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  • 201.
    Babovic, Elvir
    University of Skövde, School of Health and Education.
    ADHD och risken för kriminellt beteende senare i livet: en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction

    ADHD is a neuropsychiatric disorder belonging to the spectrum of neuro-cognitive functional that increases the risk of getting into crime later in life. Individuals with the disorder may be incapable of controlling their impulses, which means that the individuals with the problem is not capable of evaluating consequences of his/her behavior. ADHD is also something that increases the risk of becoming a victim of abuse and destructive behavior

    Method

    A literature review with 10 knowledge-based articles was used in the study for the basis of the result. The articles were reviewed and processed to obtain as strong a reliability as possible. The database launched was Pubmed which gave many hits according to the keywords but the included studies were carefully selected based on the delimitation by the aim of the study and the relevance of the chosen area.

    Purpose

    The aim of the work was to explore the connection between the diagnosis of ADHD and subsequent risk of criminal behavior.

    Results

    Adolescents diagnosed with ADHD showed a clear increased risk of developing addiction problems. The ADHD symptoms had often become more difficult during childhood or adolescence and persons with ADHD were also more probably imprisoned as adults. The most common drugs that were used by the individuals with ADHD and had developed addiction were stimulants such as alcohol and benzodiazepines. The adolescents with ADHD and developed addiction had performed significantly poorer in tests and in school and showed poorer results than those who had not diagnosed ADHD

    Discussion Clear results were common to many of the selected articles as there was a clear correlation between ADHD and risk of becoming a victim of abuse and subsequent criminal behavior. Several of the articles mention that young people with the diagnosis of ADHD have obvious problems in gaining education and that this in turn leads to exclusion and poor social adaptation

  • 202.
    Bachelet, Delphine
    et al.
    CESP, INSERM UMR 1018, Faculty of Medicine, Paris-Sud University, UVSQ, Paris-Saclay University, Villejuif, France.
    Albert, Thilo
    Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Germany.
    Mbogning, Cyprien
    CESP, INSERM UMR 1018, Faculty of Medicine, Paris-Sud University, UVSQ, Paris-Saclay University, Villejuif, France.
    Hässler, Signe
    CESP, INSERM UMR 1018, Faculty of Medicine, Paris-Sud University, UVSQ, Paris-Saclay University, Villejuif, France.
    Zhang, Yuan
    CESP, INSERM UMR 1018, Faculty of Medicine, Paris-Sud University, UVSQ, Paris-Saclay University, Villejuif, France.
    Schultze-Strasser, Stephan
    University Hospital Frankfurt, Goethe University, Department of Pediatrics, Molecular Haemostasis and Immunodeficiency, Frankfurt am Main, Germany.
    Repessé, Yohann
    CHU Caen, Hématologie Biologique, Caen, Caen, France.
    Rayes, Julie
    Sorbonne Universités, UPMC Univ Paris 06, INSERM, Université Paris Descartes, Sorbonne Paris Cité, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France.
    Pavlova, Anna
    Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany.
    Pezeshkpoor, Behnaz
    Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany.
    Liphardt, Kerstin
    Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany.
    Davidson, Julie E.
    GlaxoSmithKline, Uxbridge, Middlesex, United Kingdom.
    Hincelin-Méry, Agnès
    Sanofi, Chilly-Mazarin, France.
    Dönnes, Pierre
    SciCross AB, Skövde, Sweden.
    Lacroix-Desmazes, Sébastien
    Sorbonne Universités, UPMC Univ Paris 06, INSERM, Université Paris Descartes, Sorbonne Paris Cité, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France.
    Königs, Christoph
    University Hospital Frankfurt, Goethe University, Department of Pediatrics, Molecular Haemostasis and Immunodeficiency, Frankfurt am Main, Germany.
    Oldenburg, Johannes
    Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany.
    Broët, Philippe
    CESP, INSERM UMR 1018, Faculty of Medicine, Paris-Sud University, UVSQ, Paris-Saclay University, Villejuif, France / AP-HP, Paris-Sud University Hospitals, Villejuif, France.
    Risk stratification integrating genetic data for factor VIII inhibitor development in patients with severe hemophilia A2019In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, no 6, article id e0218258Article in journal (Refereed)
    Abstract [en]

    Replacement therapy in severe hemophilia A leads to factor VIII (FVIII) inhibitors in 30% of patients. Factor VIII gene (F8) mutation type, a family history of inhibitors, ethnicity and intensity of treatment are established risk factors, and were included in two published prediction tools based on regression models. Recently investigated immune regulatory genes could also play a part in immunogenicity. Our objective is to identify bio-clinical and genetic markers for FVIII inhibitor development, taking into account potential genetic high order interactions. The study population consisted of 593 and 79 patients with hemophilia A from centers in Bonn and Frankfurt respectively. Data was collected in the European ABIRISK tranSMART database. A subset of 125 severely affected patients from Bonn with reliable information on first treatment was selected as eligible for risk stratification using a hybrid tree-based regression model (GPLTR). In the eligible subset, 58 (46%) patients developed FVIII inhibitors. Among them, 49 (84%) were "high risk" F8 mutation type. 19 (33%) had a family history of inhibitors. The GPLTR model, taking into account F8 mutation risk, family history of inhibitors and product type, distinguishes two groups of patients: a high-risk group for immunogenicity, including patients with positive HLA-DRB1*15 and genotype G/A and A/A for IL-10 rs1800896, and a low-risk group of patients with negative HLA-DRB1*15 / HLA-DQB1*02 and T/T or G/T for CD86 rs2681401. We show associations between genetic factors and the occurrence of FVIII inhibitor development in severe hemophilia A patients taking into account for high-order interactions using a generalized partially linear tree-based approach.

  • 203.
    Backhaus, Erik
    et al.
    Department of Infectious Diseases, Skaraborg Hospital, Skövde, Sweden.
    Berg, Stefan
    Queen Silvia Children's Hospital, Göteborg, Sweden.
    Trollfors, Birger
    Queen Silvia Children's Hospital, Göteborg, Sweden.
    Andersson, Rune
    Department of Infectious Diseases, Skaraborg Hospital, Skövde, Sweden.
    Persson, Elisabet
    Queen Silvia Children's Hospital, Göteborg, Sweden.
    Claesson, Bernt E. B.
    Department of Clinical Bacteriology, Skaraborg Hospital, Skövde, Sweden.
    Larsson, Peter
    Department of Clinical Bacteriology, Sahlgrenska University Hospital, Göteborg, Sweden.
    Ek, Elisabeth
    Department of Clinical Bacteriology, Sahlgrenska University Hospital, Göteborg, Sweden.
    Jonsson, Lars
    Department of Clinical Bacteriology, Borås Hospital, Borås, Sweden.
    Rådberg, Gunilla
    Uddevalla Hospital, Uddevalla, Sweden.
    Johansson, Siv
    Halmstad Hospital, Halmstad, Sweden.
    Ripa, Torvald
    Halmstad Hospital, Halmstad, Sweden.
    Karlsson, Diana
    University of Skövde, School of Life Sciences.
    Andersson, Kerstin
    Department of Clinical Bacteriology, Skaraborg Hospital, Skövde, Sweden.
    Antimicrobial susceptibility of invasive pneumococcal isolates from a region in south-west Sweden 1998-20012007In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 39, no 1, p. 19-27Article in journal (Refereed)
    Abstract [en]

    Invasive disease caused by antibiotic resistant pneumococci is a worldwide problem. All invasive pneumococcal strains in an area of south-west Sweden with 1.7 million inhabitants were collected prospectively during 1998-2001. Minimum inhibitory concentrations (MICs) were determined by E-test and correlated to serotypes and clinical characteristics. Of 827 strains, 744 (90%) were susceptible (S) to all agents tested and 83 (10%) were indeterminate (I) or resistant (R) to at least 1 agent. 22 isolates (2.7%) were I to penicillin (MIC gt0.06 to ≤1.0 mg/l), but none were R (MIC gt1.0 mg/l). Numbers and proportions of decreased susceptibility against other agents tested were as follows: erythromycin R: 30 (3.6%), clindamycin R: 6 (0.7%), tetracycline R: 16 (1.9%), moxifloxacin R: 1 (0.1%), cotrimoxazole I: 17 (2%) and R: 31(4%). Non-susceptibility to at least 1 agent was not correlated with age, clinical manifestation, underlying diseases and outcome. The serotype distribution differed between non-susceptible and susceptible strains. The serotypes in the 7-valent pneumococcal conjugate vaccine covered 42% of all infections and 73% of those caused by non-susceptible strains. In conclusion, the impact of antibiotic resistance in invasive pneumococcal disease remains limited in south-west Sweden.

  • 204.
    Backman, Malin
    et al.
    Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Browall, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Sundberg, Carl Johan
    Department of Physiology & Pharmacology and Unit for Bioentrepreneurship, Karolinska Institutet, Sweden / Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Sweden.
    Wengström, Yvonne
    Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Experiencing health - Physical activity during adjuvant chemotherapy treatment for women with breast cancer2016In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 21, p. 160-167Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to explore how women with breast cancer experience physical activity (PA) during adjuvant chemotherapy treatment.

    METHODS: This study included sixteen women diagnosed with breast cancer who had participated in a supervised 16-week PA intervention during adjuvant chemotherapy treatment. The qualitative approach included semi-structured individual and focus group interviews. Data were analyzed inductively with content analysis.

    RESULT: The content analysis resulted in a description of experiencing health during chemotherapy treatment covered by five categories: Solidarity with others and being good to oneself; Experiencing functional improvement and social support; Empowerment and motivation to focus on health; Barriers to adherence to PA during illness and treatment; and Enabling health and independence. A core category was identified; PA a tool for maintenance and recovery of physical, mental and social health. The women reported that PA had a positive impact on both physical function and mental wellbeing. Participating in the PA intervention also increased their feeling of social support, which was reported to be important to motivate adherence to PA when the side effects became more severe. Symptom burden, time and lack of motivation were reported as barriers to continue PA during treatment.

    CONCLUSION: The women in this study reported that PA had a positive impact on their perceived health and that it was possible to exercise despite increasing symptom burden from treatment. PA was perceived as a tool that supported health processes and gave the women a feeling of getting respite from the illness.

  • 205.
    Backström, Linus
    University of Skövde, School of Bioscience.
    Establishing a biopsychosocial model for conspiracy theory ideation2018Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    This paper aims to provide the grounds for a biopsychosocial understanding of the underpinnings of conspiracy theorist ideation by studying research articles from different scientific disciplines. Cross-disciplinary concurring results are presented and discussed, as well as some examples of how conspiracy theories have been used during the 20th century. Also discussed is how this is used in political discourse in the populist climate of today, with the rise of radical right-wing movements, the justification of “alternative facts” from higher governmental ranks, and religious fundamentalism, making it a societal issue of possible big magnitude. Neurological similarities was found between religiousness and proneness to conspiracy theory ideation, and the articles concerning neural correlates therefore stem from research on religious individuals due to the lack of neuro-biopsychological research on actual conspiracy theorists. Since conspiracy theory ideation has shown the ability to cause negative consequences it is also advised that governmental agencies and society as a whole revise its stance on populism and the spread of flawed information, in order to maintain an open society. Also presented are a few ideas on how to begin countering the rise of populism.

  • 206.
    Bagewitz, Astrid
    University of Skövde, School of Health and Education.
    Skolsköterskors erfarenhet av att förebygga kränkningar i skolor och på nätet: En kvalitativ studie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research shows a strong connection between pupils exposed to harassment and to physical and mental illness. Harassment occurring on the internet are perceived by teens as extra harmful to their mental health. School nurses have the opportunity to prevent harassment and to promote health on three different levels; individual,- interpersonal,- and system level.

    Aim: The purpose of the study was to investigate the school nurses’ experiences in preventing harassment in schools and on the internet. 

    Method: A qualitative methodology was used in the study and the results were analyzed by content analysis. Seven school nurses in Sweden have been interviewed by email. 

    Result: Three categories appeared in the result: to be available to pupils and their guardians, to talk with pupils and to cooperate. 

    Conclusion: The study shows that school nurses demonstrate broad experiences in preventing harassment. These experiences occur primarily in the individual-oriented and interpersonal work level. Experiences at the system level are less occuring. It appears there were varied experiences of norm-critical perspective as a working method.

  • 207.
    Bahadi, Nour
    University of Skövde, School of Health and Education.
    Enhancing iron bioavailability and accessibility by analyzing the effect of micro-milling and hydrothermal processing on iron release and uptake in wheat flour2019Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    In the UK cereals products (mostly wheat) are considered to be the main source of iron as they contribute to 39-50% of iron intake. Iron from cereals has low availability due to presence of anti-nutrients and the resistance to digest plants cell wall in the human GI tract. However, they are still considred main dietry source due to the high consumption rate. Aleurone which is the layer found between the starch endosperm and the outer bran is rich in iron. However, aleurone is removed during white flour production leading to iron loss. Therefore, white flour in the UK is fortified with elemental iron which has low solubility. Adding aleurone back to white flour might have a greater bioavailability compared to wholegrain and white with elemental iron flour.

    The aim of this project is to investigate the effect of hydrothermal processing and micro-milling on iron release, bioavailability, and phytic acid content which is the main iron bioavailability inhibitor. After in vitro digestion (gastric and intestinal), total iron release from baked and boiled bread made with different types of flour was determined using ICP-OES. Iron uptake by Caco-2 cells was measured using ICP-MS. Phytic acid levels in the bread samples was measured using K-PHYT kit (Megazyme, Inc, Bray, Ireland). All the obtained data was then analyzed applying two-way and three-way ANOVA.

    Neither micro-milling nor hydrothermal processing had a significant difference on iron release and uptake. However, iron release from stand and micro-milled wholegrain and white flour enriched with aleurone in gastric phase was significantly increased compared to intestinal phase irrespective of cooking method. Phytic acid content which is found in wheat grain and is abundant in aleurone layer was significantly decreased in cooked wholegrain and aleurone flour compared to raw flour. Together with all the findings of this study, using aleurone as a fortificate for bioavailable iron can be possible. However, a human study which will take place soon can establish whether aleurone has the potential to be used as food fortificant for iron as well as other micronutrients.

  • 208.
    Bahrd, Phillie
    University of Skövde, School of Bioscience.
    The Blacked Out Brain: Neural Mechanisms of Unconsciousness in General Anesthesia and Disorders of Consciousness2019Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    Finding the neural mechanisms of unconsciousness is a pursuit with significance to both the scientific study of consciousness as well as for the improvement of clinical diagnosis of patients with severe structural brain damage that has resulted in disorders of consciousness (DOC), such as coma or vegetative state . This literature review gives an account for what consciousness studies have contributed to the understanding of the neural mechanisms of unconsciousness, focusing on experiments using anesthetic agents to investigate the loss and return of consciousness. Mechanisms that frequently correlate with the loss of consciousness are modulation of the brainstem, the thalamus, and the cortex, but different anesthetic drugs act on different areas. According to a bottom-up approach unconsciousness can be induced by sleep-circuits in the brainstem, and according to a top-down approach unconsciousness can be induced by cortical and thalamocortical disruption. But the mechanisms involved during loss of consciousness are not the same as for return of consciousness, and this paper includes evidence for the mechanisms involved during the return being closer to what research should be further investigating. The mechanisms involved in return from anesthesia-induced unconsciousness resemble those mechanisms involved in recovery from DOC. Studying mechanisms of unconsciousness can further our understanding of consciousness, as well as improve the diagnosis and treatment of patients with DOC.

  • 209.
    Baldursdottir, Birna
    et al.
    Department of Psychology, School of Business, Reykjavik University, Iceland / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Sweden.
    Taehtinen, Richard E.
    Department of Psychology, School of Business, Reykjavik University, Iceland / ICSRA (Icelandic Centre for Social Research and Analysis), Reykjavik University, Iceland.
    Sigfusdottir, Inga Dora
    Department of Psychology, School of Business, Reykjavik University, Iceland / ICSRA (Icelandic Centre for Social Research and Analysis), Reykjavik University, Iceland / Department of Health & Behavior Studies, Teachers College, Columbia University, New York, NY, USA.
    Krettek, Alexandra
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Sweden / Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
    Valdimarsdottir, Heiddis B.
    Department of Psychology, School of Business, Reykjavik University, Iceland / Department of Oncological Sciences, Mount Sinai School of Medicine, New York, NY, USA.
    Impact of a physical activity intervention on adolescents' subjective sleep quality: a pilot study2017In: Global Health Promotion, ISSN 1757-9759, E-ISSN 1757-9767, Vol. 24, no 4, p. 14-22Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The aim of this pilot study was to examine the impact of a brief physical activity intervention on adolescents' subjective sleep quality. Cross-sectional studies indicate that physically active adolescents have better subjective sleep quality than those with more sedentary habits. However, less is known about the effectiveness of physical activity interventions in improving adolescents' subjective sleep quality.

    METHODS: In a three-week physical activity intervention, four Icelandic upper secondary schools were randomized to either an intervention group with pedometers and step diaries or a control group without pedometers and diaries. Out of 84, a total of 53 students, aged 15-16 years, provided complete data or a minimum of two days step data (out of three possible) as well as sleep quality measures at baseline and follow-up. Subjective sleep quality, the primary outcome in this study, was assessed with four individual items: sleep onset latency, nightly awakenings, general sleep quality, and sleep sufficiency. Daily steps were assessed with Yamax CW-701 pedometers.

    RESULTS: The intervention group (n = 26) had significantly higher average step-count (p = 0.03, partial η(2) = 0.093) compared to the control group (n = 27) at follow-up. Subjective sleep quality improved (p = 0.02, partial η(2) = 0.203) over time in the intervention group but not in the control group.

    CONCLUSIONS: Brief physical activity interventions based on pedometers and step diaries may be effective in improving adolescents' subjective sleep quality. This has important public health relevance as the intervention can easily be disseminated and incorporated into school curricula.

  • 210.
    Baldursdottir, Birna
    et al.
    Department of Psychology, School of Business, Reykjavik University, Reykjavik, Iceland / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Valdimarsdottir, Heiddis B.
    Department of Psychology, School of Business, Reykjavik University, Reykjavik, Iceland / Department of Oncological Sciences, Mount Sinai School of Medicine, New York, USA.
    Krettek, Alexandra
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden / Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
    Gylfason, Haukur Freyr
    School of Business, Reykjavik University, Reykjavik, Iceland.
    Sigfusdottir, Inga Dora
    Department of Psychology, School of Business, Reykjavik University, Reykjavik, Iceland / ICSRA (Icelandic Centre for Social Research and Analysis), Reykjavik University, Reykjavik, Iceland / Department of Health & Behavior Studies, Teachers College, Columbia University, New York, USA .
    Age-related differences in physical activity and depressive symptoms among 10-19-year-old adolescents: A population based study2017In: Psychology of Sport And Exercise, ISSN 1469-0292, E-ISSN 1878-5476, Vol. 28, p. 91-99Article in journal (Refereed)
    Abstract [en]

    Objectives: The aim of this study was to examine age- and gender-related patterns of PA and depressive symptoms among students through their adolescent years. Design: Data from three population-based surveys were analysed to determine levels of moderate- to vigorous-intensity PA (MVPA), participation in organized sports and depressive symptoms among 10-19-year-old adolescents. Method: Questionnaires assessing PA and depressive symptoms were administered to 32 860 students in compulsory and upper-secondary schools in Iceland. Results: As age increased, depressive symptoms increased and PA decreased with over half of the adolescents in upper-secondary schools not achieving recommended daily PA. There were gender differences in PA and depressive symptoms with girls being less active and reporting higher levels of depressive symptoms than boys. MVPA was associated with lower levels of depressive symptoms among both genders while organized sports had more impact on depressive symptoms among girls. Conclusions: To our knowledge, this study is the first to simultaneously examine patterns of PA and depressive symptoms among students through their adolescent years. Our findings show that the decrease in PA and increase in depressive symptoms is most pronounced around the transition from compulsory to upper-secondary school, or around the age of 15-16. Thus the findings provide important information about when to tailor public health efforts to reduce the burden of depressive symptoms among adolescents, for example by employing PA interventions. (C) 2016 Elsevier Ltd. All rights reserved.

  • 211.
    Bammann, K.
    et al.
    Univ Bremen, Fac Human & Hlth Sci, Inst Publ Hlth & Nursing Res, D-28359 Bremen, Germany.;BIPS Inst Epidemiol & Prevent Res, Bremen, Germany.
    Gwozdz, W.
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Frederiksberg, Denmark.
    Lanfer, A.
    BIPS Inst Epidemiol & Prevent Res, Bremen, Germany.
    Barba, G.
    CNR, Inst Food Sci, Avellino, Italy.
    De Henauw, S.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Fernandez-Alvira, J. M.
    Univ Zaragoza, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza, Spain.
    Kovacs, E.
    Univ Pecs, Dept Pediat, Pecs, Hungary.
    Lissner, L.
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Moreno, L. A.
    Univ Zaragoza, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza, Spain.
    Tornaritis, M.
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Veidebaum, T.
    Natl Inst Hlth Dev, Dept Chron Dis, Tallinn, Estonia.
    Pigeot, I.
    BIPS Inst Epidemiol & Prevent Res, Bremen, Germany.
    Socioeconomic factors and childhood overweight in Europe: results from the multi-centre IDEFICS study2013In: Pediatric Obesity, ISSN 2047-6302, E-ISSN 2047-6310, Vol. 8, no 1, p. 1-12Article in journal (Refereed)
    Abstract [en]

    What is already known about this subject Overweight and obesity can be linked to different parental socioeconomic factors already in very young children. In Western developed countries, the association of childhood overweight and obesity and parental socioeconomic status shows a negative gradient. Ambiguous results have been obtained regarding the association between socioeconomic factors and childhood overweight and obesity in different countries and over time. What this study adds European regions show heterogeneous associations between socioeconomic factors and overweight and obesity in a multi-centre study with highly standardized study protoco. The strength of association between SES and overweight and obesity varies across European regions. In our study, the SES gradient is correlated with the regional mean income and the country-specific Human development index indicating a strong influence not only of the family but also of region and country on the overweight and obesity prevalence. Objective To assess the association between different macro- and micro-level socioeconomic factors and childhood overweight. Methods Data from the IDEFICS baseline survey is used to investigate the cross-sectional association between socioeconomic factors, like socioeconomic status (SES), and the prevalence of childhood overweight. Differences and similarities regarding this relationship in eight European regions (located in Belgium, Cyprus, Estonia, Germany, Hungary, Italy, Spain and Sweden) are explored. 11?994 children (50.9% boys, 49.1% girls) and their parents were included in the analyses. Results In five of the eight investigated regions (in Belgium, Estonia, Germany, Spain and Sweden), the prevalence of childhood overweight followed an inverse SES gradient. In the other three regions (in Cyprus, Hungary and Italy), no association between SES and childhood overweight was found. The SES-overweight association in a region was best explained by the country-specific human development index and the centre-specific mean income. For the investigated association between other socioeconomic factors and overweight, no clear pattern could be found in the different regions. Conclusion The association between socioeconomic factors and childhood overweight was shown to be heterogeneous across different European regions. Further research on nationwide European data is needed to confirm the results and to identify target groups for prevention.

  • 212.
    Bammann, K.
    et al.
    Univ Bremen, Inst Publ Hlth & Nursing Res ipp, Fac Human & Hlth Sci, FB 11,Grazer Str 2a, D-28359 Bremen, Germany.;Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Gwozdz, W.
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Frederiksberg, Denmark.
    Pischke, C.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Fernandez-Alvira, J. M.
    Univ Zaragoza, Dept Phys Med & Nursing, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza, Spain.
    De Henauw, S.
    Univ Ghent, Dept Publ Hlth, Ghent, Belgium.
    Lissner, L.
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Moreno, L. A.
    Univ Zaragoza, Dept Phys Med & Nursing, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza, Spain.
    Pitsiladis, Y.
    Univ Brighton, Ctr Sport & Exercise Sci & Med SESAME, Eastbourne, England.
    Reisch, L.
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Frederiksberg, Denmark.
    Veidebaum, T.
    Natl Inst Hlth Dev, Dept Chron Dis, Tallinn, Estonia.
    Pigeot, I.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Fac Math & Comp Sci, Inst Stat, Bremen, Germany.
    The impact of familial, behavioural and psychosocial factors on the SES gradient for childhood overweight in Europe. A longitudinal study2017In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 41, no 1, p. 54-60Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In highly developed countries, childhood overweight and many overweight-related risk factors are negatively associated with socioeconomic status (SES). OBJECTIVE: The objective of this study is to investigate the longitudinal association between parental SES and childhood overweight, and to clarify whether familial, psychosocial or behavioural factors can explain any SES gradient. METHODS: The baseline and follow-up surveys of the identification and prevention of dietary and lifestyle induced health effects in children and infants (IDEFICS) study are used to investigate the longitudinal association between SES, familial, psychosocial and behavioural factors, and the prevalence of childhood overweight. A total of 5819 children (50.5% boys and 49.5% girls) were included. RESULTS: The risk for being overweight after 2 years at follow-up in children who were non-overweight at baseline increases with a lower SES. For children who were initially overweight, a lower parental SES carries a lower probability for a non-overweight weight status at follow-up. The effect of parental SES is only moderately attenuated by single familial, psychosocial or behavioural factors; however, it can be fully explained by their combined effect. Most influential of the investigated risk factors were feeding/eating practices, parental body mass index, physical activity behaviour and proportion of sedentary activity. CONCLUSION: Prevention strategies for childhood overweight should focus on actual behaviours, whereas acknowledging that these behaviours are more prevalent in lower SES families.

  • 213.
    Barker, Dean
    et al.
    University of Gothenburg, Sweden.
    Nielsen, Jacob
    University of Gothenburg, Sweden.
    Wahlström, Martin
    University of Gothenburg, Sweden.
    Barker-Ruchti, Natalie
    University of Gothenburg, Sweden.
    Carlén, Urban
    University of West, Sweden.
    Maivorsdotter, Ninitha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Jacob and Martin: Developing digital technology competence in physical education teacher education2017In: Digital technologies and learning in physical education: Pedagogical cases / [ed] Ashley Casey, Victoria A. Goodyear, Kathleen M. Armour, London: Routledge, 2017, p. 231-246Chapter in book (Other academic)
  • 214.
    Barrsten, Petra
    et al.
    University of Skövde, School of Health and Education.
    Malmborg, Johanna
    University of Skövde, School of Health and Education.
    Palliativ vård i hemmet: Närståendes erfarenheter - En litteraturbaserad studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Palliativ vård bygger på ett förhållningsätt som innebär att öka livskvalitén för både patienten och dess närstående. Palliativ vård handlar om god symtom kontroll och lindring. Den palliativa vården i hemmet lägger stort ansvar på de närstående, inte bara när det kommer till kontrollera symtomen men att organisera vården för patienten 24 timmar/dygnet. Sjuksköterskan måste se patienten och närståendes livssituation för att ge bra stöd i hemmet. Syfte: Syftet med denna studie var att belysa närståendes erfarenheter av att vårda den sjuke palliativt i hemmet. Metod: Som metod valdes en litteraturbaserad studie. Datamaterialet bestod av nio kvalitativa vetenskapliga artiklar. Resultat: Tre kategorier identifierades såsom: Ny roll, behov av hjälp från kunniga och behålla det egna livet med sex underkategorier. Närståendes erfarenheter, att ha ett stort ansvar är svårt och krävande men även meningsfullt. Brist på stöd från sjukvården påverkar närståendes förmåga att vårda den sjuke. Slutsats: När närstående vårdar den sjuke i hemmet är tiden både tung och meningsfull. Det beror på vilket stöd och information de får från sjuksköterskorna samt om de själva får möjligheten att distansera sig till vårdandet för att behålla det egna livet.

  • 215.
    Basic, Anesa
    et al.
    University of Skövde, School of Life Sciences.
    Johnsson, Sofia
    University of Skövde, School of Life Sciences.
    BVC-SJUKSKÖTERSKORS ERFARENHETER AV ATT GE STÖD TILL NYBLIVNA FÖRÄLDRAR FÖR ATT FRÄMJA AMNINGEN2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 216.
    Bays, Harold E.
    et al.
    Louisville Metabolic and Atherosclerosis Research Center Inc., Louisville, KY, USA.
    Sartipy, Peter
    University of Skövde, School of Bioscience. University of Skövde, The Systems Biology Research Centre. Global Medicines Development, CVMD, AstraZeneca, Gothenburg, Sweden.
    Xu, John
    Biometrics and Information Sciences, AstraZeneca, Gaithersburg, MD, USA.
    Sjöström, Carl David
    Global Medicines Development, CVMD, AstraZeneca, Gothenburg, Sweden.
    Underberg, James A.
    Department of Medicine, NYU School of Medicine & NYU Center for Prevention of Cardiovascular Disease, New York, NY, USA.
    Dapagliflozin in patients with type II diabetes mellitus, with and without elevated triglyceride and reduced high-density lipoprotein cholesterol levels2017In: Journal of Clinical Lipidology, ISSN 1933-2874, E-ISSN 1876-4789, Vol. 11, no 2, p. 450-458Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Dapagliflozin is a selective sodium-glucose cotransporter 2 inhibitor that improves glycemic control in patients with type II diabetes mellitus (T2DM) by reducing renal glucose reabsorption.

    OBJECTIVE: The aim was to evaluate the lipid effects of dapagliflozin 10 mg or placebo in patients with T2DM with/without baseline elevated triglyceride and reduced high-density lipoprotein (HDL) cholesterol levels.

    METHODS: This was a post hoc analysis of 10 phase 3, placebo-controlled studies of dapagliflozin 10 mg (N = 2237) or placebo (N = 2164) administered for 24 weeks in patients with T2DM. Patients with elevated triglyceride (>= 150 mg/dL [1.69 mmol/L]) and reduced HDL cholesterol levels (<40 mg/dL [1.04 mmol/L] in men; <50 mg/dL [1.29 mmol/L] in women) were included (group A). The reference group (group B) included patients who did not meet the defined lipid criteria.

    RESULTS: The effects of dapagliflozin on fasting lipid profiles were generally similar in the 2 lipid groups (ie, groups A and B) and, compared with placebo, were associated with minor increases in non-HDL cholesterol, low-density lipoprotein, and HDL cholesterol levels. The effects on triglyceride levels were inconsistent. The incidence of adverse events (AEs)/serious AEs, and AEs of genital infection, urinary tract infection, volume reduction, renal function, and hypoglycemia were similar in the 2 lipid groups.

    CONCLUSION: Patients with T2DM treated with dapagliflozin experienced minor changes in lipid levels; the changes were generally similar in the 2 lipid groups. The clinical significance of these changes in lipids is unclear, especially in view of the positive effects of dapagliflozin on other cardiovascular disease risk factors. 

  • 217.
    Bazargan-Hejazi, Shahrzad
    et al.
    University of California, Los Angeles.
    Medeiros, Sarah
    University of California, Los Angeles.
    Mohammadi, Reza
    Karolinska Institutet.
    Lin, Johnny
    University of Los Angeles.
    Dalal, Koustuv
    University of Skövde, School of Life Sciences.
    Patterns of Intimate Partner Violence: a study of female victims in Malawi2012In: Journal of Injury and Violence Research, ISSN 2008-2053, E-ISSN 2008-4072, Vol. 5, no 1Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The term “intimate partner violence” (IPV) encompasses physical, sexual and psychological violence, or any combination of these acts, and globally is the most common type of violence against women. This study aims to examine the lifetime prevalence of different types of intimate partner violence (IPV) among Malawi women ages 15 to 49, and its association with age, education, and living in rural versus urban areas. METHODS: Data was obtained from a cross-sectional study of data as part of the 2004 Malawi Demographic and Health Survey.  Women were eligible for the study if they met the following criteria: 1) lived in one of the 15,041 households randomly selected from 522 rural and urban clusters located in 10 large districts of Malawi; 2) were married or cohabitating; and 3) were between the ages of 15 and 49 years.  Consenting, eligible women responded to a comprehensive questionnaire covering demographic factors, health issues, as well as items related to physical, emotional and sexual IPV.  To assess bivariate associations, chi-squared tests and multivariate logistic regressions were conducted. RESULTS: Among the 8291 respondents, 13% reported emotional violence; 20% reported being pushed, shaken, slapped or punched; 3% reported experiencing severe violence, such as being strangled or burned, threatened with a knife, gun or with another weapon; and 13% reported sexual violence.  Data showed women ages 15 to 19 were significantly less likely to report emotional IPV, women ages 25 to 29 were significantly more likely to report being pushed or shaken, slapped or punched (OR 1.35; CI: 1.05-1.73), and women ages 30 to 34 were significantly more likely to report sexual IPV, compared to women ages 45 to 49 (OR 1.40; CI: 1.03-1.90).  Finally, women who had no ability to read were less likely to report sexual IPV than their counterparts who could read a full sentence (OR 0.76; CI: 0.66-0.87). CONCLUSIONS: The prevalence of different types of IPV in Malawi appears slightly lower than that reported for other countries in sub-Saharan Africa.  Further studies are needed to assess the attitudes and behaviors of Malawi women towards acceptability and justification of IPV as well as their willingness to disclose it.

  • 218.
    Beetz, Andrea
    et al.
    Univ Rostock, Dept Special Educ, D-18055 Rostock, Germany .
    Kotrschalt, Kurt
    Univ Vienna, Dept Behav Biol, A-1010 Vienna, Austria .
    Turner, Dennis C.
    Univ Zurich Irchel, IEMT Switzerland & Anim Behav, Zurich, Switzerland .
    Hediger, Karin
    Univ Rostock, Dept Special Educ, D-18055 Rostock, Germany .
    Uvnäs-Moberg, Kerstin
    University of Skövde, School of Life Sciences.
    Julius, Henri
    Univ Rostock, Dept Special Educ, D-18055 Rostock, Germany .
    The Effect of a Real Dog, Toy Dog and Friendly Person on Insecurely Attached Children During a Stressful Task: An Exploratory Study2011In: Anthrozoos, ISSN 0892-7936, E-ISSN 1753-0377, Vol. 24, no 4, p. 349-368Article in journal (Refereed)
    Abstract [en]

    The regulation of stress by an attachment figure is a key feature of attachment relationships. Previous research suggests that in some cases animal companionship may be regarded as an attachment relationship. This may be particularly important for persons with an insecure or disorganized attachment pattern who may find it more difficult than securely attached individuals to accept social support from humans. In our study, we investigated whether 31 boys (aged 7-12 years) with insecure/disorganized attachment would profit more from the presence of a dog (n = 11) than of a friendly human (n = 11) or a toy dog (n = 9) as support during a socially stressful situation (Trier Social Stress Test for Children, TSST-C). Stress levels were assessed via salivary cortisol recorded five times before, during, and after the TSST-C. The behavior of the children was coded from video recordings. Self-reported stress levels did not significantly differ between the groups before and after the TSST-C. Salivary cortisol, however, was significantly lower in the real dog condition than in the other two conditions (Kruskal-Wallis H test on area under the curve increase (AUCi): chi(2) = 15.17, df = 2, p = 0.001). Also, the more the children stroked the dog, the less pronounced was their stress reaction (r(s) = -0.818, p = 0.002). Our data suggest an important role of physical contact in the stress reducing effect. We conclude that the children investigated profited more from interacting with a friendly dog than with either a human or a toy dog in a stressful situation. We discuss the relevance of our findings for animal-assisted interventions.

  • 219.
    Behboudi, A.
    et al.
    Univ Gothenburg, Inst Biomed, Gothenburg, Sweden.
    Nordlander, C.
    Univ Gothenburg, Inst Cell & Mol Biol, Gothenburg, Sweden.
    Klinga-Levan, Karin
    University of Skövde, School of Life Sciences.
    Karlsson, S.
    Evidence for a tumor suppressor locus distal to Tp53 - a study in experimental endometrial adenocarcinoma2007In: European Journal of Cancer Supplements, ISSN 1359-6349, E-ISSN 1878-1217, Vol. 5, no 4, p. 62-62Article in journal (Other academic)
  • 220.
    Behnsen, Pia
    et al.
    Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Netherlands.
    Buil, Joanne M.
    Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Netherlands.
    Koot, Susanne
    Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Netherlands.
    Huizink, Anja
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Netherlands.
    Van Lier, Poul
    Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Netherlands.
    Heart rate (variability) and the association between relational peer victimization and internalizing symptoms in elementary school children2019In: Development and psychopathology (Print), ISSN 0954-5794, E-ISSN 1469-2198, p. 1-9, article id 29 aprilArticle in journal (Refereed)
    Abstract [en]

    Relational victimization typically emerges first during the elementary school period, and has been associated with increased levels of internalizing symptoms in children. Individual differences in autonomic nervous system functioning have been suggested as a potential factor linking social stressors and internalizing symptoms. The aim of this study was therefore to examine whether heart rate and heart rate variability mediated the association between relational victimization and internalizing symptoms in 373 mainstream elementary school children. Children were assessed in 2015 (T 0 ; Grades 3-5, M age = 9.78 years, 51% boys) and reassessed in 2016 (T 1 ). Heart rate and heart rate variability were assessed during a regular school day at T 1 . A multi-informant (teacher and peer report) cross-time measure of relational victimization, and a multi-informant (self- and teacher report) measure of internalizing problems at T 1 was used. Results showed that heart rate variability, but not heart rate, mediated the association between relational victimization and internalizing symptoms. This study provides tentative support that in children from a general population sample, a psychobiological factor may mediate the association of relational victimization with internalizing symptoms.

  • 221.
    Bel-Serrat, Silvia
    et al.
    Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain.
    Mouratidou, Theodora
    Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain.
    Pala, Valeria
    Fondaz IRCSS Ist Nazl Tumori, Nutrit Epidemiol Unit, Dept Prevent & Predict Med, Milan, Italy.
    Huybrechts, Inge
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Boernhorst, Claudia
    Univ Bremen, Inst Epidemiol & Prevent Res, BIPS, D-28359 Bremen, Germany.
    Fernandez-Alvira, Juan Miguel
    Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain.
    Hadjigeorgiou, Charalampos
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Hebestreit, Antje
    Univ Bremen, Inst Epidemiol & Prevent Res, BIPS, D-28359 Bremen, Germany.
    Lissner, Lauren
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Molnar, Denes
    Univ Pecs, Fac Med, Dept Pediat, Pecs, Hungary.
    Siani, Alfonso
    Inst Food Sci, Unit Epidemiol & Populat Genet, CNR, Avellino, Italy.
    Veidebaum, Toomas
    Natl Inst Hlth Dev, Ctr Hlth & Behav Sci, Tallinn, Estonia.
    Krogh, Vittorio
    Fondaz IRCSS Ist Nazl Tumori, Nutrit Epidemiol Unit, Dept Prevent & Predict Med, Milan, Italy.
    Moreno, Luis A.
    Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain.
    Relative validity of the Children's Eating Habits Questionnaire- food frequency section among young European children: the IDEFICS Study2014In: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 17, no 2, p. 266-276Article in journal (Refereed)
    Abstract [en]

    Objective: To compare, specifically by age group, proxy-reported food group estimates obtained from the food frequency section of the Children's Eating Habits questionnaire (CEHQ-FFQ) against the estimates of two non-consecutive 24h dietary recalls (24-HDR). Design: Estimates of food group intakes assessed via the forty-three-food-group CEHQ-FFQ were compared with those obtained by a computerized 24-HDR. Agreement on frequencies of intakes (equal to the number of portions per recall period) between the two instruments was examined using crude and de-attenuated Pearson's correlation coefficients, cross-classification analyses, weighted kappa statistics (kappa(w)) and Bland-Altman analysis. Setting: Kindergartens/schools from eight European countries participating in the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS) Study cross-sectional survey (2007-2008). Subjects: Children aged 2-9 years (n 2508, 50.4% boys). Results: The CEHQ-FFQ provided higher intake estimates for most of the food groups than the 24-HDR. De-attenuated Pearson correlation coefficients ranged from 0.01 (sweetened fruit) to 0.48 (sweetened milk) in children aged 2-<6 years (mean = 0.25) and from 0.01 (milled cereal) to 0.44 (water) in children aged 6-9 years (mean = 0.23). An average of 32 % and 31 % of food group intakes were assigned to the same quartile in younger and older children, respectively, and classification into extreme opposite quartiles was <= 12 % for all food groups in both age groups. Mean kappa(w) was 0.20 for 2-<6-year-olds and 0.17 for 6-9-year-olds. Conclusions: The strength of association estimates assessed by the CEHQ-FFQ and the 24-HDR varied by food group and by age group. Observed level of agreement and CEHQ-FFQ ability to rank children according to intakes of food groups were considered to be low.

  • 222.
    Bengtsson, Emelie
    et al.
    University of Skövde, School of Health and Education.
    Tysk, Lina
    University of Skövde, School of Health and Education.
    Patienters upplevelser av att leva med kronisk njursvikt i väntan på njurtransplantation: En litteraturbaserad studie.2015Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Njurarna har en central funktion i kroppen och sviktar dessa innebär det en stor påverkan på det dagliga livet samt en kontinuerlig kontakt med sjukvården. Sjukdomen och dess behandling påverkar inte bara kroppen fysiskt utan även psykiskt och socialt. Njurtransplantation är en kostnadseffektiv och väletablerad behandlingsform vilken ger god prognos för patienten. Dock är efterfrågan på organ större än tillgången vilket i många fall innebär en väntan på obestämd tid för patienten. Syfte: Syftet med studien var att beskriva patienters upplevelser av att leva med kronisk njursvikt i väntan på transplantation. Metod: Litteraturbaserad studie baserad på tio vetenskapliga artiklar med kvalitativ ansats. Resultat: Ur analysen framkom tre kategorier; Livet begränsas, en oviss väntan samt stöd från omgivningen med nio underkategorier. Diskussion: Livet i väntan på transplantation medför många begränsningar som i sin tur innebär lidande. Detta skapar ett behov av stöd från omgivningen, däribland sjuksköterskan. För att sjuksköterskan ska kunna ge stöd åt patienten är det viktigt att förstå hur patienter upplever livet i väntan på transplantation.  

  • 223.
    Bengtsson, Emily
    et al.
    University of Skövde, School of Health and Education.
    Larsson, Lisa
    University of Skövde, School of Health and Education.
    Patienters upplevelse av hälsa och välbefinnande under långvarig behandling av hemodialys: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Många patienter lever med kronisk njursjukdom som påverkar det dagliga livet. En försämring av njurfunktionen innebär att en kronisk njursvikt uppstår som kan leda till att behovet av dialys uppstår. En behandlingsform av dialys är hemodialys vilket innebär att blodet renas utanför kroppen. En förståelse för hur patienter upplever hälsa och välbefinnande är av vikt för att sjuksköterskorna ska kunna arbeta främjande för patienterna. Syfte: Beskriva patienters upplevelser av hälsa och välbefinnande under långvarig behandling av hemodialys. Metod: En litteraturöversikt som byggde på 10 kvalitativa artiklar. Resultat: Patienterna upplevde att hemodialysbehandlingarna medförde flera begränsningar i livet som påverkade deras hälsa och välbefinnande. Det skapade känslor av förlust och att vara beroende av andra människor. När patienterna upplevde ett stöd från andra människor gav det kraft och energi. Upplevelsen av att vara begränsad i tid och rum skapade existentiella frågor. Hoppet om en ny njure blev avgörande för patienternas hälsa och välbefinnande. Konklusion: För att skapa hälsa och välbefinnande för patienterna är det av stor vikt att sjuksköterskorna visar ett intresse och en ödmjukhet för patienternas existentiella tankar. Sjuksköterskorna behöver uppmuntra till känslor av hopp hos patienterna för att upplevelsen av hälsa och välbefinnande ska kunna uppstå.

  • 224.
    Bengtsson, Felicia
    University of Skövde, School of Health and Education.
    SJUKSKÖTERSKORS NEGATIVA ATTITYDER GENTEMOT PATIENTER MED PSYKISK OHÄLSA - En litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The purpose of this study was to describe nurses’ negative attitudes towards patients with mental illness. Method: A literature review made on eleven studies of which seven were qualitative and four quantitative. Articles were selected based on inclusion criteria which were that the articles would be relevant on the basis of the study's purpose, that they were published between the years 2004-2014, that they were out of good quality and that they were peer-rewieved. Quality inspection and analysis was done using qualitative method. Key results: Three categories emerged: attitudes based on lack of knowledge, attitudes based on fear and attitudes based on uncertainty. The result shows that the main attitudes are negative and depends primarily on lack of knowledge, fears and uncertainty. Lack of knowledge contributed to fears and uncertainty and considered the cornerstone of attitudes. Conclusions: Nurses need more education and knowledge, and it can contribute to the fears and uncertainty also decreases.

  • 225.
    Bengtsson, Josefine
    et al.
    University of Skövde, School of Health and Education.
    Hansson, Emma
    University of Skövde, School of Health and Education.
    Sjuksköterskors uppfattningar och erfarenheter av att närstående till patienter närvarar vid HLR: en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hjärtstopp drabbar cirka 10 000 människor i Sverige årligen och få av dem överlever. Påbörjas hjärt- och lungräddning omedelbart ökar chansen för överlevnad markant. Sjuksköterskan har en betydande roll vid hjärtstopp i samband med hjärt- och lungräddning ska de också ta hand om de närstående som ser det som sin rättighet att närvara. De närstående uttrycker att det ökar lidandet om de inte får tillräckligt med stöd vid HLR. Syfte: Att beskriva sjuksköterskors uppfattningar och erfarenheter av att närstående till patienter närvarar vid HLR i sjukhusmiljö Metod: En litteraturöversikt gjordes där tio artiklar ligger till grund för resultatet. Resultat: Resultatet presenteras i fyra kategorier: Patientens önskningar ska vara i fokus, En känslomässig upplevelse för närstående, Emotionellt krävande moment för sjuksköterskor och Det krävs resurser i situationen. Slutsats: Sjuksköterskorna uppfattar fördelar för alla inblandade men önskar mer utbildning i kommunikation med närstående vid HLR.

  • 226.
    Bengtsson, Katarina
    et al.
    University of Skövde, School of Life Sciences.
    Broxe, Camilla
    University of Skövde, School of Life Sciences.
    Upplevelsen att vårda sin make/maka som genomgått en stroke2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Stroke is one of the most common diseases in Sweden and every year 30 000 individuals are affected. Today it is possible for these persons to continue to live in their homes. Informal caregivers are often the ones who take over the caring responsibility. The aim of this literature study was to describe the spouse´s experience of being an informal carer to a person affected by stroke. The method used was a descriptive synthesis. The material consists of nine scientific research articles. In this study four themes emerged: The experience of change; The experience of loss of freedom and leisure time; The experience of gratefulness, hope and support; The experience of the future, anxiety and guilt and finally The experience of responsibility and control. The result of this study contributes to the nursing practice by highlighting the importance of awareness of these people’s experiences. Prevention is included in the nursing profession and as a nurse it is most important to prevent informal cares from being patients.

  • 227.
    Bengtsson, Katarina
    et al.
    University of Skövde, School of Health and Education.
    Qorri, Mirjeta
    University of Skövde, School of Health and Education.
    Min välsignelse och min börda: att vara närstående till en person med demenssjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Dementia is a widespread disease, of which relatives are affected and experience suffering.People with dementia live longer at home with support from relatives. By providingrelatives with support, unhealthiness can be prevented, and the health of the person withdementia can be promoted. The aim was to describe relatives experiences of living with aperson affected by dementia. The method consisted of a literature review with 11qualitative articles. The results were presented in four main themes, “Fighting against thewind”, “Changed relationships”, “The constant presence of feelings” and “The need ofsupport”. Relatives described changes, struggles and grief over the life-partner or parentthey once had, which no longer was present. Relatives experienced poor treatment fromhealth care and a need of support which wasn’t met. Nurses can prevent the sufferingexperienced by relatives with the right resources and knowledge. Nurses should also leadand instruct fellow employees to better be equipped to meet relatives and their needs.Nurses can also provide relatives with information regarding different facilities of support.

  • 228.
    Bengtsson, Margareta
    et al.
    University of Skövde, School of Life Sciences.
    Gosende, Martina
    University of Skövde, School of Life Sciences.
    Anhörigas upplevelser av att vårda en familjemedlem som insjuknat i demens: en analys av självbiografier2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Being the relative of a person with dementia is a life changing experience. The relatives often find themselves in a complex situation, which requires that the nurse, can identify needs among the relatives. It‘s also important that the nurse has a broad knowledge about the role of the relative as a caregiver, to be able to give support to them in this situation. The purpose of this study was to describe the relative’s experiences of taking care of a familymember with dementia in the home. Six autobiographies were studied to emerge in the experiences of the family caregivers. Burnards (1991) content analysis and Graneheims & Lundmans (2004) qualitative content analysis was used to analyze the data and the result reveals 3 main categories and 10 categories. The main categories were: Suffering, desperation and isolation. The situation of the caregiving relatives involves experiences of mental distress as well as having to cope with several difficulties. Their new role as a family caregiver is characterized by feelings of isolation which increases as the sickness proceeds.

  • 229.
    Bennedsen, Svetlana
    et al.
    University of Skövde, School of Life Sciences.
    Nilsson, Annlouise
    University of Skövde, School of Life Sciences.
    Att vara föräldrar till barn med Duchennes muskeldystrofi: Litteratutöversikt2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Every year approximately ten boys in Sweden get a disease called Duchenne muscular ystrophy. Duchenne muscular dystrophy is a genetically determined, progressive and incurable neuromuscular disease that generally causes that a child will be physical disability and death in early adulthood. To have a disabled child that suffers for an incurable disease is big responsibility and a major change. The aim of this study is to illustrate parents´ experiences of living with a child with Duchenne muscular dystrophy Literature review. Eight qualitative and four quantitative articles were included in this and the articles were examined and analyzed. The result was combined into three themes. Which are Emotional kaos, Need for support and knowledge and Acceptable and planning for the future. The whole amily experienced feelings of grief, needs of family support and emotional chaos. Nursing staff should know how important it is with adequate information about Duchenne muscular dystrophy. By understanding a situation in the family nursing staff can meet the parent’s needs and requirements.

  • 230.
    Bennet, Sean M. P.
    et al.
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Department of Microbiology and Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Böhn, Lena
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Störsrud, Stine
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Liljebo, Therese
    Department of Nutrition, Karolinska University Hospital, Stockholm, Sweden.
    Collin, Lena
    Department of Gastroenterology, Sabbatsbergs Hospital, Stockholm, Sweden.
    Lindfors, Perjohan
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Department of Gastroenterology, Sabbatsbergs Hospital, Stockholm, Sweden / Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.
    Törnblom, Hans
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Öhman, Lena
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Department of Microbiology and Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Simrén, Magnus
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Multivariate modelling of faecal bacterial profiles of patients with IBS predicts responsiveness to a diet low in FODMAPs2018In: Gut, ISSN 0017-5749, E-ISSN 1468-3288, Vol. 67, no 5, p. 872-881Article in journal (Refereed)
    Abstract [en]

    Objective The effects of dietary interventions on gut bacteria are ambiguous. Following a previous intervention study, we aimed to determine how differing diets impact gut bacteria and if bacterial profiles predict intervention response. Design Sixty-seven patients with IBS were randomised to traditional IBS (n=34) or low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) (n=33) diets for 4 weeks. Food intake was recorded for 4 days during screening and intervention. Faecal samples and IBS Symptom Severity Score (IBS-SSS) reports were collected before (baseline) and after intervention. A faecal microbiota dysbiosis test (GA-map Dysbiosis Test) evaluated bacterial composition. Per protocol analysis was performed on 61 patients from whom microbiome data were available. Results Responders (reduced IBS-SSS by >= 50) to low FODMAP, but not traditional, dietary intervention were discriminated from non-responders before and after intervention based on faecal bacterial profiles. Bacterial abundance tended to be higher in non-responders to a low FODMAP diet compared with responders before and after intervention. A low FODMAP intervention was associated with an increase in Dysbiosis Index (DI) scores in 42% of patients; while decreased DI scores were recorded in 33% of patients following a traditional IBS diet. Non-responders to a low FODMAP diet, but not a traditional IBS diet had higher DI scores than responders at baseline. Finally, while a traditional IBS diet was not associated with significant reduction of investigated bacteria, a low FODMAP diet was associated with reduced Bifidobacterium and Actinobacteria in patients, correlating with lactose consumption. Conclusions A low FODMAP, but not a traditional IBS diet may have significant impact on faecal bacteria. Responsiveness to a low FODMAP diet intervention may be predicted by faecal bacterial profiles.

  • 231.
    Bennet, Sean M. P.
    et al.
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Department of Microbiology and Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Polster, Annikka
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Törnblom, Hans
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Isaksson, Stefan
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Department of Microbiology and Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Capronnier, Sandrine
    Department of Life Science, Danone Nutricia Research, Palaiseau, France.
    Tessier, Aurore
    Department of Life Science, Danone Nutricia Research, Palaiseau, France.
    Le Nevé, Boris
    Department of Life Science, Danone Nutricia Research, Palaiseau, France.
    Simrén, Magnus
    Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Center for Functional GI and Motility Disorders, University of North Carolina, Chapel Hill, North Carolina, USA.
    Öhman, Lena
    University of Skövde, School of Health and Education. Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Department of Microbiology and Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Global Cytokine Profiles and Association With Clinical Characteristics in Patients With Irritable Bowel Syndrome2016In: American Journal of Gastroenterology, ISSN 0002-9270, E-ISSN 1572-0241, Vol. 111, no 8, p. 1165-1176Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: Evidence suggests that patients with irritable bowel syndrome (IBS) have an altered cytokine profile, although it is unclear whether cytokines are linked with symptom severity. We aimed to determine whether global serum and mucosal cytokine profiles differ between IBS patients and healthy subjects and whether cytokines are associated with IBS symptoms.

    METHODS: Serum from 144 IBS patients and 42 healthy subjects was analyzed for cytokine levels of interleukin (IL)-5, IL-6, IL-8, IL-10, IL-12p70, IL-13, IL-17A, interferon (IFN)-γ, and tumor necrosis factor (TNF) by MSD MULTI-ARRAY. In total, 109 IBS and 36 healthy sigmoid colon biopsies were analyzed for mRNA expression of IL-8, IL-10, TNF, and FOXP3 by quantitative reverse transcription PCR. Multivariate discrimination analysis evaluated global cytokine profiles. Rectal sensitivity, oroanal transit time, and psychological and gastrointestinal symptom severity were also assessed.

    RESULTS: Global cytokine profiles of IBS patients and healthy subjects overlapped, but cytokine levels varied more in IBS patients. Serum levels of IL-6 and IL-8 tended to be increased and levels of IFN-γ tended to be decreased in IBS patients. Mucosal mRNA expression of IL-10 and FOXP3 tended to be decreased in IBS patients. Within both the full study cohort and IBS patients alone, serum level of TNF was associated with looser stool pattern, while subjects with more widespread somatic symptoms had increased serum levels of IL-6. Although neither IBS bowel habit subgroups nor patients with possible post-infectious IBS were associated with distinct cytokine profiles, a small cluster of IBS patients with comparatively elevated immune markers was identified.

    CONCLUSIONS: Global cytokine profiles did not discriminate IBS patients from healthy subjects, but cytokine profiles were more varied among IBS patients than among healthy subjects, and a small subgroup of patients with enhanced immune activity was identified. Also, association of inflammatory cytokines with some clinical symptoms suggests that immune activation may be of importance in a subset of IBS patients.

  • 232.
    Benrick, Anna
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Chanclón, Belén
    Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Micallef, Peter
    Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Wu, Yanling
    Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hadi, Laila
    Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Shelton, John M.
    Molecular Pathology Core, University of Texas Southwestern Medical Center, Dallas, TX, USA.
    Stener-Victorin, Elisabet
    Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Department of Physiology and Pharmacology, Karolinska Institute, Stockholm, Sweden.
    Wernstedt Asterholm, Ingrid
    Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Adiponectin protects against development of metabolic disturbances in a PCOS mouse model2017In: Proceedings of the National Academy of Sciences of the United States of America, ISSN 0027-8424, E-ISSN 1091-6490, Vol. 114, no 34, p. E7187-E7196, article id 201708854Article in journal (Refereed)
    Abstract [en]

    Adiponectin, together with adipocyte size, is the strongest factor associated with insulin resistance in women with polycystic ovary syndrome (PCOS). This study investigates the causal relationship between adiponectin levels and metabolic and reproductive functions in PCOS. Prepubertal mice overexpressing adiponectin from adipose tissue (APNtg), adiponectin knockouts (APNko), and their wild-type (WT) littermate mice were continuously exposed to placebo or dihydrotestosterone (DHT) to induce PCOS-like traits. As expected, DHT exposure led to reproductive dysfunction, as judged by continuous anestrus, smaller ovaries with a decreased number of corpus luteum, and an increased number of cystic/atretic follicles. A two-way between-groups analysis showed that there was a significant main effect for DHT exposure, but not for genotype, indicating adiponectin does not influence follicle development. Adiponectin had, however, some protective effects on ovarian function. Similar to in many women with PCOS, DHT exposure led to reduced adiponectin levels, larger adipocyte size, and reduced insulin sensitivity in WTs. APNtg mice remained metabolically healthy despite DHT exposure, while APNko-DHT mice were even more insulin resistant than their DHT-exposed littermate WTs. DHT exposure also reduced the mRNA expression of genes involved in metabolic pathways in gonadal adipose tissue of WT and APNko, but this effect of DHT was not observed in APNtg mice. Moreover, APNtg-DHT mice displayed increased pancreatic mRNA levels of insulin receptors, Pdx1 and Igf1R, suggesting adiponectin stimulates beta cell viability/hyperplasia in the context of PCOS. In conclusion, adiponectin improves metabolic health but has only minor effects on reproductive functions in this PCOS-like mouse model.

  • 233.
    Benrick, Anna
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Kokosar, Milana
    Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hu, Min
    Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Larsson, Martin
    Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Maliqueo, Manuel
    Endocrinology and Metabolism Laboratory, West Division, School of Medicine, University of Chile, Santiago, Chile.
    Marcondes, Rodrigo Rodrigues
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden / Disciplina de Ginecologia, Laboratório de Ginecologia Estrutural e Molecular (LIM 58), Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
    Soligo, Marzia
    Institute of Translational Pharmacology, Consiglio Nazionale delle Ricerche, Rome, Italy.
    Protto, Virginia
    Institute of Translational Pharmacology, Consiglio Nazionale delle Ricerche, Rome, Italy.
    Jerlhag, Elisabet
    Department of Pharmacology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Sazonova, Antonina
    Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Behre, Carl Johan
    Department of Cardiology, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Højlund, Kurt
    Department of Endocrinology, Odense University Hospital, Odense, Denmark.
    Thorén, Peter
    Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Stener-Victorin, Elisabet
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
    Autonomic nervous system activation mediates the increase in whole-body glucose uptake in response to electroacupuncture2017In: The FASEB Journal, ISSN 0892-6638, E-ISSN 1530-6860, Vol. 31, no 8, p. 3288-3297Article in journal (Refereed)
    Abstract [en]

    A single bout of low-frequency electroacupuncture (EA) causing muscle contractions increases whole-body glucose uptake in insulin-resistant rats. We explored the underlying mechanism of this finding and whether it can be translated into clinical settings. Changes in glucose infusion rate (GIR) were measured by euglycemic-hyperinsulinemic clamp during and after 45 min of low-frequency EA in 21 overweight/obese women with polycystic ovary syndrome (PCOS) and 21 controls matched for age, weight, and body mass index (experiment 1) and in rats receiving autonomic receptor blockers (experiment 2). GIR was higher after EA in controls and women with PCOS. Plasma serotonin levels and homovanillic acid, markers of vagal activity, decreased in both controls and patients with PCOS. Adipose tissue expression of pro-nerve growth factor (proNGF) decreased, and the mature NGF/proNGF ratio increased after EA in PCOS, but not in controls, suggesting increased sympathetic-driven adipose tissue metabolism. Administration of alpha-/beta-adrenergic receptor blockers in rats blocked the increase in GIR in response to EA. Muscarinic and dopamine receptor antagonist also blocked the response but with slower onset. In conclusion, a single bout of EA increases whole-body glucose uptake by activation of the sympathetic and partly the parasympathetic nervous systems, which could have important clinical implications for the treatment of insulin resistance.

  • 234.
    Berg, Angela
    et al.
    University of Skövde, School of Health and Education.
    Mattsson, Jenny
    University of Skövde, School of Health and Education.
    Att leva med fibromyalgi - en sjukdom som drabbar hela familjen: En litteraturbaserad studie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: From the beginning fibromyalgia was classified as rheumatism, but now we know it is caused by central nervous system (CNS) disorder. The symptoms are diffuse but most common are constant pain and fatigue. There are no specific tests to establish the diagnose and no satisfying medication. The disease is not visible outside the body and many experiences misbelieve from care staff and relatives, which affects their wellbeing negatively. Aim: The aim of this study is to describe how patients and their family are affected by fibromyalgia. Method: A literature based study was used to identify the knowledge that already existed in the topic. Results: Fibromyalgia is an invisible disease that affects the individual and their family significantly. Because the complicity of establishing the diagnose and the fact that fibromyalgia can not be seen outside the body, these patients are often met with distrust from both doctors and acquaintances. The lack of information is apparent, which can affect the disease negatively. Four main themes emerged, The changed lift, To be misbelieved, Changed rolls and the vague knowledge. Conclusion: Nurses have an important function, to listen to and inform individuals with fibromyalgia, and their relatives. To be able to inform, a higher knowledge and understanding is necessary. To get information can be the difference between coping with the disease, or not.

  • 235.
    Berg, Helena
    et al.
    University of Skövde, School of Life Sciences.
    Hjortman, Ingela
    University of Skövde, School of Life Sciences.
    Omvårdnad vid bensår: En litteraturöversikt2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BAKGRUND: Patienter med bensår återfinns inom hela sjukvården. Detta innebär att många sjuksköterskor kommer att möta dessa patienter i sitt arbete oberoende av var de arbetar. Distriktssköterskor kan ägna upp till hälften av sin arbetstid till bensårsbehandling. Patienter med bensår lider ofta av smärtor. Såren påverkar deras livskvalité och begränsar deras liv. SYFTE: Denna studies syfte var att belysa omvårdnaden vid smärtsamma bensår, ur såväl ett sjuksköterske- som patientperspektiv. METOD: En litteraturöversikt baserad på vetenskapliga artiklar. Resultatet grundas på 14 artiklar, med både kvalitativ och kvantitativ metod. RESULTAT: Fyra huvudtema framkom; Smärtkontroll, Interaktion mellan sjuksköterska och patient, Social gemenskap och Kunskapsutveckling. Många patienter med bensår hade smärtor som inte uppmärksammades av sjuksköterskan, då patienterna inte alltid påtalade detta. Sjuksköterskor har ett viktigt arbete i att kontinuerligt smärtskatta och följa upp smärtlindringen. Optimal sårbehandling förutsätter ett gott samarbete mellan patient och sjuksköterska. Den sociala gemenskapen är en viktig del i patientens välbefinnande och främjar sårläkning och minskar smärta. Både patienter och sjuksköterskor saknar tillräckliga kunskaper om bensår.

  • 236.
    Berg, Helena
    et al.
    University of Skövde, School of Health and Education.
    Kjellberg, Kristina
    University of Skövde, School of Health and Education.
    Inget går upp mot distriktssköterskor: Distriktssköterskans roll inom projektet Samverkande sjukvård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of elderly in Sweden is increasing. They are often fragile and sickly, needing more care and support. To meet an increased need of healthcare, a collaboration project, Collaborative Healthcare, was established to ensure that patients are treated at the right place. Research shows that the elderly often fall ill from hospital admission, and after visits to the emergency department, they are more often admitted because of their complex medical history. Aim: To investigate whether the district nurse's profession within the project Collaborative Healthcare leads to a reduction in the use of other healthcare resources. Method: This study is retrospective with a quantitative approach. Data collected by others within the project were used. The analysis was performed with descriptive and correlation analysis. The results are presented in tables, figures and text. Results: The district nurse's efforts often lead to nursing in the home, preventing visits to health centers and emergency rooms as well as hospital admissions. Conclusion: Cooperation between different healthcare authorities leads to benefits for both patients and staff.

  • 237.
    Berg, Lars-Erik
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Neurovetenskaplig psykiatri2018In: Psykoterapi, ISSN 2001-5836, no 2, p. 47-49Article, book review (Other academic)
  • 238.
    Berg Marklund, Erik
    et al.
    University of Skövde, School of Life Sciences.
    Rönnberg, Karolina
    University of Skövde, School of Life Sciences.
    Sjuksköterskors upplevelse av hur arbetsmiljön påverkar omvårdnadsarbetet: En intervjustudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Studies have shown that nurses work environment can affect them in their nursing care. This study aimed to interview nurses about their perception of how their work environment affects nursing care. Interviews were conducted with seven registered nurses at a hospital in western Sweden. The interviews were analyzed and manifest content linked to the aim of the study was identified and then condensed. The results showed that there are many different aspects in nurses work environment that they feel affect them in their nursing care. Nurses experienced that a good social climate could help them in their nursing care. At the same time work related stress and lack of time for patients, mostly due to time consuming administrative work, had a negative impact on nursing care. The conclusion of this study is that nurses experience that their work environment can have both a positive and a negative effect on nursing care. Future research on nurses work environment is needed to better serve the needs of nursing care.

  • 239.
    Bergelind, Sandra
    et al.
    University of Skövde, School of Life Sciences.
    Mohamad, Rondik
    University of Skövde, School of Life Sciences.
    Patienters upplevelser av sjuksköterskors bemötande: En litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: Being a nurse requires medical knowledge as well as knowledge about nursing science. Nursing is among other things about how to respond to patients in a proper manner to avoid unnecessary suffering in the care. For nurses to be able to respond to patients in a way that the patients experience as good the nurses have to know how the patients experience the approach.

    AIM: To illustrate how the patients who are receiving hospital treatment experience the care of nurses.

    METHOD: Literature overview as described by Friberg (2006), where 14 articles were analyzed.

    RESULT: The result is divided into five themes: The importance of the encounter for patients, The significance of humor, Patients´ need for communication and information, The need for acknowledgement/confirmation, and Factors that affect patients trust in nurses.

    CONCLUSION: The result shows how patients experience the nursing situation and what their notion of a good approach is. The result can be used as evidence of the importance of the quality of the nursing and is urgent knowledge to nurses who daily meet patients at work. The knowledge that the study has contributed with can be used to improve the care relationship between patients and nurses in practice.

  • 240.
    Bergendahl, Jessica
    et al.
    University of Skövde, School of Health and Education.
    Östman, Evelina
    University of Skövde, School of Health and Education.
    Ortorexia nervosa: Hälsa som blir ohälsa2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Title: Orthorexia Nervosa- Healthy turning unhealthy

    Department: School of Life Sciences, University of Skövde

    Course: University Diploma Project in Public Health Science,15 ECTS

    Author: Bergendahl, Jessica; Östman, Evelina

    Supervisor: Ekberg, Joakim

    Pages: 23

    Month and year: 06/2014

    Keywords: Orthorexia Nervosa, Health, Mental illness, Media influences

    Background: A healthier way of life often starts out with good intentions, but sometimes people take their healthy lifestyle too far. Orthorexia nervosa was meant to be a description for a group of people with similar problems, until it was clear that there might be more behind it. A person with orthorexia is obsessed with healthy dieting and takes it to the extreme.

    Aim: To investigate what orthorexia is and if there are clear guidelines about treatment.

    Method: We have studied literature, scientific articles, and completed interviews with people qualified in the fields of orthorexia. A qualitative study based on a content analysis was performed.

    Results: Orthorexia nervosa has no status of diagnosis. It is difficult to determine exactly what triggers orthorexia, however, it is likely that it is a need of control. Using an extremely healthy diet creates the feeling of being in control. Media seems to influence this.

    Conclusion: The conclusion was that more research is needed in order to decide what orthorexia nervosa actually stands for. Orthorexia nervosa is considered when a person tries to live as healthy as possible but by strictly controlling their diet illness occurs.

  • 241.
    Berggren, Beatrice
    et al.
    University of Skövde, School of Health and Education.
    Hultman, Veronica
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av att vårda patienter med HIV i utvecklingsländer: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: HIV är en kronisk sjukdom som innebär att immunförsvaret försvagas. Symtom som förekommer kan liknas vanliga infektionssjukdomar, exempelvis feber och halsont. Idag lever 30–50 miljoner människor i världen med sjukdomen. Sjukdomen är en av de ledande orsakerna till mortalitet i utvecklingsländer. Syfte: Att undersöka sjuksköterskors erfarenheter av att vårda patienter med HIV i utvecklingsländer. Metod: En litteraturöversikt som baseras på kvalitativa (n=10) och kvantitativa artiklar (n=1) samt kombinerat kvalitativ och kvantitativt (n=2). Resultat: Ur analysen framkom två kategorier; Bygga ömsesidig tillit och Brister i organisationen med fem underkategorier. Konklusion: Sjuksköterskor i utvecklingsländer upplever en utmanande arbetsmiljö kring patienter med HIV. De upplever känslor av stress, otillräcklighet och maktlöshet. Trots mycket negativitet upplevdes glädje i att vårda patienter med HIV.

  • 242.
    Berggren, Elisabeth
    University of Skövde, School of Life Sciences.
    Daily life after Subarachnoid Haemorrhage: Identity construction, patients' and relatives' statements about patients' memory, emotional status and activities of living2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to describe patients’ experience and reconstruction regarding the onset of, and events surrounding being struck by a Subarachnoid Haemorrhage (SAH), and to describe patients’ and relatives’ views of patients’ memory ability, emotional status and activities of living, in a long-term perspective.

    Methods: Both inductive and deductive approaches were used. Nine open interviews were carried out in home settings, in average 1 year and 7 seven months after the patients’ onset, and discourse analysis was used to interpret the data. Eleven relatives and 11 patients, 11 years after the onset, and 15 relatives and 15 patients, 6 years after the onset, participated in two studies. Interviews using a questionnaire with structured questions and memory tests were used to collect data. Fischer’s exact test and Z-scores were used for the statistical analysis.

    Results: Patients with experience of a SAH were able to judge their own memory for what happened when they became ill. The reconstruction of the illness event may be interpreted as an identity creating process. The process of meaning-making is both a matter of understanding SAH as a pathological event and a social and communicative matter, where the SAH is construed into a meaningful life history, in order to make life complete (I). Memory problems, changes in emotional status and problems with activities of living were common (II-IV). There was correspondence between relatives’ and patients’ statements regarding the patients’ memory in general and long-term memory. Patients judged their own memory ability better than relatives, compared with results on memory tests. Relatives stated that some patients had meta-memory problems (II). The episodic memory seemed to be well  reserved, both concerning the onset and in the long-term perspective (I, II). There were more problems with social life than with P- and I-ADL (III), and social company habits had changed due to concentration difficulties, mental fatigue, and  patients’ sensitivity to noisy environments and uncertainty (IV). Relatives rated the patients’ ability concerning activities of living and emotional status, and in a similar manner to patients’ statements (III-IV).

    Conclusions: The reconstruction of the illness event can be used as a tool in nursing for understanding the patient’s identity-construction. Relatives and patients stated the patients’ memory, emotional status and activities of living in a similar manner, and therefore both patients’ and relatives’ statements can be used as a tool in nursing care, in order to support the patient. However, the results showed: meta-memory problems (relatives’ statements) and that the patients’ judged their own memory ability better than relatives in comparison with results on memory tests. Nevertheless, there was a high degree of concordance between relatives’ and patients’ evaluations concerning patients´ memory ability, emotional status, emotional problems, social company habits and activities of living. Therefore both relatives’ and patients’ statements can be considered to be reliable. However, sometimes the patients and the relatives judge the patients’ memory differently. Consequently, memory tests and formalized dialogues between the patient, the relative and a professional might be required, in order to improve the mutual family relationship in a positive way. Professionals however, must first assume that patients can judge their own memory, emotional status and ability in daily life.

  • 243.
    Berggren, Elisabeth
    University of Skövde, School of Life Sciences.
    Identity construction and memory after Subarachnoid Haemorrhage: Patients' accounts and relatives' and patients' statements in relation to memory tests2010Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: A Subarachnoid haemorrhage (SAH) is a complex pathophysiological event and most patients have, before the onset, felt completely well. Being stricken by a SAH is a dramatic event, often followed by unconsciousness and memory problems. This may influence the adjustment to daily life. Supporting patients and relatives in nursing care therefore requires knowledge concerning patients' experience of the onset of the SAH event, and knowledge concerning patients' memory after a SAH.

    Aim: The general aim of this thesis was to study patients' experiences and reconstruction of the onset of, and events surrounding, a SAH and to study patients' and relatives' experience of patients' memory ability, in a long-term perspective.

    Specific aims:

    (I) The aim of this study was to analyse people's accounts of SAH, and to describe how they initiate and create meaning for the onset and events surrounding the SAH. The specific questions were : (i) What is highlighted in the accounts of SAH? (II) How is the illness reconstructed? (iii) How is meaning created through communicative interaction with others about SAH?

    (II) The aim was to describe memory after a SAH from the perspective of relatives and patients in two cohorts. In this study, the researchers also aimed to evaluate the application of relatives' statements as a tool in nursing care and rehabilitation, in order to support the patients. This was achieved by comparing: (i) Relatives' statements with patients' statements and (ii) Relatives' and patients' statements with the patients' memory test results.

    Methods: Both an inductive and a deductive approach were used. Nine open interviews were carried out in home settings, 1 year and 7 months (ranging 14-24 months) after the patients' onset and discourse analysis was used to interpret the data (I). Eleven relatives and 11 patients, 11 years and 15 relatives and 15 patients, 6 years after the onset participated in two studies. Interview questions and memory tests were used to collect data. Fischer's exact test was used for the statistical analysis (II).

    Findings:Patient with experience of a SAH were able to judge their own memory for what happened when they became ill. Both conscious irrational and rational actions were expressed in relation to experienced sensations. Critical events related to SAH were "existential insights" and "time as waiting and time as structuring meaning". The reconstruction of the illness event may be interpreted as an identity ceating process. The process of meaning-making is both a matter of understanding SAH as a pathological event, and a social and communicative matter, where the SAH is constructed into a meaningful life history, in order to make life complete (I). Memory problems were common according to relatives' and patients' statements and from memory test results. There was correspondence between relatives' and patients' statements regarding the patients' memory in general and long-term memory. Patients judged their own memory ability better than relatives, compared with results on memory tests. Both relatives and patients underestimated older patients' memory ability and underrated younger patients' memory problems, when compared with results on memory tests. Relatives stated that some patients had meta-memory problems (II). The episodic memory seemed to be well preserved, both concerning the onset (I) and in the long-term perspective (II).

    Conclusions: The reconstruction of the illness is a tool in nursing for understanding the patient's self-positioning and identity-construction. (I) Relatives' and patients' statements regarding patients' memory can also be used as tools in nursing care. However, the results showed: meta-memory problems (relatives' statements); that patients' judged their own memory ability better than relatives in comparison with results on memory tests. Consequently, memory tests and formalized dialogues, between the patient, the relative and a professional are required in order to prevent complications in the patient's mutual family relationships. However, professionals must assume that patients can judge their own memory (II). Dialogues between the patient, the relative and a professional, with focus on how to manage daily life in patients' home context, due to the patient's experience of the onset of the SAH and possible memory problems after the SAH, will probably improve the mutual family relationship in a positive way (I,II).

  • 244.
    Berggren, Elisabeth
    et al.
    University of Skövde, School of Life Sciences.
    Sidenvall, Birgitta
    Jönköping University.
    Hellström Muhli, Ulla
    University of Skövde, School of Life Sciences.
    Identity construction and meaning-making after subarachnoid haemorrhage2010In: British Journal of Neuroscience Nursing, ISSN 1747-0307, E-ISSN 2052-2800, Vol. 6, no 2, p. 86-93Article in journal (Refereed)
    Abstract [en]

    Aim: The aim was to analyse people's accounts of subarachnoid haemorrhage (SAH) and to describe how they initiate and create meaning for the onset and events surrounding the SAH.

    Background: Being struck by a SAH is a dramatic event, often followed by unconsciousness. There is therefore a special need for a patient to try to create some kind of meaning for the event during recovery and afterwards.

    Method: Nine interviews were carried out in home settings and discourse analysis was used to interpret the data.

    Findings: People stricken by SAH seem to be able to judge from memory for when they were becoming ill. Critical events related to SAH were existential threats and existential insights; and time as 'waiting' and time as 'structuring meaning'. The reconstruction of the illness event may be interpreted as an identity-creating process.

    Conclusion: The reconstruction of the illness is a tool that can be used by nurses and other health professionals to understand a patient's self-positioning and identity-construction.

  • 245.
    Berggren, Elisabeth
    et al.
    University of Skövde, School of Life Sciences.
    Sidenvall, Birgitta
    Jönköping University.
    Larsson, Dennis
    University of Skövde, The Systems Biology Research Centre. University of Skövde, School of Life Sciences.
    Subarachnoid haemorrhage has long-term effects on social life2011In: British Journal of Neuroscience Nursing, ISSN 1747-0307, E-ISSN 2052-2800, Vol. 7, no 1, p. 429-435Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe memory after a subarachnoid haemorrhage (SAH) from the perspective of relatives and patients in two cohorts and also to evaluate the application of relatives' statements as a tool in nursing care and rehabilitation, in order to support the patient. Background: Cognitive sequelae due to SAH are a large disability and may influence the adjustment to daily life. Supporting patients and relatives requires knowledge concerning the patients' memory both from the perspective of patients and relatives. Method: Eleven relatives and 11 patients (Cohort 1), 11 years after the onset of an SAH and 15 relatives and 15 patients (Cohort 2) 6 years after the onset of an SAH, participated in the study. Interview questions and memory tests were used to collect data. Findings: Problems with memory, including meta-memory problems regarding relatives' statements, were common. Relatives and patients stated patients' menory in a similar manner. However, patients' statements concerning their memory corresponded in higher degree with memory test results, in comparison with relatives' statements. Conclusions: Relatives' and patients' statements are useful as tools in nursing care and rehabilitation. However, from results showing meta-memory problems and that patients' statements concerning their memory corresponded better with memory test results (in comparison with relatives' statements), it is vital to offer patients memory tests in order to prevent complications in mutual family relationships.

  • 246.
    Berggren, Emma
    et al.
    University of Skövde, School of Life Sciences.
    Lundin, Sabina
    University of Skövde, School of Life Sciences.
    Barn och ungas psykosomatiska besvär: Hur tar de sig uttryck och vilka är de bakomliggande orsakerna? - en litteraturstudie2012Independent thesis Basic level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine psychosomaticsymptomsissuesamongst children and adolescents between the ages of 0-18 years and to clarify the underlying factors.Method: Literature study based on 10 scientific articles.Results: Psychosomatic issues amongst children and adolescents, due to stress, were common in Europe and Scandinavia. The symptoms varied between gender and age. The underlying factors were mainly school environmental issues, home conditions, socio-economic situations and disputes with teachers and peers. The symptoms varied from headache, gastro intestinal problems and insomnia to eating disorders, depression and pounding heart.               Conclusion: The future of children’s psychosomatic health depends on interventions on all levels of society since they are affected by everything from school environment and home conditions to unemployment and recession.

  • 247.
    Berggren, Johan
    et al.
    University of Skövde, School of Health and Education.
    Palmqvist, Mikael
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter vid vård av vuxna i livets slutskede: En litteraturbaserad studie2016Independent thesis Basic level (degree of Bachelor), 12 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskan arbetar nära vuxna patienter i livets slutskede där försök till läkande behandling gått över till en palliativ behandling. Många av dessa patienter har en komplicerad symtombild som kräver kunskaper i symtomhantering och de har också ofta oro, ångest och funderingar kring existentiella frågor som sjuksköterskan kan behöva hantera.Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av att vårda vuxna patienter i livets slutskedeMetod: Metoden som valdes var en litteraturbaserad studie grundat på kvalitativ forskning, baserat på tolv vetenskapliga artiklar. 

    Resultat: Ur analysen framträdde tre kategorier såsom Frustration, skicklig kommunikatör, få till ett nära samarbete med åtta underkategorier.

    Slutsats: Sjuksköterskors erfarenheter vid vård i livets slutskede påvisar betydelsen av att relationer mellan patienten, anhöriga och vårdpersonal skapas. 

  • 248.
    Berggren, Malin
    et al.
    University of Skövde, School of Health and Education.
    Berglund, Johanna
    University of Skövde, School of Health and Education.
    När hjärtat slutat slå: patientens upplevelse att överleva ett hjärtstopp. En litteraturbaserad studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To suffer from cardiac arrest can be experienced as a dramatic event that affects both the health and life world. All of the patients have an existential coherency that affects the health, life and the patient itself. As a nurse you will be able to see the patient's life world and understand how different contexts affects the patient's experienced health. Purpose: The purpose was to describe the patient’s experience of surviving cardiac arrest. Method: The chosen method was a literature based study with a qualitative approach that included 11 articles that was analyzed using a method described by Friberg. Results: Through analysis of the data material three main themes was generated with associated sub themes. From the analysis of the data emerged three main themes a new every day life, a changed life and a life changing limitation with an inoperable defibrillator with ten undertheme. Conclusion: The majority of the patients experienced worry, fear and anxiety in their everyday life. They needed to develop new strategies to cope with their new life with the help of routines and planning to decrease stress in their everyday life.

  • 249.
    Bergh, Ingrid
    University of Skövde, School of Life Sciences.
    Pain in the elderly: rating scales, prevalence and verbal expression of pain and pain relief2003Doctoral thesis, comprehensive summary (Other academic)
  • 250.
    Bergh, Ingrid
    et al.
    University of Skövde, School of Life Sciences.
    Björk, Maria
    University of Skövde, School of Life Sciences.
    Sense of coherence over time for parents with a child diagnosed with cancer2012In: BMC Pediatrics, ISSN 1471-2431, E-ISSN 1471-2431, Vol. 12, p. Article number 79-Article in journal (Refereed)
    Abstract [en]

    Background: When a child is diagnosed with childhood cancer this creates severe stress in the parents. The aim of the study was to describe the sense of coherence and its change over time in a sample of parents of children diagnosed with cancer.

    Methods: The Swedish version of SOC (29 items) was used to measure the parents’ (n = 29) sense of coherence. Data were collected at four time-points: Time-point 1 at the time of diagnosis; time-point 2 during the treatment; time-point 3 after the child had completed their treatment and time-point 4 when the child had been off treatment for some years or had died.

    Results: The results showed that SOC in the investigated population is not stable over time. The parents decreased in total SOC between time-points 1, 2 and 3. Mothers had significantlyweaker total SOC score including the components Manageability and Meaningfulness at time-points 1 as well time-point 2 compared to the fathers. However, for the component Comprehensibility no significant differences were shown between mothers and fathers. This study indicates that mothers’ and fathers’ SOC scores change over time during the child’s cancer trajectory. However, the pattern in these changes varies between mothers and fathers.

    Conclusions: This study indicates that mothers and fathers may have different support needs during their child’s cancer trajectory.

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