lnu.sePublications
Change search
Refine search result
1234567 1 - 50 of 606
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1.
    Abdulhusen, Maria
    Linnaeus University, Faculty of Science and Engineering, School of Natural Sciences.
    Binokulärseende hos elitidrottare: En studie om djupseende, ackommodationsfacilitet och vergensfacilitet2011Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med denna studie var att ta reda på om elitidrottare som spelar en bollsport har bättre djupseende, bättre förmåga att kunna ändra fokus mellan olika avstånd och mer uthålliga ögonmuskler än personer som inte spelar någon bollsport alls.

    Metod: Mätningarna utfördes på femton innebandyspelare som spelar på elitnivå och femton personer som inte spelar någon bollsport. Medelåldern var 22 år i båda grupperna. Först fick varje försöksperson svara på en enkät, sedan mättes visus upp monokulärt och binokulärt på 3 m med en logMAR visustavla. Efter det mättes djupseendet med Randot stereotest på 40 cm och sedan mättes försökspersonens förmåga att kunna ändra fokus mellan olika avstånd. Detta gjordes på 40 cm med en flipper med styrkorna ±2,00D. Sista mätningen var att få ett mått på hur uthålliga försökspersonens ögonmuskler var, detta gjordes på 40 cm med en flipper av styrkorna 3Δ Bas In/ 12Δ Bas Ut.

    Resultat: Medelvärdet på djupseendet i respektive grupp visade ingen statistisk signifikant skillnad mellan de båda grupperna (p=0,70). Det fanns en signifikant skillnad på medelvärdet mellan de båda grupperna när det gäller förmågan att kunna ändra fokus mellan olika avstånd (p=0,02). Medelvärdet på uthålligheten av ögonmusklerna visade ingen signifikant skillnad mellan de båda grupperna (p=0,08).

    Slutsats: Studien visade att innebandyspelare på elitnivå har bättre förmåga att ändra fokus mellan olika avstånd. Studien visade även att innebandypelare på elitnivå inte har mer uthålliga ögonmuskler eller bättre djupseende än de som inte spelar någon bollsport alls.

  • 2.
    Abrahamsson, Daria
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Miller, Sofi
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    MRSA – EN FÖLJETONG UTAN SLUT: Effekter av olika åtgärder i smittskyddsarbete mot MRSA 2010Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Multiresistenta bakterier, däribland MRSA, är idag ett globalt samhällsproblem. Infektioner förorsakade av MRSA skapar ett onödigt lidande för patienter med utdragen vårdtid som i värsta fall kan resultera i ökad dödlighet. Enligt Smittskyddsinstitutet (2010) drabbades 1479 patienter förra året i Sverige. Med få verksamma antibiotika måste andra åtgärder tillämpas, så som basala hygienrutiner, screening, isoleringsvård och utökad städning av sjukhusmiljön. Det är dock viktigt att utvärdera åtgärdernas effekter för att kunna utföra smittskyddsarbete på bästa möjliga sätt.

    Syfte: Syftet var att undersöka effekterna av olika åtgärder i smittskyddsarbetet mot MRSA.

    Metod: Litteraturstudie med kvantitativ ansats baserad på tio vetenskapliga original artiklar. Analysen gjordes enligt Forsberg och Wengströms (2008) riktlinjer för meta-analys.

    Resultat: Studien visar att MRSA förekommer i kliniska miljöer samt förutom hos patienten även hos vårdpersonal. Förebyggande åtgärder som bland annat noggrann städning, basala hygienrutiner och screening hade varierande effekt och reducerade MRSA- förekomsten bäst i kombination. I vissa fall kunde brister i vårdpersonalens följsamhet (compliance) av hygienrutiner ses.

    Slutsats: För att reducera MRSA- förekomst och spridning är det viktigt att implementera de åtgärder som finns idag och som visat sig har effekt. För att genomföra detta krävs det att vårdpersonalens följsamhet blir bättre.

     

     

  • 3.
    Aho, Anna-Carin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hultsjö, Sally
    Region Jönköping ; Jönköping University.
    Hjelm, Katarina
    Linköping University.
    Experiences of being parents of young adults living with recessive limb-girdle muscular dystrophy from a salutogenic perspective2017In: Neuromuscular Disorders, ISSN 0960-8966, E-ISSN 1873-2364, Vol. 27, no 6, p. 585-595Article in journal (Refereed)
    Abstract [en]

    Recessive limb-girdle muscular dystrophies (LGMD2) involve progressive muscle weakness. Parental support is important for young adults living with LGMD2, but no study has been identified focusing on the parents' experiences. The salutogenic perspective concentrates on how daily life is comprehended, managed and found meaningful, i.e. the person's sense of coherence. The aim of this study was to describe, from a salutogenic perspective, experiences of being parents of young adults living with LGMD2. Nineteen participants were included. Data were collected by semi-structured interviews and the self-administrated 13-item sense of coherence questionnaire. Interview data were analysed with content analysis and related to self-rated sense of coherence. The result shows experiences of being influenced, not only by thoughts and emotions connected to the disease but also by caregiving duties and the young adults' well-being. Simultaneously, difficulty in fully grasping the disease was expressed and uncertainty about progression created worries about future management. Trying their best to support their young adults to experience well-being and to live fulfilled lives, the importance of having a social network, support from concerned professionals and eventually access to personal assistance was emphasized. The need to have meaningful pursuits of one's own was also described. The median sense of coherence score was 68 (range 53–86). Those who scored high (≥68) described satisfaction with social network, external support provided, work and leisure activities to a greater extent than those who scored low (<68). The result shows that the young adults' disease has a major impact on the parents' lives. Assessment of how the parents comprehend, manage and find meaning in everyday life may highlight support needed to promote their health.

  • 4.
    Akner, Gunnar
    Örebro University.
    Back to basics2014In: Sjukhusläkaren, ISSN 1651-2715, no 1, p. 35-Article in journal (Other (popular science, discussion, etc.))
  • 5.
    Akner, Gunnar
    Örebro University Hospital.
    Bräcklighet och multisjuklighet: nödvändigt att flytta fokus från handläggning av isolerade sjukdomar till multipla hälsoproblem inom en individualiserad, integrerad och målstyrd process över tid2012In: Svensk Geriatrik, ISSN 2001-2047, Vol. 1, no 1, p. 7-12Article in journal (Other academic)
  • 6.
    Akner, Gunnar
    Örebro University.
    Frailty and multimorbidity in elderly people: a shift in management approach2013In: Clinical Geriatrics, ISSN 1095-1598, Vol. 21, no 9Article in journal (Refereed)
    Abstract [en]

    Frailty and multimorbidity may be regarded as a homeostatic failure of a complex system, and these conditions are commonly encountered in elderly people. The concept of “frailty” has been used to describe an individual’s biological age, and the concept of “multimorbidity” is reserved for the simultaneous presence of two or more chronic health problems in one person. As frailty and multimorbidity are being better understood, optimal management of frail, multimorbid elderly patients is being re-evaluated. In this article, the author provides an overview of frailty, chronic disease, and multimorbidity, and describes how their optimal management can serve as a foundation for developing more expedient, organized, and goal-oriented care of elderly people with complex health problems. The author also describes important challenges for future research and development regarding the management of complex health issues in elderly people; these include transitioning from single disease management to multiple disease management, and expanding the conventional organ-based work-up and treatment plan with repeated evaluations of different systems and functional domains using the comprehensive geriatric assessment method. As noted, one particular challenge that must be addressed is the development of medical records that can serve as a much-needed “geroscope,” enabling an overview of the patient’s health situation, disease management, and follow-up care.

  • 7.
    Akner, Gunnar
    Örebro University.
    International Perspectives in Geriatric Care: Geriatric Care in Sweden2014In: Current Diagnosis & Treatment: Geriatrics / [ed] Brie A. Williams, Anna Chang, Cyrus Ahalt, Helen Chen, Rebecca Conant, C. Seth Landefeld, Christine Richie, Michi Yukawa, McGraw-Hill, 2014, p. 539-542Chapter in book (Refereed)
  • 8.
    Akner, Gunnar
    Örebro University.
    Kroniska sjukdomar kräver komplexa lösningar2014In: Sjukhusläkaren, ISSN 1651-2715, no 3, p. 33-Article in journal (Other academic)
  • 9.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. Karolinska Institutet.
    Kvarboendeprincipen2016In: Svensk Geriatrik, ISSN 2001-2047, no 2, p. 6-6Article in journal (Other academic)
  • 10.
    Akner, Gunnar
    Örebro University.
    Mismatch mellan vårdens innehåll och form2013In: Sjukhusläkaren, ISSN 1651-2715, no 6, p. 42-Article in journal (Other (popular science, discussion, etc.))
  • 11.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Multidomän-analys av multisjuka äldre personer måste baseras på sedvanlig klinisk analys och får inte ersättas av skattningsskalor.2017In: Svensk Geriatrik, ISSN 2001-2047, no 2, p. 6-Article in journal (Other academic)
  • 12.
    Akner, Gunnar
    Örebro University.
    Multimorbidity in elderly: analysis, management and proposal of a geriatric care center2011 (ed. 1)Book (Other (popular science, discussion, etc.))
  • 13.
    Akner, Gunnar
    Örebro University ; Örebro University Hospital.
    Multisjuklighet hos äldre personer2012In: Äldres hälsa: ett sjukgymnastiskt perspektiv / [ed] Elisabeth Rydwik, Lund: Studentlitteratur AB, 2012, 1, p. 367-382Chapter in book (Other academic)
  • 14.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Nationella kvalitetsregister – möjligheter och risker.2017In: Svensk Geriatrik, ISSN 2001-2047, no 1, p. 6-6Article in journal (Other academic)
  • 15.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Nutrition hos ”sköra”, äldre personer2017In: Svensk Geriatrik, ISSN 2001-2047, no 3, p. 30-35Article in journal (Other academic)
  • 16.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Nödvändigt att förbättra förbättringsarbetet kring läkemedel: Back to basics2017In: Svensk Geriatrik, ISSN 2001-2047, no 3, p. 6-6Article in journal (Other academic)
  • 17.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Olämpliga styråtgärder har skapat dagens vårdkris2017In: Sjukhusläkaren, ISSN 1651-2715, no 4, p. 48-50Article in journal (Other (popular science, discussion, etc.))
  • 18.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Rapport från framtidens geriatrik och äldrevård2017In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 114, no 43-44, p. 1850-1852Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    I denna rapport från framtiden kan vi visa redan nu, hur man i framtiden – utan nämnvärda svårigheter – lyckades utforma ett integrerat, koordinerat och mänskligt vårdsystem, baserat på kunskapsområdet geriatrik och anpassat för äldre personer med multipla, ofta komplexa, hälsoproblem. Det är påtagligt hur smidigt reformeringen kunde ske när man utgick från de enskilda äldre personerna i stället för från organisation, ekonomi och styrning.

  • 19.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Sekretessen i fara vid aningslös digitalisering2017In: Dagens medicin, ISSN 1402-1943, no 35, p. 27-27Article in journal (Other (popular science, discussion, etc.))
  • 20.
    Akner, Gunnar
    Örebro University.
    Sjukvården försummar sitt lärande2014In: Sjukhusläkaren, ISSN 1651-2715, no 2, p. 25-Article in journal (Other (popular science, discussion, etc.))
  • 21.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Skattning av risk för undernäringstillstånd.2017In: Svensk Geriatrik, ISSN 2001-2047, no 2, article id 22-23Article in journal (Other academic)
  • 22.
    Akner, Gunnar
    Örebro University.
    Undernutritionstillstånd vid KOL2014In: KOL: Kroniskt obstruktiv lungsjukdom / [ed] Kjell Larsson, Stockholm: Studentlitteratur AB, 2014, 3, p. 497-508Chapter in book (Other academic)
  • 23.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. Karolinska Institutet.
    Vad tycker äldre personer om "lämpligt boende" för äldre personer?2016In: Svensk Geriatrik, ISSN 2001-2047, no 1, p. 6-6Article in journal (Other academic)
  • 24.
    Akner, Gunnar
    Örebro University.
    Vilka evidens finns för dagens styrning av äldrevården?2014In: Sjukhusläkaren, ISSN 1651-2715, no 4, p. 34-34Article in journal (Other academic)
  • 25.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Vision för framtidens geriatrik2016In: Svensk Geriatrik, ISSN 2001-2047, no 4, article id 9-13Article in journal (Other academic)
  • 26.
    Akner, Gunnar
    Örebro University.
    Äldrevården måste bli mer proaktiv och personinriktad2014In: Sjukhusläkaren, ISSN 1651-2715, no 6, p. 17-17Article in journal (Other (popular science, discussion, etc.))
  • 27.
    Akner, Gunnar
    et al.
    Örebro University ; Karolinska Institutet.
    Boström, Anne-Marie
    Karolinska Institutet.
    Krachler, Benno
    Kalix sjukhus.
    Orrevall, Ylva
    Karolinska University Hospital.
    Rundgren, Åke
    University of Gothenburg.
    Sahlin, Nils-Eric
    Lund University.
    Kosttillägg för undernärda äldre: en systematisk litteraturöversikt2014Report (Other academic)
  • 28.
    Akner, Gunnar
    et al.
    Örebro University Hospital.
    Engelheart, Stina
    Örebro Municipality.
    Inventering av Backagården i Örebro kommun hösten 2010: mat - måltider - hälsotillstånd2011Report (Other academic)
  • 29.
    Akner, Gunnar
    et al.
    Örebro University.
    Gustafson, Yngve
    Umeå University.
    Geriatriken behöver skifta fokus: från sjukdom till person2014In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 104, no 31-32, article id CYICArticle in journal (Other (popular science, discussion, etc.))
  • 30.
    Akner, Gunnar
    et al.
    Örebro University.
    Gustafson, Yngve
    Umeå University.
    Personalized Geriatric Medicine2014In: European Geriatric Medicine, ISSN 1878-7649, E-ISSN 1878-7657, Vol. 5, no 3, p. 145-146Article in journal (Refereed)
  • 31.
    Akner, Gunnar
    et al.
    Örebro University.
    Rothenberg, Elisabet
    Kristianstad University.
    Multisjuka och bräckliga äldre2015In: Mat och hälsa: En klinisk handbok / [ed] Tommy Cederholm, Elisabet Rothenberg, Stockholm: Studentlitteratur AB, 2015, 1, p. 105-108Chapter in book (Other academic)
  • 32.
    Akner, Gunnar
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Rundgren, Åke
    Göteborg Universitet, Göteborg.
    Gustafson, Yngve
    Umeå universitet, Umeå.
    Inrätta ett geriatriskt centrum som utvecklar vården2012In: Dagens medicin, ISSN 1104-7488, no 8, p. 18-19Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Ett geriatriskt centrum skulle fungera som en utvecklingsmotor för att sprida kunskaper och erfarenheter till hela vård-/omsorgssystemet, skriver tre debattörer

  • 33.
    Akner, Gunnar
    et al.
    Örebro University.
    Stina, Engelheart
    Örebro Municipality ; Örebro University.
    Vanligt att kommunalt bistånd till äldre rör nutrition2013In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 45, article id CHUEArticle in journal (Other academic)
    Abstract [sv]

    För ungefär hälften av de personer över 65 år som hade kommunalt bistånd för vård och omsorginsatser var biståndsbesluten relaterade till mat, måltider eller nutrition. Det visar en punktprevalensstudie i Örebro kommun.

  • 34.
    Akram, Muhammad Nadeem
    et al.
    University of South-Eastern Norway, Norway.
    Baraas, Rigmor C.
    University of South-Eastern Norway, Norway.
    Baskaran, Karthikeyan
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Improved wide-field emmetropic human eye model based on ocular wavefront measurements and geometry-independent gradient index lens2018In: Optical Society of America. Journal A: Optics, Image Science, and Vision, ISSN 1084-7529, E-ISSN 1520-8532, Vol. 35, no 11, p. 1954-1967Article in journal (Refereed)
    Abstract [en]

    There is a need to better understand the peripheral optics of the human eye and their correction. Current eye models have some limitations to accurately predict the wavefront errors for the emmetropic eye over a wide field. The aim here was to develop an anatomically correct optical model of the human eye that closely reproduces the wavefront of an average Caucasian-only emmetropic eye across a wide visual field. Using an optical design program, a schematic eye was constructed based on ocular wavefront measurements of the right eyes of thirty healthy young emmetropic individuals over a wide visual field (from 40&#x00B0; nasal to 40&#x00B0; temporal and up to 20&#x00B0; inferior field). Anatomical parameters, asymmetries, and dispersion properties of the eye&#x2019;s different optical components were taken into account. A geometry-independent gradient index model was employed to better represent the crystalline lens. The RMS wavefront error, wavefront shapes, dominant Zernike coefficients, nasal-temporal asymmetries, and dispersion properties of the developed schematic eye closely matched the corresponding measured values across the visual field. The developed model can help in the design of wide-field ophthalmic instruments and is useful in the study and simulations of the peripheral optics of the human eye.

    The full text will be freely available from 2019-11-30 09:42
  • 35.
    Alahamami, Mastour A.
    et al.
    Indiana University, USA.
    Elsner, Ann E.
    Aeon Imaging, USA;Indiana University, USA.
    Baskaran, Karthikeyan
    Indiana University, USA.
    YoussefAgha, Ahmed H.
    Indiana University, USA.
    Brahm, Shane
    Indiana University, USA.
    Young, Stuart B.
    Indiana University, USA.
    Litvin, Taras V.
    University of California Berkeley, USA.
    Ozawa, Glen Y.
    University of California Berkeley, USA.
    Cuadros, Jorge
    University of California Berkeley, USA.
    Muller, Matthew S.
    Aeon Imaging, USA.
    Investigation of Photoreceptors in Diabetic Macular Edema2014In: IOVS, Orlando, Florida, USA, 2014, Vol. 155(13)Conference paper (Refereed)
    Abstract [en]

    Abstract Purpose: To evaluate the photoreceptor integrity in diabetic patients with macular edema using spectral domain optical coherence tomography (SD-OCT) Methods: We compared macular thickness in diabetic patients with and without macular edema to determine the role of damage to the external limiting membrane (ELM) or photoreceptors. Diabetic patients were selected from the screening study of &gt; 2000 minority patients seen at Eastmont Wellness Center, Oakland, CA. Patients underwent photoscreening with a Canon Cr-DGi nonmydriatic camera (Tokyo, Japan) and an iVue OCT (Optovue Inc, Fremont, CA). Retinal scans of 70 diabetic patients, age range 33-68 yr., were selected so that A) 50% of patients had clinical significant macular edema (CSME), as diagnosed by the presence of hard exudates within 1 disc diameter from the fovea in the color photos, B) the full range of central macular thicknesses in our population was included. And C) patients with CSME were the same age as those not diagnosed with CSME. We graded the retinal scans according to the external limiting membrane (ELM) integrity; 6 patients had damaged ELM and the remaining 64 had intact ELM. Similarly, we graded the retinal scans according to the photoreceptor integrity; 14 patients had damaged photoreceptors and the remaining 56 had intact photoreceptors Results: Average retinal thickness was 254 µm (±57.4) and 356 µm (±95.9) in patients with intact and damaged ELM, respectively; and was 240 µm (±30.0), and 363 µm (±90.0) in patients with intact and damaged photoreceptors, respectively. Retinal thickness means were significantly greater for patients with damaged compared with intact ELM ( P=0.031). Similarly, Retinal thickness means in patients with damaged photoreceptors were significantly greater compared to patients with intact photoreceptors ( P = 0.0001). We also observed that all 6 patients who have damaged ELM were diagnosed with CSME, but were not significantly older than the diabetic patients not diagnosed with CSME ( P = 0.393) Conclusions: ELM and photoreceptor layer damage are found more often when retinal thickness exceeds 355 µm. It is not known if this outer retinal damage is the result of the edema or whether there is more edema because the outer retinal blood brain barrier is failing

  • 36. Alahamami, Mastour A.
    et al.
    Elsner, Ann E.
    Indiana University School of Optometry, USA.
    Muller, Matthew S.
    Aeon Imaging, USA.
    Baskaran, Karthikeyan
    Indiana University School of Optometry, USA.
    Gast, Thomas J.
    Indiana University School of Optometry, USA.
    Litvin, Taras V.
    Indiana University School of Optometry, USA.
    Ozawa, Glen Y.
    University of California Berkeley, USA.
    Cuadros, Jorge
    University of California Berkeley, USA.
    Haggerty, Bryan P.
    Indiana University School of Optometry, USA.
    Malinovsky, Victor E.
    Indiana University School of Optometry, USA.
    Clark, Christopher A.
    Indiana University School of Optometry, USA.
    Brahm, Shane
    Indiana University School of Optometry, USA.
    Young, Stuart B.
    Indiana University School of Optometry, USA.
    Comparison of cysts in red and green images for diabetic macular edema2014Conference paper (Refereed)
    Abstract [en]

    Purpose: To improve the detection of macular cyst with photoscreening, we tested whether in a population of largely minority patients the red channel image from a color fundus camera visualizes cysts in diabetic macular edema better than the green channel image. In assessing diabetic retinas for clinically significant macular edema, the presence of cysts must be judged with respect to the central macula. Some grading programs use red free images, often derived from green channel images, to enhance visualization of retinal vessel damage or macular pigment, but some red and near infrared instruments have detected cysts better than short wavelength techniques. Methods: We evaluated macular cysts in 13 diabetic patients diagnosed with clinically significant macular edema, age range 33-68 years. Diabetic patients were selected from the screening study of >2000 underserved patients seen at Eastmont Wellness Center, Oakland, CA. Patients underwent photoscreening with a nonmydriatic color fundus camera (Canon Cr-DGi, Tokyo, Japan) and SD-OCT (iVue, Optovue Inc, Fremont, CA). The color fundus images for those patients were transformed into red and green channels to evaluate the appearance of macular cysts in red channel images and green channel images. The region of each cyst was compared SD-OCT scans (Adobe Photoshop CS5.1, San Jose, CA). Only cysts touching the central 1 mm around the fixation from the SD-OCT scans were sampled. Results: The average size of retinal cysts in red channel images, 124.57 µm (±106.96), was significantly greater than in green channel, 59.44 µm (±76.6), (p<0.006). Entire cysts could not be seen in 5 eyes in the green channel images. Conclusions: Our results indicate that the grading of cysts in the central macular might be improved by incorporating red channel images. There are a number of potential factors that could make cysts less visible in the green channel images, including poorer light penetration through to the deeper retina or macular pigment. Anterior segment issues impact more on green channel images. This population includes mostly minority patients who have dark fundi, and darker images.

  • 37.
    Albertsson, Daniel
    et al.
    University of Gothenburg, Sweden;Region Kronoberg, Sweden.
    Mellström, Dan
    Sahlgrenska University Hospital, Sweden.
    Petersson, Christer
    Region Kronoberg, Sweden.
    Thulesius, Hans
    Region Kronoberg, Sweden.
    Eggertsen, Robert
    University of Gothenburg, Sweden;Mölnlycke Primary Hlth Care & Res Ctr, Sweden.
    Hip and fragility fracture prediction by 4-item clinical risk score and mobile heel BMD: a women cohort study.2010In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 11, p. 1-11, article id 55Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: One in four Swedish women suffers a hip fracture yielding high morbidity and mortality. We wanted to revalidate a 4-item clinical risk score and evaluate a portable heel bone mineral density (BMD) technique regarding hip and fragility fracture risk among elderly women.

    METHODS: In a population-based prospective cohort study we used clinical risk factors from a baseline questionnaire and heel BMD to predict a two-year hip and fragility fracture outcome for women, in a fracture preventive program. Calcaneal heel BMD was measured by portable dual X-ray laser absorptiometry (DXL) and compared to hip BMD, measured with stationary dual X-ray absorptiometry (DXA) technique.

    RESULTS: Seven women suffered hip fracture and 14 women fragility fracture/s (at hip, radius, humerus and pelvis) among 285 women; 60% having heel BMD <or= -2.5 SD. The 4-item FRAMO (Fracture and Mortality) Index combined the clinical risk factors age >or=80 years, weight <60 kg, prior fragility fracture, and impaired rise-up ability. Women having 2-4 risk factors showed odds ratio (OR) for hip fracture of 5.9 and fragility fracture of 4.4. High risk group hip fracture risk was 2.8% annually compared to 0.5% for the low risk majority (69%). Heel BMD showed hip fracture OR of 3.1 and fragility fracture OR of 2.6 per SD decrease. For 30 DXA assessed participants mean hip BMD at -2.5 SD level corresponded to a lower BMD at the heel. Five of seven hip fractures occurred within a small risk group of 32 women, identified by high FRAMO Index + prior fragility fracture + heel T-score <or=-3.5 SD.

    CONCLUSIONS: In a follow-up study we identified high risk groups for hip and fragility fracture with our plain 4-item risk model. Increased fracture risk was also related to decreasing heel BMD in calcaneal bone, measured with a mobile DXL technique. A combination of high FRAMO Index, prior fragility fracture, and very low BMD restricted the high risk group to 11%, among whom most hip fractures occurred (71%). These practical screening methods could eventually reduce hip fracture incidence by concentrating preventive resources to high fracture risk women.

  • 38.
    Al-Dury, Nooraldeen
    et al.
    University of Gothenburg, Sweden.
    Rawshani, Araz
    University of Gothenburg, Sweden.
    Israelsson, Johan
    Linnaeus University, Faculty of Technology, Kalmar Maritime Academy. Kalmar County Hospital, Sweden;Linköping university, Sweden.
    Strömsöe, Anneli
    School of Health, Care and Social Welfare, Västerås, Sweden.
    Aune, Solveig
    Sahlgrenska University Hospital, Sweden.
    Agerström, Jens
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Karlsson, Thomas
    University of Gothenburg, Sweden.
    Ravn-Fischer, Annica
    University of Gothenburg, Sweden;Sahlgrenska University Hospital, Sweden.
    Herlitz, Johan
    University of Gothenburg, Sweden;Sahlgrenska University Hospital, Sweden;University of Borås, Sweden.
    Characteristics and outcome among 14,933 adult cases of in-hospital cardiac arrest: A nationwide study with the emphasis on gender and age.2017In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 35, no 12, p. 1839-1844Article in journal (Refereed)
    Abstract [en]

    AIM: To investigate characteristics and outcome among patients suffering in-hospital cardiac arrest (IHCA) with the emphasis on gender and age.

    METHODS: Using the Swedish Register of Cardiopulmonary Resuscitation, we analyzed associations between gender, age and co-morbidities, etiology, management, 30-day survival and cerebral function among survivors in 14,933 cases of IHCA. Age was divided into three ordered categories: young (18-49years), middle-aged (50-64years) and older (65years and above). Comparisons between men and women were age adjusted.

    RESULTS: The mean age was 72.7years and women were significantly older than men. Renal dysfunction was the most prevalent co-morbidity. Myocardial infarction/ischemia was the most common condition preceding IHCA, with men having 27% higher odds of having MI as the underlying etiology. A shockable rhythm was found in 31.8% of patients, with men having 52% higher odds of being found in VT/VF. After adjusting for various confounders, it was found that men had a 10% lower chance than women of surviving to 30days. Older individuals were managed less aggressively than younger patients. Increasing age was associated with lower 30-day survival but not with poorer cerebral function among survivors.

    CONCLUSION: When adjusting for various confounders, it was found that men had a 10% lower chance than women of surviving to 30days after in-hospital cardiac arrest. Older individuals were managed less aggressively than younger patients, despite a lower chance of survival. Higher age was, however, not associated with poorer cerebral function among survivors.

  • 39.
    Alhamami, Mastour
    et al.
    Indiana University, USA.
    Elsner, Ann
    Indiana University, USA;Aeon Imaging, USA.
    Malinovsky, Victor
    Indiana University, USA.
    Clark, Christopher
    Haggerty, Bryan
    Indiana University, USA.
    Ozawa, Glen
    University of California, USA.
    Cuadros, Jorge A
    University of California, USA ; EyePACS, USA.
    Baskaran, Karthikeyan
    Indiana University, USA.
    Gast, Thomas
    Indiana University, USA;Aeon Imaging, USA.
    Litvin, Taras
    University of California, USA.
    Muller, Matthew
    Aeon Imaging, USA.
    Brahm, Shane
    Indiana University, USA.
    Young, Stuart
    Indiana University, USA.
    Miura, Masahiro
    Tokyo Medical University Ibaraki Medical Center, Japan.
    Comparison of Cysts in Red and Green Images for Diabetic Macular Edema2017In: Optometry and Vision Science, ISSN 1040-5488, E-ISSN 1538-9235, Vol. 94, no 2, p. 137-149Article in journal (Refereed)
    Abstract [en]

    Purpose: To investigate whether cysts in diabetic macular edema are better visualized in the red channel of color fundus camera images, as compared with the green channel, because color fundus camera screening methods that emphasize short-wavelength light may miss cysts in patients with dark fundi or changes to outer blood retinal barrier.

    Methods: Fundus images for diabetic retinopathy photoscreening were acquired for a study with Aeon Imaging, EyePACS, University of California Berkeley, and Indiana University. There were 2047 underserved, adult diabetic patients, of whom over 90% self-identified as a racial/ethnic identify other than non-Hispanic white. Color fundus images at nominally 45 degrees were acquired with a Canon Cr-DGi non-mydriatic camera (Tokyo, Japan) then graded by an EyePACS certified grader. From the 148 patients graded to have clinically significant macular edema by the presence of hard exudates in the central 1500 [mu]m of the fovea, we evaluated macular cysts in 13 patients with cystoid macular edema. Age ranged from 33 to 68 years. Color fundus images were split into red, green, and blue channels with custom Matlab software (Mathworks, Natick, MA). The diameter of a cyst or confluent cysts was quantified in the red-channel and green-channel images separately.

    Results: Cyst identification gave complete agreement between red-channel images and the standard full-color images. This was not the case for green-channel images, which did not expose cysts visible with standard full-color images in five cases, who had dark fundi. Cysts appeared more numerous and covered a larger area in the red channel (733 +/- 604 [mu]m) than in the green channel (349 +/- 433 [mu]m, p < 0.006).

    Conclusions: Cysts may be underdetected with the present fundus camera methods, particularly when short-wavelength light is emphasized or in patients with dark fundi. Longer wavelength techniques may improve the detection of cysts and provide more information concerning the early stages of diabetic macular edema or the outer blood retinal barrier.

  • 40.
    Allen, Peter M.
    et al.
    Anglia Ruskin University, UK ; Vision Cooperative Research Centre, Australia.
    Radhakrishnan, Hema
    Vision Cooperative Research Centre, Australia ; University of Manchester, UK.
    Price, Holly
    Anglia Ruskin University, UK ; Vision Cooperative Research Centre, Australia.
    Rae, Sheila
    Anglia Ruskin University, UK ; Vision Cooperative Research Centre, Australia.
    Theagarayan, Baskar
    Anglia Ruskin University, UK ; Vision Cooperative Research Centre, Australia.
    Calver, Richard I.
    Anglia Ruskin University, UK ; Vision Cooperative Research Centre, Australia.
    Sailoganathan, Ananth
    National Institute of Ophthalmic Sciences, Malaysia.
    Latham, Keziah
    Anglia Ruskin University, UK.
    O'Leary, Daniel J.
    Anglia Ruskin University, UK ; Vision Cooperative Research Centre, Australia.
    A randomised clinical trial to assess the effect of a dual treatment on myopia progression: the Cambridge anti-myopia study2013In: Ophthalmic & physiological optics, ISSN 0275-5408, E-ISSN 1475-1313, Vol. 33, no 3, p. 267-276Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To evaluate the effect of a dual treatment modality for myopia, by improving accommodative functions, on myopia progression.

    METHODS: A double blind randomised control trial was conducted on 96 subjects. The treatment modality for the trial employed custom designed contact lenses which control spherical aberration in an attempt to optimise static accommodation responses during near-work, and a vision-training programme to improve accommodation dynamics. Myopia progression was assessed over a 2 year period using cycloplegic autorefraction and biometry.

    RESULTS: The mean progression was found to be -0.33 Dioptres (D) over the 2 years of the study. There was no interaction between contact lens treatment and vision training treatment at 24 months (p = 0.72). There was no significant treatment effect of either Vision Training or Contact Lens Spherical Aberration control on myopia progression.

    CONCLUSIONS: This study is unable to demonstrate that the progression of myopia can be reduced over a 2 year period by either of the two treatments aimed at improving accommodative function. Neither treatment group (contact lens or vision training) progressed at a slower rate over the 2 years of the study than did the appropriate control group.

  • 41.
    Allen, Peter M.
    et al.
    Anglia Ruskin University, UK.
    Radhakrishnan, Hema
    University of Manchester, UK.
    Rae, Sheila
    Anglia Ruskin University, UK.
    Calver, Richard I.
    Anglia Ruskin University, UK.
    Theagarayan, Baskar
    Anglia Ruskin University, UK.
    Nelson, Paul
    Prism Training Consultancy, UK.
    Osuobeni, Ebi
    Anglia Ruskin University, UK.
    Sailoganathan, Ananth
    Anglia Ruskin University, UK.
    Price, Holly
    Anglia Ruskin University, UK.
    O'Leary, Daniel J.
    Anglia Ruskin University, UK.
    Aberration control and vision training as an effective means of improving accommodation in individuals with myopia.2009In: Investigative Ophthalmology and Visual Science, ISSN 0146-0404, E-ISSN 1552-5783, Vol. 50, no 11, p. 5120-5129Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To test the efficacy of a novel dual treatment for improving accommodative accuracy and dynamics in young persons with myopia.

    METHODS: Ninety-three young persons with myopia (mean spherical equivalent, -3.0 +/- 1.8 D; age 16.8 +/- 2.1 years; spherical aberration +0.06 +/- 0.04 microm) participated in the study. Custom-designed soft contact lenses were used to alter ocular SA to -0.10 microm to improve accommodative accuracy and reduce any lag of accommodation. A vision training regimen was performed for 18 minutes per day for up to 6 weeks to improve speed of dynamic accommodation. Control groups had contact lenses with no added SA and/or no exercises. To avoid any effects of natural levels of negative aberration on the results of the study, all participants who had negative SA were excluded.

    RESULTS: The treatment contact lenses produced a significant reduction in lag of accommodation (P < 0.05) at all proximal viewing distances measured. The vision training measurement and treatment resulted in a significant increase in distance facility rate for all groups compared with their own baselines (P < 0.05). Near facility rate improved in the vision training treatment group only compared with its baseline (P < 0.05). Both positive and negative response times for distant viewing were significantly shorter in all groups after training compared with their baseline values (P < 0.05). At near, the positive response times were decreased significantly (P < 0.05) in both groups, whereas the negative response times decreased significantly only in the vision training treatment group.

    CONCLUSIONS: After 3 months, the dual treatments (altering SA and vision training) used in the study were effective in modifying accommodation. The static accommodative response to targets at proximal distances was increased by the altered SA contact lenses and rates of dynamic accommodation improved with vision training.

  • 42.
    Alm, Håkan
    University of Kalmar, School of Pure and Applied Natural Sciences.
    Är svenska optikerbutiker tillgängliga för rörelsehindrade människor?2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Legitimerade optiker står under Hälso- och sjukvårdslagen och har därmed samma skyldigheter som övrig hälso- och sjukvårdspersonal. En optiker ska således kunna ta emot och erbjuda sina tjänster till alla människor. Studiens syfte var att undersöka hur väl detta fungerar i praktiken. Detta gjordes genom att undersöka optikerbutiker och bedöma dess tillgänglighet för rullstolsburna människor. Undersökningsgruppen bestod av 20 optikerbutiker fördelade på en mindre respektive en större sydsvensk stad. En enkät konstruerades utifrån studiens syfte som butikerna fick svara på samt en checklista skapades innehållande följande bedömningsområden: dörrar, korridorer, gångar, dörröppnare, trösklar samt trappsteg. Resultatet visade på stora brister i tillgänglighet. Endast 20 % av butikerna klassades som tillgängliga och enkätsvaren visade att var femte optiker någon gång ej haft möjlighet att undersöka en patient på grund av dess funktionshinder. Studien visar att de svenska optikerbutikerna inte lever upp till Hälso- och sjukvårdslagens krav på ”vård på lika villkor för hela befolkningen”.

  • 43. Ambjörnsson, Joakim
    et al.
    Jonsson, Anders
    University of Borås, Sweden.
    Strömsöe, Annelie
    Andersson, Henrik
    University of Borås, Sweden.
    Bång, Angela
    University of Borås, Sweden.
    Bremer, Anders
    University of Borås, Sweden.
    Prehospital suspicion and identification of adult septic patients: Experiences of a screening tool2016In: 2nd Global Conference on Emergency Nursing and Trauma Care, Melia Sitges, September 22-24, 2016, 2016Conference paper (Refereed)
    Abstract [en]

    Introduction: Sepsis is life threatening and requires urgent healthcare to reduce suffering and death. Therefore it is important that septic patients are identified early to enable treatment. Aim: To investigate to what extent EMS personnel identified patients with sepsis using the “BAS 90-30-90” model, and to describe assessments and medical procedures that were undertaken by the personnel.

    Methods: This was a retrospective study where 185 EMS medical records were reviewed. The inclusion was based on patients who were later diagnosed with sepsis in the hospital.

    Results: A physician assessed the patients in 74 of the EMS cases, which lead to exclusion of these records in regard to the EMS personnel’s ability to identify sepsis. The personnel documented suspicion of severe sepsis in eight (n=8) of the remaining 111 records (7.2%). The proportion of patients ˃65 years of age was 73% (n=135) of which 37% (n=50) were over 80 years old. Thirty-nine percent (39%, n=72) were females. The personnel documented blood pressure in 91% (n=168), respiratory rate in 76% (n=140), saturation in 100% (n=185), temperature in 76% (n=141), and heart rate in 94% (n=174) of the records. Systolic blood pressure &lt;90 mmHg was documented in 14,2% (n=24), respiratory rate ˃30 in 36% (n=50), saturation &lt;90 in 49%  (n=91), temperature &gt;38°C in 37.6% (n=53), and heart rate ˃90 in 70% (n=121) of the records. Documented medical procedures and treatments were intravenous lines (70%, n=130), intravenous fluids (10%, n=19) and administration of oxygen (72%, n=133).

    Conclusion: The EMS personnel identified only a few septic patients with the help of the BAS 90-30-90 model when all three criteria would be met for severe sepsis. Either advanced age (&gt;65 years), fever (&gt;38°C) or tachypnea (˃20 breaths/min) appeared to increase the personnel’s suspicion of sepsis. Oxygen, but not intravenous fluids, was given in an adequate way.

  • 44.
    Amylon, Lisa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Jämförelse av ögonansträngning vid läsning på papper och på mobilskärm2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose: The purpose of this study was to compare Digital Eye Strain DES-symptoms after reading on a printed hardcopy versus a smartphone. To understand if results obtained from earlier studies that have showed DES when reading in from computer also applies to smartphones.

    Methods: 16 participants in the study were asked to read a Swedish book quietly for 20 minutes, either on a hardcopy or on a smartphone. The participants were told to use their normal working distance while reading from book or smartphone. They read the same book with the same textsize and font in both conditions. Directly after reading the participants completed a written questionnaire that consisted of ten questions about their level of ocular discomfort during the task.  

    Results: This study showed significant differences in mean symptom scores between printed hardcopy and smartphone on three of the symptoms; blurred vision while viewing the text (p=0,016), eyestrain (0,023) and tired eyes (0,015). In all three cases the symptoms were higher during smartphone use. No significant differences were found between the other seven symptoms. There were a significant difference in reading distance, smartphone were held closer than the hardcopy.

    Conclusion: This study shows that the symptoms after smartphone use is perceived as more severe than after reading on a hardcopy. The three symptoms that showed a significant difference were all higher after smartphone use.

  • 45.
    Anderson, Jenny
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    "JAG ÄR INTE MOGEN FÖR DET ÄNNU": En kvalitativ intervjustudie om äldres tankar kring att vara äldre och att flytta till äldreboende.2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    SAMMANFATTNING

     

    Sveriges befolkning blir allt äldre och antalet personer över 80 år ökar. Många vill bo kvar hemma men äldre med stora hjälpbehov flyttar till äldreboende. Syftet med studien var att belysa äldres uppfattningar om att vara äldre och deras syn på äldreboende. Vidare hur de ser på att själva bo på ett äldreboende och deras syn på att diskutera en framtida flytt till äldreboende med anhöriga eller vårdpersonal. Studien genomfördes med en kvalitativ ansats och intervjuer gjordes. Analysen av intervjumaterialet skedde med en kvalitativ manifest innehållsanalys. Resultatet visade att de äldre inte såg sig själva som äldre trots de förändringar åldrandet medfört. De äldre hade både en positiv och negativ syn på äldreboende som de grundade på erfarenheter från två äldreboenden. De ville bo kvar hemma och en flytt till äldreboende var ännu ingen aktuell fråga. Men en anledning till att i framtiden flytta till äldreboende skulle vara att inte längre kunna sköta sin hygien. De flesta informanterna hade inte diskuterat en framtida flytt till äldreboende med någon, men upplevde ändå att deras anhöriga kände till deras vilja. Flera såg det som positivt att bli kontaktade av vården och få information om äldreboende och hemtjänst. Resultatet antyder att det kan vara av vikt att veta hur äldre ser på äldreboende och hur de vill ha det den dagen deras hjälpbehov ökar.

     

     

     

  • 46.
    Andersson, Henrik
    et al.
    University of Borås, Sweden.
    Axelsson, Christer
    University of Borås, Sweden.
    Larsson, Anna
    South Älvsborg's Hospital, Sweden.
    Bremer, Anders
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. University of Borås, Sweden.
    Gellerstedt, Martin
    University West, Sweden.
    Bång, Angela
    University of Borås, Sweden;University of Gothenburg, Sweden.
    Herlitz, Johan
    University of Borås, Sweden.
    Ljungström, Lars
    Skaraborg Hospital, Sweden.
    The early chain of care in bacteraemia patients: early suspicion, treatment and survival in prehospital emergency care2018In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 36, no 12, p. 2211-2218Article in journal (Refereed)
    Abstract [en]

    Introduction

    Bacteraemia is a first stage for patients risking conditions such as septic shock. The primary aim of this study is to describe factors in the early chain of care in bacteraemia, factors associated with increased chance of survival during the subsequent 28 days after admission to hospital. Furthermore, the long-term outcome was assessed.

    Methods

    This study has a quantitative design based on data from Emergency Medical Services (EMS) and hospital records.

    Results

    In all, 961 patients were included in the study. Of these patients, 13.5% died during the first 28 days. The EMS was more frequently used by non-survivors. Among patients who used the EMS, the suspicion of sepsis already on scene was more frequent in survivors. Similarly, EMS personnel noted the ESS code “fever, infection” more frequently for survivors upon arriving on scene. The delay time from call to the EMS and admission to hospital until start of antibiotics was similar in survivors and non-survivors. The five-year mortality rate was 50.8%. Five-year mortality was 62.6% among those who used the EMS and 29.5% among those who did not (p < 0.0001).

    Conclusion

    This study shows that among patients with bacteraemia who used the EMS, an early suspicion of sepsis or fever/infection was associated with improved early survival whereas the delay time from call to the EMS and admission to hospital until start of treatment with antibiotics was not. 50.8% of all patients were dead after five years.

  • 47.
    Andersson, Jessica
    et al.
    University of Kalmar, School of Human Sciences.
    Torstensson, Britt-Marie
    University of Kalmar, School of Human Sciences.
    Utvärdering av Auroraverksamheten - vid en Kvinnoklinik i södra Sverige2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The main purpose of this stydy was to evaluate the Aurora clinic (for women afraid of birth/delivery) in the south of Sweden. Questionnaires were sent to 197 women who had contact with the Aurora clinic during 2007 and 2008. The group of participants contained both pregnant women and women who have given birth. A total of 136 women replied. The results showed that both the average age and the level of education of the women were high. Nulli-paras and multi-paras had different reasons for fearing delivery. The study also showed that most women felt that the contact with an Aurora midwife helped them to feel secure and to be better prepared before delivery, that the midwife understood them and took them seriously and that the content of the meetings was satisfactory. Three out of four women, who initially wished for a caesarean section, subsequently accepted a normal delivery. This study supports previous research that shows the importance of the supportive conversation provided at the Aurora clinic for women with fear of delivery.

  • 48.
    Andersson, Josefin
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Lindhult, Helena
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    SJUK PÅ RIKTIGT?: En litteraturstudie om hur personer med diagnosen depression upplever mötet med sjukvården2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 49.
    Andersson, Linda
    University of Kalmar, School of Pure and Applied Natural Sciences.
    Hanteringsträning - tidsåtgång och trygghetskänsla för patienter vid isättning och urtagning av mjuka kontaktlinser2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 50.
    Andreae, Christina
    et al.
    Linköping University, Sweden;Uppsala University, Sweden.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kalmar County, Sweden.
    Evangelista, Lorraine
    Univ Calif Irvine, USA.
    Strömberg, Anna
    Linköping University, Sweden;Univ Calif Irvine, USA.
    The relationship between physical activity and appetite in patients with heart failure: A prospective observational study2019In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 18, no 5, p. 410-417Article in journal (Refereed)
    Abstract [en]

    Introduction: Physical activity and appetite are important components for maintaining health. Yet, the association between physical activity and appetite in heart failure (HF) populations is not completely understood. The aim of the present study was to investigate the relationship between physical activity, functional capacity, and appetite in patients with HF. Methods: This was a prospective observational study. In total, 186 patients diagnosed with HF, New York Heart Association (NYHA) class II-IV (mean age 70.7, 30% female), were included. Physical activity was measured using a multi-sensor actigraph for seven days and with a self-reported numeric rating scale. Physical capacity was measured by the six-minute walk test. Appetite was measured using the Council on Nutrition Appetite Questionnaire. Data were collected at inclusion and after 18 months. A series of linear regression analyses, adjusted for age, NYHA class, and B-type natriuretic peptide were conducted. Results: At baseline, higher levels of physical activity and functional capacity were significantly associated with a higher level of appetite in the unadjusted models. In the adjusted models, number of steps (p = 0.019) and the six-minute walk test (p = 0.007) remained significant. At the 18-month follow-up, all physical activity variables and functional capacity were significantly associated with appetite in the unadjusted regression models. In the adjusted models, number of steps (p = 0.001) and metabolic equivalent daily averages (p = 0.040) remained significant. Conclusion: A higher level of physical activity measured by number of steps/day was associated with better self-reported appetite, both at baseline and the 18-month follow-up. Further research is needed to establish causality and explore the intertwined relationship between activity and appetite in patients with HF.

1234567 1 - 50 of 606
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf