Wind-induced dynamic excitation is becoming a governing design action determin-ing size and shape of modern Tall Timber Buildings (TTBs). The wind actions generate dynamic loading, causing discomfort or annoyance for occupants due to the perceived horizontal sway – i.e. vibration serviceability failure. Although some TTBs have been instrumented and meas-ured to estimate their key dynamic properties (natural frequencies and damping), no systematic evaluation of dynamic performance pertinent to wind loading has been performed for the new and evolving construction technology used in TTBs. The DynaTTB project, funded by the Forest Value research program, mixes on site measurements on existing buildings excited by heavy shakers, for identification of the structural system, with laboratory identification of building elements mechanical features coupled with numerical modelling of timber structures. The goal is to identify and quantify the causes of vibration energy dissipation in modern TTBs and pro-vide key elements to FE modelers.

The first building, from a list of 8, was modelled and tested at full scale in December 2019. Some results are presented in this paper. Four other buildings will be modelled and tested in spring 2020.

To bridge the technology gap between IC-level and board-level fabrications, a fully additive selective metallization has already been demonstrated in the literature. In this article, the surface characterization of each step involved in the fabrication process is outlined with bulk metallization of the surface. This production technique has used polyurethane as epoxy resin and proprietary grafting chemistry to functionalize the surface with covalent bonds on an FR-4 base substrate. The surface was then metalized using an electroless copper (Cu) bath. This sequential growth of layers on top of each other using an actinic laser beam and palladium (Pd) ions to deposit Cu is analyzed. State-of-the-art material characterization techniques were employed to investigate process mechanism at the interfaces. Density functional theory calculations were performed to validate the experimental evidence of covalent bonding of the layers. This manufacturing approach is capable of adding metallic layers in a selective manner to the printed circuit boards at considerably lower temperatures. A complete analysis of the process using bulk deposition of the materials is illustrated in this work.

This article reports how teachers in Swedish school-age educare (SAEC) evaluate their practice. The study was conducted within a research- and development programme and is based on 47 teachers’ written reflections about performing evaluations. The reflections have been analysed using various neo-institutional logics. The results indicate that the teachers’ focus, regarding both the children and the practice, is directed differently when they are guided by different logics. When guided by the market logic, teachers focus on customer preferences and customer satisfaction. Guided by the professional logic, teachers focus the collective as well as the activities and the organisation around them. Guided by the bureaucratic and state logics, the teachers focus on the formal teaching, the individual child, and the school-age educare goal fulfilment. The results also show issues and contradictions concerning how to evaluate, what to evaluate, and when to evaluate. One possible claim is that the learning processes at the school-age educare are broad and complex, and thus difficult to “mould” to fit into evaluation schemes. 

Politiska initiativ har tagits under senare år för att minska trycket mot lärarna, ”så att lärare kan vara lärare” och ”fokusera på sitt kärnuppdrag” – exempelvis genom att införa lärarassistenter. I artikeln studeras hur lärarprofessionens territorium (om-) förhandlas när avlastande tjänster införs. Resultaten visar att gränserna runt lärarprofessionens territorium förflyttas då lärarassistenterna tar över delar av territoriet och blir resurser till lärarprofessionen då de kompletterar på andra platser än i klassrummet. Lärarna positionerar sig på nytt inom sitt professionella territorium men resultaten visar även att gränsdispyter mellan lärarassistenter och lärarprofessionen kan förekomma. Resultaten visar att lärarassistenters arbete kan innebära att lärarprofessionens territorium kan renodlas och förtätats samtidigt som skolans territorium riskerar att utökas då nya arbetsområden tillförs skolan via lärarassistenterna.

This study aims to create knowledge about relational aspects in teachers’ descriptions of school-ageeducare teaching. With the support of the concept of pedagogical pace, the interpersonal aspectsthat emerge in the descriptions of the pedagogical meeting and the interaction between teachersand pupils are made visible. The empirical material consists of individually written reflectionswhere the teachers describe their teaching based on the didactic questions when, where, how andwhat. Based on a qualitative content analysis, three themes emerge that illustrate teachers’ pedagogicalpace in the school-age educare teaching; To lead the teaching, To follow and capture the teachingand To take joint responsibility of the teaching. The study shows that pedagogical pace is situational and immediate, and it creates different teaching situations. The descriptions illustrate how theteacher can choose to stop and respond to the pupil or ignore what happens in the joint meeting.When the pedagogical gaze is forward-looking and open towards the pupils, the school age educareteaching is described as a well-directed dance where teachers and pupils alternately lead and followand where a shared responsibility is taken through the openness and trust of those involved.

This chapter takes a historical lens to ways in which transition to school has been conceptualised over the last 80 years in Sweden. Drawing on an extensive policy analysis, we analyse changing representations of the six-year-old child starting school, depending on how society has handled issues of the image of the child, school maturity, compulsory schooling, and the transition from home or preschool to school. The key idea is that every education system is about creating the person through education. The vision of the educated child is at the core of educational reforms. Historical discursive claims about the characteristics of the child, or the pupil, mirror the educational subject at a certain time and convey meanings of school maturity and transition to school. With this in mind, we analyse how policy documents describe the nature of the child and what the child should become in the educational institution.

The preschool class has been subject to several policy reforms, which principals and local education authorities are responsible. for implementing and evaluating. The aim of this study is to contribute with knowledge about how principals and local education authorities make meaning of the position and organization of the preschool class in relation to these policy reforms and to the existing practices. The method used in the study is interviews with principals and local education authorities and shows how they reason about and relate to various regulatory, normative, and cultural-cognitive elements of governance. The analysis shows that the principals have arguments for three basic positions for the preschool class: a bridge between preschool and primary school, a knowledgeoriented position, and a socially oriented position. A key argument put forward by the principals is that the preschool class should be integrated into a continuous primary school organisation. The local education authorities, on their part, interpret the new policy as an ongoing qualification and homogenization process, which affects the preschool class’s position in the education system.

This article presents the further development of a tool for multi-phase reactive mass transport modelingfor durability estimation of cement-based materials, by the addition of the gas phase, adopting a trulyseparate two-phase moisture transport approach. The governing system of equations are based on phys-ically sound hybrid mixture based version of the Poisson-Nernst-Planck system of equations includinggaseous transport in the air-filled space, ionic transport in the liquid phase, electro-migration of ionicspecies, a two-phase moisture transport model, and sorption. The addition of the gas phase and thetwo-phase moisture description enables the user of the model to investigate individual and combinedeffects of different degradation processes in unsaturated systems. The altering of hydrated cement underthree different environments were studied representing an accelerated carbonation environment, a sub-merged marine environment and a cyclic drying-wetting zone in a marine environment, to illustratesome of the model’s capabilities.

Objective To explore communication about medication management during annual consultations in primary care. Design: passive participant observations of primary care consultations.

Setting Two primary care centres in southern Sweden.

Participants Consultations between 18 patients (over the age of 60 years) with chronic diseases and 10 general practitioners (GPs) were observed, audio-recorded, transcribed and analysed using content analysis.

Results Four categories emerged: communication barriers, striving for a shared understanding of medication management, evaluation of the current medication treatment and the plan ahead and behavioural changes in relation to medication management. Misunderstandings in communication, failure to report changes in the medication treatment and use of generic substitutes complicated mutual understanding and agreement on continued treatment. The need for behavioural changes to reduce the need for medication treatment was recognised but should be explored further.

Conclusion Several pitfalls, including miscommunication and inaccurate medication lists, for safe medication management were identified. The purpose of annual consultations should be clarified, individual treatment plans could be used more actively during primary care consultations and efforts are needed to improve verbal communication and information continuity.No data are available.

Poly(ethylene glycol) (PEG) is frequently used for liposomal surface modification. However, as PEGylated liposomes are cleared rapidly from circulation upon repeated injections, substitutes of PEG are being sought. We focused on a water-soluble polymer composed of 2-methacryloyloxyethyl phosphorylcholine (MPC) units, and synthesized poly(MPC) (PMPC)-conjugated lipid (PMPC-lipid) with degrees of MPC polymerization ranging from 10 to 100 (calculated molecular weight: 3 to 30 kDa). In addition, lipids with three different alkyl chains, myristoyl, palmitoyl, and stearoyl, were applied for liposomal surface coating. We studied the interactions of PMPC-lipids with plasma albumin, human complement protein C3 and fibrinogen using a quartz crystal microbalance with energy dissipation, and found that adsorption of albumin, C3 and fibrinogen could be suppressed by coating with PMPC-lipids. In particular, the effect was more pronounced for PMPC chains with higher molecular weight. We evaluated the size, polydispersity index, surface charge, and membrane fluidity of the PMPC-lipid-modified liposomes. We found that the effect of the coating on the dispersion stability was maintained over a long period (98 days). Furthermore, we also demonstrated that the anti-PEG antibody did not interact with PMPC-lipids. Thus, our findings suggest that PMPC-lipids can be used for liposomal coating.

In this paper, we theorize on local school governance through a multi-method case study of a large-sized Swedish municipality by drawing on neo-institutional theory. In light of a changing governing landscape in Sweden in terms of a ‘re-centralization’, new conditions between the state, the local education authorities (LEA) and the schools have emerged. The aim of this study is to examine what policy actions the LEA employ for governing the school and in what ways that principals respond and handle these policy actions. The results point to the fact that the LEA uses a bench-marking strategy through its quality assurance system and intervene if results are poor. Principals seek support from the LEA, but are anxious that their autonomy will be diminished and therefore function as ‘gate-. The system for quality assurance is appreciated by principals, but standards aimed at framing discursive communication on quality are criticized. Principals turn to managers below the superintendent, which creates a tension between managers. The study shows that different levels and actors must be taken into account in order to achieve a comprehensive understanding of the multi-layered field of local policy enactment.

From a new institutional theoretical perspective, this article explores school actors’ sense making linked to data-based decision making (DBDM) policy in general and processes of data analysis in particular. The study revealed how actors’ interpretation of and response to DBDM requirements pointed to strong and weak couplings between and within the local school system’s different organizational levels. While teachers primarily emphasized informal, daily analyses, the LEA and principals placed importance on formal, district and school-based analyses. In the same way teachers to a greater extent think that too much resources is spent on collecting and analyzing data rather than on innovation and school improvement.

Inom ramen för det svenska decentraliserade skolsystemet har ansvaret för att bygga upp, utveckla och bedriva ett systematiskt kvalitetsarbete i första hand varit en fråga för huvudmän och skolor att hantera. I ljuset av en ökad re-centralisering av skolan har uppbyggandet av olika kvalitetssystem för uppföljning och kontroll av skolornas resultat också kommit att utgöra ett viktigt sätt för huvudmannen att styra skolan på. I studien benämns detta i termer av kvalitetsstyrning. I och med Samverkan för bästa skola har dessa gränsdragningar mellan det lokala och det nationella kommit att utmanas. Studien bygger på intervjudata inhämtad på fyra skolor som deltar i Samverkan för bästa skola, från skolförvaltningen i samma kommun samt genom intervju med en representant från Skolverket. Utifrån begreppen löst kopplade system och organisatoriska rutiner studeras vad som karaktäriserar den nationella respektive den kommunala kvalitetsstyrningen samt vad som sker i mötet dem emellan på skolor som genomgår insatser inom ramen för Samverkan för bästa skola, samt med vilka konsekvenser. Resultatet av studien visar bland annat på att idéer och metoder om databaserad skolutveckling utgör viktiga legitimitetsgrunder för såväl den kommunala som den nationella kvalitetsstyrningen. Den nationella kvalitetsstyrningen via Samverkan för bästa skola är dock betydligt mer intensifierad och når längre in i skolornas organisation.  

Second-language (L2) research, including L2 writing research, typically recruits college or university students. There is an increasing awareness that this sampling bias entails negative consequences both for the generalizability of emerging L2 theories and for the applicability of research findings in heterogeneous L2 classrooms. However, previous research has not systematically investigated the association between adults’ L2 writing development and their prior level of formal education. The present study contributes a concrete portrayal of what that association may look like by investigating a text corpus collected longitudinally from 38 students enrolled in Swedish for Immigrants. The texts were assessed by five experienced L2 teachers using the method of comparative judgement, which ascribes a holistic quality score to each text. The participants follow three study paths that reflect their varying levels of education, and statistical analyses revealed that study path significantly predicted the participants’ writing ability and their rate of writing development. Despite the small sample size and other limitations of the study, those results confirm the importance of treating educational background as a crucial factor in L2 writing research. Implications for curriculum design are discussed, and methodological challenges that further L2 research needs to address are highlighted.

Most research investigating Swedish for Immigrants (SFI) is qualitative, focusing primarily on classroominteraction and on teacher feedback. Given that SFI has been criticised for not providing enough opportunities todevelop language abilities required outside the classroom, the lack of studies examining the language developmentin SFI is surprising. It has been suggested that work placement may enhance SFI students’ language development,but no studies have tested that claim quantitatively. The present study addresses these research gaps.The participants were 38 students registered on the two last SFI courses. All of them were enrolled in a job-sector-focused SFI program, and twelve of them also attended a work placement two days per week. To investigatethe participants’ language development and the effect of work placement, written texts were collected from them onNORDAND | ÅRGANG 19 | 1-202439two occasions separated by three months. The texts were assessed holistically by five experienced second-languageteachers, using the method of comparative judgement. A mixed-effects regression model was built to test whethercourse, time point and work placement could predict the texts’ quality scores.The results revealed that the students’ writing ability developed over time, shown both longitudinally, i.e., bycomparing time points, and cross-sectionally, i.e., by comparing the two courses. However, there was no significanteffect of work placement and no significant interaction between placement and time point, suggesting that thestudents with placement did not develop their writing ability more rapidly than other students.

Aims: Individuals with low socioeconomic status (SES) face widespread prejudice in society. Whether SES disparities exist in treatment and survival following in-hospital cardiac arrest (IHCA) is unclear. The aim of the current retrospective registry study was to examine SES disparities in IHCA treatment and survival, assessing SES at the patient level, and adjusting for major demographic, clinical, and contextual factors.

Methods and results: In total, 24 217 IHCAs from the Swedish Register of Cardiopulmonary Resuscitation were analysed. Education and income constituted SES proxies. Controlling for age, gender, ethnicity, comorbidity, heart rhythm, aetiology, hospital, and year, primary analyses showed that high (vs. low) SES patients were significantly less likely to receive delayed cardiopulmonary resuscitation (CPR) (highly educated: OR = 0.89, and high income: OR = 0.98). Furthermore, patients with high SES were significantly more likely to survive CPR (high income: OR = 1.02), to survive to hospital discharge with good neurological outcome (highly educated: OR = 1.27; high income: OR = 1.06), and to survive to 30 days (highly educated: OR = 1.21; and high income: OR = 1.05). Secondary analyses showed that patients with high SES were also significantly more likely to receive prophylactic heart rhythm monitoring (highly educated: OR = 1.16; high income: OR = 1.02), and this seems to partially explain the observed SES differences in CPR delay.

Conclusion: There are clear SES differences in IHCA treatment and survival, even when controlling for major sociodemographic, clinical, and contextual factors. This suggests that patients with low SES could be subject to discrimination when suffering IHCA.

Aims 

Previous research on racial/ethnic disparities in relation to cardiac arrest has mainly focused on black vs. white disparities in the USA. The great majority of these studies concerns out-of-hospital cardiac arrest (OHCA). The current nationwide registry study aims to explore whether there are ethnic differences in treatment and survival following in-hospital cardiac arrest (IHCA), examining possible disparities towards Middle Eastern and African minorities in a European context.

Methods and results

In this retrospective registry study, 24 217 patients from the IHCA part of the Swedish Registry of Cardiopulmonary Resuscitation were included. Data on patient ethnicity were obtained from Statistics Sweden. Regression analysis was performed to assess the impact of ethnicity on cardiopulmonary resuscitation (CPR) delay, CPR duration, survival immediately after CPR, and the medical team’s reported satisfaction with the treatment. Middle Eastern and African patients were not treated significantly different compared to Nordic patients when controlling for hospital, year, age, sex, socioeconomic status, comorbidity, aetiology, and initial heart rhythm. Interestingly, we find that Middle Eastern patients were more likely to survive than Nordic patients (odds ratio = 1.52).

Conclusion

Overall, hospital staff do not appear to treat IHCA patients differently based on their ethnicity. Nevertheless, Middle Eastern patients are more likely to survive IHCA.

Introduction: When a family member has been critically ill and cared for at an intensive care unit the individual family member as well as the family system are affected and in need of support. The aim of this study was to compare and contrast the responses from 2 different types of follow-up interventions for families of critically ill persons, focusing on individual hopes, health-related quality of life, family functioning and ability to cope with challenges.

Method: Adult family members from 3 hospitals attended 1 of 2 interventions 2 months after intensive care. The family health conversation included the family. The support group conversation included just family members and not the patient who had experienced intensive care. Data were collected via self-reported questionnaires and follow-up interviews with family members. Quantitative and qualitative data were first analyzed separately, and the results were then integrated through mixed methods analysis.

Results: A total of 38 family members took part in the interventions. Family members in the 2 intervention groups talked about how they had more hope for the future, and about how talking within the family and the group had helped them justify their feelings, which empowered them in the transition toward a healthier quality of life. Comparisons of the interventions show a higher significance of family function and hope in the family health conversation.

Discussion: The article illustrates a disparity between how family members function and the needs they have for follow-up. We discuss what kind of follow-up these persons need.

Change of relative humidity (RH) in surrounding environment can greatly affect the physical and mechanical properties of wood-based panels. Commercially produced acetylated medium density fiberboard (MDF), Medite Tricoya®, was used in this study to predict strength and stiffness under varying humid conditions by separating samples in parallel (//) and perpendicular (⊥) to the sanding directions. Thickness swelling, static moduli of elasticity (MOEstat) and rupture (MORstat), and internal bond (IB) strength were measured at three different humid conditions, i.e., dry (35% RH), standard (65% RH) and wet (85% RH). Internal bond (IB) strength was also measured after accelerated aging test. A resonance method was used to determine dynamic modulus of elasticity (MOEdyn) at the aforementioned humid conditions. Linear regression and finite element (FE) analyses were used to predict the MDF’s static bending behavior. Results showed that dimensional stability, MOEstat, MORstat and IB strength decreased significantly with an increase in RH. No reduction of IB strength was observed after 426 h of accelerated aging test. A multiple regression model was established using MOEdyn and RH values to predict MOEstat and MORstat. In both directions (// and ⊥), highly significant relationships were observed. The predicted and the measured values of MOEstat and MORstat were satisfactorily related to each other, which indicated that the developed model can be effectively used for evaluating the strength and stiffness of Medite Tricoya® MDF samples at any humid condition. Percent errors of two different simulation techniques (standard and extended FE method) showed highly efficient way of simulating the MDF structures with low fidelity.

Non-destructive testing of wood panels by either resonance or time-of-flight (TOF) methods provides possibilities for predicting their static bending properties. In the present study, three non-destructive devices (BING - Beam Identification by Non-destructive Grading by CIRAD, Montpellier, France, Fakopp Ultrasonic Timer and Sylvatest TRIO) were used for measuring the dynamic stiffness of different particleboard types. Fakopp Ultrasonic Timer and Sylvatest TRIO produce ultrasonic pulses to measure the sound velocity while BING uses resonance frequencies. Commercially produced particleboards with different thickness and densities were used to measure the dynamic modulus of elasticity (MOE_dyn) in two directions (parallel and perpendicular to the production line) and at three different humidity levels (dry - 35%, standard - 65% and wet - 85% RH in constant temperature of 20°C ). MOE_dyn of particleboards were correlated with the static moduli of elasticity (MOE_stat) and rupture (MOR_stat). It was found that the non-destructive methods gave higher MOE_dyn values in both production directions than that of MOE_stat values. MOE_dyn was found to decrease from dry to wet conditions. A very strong and statistically significant correlation existed between MOE_dyn and static bending properties. MOE_dyn correlated stronger to MOE_stat than MOR_stat. At different humidity level, all three methods- Fakopp Ultrasonic Timer, BING and Sylvatest TRIO analyses showed good predicting capabilities to estimate MOE_stat and MOR_stat of different particleboard types with high level of accuracy.

Rattan cane is an important forest product with economic value. Its anatomical, physical, and biological properties vary with the cane height. This makes it difficult to select the appropriate cane diameter for harvesting. Understanding the material properties of rattan cane with different diameter sizes is important to enhance its utilization and performance for different end uses. Thus, the present study was performed on two rattan species, Calamus zollingeri and Calamus ornatus, at two different cane heights (bottom/mature and top/juvenile). Calamus zollingeri was studied at diameter classes of 20 mm and 30 mm, while Calamus ornatus was analyzed at a diameter class of 15 mm. The anatomical properties, basic density, volumetric swelling, dynamic moisture sorption, and biological durability of rattan samples were studied. The results showed that C. zollingeri with a 20 mm diameter exhibited the highest basic density, hydrophobicity, dimensional stability, and durability against mold and white-rot (Trametes versicolor) fungi. As confirmed by anatomical studies, this could be due to the higher vascular bundle frequency and longer thick-walled fibers that led to a denser structure than in the other categories. In addition, the lignin content might have a positive effect on the mass loss of different rattan canes caused by white-rot decay.

BackgroundA growing body of evidence suggests that exposure to nature is beneficial for human health. However, the observed health effect of nature may be mediated by physical activity and that humans are physically active at a higher intensity outdoors compared to when they are physical active indoors.ObjectiveThis study examines the variation of heart rate and power output for a fixed rating of perceived exertion in a group of healthy older adults in three different environments representing three levels of exposure to nature.MethodsTo this randomized, 3-by-3 crossover design study, healthy older adults (≥65 years) were recruited from local gyms. All participants participated in three experimental conditions; indoors, simulated outdoors and outdoor environments, in a randomized order. The participants exercised for 20 minutes at an intensity equivalent to a rating of 11–13 on the Borg scale for perceived exertion (RPE). Measurements of heart rate, power output (Watt) and ratings of perceived exertion were taken at minutes 1 to 6 and at minute 20. To examine the effect of the environment on heart rate and power, linear mixed models were used.ResultsIn all, 48 participants (56% females) were included in the analysis. No significant main effects on the outcomes were observed for power output (p = 0.073, η2 = 0.04) or heart rate (p = 0.067, η2 = 0.04)ConclusionNo significant effect on the outcomes was observed. However, borderline significant outcomes for power output or heart rate outdoors in nature, along with previous studies in the field, indicates that such an effect cannot be completely ruled out, but any effect is likely to be small. Future research examining health benefits of the independent exposure to nature are encouraged to adjust for the dose of physical activity.

The present cross-sectional study examined the actor-partner interdependence effect of fear of COVID-19 among Iranian pregnant women and their husbands and its association with their mental health and preventive behaviours during the first wave of the COVID-19 pandemic in 2020. A total of 290 pregnant women and their husbands (N = 580) were randomly selected from a list of pregnant women in the Iranian Integrated Health System and were invited to respond to psychometric scales assessing fear of COVID-19, depression, anxiety, suicidal intention, mental quality of life, and COVID-19 preventive behaviours. The findings demonstrated significant dyadic relationships between husbands and their pregnant wives' fear of COVID-19, mental health, and preventive behaviours. Pregnant wives' actor effect of fear of COVID-19 was significantly associated with depression, suicidal intention, mental quality of life, and COVID-19 preventive behaviours but not anxiety. Moreover, a husband actor effect of fear of COVID-19 was significantly associated with depression, anxiety, suicidal intention, mental quality of life, and COVID-19 preventive behaviours. Additionally, there were significant partner effects observed for both the pregnant wives and their husbands concerning all outcomes. The present study used a cross-sectional design and so is unable to determine the mechanism or causal ordering of the effects. Also, the data are mainly based on self-reported measures which have some limitations due to its potential for social desirability and recall biases. Based on the findings, couples may benefit from psychoeducation that focuses on the effect of mental health problems on pregnant women and the foetus.

The practice of using video conferencing systems for health care provider-patient meetings is becoming increasingly more important. Here, we reviewed literature on the subject, with the aim to provide a set of factors and perspective on what has been noted as important for the success/failure of the use of video in consultation meetings. Mostly, previous studies have focused on the outcomes, how well video works for the patient-care professional meeting, when it comes to affecting expected outcomes of the consultation. However, we focus on the contextual factors that have been noted in research on the topic and aim to gather these from a wide range of studies on video used in a home environment. We discuss the results of the study in the broader context of the implementation situation of video consultations systems, providing factors, barriers, and perspectives as well as a general context to use or non-use of the systems. Hence, we provide knowledge that can be taken into account by the designers and developers of such systems.

Ehealth solutions are in great need in the community of elderly in general, as patients or home carers, however a design approach that delivers this is illusive. In this research we present the experiences from a set of design processes targeting elderly’s needs of support or home care, based on a co-design approach. The purpose is to present guiding principles for how to work with elderly in a co-design process, to be used as basis for future set up of co-design processes.

The Internet of Things (IoT) plays a vital role in today’s medicine (Islam et al, 2015). In 2020, 40% of IoT-related technologies will be assigned to the health domain, which makes up around a 117 $ billion in the global market (Bauer, Patel & Veira, 2016). Adding to this the demographic changes will further set a significant challenge in Europe (Steinführer & Haase, 2007). Innovative techniques for supporting health systems and independent life for the aging population is therefore essential, not at least in relation to fall prevention and technology for promoting a good life throughout the lifespan. Further, participation from patients is a goal for healthcare worldwide (Lundgren, Sunesson & Tunved, 2014). For example according to the Health and Medical care act in Sweden (1982:763) it is described that the goal for health care “is good health and care on equal terms for the entire population”. In line with this challenge of integrated care the patient itself will be the most important resource for promotion of health, why Co Design is needed as a method for innovation in healthcare sector. It is important for the users ‘experiences and insights to contribution in improvements but not at least because it has been shown that increased involvement with the user in care reduces the number of hospital visits (Simpsons, 2007).

ICT projects, development and/or research driven, are sources of new innovative eHealth solutions. However, the rate of continued use is low and gaining sustainable benefits in daily operations is difficult (Warth et al.). This research looks at the barriers for the organizational implementation based on research driven projects. 

Three eHealth projects have been analyzed for aspects on the phenomenon, to gain a deeper understanding of the problem. Results are based on discussions between project participants, (professionals, decision makers, patients), and analysis of the project set ups and purposes. 

ResultsFactors that could be seen as important for lack of continued use includes: pure research setup of projects, lack of financial resources in the post projects time , lack of organizational competences for adoption of solutions, no organizational champion or CEO support, lack of fit to organizational processes or scheduling, professional resistance to change, among others. 

DiscussionProject set ups and working methods of the project might hamper the possibilities of effective knowledge transfer and organizational adoption. Experiences from mentioned projects show that a 360-degree co-design approach, which includes major stakeholder (for example, professionals, patients, researchers, patients, decisions makers) should be included. There is a need to prepare for knowledge transfer processes in post project phases, including competence development strategies for professionals and organizational change plans. 

Conclusions A holistic understanding of conditions and challenges is needed for paving the way for health organization to reap benefits from research projects. 

Lessons learned Projects need to include processes for engaging the stakeholders through 360 co-design, knowledge transfer plans and competence development strategies. 

Limitations The research is exploratory and based on analysis of past and ongoing eHealth projects. 

Suggestions for future researchBetter understanding for how to integrating competence development and organizational change as a part of eHealth project are needed. An investigation on digital competence among patients and healthcare personnel is planned, with the purpose of defining competence development strategies and requirements for IT-enabled cooperation and co-production.

IT solutions for rehab are seen as an opportunity to provide effective support for patients’ recovery process in their in-home environment, based on instructions from health care professionals. However, what factors in the context affect the usefulness of such systems lie beyond the training process as such. In this research, we followed a co-design process, where the design of a support packaged for home rehab is based on standard products. Through group interviews with teams of home rehab staff, a broader view of the subject was sought. Group discussions involving the initial demonstration and testing of technology provided a wide spectrum of factors that the staff considered important for success, related to issues on both the organizational and the patient levels. These findings were analyzed for success factors in an attempt to reach an understanding of the rehab process context which will have an effect on the usefulness of the support system. As a result, a checklist of aspects on the process that need to be taken into account in the design of a rehab support system is presented and discussed. The results could be used both in the design of solutions and in the selection and implementation of support systems regarding how to improve the actual use of the systems.

Rare earth elements (REEs) were studied in groundwater in fractures at depths between 144 m and 450 m in Proterozoic granitoids on the Baltic Shield at a coastal site in south eastern Sweden (Aspo Hard Rock Laboratory). A specially designed device was used to sample the groundwater under in situ high pressure and low redox conditions. The REEs were measured via both diffusive gradients in thin-films (DGT) samplers after approximately three-week deployment times, and after conventional filtration (0.45 mu m membrane filters). The concentrations of REEDGT were lower than the REE0.45 mu m concentrations in all 14 studied groundwaters. This is explained by development of a diffuse boundary layer (DBL) in the solution at the DGTs caused by the low flow, and in some of the groundwaters additionally by the presence of organically complexed REE that diffuse slowly in the diffusive gel of the DGT. Among the 14 studied groundwaters there was a huge range in REEDGT-fractionation patterns, ranging from enrichment to a nearly three-order-of-magnitude depletion of the heavy REEs (HREEs), despite a relatively homogenous bedrock (granitoids). The HREE enrichment is explained by preservation of the fractionation signature as HREE enriched sea water intruded and flowed through the fractures, supported by the high proportion of modelled REE fulvic-acid complexes in these waters. The strong HREE depletion, which occurred in saline groundwater, was ascribed to an advanced REE equilibrium between the groundwater and primary and/or secondary minerals and the pore water in the bedrock. Yet other groundwaters had flat or moderately HREE depleted patterns, which in some cases may have been caused by mixing of small portions of surficial waters with saline groundwater. (C) 2019 Elsevier Ltd. All rights reserved.

Bakgrunn: Tidlig skriftspråkutvikling har vist sammenheng med senere lese- og skriveferdigheter i skolen. I barnehagen er det behov for en didaktikk der lek er kjernen, og hvor alle barn får mulighet til å kommunisere, utforske og leke med skrift. For å få til dette har det betydning hvordan et innhold som skrift representeres og behandles i barnehagen. Hensikten med denne studien er å bidra med kunnskap om hvordan nordiske barnehagelærere tilrettelegger for skriftspråklæring i nordiske barnehager. Følgende forskningsspørsmålet er sentralt: Hvilken oppfatning, praksis og erfaringer beskriver barnehagelærere at de har med høytlesing og skriving?

Metode: 76 barnehagelærer i Sverige og 92 barnehagelærer i Norge besvarte et spørreskjema med åpne og lukket spørsmål om høytlesing og skriving. Resultatene ble analysert med frekvensanalyse i SPSS og med kvalitativ innholdsanalyse av åpne spørsmål.

Resultater: Preliminære funn viser at det er mindre skriving på småbarnsavdeling og stor variasjon i tekstmiljøet knytt til skriving for eldre barn. Høytlesing er en sentral del av barnehagens virksomhet, men det er stor variasjon i vilkårene for høytlesning, hva som leses, hvorfor og hvor ofte det leses.

Implikasjoner for praksis: Studien kan styrke barnehagelærers didaktikk innenfor språk og kommunikasjon gjennom å løfte frem eksempel på hvordan barnehagelærer legger til rette for høytlesing og skriving. Barnehagelærer trenger kunnskap om høytlesing som en didaktikk hvor skriftspråket er i sentrum og hvordan man tilrettelegger for skriving om funksjon, og ikke først og fremst som form, for de yngste barna.

Preschool teachers’ read-aloud and writing practices were investigated using a questionnaire about how activities were planned and organized, and what their purpose was. The results indicate that early literacy practices were not planned systematically. Most of the preschool teachers (77%) reported having storybook read-alouds at least three times per week. A large minority (45.5%) reported never or seldom using writing activities, and rarely in play. The main aims of read-alouds were to promote learning and development, create a sense of community, and regulate group activities. The main aims of writing practices were to learn about letters, understand the function of print, and arouse interest in writing. We discuss the implications of these findings in relation to a need for a didactic approach, where play is the core of early literacy practices.

Historical data are valuable resources for providing insights into social patterns in the past. However, these data often inform us at the macro-level of analysis but not about the role of individuals’ behaviours in the emergence of long-term patterns. Therefore, it is difficult to infer ‘how’ and ‘why’ certain patterns emerged in the past. Historians use various methods to draw hypotheses about the underlying reasons for emerging patterns and trends, but since the patterns are the results of hundreds if not thousands of years of human behaviour, these hypotheses can never be tested in reality. Our proposition is that simulation models and specifically, agent-based models (ABMs) can be used as complementary tools in historical studies to support hypothesis building. The approach that we propose and test in this paper is to design and configure models in such a way as to generate historical patterns, consequently aiming to find individual-level explanations for the emerging pattern. In this work, we use an existing, empirically validated, agent-based model of common pool resource management to test hypotheses formulated based on a historical dataset. We first investigate whether the model can replicate various patterns observed in the dataset, and second, whether it can contribute to a better understanding of the underlying mechanism that led to the observed empirical trends. We showcase how ABM can be used as a complementary tool to support theory development in historical studies. Finally, we provide some guidelines for using ABM as a tool to test historical hypotheses.

Picophytoplankton in the Baltic Sea includes the simplest unicellular cyanoprokaryotes (Synechococcus/Cyanobium) and photosynthetic picoeukaryotes (PPE). Picophytoplankton are thought to be a key component of the phytoplankton community, but their seasonal dynamics and relationships with nutrients and temperature are largely unknown. We monitored pico- and larger phytoplankton at a coastal site in Kalmar Sound (K-Station) weekly during 2018. Among the cyanoprokaryotes, phycoerythrin-rich picocyanobacteria (PE-rich) dominated in spring and summer while phycocyanin-rich picocyanobacteria (PC-rich) dominated during autumn. PE-rich and PC-rich abundances peaked during summer (1.1 x 10(5) and 2.0 x 10(5) cells mL(-1)) while PPE reached highest abundances in spring (1.1 x 10(5) cells mL(-1)). PPE was the main contributor to the total phytoplankton biomass (up to 73%). To assess nutrient limitation, bioassays with combinations of nitrogen (NO3 or NH4) and phosphorus additions were performed. PE-rich and PC-rich growth was mainly limited by nitrogen, with a preference for NH4 at >15 degrees C. The three groups had distinct seasonal dynamics and different temperature ranges: 10 degrees C and 17-19 degrees C for PE-rich, 13-16 degrees C for PC-rich and 11-15 degrees C for PPE. We conclude that picophytoplankton contribute significantly to the carbon cycle in the coastal Baltic Sea and underscore the importance of investigating populations to assess the consequences of the combination of high temperature and NH4 in a future climate.

Picocyanobacteria (< 2 mu m in diameter) are significant contributors to total phytoplankton biomass. Due to the high diversity within this group, their seasonal dynamics and relationship with environmental parameters, especially in brackish waters, are largely unknown. In this study, the abundance and community composition of phycoerythrin rich picocyanobacteria (PE-SYN) and phycocyanin rich picocyanobacteria (PC-SYN) were monitored at a coastal (K-station) and at an offshore station (LMO; similar to 10 km from land) in the Baltic Sea over three years (2018-2020). Cell abundances of picocyanobacteria correlated positively to temperature and negatively to nitrate (NO3) concentration. While PE-SYN abundance correlated to the presence of nitrogen fixers, PC-SYN abundance was linked to stratification/shallow waters. The picocyanobacterial targeted amplicon sequencing revealed an unprecedented diversity of 2169 picocyanobacterial amplicons sequence variants (ASVs). A unique assemblage of distinct picocyanobacterial clades across seasons was identified. Clade A/B dominated the picocyanobacterial community, except during summer when low NO3, high phosphate (PO4) concentrations and warm temperatures promoted S5.2 dominance. This study, providing multiyear data, links picocyanobacterial populations to environmental parameters. The difference in the response of the two functional groups and clades underscore the need for further high-resolution studies to understand their role in the ecosystem.

BACKGROUND: Over the past decade, the importance of person-centered care has led to increased interest in patient-reported outcome measures (PROMs). In cardiovascular care, selecting an appropriate PROM for clinical use or research is challenging because multimorbidity is often common in patients. The aim was therefore to provide an overview of heart-disease specific PROMs and to compare the content of those outcomes using a bio-psycho-social framework of health.

METHODS: A scoping review of heart disease-specific PROMs, including arrhythmia/atrial fibrillation, congenital heart disease, heart failure, ischemic heart disease, and valve diseases was conducted in PubMed (January 2018). All items contained in the disease-specific PROMs were mapped to WHO's International Classification of Functioning, Disability and Health (ICF) according to standardized linking rules.

RESULTS: A total of 34 PROMs (heart diseases in general n = 5; cardiac arrhythmia n = 6; heart failure n = 14; ischemic heart disease n = 9) and 147 ICF categories were identified. ICF categories covered Body functions (n = 61), Activities & Participation (n = 69), and Environmental factors (n = 17). Most items were about experienced problems of Body functions and less often about patients' daily activities, and most PROMs were specifically developed for heart failure and no PROM were identified for valve disease or congenital heart disease.

CONCLUSIONS: Our results motivate and provide information to develop comprehensive PROMs that consider activity and participation by patients with various types of heart disease.

The incorporation of nitrogen as a second anion species into oxide glasses offers unique opportunities for modifying glass properties via changes in glass polymerization and structure. In this work, the compositional dependence of elastic properties and the nanoindentation hardness of mixed alkaline-earth silicate oxynitride glasses containing a high amount of nitrogen (>15 at.%, c.a. 35 e/o) were investigated. Three series of silicon oxynitride glass compositions AE-Ca-Si-O-N glasses (where AE = Mg, Sr, and Ba) having varying amounts of modifiers were prepared using a new glass synthesis route, in which a precursor powder of metal hydrides was used. The obtained glasses contained high amounts of N (19 at.%, c.a. 43 e/o) and modifier cations (26 at.%, c.a. 39 e/o). Mg-Ca-Si-O-N glasses had high values of nanohardness (12-16 GPa), along with a reduced elastic modulus (130-153 GPa) and Young's modulus (127-146 GPa), in comparison with the Sr-Ca- and Ba-Ca-bearing oxynitride glasses. Both the elastic modulus and the nanohardness of AE-Ca-Si-O-N glasses decreased with an increase in the atomic number of the AE element. These property changes followed a linear dependence on the effective cation field strength (ECFS) of the alkaline earth (AE) modifier, according to their valences and ionic radii. No mixed alkaline-earth effect was observed in the current investigation, indicating that the properties were more dictated by the nitrogen content.

In this work, the impact of the atomic packing density/fractional glass compactness of Ca-Si-O-N glasses on glass transition and crystallization temperatures, glass density, microhardness, molar volume, and refractive index were examined. It was found that the atomic packing density increased with increasing the nitrogen content and decreased with increasing the Ca content in the glass network. Furthermore, density, glass transition and crystallization temperatures, and refractive index, increased with an increasing atomic packing density of the glass, while molar volume increased with decreasing atomic packing density values. The change in hardness with atomic packing density is less clear and suggests that the atomic packing density does not solely control the underlying deformation mechanism. There is indeed competition between densification (favored at low packing density values) and isochoric shear (at larger packing density). Despite that, the effects of nitrogen as a network former and Ca as a modifier are significantly independent. The obtained results indicate that the atomic packing density of the prepared samples linearly depends on many mechanical and optical properties, suggesting that the glass network and cross-linking are proportional to the ionic radius of the Ca and the nitrogen content, respectively.

We explore the formation and composition–structure–property correlations of transparent Ca–Al–Si–O–N glasses, which were prepared by a standard melt-quenching technique using AlN as the nitrogen source and incorporating up to 8 at.% of N. Their measured physical properties of density, molar volume, compactness, refractive index, and hardness—along with the Young, shear, and bulk elastic moduli—depended roughly linearly on the N content. These effects are attributed primarily to the improved glass-network cross-linking from N compared to O, rather than the formation of higher-coordination AlO5 and AlO6 groups, where 27Al magic-angle-spinning nuclear magnetic resonance experimentation revealed that aluminum is predominately present in tetrahedral coordination as AlO4 units. Yet, several physical properties, such as the refractive index along with the bulk, shear, and Young's elastic moduli, increase concomitantly with the Al content of the glass. We discuss the incompletely understood mechanical–property boosting role of Al as observed both herein and in previous reports on oxynitride glasses, moreover suggesting glass-composition domains that are likely to offer optimal mechanical properties. 

Lithium containing glassy materials can be used as solid electrolytes or electrode materials for lithium-ion batteries due to their high energy density. Conventional melt-quenched Ca11Al14Si16O49N10 glass powder containing 24 e/o N, doped with Li-ions (1, 3, and 6 wt. %) and sintered by spark plasma sintering technique (SPS) was studied. The benefits of using SPS to produce glass-ceramics are rapid heating rates compared to conventional consolidation techniques and tuning of properties, adjusting the temperature, holding time (closed to Tg temperature), heating rate (solidification), and pressure (densification) profile during the heat treatment using SPS. Pure glass and glass-ceramic were obtained under identical SPS conditions and compared with pristine oxynitride and soda-lime-silicate (float) glasses. XRD and SEM analysis confirmed that increasing the amount of Li increases the crystallinity in the glass matrix. Nano-indentation analysis showed a decreased hardness and reduced elastic modulus values with the addition of Li-ions. The direct current conductivity increases with the addition of Li due to the high mobility of Li-ions. However, the float glass sample doped with 6 wt.% of Li exhibits even higher values of D.C. conductivity, than the analogously doped Ca11Al14Si16O49N10 glass. The magnitude of activation energy (more than 1 eV) is typical for an ion hopping mechanism and the D.C. conduction mechanism is dominated by Li+ hopping.

In this work, amorphous thin films in Mg-Si-O-N system typically containing >15 at.% Mg and 35 at.% N were prepared in order to investigate especially the dependence of optical and mechanical properties on Mg composition. Reactive RF magnetron co-sputtering from magnesium and silicon targets were used for the deposition of Mg-Si-O-N thin films. Films were deposited on float glass, silica wafers and sapphire substrates in an Ar, N₂ and O₂ gas mixture. X-ray photoelectron spectroscopy, atomic force microscopy, scanning electron microscopy, spectroscopic ellipsometry, and nanoindentation were employed to characterize the composition, surface morphology, and properties of the films. The films consist of N and Mg contents up to 40 at.% and 28 at.%, respectively and have good adhesion to substrates and are chemically inert. The thickness and roughness of the films increased with increasing content of Mg. Both hardness (16–21 GPa) and reduced elastic modulus (120–176 GPa) are strongly correlated with the amount of Mg content. The refractive index up to 2.01 and extinction coefficient up to 0.18 were found to increase with Mg content. The optical band gap (3.1–4.3) decreases with increasing the Mg content. Thin film deposited at substrate temperature of 100 °C shows a lower value of hardness (10 GPa), refractive index (1.75), and higher values of reduced elastic modulus (124 GPa) as compared to the thin film deposited at 310 °C and 510 °C respectively, under identical synthesis parameters.