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  • 1.
    Borgström, Juliana
    University of Skövde, School of Bioscience.
    Cyclical Women: Menstrual Cycle Effects on Mood and Neuro-Cognitive Performance2019Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    During roughly forty years of a woman’s life-span, the fertile female human body prepares itself monthly for the possibility of pregnancy. Science has shown that the fluctuation of the sex steroids progesterone and estrogen have a crucial role in the female body's physiology, determining the menstrual cycle and its general phases. This biological dance of hormones governing the cycle influences a lot of physical, mental and cognitive aspects of life for a fertile ovulating woman. Although the question of whether these changes also affect women's cognitive performance is still unclear, some evidence has been gathered that could bring us closer to answers. Recent research findings show that this hormonal interplay might have a significant role in cognitive and psychological development - modulating brain activity, cognitive performance, higher cognition, emotional status, sensory processing, appetite and more. This thesis aims to uncover to what extent the menstrual cycle affects brain functions, neurobiology, mood, well-being and cognitive performance in menstruating cisgender women.

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  • 2.
    Bäckström, Caroline
    et al.
    University of Skövde, School of Life Sciences.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Support during labour: first-time fathers' descriptions of requested and received support during the birth of their child2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 1, p. 67-73Article in journal (Refereed)
    Abstract [en]

    Objective:  to explore how first-time fathers describe requested and received support during a normal birth. Design:  qualitative research design. Ten first-time fathers were interviewed during the first postpartum week.  Individual  open-ended  interviews  were  used  to  explore  the  fathers’  descriptions,  and  the interviews were analysed using qualitative analysis. Setting:  a labour ward at one hospital in a south-western county of Sweden in November and December 2006. Participants:  first-time  fathers  who  had  experienced  a  normal  birth  at  the  hospital  during  the study period. Findings:  the support described is presented as one main theme, ‘being involved or being left out’, which included four underlying categories: ‘an allowing atmosphere’, ‘balancing involvement’, ‘being seen’ and ‘feeling left out’. Key conclusions:  fathers perceived that they were given good support when they were allowed to ask questions during labour, when they had the opportunity to interact with the midwife and their partner, and when they could choose when to be involved or to step back. Fathers want to be seen as individuals who are part of the labouring couple. If fathers are left out, they tend to feel helpless; this can result in a feeling of panic and can put their supportive role of their partner at risk. Implications  for practice:  the  results  of  this  study could  initiate  discussions  about  how  health-care professionals can develop support given to the labouring couple, with an interest in increasing paternal involvement.

  • 3.
    Dalal, Koustuv
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Lee, Ming-Shinn
    National Dong Hwa University, Hualien, Taiwan.
    Ussatayeva, Gainel
    Kazakhstan School of Public Health, Almaty, Kazakhstan.
    Gifford, Mervyn
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Female genital mutilation: a multi-country study2015In: HealthMed, ISSN 1840-2291, E-ISSN 1986-8103, Vol. 9, no 4, p. 161-167Article in journal (Refereed)
  • 4.
    Erichsen Andersson, Annette
    et al.
    The Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden / Department of Anesthesia, Surgery, and Intensive Care, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden.
    Petzold, Max
    Akademistatistik - Centre for Applied Biostatistics, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Bergh, Ingrid
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Karlsson, Jón
    Department of Orthopedics, Sahlgrenska University Hospital, Gothenburg, Sweden / The Sahlgrenska Academy, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
    Eriksson, Bengt I.
    Department of Orthopedics, Sahlgrenska University Hospital, Gothenburg, Sweden / The Sahlgrenska Academy, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
    Nilsson, Kerstin
    The Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
    Comparison between mixed and laminar airflow systems in operating rooms and the influence of human factors: Experiences from a Swedish orthopedic center2014In: American Journal of Infection Control, ISSN 0196-6553, E-ISSN 1527-3296, Vol. 42, no 6, p. 665-669Article in journal (Refereed)
  • 5.
    Hellström Muhli, Ulla
    et al.
    University of Skövde, School of Life Sciences.
    Delbene, Roxana
    The ethical dimension of presence in elderly care talk-encounter2012In: Discursive, ethical, and psychological dimensions of Presence in Health Care Communication – implications for professional education / [ed] J.C. Gonçalves, Niteroi: Editora da Universidade Federal Fluminense , 2012Chapter in book (Refereed)
  • 6.
    Kallioinen, Minna
    et al.
    Department of Perioperative Services, Intensive Care and Pain Medicine, Turku University Hospital, Finland.
    Scheinin, Annalotta
    Department of Perioperative Services, Intensive Care and Pain Medicine, Turku University Hospital, Finland / Turku PET Centre, University of Turku and Turku University Hospital, Finland.
    Maksimow, Mikael
    Medicity Research Laboratory, University of Turku, Finland.
    Långsjö, Jaakko
    Turku PET Centre, University of Turku and Turku University Hospital, Finland / Department of Intensive Care, Tampere University Hospital, Finland.
    Kaisti, Kaike
    Turku PET Centre, University of Turku and Turku University Hospital, Finland / Department of Anesthesiology and Intensive Care, Oulu University Hospital, Finland.
    Takala, Riikka
    Department of Perioperative Services, Intensive Care and Pain Medicine, Turku University Hospital, Finland.
    Vahlberg, Tero
    Department of Clinical Medicine, Biostatistics, University of Turku and Turku University Hospital, Finland.
    Valli, Katja
    University of Skövde, School of Bioscience. University of Skövde, Systems Biology Research Environment. Department of Psychology and Speech-Language Pathology, and Turku Brain and Mind Centre, University of Turku, Finland.
    Salmi, Marko
    Medicity Research Laboratory, University of Turku, Finland / Institute of Biomedicine, University of Turku, Finland.
    Scheinin, Harry
    Department of Perioperative Services, Intensive Care and Pain Medicine, Turku University Hospital, Finland / Turku PET Centre, University of Turku and Turku University Hospital, Finland / Integrative Physiology and Pharmacology, Institute of Biomedicine, University of Turku, Finland.
    Maksimow, Anu
    Department of Perioperative Services, Intensive Care and Pain Medicine, Turku University Hospital, Finland.
    The influence of dexmedetomidine and propofol on circulating cytokine levels in healthy subjects2019In: BMC Anesthesiology, ISSN 1471-2253, E-ISSN 1471-2253, Vol. 19, no 1, p. 1-8, article id 222Article in journal (Refereed)
    Abstract [en]

    Background: Surgery and diseases modify inflammatory responses and the immune system. Anesthetic agents also have effects on the human immune system but the responses they induce may be altered or masked by the surgical procedures or underlying illnesses. The aim of this study was to assess how single-drug dexmedetomidine and propofol anesthesia without any surgical intervention alter acute immunological biomarkers in healthy subjects. Methods: Thirty-five healthy, young male subjects were anesthetized using increasing concentrations of dexmedetomidine (n = 18) or propofol (n = 17) until loss of responsiveness (LOR) was detected. The treatment allocation was randomized. Multi-parametric immunoassays for the detection of 48 cytokines, chemokines and growth factors were used. Concentrations were determined at baseline and at the highest drug concentration for each subject. Results: The changes in the concentration of eotaxin (decrease after dexmedetomidine) and platelet-derived growth factor (PDGF, increase after propofol) were statistically significantly different between the groups. Significant changes were detected within both groups; the concentrations of monocyte chemotactic protein 1, chemokine ligand 27 and macrophage migration inhibitory factor were lower in both groups after the drug administration. Dexmedetomidine decreased the concentration of eotaxin, interleukin-18, interleukin-2Ra, stem cell factor, stem cell growth factor and vascular endothelial growth factor, and propofol decreased significantly the levels of hepatocyte growth factor, IFN-.-induced protein 10 and monokine induced by IFN-gamma, and increased the levels of interleukin-17, interleukin-5, interleukin-7 and PDGF. Conclusions: Dexmedetomidine seemed to have an immunosuppressive effect on the immune system whereas propofol seemed to induce mixed pro- and anti-inflammatory effects on the immune system. The choice of anesthetic agent could be relevant when treating patients with compromised immunological defense mechanisms. Trial registration: Before subject enrollment, the study was registered in the European Clinical Trials database (EudraCT number 2013-001496-21, The Neural Mechanisms of Anesthesia and Human Consciousness) and in ClinicalTrials.gov (Principal Investigator: Harry Scheinin, number NCT01889004, The Neural Mechanisms of Anesthesia and Human Consciousness, Part 2, on the 23rd of June 2013).

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  • 7.
    Karlsson, Suzana
    et al.
    University of Skövde, School of Health and Education.
    Cederqvist, Petra
    University of Skövde, School of Health and Education.
    Skolsköterskans upplevelse av att stödja och stärka elever med neuropsykiatriska funktionsnedsättningar - En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
    Abstract [en]

    Background: Children with neuropsychiatric disabilities (NPF) are in need of support and importance to be seen in the health care sector in school. The primary duty of the school nurse is to ensure that the students are in wellbeing. School nurses are supporting and strengthening the good of health by being present, listening and giving hope in the dialogue.

    Purpose: Describing school nurse's experience of supporting and strengthening students with neuropsychiatric disabilities

    Method: The study used a qualitative method with inductive approach where eight interviews were analyzed with qualitative content analysis. Result: Two major categories emerged from the analysis; Entering security and hope through accessibility and conversation and Strengthening cooperation with others, with five belonging subcategories.

    Conclusion: The school nurse's support in school leads the neuropsychiatric disabilities students feeling stronger in their situation, which gives greater hope and faith in the future. Helping students to promote their health and healthy behaviors helps to strengthen the students' protection factors. Through dialogue and responsiveness, students are strengthened to learn to make their own decisions and grow as individuals. Good teamwork contributes to greater opportunities for promoting health and preventing illness for students with neuropsychiatric disabilities.

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    Magisteruppsats
  • 8.
    Laaksonen, L.
    et al.
    University of Turku, Turku, Finland / Turku University Hospital, Turku, Finland.
    Kallioinen, M.
    Turku University Hospital, Turku, Finland.
    Långsjö, J.
    Tampere University Hospital, Tampere, Finland.
    Laitio, T.
    Turku University Hospital, Turku, Finland.
    Scheinin, A.
    University of Turku. Turku, Finland / Turku University Hospital, Turku, Finland.
    Scheinin, J.
    Kuopio University Hospital, Kuopio, Finland.
    Kaisti, K.
    Oulu University Hospital, Oulu, Finland.
    Maksimow, A.
    Turku University Hospital, Turku, Finland.
    Kallionpää, R. E.
    Turku University Hospital, Turku, Finland / University of Turku, Turku, Finland.
    Rajala, V.
    Turku University Hospital, Turku, Finland.
    Johansson, J.
    University of Turku, Turku, Finland / Turku University Hospital, Turku, Finland / Umeå University, Umeå, Sweden.
    Kantonen, O.
    University of Turku, Turku, Finland / Turku University Hospital, Turku, Finland / University of California, Irvine, CA, USA.
    Nyman, M.
    Turku University Hospital, Turku, Finland.
    Sirén, S.
    Turku University Hospital, Turku, Finland.
    Valli, Katja
    University of Skövde, School of Bioscience. University of Skövde, The Systems Biology Research Centre. Turku University Hospital, Turku, Finland / University of Turku, Turku, Finland.
    Revonsuo, Antti
    University of Skövde, School of Bioscience. University of Skövde, The Systems Biology Research Centre. University of Turku, Turku, Finland.
    Solin, O.
    University of Turku, Turku, Finland / Turku University Hospital, Turku, Finland.
    Vahlberg, T.
    University of Turku, Turku, Finland / Turku University Hospital, Turku, Finland.
    Alkire, M.
    University of California, Irvine, CA, USA.
    Scheinin, Harry
    University of Turku, Turku, Finland / Turku University Hospital, Turku, Finland.
    Comparative effects of dexmedetomidine, propofol, sevoflurane, and S-ketamine on regional cerebral glucose metabolism in humans: a positron emission tomography study2018In: British Journal of Anaesthesia, ISSN 0007-0912, E-ISSN 1471-6771, Vol. 121, no 1, p. 281-290Article in journal (Refereed)
    Abstract [en]

    IntroductionThe highly selective α2-agonist dexmedetomidine has become a popular sedative for neurointensive care patients. However, earlier studies have raised concern that dexmedetomidine might reduce cerebral blood flow without a concomitant decrease in metabolism. Here, we compared the effects of dexmedetomidine on the regional cerebral metabolic rate of glucose (CMRglu) with three commonly used anaesthetic drugs at equi-sedative doses.

    MethodsOne hundred and sixty healthy male subjects were randomised to EC50 for verbal command of dexmedetomidine (1.5 ng ml−1n=40), propofol (1.7 μg ml−1n=40), sevoflurane (0.9% end-tidal; n=40) or S-ketamine (0.75 μg ml−1n=20) or placebo (n=20). Anaesthetics were administered using target-controlled infusion or vapouriser with end-tidal monitoring. 18F-labelled fluorodeoxyglucose was administered 20 min after commencement of anaesthetic administration, and high-resolution positron emission tomography with arterial blood activity samples was used to quantify absolute CMRglu for whole brain and 15 brain regions.

    ResultsAt the time of [F18]fluorodeoxyglucose injection, 55% of dexmedetomidine, 45% of propofol, 85% of sevoflurane, 45% of S-ketamine, and 0% of placebo subjects were unresponsive. Whole brain CMRglu was 63%, 71%, 71%, and 96% of placebo in the dexmedetomidine, propofol, sevoflurane, and S-ketamine groups, respectively (P<0.001 between the groups). The lowest CMRglu was observed in nearly all brain regions with dexmedetomidine (P<0.05 compared with all other groups). With S-ketamine, CMRgludid not differ from placebo.

    ConclusionsAt equi-sedative doses in humans, potency in reducing CMRglu was dexmedetomidine>propofol>ketamine=placebo. These findings alleviate concerns for dexmedetomidine-induced vasoconstriction and cerebral ischaemia.

  • 9.
    Olivari, Maria Giulia
    et al.
    Psychology Department, CRIdee, Università Cattolica del Sacro Cuore, Milano, Italy.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Maridaki-Kassotaki, Katerina
    Department of Home Economics and Ecology, Harokopio University of Athens, Athens, Greece.
    Antonopoulou, Katerina
    Department of Home Economics and Ecology, Harokopio University of Athens, Athens, Greece.
    Confalonieri, Emanuela
    Psychology Department, CRIdee, Università Cattolica del Sacro Cuore, Milano, Italy.
    Adolescent Perceptions of Parenting Styles in Sweden, Italy and Greece: An Exploratory Study2015In: Europe's Journal of Psychology, ISSN 1841-0413, E-ISSN 1841-0413, Vol. 11, no 2, p. 244-258Article in journal (Refereed)
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  • 10.
    Rendon, Patricia
    University of Skövde, School of Health and Education.
    Att arbeta förebyggande, ett viktigt men tidskrävande arbete: Vårdpersonalens erfarenheter av munvård hos personer med demenssjukdom2018Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Personer med demens har kognitiva nedsättningar. De får svårt att sköta sin egen munhygien, detta leder till en förvärring av den kroniska sjukdomen. Bemötandet är avgörande då de behöver känna tillit personen som hjälper till med munvården. Hinder uppstår vid kunskapsbrist och motstånd. Senior alert är hjälpmedel där dålig munhälsa kan identifieras. Syfte: Att beskriva vårdpersonalens erfarenheter av att främja munhälsan hos personer med demens. Metod: Litteraturöversikt med kvantitativ och kvalitativ ansats. Resultat: Två teman uppkom: Kunskap ger kompetens som innebär att kunskap om demens symtom, munhygien samt munvård är viktiga delar till en god munvård. En god kommunikation med gott samarbete personal emellan samt gentemot patienter är även detta viktiga delar. Hinder ger känsla av obehag innefattar när munvården blir svår att utföra då personal upplever organisatoriska hinder som tidsbrist och otillräcklig personal tillsättning samt hinder från patienter som verbalt och fysiskt motstånd. Konklusion: Kunskap om demens och munvård är viktigt för att kunna bibehålla en bra munhälsa där utbildning är nyckeln till kunskapen. Denna bör ges under utbildningen men även under arbetstiden. Även ges kontinuerligt då det sker personalomväxlingar och forskning går framåt.

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  • 11.
    Tagliabue, Semira
    et al.
    Department of Psychology, Università Cattolica del Sacro Cuore, Brescia, Italy.
    Olivari, Maria Giulia
    CRIdee, Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Maridaki-Kassotaki, Katerina
    Department of Home Economics and Ecology, Harokopio University, Athens, Greece.
    Antonopoulou, Katerina
    Department of Home Economics and Ecology, Harokopio University, Athens, Greece.
    Confalonieri, Emanuela
    CRIdee, Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy.
    Retrospective Paternal and Maternal Parenting Styles in Greece, Italy, and Sweden2018In: European Journal of Psychological Assessment, ISSN 1015-5759, E-ISSN 2151-2426, Vol. 34, no 6, p. 399-408Article in journal (Refereed)
    Abstract [en]

    Abstract. Discrepancies in perceived parenting and parental roles across European countries could be due to the use of different assessment techniques or due to mean level differences in the authoritative, authoritarian, or permissive parenting styles. The present study aimed to examine the psychometric characteristics of the Parenting Styles and Dimensions Questionnaire (PSDQ; Robinson, Mandleco, Olsen, & Hart, 1995, 2001) in a sample of 225 Greek, 301 Italian, and 279 Swedish adolescents aged 16?19 years, who evaluated their father?s and mother?s parenting styles during their childhood. A confirmatory factor analysis (CFA), multigroup CFA, and modified version of the correlated uniqueness model were used to evaluate the structure and invariance of the scale across countries. Measurement and structural invariance was found in the 8-item authoritative scale and 6-item authoritarian scale. A mixed ANOVA (Country ? Style ? Role) showed that Swedish mothers scored lower than Italian or Greek mothers, and that, in the three countries, mothers were perceived as more authoritative than were fathers.

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