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  • 1101.
    Akner, Gunnar
    Örebro University.
    Back to basics2014In: Sjukhusläkaren, ISSN 1651-2715, no 1, p. 35-Article in journal (Other (popular science, discussion, etc.))
  • 1102.
    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)
  • 1103.
    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.

  • 1104.
    Akner, Gunnar
    Örebro University.
    Ibsens princip bör styra vårdsektorn2014In: Sjukhusläkaren, ISSN 1651-2715, no 5, p. 26-26Article in journal (Other (popular science, discussion, etc.))
  • 1105.
    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)
  • 1106.
    Akner, Gunnar
    Örebro University ; Karolinska Institutet.
    Klinisk nutrition har svag ställning i vårdsystemet2015In: Äldre i centrum, ISSN 1653-3585, no 1, p. 15-17Article, review/survey (Other academic)
    Abstract [sv]

    »Många studier genom åren har visat att inte ens en så enkel och lätt bestämd variabel som kroppsvikt registreras och analyseras tydligt över tid.«

    Man försöker trycka in kvalitet i klinisk nutrition i ett vårdsystem som inte är förberett på saken. Detta i en situation med a) brist på infrastruktur i vården, b) brist på utbildning/träning i klinisk nutrition hos personalen och c) avsaknad av en medicinsk specialitet för klinisk nutrition. Det skriver professor Gunnar Akner i en debatterande översiktsartikel.

  • 1107.
    Akner, Gunnar
    Örebro University.
    Kroniska sjukdomar kräver komplexa lösningar2014In: Sjukhusläkaren, ISSN 1651-2715, no 3, p. 33-Article in journal (Other academic)
  • 1108.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Kunskapsstyrning genom checklistor kan bli farlig sjukvård.2017Other (Other (popular science, discussion, etc.))
  • 1109.
    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)
  • 1110.
    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.))
  • 1111.
    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)
  • 1112.
    Akner, Gunnar
    Örebro University.
    Multimorbidity in elderly: analysis, management and proposal of a geriatric care center2011 (ed. 1)Book (Other (popular science, discussion, etc.))
  • 1113.
    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)
  • 1114.
    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)
  • 1115.
    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)
  • 1116.
    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)
  • 1117.
    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.))
  • 1118.
    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.

  • 1119.
    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.))
  • 1120.
    Akner, Gunnar
    Örebro University.
    Sjukvården försummar sitt lärande2014In: Sjukhusläkaren, ISSN 1651-2715, no 2, p. 25-Article in journal (Other (popular science, discussion, etc.))
  • 1121.
    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)
  • 1122.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Socialstyrelsens kritik beror på bristande uppföljning av äldre personer2017Other (Other (popular science, discussion, etc.))
  • 1123.
    Akner, Gunnar
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Sverige ledande på värdebaserad vård2017In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 114, article id ELSPArticle in journal (Other academic)
    Abstract [sv]

    Sverige ligger högst i en internationell jämförande studie om värdebaserad vård. Rapporten visar tydligt ambitionerna från ett flertal internationella organ att införa värdebaserad vård för styrningen av sjukvården globalt.

  • 1124.
    Akner, Gunnar
    Örebro University.
    Tid för klinisk analys2015In: Sjukhusläkaren, ISSN 1651-2715, no 1, p. 34-34Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Hur lång tid tar det att göra en klinisk analys? Den erforderliga tiden varierar givetvis beroende på hälsoproblemets komplexitet, men beror även på ambitionsgraden för pedagogik och information samt läkarens kunskaper, erfarenheter och personlighet (stenisk/astenisk).

  • 1125.
    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)
  • 1126.
    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)
  • 1127.
    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)
  • 1128.
    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)
  • 1129.
    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.))
  • 1130.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Andersson, Christer
    Umeå University.
    Ekerstad, Niklas
    NU-sjukvården.
    Eliasson, Mats
    Umeå University.
    Gustafson, Yngve
    Umeå University.
    Järhult, Bengt
    Region Östergötland.
    Petersson, Christer
    Region Kronoberg.
    Tjärnström, Johan
    NU-sjukvården.
    von Zur-Mühlen, Bengt
    Uppsala University Hospital.
    Wingstrand, Hans
    Lund University.
    Styrningen har blivit ett hot2016In: Svenska Dagbladet, ISSN 1101-2412, Vol. 25 jul, p. 1Article in journal (Other (popular science, discussion, etc.))
  • 1131.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Andersson, Christer
    Umeå universitet.
    Hallén, Ola
    Karlstads lasarett.
    Järhult, Bengt
    Vårdcentralen Ryd.
    Järhult, Johannes
    Professor em. Jönköping.
    Lind, Helena
    Spec onkologi och palliativ medicin, Stockholm.
    Löfmark, Rurik
    Med dr Gävle.
    Petersson, Christer
    Allmänmedicinare, Växjö.
    Rutegård, Jörgen
    Docent kirurgi, Umeå.
    Sandberg, CG
    Spec psykiatri och företagshälsovård, Stockholm.
    Schmitt, Christian
    Spec allmänmedicin, Sätila.
    Sjögren, Jonas
    Spec allmänmedicin, Västerås.
    Cizinsky, Stella
    Specialist i kardiologi, Örebro.
    Styrud, Johan
    Specialist i kirurgi, Stockholm.
    Svenberg, Torgny
    Specialist i kirurgi, Stockholm.
    Tjärnström, Johan
    Specialist i kirurgi, Trollhättan.
    Westergren, Hans
    Öl, med dr, Smärtrehab, Lund.
    Wingstrand, Hans
    Professor i ortopedi, Lund.
    Zur-Mühlen B, Bengt
    Med dr, öl neurologi, Uppsala.
    Ekerstad, Niklas
    Med dr, spec kardiologi Trollhättan.
    Elisasson, Mats
    Professor, spec internmedicin, Umeå.
    Engström, Sven
    Spec allmänmedicin, Örnsköldsvik.
    Ervander, Cecilia
    Spec allmänmedicin Lund.
    Flordal, Per Anders
    Spec kirurgi, Stockholm.
    Hagström, Bertil
    Spec allmänmedicin, Horred.
    Halldin, Jan
    Specialist i psykiatri och socialmedicin, Stockholm.
    Värdebaserad vård strider sannolikt mot lagen2017In: Dagens Samhälle, ISSN 1652-6511, article id 170315Article in journal (Other (popular science, discussion, etc.))
  • 1132.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Andersson, Christer
    Umeå universitet.
    Hallén, Ola
    Karlstads lasarett.
    Järhult, Bengt
    Vårdcentralen Ryd.
    Järhult, Johannes
    Professor em. Jönköping.
    Löfmark, Rurik
    Med dr Gävle.
    Petetrsson, Christer
    Allmänmedicinare, Växjö.
    Sandberg, CG
    Spec psykiatri och företagshälsovård, Stockholm.
    Schmitt, Christian
    Spec allmänmedicin, Sätila.
    Sjögren, Jonas
    Spec allmänmedicin, Västerås.
    Styrud, Johan
    Specialist i kirurgi, Stockholm.
    Svenberg, Torgny
    Specialist i kirurgi, Stockholm.
    Cizinsky, Stella
    Specialist i kardiologi, Örebro.
    Tjärnström, Johan
    Specialist i kirurgi, Trollhättan.
    Wingstrand, Hans
    Professor i ortopedi, Lund.
    Ekerstad, Niklas
    Med dr, spec kardiologi Trollhättan.
    Elisasson, Mats
    Professor, spec internmedicin, Umeå.
    Engström, Sven
    Spec allmänmedicin, Örnsköldsvik.
    Ervander, Cecilia
    Spec allmänmedicin Lund.
    Flordal, Per Anders
    Spec kirurgi, Stockholm.
    Hagström, Bertil
    Spec allmänmedicin, Horred.
    Halldin, Jan
    Specialist i psykiatri och socialmedicin, Stockholm.
    Vårdkrisen är egentligen en onödig artefakt.2017In: Dagens Medicin, E-ISSN 1402-1943, no 17, 26 April, p. 23-, article id 170428Article in journal (Other (popular science, discussion, etc.))
  • 1133.
    Akner, Gunnar
    et al.
    Örebro University.
    Bosaeus, Ingvar
    University of Gothenburg.
    Cederholm, Tommy
    Uppsala University.
    Rothenberg, Elisabet
    University of Gothenburg.
    Ödlund Olin, Ann
    Karolinska Institutet.
    Näring för god vård och omsorg: en vägledning för att förebygga och behandla undernäring2011Report (Other academic)
  • 1134.
    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)
  • 1135.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Ekerstad, Niklas
    Med dr, spec kardiologi Trollhättan.
    Elisasson, Mats
    Professor, spec internmedicin, Umeå.
    Engström, Sven
    Spec allmänmedicin, Örnsköldsvik.
    Ervander, Cecilia
    Spec allmänmedicin Lund.
    Flordal, Per Anders
    Spec kirurgi, Stockholm.
    Hagström, Bertil
    Spec allmänmedicin, Horred.
    Halldin, Jan
    Specialist i psykiatri och socialmedicin, Stockholm.
    Hallén, Ola
    Medicinkliniken, Karlstads lasarett.
    Järhult, Bengt
    Vårdcentralen Ryd.
    Järhult, Johannes
    Professor em. Jönköping.
    Lind, Helena
    Spec onkologi och palliativ medicin, Stockholm.
    Löfmark, Rurik
    Med dr Gävle.
    Petersson, Christer
    Allmänmedicinare, Växjö.
    Rutegård, Jörgen
    Docent kirurgi, Umeå.
    Sandberg, CG
    Spec psykiatri och företagshälsovård, Stockholm.
    Schmitt, Christian
    Spec allmänmedicin, Sätila.
    Sjögren, Jonas
    Spec allmänmedicin, Västerås.
    Styrud, Johan
    Specialist i kirurgi, Stockholm.
    Svenberg, Torgny
    Specialist i kirurgi, Stockholm.
    Tjärnström, Johan
    Specialist i kirurgi, Trollhättan.
    Westergren, Hans
    Öl, med dr, Smärtrehab, Lund.
    Wingstrand, Hans
    Professor i ortopedi, Lund.
    von Zur-Mühlen, Bengt
    Med dr, öl nefrologi, Uppsala.
    Vi står gärna bakom en utfallsbaserad vård2017In: Dagens Samhälle, ISSN 1652-6511, article id 170328Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Jörgen Nordenström försöker få det till att vår kritik av värdebaserad vård egentligen handlar om att vi vill ha mer resurser. Han har helt missuppfattat oss, skriver 26 specialistläkare i en replik.

  • 1136.
    Akner, Gunnar
    et al.
    Örebro University Hospital.
    Ellegård, Lars
    Sahlgrenska University Hospital ; Swedish Society for Clinical Nutrition.
    Klinisk nutrition bör återinföras som medicinsk specialitet2011In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, p. 1770-1770Article in journal (Other academic)
  • 1137.
    Akner, Gunnar
    et al.
    Örebro University Hospital.
    Engelheart, Stina
    Örebro Municipality.
    Inventering av Backagården i Örebro kommun hösten 2010: mat - måltider - hälsotillstånd2011Report (Other academic)
  • 1138.
    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.))
  • 1139.
    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)
  • 1140.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Järhult, Bengt
    Region Östergötland.
    Ekonomiska incitament ska inte kopplas till den enskilde patienten: Replik till Magnus Lind om värdebaserad vård2016In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 113, article id D4TPArticle in journal (Other academic)
  • 1141.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Järhult, Bengt
    Region Östergötland.
    Värdebaserad vård införs snabbt: värdig efterträdare till NPM?2016In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 113, no 20, p. 1-3, article id DXUTArticle in journal (Refereed)
  • 1142.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Järhult, Bengt
    Vårdcentralen Ryd.
    Värdebaserad vård utan underlag: Apropå!2016In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 113, no 21, article id DZFHArticle in journal (Other academic)
  • 1143.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. Karolinska Institutet.
    Larsson, Kjell
    Karolinska Institutet.
    Undernutrition state in patients with chronic obstructive pulmonary disease: A critical appraisal on diagnostics and treatment2016In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 117, p. 81-91Article in journal (Refereed)
    Abstract [en]

    Undernutrition state’ (UNS) is an ominous condition, in particular when associated with chronic obstructive pulmonary disease (COPD). In this review we discuss pathophysiological mechanisms and how UNS is defined and diagnosed. It seems unlikely that COPD-patients with established UNS have similar potential of reversibility (treatability) upon nutrition interventions as patients at a risk of developing such a condition, i.e. patients with low energy/nutrient intake, since pathophysiological, biochemical and metabolic conditions may differ substantially.

    We summarize the results of 7 of 17 published randomized controlled trials of nutritional supplementation in COPD-patients with defined UNS in the latest Cochrane review (2012). We thus excluded 10 of 17 trials included in review (2012), mostly because those studies also included patients with ’risk of’ UNS.

    The seven included trials exhibit extensive heterogeneity for all studied variables. Most studies did not show beneficial effects of nutritional supplementation, although some reported minor increase in body weight and physical function of unclear clinical relevance.

    In contrast to the Cochrane review we conclude that it is difficult to draw firm conclusions regarding the effect of nutritional supplements in patients with COPD and UNS. Improved knowledge in this area is of utmost importance and some factors which should be considered in future studies are suggested.

  • 1144.
    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)
  • 1145.
    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

  • 1146.
    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.

  • 1147.
    Akouri, Elie
    Linnaeus University, Faculty of Social Sciences, Department of Political Science.
    Varför har Egypten inte demokratiserats?: En fallstudie om bakomliggande orsaker till den haltande demokratiseringsprocessen2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This paper is designed to analyse the situation regarding the attempt to implement democracy in Egypt and why it failed. Theories regarding democratic transition and consolidation is acting as scientific instruments to carry out this case study. This essay directs its focus on several key factors that has contributed to the prevention of democratic reforms. The theory concerning path dependence is used to compliment the remaining theories to distinguish vital historic aspects to this issue. Key factors such as the Muslim brotherhood, the Egyptian military and regime, as well as the liberal movement is examined in this paper to illuminate their respective contribution to this situation.

    The conclusion of this paper focuses on the military, unwilling to surrender its power, along with the religiously fundamental brotherhood, growing rapidly. A democratic transition was in the making, only to be shut down by the military, regaining its former power. Although chaotic and military-biased reforms continued, they were far from democratic.  Because of all the key factors not sharing any political ideals, the situation has come to an abrupt halt regarding a democratisation process. The democratic ideal has become worn among the protestors and another try at a democratic transition is far from reality. 

  • 1148.
    Akpinar, Aylin
    Marmara University, Turkey.
    Intergenerational Conflicts and Resistance of Daughters in Suburban Turkey2017In: Intimate Relationships and Social Change: The Dynamic Nature of Dating, Mating, And Coupling / [ed] Christina L. Scott and Sampson Lee Blair, Bingley: Emerald Group Publishing Limited, 2017, p. 45-71Chapter in book (Other academic)
    Abstract [en]

    This paper draws in part from data of a larger study on marital lives and divorce of women of various ages and backgrounds residing in metropolitan Turkey. The aim of the overall study has been to understand various factors which have paved the ways leading to divorce and the research method used for the study is based on narrative analysis. An important finding of the study is the control of women*s sexuality which is discussed in this paper with the help of the narratives of three women who are raised by dominant fathers and by subordinated mothers. I argue that gender and generation hierarchies are hidden in the idealized image of family life in low-to-middle-income families residing in suburban Turkey. Intergenerational conflicts arise due to three women's oppression in their young ages by their fathers who have decided upon their marriages to control their sexuality. Yet, as young adults, the three women try to find ways to cope with the control of their sexuality. The analysis of the three women's narratives reveal their endeavors either to challenge the idealized "virgin bride" norm or to get rid of their unwanted marriages through divorce or seperation which can be considered as instances of women's resistance to patriarchal domination and their search for individuation. How much resistance the three women are able to endeavor is dependent on the aspects of gendered interactions and on the embeddedness of ambivalences in gender role models in the patriarchal gender regime of Turkish society.  

  • 1149.
    Akpinar, Aylin
    Linnaeus University, Faculty of Social Sciences, Department of Social Studies. Marmara University, Turkey.
    Turkish Divorcées and Need for Woman-friendly Policies2018In: Global Currents in Gender and Feminisms: Canadian and International Perspectives / [ed] Glenda Tibe Bonifacio, Bingley: Emerald Group Publishing Limited, 2018, p. 93-105Chapter in book (Other academic)
    Abstract [en]

    Gender analysis of the narratives of low-income divorcées in big cities of Ankara, Istanbul and Izmir shows that their lives are under patriarchal domination. Women are subjected to all kinds of violence in their marriage and escape it by getting a divorce. Their lives are vulnerable as the increasing numbers of lone mothers are neither morally nor socially accepted in Turkish society. The patriarchal family ideal exacerbates the situation of lone mothers who become stigmatized as divorcées. Divorce is considered a 'shame' for women, and the ideology of family is used as a poitical tool where persistent conservative bias ignores wife battering, rape and other types of abuse in society.

  • 1150.
    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° nasal to 40° temporal and up to 20° inferior field). Anatomical parameters, asymmetries, and dispersion properties of the eye’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.

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