lnu.sePublications
Change search
Refine search result
3456789 251 - 300 of 4840
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • 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.
  • 251.
    Andersson, Sofia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Olsson, Cecilia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hundar och deras hälsoeffekter: En litteraturstudie om hundars påverkan på hälsan hos personer med demens2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Demens är en sjukdom som drabbar ungefär var femte person över 80 år. På senare tid har behovet av alternativa behandlingsmetoder ökat. Vårdhund anses var en brabehandlingsmetod inom demensvården med få eller inga biverkningar.

    Syfte: Syftet var att undersöka vårdhundars påverkan på äldre personer med demenssjukdomgenom att genomföra en litteraturstudie.

    Metod: En litteraturstudie baserad på 13 kvantitativa artiklar. Resultaten jämfördes ochlikheter och skillnader plockades ut för att sedan sammanställas.

    Resultat: Vårdhund kan leda till ökat socialt beteende, minskade psykiska symtom, minskatagiterat beteende, minskade depressiva symtom, ökad livskvalitet samt positiva effekter påden fysiska och fysiologiska kroppen.

    Slutsatser: Studiens slutsats är att vårdhund kan ha positiva effekter på hälsan hos dementa.Det krävs mer forskning för att kunna komma fram till om vårdhund är en effektivbehandlingsmetod som eventuellt skulle kunna komplettera eller till och med ersätta vissaläkemedel.

  • 252.
    Andersson, Sofia
    et al.
    Umeå University.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Hospital.
    Lindqvist, Olav
    Umeå University;Karolinska Institutet.
    Furst, Carl-Johan
    Lund University.
    Brännström, Margareta
    Umeå University;University of Gothenburg.
    Factors Associated With Symptom Relief in End-of-Life Care in Residential Care Homes: A National Register-Based Study2018In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 55, no 5, p. 1304-1312Article in journal (Refereed)
    Abstract [en]

    Context. Residential care homes (RCHs) are a common place of death. Previous studies have reported a high prevalence of symptoms such as pain and shortness of breath among residents in the last week of life.& para;& para;Objectives. The aim of the study was to explore the presence of symptoms and symptom relief and identify factors associated with symptom relief of pain, nausea, anxiety, and shortness of breath among RCH residents in end-of-life care.& para;& para;Methods. The data consisted of all expected deaths at RCHs registered in the Swedish Register of Palliative Care (N 22,855). Univariate and multiple logistic regression analyses were conducted.& para;& para;Results. Pain was reported as the most frequent symptom of the four symptoms (68.8%) and the one that most often had been totally relieved (84.7%) by care professionals. Factors associated with relief from at least one symptom were gender; age; time in the RCH; use of a validated pain or symptom assessment scale; documented end-of-life discussions with physicians for both the residents and family members; consultations with other units; diseases other than cancer as cause of death; presence of ulcers; assessment of oral health; and prescribed pro re nata injections for pain, nausea, and anxiety.& para;& para;Conclusion. Our results indicate that use of a validated pain assessment scale, assessment of oral health, and prescribed pro re nata injections for pain, nausea, and anxiety might offer a way to improve symptom relief. These clinical tools and medications should be implemented in the care of the dying in RCHs, and controlled trials should be undertaken to prove the effect. (C) 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  • 253.
    Andersson, Sofie
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjögren, Hanna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    KLINISKT TRÄNINGSCENTRUM: En reflekterande lärandemodell som kan vägleda novisen till att bli expert2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Kliniska träningscentrum (KTC) där studenter får träna i simulerad vårdmiljö har utvecklats på svenska universitet. Lärandemodellen har målet att sjuksköterskestudenterna ska sammankoppla teoretisk och praktisk kunskap samt tillhandahålla ett reflekterande förhållningssätt. Genom simuleringsträning är målet att utveckla sjuksköterskestudenternas medvetenhet om sina egna kunskaper samt begränsningar.

    Syfte: Syftet med studien var att undersöka sjuksköterskestudenters uppfattningar och värderingar av ett kliniskt träningscentrum som lärandemodell samt att se om det fanns skillnader i uppfattningen mellan studenter i olika terminer.

    Metod: En kvantitativ tvärsnittsstudie med enkät som instrument, deskriptiv statistik samt ett chi-tvåtest användes. Totalt 100 sjuksköterskestudenter i termin två till fem deltog i studien.

    Resultat: Studenterna har generellt sett en positiv uppfattning om KTC och de uppskattar lärandemodellen som de anser främja ett reflekterande förhållningssätt. Lärandet sammankopplar teori och praktik och undervisande lärare håller hög pedagogisk kvalité.

    Slutsatser: Simuleringsträningen gör att studenterna känner sig säkrare i mötet med patienten. Utvärderingar av lärandemodeller är viktiga för att de ansvariga ska kunna förbättra sjuksköterskeutbildningen i framtiden. En lärandemodell är under ständig utveckling och det är viktigt att ansvariga för KTC hörsammar denna konstruktiva kritik som framkommer i studien. Detta för att studenterna ska kunna utvecklas från novis till expert, få ett reflekterande förhållningssätt och följaktligen ge patientsäker vård.

  • 254.
    Andersson, Stefan
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Information and Communication Technology - mediated support for working carers of older people2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Despite a growing awareness of the importance of support for carers who combine paid work with care of an older relative, so called ‘working carers’, there remains a lack of empirical knowledge about more innovative ways to support this largest group of carers of older people. Information and Communication Technologies (ICTs) are becoming more readily available. As a result, ICTs have made it feasible to offer working carers more targeted forms of support.

    This thesis aimed to gain an understanding about support for working carers of older people via the use of ICT.

    An integrative literature review was conducted to explore and evaluate the current evidence base concerning the use of ICT-mediated support for working carers (I). Content analysis of qualitative data was used to describe nursing and support staff’s experiences of using web-based ICTs for information, e-learning and support of working carers (II). Content analysis was also used to describe working carers’ experiences of having access to a web-based family care support network provided by the municipality (III). Descriptive statistical methods were used to analyse survey data which focused on the types of support received and how they were valued by working carers, with a focus on ICT support (IV).

    Findings highlighted that ICT mediated support provided working carers with the means to manage their caring situation, via the provision of information, e-learning and education, in addition to practical assistance and emotional and/or physical respite from caregiving. In this way, working carers felt empowered in their caring situation by feeling more competent and prepared in their caring role and by strengthening their self-efficacy and positive self-appraisal of their situation. Carers were provided channels to share their frustrations and burdens via forums for emotional and social support between working carers, caring professionals, and other peer carers. This led to working carers feeling less burdened by their caregiving role and it helped promote their wellbeing. Further, carers were helped in some instances to balance work and care. As a result caregiving activities conflicting with work obligations were then lessened.

    In contrast, when ICT mediated support was neither provided in a timely fashion or in accordance with individual carers’ needs and preferences, then it was perceived by them to be unimportant. Cross-sectional data revealed that take-up of support services was low suggesting that unmet support needs may be inflated by work-care conflicts. For carers with lower digital skills, the additional time needed to learn to use ICTs was a further barrier.

    Overall, ICT mediated support acted as a complementary form of support for working carers. Measures to overcome dis-empowering aspects of this innovative from of support are needed to avoid working carers’ deprioritizing their own support needs and also to avoid possible digital exclusion from the current information society.

  • 255.
    Andersson, Stefan
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Erlingsson, Christen
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Magnusson, Lennart
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hanson, Elizabeth
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Information and communication technology-mediated support for working carers of older family members: an integrative literature review2017In: International Journal of Care and Caring, ISSN 2397-8821, Vol. 1, no 2, p. 247-273Article, review/survey (Refereed)
    Abstract [en]

    How best to support working carers is being paid increased attention across Europe and internationally. This article examines a largely unexplored area within the empirical literature, namely, information and communication technology-mediated support for working carers of older people. Using an integrative review methodology to draw on both quantitative and qualitative data, 14 studies were identified. Themes included making work–life balance easier, reducing the burden of caregiving and promoting well-being. Factors to consider in the design, implementation and evaluation of innovative support solutions for working carers are put forward. However, a lack of longitudinal studies and biased samples warrants further investigation.

  • 256.
    Andersson, Stefan
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Erlingsson, Christen
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Magnusson, Lennart
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hanson, Elizabeth
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. University of Sheffield, UK.
    The experiences of working carers of older people regarding access to a web-based family care support network offered by a municipality2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 3, p. 487-496Article in journal (Refereed)
    Abstract [en]

    Policy makers in Sweden and other European Member States pay increasing attention as to how best support working carers; carers juggling providing unpaid family care for older family members while performing paid work. Exploring perceived benefits and challenges with web-based information and communication technologies as a means of supporting working carers' in their caregiving role, this paper draws on findings from a qualitative study. The study aimed to describe working carers' experiences of having access to the web-based family care support network 'A good place' (AGP) provided by the municipality to support those caring for an older family member. Content analysis of interviews with nine working carers revealed three themes: A support hub, connections to peers, personnel and knowledge; Experiencing ICT support as relevant in changing life circumstances; and Upholding one's personal firewall. Findings indicate that the web-based family care support network AGP is an accessible, complementary means of support. Utilising support while balancing caregiving, work obligations and responsibilities was made easier with access to AGP; enabling working carers to access information, psychosocial support and learning opportunities. In particular, it provided channels for carers to share experiences with others, to be informed, and to gain insights into medical and care issues. This reinforced working carers' sense of competence, helping them meet caregiving demands and see positive aspects in their situation. Carers' low levels of digital skills and anxieties about using computer-based support were barriers to utilising web-based support and could lead to deprioritising of this support. However, to help carers overcome these barriers and to better match web-based support to working carers' preferences and situations, web-based support must be introduced in a timely manner and must more accurately meet each working carer's unique caregiving needs.

  • 257.
    Andersson, Stefan
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Magnusson, Lennart
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hanson, Elizabeth
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. University of Sheffield, UK.
    The use of information and communication technologies to support working carers of older people: a qualitative secondary analysis2016In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 11, no 1, p. 32-43Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    Family care support services have mainly focused on older spousal carers of older people and have largely overlooked working carers, whom combine paid work with informal/family care responsibilities. Recently, however, information and communication technology (ICT) systems have been identified as a potentially flexible way of supporting working carers.

    AIM:

    The aim of this study was to describe nursing and support staff's experiences of using ICT for information, e-learning and support of working carers of older people.

    DESIGN:

    The study employed a descriptive, qualitative approach conducting a qualitative secondary analysis of two original data sets. In total, seventeen professional staff members from two municipal family carer support units in Sweden that had implemented ICTs were interviewed using a semi-structured interview guide consisting of open-ended questions.

    METHOD:

    Two data sets were merged using latent qualitative content analysis.

    FINDINGS:

    Secondary analysis produced three subthemes and an overall theme, a virtual road as a carriageway for the support of working carers, consisting of both enabling and hindering aspects in family support. This theme provides access points in both directions and is based on caring instruments that enable nursing staff's support role. The staff's sustainability and ability to support is influenced by caring opportunities and barriers.

    CONCLUSIONS:

    The findings suggest the ICTs to be flexible structures that provided nursing staff with a means and method to support working carers of older people. To overcome barriers to its use, measures to optimise support for working carers and the older person are needed.

    IMPLICATIONS FOR PRACTICE:

    The use of ICTs provides nurses with a means to offer support to working carers of older people and enables carers to be informed, to learn and to share their burdens with others when caring for an older family member.

  • 258.
    Andersson, Sten-Ove
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Swedish Armed Forces, Sweden.
    Lundberg, Lars
    Swedish Armed Forces, Sweden;University of Borås, Sweden.
    Jonsson, Anders
    Swedish Armed Forces, Sweden;University of Borås, Sweden.
    Tingström, Pia
    Linköping University, Sweden.
    Dahlgren, Madeleine Abrandt
    Linköping University, Sweden.
    Doctors' and nurses' perceptions of military pre-hospital emergency care - When training becomes reality2017In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, p. 70-77Article, review/survey (Refereed)
    Abstract [en]

    The aim of this study was to identify physicians' and nurses' perceptions of military pre-hospital emergency care before and after an international mission. A qualitative empirical study with a phenomeno-graphic approach was used. The results after pre-deployment training can be categorised as (1) learning about military medicine and (2) taking care of the casualty. The results after an international mission can be categorised as (1) collaborating with others, (2) providing general health care and (3) improving competence in military medicine. These results indicate that the training should be developed in order to optimise pre-deployment training for physicians and nurses. This may result in increased safety for the provider of care, while at the same time minimising suffering and enhancing the possibility of survival of the injured. (C) 2017 Elsevier Ltd. All rights reserved.

  • 259. Andrady, Anthony
    et al.
    Aucamp, Pieter J.
    Austin, Amy T.
    Bais, Alkiviadis F.
    Ballare, Carlos L.
    Barnes, Paul W.
    Bernhard, Germar H.
    Bjoern, Lars Olof
    Bornman, Janet F.
    Congdon, Nathan
    Cory, Rose M.
    Flint, Stephan D.
    de Gruijl, Frank R.
    Haeder, Donat-P.
    Heikkilae, Anu
    Hylander, Samuel
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Longstreth, Janice
    Lucas, Robyn M.
    Madronich, Sasha
    McKenzie, Richard L.
    Neale, Patrick
    Neale, Rachel
    Norval, Mary
    Pandey, Krishna K.
    Paul, Nigel
    Rautio, Milla
    Redhwi, Halim Hamid
    Robinson, Sharon A.
    Rose, Kevin C.
    Solomon, Keith R.
    Sulzberger, Barbara
    Waengberg, Sten-Ake
    Williamson, Craig E.
    Wilson, Stephen R.
    Worrest, Robert C.
    Young, Antony R.
    Zepp, Richard G.
    Environmental effects of ozone depletion and its interactions with climate change: Progress report, 20162017In: Photochemical and Photobiological Sciences, ISSN 1474-905X, E-ISSN 1474-9092, Vol. 16, no 2, p. 107-145Article in journal (Refereed)
    Abstract [en]

    The Parties to the Montreal Protocol are informed by three Panels of experts. One of these is the Environmental Effects Assessment Panel (EEAP), which deals with two focal issues. The first focus is the effects of UV radiation on human health, animals, plants, biogeochemistry, air quality, and materials. The second focus is on interactions between UV radiation and global climate change and how these may affect humans and the environment. When considering the effects of climate change, it has become clear that processes resulting in changes in stratospheric ozone are more complex than previously believed. As a result of this, human health and environmental issues will be longer-lasting and more regionally variable. Like the other Panels, the EEAP produces a detailed report every four years; the most recent was published as a series of seven papers in 2015 (Photochem. Photobiol. Sci., 2015, 14, 1-184). In the years in between, the EEAP produces less detailed and shorter Progress Reports of the relevant scientific findings. The most recent of these was for 2015 (Photochem. Photobiol. Sci., 2016, 15, 141-147). The present Progress Report for 2016 assesses some of the highlights and new insights with regard to the interactive nature of the direct and indirect effects of UV radiation, atmospheric processes, and climate change. The more detailed Quadrennial Assessment will bemade available in 2018.

  • 260.
    Andre, Ingemar
    et al.
    Lund University.
    Bjelic, Sinisa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Computational assessment of folding energy landscapes in heterodimeric coiled coils2018In: Proteins: Structure, Function, and Bioinformatics, ISSN 0887-3585, E-ISSN 1097-0134, Vol. 86, no 7, p. 790-801Article in journal (Refereed)
    Abstract [en]

    The coiled coil structural motif consists of alpha helices supercoiling around each other to form staggered knobs-into-holes packing. Such structures are deceptively simple, especially as they often can be described with parametric equations, but are known to exist in various conformations. Even the simplest systems, consisting of 2 monomers, can assemble into a wide range of states. They can form canonical as well as noncanonical coiled coils, be parallel or antiparallel, where helices associate with different degrees of shift, tilt, and rotation. Here, we investigate the energy landscape of heterodimeric coiled coils by carrying out de novo folding simulations starting from amino acid sequence. We folded a diverse set of 22 heterodimers and demonstrate that the approach is capable of identifying the atomic details in the experimental structure in the majority of cases. Our methodology also enables exploration of alternative states that can be accessible in solution beyond the experimentally determined structure. For many systems, we observe folding energy landscapes with multiple energy minima and several isoenergetic states. By comparing coiled coils from single domains and those extracted from larger proteins, we find that standalone coiled coils have deeper energy wells at the experimentally determined conformation. By folding the competing homodimeric states in addition to the heterodimers, we observe that the structural specificity towards the heteromeric state is often small. Taken together, our results demonstrate that de novo folding simulations can be a powerful tool to characterize structural specificity of coiled coils when coupled to assessment of energy landscapes.

  • 261.
    Andreae, C.
    et al.
    Linköping University.
    Stromberg, A.
    Linköping University.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Factors associated with appetite among patients with symptomatic heart failure2014In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 13, p. S53-S54Article in journal (Other academic)
  • 262.
    Andreae, Christina
    et al.
    Linköping University;Uppsala University.
    Stromberg, Anna
    Linköping University;Univ Calif Irvine, USA.
    Chung, Misook L.
    Univ Kentucky, USA.
    Hjelm, Carina
    Linköping University.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University;Kalmar County Hospital.
    Depressive Symptoms Moderate the Association Between Appetite and Health Status in Patients With Heart Failure2018In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 33, no 2, p. E15-E20Article in journal (Refereed)
    Abstract [en]

    Background: Decreased appetite and depressive symptoms are clinical problems in patients with heart failure. Both may result in impaired health status. Objective: The aims of this study were to investigate the association between appetite and health status in patients with heart failure and to explore whether depressive symptoms moderate this association. Methods: In this cross-sectional study, patients with heart failure (n = 186; mean age, 71 years), New York Heart Association class II to IV, participated. Data on appetite (Council of Nutrition Appetite Questionnaire), depressive symptoms (Patient Health Questionnaire-9), and health status (EQ-5D 3-level scale [EQ-5D-3L] descriptive system, EQ-5D-3L index, and EQ Visual Analog Scale) were collected by self-rating questionnaires. Pearson correlation was used to investigate the association between appetite and health status. Multiple regression was performed to examine whether depressive symptoms moderate the association between appetite and health status. Results: There was a significant association between appetite and health status for EQ-5D-3L descriptive system, mobility (P < .001), pain/discomfort (P < .001), and anxiety/depression (P < .001). This association was also shown in EQ-5D-3L index (P < .001) and EQ Visual Analog Scale (P < .001). Simple slope analysis showed that the association between appetite and health status was only significant for patients without depressive symptoms (B = 0.32, t = 4.66, P < .001). Conclusions: Higher level of appetite was associated with better health status. In moderation analysis, the association was presented for patients without depressive symptoms. Decreased appetite is an important sign of poor health status. To improve health status, health professionals should have greater attention on appetite, as well on signs of depressive symptoms.

  • 263.
    Andreae, Christina
    et al.
    Linköping University ; Uppsala University.
    Strömberg, Anna
    Linköping University.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University.
    Prevalence and associated factors for decreased appetite among patients with stable heart failure2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 11-12, p. 1703-1712Article in journal (Refereed)
    Abstract [en]

    Aims and objectivesTo explore the prevalence of decreased appetite and factors associated with appetite among patients with stable heart failure.

    BackgroundDecreased appetite is an important factor for the development of undernutrition among patients with heart failure, but there are knowledge gaps about prevalence and the factors related to appetite in this patient group.

    DesignObservational, cross-sectional study.

    MethodsA total of 186 patients with mild to severe heart failure were consecutively recruited from three heart failure outpatient clinics. Data were obtained from medical records (heart failure diagnosis, comorbidity and medical treatment) and self-rated questionnaires (demographics, appetite, self-perceived health, symptoms of depression and sleep). Blood samples were taken to determine myocardial stress and nutrition status. Heart failure symptoms and cognitive function were assessed by clinical examinations. The Council on Nutrition Appetite Questionnaire was used to assess self-reported appetite. Bivariate correlations and multivariate linear regression analyses were conducted to explore factors associated with appetite.

    ResultsSeventy-one patients (38%) experienced a loss of appetite with a significant risk of developing weight loss. The final multiple regression model showed that age, symptoms of depression, insomnia, cognitive function and pharmacological treatment were associated with appetite, explaining 27% of the total variance.

    ConclusionIn this cross-sectional study, a large share of patients with heart failure was affected by decreased appetite, associated with demographic, psychosocial and medical factors. Relevance to clinical practiceLoss of appetite is a prevalent problem among patients with heart failure that may lead to undernutrition. Health care professionals should routinely assess appetite and discuss patients' experiences of appetite, nutrition intake and body weight and give appropriate nutritional advice with respect to individual needs.

  • 264.
    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.

  • 265.
    Andreasson, Frida
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Nibble, Johanna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Att inte ha förutsättningar till att ge en god vård: En intervjustudie om arbetsrelaterad stress från ett sjuksköterskeperspektiv2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Arbetsrelaterad stress förekommer inom hälso- och sjukvården och uppkommer som en följd av belastande arbetsförhållanden, vilket skapar en obalans i sjuksköterskornas arbete. När sjuksköterskorna upplever arbetsrelaterad stress kan det inverka på den vård som de bedriver.

    Syfte: Att undersöka sjuksköterskors upplevelser av hur arbetsrelaterad stress kan påverka vårdandet.

    Metod: En kvalitativ metod i form av intervjuer med allmänsjuksköterskor låg till grund för studien. De inspelade intervjuerna transkriberades ordagrant och analyserades därefter enligt en kvalitativ innehållsanalys.

    Resultat: Tre huvudkategorier kunde urskiljas; Helhetsbilden av patienten uteblir, Patientsäkerheten hotas och Patienterna upplevs reagera negativt på sjuksköterskornas stress.

    Slutsats: Arbetsrelaterad stress påverkar både sjuksköterskorna, patienterna och vårdandet. Sjuksköterskornas arbetsrelaterade stress medför att det är svårt att upprätthålla en god vård samt att bedriva ett patientsäkert arbete. Genom att uppmärksamma sjuksköterskor och chefer om problemet kan åtgärder vidtas och förutsättningar för att bedriva en god och säker vård kan öka. 

  • 266.
    Andreasson, Jesper
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Johansson, Thomas
    University of Gothenburg.
    Magnusson, Lennart
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Våldsbejakande extremism och radikalisering: En översikt: [Violent extremism and radicalization: an overview]2018In: Young, Marginalised but not Radicalised: A comparative study of positive approaches to youth radicalisation / [ed] Theo Gavrielides, London: IARS Publications , 2018, p. 152-175Chapter in book (Other academic)
    Abstract [en]

    In Sweden, the understanding of processes of radicalization and the development of preventive work against violent extremism can be said to be framed by a few specific political decisions that were formative for the policies developed. These are dealt with in the text. Among other things, the result shows that the security discourse and preventive work are often mixed up at the policy level, which has repercussions in research and prevention. One important key to developing the work on security and prevention lies in the need for further knowledge development regarding everything from methods and field studies to policy practices. Apart from providing an account of developments in Sweden, there are also arguments for a more skeptical, reflexive, and critical attitude towards all forms of simplified categorizations of young people, which risks stigmatizing individuals and groups. By starting from a critical and reflexive social education perspective, it will become possible to contribute to understanding and to an analysis of social contexts, risks, and negative spirals. The ambition of trying to predict which individuals will potentially commit crimes of terror represents a dead end. On the other hand, there are possibilities of identifying risk environments, subcultural groups that cultivate extreme opinions, and then to approach these groups in various ways in order to develop effective social pedagogical work and positive and GLM-based trajectories for young people at risk for radicalisation.

  • 267.
    Andreasson, Sara
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Blixt, Isabel
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Kvinnors erfarenheter av symtom och beslut att söka vård när de drabbas av hjärtinfarkt.2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige är hjärtinfarkt den vanligaste dödsorsaken för kvinnor över 55 år. Kvinnor har erfarenheter av diffusa symtom och de väntar med att söka vård. Syfte: Att belysa kvinnors erfarenheter av symtom och ta beslut om att söka vård när de drabbas av hjärtinfarkt. Metod: Systematisk litteraturstudie med 14 artiklar inkluderades från databaserna Pubmed, Cinahl och PsykInfo. Samtliga artiklar kvalitetsgranskades enligt granskningsmallar och analyserades med innehållsanalys som utgångspunkt. Resultat: Det framkom fem kategorier som sammanfattade resultatet, varav en beskrev hur symtomen visade sig för kvinnorna och de andra kategorierna beskrev kvinnors erfarenheter av vad som påverkade beslutsprocessen. Det framkom att när en diffus symtombild av hjärtinfarkt visade sig för kvinnor kunde de inte känna igen besvären och tolka vad som var fel. Följden blev att kvinnorna inte kopplade symtomen till den förväntade bilden av hjärtinfarkt och beslutsprocessen förlängdes. Slutsats: Det råder en kunskapsbrist hos kvinnor hur symtom vid hjärtinfarkt visar sig och en förvrängd bild av vem som drabbas. Sjuksköterskor som vårdar kvinnor med hjärtinfarkt är i en unik position för att informera om den diffusa symtombilden och vikten av att tidigt kontakta ambulans. Kvinnors upplevelse av sjuksköterskans omhändertagande när de söker vård i samband med hjärtinfarkt är ett område som behöver belysas mer.

  • 268.
    Andréasson, Frida
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kalmar County, Sweden.
    Aidemark, Jan
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Magnusson, Lennart
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kalmar County, Sweden.
    Strömberg, Anna
    Linköping University, Sweden.
    Hanson, Elizabeth
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kalmar County, Sweden.
    Lifeworld in co-designing with informal carers2019In: Journal of Enabling Technologies, ISSN 2398-6263, Vol. 13, no 1, p. 29-39Article in journal (Refereed)
    Abstract [en]

    Purpose – The purpose of this paper is to reflect on carers’ experiences of being involved in the development of a web-based support programme for carers of people with heart failure (CPwHF), and discuss the challenges related to their involvement in the development process. The focus was on the different phases in the project as well as the methodological challenges and opportunities that occurred in the user group sessions conducted.

    Design/methodology/approach – This research adopt an explorative design studying a co-design process to develop an information and communication technology based support programme for and with CPwHF. Habermas’ concepts of lifeworld and system are used as a theoretical framework to analyse the co-design process employed in the study.

    Findings – Reflecting on the co-design approach adopted, the findings highlight the methodological challenges that arise with carer involvement and the possible tensions that occur between researchers’ ambitions to include users in the design process, and the goal of developing a product or service, in the different phases of the design process.

    Originality/value – Findings highlight that there is a tension between the system and lifeworld in the co-design process which are not totally compatible. The paper highlights that there is a need to develop flexible and reflexive human-centred design methodologies, able to meet carers’ needs and ideas, and at the same time balance this with proposed research outcomes.

  • 269.
    Andréasson, Frida
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Andreasson, Jesper
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Hanson, Elizabeth
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Developing a carer identity and negotiating everyday life through social networking sites2017In: Innovation in aging, E-ISSN 2399-5300, Vol. 1, no Suppl_1, p. 465-466Article in journal (Other academic)
    Abstract [en]

    Research highlights that a key overarching reason why family carers do not utilize support services is that many people who perform the duties of caregiving do not necessarily self-identify as a carer. Understanding the development of carer identities may thus be understood as crucial for the utilization of different health services directed towards carers. Based on the EU funded Innovage project, this project aims to describe and analyse how older carers supporting and caring for an older person understand and socially negotiate their life situation and identity as carers on a Swedish online social forum. Theoretically the project departs from a constructionist approach and methodologically it has been inspired by a specifically designed method for studying the cultures and communities that emerge from online computer-mediated or Internet-based communications, called netnography. The results indicate that in the process through which a carer role is acquired, a significant change in self-perception occurs. The presence or absence of recognition for the older carers’ capacity, is understood as filtered through the needs of the cared for person, making the carer identity into an invisible self. At the same time, the opportunity for online communication may help to create a virtual space of social recognition through which negative and positive experiences attached to caring can be discussed. The significance of online communication is here understood as the possibility to be recognized, and feel empowered by other carers.

  • 270.
    Andréasson, Frida
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Andreasson, Jesper
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Hanson, Elizabeth
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Developing a carer identity and negotiating everyday life through social networking sites: An explorative study on identity constructions in an online Swedish carer community2018In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 38, no 11, p. 2304-2324Article in journal (Refereed)
    Abstract [en]

    An overarching reason why carers do not utilise support services is that many people who perform care-giving do not necessarily self-identify as a carer. Understanding the development of carer identities is therefore crucial for the utilisation of different carer-focused health services. This study arose from the European Union-funded INNOVAGE project and aimed to describe how older carers conceptualise and understand their identity as carers on a Swedish online social forum. Theoretically the study adopts a constructionist approach and the method of netnography was applied. The findings reveal that a change in self-perception occurs in the process through which a carer role is acquired. The presence or absence of recognition for the older carers’ capacity, knowledge and life situation is seen as filtered through the needs of the care recipient, making the carer identity into an invisible self. This is not least the case when the identity is constructed in alliance with conceptual and moral obligations found within a marital discourse. Nevertheless, the opportunity for online communication may help to create a virtual space of social recognition through which different experiences attached to caring can be discussed. The significance of online communication is here understood as the possibility it presents for carers to be recognised by other carers. It is a process through which an invisible self can become visible.

  • 271.
    Andréasson, Johanna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ek, Stina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    LIVET MED EN IMPLANTERBAR DEFIBRILLATOR: En litteraturstudie om patienters livsupplevelser och tankar inför livets slutskede2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: En implanterbar defibrillator kallas också Implantable Cardioverter Defibrillator och förkortas ICD. ICD kan förhindra plötslig hjärtdöd. Den vanligaste indikationen för att få en ICD är en bakomliggande hjärtsjukdom med hög risk för livshotande rytmrubbningar. ICD-behandling blev 1985 godkänd för kliniskt bruk. ICD ökar patientens fysiska förmåga men kan medföra flera orosmoment.

    Syfte: Syftet med litteraturstudien var att beskriva patienters upplevelse av att leva med ICD samt att beskriva patienters tankar inför livets slutskede med ICD.

    Metod: Kvalitativ litteraturstudie baserad på tio vetenskapliga originalartiklar. Texten har analyserats i enlighet med Lundman och Graneheim-Hällgrens (2012) kvalitativa innehållsanalys.

    Resultat: Det innebar en förändring av livet att leva med en ICD. Många patienter levde med oro och rädsla som var direkt relaterad till ICD:n men också till obesvarade frågor som bland annat handlade om livets slutskede med ICD. Trots oro och rädsla beskrev patienter med ICD tacksamhet till att ha fått en möjlighet till ett förlängt liv.  

    Slutsats: Livsförändringen innebar bland annat att patienter med ICD behövde mycket stöd. Flera patienter upplevde att sjukvårdens information och kommunikation gällande ICD var bristfällig på grund av att den inte var individanpassad utan mer allmän. Ytterligare forskning behövs om hur vårdpersonal kan möta den enskilde patientens behov i riktning mot hälsa.

  • 272.
    Angeland, Ida
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Utvärdering av polymerers sedimenteringsegenskaper i aktivt avloppsslam2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Den idag mest använda biologiska metoden för rening av avloppsvatten är processen som kallas för aktivt slam. Denna är normalt uppbyggd av luftningsbassäng och sedimenteringsbassäng. Kärnan i processen består av mikroorganismer vars sammansättning varierar. Detta beror på en rad olika yttre faktorer. Mikroorganismer bryter ned löst organiskt material i avloppsvattnet och bildar så kallade flockar, som sedan sjunker ner till bassängbottnen i sedimentationssteget. På detta sätt separerar man vattnet ifrån slammet. Det man vill uppnå är så snabb och kompakt sedimentation som möjligt.

    Polymerer används i samband med avloppsvattenrening för att förbättra flockbildningen och då speciellt när förutsättningarna för naturlig flockning är nedsatt.

    Syftet med den här studien var att laborativt utvärdera ett antal konventionella polymerprodukter och ett miljövänligare alternativ baserad på potatisstärkelse ur effektiv flockning- och sedimenteringssynvinkel. Där resultat för slamvolym, turbiditet och färgtal har vägts mot varandra, samt koncentrationen av polymer och den tid för sedimentering som krävts.

    Resultaten har visat att Magnafloc® 919 var den polymer med effektivast och mest optimala egenskaper. Fler polymerer så som t.ex. Magnafloc® 455 hade snarlika resultat, men krävde en högre koncentration av flockningsmedlet, vilket gör Magnafloc® 919 till det bättre alternativet. Resultaten kommer att ligga till grund för rekommendation av polymerprodukt att testa i fullskala.

  • 273.
    Angeland, Malin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Inverkan av n-3-fettsyror vid förlossningsdepression.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    n-3 fettsyror har en avgörande roll som komponent av plasmamembranets fosfolipider och tillhör gruppen fleromättade fettsyror. n- 3 fettsyrorna har en inverkan på cellstruktur och funktion och viktiga fettsyror är dokosahexaensyra (DHA) och eikosapentaensyra (EPA). DHA och EPA bildas från Alfalinolensyra (ALA) som är essentiell, det vill säga att den måste tillföras via kosten därför att kroppen inte kan tillverka den själv. ALA måste därför tillföras antingen genom fisk-och skaldjursintag och då framförallt fet fisk eller genom kosttillskott. EPA och DHA finns främst i hjärnan som till 60 % består av fett.

    Förlossningsdepression är en åkomma som drabbar ungefär 10-20 % av barnafödande kvinnor. Det är en komplex åkomma som kan bero på olika miljöfaktorer, genetiska anlag men kan även bero på kosten. Förlossningsdepression kan bli allvarligt både för modern och för barnet.

    Syftet med den här studien var att genom vetenskapliga artiklar undersöka om n-3 fettsyror kan ha en inverkan vid förlossningsdepression och isåfall genom vilka mekanismer. Det finns idag inget konkret svar på om n-3 fettsyror kan hjälpa vid förlossningsdepression samtidigt som många studier inom området har gjorts. Denna studie hade därför som syfte att eventuellt kunna bidra med ytterligare kunskap om n-3 fettsyror och förlossningsdepression och om fettsyrorna verkligen hjälper.

    Resultaten från de sex artiklar i studien som undersöktes visade inte på någon tydlig koppling mellan halten av n-3 fettsyror och förlossningsdepression. I tre av de sex studierna kunde dock en liten effekt observeras. En studie visade också att en högre snarare än en lägre nivå av fettsyror kunde öka risken för depression. Det behövs fler studier inom området för att få ett konkret svar.

  • 274.
    Angré, Karin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Olsson, Karin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Att drabbas av och att leva med förvärvad afasi: En systematisk litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige drabbas årligen ca 12 000 personer av afasi där stroke är den största bakomliggande orsaken. Afasi är en språkstörning som delas in i expressiv respektive impressiv form men oftast har den drabbade en kombination av de båda.                      Syfte: Studiens syfte var att belysa individers erfarenheter av sitt dagliga liv med förvärvad afasi efter en stroke.                                                                                                Metod: Studien är en systematisk litteraturöversikt där artiklar har sökts i databaserna Cinahl, PsychINFO och PubMed. Artiklar valdes utifrån uppsatt syfte för att sedan kvalitetsgranskas. Tio artiklars resultat har analyserats för att sedan placeras in i kategorier och teman.                                                                                                            Resultat: Att drabbas av afasi påverkade individen på många olika plan och orsaken till de upplevda problemen var som oftast kommunikationssvårigheter. Många fick en förändrad syn på sig själv, upplevde sig ensamma och tappade självförtroendet. Tidigare sociala nätverk krympte medan betydelsen av familj och nära vänner ökade liksom betydelsen av kontakt med andra afasidrabbade. Även upplevdes hinder för att kunna förstå information och delta på samhällsnivå.                                                                                                    Slutsats: Mer kunskap behövs kring kommunikationssvårigheter och hur det upplevs att leva med dessa från ett individperspektiv. Detta kräver en omvårdnad som utgår från livsvärlden som då kan tillgodose den afasidrabbades behov.

  • 275.
    Angshult, Marleine
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Håkansson, Veronica
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Att leva med diabetes typ II: En kvalitativ litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes typ II är ett stort globalt problem och antalet drabbade fortsätter öka. Att drabbas av en kronisk sjukdom innebär att livsvärlden förändras. Den drabbade måste komma in i ett nytt sammanhang av hälsa och välbefinnande. Sjuksköterskan måste ha kunskap och förmåga att förstå hur patienten upplever sin vård och sin sjukdom för att kunna stödja patienten.

    Syfte: Att beskriva patienters upplevelser av att leva med diabetes typ II.

    Metod: Med hjälp av databaserna CINAHL, Medline och PubMed återfanns 10 kvalitativa artiklar som utgör denna studie. Analysen av artiklarna resulterade i två huvudkategorier: Livet förändrades och Livet går vidare.

    Resultat:  Att drabbas av diabetes typ II innebar att hela livet förändrades. Det upplevdes som svårt att acceptera sjukdomen, livsstilsförändringarna och begränsningarna sjukdomen medförde. Många deltagare funderade på komplikationer och följdsjukdomar som förknippas med diabetes typ II. När deltagarna väl kom till insikt om hur allvarlig sjukdomen var och hur den påverkade deras liv insåg de att förändringar krävdes.

    Slutsats: Det är viktigt att patienterna får information och stöd från sjukvården för att kunna hantera och acceptera sin sjukdom. Risken är annars att patienten inte förstår vikten av att genomföra livsstilsförändringar.

  • 276.
    Angviken, Åsa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    SSRIs effekt och säkerhet hos barn och ungdomar2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Depression är den näst mest kostsamma sjukdomen för samhället efter hjärt-kärlsjukdom, främst på grund av långa sjukskrivningsperioder. Sjukdomen kan uppstå när som helst från sex månaders ålder, men prevalensen ökar med åldern. Det finns ett antal stressrelaterade faktorer som skulle kunna leda till depression, så som stor sorg, verbala eller fysiska övergrepp samt en svår barndom. Vad som orsakar sjukdomen är ännu inte helt känt, men det finns teorier att halterna av serotonin och noradrenalin är lägre hos deprimerade personer. Behandling som används är olika former av samtalsterapi, men även läkemedel så som selektiva serotoninåterupptagshämmare (SSRI). Det finns teorier som sammankopplar användandet av SSRI med självmord, framförallt hos personer ≤19 år. Syftet med detta litteraturarbete var att undersöka om SSRI preparat har någon effekt på depression hos barn och ungdomar och om de är säkra eller kan få allvarliga konsekvenser så som självmord. Sökningar i PubMed gjordes för att hitta relevanta artiklar. Fem av de åtta inkluderade studierna rapporterade olika effekter och säkerhet hos olika SSRI preparat bland barn och ungdomar, jämfört med placebo. Två andra studier undersökte förekomsten av suicidalitet till följd av läkemedlen. Den sista studien jämförde toxikologiska data från Rättsmedicinalverket med receptregistret på antidepressiva läkemedel från  Socialstyrelsen. Endast två av de fem studerade preparaten (fluoxetin och citalopram) hade en bättre effekt än placebo i hela populationen och ytterligare ett (sertralin) hade bättre effekt hos ungdomar. Det begicks inga självmord i studierna.    De studier som har granskats i detta arbete tyder på att olika SSRI preparat har olika bra effekt samt olika säkerhetsprofiler. Det sågs inget tydligt samband mellan behandlingen och självmord, men en något förhöjd risk för suicidalitet.     

  • 277.
    Aniansson, Rebecka
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Utvärdering av snabb resistensbestämning för Staphylococcus aureus och Streptococcus pneumoniae direkt från positiv blododlingsflaska2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bacteria in the bloodstream may cause sepsis, therefore early and correct treatment is important. Antibiotic resistance is an increasing problem and antimicrobial susceptibility testing (AST) is essential for the patients survival. In sepsis with diagnosis based on blood culture, at least two days are required for results from AST.

    Routine AST-method in Swedish microbiological laboratories is the disc diffusion method standardized by the European Committee on Antimicrobial Susceptibility Testing (EUCAST). In disc diffusion, bacteria are grown on agar plates and inhibition zones around paper disks with antibiotics are used to measure the antibiotic effect. The method requires bacterial colonies as source material and takes 16–20 hours. EUCAST has further developed the method for Rapid Antimicrobial Susceptibility Testing (RAST). RAST is performed directly from positive blood culture bottles and inhibition zones are measured at 4, 6 and 8 hours. The method uses different breakpoints for categorization at the different timepoints. The purpose of the study was to evaluate RAST for Staphylococcus aureus and Streptococcus pneumoniae by examining bacterial isolates inoculated into blood culture bottles. Zone diameters were measured, and results were compared with those of standardized disk diffusion. For S.aureus, at 4 hours 102/184 (55%) readings were categorizable, at 6 hours 164/184 (89%) and at 8 hours 174/184 (95%). A total of 7 error categorizations occurred, 5 of which were underestimation of clindamycin resistance at 4 hours. For S.pneumoniae at 4 hours, 74/80 (92%) readings were categorizable, at 6 hours 73/80 (91%) and at 8 hours 77/80 (96%). Resistance was overestimated at 21 zone measurements at 4 hours.. RAST showed good results for S.aureus after 6 hours. For S.pneumoniae, further studies are required but RAST may work after 6 hours for penicillin resistance assessment.

  • 278.
    Anita, Wilander
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Camilla, Aronsson
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Patienters erfarenheter av diabeteskontroller på hälsocentral2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning

     

    Titel: Patienters erfarenheter av diabeteskontroller på hälsocentraler.

    Bakgrund: Diabetes är en kronisk sjukdom som kan orsaka flera olika komplikationer. För att undvika diabeteskomplikationer erbjuds patienter med diabetes typ 2 regelbundna kontroller. Sjuksköterskan har en viktig roll i behandlingen av dessa patienter, genom dialog och kompetens kan sjuksköterskan stärka patienten i sin diabetes. Med denna studie vill författarna ta tillvara på patienternas erfarenheter för att utveckla de återkommande diabeteskontrollerna på hälsocentralerna.

    Syfte: Att belysa de erfarenheter som patienter med diabetes typ 2 har av återkommande kontroller på vård-/ hälsocentral.

    Metod: Studien genomfördes med en kvalitativ ansats. Nio patienter med diabetes som gick på regelbundna diabeteskontroller på vård-/ hälsocentral, intervjuades med semistrukturerade frågor utifrån en intervjuguide. En kvalitativ manifest innehållsanalys användes för att analysera intervjuerna.

    Resultat: Vid analysen framkom tre huvudkategorier och sju underkategorier. De tre huvudkategorierna var: Vårdrelation, patienterna upplevde att de fick bra bemötande när de var på kontroll för sin diabetes. Vårdpersonalen ingav trygghet och förtroende. Patienterna kände sig delaktiga i sin diabetesbehandling och de kände att de fick det stöd som de önskade från vården. Kontinuitet, att möta samma kompetenta vårdpersonal på sina regelbundna diabeteskontroller var uppskattat av alla patienterna. Egenvård, informationen om egenvård upplevdes som tillräcklig.

    Slutsats: Med utgångspunkt från resultaten är det viktigt att patienter med diabetes får träffa samma vårdpersonal för att känna trygghet i vårdrelationen. För att frambringa en god vårdrelation förutsätter det att sjuksköterskorna kan möta patienterna i en jämbördig och ömsesidig vårdrelation. Studiens resultatet visar att det är viktigt att bekräfta och se patientens erfarenheter av att leva med diabetes.

     

  • 279.
    Ankarbranth, Martina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Svensson, Emma
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    "ATT VARA EN KAMELEONT": En intervjustudie om nyutbildade sjuksköterskors upplevelser av att vårda patienter i hemmet2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Alltfler vårdas idag i hemmet och omvårdnaden blir alltmer avancerad. Detta ställer ökade krav på sjuksköterskans kompetens. Sjuksköterskorna beskriver sitt dagliga arbete i hemsjukvården som en komplex sammansmältning av hela yrkesområdet. Ensamarbete var vanligt förekommande vilket upplevdes som påfrestande Den nyutbildade sjuksköterskan ska i teorin ha samma kunskaper och kompetenser som den erfarna. De nyutbildade vittnar dock om att de inte alltid känner sig redo eller tillräckligt kompetenta.

    Syfte: Syftet var att undersöka nyutbildade sjuksköterskors upplevelser av att vårda patienter i hemmet.

    Metod: En kvalitativ intervjustudie genomfördes. Sex intervjuer med nyutbildade sjuksköterskor låg till grund för studiens resultat. Intervjuerna analyserades enligt Graneheim och Lundmans (2012) kvalitativa innehållsanalys.

    Resultat: Tre olika huvudkategorier framkom när intervjuerna hade analyserats. Den första kategorin tog upp hur den fysiska vårdmiljön i hemmet påverkade sjuksköterskan med underkategorierna: Avsaknad av en ergonomiskt anpassad arbetsmiljö samt Bristande vårdhygien. Huvudkategori två belyste hur den vårdande relationen upplevdes vara i hemmet, underkategorierna blev: Att lära känna patienten, Att känna sig behövd, Att inte räcka till och Mötet med de anhöriga. Den tredje huvudkategorin beskrev viktiga komponenter i den nyutbildade sjuksköterskas professionella roll. Underkategorierna blev: Anpassning till patienten, Balans mellan närhet och distans samt Vikten av kollegialt stöd.

    Slutsats: Arbetet med att vårda patienter i hemmet är en komplex och mångfacetterad upplevelse som uppskattas av de nyutbildade sjuksköterskorna. Kollegor är avgörande för att kunna bedriva en god vård och känna sig säker i sin nya yrkesroll. Den fysiska arbetsmiljön upplevs ibland utgöra ett hinder för att utföra vården av patienten på ett tillfredställande sätt.

  • 280.
    Ankarling, Åsa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Dechiffrerandet av Detox: Bland sanningar och myter2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Sellers of detox preparations argue that in our modern society, the body's purification mechanisms are no longer sufficient and need a little help, preferably in the form of alleged cleansing herbal formulas. Some also advocate colonic irrigation and ionizing foot baths. The purpose of this study is to survey the flora of detox products in the form of nutritional supplements: what types there are, what ingredients are included and which claims are made. The claims have been classified for testability and reliability was assessed through searches in PubMed and Web of Science. Some of the testable assertions seem to completely lack evidence, other claims lean on studies that suffer from problematic deficiencies, while some claims deserve further study since they find support from studies with promising preliminary results. You cannot rule out a future for evidence-based detox diets, no more than you can to say that detox diets today keep their promises. More clinical, placebo-controlled studies are required and a clearer dividing line between what is pure bluff and what is serious research. Consumers should be aware of the lack of evidence and the risks that exist, for example in the form of contaminated products and the potential risk of interactions with medicines. 

  • 281.
    Anna, Jansson
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Olofsson, Malin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Mötet med asylsökande i primärvården: En intervjustudie med distriktssköterskor2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In recent years, more people are fleeing from war, violence and persecution, which has led to an increasing number of asylum seekers in Sweden. This affects opportunities in primary care to meet the needs of asylum seekers. By law, asylum seekers have the right to immediate health care based on medical needs. In the meeting with the asylum seeker, the district nurse has an important role and a major responsibility for the patient to get good care. A lack of communication between district nurse and asylum seeker is something that may complicate the health care. The opportunities for communication increases when using interpreters. A good treatment is important to an equal health and health care. Big differences in treatment have disfavored foreign-born patients.

    Purpose: The purpose of this study was to illustrate the district nurse's experiences of meeting with asylum seekers in primary care.

    Method: The study was conducted with a qualitative inductive approach. The study was conducted with semi-structured interviews with nine district nurses in primary care. The data collection was analyzed according to qualitative content analysis.

    Results: The data analysis resulted in four main categories: The district nurse´s attitude affects the treatment, Language barriers and strategies to prevent them, Environmental conditions and Cultural differences, and four subcategories: Person centred response, Creating a caring relationship, Interpretation and Creative strategies.

    Conclusion: This study contributes with knowledge about district nurses experience of meeting asylum seekers in primary care. More education appeared to be desirable, with hope to improve future meetings.

  • 282.
    Anna, Löfdahl
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenheter av att möta patienter inom psykiatrisk vård som har utfört suicidförsök2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 283.
    Ann-Sofie, Nilsson Neumark
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Outline the adherence to guidelines by using quality indicators in monitoring diabetes care in elderly -a survey study 2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To outline in what extent elderly people over 80 with Diabetes mellitus (DM) are monitored according to Swedish National guidelines, comparing those living at home with or without home health care and residents of nursing homes

    Methods: Cross-sectional, medical record review elderly aged 80 and older with known DM, using quality indicators to evaluate diabetes care during a two-year period. Results: Adherence to HbA1c monitoring independent of medication was poor in nursing homes, 72%, (p<0.001). The HbA1c level <52mmol/mol (6.9% NGSP) was obtained for 34% of those living at home with and without home health care, 26% by residents in nursing homes. Insulin therapy was used to a greater extent in nursing homes (54%). Metformin was frequently used in the age group, 80-84, even at reduced e-GFR. Hypertension and coronary heart disease was the most common comorbidities in all groups. The prevalence of DM in the age group 80-89 was 18 %.

    Conclusions: Poor adherence was seen in Hba1c, p-lipid, BP monitoring and performed foot examinations, among residents in nursing homes. There are major opportunities for improvement regarding the care of elderly with diabetes in generally and especially residents in Nursing homes, suggesting that co-ordination between primary health care and municipality provided care need to create methods for better cooperation.

  • 284.
    Anselius, Lotta
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Kabinavfall - möjligheter att sortera och återvinna?2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aviation industry is increasing by about 5% each year and the forecast is that it will continue until 2030. Our need to travel and move is huge and irrevocable, but at the same time when greenhouse gas emissions are constantly changing, new levels and climate change are becoming more palpable. The aviation industry around the world, in addition to greenhouse gas emissions and noise, generates a large amount of waste from onboard services and today, the dominating part of that goes to incineration or landfill. In this study, a survey of cabin waste has been made to see which different fractions of cabin waste can be found and the amount generated. Cabin waste from 30 aircraft arriving at Stockholm Arlanda Airport has been sorted and weighed. To Stockholm Arlanda Airport, on average, close to 10,000 aircraft a month are arriving and their cabin waste go to combustion at Brista CHP (Combined heat and power plant). The EU's laws on how food waste must either be burned or landfilled if it comes from a nonEU country makes it more difficult for airlines to introduce systems for sorting and collection on board. However, there are great environmental benefits to recycling different fractions of cabin waste. Fractions of waste from aircrafts arriving at Stockholm Arlanda Airport have in this study been sorted and weighed and the result shows that plastic constitutes the largest part of the cabin waste. Metal (aluminum) is the fraction that, in recycling, saves most energy (95%) and CO2 emissions (95%) and is, together with parts of the plastic fraction, the easiest to sort and recycle. Airlines and ii airport operations must work together to increase waste recycling, but in a competitive industry such as the aviation industry, the environmental benefits of recycling have to be lifted. Efforts to sort and recycle along with reduced waste generation must be intensified.

  • 285.
    Antonsson, Sara
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    A comparison of the accommodative response and contrast in young adults fitted with multifocal and monofocal contact lenses2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of this study was to compare the effect of multifocal and monofocal contact lenses in the accommodative response and contrast sensitivity in young emmetropic adults.

    Method: The requirements to take part in the current study were no ocular pathology, healthy corneas, no refractive surgery and an acuity of at least 1.0 on the Snellen chart with a good binocular vision. Thirteen individuals participated in the study, 9 females and 4 males, with an mean age of 22.6 years (SD=3.4). In separated fittings, participants were fitted with: 1) multifocal lenses, centre-distance design and 0.00D (add +2.00D) (Coopervision Biofinity) and with 2) single vision  +2.00D (Coopervision Biofinity. Refraction was assessed 3 times in both eyes: with each fitting and also without any lens. A Metropsis system (CRS) was used to measure the contrast sensitivity and visual acuity.

    Results: In this study we found statistically significant differences in accommodative response between the conditions non-lens and multifocal contact lens (p<0.05) and non-lens and monofocal lens (p<0.001). The difference between the multifocal lens and monofocal lens was not statistically significant. The results from the contrast measurement showed an increased contrast thresholds with the multifocal contact lens when compared with non-lens.

    Conclusion: This study shows that the multifocal lens reduce only partially the accommodative response in young individuals. In addition multifocal contact lenses, fitted in emmetropic participants, reduced contrast sensitivity.

  • 286.
    Anxo, Dominique
    et al.
    Linnaeus University, School of Business and Economics, Department of Economics and Statistics.
    Ericson, Thomas
    Linnaeus University, School of Business and Economics, Department of Economics and Statistics.
    Herbert, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Beyond retirement: who stays at work after the standard age of retirement?2019In: International journal of manpower, ISSN 0143-7720, E-ISSN 1758-6577, Vol. 40, no 5, p. 917-938Article in journal (Refereed)
    Abstract [en]

    Purpose Drawing on a unique combination of longitudinal administrative data and a postal survey, the purpose of this paper is to identify the socio-economic factors and individual characteristics that affect senior citizens' decision to continue working on the Swedish labour market after the standard retirement age. Design/methodology/approach By using standard econometric techniques (multinomial logit model) on a large representative sample of 20,000 senior citizens residing in Sweden, the auhtors analyse the extent to which socio-economic factors and individual characteristics including personality traits affect the decision of senior citizens to delay retirement and to continue working after the standard retirement age. Findings The results of our estimations show clearly that good health, high educational attainment/high-skilled jobs, good psychosocial work environment, employment status (to be self-employed), personality traits (extraversion, openness to experience and conscientiousness) as well as industrial sectors (agriculture, healthcare and transport) are strong predictors of the continuation of work after the standard retirement age (65 years old). Originality/value To the best of the authors' knowledge, the paper is the first attempt in Sweden to analyse jointly a large range of factors influencing the decision to remain in the labour force after the standard/normal pension age, including psychosocial working conditions and personality traits.

  • 287.
    Anxo, Dominique
    et al.
    Linnaeus University, School of Business and Economics, Department of Economics and Statistics.
    Ericson, Thomas
    Linnaeus University, School of Business and Economics, Department of Economics and Statistics.
    Herbert, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Därför vill 40-talisterna jobba efter 652017In: Ekonomisk Debatt, ISSN 0345-2646, Vol. 45, no 5, p. 45-58Article in journal (Other academic)
    Abstract [sv]

    Dagens generation av svenskar i åldersgruppen 65–74 år har en högre sysselsättningsgrad än tidigare generationer. I den här artikeln analyseras seniorernas motiv till att fortsätta att arbeta och varför andra går i pension, med fokus på vilka socioekonomiska faktorer som påverkar beslutet att fortsätta arbeta efter 65. Vi undersöker även om det finns vissa personlighets- och karaktärsdrag som utmärker de arbetande seniorerna, samt om det finns ett samband mellan arbete efter 65 och den allmänna tillfredsställelsen med livet.

  • 288.
    Anxo, Dominique
    et al.
    Linnaeus University, School of Business and Economics, Department of Economics and Statistics.
    Ericson, Thomas
    Linnaeus University, School of Business and Economics, Department of Economics and Statistics.
    Herbert, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Rönnmar, Mia
    Lund University.
    To stay or not to stay. That is the question: beyond retirement: Stayers on the labour market2017Report (Other academic)
    Abstract [en]

    The research project addresses three main questions: Who are the persons that continue to work after “normal” retirement age? What are their motivations? What are the consequences for the individual and for society? To answer these questions we perform an analysis of external and internal factors affecting the choice to stay after 65 years on the labour market or to leave earlier. Among external factors we investigate are: The impact of the prevailing labour laws and regulations on senior citizens’ participation on the labour market ; The socio-economic factors that affect the likelihood to stay on the labour market after the age of 65 ; The impact of employers’ human resource strategies on the possibility for senior workers to remain on the labour market after the age of 65 years. We also analyse the the role of individ specific factors such as motivation and , personal traits but the outcome in terms of subjective well-being and health. 

  • 289.
    Aparicio, Fran L.
    et al.
    CSIC, Spain.
    Nieto-Cid, Mar
    CSIC, Spain.
    Borrull, Encarna
    CSIC, Spain.
    Calvo, Eva
    CSIC, Spain.
    Pelejero, Carles
    CSIC, Spain;CREA, Spain.
    Montserrat Sala, Maria
    CSIC, Spain.
    Pinhassi, Jarone
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Gasol, Josep M.
    CSIC, Spain.
    Marrase, Celia
    CSIC, Spain.
    Eutrophication and acidification: Do they induce changes in the dissolved organic matter dynamics in the coastal Mediterranean Sea?2016In: Science of the Total Environment, ISSN 0048-9697, E-ISSN 1879-1026, Vol. 563, p. 179-189Article in journal (Refereed)
    Abstract [en]

    Two mesocosms experiments were conducted in winter 2010 and summer 2011 to examine how increased pCO(2) and/or nutrient concentrations potentially perturbate dissolved organic matter dynamics in natural microbial assemblages. The fluorescence signals of protein-and humic-like compounds were used as a proxy for labile and non-labile material, respectively, while the evolution of bacterial populations, chlorophyll a (Chl a) and dissolved organic carbon (DOC) concentrations were used as a proxy for biological activity. For both seasons, the presence of elevated pCO(2) did not cause any significant change in the DOC dynamics (p-value < 0.05). The conditions that showed the greatest changes in prokaryote abundances and Chl a content were those amended with nutrients, regardless of the change in pH. The temporal evolution of fluorophores and optical indices revealed that the degree of humification of the organic molecules and their molecular weight changed significantly in the nutrient-amended treatment. The generation of protein-like compounds was paired to increases in the prokaryote abundance, being higher in the nutrient-amended tanks than in the control. Different patterns in the magnitude and direction of the generation of humic-like molecules suggested that these changes depended on initial microbial populations and the availability of extra nutrient inputs. Based on our results, it is expected that in the future projected coastal scenarios the eutrophication processes will favor the transformations of labile and recalcitrant carbon regardless of changes in pCO(2). (c) 2016 The Authors. Published by Elsevier B.V.

  • 290.
    Apelman, Marcus
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Anderssson, Simon
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjuksköterskans erfarenheter av att vårda patienter med somatisk sjukdom med samtidig psykisk sjukdom: En Litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Personer med en psykisk sjukdom dör betydligt tidigare än personer som inte har en psykisk sjukdom. Detta sker ofta i somatiska sjukdomar såsom cancer, kardiovaskulära sjukdomar och från trauma av våld och olyckor. De drabbas frekventare och oftare mer allvarligt än individer utan psykisk sjukdom och riskerar att få en längre vårdtid och sämre utfall.

    Syfte: Syftet var att belysa sjuksköterskors förhållningsätt i omvårdnad av patienter med somatiska sjukdomar med en samsjuklighet av psykisk sjukdom.

    Metod: Nio vetenskapliga artiklar, funna i databaserna Cinahl och PsycInfo har kvalitetsgranskats och analyserats med en metod för kvalitativ innehållsanalys.

    Resultat: Sjuksköterskors förhållningssätt i omvårdnaden av patienter med somatiska sjukdom med en samsjuklighet i psykisk sjukdom redovisas i kategorierna Behov av ytterligare kunskap, Rädsla och oro och Avståndstagande förhållningssätt.

    Slutsats: Slutsatsen i denna litteraturöversikt är att sjuksköterskan behöver mer kunskap för att kunna vårda patienter med en samsjuklighet. Sjuksköterskorna inom somatisk respektive psykiatrisk vård behöver mer kunskap inom varandras område. Med den utökade kunskapen om samsjuklighet och varandras vård blir sjuksköterskan bättre förbered för de nya krav som ställs.

    Klinisk implikation: Internutbildning behövs för att öka kompetens och trygghet hos sjuksköterskor som vårdar patienter med somatiska sjukdomar och samsjuklighet i psykisk sjukdom. Kommunikationskanaler mellan den somatiska och psykiatriska vården bör skapas för att möjliggöra konsultation mellan klinikerna.

  • 291.
    Apelqvist, Josefin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lindesten, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjuksköterskans möte med den våldutsatta kvinnan: En systematisk litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Våld i nära relationer är ett internationellt likväl som ett nationellt problem. Kvinnor som utsätts för våld i en nära relation upplever den omvårdnad och det bemötande de fått som bristande. En medvetenhet kring förekomsten av våld måste vara ständigt närvarande i yrken där mellanmänskliga möten förekommer. Om denna medvetenhet saknas i det mellanmänskliga mötet mellan sjuksköterska och patient kan heller inte sjuksköterskan ge adekvat omvårdnad.

    Syfte: Syftet är att belysa sjuksköterskans erfarenheter och kunskaper av mötet med den våldutsatta kvinnan.

    Metod: En systematisk litteraturstudie där artiklar har granskats, analyserats och kategoriserats enligt en manifest innehållsanalys.

    Resultat: Sjuksköterskans bemötande av den våldsutsatta kvinnan baserades till stor del på sjuksköterskans egen syn på våld i nära relationer. Sjuksköterskor hade bristande kunskap kring vad våld i nära relationer innebar och hur detta problem kunde bemötas. Det förekom olika föreställningar och fördomar kring våld i nära relationer. Beroende på om sjuksköterskan hade hindrande eller underlättande föreställningar planerades och genomfördes omvårdnaden olika.

    Slutsats: Sjuksköterskor har ett utbildningsbehov kring våld i nära relationer och vilka följder våldet kan medföra för den utsatta kvinnans hälsa. Utbildning behövs för att sjuksköterskan ska kunna ge adekvat omvårdnad till våldsutsatta kvinnor.

  • 292.
    Apostolou, Vasileios
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Identification of covalently labeled, non-catalytic residues in proteins using liquid chromatography–mass spectrometry techniques2018Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Protein inhibition by covalent modifications has been widely explored during the last decades. Despite the worries regarding the toxicity and suitability of irreversible covalent drug inhibitors, lately they have gained more and more attention in scientific community. Here we investigate covalent modifications of non-catalytic protein residues with small-molecules as the potential building blocks for future drug discovery. The intricacies of protein structure and the environment they exist in, usually complicate the understanding of the reactivity between the amino acids and compounds. In this study, we attempted to approach this subject from an analytical point of view. By applying recombinant DNA techniques, we expressed and purified proteins of interest; using liquid chromatography–mass spectrometry (LC–MS) we attempted to label a number of redesigned proteins with the ultimate goal to apply this to human protein kinases, few of which will be presented here. This may potentially assist in rationally target residues in proteins, ideally not ctalytic ones that can be covalently modified, which can serve in later drug design studies. Furthermore, it will optimistically lead us to new efforts in discovering alternative methods of cancer treatment. Ultimately, the combination of experimental techniques and computational models will broaden our knowledge of covalent modifications at allosteric positions in proteins.

  • 293.
    Appelqvist, Amanda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjögren, Anette
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Distriktssköterskors handhavande av och kunskaper om svårläkta sår: En enkätstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic wounds are a health problem all over the world. Continuity, person-centered care, proper wound assessment and applied knowledge of the wound healing process and underlying factors underpin good wound healing. District nurses handling and knowledge are important factors in the care of patients with chronic wounds. Cross-professional care and person-centered care are important components of the care plan of patients with chronic wounds.

    Purpose: The purpose is to investigate the district nurse disposal and knowledge of severe wounds.

    Method: This survey is an empirical cross-sectional study with analysis of quantitative data and descriptive design. The selection group consisted of general nurses and district nurses employed in primary care and community home care in two counties in southeast Sweden.

    Results: The analysis resulted in four prominent findings. The most prominent findings are: colleagues, work experience and continuing training are the main sources of knowledge regarding chronic wounds and wound care training is rarely offered. District nurses grade their knowledge of chronic wounds higher than general nurses, there are differences between workplaces and counties in which anti-healing factors are actively working whit and that cross-professional cooperation differs between workplaces and counties.

    Conclusion: There are differences in education in wound care between nursing education and district nursing education, hence the exchange of knowledge between colleagues and continuing education has become an important factor for higher wound care skills. Today there are no national guidelines and procedures in how wound care should be designed, there are differences between counties, primary care and community home care

  • 294.
    Appelqvist, Josefin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Kvinnors upplevelser av livet efter en hjärtinfarkt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund Varje år drabbas ca 25 300 människor av hjärtinfarkt i Sverige. Kvinnor drabbas inte lika ofta som män och kan ha en annan symtombild. Detta kan innebära att de väntar med att söka vård. Kvinnor får inte heller tillgång till evidensbaserad vård i lika stor utsträckning som män.

    Syftet Syftet med studien var att beskriva kvinnors upplevelser av livet efter en hjärtinfarkt.

    Metod Litteraturstudien baseras på åtta kvalitativa artiklar. Artiklarna hittades i databaserna Cinahl och PsycInfo. Artiklarna lästes igenom och en innehållsanalys gjordes enligt Kristensson (2017).

    Resultat I resultatet kom det fram två huvudkategorier: Begränsningar i livet och stöd i vardagen. Att få en hjärtinfarkt kan vara en stor livsförändring och där livet inte blir som det tidigare har varit. En osäkerhet och rädsla upplevdes efter hjärtinfarkten. Brist på energi gjorde att det var svårt att vara med i sociala sammanhang. Vissa kvinnor upplevde en förändrad sexlust efter hjärtinfarkten. Kvinnorna upplevde att det fanns brister i stödet ifrån professionella vårdare.

    Slutsats Att ha en längre uppföljning med sjukvården kan göra att kvinnorna inte känner sig utlämnade, då kvinnor hade besvär efter sin hjärtinfarkt. En längre uppföljning kan leda till att kvinnorna känner en trygghet i sin vardag. Att delta i hjärtrehabiliteringsprogram stärkte kvinnorna.

    Nyckelord

    Hjärtinfarkt, kvinnor, upplevelser.

  • 295.
    Appelros, Sara
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Samvetsstress och utbrändhet hos sjuksköterskor i kommunal hemsjukvård2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stress in healthcare has been described as a specific form of stress that arises when immoral acts and ethically difficult situations lead to troubled conscience and stress of conscience. Previous studies have shown an association between stress of conscience and burnout.

    Aim: The aim was to examine the prevalence of and the stress of conscience and the association between stress of conscience and burnout among nurses working in municipal home care.

    Methods: A cross-sectional study was preformed using a questionnaire. The study was completed by 84 nurses working in municipal home care in southern Sweden, and the response rate was 79 percent.

    Results: The result showed that stress of conscience and burnout exists among nurses. The result showed a significant correlation between stress of conscience and exhaustion (r = 0.69, p <0.001). Of the participants, 27.4 percent (n = 23) were found to be at risk of exhaustion. Stress of conscience arose when work in health care felt so demanding that there was no energy to spend on their family. Feelings of troubled conscience occurred among 60.7 percent (n = 51) of the participants when they couldn’t give the care that the patient needed. But the participants testify that they rarely ever see patients being insulted or injured. Of the nurses, 22.6 percent (n = 19) reported that they were often exposed to incompatible work requirements. The result showed an increased sense of exhaustion among the participants, where 47.7 percent (n = 40) often feel tired after work and 40.4 percent (n = 34) answered that there were tired before work.

    Conclusion: Nurses working in municipal home care experience stress of conscience and exhaustion. Nurses experience troubled conscience when they cannot provide the care that the patient needs and when they are being exposed to incompatible demands at work. More than half of the participants experience an increased need for relaxation after work, while most of them felt that they tolerate the pressure of work well.

  • 296.
    Appelros, Sofia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Rosander, Jennifer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Kvinnors upplevelser av vänskapsrelationer: En kvalitativ studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att undersöka kvinnors upplevelser av vänskapsrelationer. Detta undersöktes genom semi-strukturerade intervjuer med sju kvinnor i åldrarna 22-33 år. Data analyserades med Burnards (1991) 14-stegs process då kategorier och teman utformades. Resultatet gav tre teman som döptes till: fristad, utbyte och vänskapsförbindelse. Dessa teman utgjordes av åtta kategorier och 22 underkategorier. Upplevelserna av vänskapsrelationer inkluderade bland annat förståelse, stöd, ärlighet, acceptans och likhet. Resultatet belyser både positiva och negativa aspekter då vänskapsrelationer å ena sidan kunde upplevas som gynnsamma och ömsesidiga men å andra sidan även krävande och ensidiga. En vän var en källa till stöd i svårare tider men även någon att dela glädje och skratt med. Vänskapsrelationer fyllde olika behov såsom gemenskap och tilhörighet, och ansågs vara en frivillig förbindelse mellan parterna där känslan av att kunna vara sig själv, att få bekräftelse, och att vara öppna mot varandra anses önskvärda.

  • 297.
    Arahal, David R.
    et al.
    Univ Valencia, Spain.
    Lucena, Teresa
    Univ Valencia, Spain.
    Carmen Macian, M.
    Univ Valencia, Spain.
    Ruvira, Maria A.
    Univ Valencia, Spain.
    Gonzalez, Jose M.
    Univ La Laguna, Spain.
    Lekumberri, Itziar
    Univ Girona, Spain.
    Pinhassi, Jarone
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Pujalte, Maria J.
    Univ Valencia, Spain.
    Marinomonas blandensis sp nova, a novel marine gammaproteobacterium2016In: International Journal of Systematic and Evolutionary Microbiology, ISSN 1466-5026, E-ISSN 1466-5034, Vol. 66, p. 5544-5549Article in journal (Refereed)
    Abstract [en]

    A novel Gram-staining-negative, chemoorganotrophic, moderately halophilic, strictly aerobic bacterium, strain MED121(T), was isolated from a seawater sample collected at the Blanes Bay Microbial Observatory in the north-western Mediterranean Sea. Analysis of its 16S rRNA gene sequence, retrieved from the whole-genome sequence, showed that this bacterium was most closely related to Marinomonas dokdonensis and other Marinomonas species (96.3 and 93.3-95.7% sequence similarities, respectively), within the family Oceanospirillaceae. Strain MED121(T) was included into a whole-genome sequencing study and, subsequently, it was characterized using a polyphasic taxonomic approach. It was found to be oxidase and catalase positive, its cells are cocci to short rods, it does not ferment carbohydrates and does not reduce nitrate to nitrite or gas and it requires at least 2.5% (w/v) marine salts and tolerates up to 7% (w/v) salts. Its major cellular fatty acids in order of abundance are C-16:1 omega 7c/C-16:1 omega 6c,C-18:1 omega 7c(1), C-16:0 and C-10:0 3-OH. Its genome had an approximate length of 5.1 million bases and a DNA G+C content equal to 40.9 mol%. Analysis of the annotated genes reveals the capacity for the synthesis of ubiquinone 8 (O8) and the polar lipids phosphatidylglycerol and phosphatidylethanolannine, in agreement with other members of the genus. All the data collected supported the creation of a novel species to accommodate this bacterium, for which the name Marinomonas blandensis sp. nov. is proposed. The type strain is MED121(T) (=CECT 7076(T)=LMG 29722(T)).

  • 298.
    Archer, Trevor
    et al.
    University of Gothenburg.
    Lindahl, Mats
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Physical exercise to determine resilience: Hormesic processes arising from physiologic perturbation2019In: Journal of Public Health and General Medicine, Vol. 1, no 1, p. 1-10Article in journal (Refereed)
    Abstract [en]

    The propensity for regular and repeated physical exercise to induce and maintain ahormesic effect upon health parameters over a broad range of disorder conditions through the progression of resilience to neurodegenerative disorders, diabetes, stroke, sarcopenia, osteopenia, immunosenescence, and metabolic syndrome has been examined. Beyond the alleviation fragility, fatigue, stress-distress and selective vulnerability perturbations induced by different forms of physical exercise may induce hormesis and/or autophagy, through the disruption of homeostasis and manifestation of adaptive responses, to instigate multi-layered resilience. The hormesis challenges, accomplished through daily exercise, the promotion of resilience at molecular, cellular, tissue, e.g. muscle, and organ, e.g. brain, immune-functioning, bone material, physiological and behaviour-expressive levels, have been observed both from pathophysiological and etiogenetic dimensions. Regular exercise over extended periods (optimally years and decades, preferably lifelong) is expected to shift the inverted-U shaped hormesis curve to the right thereby conferred resistance to disease and ill-being and ensuring strength and health advantages. It seems likely that chronic, regular exercise, consisting of suitable proportions of endurance and resistance type, performed daily over months, years or decades ought to instigate some manner of ‘behavioural sensitization’ whereby the health benefits of equivalent levels of exercise escalate incrementally.

  • 299.
    Arczykowska, Edyta
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Effekter av probiotika vid hypolaktasi och laktosintolerans2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Laktos maldigestion är ett vanligt förekommande tillstånd hos mer än 75 procent av den vuxna befolkningen runt om i världen. Hypolaktasi innebär en minskad laktosnedbrytning på grund av en otillräcklig mängd av enzymet laktas. Laktosintolerans känneteckas av gastrointestinala symtom efter intag av laktosinnehållande produkt. Probiotika definieras som levande bakteriekultur och andra mikroorganismer, som i adekvata mängder har en hälsosam effekt hos en värd. Probiotika utgör en del av människans bakterieflora och har i flera studier uppvisat positiva egenskaper på människans mag-tarmhälsa och immunsystem. Syfte: Föreliggande litteraturstudie utvärderar effekten av probiotika vid hypolaktasi och laktosintolerans. Metod: Arbetet inkluderar sju vetenskapliga artiklar som utvärderar effekten av probiotika hos laktosintoleranta individer. Artiklarna erhölls från databasen Pubmed och sökningarna gjordes mellan september 2018 och februari 2019. Resultat: En sammanställning av studiernas resultat har visat på varierande grader av probiotikas effektivitet. I samtliga studier användes probiotika som ett enda behandlingsalternativ av laktos maldigestion. Metoden som användes vid bestämning av graden av intolerans i studierna, var ett laktosbelastningstest följt av utandningstest som är de vanligaste metoderna vid diagnostisering av hypolaktasi  och laktosintolerans. Probiotiska stammar som användes i försöken var olika stammar från Lactobacillus- (L. acidophilus, L. reuteri) och Bifidobakteriefamiljen (B. longum, B. animalis). I fyra av sju studier uppvisade probiotika en statistiskt säkerställd skillnad hos någon eller några av variabler som studerades. En minskning av vätekoncentrationen i utandningsluften efter probiotika tillskott kunde påvisas i tre granskade studierna. En minskning av gastrointestinala symtom så som diarré och flatulens registrerades i fyra av sju studier. Slutsats: En positiv relation har kunnat påvisas mellan probiotiska stammar och hypolaktasi. Regelbundet intag av produkter berikade med probiotika, kan minska symtom så som diarré och flatulens hos laktosintoleranta patienter. Det finns dock fortfarande för lite kunskap kring ämnet för att kunna rekommendera probiotika som ett enda behandlingsalternativ vid hypolaktasi. Det krävs mer forskning med fokus på de specifika probiotiska stammarna, dess ursprung och den adekvata dosen. Probiotika bör dock utan tvekan rekommenderas som ett komplement till behandlingen med enzymet laktas.

  • 300.
    Areda, Martha
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    The role of omega-3 fatty acids in the treatment of schizophrenia through modification of membrane phospholipids2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Ever since the emergence of the hypothesis that linked the aetiology of schizophrenia with abnormal membrane phospholipids composition, an increasing number of evidences have suggested reduced membrane polyunsaturated fatty acids in patients with schizophrenia. This has led to a conduct of several studies to evaluate the efficacy of omega-3 fatty acid supplement in the modification of membrane phospholipids and treatment of schizophrenia. The two main omega-3 fatty acid classes, EPA and DHA, play a vital role in membranes. This project work reviews omega-3 fatty acid studies and summarizes their outcomes. Eight original articles (nine studies) were reviewed. Six out of nine studies measured RBC membrane fatty acids levels and all six studies reported a significant increase in EPA after EPA supplement. Two studies reported increased DHA post omega-3 fatty acid and DHA supplement, respectively. One study observed a dose-dependent increment in DHA after EPA supplement. Improved symptoms were observed in seven studies, while one study found a worsening of symptoms in patients with low baseline PUFA. Moreover, out of the six studies that evaluated the correlation between symptom change and membrane fatty acids change, three studies observed a correlation between increased EPA and symptom improvement. One study reported an increased AA associated with improved symptoms, in contrast to another study, which found a correlation between increased AA and worsened symptoms. The conclusion from this project work is that EPA supplement can increase the EPA levels in membranes; however, its therapeutic effect in schizophrenia requires further investigation using larger studies.

3456789 251 - 300 of 4840
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • 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