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  • 151.
    Bergsten, Niklas
    University of Skövde, School of Life Sciences.
    PDIA3 and Prostate Cancer: Do changes in nucleotidesequence correspond tomalignancy?2012Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    PDIA3 interacts with the lectin chaperons; calnexin and calreticulin to surveythe folding of newly synthesized glycoproteins by the addition of N-linkedglycans. PDIA3 is also involved in transcaltachia signaling cascades andimmunogenicity. The purpose was to determine if there were any changespresent in the nucleotide sequence of the Pdia3 gene. To study this, fourprostate cell lines were examined by Sanger sequencing, two malignant(LNCaP, PC3) and two normal (PNT1A, PNT2). These were to be compared tothe nucleotide sequence from nine formalin fixed paraffin-embedded (FFPE)samples of different Gleason score and the sequence from three FFPE samplesof normal prostate tissue chosen from the Örebro Radical Cohort. The obtainedsequences were then analysed with several bioinformatics tools to determine ifthere were any changes present. The nucleotide sequence obtained from thesequencing indicated that none of the cell lines expressed the most redundantisofrom; CRA_c, but instead CRA_a and CRA_b. Surprisingly, the two normalcell lines (PNT1A and PNT2) produced similar scores in BLAST search forboth the CRA_a and the CRA_b isoforms. Software analysis of the translatedsequences predicted that LNCaP expressed a membrane bound form PDIA3while PC3 expressed a cytoplasmic variant of the protein. To confirm this,another sequencing reaction was performed. The second results indicated thatall cell lines expressed the same isoform, but that the isoforms were localizedto different intracellular compartments.

  • 152.
    Bergström, Evelyn
    et al.
    University of Skövde, School of Life Sciences.
    Bega, Arijana
    University of Skövde, School of Life Sciences.
    Upplevelser av att leva med lungcancer: En litteraturbaserad studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Lung cancer is a disease with poor prognosis, with many people that falls ill each year. It is a disease which leads to numerous and severe symptoms that create much suffering. Aim: The aim of this study was to describe patients' experiences of living with lung cancer in daily life. Methods: A literature study was conducted with a qualitative approach. Twelve scientific articles were reviewed and analyzed according to a model for a literature study. Results: Six categories were identified: live with uncertainty, stigma and guilt, experience of disease-related symptoms, a changed self-esteem, to get support and be confirmed and thrown between hope and despair. Discussion: There was a need for patients to live as independent as possible, social support and the support from health professionals was crucial for them to cope with it. Support overall was important for patients to be able to handle most situations. By acquiring knowledge about patients' with lung cancers experiences the nurse can be a better support for the patient in order to alleviate patients suffering.

  • 153.
    Bertilsson, Ann
    et al.
    University of Skövde, The Systems Biology Research Centre. University of Skövde, School of Life Sciences.
    Jonsson, Annie
    University of Skövde, The Systems Biology Research Centre. University of Skövde, School of Life Sciences.
    Inventeringsmetodik med undervattensvideokamera för studier av stormusslors förekomst och tätheter vid vägbroar2012Report (Other academic)
  • 154.
    Bertilsson, Sara
    et al.
    University of Skövde, School of Life Sciences.
    Sjöström, Björn
    University of Skövde, School of Life Sciences.
    Bedömning av smärta hos barn : En review2005In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 25, no 3, p. 13-18Article in journal (Refereed)
    Abstract [en]

    Assessing pain in children is one of nurses’ most difficult tasks and provides the foundation for efficient pain management. Young children lack the verbal skills to describe their experience of pain and they also have problems in differentiating pain from other unpleasant experiences. The aim of this study was to review current research regarding pain assessment in children. A literature search was carried out in the CINAHL and Medline databases, using the search words «pain assessment», «pain measurement», «pain rating scales», «children» and «nursing» and was limited to the years 1997–2002. Twelve articles satisfied the inclusion criteria and were analysed. The results are highlighted in five areas: Assessment of pain in children; Assessment of pain in infants; Tools and scales for assessing pain; Factors influencing the nurse’s assessment of pain; pain assessment as a basis of efficient pain therapy. The results of the study point to problems in pain assessment and the importance of children’s pain being adequately assessed. Accordingly, it is of utmost importance when possible to be able to take into account the individual child’s experience of pain.

  • 155.
    Biel, Anders
    et al.
    University of Skövde, The Virtual Systems Research Centre. University of Skövde, School of Technology and Society.
    Stigh, Ulf
    University of Skövde, The Virtual Systems Research Centre. University of Skövde, School of Technology and Society.
    Walander, Tomas
    University of Skövde, The Virtual Systems Research Centre. University of Skövde, School of Life Sciences.
    A Critical Study of an Alternative Method to Measure Cohesive Properties of Adhesive Layers2012In: Proceedings of the 19th European Conference on Fracture, Kazan Scientific Centre of the Russian Academy of Sciences , 2012Conference paper (Refereed)
    Abstract [en]

    A perfect experiment is only sensitive to the properties to be analysed. However, evaluation of experimental results is always based on assumptions. Depending on the assumptions, the derived results are more or less correct. In this paper a method based on linear elastic fracture mechanics is compared to a method based on the path independence of the J-integral and the assumptions of the existence of a cohesive zone. Contrary to the other methods, the J-integral method only rests on the assumption that the material of the specimen has a strain energy density that not explicitly depends on the position in the direction of crack propagation. That is, the conditions for J to be path independent. Evaluation of simulated experiments gives the exact value of the fracture energy. The alternative method is based on linear elastic fracture mechanics. Contrary to the conventional methods we use an expression where the crack length is eliminated in favour of the flexibility of the specimen.

    Influences of assumptions are studied both experimentally and numerically. Differences in stiffness are achieved by changing the type of adhesive and the layer thickness. Two different adhesives are studied. One is a modern crash resistant epoxy adhesive, SikaPower-498. This is a relatively stiff and tough adhesive. The other adhesive is a soft and extremely tough polyurethane based adhesive, Sikaflex-UHM. Two layer thicknesses are tested; 1.0 mm for the epoxy and 3.0 mm for the polyurethane based adhesive. The results show that the two methods give similar results for the thinner and stiffer epoxy adhesive but differences are recorded for the soft polyurethane based adhesive. This analysis gives a better understanding of the evaluation methods and their limitations and possibilities to extract cohesive laws.

  • 156.
    Binder, Pauline
    et al.
    University of Skövde, School of Life Sciences. Department of Women’s and Children’s Health (IMCH), Akademiska Hospital/Uppsala University, Uppsala, Sweden.
    Gustafsson, Annica
    Department of Woman and Child Health/Division of Reproductive and Perinatal Health Care, Karolinska Institute, Stockholm, Sweden.
    Uvnäs-Moberg, Kerstin
    Swedish University of Agriculture, Skara, Sweden.
    Nissen, Eva
    Department of Woman and Child Health/Division of Reproductive and Perinatal Health Care, Karolinska Institute, Stockholm, Sweden.
    Hi-TENS combined with PCA-morphine as post caesarean pain relief2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 4, p. 547-552Article in journal (Refereed)
    Abstract [en]

    Objectives:  to examine effectiveness and overall opiate consumption between high-sensory transcutaneous  electrical  nerve  stimulation  (Hi-TENS)  combined  with  patient-controlled  analgesia  with morphine and patient-controlled analgesia with morphine alone following elective (e.g. scheduled) caesarean birth. Design:  randomised, controlled study. Setting:  a county hospital in south-west Sweden. Participants:  42 multiparous women. Measurements and findings:  participants were randomly assigned and connected to patient-controlled analgesia  with  morphine  alone  or  in  combination  with  Hi-TENS  apparatus.  Levels  of  morphine consumed were calculated every third hour during the first 24 hours post partum. Pain and sedation were assessed by visual analogue scale at one, three, six, nine, 12 and 24 hours post partum. Total consumption  of  morphine  differed  significantly  between  the  groups:  morphine  with  TENS  was 16.2+/-12.6 mg and morphine alone was 33.1+/-20.9 mg (p = 0.007). Assessment of pain relief showed no  significant  difference.  Sedation  differed  significantly  between  the  groups  (p = 0.045),  especially between three and 12 hours post partum (p = 0.011). Key conclusions and implications for practice:  pain relief from a combination of Hi-TENS and patient-controlled analgesia with morphine was as effective as patient-controlled analgesia with morphine alone, produced less sedation and reduced morphine use by approximately 50%. Women undergoing a caesarean section should be given the opportunity to make an informed choice about post operative pain relief before surgery. A presumed benefit of this treatment combination is that the mother is more alert and better able to interact with her newborn during the first hours after birth without drowsiness due to large doses of opiates.

  • 157.
    Birgersson, Sara
    et al.
    University of Skövde, School of Life Sciences.
    Ljunggren, Madelen
    University of Skövde, School of Life Sciences.
    ETT SÅRAT HJÄRTA: Upplevelser av hälsa och välbefinnande i vardagen efter en hjärtinfarkt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Approximately 100 people suffer from heart attacks in Sweden every day, showing that myocardial infarction is a major problem in society. In implementing good health care it is important for health professionals to create an overall picture of these patients' experiences of health and wellbeing in their daily life. The purpose of this study is therefore to emphasize patients' experiences of health and wellbeing in daily life after a heart attack, with Katie Eriksson's health positions as theoretical base. A qualitative study based on seven autobiographies was conducted. Analysis of the data revealed seven major categories, showing the patients' experiences  the daily life after a heart attack: Feeling of insecurity, A stressful life situation, A lifelong disease, Striving for a normal daily life, The need for support and information, Lifestyle changes and A second chance. To get a picture of the experiences of health and wellbeing in these different situations, each category was added to Katie Eriksson's health positions. The findings show that all four health positions are represented in the daily life of patients' suffering from a heart attack. Patients are more likely to experience health and wellbeing as time passes after the heart attack.

     

  • 158.
    Birtic, Martin
    et al.
    University of Skövde, School of Life Sciences.
    Olsson, Emma
    University of Skövde, School of Life Sciences.
    Sjuksköterskan och patienten med schizofreni: En vårdande relation2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Patienter som har diagnosen schizofreni är inte unikt samlade inom den psykiatriska vården utan finns inom alla vårdspecialiteter. En viktig del av omvårdnadsarbetet hos de sjuksköterskor vilka möter dessa patienter är etablerandet av en vårdande relation med dem. Det är i denna relation som omvårdnaden tillämpas. Syftet med studien var att sammanställa och belysa forskning som beskriver sjuksköterskans vårdrelation med en patient som har diagnosen schizofreni. I en systematisk litteraturstudie granskades och analyserades åtta vetenskapliga artiklar vilket resulterade i tre huvudteman relaterade till vårdrelationen: ´etablera en vårdande relation´, ´främjar utvecklingen av vårdrelationen´ samt ´hämmar utvecklingen av vårdrelationen´. Innehållet i dessa teman framhäver att vårdrelationen är ett komplex fenomen bestående av många aspekter. Genom en förståelse utav dessa aspekters proportioner samt påverkan kan de utav sjuksköterskor ägnas medvetna åtgärder i syfte att stärka relationen till patienten och öka kvaliteten på omvårdnaden.

  • 159.
    Biswas, M. K.
    et al.
    Huazhong Agricultural University, China.
    Ahmed, M. B.
    University of Skövde, School of Life Sciences. University of Skövde, The Systems Biology Research Centre.
    Mondal, M. A. A.
    University of Rajshahi, Bangladesh.
    Razvy, M. A.
    Huazhong Agricultural University, China.
    Hoque, A.
    University of Rajshahi, Bangladesh.
    Islam, R.
    University of Rajshahi, Bangladesh.
    Hossaina, M.
    University of Rajshahi, Bangladesh.
    Mandal, Abul
    University of Skövde, School of Life Sciences. University of Skövde, The Systems Biology Research Centre.
    In exploitation of genetic diversity in potato breeding2010In: Agronomski Glasnik (Agronomy Journal), ISSN 1848-8900, Vol. 72, no 4-5, p. 261-276Article in journal (Refereed)
    Abstract [en]

    With a view to select divergent parents genetic diversity was estimated among twenty genotypes. Thirty F1 progenies developed by line-tester mating were studied from seedling generation to first clonal generation for five important agronomic traits. Cluster analysis reveals that the parents could be grouped into seven different clusters. Cluster means showed wide range of variation for several traits among singles as well as multi genotypic clusters. Considering diversity pattern, parents should select from cluster I, III, IV, and V for the improvement of potato. Analysis of variance revealed that all most all the sources of variation were highly significant for all the studied traits in both generations. Parents Challisha, Lalpakri, Patnai, Chamak, Sadagoti, TPS-67 and TPS-364 were found to be good general combiners for tuber yield and yield contribution traits due to their gca effects. The sca effects showed that out of 30 hybrids 12 were found to have specific combining ability for tuber yield and those hybrids also exhibited considerable heterosis for tuber yield and yield contributing traits.

  • 160.
    Björk, Helén
    University of Skövde, School of Life Sciences.
    Att kommunicera trygghet i omvårdnaden av barn: en litteraturstudie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses´ have the responsibility to make sure that children are treated according to childrens rights, and to interact with them. The background present a study where children experience that nurses doesn’t listen to them. Children are vulnerable because they are inferior to both parents and nurses because of their advantage in age and knowledge. That’s why it’s important for nurses to give children an opportunity to participate in decisionmaking, to make them feel included, respected and listened to as individuals. In that way nurses can communicate security. The aim of this study is to describe how nurses communicate security in nursing care with children. The study is a literature review made as a metasynthesis. Qualitative studies were chosen to be able to get the experiences of children, parents and nurses. The result from the analysis shows that through talking, creating an individualized relationship, being receptive to and using a symbolic language all are prerequisites to communicate security. A prerequisite to be able to do this is for nurses to take their time. The interest for this subject among nurses is discussed and the author experience it to be relevant to all nurses, not just children’s nurses because all nurses can meet children in their work. Conclusion: Giving the child time, letting the child participate, being receptive, create a relaionship with the child and give individualized information, to talk to the child and use symbolic language as a complement while talking. These are ways of communicating security in nursing with children.

  • 161.
    Björk, Maria
    University of Skövde, School of Life Sciences.
    Barn med tumörsjukdom2009In: Pediatrisk omvårdnad / [ed] Inger Hallström & Tor Lindberg, Stockholm: Liber, 2009, 1, p. 233-238Chapter in book (Other academic)
  • 162.
    Björk, Maria
    et al.
    University of Skövde, School of Life Sciences.
    Jenholt Nolbris, Margaretha
    Institutionen för vårdvetenskap och hälsa, Sahlgrenska akademin, Göteborgs universitet / Centrum för barns rätt till hälsa, Drottning Silvias barn- och ungdomssjukhus, Göteborg.
    Hedman Ahlström, Britt
    Institutionen för omvårdnad, hälsa och kultur, Högskolan Väst, Trollhättan.
    Att vara barn och möta sjukdom2012In: Att möta familjer inom vård och omsorg / [ed] Benzein Eva, Hagberg Margaretha, Saveman, Britt-Inger, Lund: Studentlitteratur, 2012, 1, p. 191-206Chapter in book (Other (popular science, discussion, etc.))
  • 163.
    Björk, Maria
    et al.
    University of Skövde, School of Life Sciences.
    Johansson Sundler, Annelie
    University of Skövde, School of Life Sciences.
    Hammarlund, Kina
    University of Skövde, School of Life Sciences.
    Hallström, Inger
    Lund University, Department of Health Sciences, Lund, Sweden.
    Living an everyday life shaded with traces from the cancer trajectory – families' lived experiences in a six year follow up2012In: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 59, no 6, p. 1130-1130Article in journal (Refereed)
  • 164.
    Björk, Maria
    et al.
    University of Skövde, School of Life Sciences.
    Nordström, B.
    Division of Nursing, Department of Health Sciences, Lund University, Lund.
    Wiebe, T.
    Department of Pediatrics, Lund University Hospital, Lund, S-22185 Lund, Sweden.
    Hallström, I.
    Division of Nursing, Department of Health Sciences/The Vårdal Institute, Lund University, Lund, Sweden.
    Returning to a changed ordinary life - families' lived experience after completing a child's cancer treatment2011In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 20, no 2, p. 163-169Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to illuminate the families' lived experience after completing a child's cancer treatment. The study took place at a University Hospital in southern Sweden. Interviews were carried out with 10 mothers, eight fathers, four patients and two siblings from a total of 10 families. The interviews were analysed with a hermeneutical phenomenological approach. One essential theme emerged from their stories, ‘returning to a changed ordinary life – incorporating a trying and contradictory experience’. The families felt relieved that the treatment was over yet they experienced strains in their daily life. Family members felt changed and especially the parents needed to focus on themselves in order to recover. Closeness with other people, especially their own family, was important. The previously sick children felt a loss of concern from their parents when treatment had ended, in contrast to siblings who experienced increased attention from their parents. Parents experienced being in uncharted territory and sometimes missed the security of hospital. For professionals it is important to offer the family a structured follow-up to help them in their daily life after the child's treatment is completed.

  • 165.
    Björk, Maria
    et al.
    University of Skövde, School of Life Sciences.
    Thelin, Anna
    Ryhov Hospital, Jönköping.
    Peterson, Inger
    Ryhov Hospital, Jönköping.
    Hammarlund, Kina
    University of Skövde, School of Life Sciences.
    A journey filled with emotions - mothers' experiences of breastfeeding their preterm infant in a Swedish neonatal ward2012In: Breastfeeding Review, ISSN 0729-2759, Vol. 20, no 1, p. 25-31Article in journal (Refereed)
    Abstract [en]

    The study took place in a 10-bed neonatal ward in a hospital in the south of Sweden and includes mothers having given birth to a preterm infant born before the 37th week of gestation. The aim of the study was to illuminate mothers' experiences of breastfeeding a preterm infant in a neonatal ward. Data collection includes written protocols from twelve mothers. These protocols were analysed thematically. The results indicated that the mothers should be offered a private place where they can breastfeed or express breastmilk, and that the breastmilk should not be placed in a shared area. The mothers described that they did not want to be separated from their preterm infant during the night. Finally, they also pointed out the importance of support from the health professionals for establishing an exclusive breastfeeding regime.

  • 166.
    Björklund, Terese
    et al.
    University of Skövde, School of Life Sciences.
    Andersson, Emelie
    University of Skövde, School of Life Sciences.
    attityder gentemot patienter med fetma ur patient- och sjuksköterskeperspektivet: en litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Fetma är en växande folksjukdom. Den ökade förekomsten av fetma leder till attsjukvården i större utsträckning kommer att möta patienter med fetma. Syftet med studienvar att ur ett patient- och sjuksköterskeperspektiv belysa vilka attityder sjuksköterskan hargentemot vuxna patienter med fetma. En litteraturöversikt har använts för att sammanställatidigare forskning som berör sjuksköterskans attityder mot patienter med fetma. Studienomfattar sju vetenskapliga artiklar som resulterat i två huvudteman med tillhörandeunderteman som redovisar resultatet inom ämnet. Resultatet visar att negativa attityder motvuxna patienter med fetma förekommer bland sjuksköterskor. Förutfattade meningar finnsangående fetman och dess orsaker, patienterna ses som mindre socialt accepterade ochmindre attraktiva. Orsaken till fetma beror enligt sjuksköterskan på individens arv ochegna val. Studien pekar även på det känsliga ämnet och att sjuksköterskan känner obehag isin relation till patienten. Hennes egen kroppsuppfattning påverkar vilken inställning honhar inför mötet med patienten, detta skapar en frustration hos sjuksköterskan som försvårarrelationen mellan sjuksköterska och patient. En frustration uppstår även i förtroendet tillpatienten då sjuksköterskan är rädd att förolämpa patienten vid motivationen tillviktnedgång.

  • 167.
    Björkman, Berit
    et al.
    Jönköping University.
    Almqvist, Lena
    Mälardalen University.
    Sigstedt, Bo
    Jönköping University.
    Enskär, Karin
    University of Skövde, School of Life Sciences.
    Children's experience of going through an acute radiographic examination2012In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 18, no 2, p. 84-89Article in journal (Refereed)
    Abstract [en]

    Children’s experience of radiographic examinations remains largely unexplored, although most radiographers examine children on a daily basis. In order to provide the high quality care that meets the needs of patients it was considered important to undertake research focused upon the patients’ experience of radiographic practice.

    The aim of the study was to investigate children’s experiences undergoing a radiographic examination for a suspected fracture.

    Inclusion criteria were Swedish-speaking children between 3 and 15 years of age who were submitted for a radiographic examination with an acute condition of the upper or lower extremity. Patients were informed of the study and together with the escorting parent or relative asked for consent to participate.

    During the examination the child was videotaped and immediately after, the child was interviewed in a nearby facility. The interview contained open-ended questions and was conducted while watching the videotape together with the child and their parent or relative and the researcher.

    Qualitative content analysis was used in analyzing the collected data. The analysis resulted in two categories - “feeling uncomfortable” and “feeling confident”. The subcategories contained in these categories were “pain in relation to injury and examination”, “the waiting time is strenuous”, “worries for the future and consequences of the injury”, “confidence in parental presence”, “confidence in radiographic staff and examination procedure”, and finally “recognition entails familiarity”.

    The results revealed that for the younger children, the experience of undergoing an acute radiographic examination was associated with pain and anxiety, but for the older children, the anxiety was more connected to whether the injury had caused a fracture and any anticipated future consequences or complications.

  • 168.
    Björkén, Anette
    et al.
    University of Skövde, School of Life Sciences.
    Norman, Maria
    University of Skövde, School of Life Sciences.
    Att belysa sjuksköterskors omhändertagande av patienter som drabbats av aneurysm2008Independent thesis Basic level (degree of Bachelor)Student thesis
  • 169.
    Blanck, Jonna
    et al.
    University of Skövde, School of Life Sciences.
    Johansson, Malin
    University of Skövde, School of Life Sciences.
    Wahlström, Sanna
    University of Skövde, School of Life Sciences.
    Sjuksköterskans roll i omvårdnaden av patienter med suicidala tankar2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses have an important role caring with the suicidal patient as they often are the first to encounter these individuals. In order to develop their skills, nurses need to understand the complexity of the problem around the thoughts of wanting to die. The purpose of the study was to compile and elucidate research that describes how nurses can provide care to suicidal patients. The method used was a literature review. The results were divided into seven themes that can guide the nurse in the work: to be there, give time and listen, to recognize and assess risk factors, working in a team, to be attentive to own attitudes, to give hope, to be able to process their feelings, increased knowledge of the causes of suicide. Even though the study is not deep-going, it can serve as guidance for both the work with the patient and how nurses themselves can process their feelings and experiences, which is considered important in the work with an often mental demanding group of patients.

  • 170.
    Blom, Helen
    et al.
    Department of Intensive Care Unit, Skaraborg Hospital, Skövde, Sweden.
    Gustavsson, Christina
    Department of Intensive Care Unit, Skaraborg Hospital, Skövde, Sweden.
    Johansson Sundler, Annelie
    University of Skövde, School of Life Sciences.
    Participation and support in intensive care as experienced by close relatives of patients: A phenomenological study2013In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 29, no 1, p. 1-8Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to explore participation and support as experienced by close relatives of patients at an intensive care unit (ICU).

    Method: This study used the phenomenological approach as developed by Dahlberg et al. (2008) as a method for reflective lifeworld research. Seven close relatives of critically ill patients cared for at an ICU were interviewed. The data were analysed with a focus on meanings.

    Results: Being allowed to participate in the care of critically ill patients at an ICU is impor-tant for close relatives to the patients. Their experiences can be described as having four constituents: participation in the care of and being close to the patient; confidence in the care the patient receives; support needed for involvement in caregiving; and vulnerability.

    Conclusion: Participation with and support from health-care professionals are important for the relatives’ well-being and their ability to contribute to the patients’ care. Health-care profes-sionals, especially critical care nurses, need to create an atmosphere that invites relatives to participate in the care provided at an ICU.

  • 171.
    Blomberg Nilsson, Jessica
    et al.
    University of Skövde, School of Life Sciences.
    Ceder, Kristina
    University of Skövde, School of Life Sciences.
    Pappors upplevelse av akut kejsarsnitt2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Fathers attendance during childbirth has increased during the years. They are expected to play an important role in supporting the woman during delivery. Many men are not aware that what seems to be a normal delivery suddenly can end with an emergency caesarean section. The aim of this study was to see/find out how prospective fathers experience the situation of emergency caesarean section. To study fathers experience of caesarean section we used a phenomenological research method. Five fathers participated in the study and data was obtained by qualitative research interviews. The data was analysed and divided into five categories: expectant fathers knowledge and expectations about giving birth, to not know what is happening, presence gives a feeling of participation, to be left alone or not with or without information and after the operation. Results of the study showed that prospective fathers´ birth expectations were that it will be a normal delivery. Their knowledge of emergency caesarean section is small and therefore they feel unprepared with the situation. Not receiving continuous information from the midwife makes the father worried and anxious and gives a negative feeling of the delivery. The fathers who received information during the process had a more positive feeling and a feeling of participation. A simple thing like getting information changes the way a person feels about a situation.

  • 172.
    Blomstrand, Johanna
    University of Skövde, School of Life Sciences.
    Studie av kantzoner i Valleområdet och Varaslätten: Inventering av invertebrater, träd, mossor och lavar2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Ecotones are areas where different ecosystems meet, and they vary in sharpness and range. The areas provide a great biological diversity since they are a mixture of the meeting areas and provide special microclimate. The biological diversity is affected by the width, length and structure of the ecotone and they have a biological significance in that they provide habitat, protection and food to many species. To demonstrate where in the landscape there are ecotones the tool GIS can be used. In this work GIS have been used to define which areas the work is concentrated on and to randomize out points for inventory in the ecotones in these areas. Inventory of the ecotones was made with the help of twenty 5x2 meters big inventory boxes, ten in the Valle area and ten on the Vara flat. Invertebrates, trees, mosses and lichens where inventoried in the boxes. The aim of this work was to see how the biological diversity in ecotones between forest and open land differ between the Valle area and the Vara flat. A study was also made to see whether the cardinal direction the ecotones lie in have an impact on the invertebrate fauna or not. None of the tests made showed any statistically significant difference between the Valle area and the Vara flat. Nor was there any statistically significant difference in invertebrate fauna depending on cardinal direction of the ecotone. Nevertheless, there are indications that the areas differ in invertebrate fauna and number of tree individuals. 

  • 173.
    Bodén, Emma
    et al.
    University of Skövde, School of Life Sciences.
    Wendel, Carina
    University of Skövde, School of Life Sciences.
    Endometrios hos unga kvinnor: upplevelser av skolhälsovården2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Endometriosis, a disease that gives symptoms like dysmenorrhea or abnormal bleedings during menstruation, often appears during the early adolescent and several years passes from onset of the symptoms to the point of diagnosis. The women with this diagnose often describes the feeling of not being understood, even during their adolescence. The disease may appear with troubles for the women that gives effects upon physical, mental and social impact which can be seen. The aim was to investigate what kind of support the women had got from there school nurse during junior high school and high school to affect the quality of life. A method of a quantitative study with qualitative influences was used. The respondents were found through the Swedish Endometriosis Associations youth section. A questionnaire was sent out to 59 women and 24 responded. The result showed that few of the women were satisfied with the support they received during their time in school. Almost all the women expressed that there was a lack of knowledge, support and understanding from the school nurse. Consequently, the women were not satisfied with the health care encounter. Lack of understanding and knowledge was found even at social advice and guidance centres for young people and physicians. The availability of the school nurses varied between different schools. The resources should be used to give knowledge to school nurses and the adolescents to improve the adolescents quality of life.

  • 174.
    Bolling, Jessica Maria
    University of Skövde, School of Life Sciences.
    BVC-sjuksköterskors upplevelser av arbetet med omsorgssviktande familjer2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Many children in Sweden are exposed to maltreatment. Among the purposes of the Child health care (CHC) are to decrease mortality, infirmity and handicaps among mothers and their children, and to decrease hurtful strains for parents and their children. CHC-nurses get critizism for not reporting child maltreatment in high enough numbers to the Social service. The aim of this study was to chart how CHC-nurses finds their work with families suffering from maltreatment. Ten CHC-nurses were interviewed with semistructured interviews. The study has a qualitative approach and the interviews were analysed with the help of content analysis. In the result it appears that CHC-nurses experiences working with families suffering from maltreatment is very emotional. The support from collegues, psychlogists and co-operation with Mother Health Care, pre-school and Social Service is valuable. It’s hard to judge which who are exposed to maltreatment because the definition is unclear. There’s a wish to be able to help more families without needing to report to the Social service. The prevented work by the CHC agains maltreatment should get a more prominent clear position in CHC’s standard program for the entire family.

  • 175.
    Bom, Christoffer
    et al.
    University of Skövde, School of Life Sciences.
    Ekman, Daniel
    University of Skövde, School of Life Sciences.
    Drycott, Taiwo
    University of Skövde, School of Life Sciences.
    Faktorer som påverkar sjuksköterskors möte med personer med ett alkoholmissbruk: en litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Overconsumption of alcohol has become a major health issue in society. A growing acceptance among people has led to a misuse of alcohol in many cases. It still remains a lot to discuss about this health issue, not least among health workers. The subject of this literature review was to examine factors that affect nurses encounters with people who abuse alcohol. The method used was a literature review according to Friberg. The articles that were used were both quantitative and qualitative. The results showed three subjects; nurses’ attitude towards alcohol and alcohol abuse, nurses’ knowledge about alcohol abuse and nurses’ fear of patients reactions. All these three subjects affect nurses’ meetings with people who abuse alcohol.

  • 176.
    Bommarco, Riccardo
    et al.
    Swedish Univ Agr Sci, Dept Ecol, S-75007 Uppsala, Sweden.
    Wetterlind, Simon
    University of Skövde, School of Life Sciences.
    Sigvald, Roland
    Swedish Univ Agr Sci, Dept Ecol, S-75007 Uppsala, Sweden.
    Cereal aphid populations in non-crop habitats show strong density dependence2007In: Journal of Applied Ecology, ISSN 0021-8901, E-ISSN 1365-2664, Vol. 44, no 5, p. 1013-1022Article in journal (Refereed)
    Abstract [en]

    1.

    Few studies have addressed how density-dependent and density-independent regulation of population growth and abundance varies among habitats for a species that requires multiple habitat types to complete its life cycle. Understanding such relationships, however, are of direct relevance to the control of crop pest insects that regularly move between crop and non-crop habitats.

    2.

    We used autoregressive models to analyse a series of seasonal catches of the cereal aphid Rhopalosiphum padi. The data were collected from regional suction traps and egg counts on the overwintering host, over a period of 14–31 years, at four locations in Sweden. R. padi is an obligate host-alternating species in Sweden and seasonal catches reflect habitat use in a year: the primary woody host in winter and spring, the cereal crops in summer, and the perennial grasslands in the autumn.

    3.

    Strong direct density dependence acting within the year was found, but the strength varied between seasons depending on habitat use by the aphids during the year. Only a weak indication or no indication at all of density dependence was found during the period of residency on the primary host in the winter and spring periods.

    4.

    Density dependence occurred when R. padi utilized summer cereals (42% of the variation was explained), and even stronger density dependence occurred in the perennial grasslands in the autumn (70% variation explained). Stochastic fluctuations in the winter and spring were balanced by a strong density dependence in the cereal and grassland habitats in the summer and autumn periods, which reduced variability in population fluctuations.

    5.

    Weather, measured as seasonal average temperature and accumulated precipitation, did not affect aphid abundance fluctuations much, explaining only 1–9% of the variability.

    6.

    Synthesis and applications. Our results suggest that density-dependent regulation of R. padi occurs in late summer grasslands and early summer cereals. The mechanisms causing these patterns are not understood, making it difficult to provide specific pest management recommendations at this stage. The results do indicate, however, that pest management needs to involve a landscape-level approach, taking into account mechanistic information about the plant, herbivore and predator interactions in multiple habitats visited by the herbivorous pest.

  • 177.
    Borell, Magdalena
    et al.
    University of Skövde, School of Life Sciences.
    Tranberg, Sofie
    University of Skövde, School of Life Sciences.
    Attityder från vårdpersonal i omvårdnaden av överviktiga patienter: En litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses and doctors play a major role in the care of obese patients and that this population receive the same treatment under the same conditions as patients who are not overweight. Within healthcare, there may be negative attitudes that patients with high BMI are lazy and undisciplined. Our purpose was twofold. The first part seeks to describe if there were negative attitudes of health professionals towards obese patients. The second part of the purpose was to describe the obese patient´s experiences of health professionals´ attitudes. This was a literature survey to compile the research situation. 14 articles were analyzed and put in the result, they were both quantitative and qualitative studies. Two themes were produced, to these eight sub-themes emerged. Health-care workers' attitudes were found to be influenced by a number of factors. This led to some extent that patients avoided seeking medical care. The results showed that health professionals were aware that there were negative attitudes towards overweight patients. Despite this, many overweight patients’ experienceed disparaging attitudes when visiting health professionals. Health professionals had a number of negative attitudes. It was found that patients were affected by these attitudes, whether they are their own experience or they do occur.

  • 178.
    Borg, Julia
    et al.
    Malmö University Hospital, Lund University, .
    Melander, Olle
    Malmö University Hospital, Lund University.
    Johansson, Linda
    University of Skövde, The Systems Biology Research Centre. University of Skövde, School of Life Sciences.
    Uvnäs-Moberg, Kerstin
    Swedish University of Agriculture Sciences.
    Rehfeld, Jens F.
    Rigshospitalet, University og Copenhagen.
    Ohlsson, Bodil
    Malmö University Hospital, Lund University.
    Gastroparesis is associated with oxytocin deficiency, oesophageal dysmotility with hyperCCKemia, and autonomic neuropathy with hypergastrinemia2009In: BMC Gastroenterology, ISSN 1471-230X, E-ISSN 1471-230X, Vol. 9, p. Article number 17-Article in journal (Refereed)
    Abstract [en]

    Background: Gastrointestinal (GI) dysmotility and autonomic neuropathy are common problems among diabetics with largely unknown aetiology. Many peptides are involved in the autonomic nervous system regulating the GI tract. The aim of this study was to examine if concentrations of oxytocin, cholecystokinin (CCK), gastrin and vasopressin in plasma differ between diabetics with normal function and dysfunction in GI motility.

    Methods: Nineteen patients with symptoms from the GI tract who had been examined with gastric emptying scintigraphy, oesophageal manometry, and deep-breathing test were included. They further received a fat-rich meal, after which blood samples were collected and plasma frozen until analysed for hormonal concentrations.

    Results: There was an increase in postprandial oxytocin plasma concentration in the group with normal gastric emptying (p = 0.015) whereas subjects with delayed gastric emptying had no increased oxytocin secretion (p = 0.114). Both CCK and gastrin levels increased after the meal, with no differences between subjects with normal respective delayed gastric emptying. The concentration of vasopressin did not increase after the meal. In patients with oesophageal dysmotility the basal level of CCK tended to be higher (p = 0.051) and those with autonomic neuropathy had a higher area under the curve (AUC) of gastrin compared to normal subjects (p = 0.007).

    Conclusion: Reduced postprandial secretion of oxytocin was found in patients with delayed gastric emptying, CCK secretion was increased in patients with oesophageal dysmotility, and gastrin secretion was increased in patients with autonomic neuropathy. The findings suggest that disturbed peptide secretion may be part of the pathophysiology of digestive complications in diabetics.

  • 179.
    Brandel, Marie
    et al.
    University of Skövde, School of Life Sciences.
    Brühn-Wahlström, Emma
    University of Skövde, School of Life Sciences.
    Sjuksköterskors upplevelser av att kommunicera med närstående vid palliativ vård på somatiska vårdavdelningar: En intervjustudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care is a total care at a time when the disease is no longer responsive to curative treatment. Palliative care is available at home, at hospice, palliative units or in hospitals. In year 2003 almost 35 000 people of 80 000 people died at Swedish hospitals. In the palliative care nurses are caring for both patients and relatives. Relatives need individual support and want more information and involvement in the care. Nurse’s experiences of communications can sometimes be difficult and stressful. The aim of the study was to describe nurse’s experiences of communication with relatives in palliative care on somatic wards. A qualitative method was used, and eight nurses at three different medical wards have been interviewed. Four themes were found in the result of the nurse’s experiences of communication, to create relations, to be honest, to give support and to become touched. The conclusion showed that the nurses are concerned to show dignity in the communication to relatives. Communication between nurses and doctors needs to be improved because the nurses shouldn’t be limited in the communication to the relatives.

  • 180.
    Brattström Edgren, Kristin
    et al.
    University of Skövde, School of Life Sciences.
    Finnerup Andresen, Janne
    University of Skövde, School of Life Sciences.
    En mage att vara glad för!: En intervjustudie med gravida kvinnor som har BMI ≥ 30 kg/m22012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Overweight and obesity measured by body mass index are an increasing problem worldwide according to WHO. Women having a BMI ≥ 30 kg/m2 run a great risk when being pregnant. Complications such as high blood pressure, gestational diabetes, risk of intrauterine fetal death and slow progress when giving birth to the baby are risks that can affect the wellbeing of the woman and the child. According to the women the midwife’s most important role when meeting with the pregnant woman having a BMI ≥ 30 kg/m2 is to inform about risks during pregnancy, but the midwife must not act judgingly. Living with obesity means for many women not to be seen as the person they actually are. The women want to be seen as a person and not as a person with obesity. The women experience that they do not fit into the ideal of society because of their size and because of other people’s prejudice against obesity. When being pregnant the obese women feel comfortable in society because there is an explanation to the size of their belly. They experience that they are happy and proud about their belly, and it gives them a feeling of relief.

  • 181.
    Brattwall, M.
    et al.
    Department of Anaesthesia, The Sahlgrenska Academy, Institute for Clinical Sciences, Sahlgrenska University Hospital/Mölndal, Göteborg, Sweden.
    Warren Stomberg, Margareta
    University of Skövde, School of Life Sciences. The Sahlgrenska Academy at Göteborg University, Institute of Health and Care Sciences, Göteborg, Sweden.
    Rawal, N.
    Department of Anaesthesia and Intensive Care, Örebro University Hospital, Örebro, Sweden.
    Segerdahl, M.
    Department of Clinical Science, Intervention and Technology, Unit for Anaesthesia, Karolinska Institute, Stockholm, Sweden.
    Jakobsson, J.
    Department of Anaesthesia and Intensive Care, Division for Physiology and Pharmacology, Karolinska Institute, Stockholm, Sweden.
    Houltz, E.
    Department of Anaesthesia, The Sahlgrenska Academy, Institute for Clinical Sciences, Sahlgrenska University Hospital/Mölndal, Göteborg, Sweden.
    Patients' assessment of 4-week recovery after ambulatory surgery2011In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 55, no 1, p. 92-98Article in journal (Refereed)
    Abstract [en]

    Background: Patients’ own assessment of recovery after ambulatory surgery has not been well studied. The aim was to study patients’ self-assessed recovery, the occurrence and time course of post-operative problems in relation to the type of ambulatory surgery.Methods: A questionnaire was filled in by 355 patients at five time points: pre-operative, first day at home, 1, 2 and 4 weeks post-operatively. Consecutive patients who underwent either inguinal hernia repair (IHR), arthroscopic procedures (AS) or cosmetic breast augmentation (CBA) were included.Results: Unplanned return to hospital was rare (3/355). Health care contacts were noted for 9% of the patients during the first week; a total of 70 contacts occurred during the entire period. Pain was the most frequently reported symptom; 40% of the patients reported pain or mobility problems at 1 week, 28% after 2 weeks and 20% after 4 weeks. Pre-operative pain was associated with an increased level of pain during the early post-operative course, in the recovery room and at 1 week post-operatively. IHR was associated with an overall rapid recovery, while AS patients experienced a slower restitution. All AS patients who reported pain after 4 weeks had reported pain problems already pre-operatively. Pain was not present pre-operatively in the CBA group, but was common at 1 and 2 post-operative weeks and was still reported by 11% at 4 weeks.Conclusion: Self-assessed recovery was found to cover several weeks with procedure-specific recovery patterns. Pain and mobility impairment were still frequently reported 4 weeks post-operatively.

  • 182.
    Brattwall, M.
    et al.
    Sahlgrenska University Hospital.
    Warrén Stomberg, Margareta
    University of Skövde, School of Life Sciences.
    Rawal, N.
    Örebro University Hospital.
    Segerdahl, M.
    Karolinska Institute.
    Houltz, E.
    Sahlgrenska University Hospital.
    Jakobsson, J.
    Karolinska Institute.
    Patient assessed health profile: A six-month quality of life questionnaire survey after day surgery2010In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 38, no 6, p. 574-579Article in journal (Refereed)
    Abstract [en]

    Aim: Patient assessed quality of life is one of the principal end-points after day surgery. The aim of the present study was to describe the natural course, differences and timing of final evaluation for three common day surgical procedures; inguinal hernia repair (IHR), arthroscopic procedures (AS); and cosmetic breast augmentation (CBA). Method: A total of 355 patients prospectively completed an extended eight-item EQ-5D questionnaire (pain, mobility, mood, self-care, activities, sleep, sex, need for analgesic), preoperatively and at one, three and six months postoperatively. Results: Pain and mobility problems were frequently reported prior to surgery among IHR and AS patients, while CBA patients had less deviation from normal in the preoperative health profile. The proportions of patients reporting surgery-related deviations were 35%, 20% and 5% at one, three and six months respectively. After one month, 50% of AS patients still suffered subjective discomfort as compared to 13% and 20% of the IHR and CBA patients, respectively. Pain and ambulation problems were the most common symptoms in all groups. Six months after surgery, 94% of IHR, 89% of AS and 97% of CBA patients were fully recovered. Conclusions: No major morbidity or severe complications were observed and patients’ satisfaction was high overall. We found procedure-specific changes in the postoperative health profile after day surgery. AS patients recovered more slowly compared with IHR and CBA patients. We conclude that time for final evaluation differs significantly between procedures.

  • 183.
    Brattwall, M.
    et al.
    Sahlgrenska University Hospital.
    Warrén-Stomberg, Margareta
    University of Skövde, School of Life Sciences.
    Rawal, N.
    Örebro University Hospital.
    Segerdahl, M.
    Karolinska Institute.
    Houltz, E.
    Sahlgrenska University Hospital.
    Jakobsson, J.
    Karolinska Institute.
    Postoperative impact of regular tobacco use, smoking or snuffing, a prospective multi-center study2010In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 54, no 3, p. 321-327Article in journal (Refereed)
    Abstract [en]

    Background: The aim was to study the effects of different tobacco administration routes on pain and post-operative nausea and vomiting (PONV), following three common day surgical procedures: cosmetic breast augmentation (CBA), inguinal hernia repair (IHR) and arthroscopic procedures (AS). We have prospectively investigated the effects of regular tobacco use in ambulatory surgery.

    Methods: The 355 allocated patients were followed during recovery and the first day at home.

    Results: Thirty-two percent of the patients used tobacco regularly, 33% of CBA, 27% of IHR and 34% of AS. Pain was well controlled in the post-anesthesia care unit at rest; during ambulation, 37% of all patients reported VAS>3. Tobacco use had no impact on early post-operative pain. Post-operative nausea was experienced by 30% of patients during recovery while in hospital. On day 1, 14% experienced nausea. We found a significant reduction of PONV among tobacco users (smoking and/or snuffing). Smoking or snuffing reduced the risk of PONV by nearly 50% in both genders on the day of surgery and at the first day at home. The reduction of PONV was equal, regardless of tobacco administration routes.

    Conclusion: We found that regular use of tobacco, both by smoking and snuffing, had a significant effect on PONV during the early post-operative period. Non-tobacco users undergoing breast surgery were found to have the highest risk for PONV. We could not see any influence of nicotine use on post-operative pain. Thus, it seems of value to identify regular tobacco use, not only smoking, as a part of the pre-operative risk assessment.

  • 184.
    Brewitz, Mikael
    et al.
    University of Skövde, School of Life Sciences.
    Dubica, Adis
    University of Skövde, School of Life Sciences.
    Egenvårds- och omvårdnadsåtgärder för att förbättra hälsa och välbefinnande hos patienter med hjärtsvikt: En Litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is the only heartdisease that increasing in the Wests. Heartfailure is a symtom of underlying heartdisease and the risk increases with the age. The mortality in heart failure is high, but it can be reduced with the right type of treatment. Aim: The aim is to illustrate and put together earlier research that describes diffrent kinds of care proceedings to promote health and well-being with patients with chronic cardiac insufficience. Method: For this literature review, data was collected from the databases Cinahl, Medline and Swemed +. Literature summary from Polit and Becks (2008) model has been used as guidance to putting together the material to reach the aim. Result: During the result of this study four category appeared shows that patients who have knowledge about their disease and give the motivation of self-care behavior through increased physical activity improve their quality of life, have less symtoms, reduce the risk of rehospitalisation and a premature or sudden death. Implication: This study is of high value for the patient who wants to get information about its disease and self-care behavior can get an increased motivation to add their physical activity that leads to improvement of quality of life. Whats missing in the research is how the patients experinces their situation and which kind of care proceedings they consideredthe most suitable.

  • 185.
    Broholm, Kiki
    et al.
    University of Skövde, School of Life Sciences.
    Hertzman, Ami
    University of Skövde, School of Life Sciences.
    Diabetessjuksköterskors upplevelser vid kostrådgivning till patienter med typ-2 diabetes2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to describe experiences of diabetic nurses in primary health care of Skaraborg, giving diet advice to patients with diabetes type II. The study investigates questions around responsibility of diabetic nurses, influences from other professionals and patients, difficulties in motivating the patient and an assumed discrepancy between ”guide for care” and nurses’ own attitude. The informants were six diabetic nurses with long work experiences. The design of the study was qualitative. Data collection was made by interviews and where transcribed and analysed with a content analysis. The result of the study consist of two categories; Cost advice from the patient’s perspective and Cost advice from the diabetic nurses’ perspective. The result of the study correspond to earlier research and highlights the meaning of the individual differences in conditions for the patients and the possibilities for the diabetic nurse to motivate the patient to changes and possibility to reach described targets.

  • 186.
    Brolin, Elin
    et al.
    University of Skövde, School of Life Sciences.
    Gullstrand, Elin
    University of Skövde, School of Life Sciences.
    SJUKSKÖTERSKORS ERFARENHETER AV BRYTPUNKTSSAMTAL INOM KOMMUNAL HEMSJUKVÅRD: En kvalitativ intervjustudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: End-of-life discussion is a difficult conversation for everyone involved. How information is given and patient and relatives are treated can determine their experiences of the end-of-life. Aim: The aim was to describe nurses’ experiences of end-of-life discussions in municipal home care. Method: The data were analyzed using qualitative content analysis technique with inductive approach. Seven interviews with registered nurses were performed. Results: Four themes emerged from the analysis; expanding over time and space, the team surrounding the patient, striving for everyone to get along and high demands on the nurse, with 13 subthemes. Conclusion: Further knowledge about end-of-life discussion, what it withholds and how it is to be documented, is needed. The definition of the concept might need to be reevaluated from being highly associated with doctor presence to also be used in municipal home care when nurses have similar conversations without the doctor. The high expectations and demands on nurses within this context requires for education programs to teach palliative care. The management of the municipal home care should offer guidance, support, and further training to their nurses.

  • 187.
    Brolund, Frida
    et al.
    University of Skövde, School of Life Sciences.
    Abrahamsson, Maud
    University of Skövde, School of Life Sciences.
    Pappors upplevelser av att vårda sitt barn på en neonatalavdelning.2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden, about 90 000 children per year are born and about 10% of these need to be taken care in neonatal intensive care unit. The causes can be many, but the most common reason is that the children who suffer, are prematurely born and are extra vulnerable due to their immaturity. The purpose of the study was to find out the father's experience of caring for their child in a neonatal intensive care unit. A qualitative research using content analysis method was chosen. Seven fathers who had to provide care of their child in a neonatal department were interviewed with a question "How you did your experience to take care for your child at a neonatal department?" The results were divided into three categories such as "like to create ties to their child," "sense of inadequacy" and "need to feel safe" with its sub-categories. The study revealed that the father thinks that it is important to be close to the child and would like to take responsibility for the health care. They were very satisfied with the care and had trust in the caregivers, but felt that they would have had more support. The fathers also experienced frustration of the wish to be in several places simultaneously. In this study, the authors hope to raise awareness to promote a personalized support for a better care of the newborn baby.

  • 188.
    Broo, Carina
    et al.
    University of Skövde, School of Life Sciences.
    Magnusson, Ing-Marie
    University of Skövde, School of Life Sciences.
    Föräldrars upplevelser och förväntningar på sjuksköterskor då barn vårdas på sjukhus- en litteraturöversikt2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 189.
    Brose, Ulrich
    et al.
    Department of Biology, Technical University of Darmstadt, Darmstadt, Germany.
    Cushing, Lara
    Berlow, Eric L.
    Jonsson, Tomas
    University of Skövde, School of Life Sciences.
    Banasek-Richter, Carolin
    Bersier, Louis-Felix
    Blanchard, Julia L.
    Brey, Thomas
    Carpenter, Stephen R.
    Blandenier, Marie-France
    Cohen, Joel E.
    Dawah, Hassan Ali
    Dell, Tony
    Edwards, Francois
    Harper-Smith, Sarah
    Jacob, Ute
    Knapp, Roland A.
    Ledger, Mark E.
    Memmott, Jane
    Mintenbeck, Katja
    Pinnegar, John K.
    Rall, Björn C.
    Rayner, Tom
    Ruess, Liliane
    Ulrich, Werner
    Warren, Philip
    Williams, Rich J.
    Woodward, Guy
    Yodzis, Peter
    Martinez, Neo D.
    Body sizes of consumers and their resources2005In: Ecology, ISSN 0012-9658, E-ISSN 1939-9170, Vol. 86, no 9, p. 2545-2545Article in journal (Refereed)
    Abstract [en]

    Trophic information—who eats whom—and species’ body sizes are two of the most basic descriptions necessary to understand community structure as well as ecological and evolutionary dynamics. Consumer–resource body size ratios between predators and their prey, and parasitoids and their hosts, have recently gained increasing attention due to their important implications for species’ interaction strengths and dynamical population stability. This data set documents body sizes of consumers and their resources. We gathered body size data for the food webs of Skipwith Pond, a parasitoid community of grass-feeding chalcid wasps in British grasslands; the pelagic community of the Benguela system, a source web based on broom in the United Kingdom; Broadstone Stream, UK; the Grand Caric¸aie marsh at Lake Neuchaˆtel, Switzerland; Tuesday Lake, USA; alpine lakes in the Sierra Nevada of California; Mill Stream, UK; and the eastern Weddell Sea Shelf, Antarctica. Further consumer–resource body size data are included for planktonic predators, predatory nematodes, parasitoids, marine fish predators, freshwater invertebrates, Australian terrestrial consumers, and aphid parasitoids. Containing 16 807 records, this is the largest data set ever compiled for body sizes of consumers and their resources. In addition to body sizes, the data set includes information on consumer and resource taxonomy, the geographic location of the study, the habitat studied, the type of the feeding interaction (e.g., predacious, parasitic) and the metabolic categories of the species (e.g., invertebrate, ectotherm vertebrate). The present data set was gathered with the intent to stimulate research on effects of consumer–resource body size patterns on food-web structure, interaction-strength distributions, population dynamics, and community stability. The use of a common data set may facilitate cross-study comparisons and understanding of the relationships between different scientific approaches and models.

  • 190.
    Brose, Ulrich
    et al.
    Department of Biology, Darmstadt University of Technology, Darmstadt, Germany / Pacific Ecoinformatics and Computational Ecology Lab., Berkeley, CA 94703, United States.
    Jonsson, Tomas
    University of Skövde, School of Life Sciences.
    Berlow, Eric L.
    Department of Biology, Darmstadt University of Technology, Darmstadt, Germany / Pacific Ecoinformatics and Computational Ecology Lab., Berkeley, CA 94703, United States / University of California, Merced, Sierra Nevada Research Institute, Yosemite National Park, CA 95389, United States.
    Warren, Philip
    Department of Animal and Plant Sciences, University of Sheffield, Sheffield, United Kingdom.
    Banasek-Richter, Carolin
    Department of Biology, Darmstadt University of Technology, Darmstadt, Germany.
    Bersier, Louis-Felix
    Department of Biology, Unit of Ecology and Evolution, Fribourg, Switzerland.
    Blanchard, Julia L.
    Centre for Environment, Fisheries and Aquaculture Science (CEFAS), Suffolk, United Kingdom.
    Brey, Thomas
    Alfred Wegener Institute for Polar and Marine Research, Bremerhaven, Germany.
    Carpenter, Stephen R.
    Center for Limnology, University of Wisconsin, Madison, WI 53706, United States.
    et al.,
    Consumer-resource body-size relationships in natural food webs2006In: Ecology, ISSN 0012-9658, E-ISSN 1939-9170, Vol. 87, no 10, p. 2411-2417Article in journal (Refereed)
    Abstract [en]

    It has been suggested that differences in body size between consumer and resource species may have important implications for interaction strengths, population dynamics, and eventually food web structure, function, and evolution. Still, the general distribution of consumer-'resource body-size ratios in real ecosystems, and whether they vary systematically among habitats or broad taxonomic groups, is poorly understood. Using a unique global database on consumer and resource body sizes, we show that the mean body-size ratios of aquatic herbivorous and detritivorous consumers are several orders of magnitude larger than those of carnivorous predators. Carnivorous predator-prey body-size ratios vary across different habitats and predator and prey types (invertebrates, ectotherm, and endotherm vertebrates). Predator-prey body-size ratios are on average significantly higher (1) in freshwater habitats than in marine or terrestrial habitats, (2) for vertebrate than for invertebrate predators, and (3) for invertebrate than for ectotherm vertebrate prey. If recent studies that relate body-size ratios to interaction strengths are general, our results suggest that mean consumer-resource interaction strengths may vary systematically across different habitat categories and consumer types.

  • 191.
    Browall, Maria
    et al.
    University of Skövde, School of Life Sciences. Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden / Johns Hopkins University, Baltimore, Maryland, USA.
    Kenne Sarenmalm, Elisabeth
    Research and Development Centre, Skaraborg Hospital, Skövde, Sweden / Institute of Health and Caring Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden / Johns Hopkins University, Baltimore, Maryland, USA.
    Nasic, Salmir
    Research and Development Centre, Skaraborg Hospital, Skövde, Sweden.
    Wengström, Yvonne
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Gaston-Johansson, Fannie
    Johns Hopkins School of Nursing, Baltimore, Maryland, USA.
    Validity and Reliability of the Swedish Version of the Memorial Symptom Assessment Scale (MSAS): An Instrument for the Evaluation of Symptom Prevalence, Characteristics, and Distress2013In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 46, no 1, p. 131-141Article in journal (Refereed)
  • 192.
    Browall, Maria
    et al.
    University of Skövde, School of Life Sciences. Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    Koinberg, Ingalill
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Falk, Hanna
    Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Wijk, Helle
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Institution of Caring Science, Sahlgrenska Academy, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Patients' experience of important factors in the healthcare environment in oncology care2013In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8, no 1, article id 20870Article in journal (Refereed)
    Abstract [en]

    Background and objective. The aim of this study was to describe what factors of the healthcare environment are perceived as being important to patients in oncology care. Design. A qualitative design was adopted using focus group interviews. Setting and participants. The sample was 11 patients with different cancer diagnoses in an oncology ward at a university hospital in west Sweden. Results. Analysis of the patients' perceptions of the environment indicated a complex entity comprising several aspects. These came together in a structure consisting of three main categories: safety, partnership with the staff, and physical space. The care environment is perceived as a complex entity, made up of several physical and psychosocial aspects, where the physical factors are subordinated by the psychosocial factors. It is clearly demonstrated that the patients' primary desire was a psychosocial environment where they were seen as a unique person; the patients wanted opportunities for good encounters with staff, fellow patients, and family members, supported by a good physical environment; and the patients valued highly a place to withdraw and rest. Conclusions. This study presents those attributes that are valued by cancer patients as crucial and important for the support of their well-being and functioning. The results show that physical aspects were subordinate to psychosocial factors, which emerged strongly as being the most important in a caring environment. © 2013 M. Browall et al.

  • 193.
    Browall, Maria
    et al.
    University of Skövde, School of Life Sciences. Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden.
    Östlund, Ulrika
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden / Umeå University, Department of Nursing, Umeå, Sweden.
    Henoch, Ingela
    The Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Wengström, Yvonne
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden.
    The course of health related quality of life in postmenopausal women with breast cancer from breast surgery and up to five years post-treatment2013In: Breast, ISSN 0960-9776, E-ISSN 1532-3080, Vol. 22, no 5, p. 952-957Article in journal (Refereed)
    Abstract [en]

    Background: Previous studies include too few patients over 70 years to be able to assess treatment effects on Health Related Quality Of Life (HRQOL) in the older age group. We aimed to follow HRQOL in postmenopausal women (55-80 years) with breast cancer receiving adjuvant treatment, until five years post-treatment, and compare with a general population. Patients and methods: The patient sample included 150 women (adjuvant CT n=75 and RT n=75) and two reference samples from the Swedish SF-36 norm database. Results: Data from baseline showed significantly higher levels of physical functioning and general health among the patients compared to the reference sample, and significantly lower levels of bodily pain, emotional role functioning and mental health. Longitudinal analyses showed significant changes in all scales, and three different patterns (a decrease-stable, a decrease-increase, and a stable- increase pattern) were identified. Conclusion: Postmenopausal women seem to successfully manage the effects of adjuvant treatment on HRQOL. © 2013 Elsevier Ltd.

  • 194.
    Brunbäck, Emma
    et al.
    University of Skövde, School of Life Sciences.
    Nilsson, Viktoria
    University of Skövde, School of Life Sciences.
    Sjuksköterskors upplevelser av att vårda suicidala patienter2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses’ within the somatic care are encountered with patients with mental illness in their daily work. The aims of the study were to enlighten nurses’ experience of caring for a patient that has committed a suicidal act and are cared for in a somatic acute ward. The authors used a qualitative method with interviews for collecting data. Ten nurses’ were interviewed that worked with acute care and had at least one year experience. The result contains four themes; difficulties with caring, feelings in meeting with the patient, resources and cooperation with psychiatry. Result showed that general nurses’ described a wish for more psychological knowledge to improve their care for the suicidal patient, for example dialogue technique, because they thought that the communication with the patient was challenging. Also a better way to get close, meet and connect in a relationship with the patient. The cooperation between psychiatry care and somatic care were not satisfying which made caring more difficult for the nurse. There were needs to clarify the caring and working routines for patients that are cared for in both the somatic and psychiatry care.

  • 195.
    Bu, H.
    et al.
    Linköping University.
    Rosdahl, I.
    Linköping University.
    Sun, X-F.
    Linköping University.
    Zhang, Hong
    University of Skövde, The Systems Biology Research Centre. University of Skövde, School of Life Sciences.
    Genotype <21CAs/≥21CAs and allele <21CAs of the MANBA gene in melanoma risk and progression in a Swedish population2009In: Molecular Medicine Reports, ISSN 1791-2997, E-ISSN 1791-3004, Vol. 2, no 2, p. 259-263Article in journal (Refereed)
    Abstract [en]

    Cutaneous melanoma is characterized by poor patient outcome in its later stages. The search for genetic markers is therefore crucial for the identification of populations at risk for melanoma. Highly polymorphic CA repeats in 3' proximity in the MANBA gene were examined by PCR-capillary electrophoresis in 185 Swedish melanoma patients and 441 tumor-free age- and gender-matched individuals. The associations of the polymorphisms with melanoma risk, the pigment phenotypes of the patients and tumor characteristics were analyzed. A significant difference in allelic distribution between melanoma patients and tumor-free individuals was observed. The frequency of the MANBA genotype <21CAs/≥21CAs was significantly higher in melanoma patients than in the controls. When comparing allele distribution in patients and their matched controls, the allele <21CAs was found to be associated with the female gender (39.8 vs. 31.2%, P=0.041, OR=1.46, 95% CI 1.02-2.10), but not with male gender (34.4 vs. 30.9%, P%0.39). Within the melanoma group, there were no differences in the distribution of the MANBA alleles associated with patient gender or age before or after 55 years at diagnosis, nor was there any association between the MANBA genotype and pigment phenotype or tumor sites. The MANBA allele <21CAs was, however, associated with thin melanomas at diagnosis (Breslow thickness ≤1.5 mm and Clark levels I and II). In conclusion, these data suggest that MANBA polymorphisms might be an indicator of tumor growth and progression and, together with other markers, could be used to identify individuals at increased risk of melanoma.

  • 196. Butenko, Melinka
    et al.
    Patterson, Sara
    Grini, Paul
    Stenvik, Grethe-Elisabeth
    Amundsen, Silja
    Mandal, Abul
    University of Skövde, School of Life Sciences.
    Aalen, Reidunn
    Inflorescence deficient in abscission controls floral organ abscission in Arabidopsis and identifies a novel family of putative Ligands in Plants2003In: The Plant Cell, ISSN 1532-298X, Vol. 15, no 10, p. 2296-2307Article in journal (Refereed)
    Abstract [en]

    Abscission is an active process that enables plants to shed unwanted organs. Because the purpose of the flower is to facilitate pollination, it often is abscised after fertilization. We have identified an Arabidopsis ethylene-sensitive mutant, inflorescence deficient in abscission (ida), in which floral organs remain attached to the plant body after the shedding of mature seeds, even though a floral abscission zone develops. The IDA gene, positioned in the genomic DNA flanking the single T-DNA present in the ida line, was identified by complementation. The gene encodes a small protein with an N-terminal signal peptide, suggesting that the IDA protein is the ligand of an unknown receptor involved in the developmental control of floral abscission. We have identified Arabidopsis genes, and cDNAs from a variety of plant species, that encode similar proteins, which are distinct from known ligands. IDA and the IDA-like proteins may represent a new class of ligands in plants

  • 197.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Life Sciences.
    Hertfelt Wahn, Elisabeth I.
    University of Skövde, School of Life Sciences.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Two sides of breastfeeding support: experiences of women and midwives2010In: International Breastfeeding Journal, ISSN 1746-4358, E-ISSN 1746-4358, Vol. 5, p. Article number 20-Article in journal (Refereed)
    Abstract [en]

    Background: Midwives’ support of breastfeeding in maternity wards has been proven to provide an impact on women’s breastfeeding experiences. In previous studies women describe professional support unfavourably, with an emphasis on time pressures, lack of availability or guidance, promotion of unhelpful practices, and conflicting advice. Thus, the present study aims to investigate women’s experiences and reflections of receiving breastfeeding support and midwives’ experiences and reflections of giving breastfeeding support. Methods: This study was carried out in a county in southwestern Sweden during 2003-2004. A qualitative method, content analysis, was chosen for the study. The data came from interviews with women as well as interviews with midwives who were experienced in breastfeeding support. Results:  The women’s and midwives’ experiences and reflections of receiving and giving breastfeeding support were conceptualized as one main theme: “Individualized breastfeeding support increases confidence and satisfaction.” This theme contained three categories: “The unique woman,” ”The sensitive confirming process,” and “Consistency of ongoing support.” In order to feel confident in their new motherhood role, the women wanted more confirmation as unique individuals and as breastfeeding women; they wanted to be listened to; and they wanted more time, understanding, and follow-up from health professionals. In contrast, the midwives described themselves as encouraging and confirming of the women’s needs.  Conclusions:  If health care professionals responded to the woman’s unique needs, the woman felt that the breastfeeding support was good and was based on her as an individual, otherwise a feeling of uncertainty emerged. The midwives, however, expressed that they gave the women individual support, but they also expressed that the support came from different points of view, because the midwives interpreted women’s signals differently. 

  • 198.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Life Sciences.
    Hertfelt Wahn, Elisabeth I.
    University of Skövde, School of Life Sciences.
    Ekström, Anette C.
    University of Skövde, School of Life Sciences.
    Zwei Seiten der Stillberatung: Erfahrungen von Frauen und Hebammen2012In: Laktation und Stillen, ISSN 1614-807X, Vol. 25, no 2, p. 56-62Article in journal (Refereed)
  • 199.
    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.

  • 200.
    Bäckström, Caroline
    et al.
    Kärnsjukhuset, Skövde.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Två perspektiv på amningsstöd2011In: Amningsnytt, ISSN 1102-7207, no 3, p. 4-5Article in journal (Other (popular science, discussion, etc.))
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