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  • 1.
    Abdulrazzaq, Sama
    et al.
    Department of Bariatric Surgery/Bariatric Medicine, Hamad General Hospital, Doha, Qatar.
    Elhag, Wahiba
    Department of Bariatric Surgery/Bariatric Medicine, Hamad General Hospital, Doha, Qatar.
    El Ansari, Walid
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Surgery, Hamad General Hospital, Doha, Qatar / College of Medicine, Qatar University, Doha, Qatar.
    Mohammad, Amjad Salah
    Departments of General Surgery, Hamad General Hospital, Doha, Qatar.
    Sargsyan, Davit
    Department of Metabolic and Bariatric Surgery, Hamad General Hospital, Doha, Qatar / Weill Cornell Medicine-Qatar, Doha, Qatar.
    Bashah, Moataz
    Department of Metabolic and Bariatric Surgery, Hamad General Hospital, Doha, Qatar / Weill Cornell Medicine-Qatar, Doha, Qatar.
    Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?2020In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 30, p. 1219-1229Article in journal (Refereed)
    Abstract [en]

    Background: Revisional gastric bypass (R-RYGB) surgery is utilized for the management of inadequate weight loss or weight regain observed after some cases of bariatric surgeries. Data on the mid-term effectiveness of primary gastric bypass (P-RYGB) compared to R-RYGB (e.g., post sleeve gastrectomy or gastric banding) are controversial. Methods: Retrospective chart review of all patients who received P-RYGB and R-RYGB (January 2011 - June 2015) at our center. One hundred and twenty patients who underwent P-RYGB and 34 R-RYGB who completed 18 months follow-up were included. We compared the effectiveness of P-RYGB with R-RYGB by assessing four anthropometric, two glycemic, and four lipid parameters, as well as the control of type 2 diabetes (T2DM), hypertension and dyslipidemia in terms of remission, improvement, persistence, relapse and de novo. The current study also assessed mortality and complications rates. Results: There were no significant differences in the baseline characteristics of patients who received P-RYGB with those who received R-RYGB in terms of age, gender and preoperative BMI. However, at 18 months: a) Patients who received P-RYGB had lower mean weight (P = 0.001) and BMI (P <0.001), reflected by a higher mean delta BMI (P = 0.02), TWL%(P <0.0001) and EWL%(P < 0.0001); b) No differences were observed between the two patients groups in terms of glycemic parameters, lipid profiles, and control of T2DM, hypertension, and dyslipidemia; and, c) No deaths were reported among both patients groups, and complication rates were comparable. Conclusion: Although R-RYGB effectively addressed inadequate weight loss, weight regain and recurrence of comorbidities after restrictive bariatric surgery, R-RYGB resulted in inferior weight loss compared to P-RYGB. There were no significant differences between the two procedures in terms of their clinical control of T2DM, hypertension and dyslipidemia. Both procedures exhibited comparable complication rates. 

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  • 2.
    Abraha, Kibreab
    et al.
    University of Skövde, School of Health Sciences.
    Söderbäck, Frida
    University of Skövde, School of Health and Education.
    Att återvända till vardagen: En litteraturbaserad studie på strokedrabbade patienter i arbetsför ålder2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Stroke är en av de vanligaste folksjukdomarna i Sverige och är en sjukdom som kan ge permanenta funktionsnedsättningar. Att vara patient och i behov av vård innebär att de har ett beroendeförhållande till sjuksköterskan. Alla individers upplevelse av stroke är unik. Vidare är det också viktigt att se hela personen och hens behov, inte bara sjukdomen.Syfte: Syftet med denna uppsats är att belysa strokedrabbade individer i arbetsför ålders upplevelse av att återgå till sina vardagliga liv.Metod: Det är en litteraturstudie där 10 vetenskapliga artiklar som hämtades från databasen CINAHL är inkluderade.Resultat: Efter att artiklarna som inkluderades i studien hade analyserats framkom två huvudkategorier i resultatet; Förlorad kontroll över den egna kroppen och Behov att hantera sin nya livssituation. Det utformades totalt fem underkategorier.Slutsats: Studien bidrar med kunskap om strokedrabbade individer i arbetsför ålders upplevelse att återgå till sina vardagliga liv. Efter stroke blir personerna begränsade i sin vardag och de kan drabbas av olika funktionsnedsättningar. Att utföra aktiviteter, återgå till sina jobb och ägna sig åt övriga sysselsättningar kan bli en utmaning som kan påverka deras sociala liv. Den nya livssituationen kan påverka deras självkänsla och självförtroende negativt. Många strokedrabbade individer lider av kognitiva svårigheter, kroppsliga förändringar, trötthet och rädslor vilket kan leda till att de undviker sociala sammanhang. För att de skall kunna hantera sin nya livssituation är de i behov av att utveckla nya rutiner och strategier i sin vardag.

  • 3.
    Ademi, Gzim
    University of Skövde, School of Health Sciences.
    Det nya livet för patienten: En kvalitativ litteraturöversikt om patientens upplevelser av diabetes typ 22020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The type 2 diabetes is a chronic disease that is increasing around the world. The disease causes a suffering, which leads to deterioration in health. Self-care is important so that patients are not bothered by the complications. Aim: Patient's experiences of living with type 2 diabetes. Method: A literature review was used, in which 12 qualitative articles were selected. Results: Consists of three themes; stress of living with diabetes, responsibility for lifestyle changes and support from the surrounding area. These three themes form six subthemes; the quality of life deteriorates, it creates concern, a struggle to change the diet, the will to exercise, support from relatives and health care. The results show that they create a constant struggle for the patient to manage diabetes, as it creates anxiety over the complications that diabetes can cause. It also shows how stressful it is with new lifestyle changes in terms of diet and physical activity. Relatives and care have a significant role to play in supporting patients. Conclusion: Shows how important it is for patients to receive support from both health care and their relatives in order to motivate them to change their lifestyle changes and reduce the risk of complications.

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  • 4.
    Airaksinen, Jaakko
    et al.
    Medicum, University of Helsinki, Finland.
    Pentti, Jaana
    Clinicum, University of Helsinki, Finland / Finnish Institute of Occupational Health, Helsinki, Finland.
    Suominen, Sakari
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Public Health, University of Turku, Finland.
    Vahtera, Jussi
    Department of Public Health, University of Turku, Finland / Turku University Hospital, Finland.
    Kivimäki, Mika
    Clinicum, University of Helsinki, Finland / Department of Epidemiology and Public Health, University College, London, UK.
    An Example of How Immortal Time Bias Can Reverse the Results of an Observational Study2020In: Epidemiology, ISSN 1044-3983, E-ISSN 1531-5487, Vol. 31, no 2, p. e19-e20Article in journal (Refereed)
  • 5.
    Alm, Beatrice
    et al.
    University of Skövde, School of Health Sciences.
    Olsson, Linnéa
    University of Skövde, School of Health Sciences.
    Sjuksköterskors upplevelser av att vårda och lindra lidande hos patienter med långvarig smärta: En kvalitativ metod2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Långvarig smärta är ett komplext fenomen vilket är en unik och individuell upplevelse hos varje människa. Smärtproblematik och lidande har ofta ett samband, såväl fysiskt som psykiskt. Sjuksköterskan har en roll i att försöka eliminera eller lindra patientens lidande vilket innefattar smärtan som många gånger är grundorsaken till lidandet. Beakta patientens livsvärld, främja hälsa och välbefinnande samt att skapa en vårdrelation är områden vilka innefattar sjuksköterskans roll. Syfte: Syftet är att beskriva sjuksköterskors upplevelser av att vårda och lindra lidande hos patienter med långvarig smärta. Metod: I studien tillämpades en kvalitativ narrativ intervjumetod. Deltagarna inhämtades via snöbollstekniken. Elva sjuksköterskor delgav upplevelser i form av berättelser som skickades via e-post och de insamlade berättelserna analyserades med en kvalitativ innehållsanalys på en manifest nivå. Resultat: Ur analysen av datamaterialet framkom tre övergripande huvudkategorier vilka var; Att skapa en vårdande relation, Smärtlindring avgörande för meningsfullhet i arbetet samt Teamsamverkan både som möjligheter och hinder. Huvudkategorier bildades utifrån åtta subkategorier. Konklusion: Studien har synliggjort att sjuksköterskor upplever stödjande och djupa samtal bidragande till att lindra lidande. Smärtbehandlingens effekter avgör huruvida sjuksköterskan känner sig meningsfull och upplever sin roll. Teamsamverkan kan utgöra såväl möjligheter som hinder i vården och påverkar både patienten och sjuksköterskan.

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  • 6.
    Al-Yahri, Omer
    et al.
    Department of General Surgery, Hamad General Hospital, Doha, Qatar.
    Abdelaal, Abdelrahman
    Department of General Surgery, Hamad General Hospital, Doha, Qatar.
    El Ansari, Walid
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Surgery, Hamad General Hospital, Doha, Qatar / College of Medicine, Qatar University, Doha, Qatar.
    Farghaly, Hanan
    Department of Lab Medicine & Pathology, Hamad General Hospital, Doha, Qatar.
    Murshed, Khaled
    Department of Lab Medicine & Pathology, Hamad General Hospital, Doha, Qatar.
    Zirie, Mahmoud A.
    Department of Endocrinology, Hamad General Hospital, Doha, Qatar.
    Al Hassan, Mohamed S.
    Department of General Surgery, Hamad General Hospital, Doha, Qatar.
    First ever case report of co-occurrence of hobnail variant of papillary thyroid carcinoma and intrathyroid parathyroid adenoma in the same thyroid lobe2020In: International journal of surgery case reports, ISSN 2210-2612, E-ISSN 2210-2612, Vol. 70, p. 40-52Article in journal (Refereed)
    Abstract [en]

    Introduction: The hobnail variant of papillary thyroid cancer (PTC) is rare. Intrathyroid parathyroid adenoma (ITPA) is also rare. Co-ocurrence of PTC and ITPA in the same thyroid lobe is extremely rare. Likewise, primary hyperparathyroidism with such non-medullary thyroid carcinoma is rare. The specific molecular profile of hobnail PTC (HPTC) is different from the classic, poorly differentiated and anaplastic variants and may contribute to its aggressive behavior. HPTC's genetic profile remains unclear. Presentation of case: A 61-year-old woman presented to our endocrine clinic with generalized aches, bone pain, polyuria, and right neck swelling of a few months’ duration. Laboratory findings revealed hypercalcemia and hyperparathyroidism. Ultrasound of the neck showed 4.6 cm complex nodule within the right thyroid lobe. Sestamibi scan suggested parathyroid adenoma in the right thyroid lobe. Fine-needle aspiration (FNA) revealed atypical follicular lesion of undetermined significance. She underwent right lobectomy, which normalized the intraoperative intact parathyroid hormone levels. Final pathology with immunohistochemical stains demonstrated HPTC and IPTA (2 cm each). Next-generation sequencing investigated the mutation spectrum of HPTC and detected BRAFV600E mutation. Conclusions: A parathyroid adenoma should not exclude the diagnosis of thyroid carcinoma. Thyroid evaluation is needed for patients with primary hyperparathyroidism to prevent missing concurrent thyroid cancers. Cytomorphologic features to distinguish thyroid from parathyroid cells on FNA cytology must be considered. Immunohistochemical stains are important. BRAFV600E is the most common mutation in HPTC. This is possibly the first reported case of HPTC and ITPA co-occurring within the same thyroid lobe. Studies that define other molecular abnormalities may be useful as therapeutic targets. © 2020 The Author(s)

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  • 7.
    Aspsjö, Jenny
    et al.
    University of Skövde, School of Health Sciences.
    Söderqvist, Therese
    University of Skövde, School of Health Sciences.
    När stress orsakar lidande för sjuksköterskor: En litteraturöversikt om arbetsmiljöns inverkan på psykisk ohälsa2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The most common cause of sick leave in Sweden is stress related to mental illness. Nurses work involves close contact with people and can be complex and unpredictable. Nurses are a professional group that experiences stress related to the work environment. A stress reaction should normally be for a short period of time, but when it occurs for longer periods, the body's health risks being adversely affected. Stress force people to perform above their normal ability and overperforming adversely affects the body and can lead to mental illness. Purpose: To elucidate nurses' experiences about stressors in the work environment can lead to mental illness. Method: A qualitative litteratured based study was used where eleven scientific articles were analyzed according to Friberg's method. Results: The study highlights seven identified stressors that nurses experience in the work environment that can lead to mental illness. Conclusion: Various stressors that nurses experience are created by the organisation and the working group.

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  • 8.
    Bark, Charlotte
    et al.
    University of Skövde, School of Health Sciences.
    Dahlén, Carl
    University of Skövde, School of Health Sciences.
    Ingen talar om det, men jag gör: Barnmorskors upplevelser av att stödja kvinnors sexuella hälsa i relation till en hysterektomi2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Världshälsoorganisationen beskriver sexualiteten som en central aspekt genom hela livet, det är en del av att vara människa. En hysterektomi innebär att kvinnans livmoder tas bort, vilket kan påverka kvinnans sexuella hälsa. Forskning visar att kvinnor har ett stort behov av stöd vid en hysterektomi. Dock finns en brist i att följa upp och stötta kvinnor i olika frågor angående den sexuella hälsan.Syfte: Barnmorskors upplevelser i att stödja kvinnors sexuella hälsa i relation till en hysterektomi.Metod: En kvalitativ innehållsanalys med induktiv ansats där nio barnmorskor intervjuats.Resultat: Barnmorskors upplevelser i att stötta och samtala med kvinnor i relation till en hysterektomi är viktigt. Vissa kvinnor är mer öppna än andra och det är en utmaning i att kunna ge stöd. Tidsbrist i organisationen ses som ett hinder. Stress och bristen på barnmorskekollegor gör att viktig information till kvinnor om den sexuella hälsan inte ges.Konklusion: En hysterektomi kan påverka kvinnors livskvalitet och samliv. I resultatet framkom att vissa barnmorskor informerar vid behov. En del barnmorskor informerar oavsett om de upplever att kvinnor har behov utav det eller inte. Utgår barnmorskorna utifrån sig själva? Hur kan det påverka vården och vilket stöd kvinnor får i den sexuella hälsan.

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  • 9.
    Barkman Lorentsson, Tilda
    University of Skövde, School of Health Sciences.
    Att vårdas mot sin vilja: En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: För att vårdas inom sluten psykiatrisk tvångsvård krävs det att patienten uppfyller kriterier stiftade av World Health Organization (WHO). I Sverige styrs den slutna psykiatriska tvångsvården av Lag om psykiatrisk tvångsvård (LPT). Lagen reglerar vilka av WHO:s kriterier som måste uppfyllas i Sverige för att sluten psykiatrisk tvångsvård ska kunna ges. Sjuksköterskan ska bland annat motverka lidande och främja delaktighet, vilket kan vara utmanande inom sluten psykiatrisk tvångsvård. Även att bevara patientens autonomi kan vara problematiskt.Syfte: Syftet är att belysa och sammanställa patienters upplevelser av sluten psykiatrisk tvångsvård.Metod: Metoden är litteraturöversikt som baseras på kvalitativ data.Resultat: Resultatet påvisar att patienter som har vårdats inom sluten psykiatrisk tvångsvård bär med sig upplevelser av informationsbrist, rädsla, att inte bli respekterade, negativa erfarenheter av vårdpersonal, positiva erfarenheter av vårdpersonal samt känsla av skydd och förståelse.Diskussion: Det uppfattas problematiskt att patienter har många negativa upplevelser av sluten psykiatrisk tvångsvård. En tydlig koppling mellan de negativa upplevelserna och vårdlidande finns. Sjuksköterskor har ett ansvar att motverka lidandet. Det kan konstateras att detta ämne inte är väl beforskat därav hoppas studien bidra till ökad uppmärksamhet av ämnet.

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  • 10.
    Berglund Riikola, Caroline
    et al.
    University of Skövde, School of Health Sciences.
    Fors, Linda
    University of Skövde, School of Health Sciences.
    Att vara patient på svensk akutmottagning – En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patient visits at Swedish emergency departments have decreased, but waitingtimes has increased. The triage system is used by nurses to prioritize patients based on their health background and symptoms. A good care environment, regular communication, information, increased participation and person-centered care can reduce the incidence of caregiving for patients who have sought care at Swedish emergency departments. Aim: The aim of this study was to illustrate what it is like to be a patient under waiting time at a Swedish emergency department. Method: This study is a literature review based on ten scientific articles with a qualitative method. Results: Three main categories of meeting with the nurse, factors affecting the experience, consequences of inadequate care. Six subcategories of positive experiences, negative experiences, the impact of the care environment, basic needs, exposure and vulnerability and situation is accepted. Discussion: In the discussion, the authors emphasize patients’ experiences from the emergency department. It was discussed around three concepts person-centered care, caregiving and participation. Conclusion: It emerged that when basic needs were met, information was provided and when the nurse gave confirmation, participation increased, and care sufferers could be prevented.

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  • 11.
    Bezrukova, Maria
    et al.
    University of Skövde, School of Health Sciences.
    Karlsson Hellström, Julia
    University of Skövde, School of Health Sciences.
    Sjuksköterskors erfarenheter av vad i arbetssituationen som medverkar till stress, utbrändhet och utmattning: En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Stress är vanligt förekommande i sjuksköterskeyrket och kan även leda till utbrändhet och utmattning. Sjuksköterskor arbetar under högt tempo med stort ansvar. Även nära relation med patienter ingår i sjuksköterskeyrket. Ohälsosam arbetsmiljö kan både påverka sjuksköterskors hälsa och patientsäkerheten och kan därmed leda till allvarliga konsekvenser. Syfte: Är att beskriva sjuksköterskors erfarenheter av vad i arbetssituationen som medverkar till stress, utbrändhet och utmattning. Metod: Metoden som användes var en litteraturöversikt där både kvalitativa och kvantitativa artiklar ingår. Resultat: Ur analysen framkom två huvudkategorier; Känslor av otillräcklighet och Brister i omgivande organisation med nio underkategorier. Konklusion: Sammanfattningsvis tenderar upplevelse av stress, utbrändhet och utmattning hos sjuksköterskor förekomma i flera länder. För att sjuksköterskor ska kunna må bra på sina arbeten krävs att verksamheten åtgärdar problemen som framkommit.

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  • 12.
    Bjerkeli, Pernilla J.
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Skoglund, Ingmarie
    Department of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Research and Development Department, Region Västra Götaland, Borås, Sweden.
    Holmgren, Kristina
    Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Does early identification of high work related stress affect pharmacological treatment of primary care patients?: Analysis of Swedish pharmacy dispensing data in a randomised control study2020In: BMC Family Practice, ISSN 1471-2296, E-ISSN 1471-2296, Vol. 21, no 1, article id 70Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The study is part of a randomised controlled trial with the overall aim to evaluate if use of the Work Stress Questionnaire (WSQ), combined with feedback at consultation, can be used by healthcare professionals in primary health care to prevent sickness absence. The specific aim of the present study was to investigate whether there were differences in pharmacy dispensing of prescription medications between the intervention group and the control group. METHODS: The study was a randomized controlled trial. Non-sick-listed employed women and men, aged 18 to 64 years, seeking care at primary health care centres (PHCCs) were eligible participants. The intervention included early identification of work-related stress by the WSQ, general practitioner (GP) training and GP feedback at consultation. Pharmacy dispensing data from the Swedish Prescription Drug Register for a period of 12 months following the intervention was used. Primary outcomes were the number of different medications used, type of medication and number of prescribing clinics. Data was analysed using Mann Whitney U tests and chi-square tests. RESULTS: The study population included 271 individuals (132 in the intervention group and 139 in the control group). The number of different medications used per individual did not differ significantly between the control group (median 4.0) and the intervention group (median 4.0, p-value 0.076). The proportion of individuals who collected more than 10 different medications was higher in the control group than in the intervention group (15.8% versus 4.5%, p = 0.002). In addition, the proportion of individuals filling prescriptions issued from more than three different clinics was higher in the control group than in the intervention group (17.3% versus 6.8%, p = 0.007). CONCLUSION: Systematic use of the WSQ combined with training of GPs and feedback at consultation may affect certain aspects of pharmacological treatment in primary health care patients. In this randomised control trial, analysis of pharmacy dispensing data show that patients in the intervention group had less polypharmacy and filled prescriptions issued from a smaller number of different clinics. TRIAL REGISTRATION: ClinicalTrials.gov. Identifier: NCT02480855. Registered 20 May 2015.

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  • 13.
    Cheng, Lan
    et al.
    Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany / Faculty of Mathematics and Computer Science, University of Bremen, Germany.
    Pohlabeln, Hermann
    Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.
    Ahrens, Wolfgang
    Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany / Faculty of Mathematics and Computer Science, University of Bremen, Germany.
    Lauria, Fabio
    Institute of Food Sciences, National Research Council, Avellino, Italy.
    Veidebaum, Toomas
    Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia.
    Chadjigeorgiou, Charalambos
    Research and Education Institute of Child Health, Strovolos, Cyprus.
    Molnár, Dénes
    Department of Pediatrics, Medical School, University of Pécs, Hungary.
    Eiben, Gabriele
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Michels, Nathalie
    Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Belgium.
    Moreno, Luis A.
    Genud (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigacion Biomedica en Red Fisiopatologia de la Obesidad y Nutricion (CIBERObn), University of Zaragoza, Spain.
    Page, Angie S.
    Centre for Exercise, Nutrition and Health Sciences, University of Bristol, Bristol, United Kingdom.
    Pitsiladis, Yannis
    Collaborating Centre of Sports Medicine, University of Brighton, United Kingdom.
    Hebestreit, Antje
    Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.
    Cross-sectional and longitudinal associations between physical activity, sedentary behaviour and bone stiffness index across weight status in European children and adolescents2020In: International Journal of Behavioral Nutrition and Physical Activity, ISSN 1479-5868, E-ISSN 1479-5868, Vol. 17, no 1, article id 54Article in journal (Refereed)
    Abstract [en]

    Background: The associations between physical activity (PA), sedentary behaviour (SB) and bone health may be differentially affected by weight status during growth. This study aims to assess the cross-sectional and longitudinal associations between PA, SB and bone stiffness index (SI) in European children and adolescents, taking the weight status into consideration. Methods: Calcaneus SI was first measured by quantitative ultrasound among children aged 2-9 years old in 2007/08. It was measured again after 2 years in the IDEFICS study and after 6 years in the I. Family study. A sample of 2008 participants with time spent at sports clubs, watching TV and playing computer/games self-reported by questionnaire, and a subsample of 1037 participants with SB, light PA (LPA) and moderate-to-vigorous PA (MVPA) objectively measured using Actigraph accelerometers were included in the analyses. Weight status was defined as thin/normal and overweight/obese according to the extended International Obesity Task Force criteria. Linear mixed-effects models were used to estimate the cross-sectional and longitudinal associations between PA, SB and SI percentiles, stratified by weight status. Results: The cross-sectional association between weekly duration of watching TV and SI percentiles was negative in thin/normal weight group (β =-0.35, p = 0.008). However, baseline weekly duration of watching TV (β =-0.63, p = 0.021) and change after 2 years (β =-0.63, p = 0.022) as well as the change in weekly duration of playing computer/games after 6 years (β =-0.75, p = 0.019) were inversely associated with corresponding changes in SI percentiles in overweight/obese group. Change in time spent at sports clubs was positively associated with change in SI percentiles after 2 years (β = 1.28, p = 0.001), with comparable effect sizes across weight status. In the subsample with accelerometer data, we found a positive cross-sectional association between MVPA and SI percentiles in thin/normal weight group. Baseline MVPA predicted changes in SI percentiles after 2 and 6 years in all groups. Conclusions: Our results suggested the beneficial effect of PA on SI. However, the increasing durations of screen-based SB might be risk factors for SI development, especially in overweight/obese children and adolescents. © 2020 The Author(s).

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  • 14.
    Dahlberg, Erika
    et al.
    University of Skövde, School of Health and Education. University of Skövde, School of Health Sciences.
    Sandberg, Patrik
    University of Skövde, School of Health and Education. University of Skövde, School of Health Sciences.
    Kombinera två tjänster: En kvalitativ innehållsanalys om anestessjuksköterskors erfarenheter av kombinationstjänst mellen en operationsavdelning och ambulanssjukvård2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 15.
    Edberg, Beatrice
    et al.
    University of Skövde, School of Health Sciences.
    Öberg, Linnea
    University of Skövde, School of Health Sciences.
    Min levda kropp: Kvinnors upplevelser av förändringar i deras levda kropp i samband med bröstcancer2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is common in Sweden. Breast cancer treatment results in side effects that affect their lived body and sexuality which cause tremendous suffering. The nurses’ responsibility is to prevent and relieve suffering. There is a need for a deeper understanding of patients’ experiences when diagnosed with breast cancer for the nurse to be able to give adequate care.

    Aim: To illustrate women experiences of changes in their lived body when diagnosed with breast cancer.

    Method: A qualitative study with descriptive content analysis of autobiographies.

    Result: An experience of being maimed after going through a mastectomy and a fear of hair loss emerged. There was a lost of the female identity. It was common to feel lack of energy during the treatment which affected everyday life. There was a concern about others thoughts regarding the new body. Sexuality was impaired and it affected their lived body. The ability to move became partially impaired after the treatments. Despite all side effects women started to accept their new body.

    Conclusion: The lived body and sexuality changes in connection with breast cancer. Both mental and physical health was impaired. The nurse needs to talk and listen to every patient to be able to give adequate, individual care.

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  • 16.
    Eigert, Anna
    et al.
    University of Skövde, School of Health and Education. University of Skövde, School of Health Sciences.
    Lennartsson, Amanda
    University of Skövde, School of Health and Education. University of Skövde, School of Health Sciences.
    Kvinnors upplevelser av bemötandet i vården vid endometrios: En kvalitativ metod2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Endometrios är en sjukdom där livmoderslemhinnan växer på annan plats än i livmodern och drabbar ca 10-15%av kvinnorna i fertil ålder. Kvinnorna som söker vården drabbas olika av bemötandet Sjukvården skyller på psykisk ohälsa eller att det är normalt att ha menssmärta, när detta fortsätter så leder det ett vårdlidande för kvinnorna. Syfte:Att belysa hur kvinnor med endometrios upplever bemötandet i vården.Metod:En kvalitativ innebördsanalys som bestod av 17 berättelser. Resultat:I resultatet framkom två teman; Den långa kampen och Vändpunkten. Det framkom även sju subteman. Konklusion:Sjuksköterskor behöver ökad kunskap om endometrios och hur det påverkar kvinnors hälsa och välbefinnande för att kunna bemöta kvinnorna i vården. Kvinnor behöver ett större stöd från sjuksköterskan i den långa kampen till god vård och ökat välbefinnande.

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  • 17.
    Ekström, Lotta
    University of Skövde, School of Health Sciences.
    Riskfaktorer relaterade till spridning av Meticillinresistenta Staphylococcus aureus (MRSA) på särskilt boende för äldre2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Antibiotikaresistens är ett globalt folkhälsoproblem. Att förhindra ett vårdrelaterat bärarskap eller vårdrelaterad infektion orsakad av Meticillinresistenta Staphylococcus aureus (MRSA) ingår i det förebyggande folkhälsoarbetet, både internationellt och nationellt. Problemet med antibiotikaresistens måste hanteras på många plan, ett av dessa är att förebygga smittspridning oavsett vårdform. En jämlik hälsa ska eftersträvas för hela befolkningen, vilket även omfattar personer som på grund av ålder och ett stort omvårdnadsbehov har sin permanenta vistelse på särskilt boende för äldre (SÄBO). Syfte: Syftet med studien var att identifiera riskfaktorer relaterade till smittspridning av MRSA på SÄBO. Metod: En retrospektiv studie där data från 37 smittspårningsärenden mellan 2014 till 2019 jämfördes utifrån potentiella riskfaktorer för smittspridning hos indexpatienten, personal och material/lokal. Detta för att se om skillnader gick att finna mellan smittspårningar som resulterat i smittspridning från indexpatienten med dem där inga sekundärfall hade funnits vid smittspårningen. Analys gjordes med Fishers exakta test samt enkel logistisk regressionsanalys. Resultat: Inga signifikanta skillnader gick att finna mellan grupperna. En möjlig association till ett lägre odds för smittspridning sågs vid kliniskariskfaktorer hos indexpatienten samt vid följsamhet till basala hygienrutiner. En möjlig association till ett högre odds för smittspridning sågs vid individuella riskfaktorer, vid kolonisering av MRSA samt vid spridningsbenägen Spa-typ. Slutsats: Studien har inte kunnat visa på att någon specifik faktor bidrar till en ökad risk för smittspridning av MRSA. Fortsatta studier på ett större material är av vikt för att, om möjligt, hitta och förebygga potentiella faktorer som bidrar till smittspridning av MRSA på SÄBO.

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  • 18.
    El Ansari, Walid
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Qatar / College of Medicine, Qatar University, Qatar.
    El-Ansari, Kareem
    Hamad General Hospital, Hamad Medical Corporation, Qatar.
    Missing Something? Comparisons of Effectiveness and Outcomes of Bariatric Surgery Procedures and Their Preferred Reporting: Refining the Evidence Base.2020In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428Article, review/survey (Refereed)
    Abstract [en]

    Comparisons of effectiveness of bariatric surgery (BS) procedures encompass weight loss, metabolic/clinical outcomes, and improvements or worsening of comorbidities. Post-operative physical activity (PA) and diet influence such outcomes but are frequently not included in comparisons of effectiveness. We assessed the value and necessity of including post-operative PA/diet data when comparing effectiveness of BS. Including post-operative PA/diet data has significant benefits for BS and patients. The paper proposes an explicit preferred reporting system (Preferred REporting of post-operative PHYsical activity and Diet data in comparisons of BS effectiveness: PRE-PHYD Bariatric). Including post-operative PA/diet data could result in more accurate appraisals of effectiveness of BS procedures. This could translate into better 'individualized' BS by achieving a better 'fit' between patient and procedure.

  • 19.
    El Ansari, Walid
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar / College of Medicine, Qatar University, Doha 2713, Qatar .
    El-Menyar, Ayman
    Department of Surgery, Trauma and Vascular Surgery, Clinical Research, Hamad General Hospital, Doha 3050, Qatar / Clinical Medicine, Weill Cornell Medical School, Doha 24144, Qatar.
    Is routine preoperative esophagogastroduodenscopy prior to bariatric surgery mandatory?: Protocol for a systematic review and meta-analysis2020In: International Journal of Surgery Protocols, ISSN 2468-3574, Vol. 22, p. 1-5Article in journal (Refereed)
    Abstract [en]

    Introduction: Routine preoperative esophagogastroduodenscopy (p-EGD) prior to bariatric surgery (BS) is currently widely undertaken, and hence an important issue with many clinical and financial repercussions. Yet, the true extent of why p-EGD is routinely undertaken for all bariatric patients remains not well understood. Methods and analysis: To address this, we will undertake a systematic review and meta-analysis of routine p-EGD prior to BS from around the world. This protocol describes the methodological approach to be adopted and outlines the search strategies and eligibility criteria that will be employed to identify and select studies, and the way by which data from the selected studies will be extracted for analysis. PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), WHO International Clinical Trials Registry Platform, Cochrane Library, MEDLINE, Scopus, clinicaltrials.gov and Google scholar will be searched from 01 January 2000 to 30 April 2019 for original studies written in English that provided prevalence estimates of the outcomes of routine p-EGD prior to BS. STROBE criteria will assess the methodological quality of the selected studies. The use of fixed or random effects model will depend on the results of statistical tests for heterogeneity. Publication bias will be visually estimated by assessing funnel plots. Pooled estimates will be calculated. This protocol conforms to the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines and has been submitted for registration at the PROSPERO International Prospective Register of systematic reviews. No ethical clearance is required for this study. This review will be published in a peer- reviewed journal and will be presented at various national and international conferences. © 2020 The Author(s)

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  • 20.
    El Ansari, Walid
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Surgery, Hamad General Hospital, Qatar / College of Medicine, Qatar University, Qatar.
    Salam, Abdul
    Neuroscience Institute, Hamad General Hospital, Qatar.
    Suominen, Sakari
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Is alcohol consumption associated with poor perceived academic performance?: Survey of undergraduates in Finland2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 4, article id 1369Article in journal (Refereed)
    Abstract [en]

    The relationship between academic performance and alcohol consumption among students remains inconsistent. We assessed this relationship, controlling for sociodemographic characteristics across seven faculties at the University of Turku (1177 undergraduates). An online questionnaire assessed: seven sociodemographic characteristics (age, gender, year/discipline of study, accommodation type, being in intimate relationship, parental education, and income sufficiency); two perceived academic performance (students’ subjective importance of achieving good grades and students’ appraisal of their academic performance compared to peers); and six alcohol consumption behaviors (length of time, amount consumed, frequency, heavy episodic drinking, problem drinking, and possible alcohol dependence). Simple logistic regression assessed relationships between sociodemographic and academic variables with alcohol consumption behaviors; multiple logistic regression assessed the same relationships after controlling for all other variables. Students reported long duration and large amount of drinking (46% and 50%), high frequency of drinking (41%), heavy episodic drinking (66%), problem drinking (29%), and possible alcohol dependence (9%). After controlling, gender was associated with all alcohol consumption behaviors, followed by religiosity (associated with four alcohol behaviors), living situation, marital status, age (each associated with two alcohol behaviors), and parental education and year of study (each associated with one alcohol behavior). Study discipline, income sufficiency, importance of achieving good grades, and academic performance compared to peers were not associated with any alcohol behaviors. Universities need to assess problem drinking and alcohol use disorders among students. Prevention strategies are required to reduce risk. Health promotion efforts could focus on beliefs and expectations about alcohol and target student groups at risk for more efficient and successful efforts. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.

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  • 21.
    Emilsson, Hanna
    University of Skövde, School of Health Sciences.
    Hur sjukvårdspersonalens följsamhet av hygienrutiner kan förbättras: En allmän litteraturöversikt av kvantitativ forskning2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Basala hygienrutiner är en avgörande åtgärd för att förbygga vårdrelaterade infektioner och förhindra att patienten utsätts för smitta och vårdlidande vid kontakt med sjukvården. Sjukvårdspersonalens följsamhet till befintliga hygienrutiner är globalt låg och behöver förbättras för att förhindra smittspridning.Syfte: Syftet med studien är att identifiera strategier som förbättrar sjukvårdpersonalens följsamhet av hygienrutiner.Metod: En allmän litteraturöversikt med analys av kvantitativ forskning har genomförts för att sammanställa vilka insatser som resulterar i förbättrad hygienföljsamhet.Resultat: Tre teman visar vilka insatser som har en positiv effekt på hygienföljsamheten: Utbildning, delaktighet i förbättringsarbetet och ökad tillgång till hygienfaciliteter.Konklusion: Smittspridning förebyggs med förbättrade hygienrutiner. Examensarbetet visar att det går att förbättra sjukvårdspersonalens följsamhet av hygienrutiner och bidrar med kunskap om hur det kan verkställas i verksamheten för en hållbar lösning.

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  • 22.
    Evans, Brittany E.
    et al.
    Behavioural Science Institute, Radboud University, Nijmegen, Netherlands / Centre for Research on Child and Adolescent Mental Health, Karlstad University, Sweden.
    Huizink, Anja
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Section of Clinical Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Netherlands.
    Greaves-Lord, Kirstin
    Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Center, Rotterdam, Netherlands.
    Tulen, Joke H. M.
    Department of Psychiatry, Erasmus University Medical Center, Rotterdam, Netherlands.
    Roelofs, Karin
    Behavioural Science Institute, Radboud University, Nijmegen, Netherlands / Donders Institute for Brain Cognition and Behaviour, Radboud University, Nijmegen, Netherlands.
    van der Ende, Jan
    Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Center, Rotterdam, Netherlands.
    Urbanicity, biological stress system functioning and mental health in adolescents2020In: PLoS ONE, E-ISSN 1932-6203, Vol. 15, no 3, article id e0228659Article in journal (Refereed)
    Abstract [en]

    Growing up in an urban area has been associated with an increased chance of mental health problems in adults, but less is known about this association in adolescents. We examined whether current urbanicity was associated with mental health problems directly and indirectly via biological stress system functioning. Participants (n = 323) were adolescents from the Dutch general population. Measures included home and laboratory assessments of autonomic nervous system and hypothalamic-pituitary-adrenal axis functioning, neighborhood-level urbanicity and socioeconomic status, and mother- and adolescent self-reported mental health problems. Structural equation models showed that urbanicity was not associated with mental health problems directly. Urbanicity was associated with acute autonomic nervous system and hypothalamic-pituitary-adrenal axis reactivity such that adolescents who lived in more urban areas showed blunted biological stress reactivity. Furthermore, there was some evidence for an indirect effect of urbanicity on mother-reported behavioral problems via acute autonomic nervous system reactivity. Urbanicity was not associated with overall autonomic nervous system and hypothalamic-pituitary-adrenal axis reactivity or basal hypothalamic-pituitary-adrenal axis functioning. Although we observed some evidence for associations between urbanicity, biological stress reactivity and mental health problems, most of the tested associations were not statistically significant. Measures of long-term biological stress system functioning may be more relevant to the study of broader environmental factors such as urbanicity. 

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  • 23.
    Evans, Brittany E.
    et al.
    Behavioural Science Institute, Radboud University, Nijmegen, Netherlands / Centre for Research on Child and Adolescent Mental Health, Karlstad, Sweden.
    van der Ende, J.
    Erasmus University Medical Center, CN, Rotterdam, Netherlands.
    Greaves-Lord, Kirstin
    Erasmus University Medical Center, CN, Rotterdam, Netherlands.
    Huizink, Anja C.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Section of Clinical Developmental Psychology, Amsterdam Public Health Research Institute, Vrije University Amsterdam, BT, Amsterdam, Netherlands.
    Beijers, Roseriet
    Behavioural Science Institute, Radboud University, Nijmegen, Netherlands / Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, Netherlands.
    de Weerth, Carolina
    Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, Netherlands.
    Urbanicity, hypothalamic-pituitary-adrenal axis functioning, and behavioral and emotional problems in children: A path analysis2020In: BMC Psychology, E-ISSN 2050-7283, Vol. 8, no 1, article id 12Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Urbanization is steadily increasing worldwide. Previous research indicated a higher incidence of mental health problems in more urban areas, however, very little is known regarding potential mechanisms underlying this association. We examined whether urbanicity was associated with mental health problems in children directly, and indirectly via hypothalamic-pituitary-adrenal (HPA)-axis functioning. METHODS: Utilizing data from two independent samples of children we examined the effects of current urbanicity (n = 306, ages seven to 12 years) and early childhood urbanicity (n = 141, followed from birth through age 7 years). Children's mothers reported on their mental health problems and their family's socioeconomic status. Salivary cortisol samples were collected during a psychosocial stress procedure to assess HPA axis reactivity to stress, and at home to assess basal HPA axis functioning. Neighborhood-level urbanicity and socioeconomic conditions were extracted from Statistics Netherlands. Path models were estimated using a bootstrapping procedure to detect indirect effects. RESULTS: We found no evidence for a direct effect of urbanicity on mental health problems, nor were there indirect effects of urbanicity through HPA axis functioning. Furthermore, we did not find evidence for an effect of urbanicity on HPA axis functioning or effects of HPA axis functioning on mental health problems. CONCLUSIONS: Possibly, the effects of urbanicity on HPA axis functioning and mental health do not manifest until adolescence. An alternative explanation is a buffering effect of high family socioeconomic status as the majority of children were from families with an average or high socioeconomic status. Further studies remain necessary to conclude that urbanicity does not affect children's mental health via HPA axis functioning.

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  • 24.
    Filipsson, Madeleine
    et al.
    University of Skövde, School of Health Sciences.
    Turesson, Jasmine
    University of Skövde, School of Health Sciences.
    Sjuksköterskors upplevelser av att vårda patienter som övergår från kurativ till palliativ vård: En kvalitativ litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The care and treatment of a disease has either a curative or palliative focus. Moving from curative to palliative care may include suffering for the patient in the form of worry and anxiety. Nurses often play an important role in supporting both the patient and their family. In this study, the outset is the patient and their life situation, i.e., the family also must be taken care of. Nurses find it difficult to manage patient's various reactions and emotions when undergoing the transition to palliative care. Purpose: To highlight nurses' experiences of caring for patients undergoing transitions from curative to palliative care. Methodology: A literature review based on ten qualitative articles. Result: Three main themes and seven sub-themes have been identified. The main themes consist of: supporting the patient thru the transition, meeting the needs of the family, as well as a complex and challenging role. The sub-themes comprise: managing reactions, helping to achieve acceptance and preserving quality of life and hope, giving information to relatives, giving support to relatives, experiences of a meningful role, to be emotionally affected and the need for experience. Conclusion: Nurses play a comlex role with challenging tasks in the transition from curative to palliative care. Experience and knowledge play an important role for nurses in dealing with the challanges posed by this transition.

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  • 25.
    Gill, Karin
    et al.
    University of Skövde, School of Health Sciences.
    Richardsson, Jenny
    University of Skövde, School of Health Sciences.
    Hur intensitetsnivån av fysisk aktivitet påverkar hälsan: Sjuksköterskans hälsofrämjande arbete vid metabola syndromet2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Metabola syndromet innebär fysiologiska riskfaktorer som bukfetma och högt blodtryck vilket ger en förhöjd risk att drabbas av kardiovaskulära sjukdomar och diabetes typ 2. Tillståndet ökar globalt och leder till stora hälsoproblem, med fysisk aktivitet kan riskerna förminskas. Sjuksköterskans hälsofrämjande arbete är viktigt, genom att ge stöd och motivation till patienter med metabola syndromet kan hälsan och välbefinnandet öka. För att ge evidensbaserade råd krävs forskning om vilken intensitet fysisk aktivitet ska genomföras med för att uppnå önskat resultat. Syfte: Att kartlägga hur intensiteten av fysisk aktivitet påverkar hälsan hos personer med eller med risk för metabola syndromet. Metod: En litteraturöversikt har gjorts med sammanställning av elva kvantitativa artiklar. Resultat: Resultatet presenteras utifrån teman och underteman som innehåller både text och tabeller. Nyckelfynden är att lågintensiv fysisk aktivitet ger förbättrade resultat på faktorer som påverkar metabola syndromet om patienten tidigare varit stillasittande. Om patienten inte är stillasittande syns ett samband mellan intensitetsnivå och metabola syndromet. Desto högre intensitet som den fysiska aktiviteten genomförs med desto bättre resultat på faktorer som påverkar metabola syndromet. Konklusion: Utifrån kartläggningen som gjorts kan sjuksköterskan ge individuella rekommendationer om intensitetsnivå för fysisk aktivitet till patienter med eller med risk för metabola syndromet.

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  • 26.
    Gillsjö, Catharina
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). College of Nursing, University of Rhode Island, Kingston, United States.
    Nässén, Kristina
    Academy of Care, Working Life and Social Welfare, University of Borås, Sweden.
    Berglund, Mia
    University of Skövde, Digital Health Research (DHEAR). University of Skövde, School of Health Sciences.
    Suffering in silence: a qualitative study of older adults’ experiences of living with long-term musculoskeletal pain at home2020In: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380Article in journal (Refereed)
    Abstract [en]

    Long-term musculoskeletal pain is a major, disabling, and often undertreated health problem among the increasing number of older adults worldwide. However, there is limited knowledge of community-dwelling older adults’ experiences of living with this type of pain. The aim of the study was to deepen the understanding of the phenomenon: how older adults experience living with long-term musculoskeletal pain at home. The study design was an inductive qualitative Reflective Lifeworld Research approach grounded in phenomenological epistemology. Data were obtained from 20 community-dwelling older adults, aged 72–97 years. Data were collected through open-ended interviews and analyzed to understand the meanings of the phenomenon. The essence of the phenomenon entailed suffering in silence and encompassed the following constituents: loneliness and restrictions in daily living; ways to endure and distract from pain; not being taken seriously; fear of the future; and valuing joy and meaning in life. Living with long-term musculoskeletal pain restricts access to the world and leads to a suffering in silence. Finding ways to endure and distract from pain and to focus on issues that give joy and meaning in life is predominant in efforts to balance restraints from pain in life. Suffering is reinforced by loneliness, a sense of not being taken seriously by health care providers and fear of an uncertain future. It is necessary to foster increased attentiveness and sensitivity in meeting the needs of each older adult and provide a care that alleviates suffering and preserves and promotes health and well-being. © 2020, The Author(s).

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  • 27.
    Graffe, María Isabel Mesana
    et al.
    Growth, Exercise, NUtrition and Development (GENUD) Research Group, University of Zaragoza, Spain / Instituto Agroalimentario de Aragón (IA2), Spain / Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain / Red de Salud Materno-infantil y del Desarrollo (SAMID), Spain.
    Pala, V.
    Epidemiology and Prevention Unit, Department of Research, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.
    De Henauw, S.
    Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
    Eiben, Gabriele
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Section for Epidemiology and Social Medicine, Institute of Medicine Sahlgrenska Academy, University of Gothenburg, Sweden.
    Hadjigeorgiou, C.
    Research and Education Institute of Child Health, Strovolos, Cyprus.
    Iacoviello, L.
    Laboratory of Molecular and Nutritional Epidemiology, Department of Epidemiology and Prevention, IRCCS Istituto Neurologico Mediterraneo Neuromed, Pozzilli, IS, Italy.
    Intemann, T.
    Department of Epidemiological Methods and Etiological Research, Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany / Institute for Public Health and Nursing– IPP, Bremen University, Germany.
    Jilani, H.
    Department of Epidemiological Methods and Etiological Research, Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany / Institute for Public Health and Nursing– IPP, Bremen University, Germany.
    Molnar, D.
    Department of Paediatrics, Medical Faculty, University of Pécs, Hungary.
    Russo, P.
    Institute of Food Sciences, National Research Council, Avellino, Italy.
    Veidebaum, T.
    National Institute for Health Development, Tallinn, Estonia.
    Moreno, L. A.
    Growth, Exercise, NUtrition and Development (GENUD) Research Group, University of Zaragoza, Spain / Instituto Agroalimentario de Aragón (IA2), Saragossa, Spain / Instituto de Investigación Sanitaria Aragón (IIS Aragón), Saragossa, Spain / Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Madrid, Spain.
    Dietary sources of free sugars in the diet of European children: the IDEFICS Study2020In: European Journal of Nutrition, ISSN 1436-6207, E-ISSN 1436-6215, Vol. 59, no 3, p. 979-989Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To report dietary free sugars consumption and their different types and food sources in European children.

    METHODS: The present study is based on the IDEFICS study, a European multicenter cohort study in children (2-9 years old) from eight countries, comprising 8308 children (51.4% males). Dietary intake of the previous 24 h was assessed using a computer-assisted 24-h dietary recalls (24-HDR) and the different types of sugars were assessed using the German food composition database.

    RESULTS: Mean total energy intake was 1720 (SD 477) kcal/d for boys and 1631 (SD 451) kcal/d for girls. Total sugars intake was 98 (SD 52) g/day for boys and 93 (SD 49) g/day for girls. Free sugars intake was 81 (SD 49) g/day for boys and 77 (SD 47) g/day for girls. Girls had significantly lower intakes of energy, total and free sugars compared with than boys but did not differ in terms of percent of energy from total (23%) or free sugars (18%). There were large variations between countries in average % energy from free sugars (ranging from 13% in Italy to 27% in Germany). Less than 20% of children were within the recommended intake of 10% of energy from free sugars. The food groups that contributed substantially to free sugars intakes were "Fruit juices", "Soft drinks", "Dairy" and "Sweets and candies".

    CONCLUSIONS: The contribution of free sugars to total energy intake in European children is higher than recommendations. The main food contributors to free sugars intake are sweetened beverages ("Fruit juices" and "Soft drinks"). It is especially important to reduce children's intake of free sugars, focusing in target population on certain foods and food groups.

  • 28.
    Gwozdz, Wencke
    et al.
    Faculty of Agricultural Sciences, Nutritional Sciences and Environmental Management, Justus-Liebig-Universität Gießen, Gießen, Germany / Department of Management, Society, and Communication, CBS Sustainability, Copenhagen Business School, Frederiksberg, Denmark.
    Reisch, Lucia A.
    Department of Management, Society, and Communication, CBS Sustainability, Copenhagen Business School, Frederiksberg, Denmark.
    Eiben, Gabriele
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Hunsberger, Monica L.
    Department of Public Health and Community Medicine, The Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens Backe, Gothenburg, Sweden.
    Konstabel, Kenn
    Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia.
    Kovacs, Eva
    Department of Pediatrics, Medical School, University of Pécs, H-7622 Pécs, Hungary.
    Luszczki, Edyta
    Medical Faculty, University of Rzeszów, Rzeszów, Poland.
    Mazur, Artur
    Medical Faculty, University of Rzeszów, ul.Warszawska 26 a, Rzeszów, Poland.
    Mendl, E.
    Department of Pediatrics, Medical School, University of Pécs, H-7622 Pécs, Hungary.
    Saamel, M.
    Department of Surveillance and Evaluation, National Institute for Health Development,Tallinn, Estonia.
    Wolters, Maike
    Leibniz Institute for Prevention Research and Epidemiology – BIPS, Bremen, Germany.
    The effect of smileys as motivational incentives on children's fruit and vegetable choice, consumption and waste: A field experiment in schools in five European countries2020In: Food Policy, ISSN 0306-9192, E-ISSN 1873-5657, article id 101852Article in journal (Refereed)
    Abstract [en]

    To assess whether smiley stamps work as a motivational incentive to promote fruit and vegetable eating among children, we conducted a field experiment in ten primary schools in five European countries using one control and one treatment school per country. The six-week experiment was split into three two-week phases before, during and after the smiley was implemented. During the smiley phase, the children received a smiley stamp for choosing a portion of fruits or vegetables. We find an increase attributed to the smiley stamp on children's fruit and vegetable choice and consumption, but also waste. Comparing the effects across countries, we observe significant variations in the smiley effect. This study thus demonstrates, in general, that a low-cost, easy-to-implement incentive such as a smiley stamp has the potential to motivate school children to increase their fruit and vegetable consumption; the study simultaneously underscores the high relevance of context for the effects of incentives. 

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  • 29.
    Hansson, Linn
    et al.
    University of Skövde, School of Health Sciences.
    Heshmati, Parastu
    University of Skövde, School of Health Sciences.
    Individers upplevelser av att leva med kronisk sjukdom2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Kronisk sjukdom är den ledande dödsorsaken bland individer världen över varav hjärt-kärlsjukdom, cancer, diabetes och kroniska lungsjukdomar är de dominerande. Att leva med kronisk sjukdom erfordrar en livslång behandling av förändrade levnadsvanor. Hälsa och välbefinnande utesluter inte sjukdom, för kroniskt drabbade innebär det att förhålla sig till sin livssituation. Subjektiva och objektiva emotioner är en stor del bland individers vardag och orsakar ett lidande. Hos hälso- och sjukvården föreligger det ett ansvar att främja hälsa, lindra lidande och förebygga sjukdom bland individer med kronisk sjukdom. Syfte: Att belysa individers upplevelser av att leva med kronisk sjukdom. Metod: En litteraturöversikt där datamaterialet består av tio kvalitativa artiklar ur ett patientperspektiv. Resultat: Resultatet identifierar två huvudteman; behov av ett stödjande nätverk och kronisk sjukdom i vardagen samt sju underteman; vikten av ett betryggande och socialt stöd, en förtroendefull vårdrelation, kunskap och information vid sjukdomshantering, att finna balans vid upprätthållandet av levnadsvanor, när sjukdomen är under progression, avsaknad av en meningsfull vardag och existentiell rädsla. Konklusion: Individer med kronisk sjukdom upplever ett dagligt och påtagligt livslidande. Individer bör ses ur ett helhetsperspektiv där hälso- och sjukvården skall utgå från en personcentrerad- och individanpassad vård.

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  • 30.
    Heikkilä, Katriina
    et al.
    Department of Health Services Research and Policy London School of Hygiene and Tropical Medicine London United Kingdom / Finnish Institute of Occupational Health Tampere, Helsinki and Turku Finland.
    Pentti, Jaana
    Department of Public Health University of Turku and Turku University Hospital Turku Finland / Department of Public Health University of Helsinki Finland.
    Madsen, Ida E. H.
    National Research Centre for the Working Environment Copenhagen Denmark.
    Lallukka, Tea
    Finnish Institute of Occupational Health Tampere, Helsinki and Turku Finland / Department of Public Health University of Helsinki Finland.
    Virtanen, Marianna
    Finnish Institute of Occupational Health Tampere, Helsinki and Turku Finland / Department of Public Health and Caring Sciences University of Uppsala Sweden / Stress Research Institute University of Stockholm Sweden.
    Alfredsson, Lars
    Centre for Occupational and Environmental Medicine Stockholm County Council Stockholm Sweden / Institute of Environmental Medicine Karolinska Institute Stockholm Sweden.
    Bjorner, Jakob
    National Research Centre for the Working Environment Copenhagen Denmark.
    Borritz, Marianne
    Department of Occupational and Environmental Medicine Bispebjerg Hospital Copenhagen University Copenhagen Denmark.
    Brunner, Eric
    Department of Epidemiology and Public Health University College London London United Kingdom.
    Burr, Hermann
    Federal Institute for Occupational Safety and Health Berlin Germany.
    Ferrie, Jane E.
    Department of Epidemiology and Public Health University College London London United Kingdom / Bristol Medical School: Population Health Sciences University of Bristol United Kingdom.
    Knutsson, Anders
    Department of Health Sciences Mid Sweden University Sundsvall Sweden.
    Koskinen, Aki
    Finnish Institute of Occupational Health Tampere, Helsinki and Turku Finland.
    Leineweber, Constanze
    Stress Research Institute University of Stockholm Sweden.
    Magnusson Hanson, Linda L.
    Stress Research Institute University of Stockholm Sweden.
    Nielsen, Martin L.
    Lægekonsulenten AS3 Companies Århus Denmark.
    Nyberg, Solja T.
    Department of Public Health University of Helsinki Finland.
    Oksanen, Tuula
    Finnish Institute of Occupational Health Tampere, Helsinki and Turku Finland.
    Pejtersen, Jan H.
    VIVE The Danish Center for Social Science Research Copenhagen Denmark.
    Pietiläinen, Olli
    Department of Public Health University of Helsinki Finland.
    Rahkonen, Ossi
    Department of Public Health University of Helsinki Finland.
    Rugulies, Reiner
    National Research Centre for the Working Environment Copenhagen Denmark / Department of Public Health and Department of Psychology University of Copenhagen Denmark.
    Singh-Manoux, Archana
    Department of Epidemiology and Public Health University College London London United Kingdom.
    Steptoe, Andrew
    Department of Epidemiology and Public Health University College London London United Kingdom.
    Suominen, Sakari
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Public Health University of Turku and Turku University Hospital Turku Finland.
    Theorell, Töres
    Stress Research Institute University of Stockholm Sweden.
    Vahtera, Jussi
    Department of Public Health University of Turku and Turku University Hospital Turku Finland.
    Väänänen, Ari
    Finnish Institute of Occupational Health Tampere, Helsinki and Turku Finland.
    Westerlund, Hugo
    Stress Research Institute University of Stockholm Sweden.
    Kivimäki, Mika
    Department of Public Health University of Helsinki Finland / Department of Epidemiology and Public Health University College London London United Kingdom.
    Job Strain as a Risk Factor for Peripheral Artery Disease: A Multi-Cohort Study2020In: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, ISSN 2047-9980, E-ISSN 2047-9980, Vol. 9, no 9Article in journal (Refereed)
    Abstract [en]

    Background Job strain is implicated in many atherosclerotic diseases, but its role in peripheral artery disease (PAD) is unclear. We investigated the association of job strain with hospital records of PAD, using individual-level data from 11 prospective cohort studies from Finland, Sweden, Denmark, and the United Kingdom. Methods and Results Job strain (high demands and low control at work) was self-reported at baseline (1985-2008). PAD records were ascertained from national hospitalization data. We used Cox regression to examine the associations of job strain with PAD in each study, and combined the study-specific estimates in random effects meta-analyses. We used τ2, I2, and subgroup analyses to examine heterogeneity. Of the 139 132 participants with no previous hospitalization with PAD, 32 489 (23.4%) reported job strain at baseline. During 1 718 132 person-years at risk (mean follow-up 12.8 years), 667 individuals had a hospital record of PAD (3.88 per 10 000 person-years). Job strain was associated with a 1.41-fold (95% CI, 1.11-1.80) increased average risk of hospitalization with PAD. The study-specific estimates were moderately heterogeneous (τ2=0.0427, I2: 26.9%). Despite variation in their magnitude, the estimates were consistent in both sexes, across the socioeconomic hierarchy and by baseline smoking status. Additional adjustment for baseline diabetes mellitus did not change the direction or magnitude of the observed associations. Conclusions Job strain was associated with small but consistent increase in the risk of hospitalization with PAD, with the relative risks on par with those for coronary heart disease and ischemic stroke.

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  • 31.
    Henriksen, Ellen
    University of Skövde, School of Health and Education. University of Skövde, School of Health Sciences.
    Våldet inom ishockeyn: en litteratursammanställning av möjliga riskfaktorer till våld bland ishockeyspelare inom ishockeyarenan2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Våld är ett folkhälsoproblem som skapar lidande och död världen över. Våld inom idrott har i vissa sammanhang en mycket central roll för utövaren, och ishockey för män innefattar många gånger fysiska tacklingar och våldshandlingar som kan leda till en skaderisk för vissa utövare. En våldsreducering inom idrottskontexten skulle kunna leda till samhälleliga vinster. Att granska ishockey ur ett vålds-perspektiv och identifiera möjliga riskfaktorer till våld skulle kunna fungera som ett avstamp i ett framtida våldspreventivt arbete. Syfte: Syftet med uppsatsen var att försöka identifiera möjliga riskfaktorer till det våld ishockeyspelare utsätts för kopplat till ishockeyarenan. Metod: Litteratursammanställning baserad på 13 internationella artiklar. Huvudfynden kategoriserades i teman.Resultat: Möjliga riskfaktorer kopplat till avsikt och inställning, sociala faktorer och omgivningen, och begränsande regelverk och lagar kunde identifieras där personlighet med hög mottaglighet för tristess, viljan att visa lojalitet mot sina lagkamrater, tillhörande i högre division och ålder, den sociala omgivningen, regelverk som tillät tacklingar, nationell tillhörighet och själva matchtillfället kunde ses som möjliga riskfaktorer. Slutsats: Litteraturöversikten hänvisar om några möjliga riskfaktorer till våld inom ishockeykontexten. Resultatet pekar till viss del i samma riktning, men indikerar om de kunskapsluckor som finns i valt ämnesområde. Detta visar på komplexiteten bakom ett tillsynes enkelt identifierbart problem som våldet inom ishockeykontexten, och att framtida studier är ytterst relevant för att preventiva insatser ska kunna riktas i rätt riktning.

  • 32.
    Hjelm Wallgren, Julia
    et al.
    University of Skövde, School of Health Sciences.
    Odhner Källgård, Martina
    University of Skövde, School of Health Sciences.
    Våld i nära relationer: Ett ämne som väcker känslor - En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intimate partner violence (IPV) is a growing health problem and in a global perspective, 35% of all women has been exposed to some kind of violence in a relationship in their lifetime. 67% of the violent crimes with a deadly outcome in Sweden where caused by a male partner or an ex. male partner. This corresponds to 22 deaths. When women seek care, they witness nurses not having enough knowledge about the subject, which leads to deficiency in the healthcare. Purpose: The purpose was to illuminate nurses experiences of meeting women, who has been subjects to violence in close relationships. Method: A literary overview according to the Friberg method was performed. The data collection consisted of 10 scientific articles that illuminated nurses experiences with patients who have been exposed to IPV. The articles where then thoroughly reviewed and analysed and further encapsulated in to topics and subtopics. Result: The literary overview resulted in five topics and 16 subtopics. The following part shows the titles of the topics: It is not just to ask, To handle a positive response, The value of establishing good relationships, To doubt your profession and The value of good cooperations. Conclusion: To take care of exposed women is, according to nurses, very complex. There are several circumstances affecting the encounters with these women. This complex subject prevents nurses to perform at their best in their profession, which in turn leads to unnecessary suffering for women who has been subjects to IPV.

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  • 33.
    Iglesia, Iris
    et al.
    Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, 50009 Zaragoza, Spain / Instituto Agroalimentario de Aragón (IA2), 50013, Zaragoza, Spain / Instituto de Investigación Sanitaria Aragón (IIS Aragón); 50009 Zaragoza, Spain / Red de Salud Materno-infantil y del Desarrollo (SAMID), Instituto de Salud Carlos III, Madrid, 50009 Zaragoza, Spain.
    Intemann, Timm
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, 28359 Bremen, Germany / Institute of Statistics, Bremen University, 28359 Bremen, Germany.
    De Miguel-Etayo, Pilar
    Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, 50009 Zaragoza, Spain / Instituto Agroalimentario de Aragón (IA2), 50013, Zaragoza, Spain / Instituto de Investigación Sanitaria Aragón (IIS Aragón); 50009 Zaragoza, Spain / Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029 Madrid, Spain.
    Pala, Valeria
    Epidemiology and Prevention Unit, Department of Preventive & Predictive Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy.
    Hebestreit, Antje
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, 28359 Bremen, Germany.
    Wolters, Maike
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, 28359 Bremen, Germany.
    Russo, Paola
    Epidemology & Population Genetics, Institute of Food Sciences, National Research Council, 83100 Avellino, Italy.
    Veidebaum, Toomas
    Department of Chronic Diseases, National Institute for Health Development, 11619 Tallinn, Estonia.
    Papoutsou, Stalo
    Research and Education Institute of Child Health, 2018 Strovolos, Cyprus.
    Nagy, Peter
    Department of Pediatrics, University of Pécs, 7622 Pécs, Hungary.
    Eiben, Gabriele
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Public Health and Community Medicine, University of Gothenburg, 405 30 Gothenburg, Sweden.
    Rise, Patrizia
    Department of Pharmacological Sciences, University of Milan, 20122 Milan, Italy.
    De Henauw, Stefaan
    Department of Public Health, Ghent University, 9000 Ghent, Belgium.
    Moreno, Luis A.
    Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, 50009 Zaragoza, Spain / Instituto Agroalimentario de Aragón (IA2), 50013, Zaragoza, Spain / Instituto de Investigación Sanitaria Aragón (IIS Aragón); 50009 Zaragoza, Spain / Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029 Madrid, Spain.
    Dairy consumption at snack meal occasions and the overall quality of diet during childhood: Prospective and cross-sectional analyses from the idefics/i.family cohort2020In: Nutrients, ISSN 2072-6643, E-ISSN 2072-6643, Vol. 12, no 3, article id 642Article in journal (Refereed)
    Abstract [en]

    There is scarce information on the influence of dairy consumption between main meals on the overall diet quality through childhood, constituting the main aim of this research. From the Identification and prevention of Dietary-and lifestyle induced health EFfects In Children and infantS (IDEFICS) study, and based on the data availability in each period due to drop outs, 8807 children aged 2 to 9.9 years from eight European countries at baseline (T0: 2007–2008); 5085 children after two years (T1); and 1991 after four years (T3), were included in these analyses. Dietary intake and the Diet Quality Index (DQI) were assessed by two 24 hours dietary recalls (24-HDR) and food frequency questionnaire. Consumption of milk and yogurt (p = 0.04) and cheese (p < 0.001) at snack meal occasions was associated with higher DQI scores in T0; milk and yogurt (p < 0.001), and cheese (p < 0.001) in T1; and cheese (p = 0.05) in T3. Consumers of milk (p = 0.02), yogurt (p < 0.001), or cheese (p < 0.001) throughout T0 and T1 at all snack moments had significantly higher scores of DQI compared to non-consumers. This was also observed with the consumption of cheese between T1 and T3 (p = 0.03). Consumption of dairy products at snack moments through childhood is associated with a better overall diet quality, being a good strategy to improve it in this period. 

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  • 34.
    Isaeva, Elise
    et al.
    University of Skövde, School of Health Sciences.
    Ahmady, Marina
    University of Skövde, School of Health Sciences.
    Kvinnors upplevelser av att leva med bröstcancer: En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:Bröstcancer är en vanlig sjukdom bland kvinnor och allt mer flera kvinnor drabbas. Det finns olika typer av bröstcancerbehandlingar. Alla behandlingar kan medföra biverkningar som kan påverka kvinnor både psykiskt och fysiskt. Sjuksköterskans roll och ansvar är att uppmärksamma dessa kvinnor i de olika stadierna av bröstcancer för att kunna ha koll på kvinnornas mående.Syfte: Syftet med denna studie var att beskriva kvinnors upplevelser av att leva med bröstcancer.Metod:Studien är en litteraturöversikts studie med kvalitativ och kvantitativ metod och består av 10 artiklar. Resultat: Består av ett huvudämne med två underteman och fyra subteman. Som visade att kvinnor upplevde att kroppslig förändring av bröstcancer och som resulterade i sociala konsekvenser. Konklusion: Studien visar att kvinnorna är i behov av ett stöd efter behandlingen av bröstcancer och att de upplever att den kroppsliga förändringen ger en stor påverkan i deras liv och vardag.

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  • 35.
    Johansson, Ann-Christin
    University of Skövde, School of Health Sciences.
    Utvärdering av screeningsrutiner på Region Hallands sjukhus för antibiotikaresistenta bakterier efter vård utomlands eller arbete i vården utomlands2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion Antibiotikaresistens är ett av de stora globala hälsohoten. Efter vård utomlands eller arbete i vård utomlands finns en högre risk för bärarskap av multiresistenta bakterier (MRB), det upptäcks med till exempel screening.

    Syfte Att utvärdera Region Hallands screeningsriktlinjer rörande MRB för eventuella framtida justeringar. Vilka fynd av MRB, tidsintervallet mellan vård eller arbete i vård utomlands och screening samt vilka länder berörs?

    Metod Kvantitativ studie som retrospektivt granskat 244 mikrobiologiska screeningar utförda under 180801–190731 på Region Hallands sjukhus. Chi-två (X2) analys samt Odds Ratio (OR) med 95 % konfidensintervall (95% KI ) genomfördes. Signifikansnivå p<0.05 och statistikprogram, SPSS användes.

    Resultat I gruppen vård utomlands eller arbete i vård utomlands var MRB fynden i Norden: 0 positiva och 13 negativa, övriga Europa: 21 positiva och 73 negativa och utanför Europa: 22 positiva och 26 negativa. Ingen skillnad sågs i hur lång tid som gått mellan vård utomlands eller arbetet i vård utomlands och utförd screening i Sverige, men det var en signifikant högre risk att bli bärare av MRB efter vård utomlands eller arbete i vård utanför Europa jämfört med i Europa.

    Slutsats Få vetenskapliga studier finns och mer forskning behövs om tidsintervall för screening efter vård eller arbete i vården utomlands. Denna pilotundersökning kan med försiktighet tolkas att Region Halland tidsintervall 12 månader bör kvarstå. Att screena för MRB kan ses som en viktig del i Sveriges ökade beredskap samt kapacitet att upptäcka och hantera utbrott av sjukdomar.

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  • 36.
    Karlsson, Evelina
    et al.
    University of Skövde, School of Health Sciences.
    Lundqvist, Petra
    University of Skövde, School of Health Sciences.
    Föräldrars erfarenheter av sitt barns sista tid i obotlig cancersjukdom - En studie baserad på självbiografier2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a child gets sick in incurable cancer, parents become caregivers. They have the right to get information to make decisions and participate in their child’s care. Aim: To describe parents’ experience of their child’s last time in incurable cancer. Method: A narrative method with a qualitative approach was used to analyze four biographies. Results: The analysis resulted in two main themes: Being a parent to a child with incurable cancer and When life changes direction. The result shows that the lifeworld changed and the parenting role was combined with a caregiving role. Discussion: Parents in their caregiving role is in need of information to make decisions related to the child’s care. Parents are affected by suffering during the child’s disease, which means that they may also be in need of care. The nurse has a central role in the care when it comes to information and treatments, but they also need to support the family and guide the parents towards the knowledge that the child is going to die of their disease. Conclusion: The nurse needs to work with a family-centered approach because the parents needs support to fulfill the caregiving role. The nurse also need to have good knowledge about palliative care and be inserted in the child’s care to give good care.

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  • 37.
    Keane, Simon
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Améen, Sophie
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Lindlöf, Angelica
    University of Skövde, School of Bioscience. University of Skövde, Systems Biology Research Environment.
    Ejeskär, Katarina
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Low DLG2 gene expression, a link between 11q-deleted and MYCN-amplified neuroblastoma, causes forced cell cycle progression, and predicts poor patient survival2020In: Cell Communication and Signaling, ISSN 1478-811X, E-ISSN 1478-811X, Vol. 18, no 1, article id 65Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Neuroblastoma (NB) is a childhood neural crest tumor. There are two groups of aggressive NBs, one with MYCN amplification, and another with 11q chromosomal deletion; these chromosomal aberrations are generally mutually exclusive. The DLG2 gene resides in the 11q-deleted region, thus makes it an interesting NB candidate tumor suppressor gene. METHODS: We evaluated the association of DLG2 gene expression in NB with patient outcomes, stage and MYCN status, using online microarray data combining independent NB patient data sets. Functional studies were also conducted using NB cell models and the fruit fly. RESULTS: Using the array data we concluded that higher DLG2 expression was positively correlated to patient survival. We could also see that expression of DLG2 was inversely correlated with MYCN status and tumor stage. Cell proliferation was lowered in both 11q-normal and 11q-deleted NB cells after DLG2 over expression, and increased in 11q-normal NB cells after DLG2 silencing. Higher level of DLG2 increased the percentage of cells in the G2/M phase and decreased the percentage of cells in the G1 phase. We detected increased protein levels of Cyclin A and Cyclin B in fruit fly models either over expressing dMyc or with RNAi-silenced dmDLG, indicating that both events resulted in enhanced cell cycling. Induced MYCN expression in NB cells lowered DLG2 gene expression, which was confirmed in the fly; when dMyc was over expressed, the dmDLG protein level was lowered, indicating a link between Myc over expression and low dmDLG level. CONCLUSION: We conclude that low DLG2 expression level forces cell cycle progression, and that it predicts poor NB patient survival. The low DLG2 expression level could be caused by either MYCN-amplification or 11q-deletion. Video Abstract.

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  • 38.
    Kivimäki, Mika
    et al.
    Department of Epidemiology and Public Health, University College London, United Kingdom.
    Batty, G. David
    Department of Epidemiology and Public Health, University College London, United Kingdom / School of Biological and Population Health Sciences, Oregon State University, Corvallis, OR, United States.
    Pentti, Jaana
    Clinicum, Faculty of Medicine, University of Helsinki, Finland / Department of Public Health, University of Turku, Finland / Centre for Population Health Research, University of Turku, Finland / Turku University Hospital, Finland.
    Shipley, Martin J.
    Department of Epidemiology and Public Health, University College London, United Kingdom.
    Sipilä, Pyry N.
    Clinicum, Faculty of Medicine, University of Helsinki, Finland.
    Nyberg, Solja T.
    Clinicum, Faculty of Medicine, University of Helsinki, Finland.
    Suominen, Sakari B.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Public Health, University of Turku, Finland.
    Oksanen, Tuula
    Finnish Institute of Occupational Health, Helsinki, Finland.
    Stenholm, Sari
    Department of Public Health, University of Turku, Finland / Centre for Population Health Research, University of Turku, Finland / Turku University Hospital, Finland.
    Virtanen, Marianna
    School of Educational Sciences and Psychology, University of Eastern Finland, Joensuu, Finland.
    Marmot, Michael G.
    Institute of Health Equity, University College London, United Kingdom.
    Singh-Manoux, Archana
    Department of Epidemiology and Public Health, University College London, United Kingdom / INSERM U1153, Epidemiology of Ageing and Neurodegenerative Diseases, Université de Paris, France.
    Brunner, Eric J.
    Department of Epidemiology and Public Health, University College London, United Kingdom.
    Lindbohm, Joni V.
    Clinicum, Faculty of Medicine, University of Helsinki, Finland.
    Ferrie, Jane E.
    Department of Epidemiology and Public Health, University College London, United Kingdom / School of Community and Social Medicine, University of Bristol, United Kingdom.
    Vahtera, Jussi
    Department of Public Health, University of Turku, Finland / Centre for Population Health Research, University of Turku, Finland / Turku University Hospital, Finland.
    Association between socioeconomic status and the development of mental and physical health conditions in adulthood: a multi-cohort study2020In: The Lancet Public Health, ISSN 2468-2667, Vol. 5, no 3, p. e140-e149Article in journal (Refereed)
    Abstract [en]

    Background: Socioeconomic disadvantage is a risk factor for many diseases. We characterised cascades of these conditions by using a data-driven approach to examine the association between socioeconomic status and temporal sequences in the development of 56 common diseases and health conditions. Methods: In this multi-cohort study, we used data from two Finnish prospective cohort studies: the Health and Social Support study and the Finnish Public Sector study. Our pooled prospective primary analysis data comprised 109 246 Finnish adults aged 17–77 years at study entry. We captured socioeconomic status using area deprivation and education at baseline (1998–2013). Participants were followed up for health conditions diagnosed according to the WHO International Classification of Diseases until 2016 using linkage to national health records. We tested the generalisability of our findings with an independent UK cohort study—the Whitehall II study (9838 people, baseline in 1997, follow-up to 2017)—using a further socioeconomic status indicator, occupational position. Findings: During 1 110 831 person-years at risk, we recorded 245 573 hospitalisations in the Finnish cohorts; the corresponding numbers in the UK study were 60 946 hospitalisations in 186 572 person-years. Across the three socioeconomic position indicators and after adjustment for lifestyle factors, compared with more advantaged groups, low socioeconomic status was associated with increased risk for 18 (32·1%) of the 56 conditions. 16 diseases formed a cascade of inter-related health conditions with a hazard ratio greater than 5. This sequence began with psychiatric disorders, substance abuse, and self-harm, which were associated with later liver and renal diseases, ischaemic heart disease, cerebral infarction, chronic obstructive bronchitis, lung cancer, and dementia. Interpretation: Our findings highlight the importance of mental health and behavioural problems in setting in motion the development of a range of socioeconomically patterned physical illnesses. Policy and health-care practice addressing psychological health issues in social context and early in the life course could be effective strategies for reducing health inequalities. Funding: UK Medical Research Council, US National Institute on Aging, NordForsk, British Heart Foundation, Academy of Finland, and Helsinki Institute of Life Science.

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  • 39.
    Kjellsdotter, Anna
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Skaraborg Hospital Skövde, Research and Development Centre, Skövde, Sweden.
    Berglund, Mia
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Jebens, Elisabeth
    Primary Health Care Center, Stenstorp, Sweden.
    Kvick, Jennie
    Primary Health Care Center Mösseberg, Falköping, Sweden.
    Andersson, Susanne
    Department of Health Sciences, University West, Trollhättan, Sweden.
    To take charge of one's life - group-based education for patients with type 2 diabetes in primary care -a lifeworld approach2020In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 15, no 1, article id 1726856Article in journal (Refereed)
    Abstract [en]

    Background: The number of people suffering from diabetes worldwide, including Sweden, has increased. To strengthen the patient's empowerment and thus improve their ability to take care of their own health, patient education in self-care management plays a central role in diabetes care. Purpose: The specific aim in this study was to describe patients' experiences of group-based education using the Taking charge of one's life with type 2 diabetes model. Methods: A qualitative approach with a phenomenological lifeworld perspective was used. The study was based on group and individual interviews and reflection books. Results: The group-based education model made it possible for the patients to learn through reflection concerning their own and others' experiences. The learning that occurred with support from the group reflections and the reflection books contributed to the understanding of the complexity of the illness. This increased the motivation and desire to be responsible for the treatment and implementation of habits. The group contributed to a sense of belonging and community that inspired a continued and active learning. Conclusion: The results showed that from the patients' perspective, this didactic model was both suitable and appreciated, supporting and facilitating learning.

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  • 40.
    Kraft, Anna
    University of Skövde, School of Health Sciences.
    Stillasittande arbete: Kopplingar till sjukskrivningar och ohälsa hos lastbilschaufförer2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Human is Created to be in motion and physically active, and through movement the body’s circulation is kept up, and also through movement it contributes to the oxygen supply for the body’s various organs (Sundberg & Jansson, 2015). Research has shown strong evidence of the benefits of regular physical activity and health status (both physical and mental), as well as disease prevention (Sundberg & Jansson, 2015; Andersson, Hovland, Kjellman, Taube & Martinsen, 2015). The fact that physical inactivity and prolonged sedentary poses a risk increase to physical and mental health issues is quite well knows (Høgsbro, Davidsen & Sørensen, 2018). A professional group that consists of a great deal of sedentary work is professional drivers, and a part of that professional group is truck drivers (Arbetsmiljöverket, 2018). In Sweden, there are about 90,000 professional drivers (Statistiska Centralbyrån, 2010). According to Rutter, Savelberg, Biddle & Kremer (2013), the focus should be on sedentary behavior and how this in itself constitutes a health risk. Rutter et al. (2013) believe that the health risks of long-term sedentary behavior cannot be reduced solely by 30 minutes of moderate physical activity, but that sedentary behavior should be considered as a health behavior or lifestyle. For example, long periods of sitting still in front of the TV, the computer, in the car or in the workplace. In parallel with health-promoting efforts to increase physical activity, interruptions in long-term sedentary care should also be encouraged. By interrupting a sedentary session with short 5-minute breaks, the risks of sedentary behavior are reduced. The study shows clear differences between long-distance and distribution drivers, where those who drive long-distance hauls all feel some form of pain in their body, but those who run distribution hauls 44% of respondents experience no pain.

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  • 41.
    Landén, Rebecca
    University of Skövde, School of Health Sciences.
    Patienters upplevelser av att leva med hjärtsvikt: En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, approximately two percent of the population lives with heart failure. Heart failure in an in incurable disease that has a bad prognosis and compared to cancer. Purpose: To elucidate and compile research that describes patients’ experiences of living with heart failure. Method: This study is a Literature Review that focuses on studies that have been scientifically reviewed. Results: Two themes were found that were limited lives and changed lives. Nine sub-themes created were, to never be rested, to feel suffocated, to not dare fall asleep, living in prison, changed lifestyle, uncertain the future, the joy that disappears, to give control to someone else and to move on with life. Conclusion: Heart failure limits patient’ lives to the physical limitations that are mainly due to dyspné and fatigue. Heart failure changes patients by changing their lifestyle and being emotionally affected which leads to reduced quality of life. With this knowledge, nurses can gain an increased understanding of what it is to live with heart failure, thereby being able to provide more person-centered care.

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  • 42.
    Larsson, Julia
    University of Skövde, School of Health Sciences.
    Lämna inte skeppet!: En kvalitativ litteraturöversikt om moralisk stress i omvårdnad2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskans expertisområde, omvårdnad, kantas av etiska dimensioner och sjuksköterskan har ett moraliskt ansvar för sina handlingar. När sjuksköterskan hindras från att agera utifrån professionens etiska värderingar uppstår negativa känslor som skapar moralisk stress. Moralisk stress har stor betydelse för omvårdnadskvaliteten och sjuksköterskans arbetstillfredsställelse. Tidigare forskning kring problemet har haft fokus på specialistsjuksköterskor. Syftet: Syftet är att beskriva i vilka sammanhang som en grundutbildad sjuksköterska upplever moralisk stress. Metod: Med en kvalitativ litteraturöversikt har examensarbetets syfte besvarats genom att tio vetenskapliga artiklar har analyserats med kvalitativ forskningsmetod. Resultat: Tre huvudteman utmynnades; Att inte räcka till, Samarbeta med olika visioner och mål samt Verksamhetens krav som hinder. Sammanhangen är när sjuksköterskorna hindras från att arbeta i enlighet med etiska värderingar grundade i omvårdnadsmålen, sjuksköterskeprofessionens kärnkompetensområden, bland annat personcentrerad vård och teamsamverkan, samt när sjuksköterskan inte har möjlighet att beakta patientens självbestämmande. Konklusion:Alla sammanhang som ligger till grund för sjuksköterskans upplevelser av moralisk stress går inte att eliminera från arbetsplats. Dock kan en medvetenhet och ökad förståelse göra att sjuksköterskan och arbetsgivaren kan utveckla strategier för att adekvat hantera dessa problem. På så sätt behöver sjuksköterskan inte uppleva att den enda utvägen är att lämna arbetsplatsen.

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  • 43.
    Lindmark, Ulrika
    et al.
    Centre for Oral Health, Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Sweden.
    Ahlstrand, Inger
    Department of Rehabilitation, School of Health and Welfare, Jönköping University, Sweden.
    Ekman, A.
    Department of Social Work, School of Health and Welfare, Jönköping University, Sweden.
    Berg, L.
    Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Sweden.
    Hedén, Lena
    Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Sweden.
    Källstrand, Jeanette
    School of Health and Welfare, Halmstad University, Sweden.
    Larsson, Margaretha
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Nunstedt, Håkan
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Oxelmark, Lena
    Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Sweden.
    Pennbrant, Sandra
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Sundler, Annelie
    Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Sweden.
    Larsson, Ingrid
    School of Health and Welfare, Halmstad University, Sweden.
    Health-promoting factors in higher education for a sustainable working life: protocol for a multicenter longitudinal study2020In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 20, no 1, article id 233Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The World Health Organization has highlighted the importance of health promotion for health service providers in order to ensure sustainable working life for individuals involved in providing health services. Such sustainability begins when students are preparing to manage their own future health and welfare in working life. It has been suggested that universities, employees and trainee health professionals should adopt or follow a salutogenic approach that not only complements the providing of information on known health risks but also favors health promotion strategies. This paper describes the study design and data collection methods in a planned study aiming to explore health-promoting factors for a sustainable working life among students in higher education within healthcare and social work. METHODS: This protocol describes a multicenter longitudinal study involving Swedish students on higher education programs in the healthcare and social work sectors. In 2018, the study invited students on seven education programs at six universities to participate. These programs were for qualification as: biomedical laboratory scientists (n = 121); dental hygienists (n = 87); nurses (n = 1411); occupational therapists (n = 111); physiotherapists (n = 48); radiographers (n = 60); and, social workers (n = 443). In total, 2283 students were invited to participate. Participants completed a baseline, a self-reported questionnaire including six validated instruments measuring health-promoting factors and processes. There are to be five follow-up questionnaires. Three while the students are studying, one a year after graduating, and one three years after graduating. Each questionnaire captures different health-promoting dimensions, namely: health-promoting resources (i.e. sense of coherence); occupational balance; emotional intelligence; health and welfare; social interaction; and work and workplace experiences/perceptions. DISCUSSION: This study focuses on the vastly important aspect of promoting a sustainable working life for healthcare and social work employees. In contrast to previous studies in this area, the present study uses different, validated instruments in health promotion, taking a salutogenic approach. It is hoped that, by stimulating the implementation of new strategies, the study's findings will lead to education programs that prepare students better for a sustainable working life in healthcare and social work.

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  • 44.
    Lundahl, Hanna
    University of Skövde, School of Health Sciences.
    Patienters upplevelser av postoperativ vård efter stomioperation: en litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige lever ca 43 000 patienter med stomi. Stomin påverkar patienter både kroppsligt och psykosocialt. Sjuksköterskan behöver förstå upplevelser hos patienter med stomi för att bedriva personcentrerad vård. Syfte: Att undersöka patienters upplevelse av vård på sjukhus efter stomioperation. Metod: Kvalitativ litteraturöversikt, tematisk analys.Resultat: Tre teman identifierades: 1. Vårdrelationens betydelse 2. En begränsad autonomioch 3. Självförtroende genom lärande. Subteman var 1. Att mötas av öppenhet, kompetens och kontinuitet; Att mötas av kunskapsbrist, inkonsekvens och bristande kontinuitet 2. Attinte vara prioriterad, känslor av beroende; Att förlora kontrollen, känslor av objektifiering 3. Att lära sig egenvård; Att få stöd och information. Konklusion: Vårdpersonalensbemötande påverkar patienters tillit, känslor av autonomi och självförtroende. Negativaupplevelser som begränsad autonomi, maktlöshet och ovisshet skapade lidande hos patienter. Kliniska implikationer: Studien belyser patienters upplevelser av vård på sjukhus efter stomioperation. Sjuksköterskor ges här ökad kunskap om och förståelse för de komplexa fysiska och psykosociala upplevelserna vid stomi för att kunna ge personcentrerad vård med respekt för patientens autonomi och värdighet.

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  • 45.
    Lundvall, Susanna
    University of Skövde, School of Health Sciences.
    Vattenkvalitet i dentala unitar vid Folktandvården i Region Kronoberg2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Den dentala unitens vattenkvalitet är av stor betydelse eftersom patienter och tandvårdspersonal regelbundet utsätts för vatten och aerosoler från uniten. Det komplexa vattenledningssystemet utgör en stark riskfaktor för uppkomst av biofilm som kan härbärgera sjukdomsframkallande bakterier.Syfte: Studien syftar till att undersöka i vilken utsträckning dentala unitar uppfyller kriterierna för mikrobiologisk renhet och om mikroorganismer förekommer som kan utgöra en hälsofara för patienter och personal inom tandvården.Metod: Studien är en kvantitativ tvärsnittstudie med vattenprover tagna från 134 dentala units inom Folktandvården, FTV, Region Kronoberg. Studien är en totalundersökning och resultatet presenterat med deskriptiv statistik.Resultat: 96 % av de undersökta unitarna hade tjänligt vatten enligt gränsvärden för heterotrofa bakterier i dricksvatten (LIVSFS 2017:2). 1 25 % av unitarna växte mögel. Legionella fanns i 15 % av unitarna. Stolar installerade innan år 2011 hade genomgående sämre resultat. 6 % av dessa stolar saknade helt vattenreningssystem.Slutsats: Dentala unitar kan utgöra en riskfaktor för infektioner. Vattenkvaliteten bör kontrolleras regelbundet och vid behov åtgärdas. Regelbundna mikrobiologiska kontroller av vattenledningssystemet av den dentala uniten är nödvändigt för att skydda patienter och tandvårdspersonal från vårdrelaterade infektioner.

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  • 46.
    Låstberg, Elias
    et al.
    University of Skövde, School of Health Sciences.
    Wik, Dennis
    University of Skövde, School of Health Sciences.
    Vuxna personers upplevelser av att leva med diabetes typ 2: en litteraturbaserad studie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en folksjukdom med en stigande prevalens. Sjukdomen kännetecknas av hyperglykemi och sena sjukdomskomplikationer kostar sjukvården stora summor pengar. För att behandla sjukdomen rekommenderas patienter ändra livsstilar och behöver både socialt och professionellt stöd för att genomföra det. Syfte: Att beskriva vuxna personers upplevelse av att leva med diabetes typ 2. Metod: Litteraturbaserad metod för att bidra till evidensbaserad omvårdnad med grund i analys av kvalitativ forskning. Resultat: Ur analysen framträdde två huvudkategorier. Acceptera situationen och livet efter diagnos med fem underkategorier. Slutsats: Att göra förändringar som är hållbara är svåra för personer med diabetes typ 2. Det finns också en skillnad i motivation och vilja till förändring mellan de personer som upplever symtom och de som är symtomlösa. Att stödjas vid förändring är fördelaktigt för processen, vilket stöd personen har tillgång till, och behov av, bör undersökas.

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  • 47.
    Maivorsdotter, Ninitha
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Andersson, Joacim
    Örebro University, Sweden.
    Health as Experience: Exploring Health in Daily Life Drawing From the Work of Aaron Antonovsky and John Dewey2020In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 30, no 7, p. 1004-1018Article in journal (Refereed)
    Abstract [en]

    Research has pursued salutogenic and narrative approaches to deal with questions about how everyday settings are constitutive for different health practices. Healthy behavior is not a distinguishable action, but a chain of activities, often embedded in other social practices. In this article, we have endeavored to describe such a chain of activities guided by the salutogenic claim of exploring the good living argued by McCuaig and Quennerstedt. We use biographical material written by Karl Ove Knausgaard who has created a life story entitled My Struggle. The novel is selected upon an approach influenced by Brinkmann who stresses that literature can be seen as a qualitative social inquiry in which the novelist is an expert in transforming personal life experiences into common human expressions of life. The study illustrates how research with a broader notion of health can convey experiences of health, thereby complementing (and sometimes challenging) public health evidence.

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  • 48.
    Majzoub, Ahmad
    et al.
    Department of Urology, Hamad Medical Corporation, Doha, Qatar / Department of Urology, Weill Cornell Medicine-Qatar, Doha, Qatar.
    Arafa, Mohamed
    Department of Urology, Hamad Medical Corporation, Doha, Qatar / Department of Urology, Weill Cornell Medicine-Qatar, Doha, Qatar / Department of Andrology, Cairo University, Egypt.
    El Ansari, Walid
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Surgery, Hamad Medical Corporation, Doha, Qatar / College of Medicine, Qatar University, Doha, Qatar.
    Mahdi, Mohammed
    Department of Urology, Hamad Medical Corporation, Doha, Qatar.
    Agarwal, Ashok
    Department of Urology, Glickman Urology and Kidney Institute, Cleveland Clinic Foundation, OH, United States.
    Al-Said, Sami
    Department of Urology, Hamad Medical Corporation, Doha, Qatar / Department of Urology, Weill Cornell Medicine-Qatar, Doha, Qatar.
    Elbardisi, Haitham
    Department of Urology, Hamad Medical Corporation, Doha, Qatar / Department of Urology, Weill Cornell Medicine-Qatar, Doha, Qatar.
    Correlation of oxidation reduction potential and total motile sperm count: its utility in the evaluation of male fertility potential2020In: Asian Journal of Andrology, ISSN 1008-682X, E-ISSN 1745-7262, Vol. 22, no 3, p. 317-322Article in journal (Refereed)
    Abstract [en]

    Oxidative stress (OS) is detrimental to sperm functions, and the oxidation reduction potential (ORP) is a good measure of OS as it considers the balance between oxidants and reductants. Total motile sperm count (TMSC) is viewed as the single most important semen analysis parameter that can predict male infertility severity, and its correlation with ORP has never been undertaken. The objectives of this study were to assess the correlation between ORP and TMSC, to identify the ORP cutoff value based on the TMSC result, and to compare this cutoff value with previously reported ORP cutoff values in literature. One thousand one hundred and sixty-eight infertile patients and 100 fertile controls were enrolled. Demographic and semen data of the participants were retrieved and analyzed. Wilcoxon's rank-sum test compared variables between infertile men and fertile controls; Spearman's correlation assessed the static ORP (sORP)-TMSC relationship for the whole sample and among each group individually. Using a 20×106TMSC threshold, receiver operator characteristic (ROC) analysis determined the sORP cutoff associated with the highest predictive values. TMSC was significantly negatively correlated with sORP across all participants (r = 0.86, P < 0.001), among infertile patients (r = 0.729, P < 0.001), and among fertile controls (r = 0.53, P < 0.001). A 20-million TMSC threshold determined an sORP cutoff value of 2.34 mV/106sperm/ml to be associated with 82.9% sensitivity, 82.8% specificity, 91.5% positive predictive value (PPV), 68.5% negative predictive value (NPV), and 82.9% overall accuracy. Compared with previously reported cutoff values in searched literature, the 2.34 mV/106sperm/ml cutoff value identified in our study yielded the highest overall diagnostic accuracy in the evaluation of infertile men.

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  • 49.
    Medic, Atif
    University of Skövde, School of Health Sciences.
    Patienters erfarenheter av bemötande på akutmottagning: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Over a longer period, work on the emergency room has changed. This is due to changing search patterns, greater patient flow and reorganizations in hospitals. An increased number of visitors combined with a reduced number of emergency hospitals leads to a higher burden on emergency admissions. The increased burden also means that nurses are given less and less time for each visit. The nursing care at the emergency room is effective and means quick action. This usually involves short and split meetings between patients and nurses. This may mean that nurses' attitudes may be negatively perceived. Aim: To describe patients' experiences of nurses' treatment in the emergency care department. Method: A literature review study, consisting of ten articles. Findings: Two areas emerged from the analysis of the data material; Feel recognized as a person and the need for individually tailored care. Conclusion: The study has contributed to increased overall understanding of patients' experiences of nurses' response to the emergency room. The deficiencies that occur are a lack of professional attitude, inadequate communication, limited opportunity for participation, a lack of responsiveness, empathy and that the patient's integrity, dignity and self-determination can be adversely affected. Nurses have a responsibility that nursing should be of good quality and that the relationship with the patient should work and not lead to a patient suffering from care. Nurse's profession rests on core competencies and ethical principles.

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  • 50.
    Muhrblom, Sanna
    University of Skövde, School of Health Sciences.
    Sjuksköterskor på insats: Sjuksköterskors erfarenheter av att arbeta under strid: En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are at least 32 armed conflicts in the world right now and through the UN and NATO there are military deployments ongoing. Nurses have been part of the armed forces' work throughout history and are today always a part of the Armed Forces. Nurses receive training in combat medical care based on analyses of deaths and injuries from combat. A large proportion of those who come home after being on deployments suffer from mental health problems, such as PTSD. Aim: Describe nurses' experiences of working incombat-related situations within the armed forces. Method: A literature review with qualitative and quantitative articles. Result: The analysis identified three main categories: Preparing for combat, In the heat of the combat, Recover after combat and seven subcategories. Conclusion: The result shows that nurses before mission, during mission and after mission experience mental and physical impact. Nurses feel that they have adequate training in health care to go on the mission, but when it comes to military training and culture, preparatory training lacks. It’s a fact that once the nurses are on their duty to work, they experience not being prepared for their role in the battle, combat situations, injuries andillnesses they need to deal with.

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