresponding rise in costs for health care. To meet these challenges, a number of efforts have been introduced at different societal levels. One such effort is "Hälsotorg" (HS). HS is a new health promotion setting that emerged in collaboration between the Swedish County Councils and Apoteket AB, a state-owned pharmacy company. HS's overall aim was to improve population health and facilitate inhabitants' responsibility for self-care. A new National Public Health Policy, introduced in 2008, emphasizes more focus on individual's needs and responsibility as well as strong need for county councils to provide supportive environment for individual-centred health services and increased health literacy among the population. In light of this policy, there is a need to examine existing settings that can provide supportive environment for individuals at community level. The aim of this study was to explore HS's policy implementation at local level and analyse HS's activities, in order to provide a deeper understanding of HS's potential as a health promoting setting. Methods Materials included a survey and key documents related to the development and nature of HS on local and national levels. A policy analysis inspired by Walt and Gilson was used in data analysis. In addition, an analysis using the principles of health promotion in relation to HS policy process and activities was also carried out. Results The analysis illuminated strengths and weaknesses in the policy process, its actors, contextual factors and activities. The health communication approach in the analysed documents contained health promoting intentions but the health promoting approach corresponding to a health promoting setting was neither apparent nor shared among the stakeholders. This influenced the interpretation and implementation of HS negatively. Conclusions The analysis indicates that HS has potential to be a valuable health promotion setting for both population and individuals, given the strong intentions for a health and empowerment building approach that is expressed in the documents. However, for a more sustainable implementation of HS, there is need for an in- depth understanding of the health promotion approach among HS stakeholders.

  • 82. Martin-Moreno, J.M.
    et al.
    Ricciardi, W.
    Bjegovic-Mikanovic, V.
    Maguire, P.
    McKee, M.
    Stjernberg, Louise
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Ebola: an open letter to European governments2014Inngår i: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 384, nr 9950Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    After months of inaction and neglect from the international community, the Ebola epidemic in west Africa has now spiralled utterly out of control. Today, the virus is a threat not only to the countries where the outbreak has overwhelmed the capacity of national health systems, but also to the entire world. We urge our governments to mobilise all possible resources to assist west Africa in controlling this horrific epidemic. Based on our expertise in public health and emergency response, this open letter describes believes and measures particularly effective to take into actions.

  • 83.
    McElhaney, Janet
    et al.
    Hlth Sci North Res Inst, CAN.
    Lal, Himal
    GlaxoSmithKline, King Of Prussia, PA USA..
    Cunningham, Anthony
    Westmead & Univ Sydney, AUS.
    Levin, Myron
    Univ Colorado Anschutz Med Campus, USA.
    Chlibek, Roman
    Univ Def, Hradec Kralove, CZE.
    Diez-Domingo, Javier
    Fdn Fomentode Invest Sanitaria & Biomed FISABIO, ESP.
    Athan, Eugene
    Deakin Univ, AUS.
    Sanmartin Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa. Blekinge Inst Technol, Karlskrona, Sweden..
    Downey, Jackson
    Jacksonville Ctr Clin Res, USA.
    Ghesquiere, Wayne
    Univ British Columbia, CAN.
    Godeaux, Olivier
    GlaxoSmithKline, King Of Prussia, PA USA..
    Gorfinkel, Iris
    Prime Hlth Clin Res, CAN.
    Hwang, Shinn-Jang
    Taipei Vet Gen Hosp, TWN.
    Korhonen, Tiina
    Univ Tampere, FIN.
    McNeil, Shelly
    IWK Hlth Ctr, Halifax, CAN.
    Pauksens, Karlis
    Uppsala Univ Hosp, SWE.
    Puig-Barbera, Joan
    Fdn Fomentode Invest Sanitaria & Biomed FISABIO, ESP.
    Avelino-Silva, Thiago
    Univ Sao Paulo, BRA.
    Vesikari, Timo
    Univ Tampere, FIN.
    Volpi, Antonio
    Univ Roma Tor Vergata, ITA.
    Watanabe, Daisuke
    Aichi Med Univ, JPN.
    Yeo, Wilfried
    Univ Wollongong, AUS.
    Campora, Laura
    GlaxoSmithKline, King Of Prussia, PA USA..
    Vanden Abeele, Carline
    GlaxoSmithKline, King Of Prussia, PA USA..
    Oostvogels, Lidia
    GlaxoSmithKline, King Of Prussia, PA USA..
    Heinemann, Thomas
    GlaxoSmithKline, King Of Prussia, PA USA..
    Hain, Johannes
    GlaxoSmithKline GmbH & Co KG, DEU.
    Efficacy, Immunogenicity and Safety of adjuvanted Herpes Zoster-Virus Subunit Vaccine Candidates in Adults from 60 Years and older: Results from the Efficacy Studies ZOE-50 and ZOE-702018Inngår i: Der Internist, ISSN 0020-9554, E-ISSN 1432-1289, Vol. 59, s. S64-S65Artikkel i tidsskrift (Annet vitenskapelig)
  • 84.
    Nazari, Maryam
    et al.
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Landgren, Victoria
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Sjuksköterskans upplevelse vid mötet med kvinnor som lever med våld i en nära relation: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Våld mot kvinnor i en nära relation är ett stort hälsoproblem i alla världens länder och samhällsklasser. Sjuksköterskan kan ha en avgörande roll för att identifiera och omhänderta dessa kvinnor, eftersom sjuksköterskan är den som oftast först kommer i kontakt med kvinnorna. Genom att göra en sammanställning av sjuksköterskans upplevelse i mötet med kvinnor som lever med våld i en nära relation, kan potentiella hinder och svårigheter identifieras, vilket kan möjliggöra förbättringar vid sjuksköterskans möte med kvinnorna.

    Syfte: Syftet var att beskriva sjuksköterskans upplevelse vid mötet med kvinnor som lever med våld i en nära relation.

    Metod: En litteraturstudie genomfördes baserad på tio vetenskapliga artiklar med kvalitativ metod. Artiklarna kvalitetsgranskades, samt analyserades utifrån Graneheim och Lundmans tolkning av kvalitativ innehållsanalys.

    Resultat: I resultatet framkom tre kategorier: Sjuksköterskans upplevelse av otillräcklighet, Svårigheter att fråga om våld i en nära relation och Förståelse genom personlig och yrkesmässig erfarenhet. Varje kategori innehåller två underkategorier, som svarar på olika orsaker till sjuksköterskans upplevelser.

    Slutsats: Sjuksköterskan upplever individuella känsloreaktioner vid mötet med kvinnor som lever med våld i en nära relation. De önskar att hjälpa kvinnorna, men på grund av brist på stöd och kunskap upplever de svårigheter att identifiera och möta kvinnornas omvårdnadsbehov. Vidare forskning behövs för att kunna utveckla och förbättra sjuksköterskans omvårdnadsarbete vid mötet med kvinnor som lever med våld i en nära relation.

  • 85. Nilsson, Helena
    et al.
    Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Renvert, Stefan
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Tooth loss and cognitive functions among older adults2014Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 72, nr 8, s. 639-644Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective. To evaluate the association between the number of teeth and cognitive functions adjusted for age and education level in a cohort of older adults living in Sweden. Materials and methods. The study employed a cross-sectional design in which 1147 individuals between 60-96 years underwent a clinical oral examination. The cognitive functions were assessed using Mini-Mental State Examination (MMSE) and Clock-test. The level of education was obtained from a questionnaire. Data were subjected to Chi-square tests and multivariate logistic regression analyses were employed, grouping the different variables into pre-determined categories. Results. The co-variables age and education were significantly associated with the number of teeth (p < 0.05). The multivariate logistic regression analysis revealed that the association between the number of teeth and the cognitive functions persisted even after adjusting for age and level of education. Conclusions. The findings suggest that the presence of teeth may be of importance for cognitive abilities in older adults.

  • 86.
    Nilsson, Lina
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Social Challenges when Implementing Information Systems in a Swedish Healthcare Organization2014Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    When the Swedish National IT Strategy for Health and Social Care was introduced in 2006, intensive work started in implementing Information Systems (IS) in Swedish healthcare organizations. To follow up on the requests for more research with a combined socio-technical focus on challenges, the overall aim of this thesis was to identify social challenges when implementing IS in a Swedish healthcare organization. Furthermore, the aim was to understand the impact of identified social challenges when implementing IS in this context by putting them in an interdisciplinary Applied Health Technology theoretical framework. Institutional ethnography and phenomenological hermeneutics influenced the study design. Study 1 aimed to investigate different meanings of accessibility when implementing Health Information Technology in everyday work practice. The results indicate that accessibility depends on working routines, social structures and patient relationship. When an IT strategy and interaction in everyday work use the same word in different ways there will be consequences. Study 2 sets out to describe experience-based reflections on discharge planning as narrated by nursing staff in primary healthcare, along with their concerns about how the introduction of video conferencing might influence the discharge planning situation. It was found that there is a need for improvement in communication and understanding between nursing staff at the hospital and in primary healthcare. The aim of study 3 was to explore social challenges when implementing IS in everyday work in a nursing context. Power (changing the existing hierarchy, alienation), Professional identity (calling on hold, expert becomes novice, changed routines), and Encounter (ignorant introductions, preconceived notions) were categories presented in the findings. The aim of study 4 was to explore and obtain a deeper understanding of how identified social challenges have an influence on the implementation process of IS, based on healthcare staff’s experiences on micro, meso and macro levels of Swedish Healthcare organizations. It was found that the challenges were related to the steps of putting into practice, making IS a part of everyday work routine and establishing an identity in the implementation process. In the thesis’s discussion, social challenges when implementing IS in Swedish healthcare organizations and how they might be met and dealt with constructively are further reflected upon in relation to the interdisciplinary theoretical framework and as possible consequences of the modernity-era. This thesis contributes to the starting up of a discussion of how ingrained professional characteristics are important to feel secure of being part of an established profession. If the characteristics are questioned, the whole professional performance is threatened. One consequence of this insight is the reinforcement of the realization that a basic understanding of IS and IS implementation processes in healthcare organizations needs to be integrated in to the construction of professional identity of nurses already from the start in nursing education.

  • 87.
    Nilsson, Lina
    et al.
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Hofflander, Malin
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    What if it was like a departure lounge at an airport?: eHealth for healthcare staff in a Swedish healthcare organization, a participatory design study2016Inngår i: Studies in Health Technology and Informatics, IOS Press, 2016, Vol. 225, s. 923-924Konferansepaper (Fagfellevurdert)
    Abstract [en]

    EHealth is implemented in everyday work practice as a tool to improve accessibility and patient participation as well as healthcare efficiency. The aim of this study was to explore healthcare staff’s experiences and ideas about how eHealth ought to be designed to be a useful tool in everyday work practice in a Swedish healthcare organization. Healthcare staff (n= 7) at the micro level in a Swedish healthcare organization, participated in four Participatory Design workshops about eHealth design. eHealth could be a more useful and efficient tool in everyday work practice if it were designed more purposefully for its local setting and intended users, like the information system in ’a departure lounge of an airport’. Including healthcare staff in design discussions concerning eHealth tools for everyday work practice may improve the efficiency of eHealth as an everyday tool and support for healthcare staff.

  • 88. Nordberg, Marika
    et al.
    Forsberg, Pia
    Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    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?2014Inngår i: Open Journal of Clinical Diagnostics, ISSN 2162-5816 , Vol. 4, nr 1, s. 31-40Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 89.
    Nouraldin, Karzan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Fysisk aktivitet, hälsa och tillgänglighet av grönområden i samhällsplaneringen.2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    SAMMANFATTNING

     

    Rubrik

    Fysisk aktivitet

    Hälsa och tillgänglighet av grönområden i samhällsplaneringen.

    Bakgrund

    Stillasittande och fysisk inaktivitet har blivit allt mer vanligt bland befolkningen, detta orsakar en ökning av olika folksjukdomar. Att stillasittande och fysisk inaktivitet blir vanligare är ur ett folkhälsoperspektiv ett av de största problemen som finns. Med fysisk aktivitet minskas folksjukdomar samtidigt som vardagsmotion kan motverka hjärt- kärlsjukdomar, diabetes typ2, olika cancerformer, övervikt och fetma som i sin tur leder till förtidigt död. Det här är en av dem viktigaste frågorna som diskuteras världen över.

    Syfte

    Syftet med denna studie är att visa hur tillgänglighet till grönområden påverkar vardagsmotion och därmed hälsan.

    Studiedesign

    Litteraturstudie.

    Resultatet

    Människors påverkan på den byggda miljön är stor och likaså miljöns påverkan på människans hälsa. Stödjande miljöer som exempelvis grönområden kan ha positiva effekter på folkhälsan, genom att vara en anledning till ökad vardagsmotion. Med grönområden menas exempelvis parker, cykelvägar och motionsplatser i omgivningen där människor kan mötas. Detta har en stor påverkan på vardagsmotionen. I studier hittas stora fynd som borde vara självklara. Genom samhällsplanering kan folkhälsan främjas och i studien belyses många viktiga punkter inom det valda ämnet.

    Material och metod

    Studien baseras på kvalitativa material och internationellt publicerade vetenskapliga artiklar. Tre data baser har använts för att göra pilot sökningar dessa var, Pubmed, Summon@BTH & ScienceDirect. Många studier visar att vanliga folksjukdomar kan motverkas av fysisk aktivitet. Studien sammanställer forskning inom olika områden där fysisk aktivitet är viktigt och hur man kan nå detta med smart samhällsplanering.

  • 90.
    Olander, Ewy
    Blekinge Tekniska Högskola, Institutionen för hälso- och naturvetenskap.
    Developing Health Counselling in Child Health Care. Participatory Action Research in the Primary Health Care.1998Konferansepaper (Fagfellevurdert)
  • 91. Olander, Ewy
    Health counselling in Child Health Services – synthesising two missions.2005Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Child Health Services (CHS) form a strategic arena for Swedish health promotion, from a societal as well as individual perspective. The present study focuses on district nurses´ health counselling in CHS. The aim is to improve understanding of what is important in shaping and accomplishing health promotion, and to generate theory useful in a CHS context. Data were collected at CHS in primary health care. Data sources consist of video-observations with recalled interviews, field notes, notes from group discussions, individual interviews and data from my earlier study of health counselling. Data analysis followed the classic Grounded Theory (GT) method. Empirical data indicated that health promotion in CHS has two approaches, a population approach and an individual approach. District nurses thus have two missions: a public health mission (a government demand based on families as parts of the population), and a family health mission (a request from individual families). District nurses' main concern in CHS is to synthesise these two opposing missions and approaches in their practical work at the CHC (Child Health Centres). The category Population-individualisation evolved as the core category. Four dynamic fields between public and family health missions and four patterns for synthesis evolved. Through the generating analysis a substantive theory could be formulated. The generated theory grounded in empirical data within the context of CHS provides us with knowledge that can help district nurses understand and manage their main concern for synthesising these two missions. This theory may also contribute to increased awareness among administrators, decision makers and nurse- and health promotion educators with regard to the double mission in health promotion and the strategies for coping with it. In this way, generated theory should be able to contribute to improve health promotion and health counselling in CHS.

  • 92. Olander, Ewy
    Health Counselling in Primary Child Health C. Process and Context from a Practical Educational Perspective.2000Konferansepaper (Fagfellevurdert)
  • 93. Olander, Ewy
    Hälsovägledning i barnhälsovården – syntetisering av två uppdrag2003Doktoravhandling, med artikler (Annet vitenskapelig)
  • 94. Olander, Ewy
    Hälsovägledning i barnhälsovården, process och kontext ur ett praktiskt pedagogiskt perspektiv1998Licentiatavhandling, med artikler (Annet vitenskapelig)
  • 95. Olander, Ewy
    HÄLSOVÄGLEDNING I BARNHÄLSOVÅRDEN: syntetisering av två uppdrag2004Konferansepaper (Fagfellevurdert)
    Abstract [sv]

    Barnhälsovården är en strategisk arena för landets folkhälsoarbete både ur ett samhälls- och individperspektiv. Det är en väl etablerad verksamhet och når en stor del av befolkningen. De flesta barnfamiljer utnyttjar erbjudandet om att gå till "sin" barnavårdscentral. Barnhälsovårdens sjuksköterskor är viktiga aktörer i detta folkhälsoarbete, det är de som utformar och genomför hälsoarbetet i möten med enskilda föräldrar och barn. Syftet med denna studie var att öka förståelsen för hur hälsovägledning utformas och genomförs, samt att generera teori, användbar för praktisk barnhälsovårdsverksamhet. Den barnhälsovårdsverksamhet som studerades, var den som primärvårdens distriktssköterskor ansvarar för jämsides med övrig hälso- och sjukvård. Data samlades in genom videoobservationer och efterföljande intervjuer med distriktssköterskor, fältanteckningar, anteckningar från gruppdiskussioner och enskilda intervjuer samt genom data från tidigare studier av hälsovägledning i barnhälsovården. Analysen följde den klassiska Grounded Theory metoden för teorigenerering. Studien gör tydligt att det finns ett dubbelsidigt uppdrag för barnhälsovårdens sjuksköterskor. Å ena sidan finns ett folkhälsouppdrag, som inriktas på barn och föräldrar som befolkning. Det hälsoarbetet följer det nationella barnhälsovårdsprogrammets riktlinjer och hälsoarbetet karakteriseras av allmän hälsoövervakning, "massundersökningar" allmän hälsoupplysning och generell rådgivning. Den andra aspekten på hälsoarbete kan härledas till data som visade att hälsoarbete är inriktat på barn och föräldrar som enskilda individer eller familjer. Det är familjens situation som diskuteras och som distriktssköterskors rådgivning utgår ifrån. Hälsoarbetet inriktas på hälsoundersökningar av det enskilda barnet och individuell hälsovägledning. De båda aspekterna benämner jag som barnhälsovårdens befolkningsinriktning och individinriktning. Studien visar att barnhälsovårdens distriktssköterskor är mycket angelägna om att syntetisera dessa båda uppdrag och dess inriktningar. Det sammansatta begreppet befolkningsindividualisering är ett teoretiskt begrepp för denna syntetisering. För att kunna arbeta parallellt med dessa båda inriktningar och bibehålla en syntetisering hanterar barnhälsovårdens distriktssköterskor dubbelsidigheten genom oscillerande mönster. Studien visar hur hälsovägledningen i en verksamhet med två motstående uppdrag och inriktningar påverkas av denna dubbelsidighet. Teorin som genererades är användbar både i den praktiska verksamheten och i utbildningar för att öka förståelsen för och hur detta komplexa hälsoarbete i barnhälsovården kan hanteras och syntetiseras. Genom att den belyser hantering av motstående uppdrag, kan den troligen också vara användbar inom andra verksamheter med dubbelsidighet i uppdraget.

  • 96. Olander, Ewy
    Improving health counselling in child health services – an implementation study2005Konferansepaper (Fagfellevurdert)
    Abstract [en]

    With the purpose to improve health counselling a child health promotion project was carried out between 1997-1999 as participatory action research. The project followed the health action process and district nurses and researcher participated in all stages from investigation to evaluation. The investigation showed that health counselling is a multi-faced work with several interacting factors and therefore actions and improvements involved routines for child health services, collaboration and health counselling. When the project was finished, the developing work continued as parts in the ordinary development and quality work. During this time the researcher followed the action process and participated in yearly health counselling discussions and evaluations. During 2003-and 2004 the developing work was evaluated in purpose to get understanding for the developing working process, outcomes and impact on health counselling as well as strains and obstacles for maintaining.

  • 97. Olander, Ewy
    Transition practice: theory – practice for improving health counselling in Child Health Services2006Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Child Health Services (CHS) in Sweden form a strategic arena for Swedish health promotion, from a societal as well as individual perspective. CHS nurses are important health promotion actors and health counsellors. They give the final sharp to health promotion in the individual meetings with parents and children. CHS nurse’s educational activity is highly institutionalised, but not explicitly expressed, discussed or problematical from a health promotion aspect. During seven years Participatory Action Research (PAR) was accomplished in a Child Health Centre to improve health counselling in CHS. The Health Action process was used for the developing process. Grounded Theory (GT) was also used to increase theoretical understanding and to emerge theory for health counselling grounded in practice. The PAR and the Health Action process approach contributed to a learning process in which the nurses got more aware of the CHS context and got skills to continue improvement of health counselling. Through the GT studies the CHS nurses two missions: a public health mission (a government demand based on families as parts of the population), and a family health mission (a request from individual families) got obvious and how the CHS nurses' synthesise these two opposing missions and approaches in their practical work. PAR and GT are well corresponding for increased understanding of health promotion practice and development, and thereby supporting the transition practice - theory - practice for improving health counselling in CHS. Together a grounded theory and learning outcomes can be practice-based evidence useful to evolve evidence-based practice.

  • 98. Olander, Ewy
    Vård- och omvårdnadsvetenskap: hälsoarbete med individen i fokus2009Inngår i: Folkhälsa som tvärvetenskap: möten mellan ämnen / [ed] Andersson, I.; Ejlertsson, G., Lund: Studentlitteratur , 2009Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    Den vårdvetenskapliga disciplinen – innefattande vårdvetenskap och omvårdnadsvetenskap – samt den folkhälsovetenskapliga disciplinen är kunskapsområden som har människors hälsa i fokus. De kompletterar varandra och utgör tillsammans en bred kunskapsbas i det praktiska hälso- och sjukvårdarbetet i syfte att kunna erbjuda en god hälsa och vård på lika villkor. Under de senaste åren har hälso- och sjukvårdens roll som en betydelsefull arena och utvecklingen mot ett hälsofrämjande angreppssätt alltmer lyfts fram i hälsopolitiska styrdokument, såväl internationellt som nationellt. Härigenom blir hälso- och sjukvårdspersonal viktiga aktörer i landets folkhälsoarbete; de möter många människor som söker hälso- och sjukvård för att få stöd och råd med att kunna främja och bevara sin hälsa samt att förebygga sjukdom. Ur ett vård- och omvårdnadsvetenskapligt perspektiv finns en strävan efter att individualisera mötena med den enskilda patienten i fokus. Ur ett folkhälsovetenskapligt perspektiv är patienterna del av en befolkning och finns i ett samhällssammanhang med dess politik, strukturer och miljö. En hälsofrämjade hälso- och sjukvård och ett hälsofrämjande angreppssätt innefattar alla dessa perspektiv. Utvecklingen av hälso- och sjukvården som en hälsofrämjande arena gör det väsentligt att reflektera över hur vård- och omvårdnadsvetenskap samt folkhälsovetenskap kan bidra med kunskap för såväl individinriktat som befolkningsinriktat hälsoarbete. Det blir också viktigt att reflektera över hur det praktiska hälsoarbetet förhåller sig till övergripande mål om hälsa för såväl enskilda individer som befolkning. I det här kapitlet diskuteras därför olika aspekter på förhållandet mellan den vårdvetenskapliga och den folkhälsovetenskapliga disciplinen samt hur de tillsammans utgör en bas för utbildning och kompetens för sjuksköterskans hälsofrämjande och förebyggande arbete. I diskussionen används de folkhälsovetenskapliga begreppen såsom de definieras i bokens inledande kapitel. Det innebär att folkhälsovetenskap och hälsofrämjande arbete utgår från en modern syn på folkhälsovetenskap och hälsofrämjande arbete utifrån tankarna i ”the new public health”. Hälsofrämjande arbete inbegriper ett angreppssätt som främjar individernas och befolkningens hälsoprocesser genom att såväl stödja individer som att främja stödjande miljöer för individers hälsoprocesser.

  • 99. Olander, Ewy
    et al.
    Andersson, Åse
    Joelsson, Kerstin
    Liljekrantz, Anita
    Meijer, Anna
    Olsson, Lena
    Petersson, Stefan
    Pettersson, Ulrika
    Rubin, Örjan
    Sjögren, Ingegerd
    Hälsovägledning i barnhälsovården. Erfarenheter från sju års forsknings- och utvecklingsarbete.2006Annet (Annet vitenskapelig)
    Abstract [en]

    Between 1997 -2005 a research and developing work has been carried out in collaboration between Child Health Services, Lyckeby Primary Health Area , County Council of Blekinge and a researcher at School of Health, Blekinge Institute of Technology with purpose to develop health counselling in Child Health Services and to study this process. Corner stones for the collaboration and developing process were a participatory approach, a Health Action process and improvement work evolving from practice. The present report describe the evaluation of improvement for seven years, two initial years as a project and five years in ordinary activity, the impact on health counselling and, strains and obstacles for maintaining. The evaluation suggests that the overall aim for the improvement has been achieved. The studies shows that health counselling is a multi-faced work and therefore actions and improvements can not only focus on the health counselling in the consultations. Several factors interact and influence on the routines for child health services, collaboration and health counselling. The process evaluation showed that the participatory action approach made that the district nurses felt that they “urge on together” to improve the health counselling and reach the goal, although the extra developing work took time. The health action working process and the group meetings developed the request of reflection and discussion. By active participating in the project the district nurses developed awareness, knowledge, skills and methods for action and changing and prerequisites for maintaining and application in the organisation increase. The “outsider” (researcher) is important as a reflection and analysis partner. The improving and changing process needs and takes time, for being emerged and not forced, sustainable and not a dayfly.

  • 100.
    Olander, Ewy
    et al.
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Sander, Annette
    INTERNATIONAL HEALTH COMMUNICATORS: Supporting Health and Integration2007Konferansepaper (Fagfellevurdert)
    Abstract [en]

    In an increasingly globalized world it is important to globalize in a narrow perspective “at home” in one’s own local health service. Since one year an International Health Communicator Project is running in the County Council of Blekinge, Sweden. The aim is to elaborate health promotion and disease prevention focusing immigrants with foreign languages and cultures to support integration in the Swedish society, improve health literacy and reduce health inequities among this population. In the project a group of immigrants from different countries learn to International Health Communicators and to work as health promoters with immigrants, both as a population and as individuals, in order to bridge a gap to health services, facilitate understanding and capability, and to promote health. To strengthen a health promotion approach the project has a participatory approach both for education and evaluation. Together the International Health Communicators, the project leaders and a researcher elaborate the education and training to International Health Communicators, and have monthly “developing and evaluation” meetings to support the learning process and the International Health Communication developing process. In this process the challenge is to develop a model for health communication that is flexible and useful for different immigrant groups and individuals, consistent with empowerment and integration building in the forth dimension of health promotion in the 21st century. A summative evaluation of the first project year with structure, process and impact evaluation will be reported in March.

1234 51 - 100 of 162
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf