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  • Public defence: 2018-11-16 09:00 Örebro universitet, Campus USÖ, hörsal C3, Örebro
    Carling, Anna
    Örebro University, School of Medical Sciences.
    Impaired balance and fall risk in people with multiple sclerosis2018Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The symptoms from the neurological disease multiple sclerosis vary from person to person and over time. Impaired balance is common in people with multiple sclerosis and can lead to falls. Fall frequency is high in people with multiple sclerosis, above 50%. Multiple sclerosis affects not only the person having the disease but also their next of kin. To be able to reduce fall risk it is important to know when, why and where people with multiple sclerosis fall, and how to improve balance and reduce falls with exercise. It is also important to know how the falls affect the residing next of kin to people with multiple sclerosis.

    The overall aim of this thesis was to gain enhanced knowledge by investigating when and why people with MS fall and how these falls possibly affect their next of kin, and also to evaluate the effects and perceptions of participating in a specific balance exercise.

    Data were gathered using four different data collections, and this thesis contains both qualitative and quantitative data.

    The major finding in this thesis is that people with multiple sclerosis fall in the course of everyday life activities, most often in their own homes due to various intrinsic and extrinsic factors. Balance can be improved and falls reduced and everyday life may be made easier and facilitated after participating in the CoDuSe balance exercise. This is important also for the next of kin, since they are adapting, adjusting and renouncing their activities due to the falls of the PwMS, in order to make it work for the whole family.

    List of papers
    1. Falls in people with multiple sclerosis: experiences of 115 fall situations
    Open this publication in new window or tab >>Falls in people with multiple sclerosis: experiences of 115 fall situations
    2018 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 32, no 4, p. 526-535Article in journal (Refereed) Published
    Abstract [en]

    Objectives: The aim was to describe falls and the perceived causes, experienced by people with multiple sclerosis shortly after falling.

    Design: A qualitative study using content analysis and quantitative data to illustrate where and why people report falls most commonly. Semi-structured telephone interviews were performed. Interviews were conducted shortly (0–10 days) after a fall.

    Subjects: In all, 67 informants who had reported at least one fall during the previous three-month period and who used a walking aid participated.

    Results: A total of 57 (85%) informants fell at least once during eight months resulting in 115 falls; 90 (78%) falls happened indoors, most commonly in the kitchen (n = 20; 17%) or bathroom (n = 16; 14%). Informants fell during everyday activities and walking aids had been used in more than a third of the reported falls. The falls were influenced of both intrinsic and extrinsic factors. Two categories emerged from the analysis: ‘activities when falling’ and ‘influencing factors’. The category contained three (basic activities of daily living, instrumental activities of daily living and leisure and work) and six (multiple sclerosis–related symptoms, fluctuating body symptoms, being distracted, losing body control, challenging surrounding and involvement of walking aid) subcategories, respectively.

    Conclusion: The majority of falls occurs indoors and in daily activities. Several factors interacted in fall situations and should be monitored and considered to reduce the gap between the person’s capacity and the environmental demands that cause fall risk. Fluctuation of bodily symptoms between and within a day is a variable not earlier targeted in multiple sclerosis fall risk research.

    Place, publisher, year, edition, pages
    Sage Publications, 2018
    Keywords
    Accidental falls, multiple sclerosis, walking aid, content analysis
    National Category
    Neurology Physiotherapy
    Identifiers
    urn:nbn:se:oru:diva-65948 (URN)10.1177/0269215517730597 (DOI)000429777600011 ()28901164 (PubMedID)2-s2.0-85042230415 (Scopus ID)
    Available from: 2018-03-22 Created: 2018-03-22 Last updated: 2018-10-23Bibliographically approved
    2. CoDuSe group exercise programme improves balance and reduces falls in people with multiple sclerosis: A multi-centre, randomized, controlled pilot study
    Open this publication in new window or tab >>CoDuSe group exercise programme improves balance and reduces falls in people with multiple sclerosis: A multi-centre, randomized, controlled pilot study
    2017 (English)In: Multiple Sclerosis, ISSN 1352-4585, E-ISSN 1477-0970, Vol. 23, no 10, p. 1394-1404Article in journal (Refereed) Published
    Abstract [en]

    Background: Imbalance leading to falls is common in people with multiple sclerosis (PwMS).

    Objective: To evaluate the effects of a balance group exercise programme (CoDuSe) on balance and walking in PwMS (Expanded Disability Status Scale, 4.0-7.5).

    Methods: A multi-centre, randomized, controlled single-blinded pilot study with random allocation to early or late start of exercise, with the latter group serving as control group for the physical function measures. In total, 14 supervised 60-minute exercise sessions were delivered over 7 weeks. Pretest-posttest analyses were conducted for self-reported near falls and falls in the group starting late. Primary outcome was Berg Balance Scale (BBS). A total of 51 participants were initially enrolled; three were lost to follow-up.

    Results: Post-intervention, the exercise group showed statistically significant improvement (p = 0.015) in BBS and borderline significant improvement in MS Walking Scale (p = 0.051), both with large effect sizes (3.66; -2.89). No other significant differences were found between groups. In the group starting late, numbers of falls and near falls were statistically significantly reduced after exercise compared to before (p < 0.001; p < 0.004).

    Conclusion: This pilot study suggests that the CoDuSe exercise improved balance and reduced perceived walking limitations, compared to no exercise. The intervention reduced falls and near falls frequency.

    Place, publisher, year, edition, pages
    London, United Kingdom: Sage Publications, 2017
    Keywords
    Accidental falls, exercise, multiple sclerosis, postural balance, core stability
    National Category
    Neurology
    Identifiers
    urn:nbn:se:oru:diva-53488 (URN)10.1177/1352458516677591 (DOI)000407918800014 ()27834736 (PubMedID)2-s2.0-85027895184 (Scopus ID)
    Note

    Funding Agencies:

    Uppsala-Örebro Regional Research Committe  

    Research committee of Örebro County Council  

    Norrbacka-Eugenia Foundation 

    Available from: 2016-11-14 Created: 2016-11-14 Last updated: 2018-10-23Bibliographically approved
    3. Balance exercise facilitates everyday life for people with multiple sclerosis: A qualitative study
    Open this publication in new window or tab >>Balance exercise facilitates everyday life for people with multiple sclerosis: A qualitative study
    2018 (English)In: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, article id e1728Article in journal (Refereed) Epub ahead of print
    Abstract [en]

    OBJECTIVES: The aim of this qualitative study was to describe the experience and perceived effects on everyday life for people with multiple sclerosis after participating in a balance exercise programme focusing on core stability, dual tasking, and sensory strategies (the CoDuSe programme).

    METHODS: A qualitative approach was chosen, using face-to-face interviews analysed with content analysis. Twenty-seven people with multiple sclerosis (20 women, 7 men) who had participated in the CoDuSe programme were included. All could walk 20 m with or without walking aids but could not walk further than 200 m. The CoDuSe programme was given twice weekly during a 7-week period.

    RESULTS: The analysis revealed five categories. Learning to activate the core muscles described how the participants gained knowledge of using their core muscles and transferred this core muscle activation into everyday life activities. Improved bodily confidence covered narratives of being more certain of the ability to control their bodies. Easier and safer activities showed how they could now perform activities in everyday life more safely and easily. Increased independence and participation involved the participants' improved ability and self-confidence to execute activities by themselves, as well as their increased participation in activities in daily living. Experiences of the balance exercise programme revealed that they found the programme novel and challenging. The overall theme was balance exercise facilitates everyday life.

    CONCLUSION: Participating in the CoDuSe programme was perceived to facilitate everyday life for people with multiple sclerosis. Taking part in the balance exercise programme taught the participants how to activate and use the core muscles, which increased their bodily confidence. Having increased bodily confidence helped them to perform everyday life activities with more ease and safety, which increased their independence and participation. The participants described the CoDuSe programme as novel and challenging, yet feasible.

    Place, publisher, year, edition, pages
    John Wiley & Sons, 2018
    Keywords
    Exercise, multiple sclerosis, postural balance, qualitative research
    National Category
    Occupational Therapy Other Health Sciences
    Identifiers
    urn:nbn:se:oru:diva-68373 (URN)10.1002/pri.1728 (DOI)29962013 (PubMedID)
    Available from: 2018-08-07 Created: 2018-08-07 Last updated: 2018-10-23Bibliographically approved
    4. Making it work: experience of living with a person who falls due to multiple sclerosis
    Open this publication in new window or tab >>Making it work: experience of living with a person who falls due to multiple sclerosis
    2018 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, p. 1-8Article in journal (Refereed) Epub ahead of print
    Abstract [en]

    PURPOSE: The purpose of this study was to describe how everyday life is experienced by next of kin sharing residence with a person who falls due to multiple sclerosis (MS).

    METHODS: Twenty face-to-face interviews were analysed using a qualitative content analysis.

    RESULTS: The overall theme "Making it work" represents the next of kin's struggle to make life work. It comprises three themes: "Taking responsibility", "Making adjustments", and "Standing aside for someone else". The two first themes reflect what relatives do to make the situation work, and the last theme represents what they give up.

    CONCLUSION: Next of kin who share residence and everyday life with a person with MS are affected by that person's occasional falls. They often take on the responsibility of preventing such falls and adapt their lives practically and emotionally. However, adaptation is neither always enough or always possible. In these cases, relatives often deprioritize their own needs and free time to make everyday life in the home work. Implications for rehabilitation By highlighting that next of kin also are affected by the falls of their cohabiting person with multiple sclerosis enhances the importance of fall prevention activities that should include the next of kin. Next of kin to people who occasionally fall due to multiple sclerosis can be in need of both practical and emotional support from the health care system. Enhanced information from the health care system can empower and help them to take care of themselves while managing to live with, care for, and protect the person with multiple sclerosis from falls.

    Place, publisher, year, edition, pages
    Informa Healthcare, 2018
    Keywords
    Accidental falls, family, multiple sclerosis, qualitative research
    National Category
    Nursing Health Care Service and Management, Health Policy and Services and Health Economy
    Identifiers
    urn:nbn:se:oru:diva-69584 (URN)10.1080/09638288.2018.1514078 (DOI)30299167 (PubMedID)
    Available from: 2018-10-16 Created: 2018-10-16 Last updated: 2018-10-23Bibliographically approved
  • Public defence: 2018-11-16 13:00 Örebro universitet, Campus USÖ, hörsal C2, Örebro
    Björkman Hjalmarsson, Louise
    Örebro University, School of Medical Sciences.
    Aspects of neonatal septicaemia: prevention and complications2018Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Study I was part of the Extremely Preterm Infants in Sweden Study (EXPRESS), a prospective national study including all infants born <27 weeks in Sweden in 2004-2007 that survived their first year of life (n=497). Neonatal sepsis was evaluated as a risk factor for neonatal morbidities. Definite sepsis was associated with severe bronchopulmonary dysplasia and prolonged hospital stay, but not with a higher risk of retinopathy of prematurity or intraventricular haemorrhage.

    Study II was a non-randomized single-centre intervention study evaluating possible preventive effects on coagulase-negative staphylococci (CoNS) sepsis when the scrub the hub method was used. During the intervention period, the incidence of CoNS sepsis decreased from 1.5% to 0% (CI: 0.53-2.58%, p=0.06).

    Study III was an in-vitro study evaluating leakage of isopropanol (IPA) and ethanol when alcohol caps and scrub the hub were used to disinfect hubs. Alcohol leakage was measured using gas chromatography. IPA was detected in all samples from cap circuits, and mean leakage increased over time. Ethanol levels were low, and scrub the hub therefore seems safe to use.

    Study IV was a survey study evaluating reported hygiene routines from Swedish neonatal intensive care units (NICUs) included in the EXPRESS study. Routines were compared between the EXPRESS period (2004- 2007) and 2013. Improvements were seen regarding basic hygiene routines, routines for work clothing, and follow-up of compliance. Antibiotic prophylaxis decreased while fungal prophylaxis increased, but the empiric treatment of suspected late-onset sepsis (LOS) showed heterogeneity.

    Study V investigated the association between incidence in LOS in the EXPRESS cohort and the hygiene routines previously evaluated in Study IV. Strict catheter routines, blood culture routines, and non-use of antibiotic prophylaxis were associated with decreased sepsis risk.

    List of papers
    1. Sepsis as a risk factor for neonatal morbidity in extremely preterm infants
    Open this publication in new window or tab >>Sepsis as a risk factor for neonatal morbidity in extremely preterm infants
    Show others...
    2015 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 11, p. 1070-1076Article in journal (Refereed) Published
    Abstract [en]

    Aim: This study evaluated sepsis as a risk factor for neonatal morbidities and investigated the association between specific pathogens and neonatal morbidities.

    Methods: This was a nationwide Swedish prospective cohort study, consisting of the 497 extremely premature children, who were born before 27weeks of gestation between 2004 and 2007 and survived their first year of life. Neonatal sepsis was evaluated as a risk factor for neonatal morbidity using multiple logistic linear regression analyses.

    Results: We found that 326 (66%) of the infants had at least one sepsis episode and coagulase-negative staphylococci was the most common pathogen. Definite sepsis, with an odds ratio (OR) of 1.6, was associated with severe bronchopulmonary dysplasia, but not clinical sepsis (OR 1.1). Definite sepsis was also associated with a prolonged hospital stay (OR 1.6). Sepsis was not significantly associated with a higher risk of retinopathy of prematurity or intraventricular haemorrhage.

    Conclusion: Extremely preterm infants face a great risk of acquiring neonatal sepsis, with coagulase-negative staphylococci being the most common pathogen in this population. Definite sepsis seemed to be a risk factor for severe bronchopulmonary dysplasia and prolonged hospital stay, but the associations were weaker than in previous studies.

    Place, publisher, year, edition, pages
    Wiley-Blackwell, 2015
    Keywords
    Morbidity, Neonatal, Prematurity, Risk factor, Sepsis
    National Category
    Pediatrics
    Research subject
    Pediatrics
    Identifiers
    urn:nbn:se:oru:diva-46694 (URN)10.1111/apa.13104 (DOI)000363866200018 ()26118325 (PubMedID)2-s2.0-84945493792 (Scopus ID)
    Funder
    Swedish Research Council, 2006-3858
    Note

    Funding Agencies:

    Lilla Barnets Fond

    Evy and Gunnar Sandbergs Foundation

    Birgit and Håkan Ohlssons Foundation

    Available from: 2015-11-23 Created: 2015-11-23 Last updated: 2018-10-17Bibliographically approved
    2. Scrubbing the hub of intravenous catheters with an alcohol wipe for 15 sec reduced neonatal sepsis
    Open this publication in new window or tab >>Scrubbing the hub of intravenous catheters with an alcohol wipe for 15 sec reduced neonatal sepsis
    2015 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 3, p. 232-236Article in journal (Refereed) Published
    Abstract [en]

    Aim: The aim of this study was to investigate whether scrubbing the hub of intravenous catheters with an alcohol wipe for 15 sec could reduce the incidence of neonatal sepsis in a level-three neonatal intensive care unit.

    Methods: We studied the incidence of neonatal sepsis caused by coagulase-negative staphylococci (CoNS) for 16.5 months before the initiative was launched on May 15, 2012 and then for a further 8.5 months after it was introduced. The hub routine was applied to all intravenous catheters.

    Results: During the control period before the initiative was launched, there were nine cases of CoNS sepsis compared with no cases after it was introduced, resulting in a decrease in sepsis incidence from 1.5% to 0% with a risk reduction of 1.5% (0.53-2.58%) (p = 0.06). In the preterm infant population, the incidence of sepsis decreased from 3.6% to 0% (1.1-6.0%) (p = 0.11).

    Conclusion: Scrubbing the hub of intravenous catheters with an alcohol wipe for 15 sec seemed to be an efficient way of preventing sepsis caused by CoNS in newborn infants. However, the evidence for the benefits will remain weak until a large randomised trial has been completed.

    Place, publisher, year, edition, pages
    Hoboken, USA: Wiley-Blackwell, 2015
    Keywords
    Coagulase-negative staphylococci, Infection, Intravenous catheters, Neonatal sepsis, Prevention
    National Category
    Pediatrics
    Research subject
    Pediatrics
    Identifiers
    urn:nbn:se:oru:diva-43932 (URN)10.1111/apa.12866 (DOI)000350062400012 ()25399485 (PubMedID)2-s2.0-84923181512 (Scopus ID)
    Available from: 2015-03-30 Created: 2015-03-30 Last updated: 2018-10-17Bibliographically approved
    3. Leakage of isopropanol from port protectors used in neonatal intensive care
    Open this publication in new window or tab >>Leakage of isopropanol from port protectors used in neonatal intensive care
    (English)In: Article in journal (Other academic) Submitted
    National Category
    General Practice
    Identifiers
    urn:nbn:se:oru:diva-69661 (URN)
    Available from: 2018-10-17 Created: 2018-10-17 Last updated: 2018-10-17Bibliographically approved
    4. Hygiene routines in the EXPRESS study: a Swedish national survey of hygiene practices in neonatal intensive care
    Open this publication in new window or tab >>Hygiene routines in the EXPRESS study: a Swedish national survey of hygiene practices in neonatal intensive care
    (English)In: Article in journal (Other academic) Submitted
    National Category
    General Practice
    Identifiers
    urn:nbn:se:oru:diva-69662 (URN)
    Available from: 2018-10-17 Created: 2018-10-17 Last updated: 2018-10-17Bibliographically approved
    5. Hygiene routines in the EXPRESS study: impact of hygiene routines and antibiotic prophylaxis on neonatal sepsis incidence
    Open this publication in new window or tab >>Hygiene routines in the EXPRESS study: impact of hygiene routines and antibiotic prophylaxis on neonatal sepsis incidence
    (English)In: Article in journal (Other academic) Submitted
    National Category
    General Practice
    Identifiers
    urn:nbn:se:oru:diva-69663 (URN)
    Available from: 2018-10-17 Created: 2018-10-17 Last updated: 2018-10-17Bibliographically approved
  • Public defence: 2018-11-23 09:00 Örebro universitet, Campus USÖ, hörsal C3, Örebro
    Hildén, Karin
    Örebro University, School of Medical Sciences.
    Gestational diabetes, obesity and pregnancy outcomes in Sweden2018Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the thesis was to evaluate maternal and fetal outcomes in relation to gestational diabetes mellitus (GDM) in both a shortand long term perspective.

    Study I was a population based cohort study including 1 249 908 pregnancies during the years 1998-2012. Maternal outcomes and fetal size were studied in relation to BMI and presence/absence of GDM. The conclusions were that maternal overweight and obesity are associated with similar increments in risks of adverse maternal outcomes and delivery of large-for-gestational-age infants in women with and without gestational diabetes. Study II was a population based cohort study using the same cohort as in study I. Fetal outcomes were studied in relation to GDM-status and BMI. Interaction between GDM and BMI for the outcomes was also analyzed. Conclusions were that excess maternal weight and GDM were, both major independent risk factors for adverse, perinatal outcomes, there were no intercation. In study III the same cohort was used to study time trends 1998-2012 in maternal and perinatal outcomes in women with GDM. Trends were also analyzed in women without GDM for comparison. This study showed that there have been improvements in fetal outcomes for women with GDM. But since the improvements were similar or less than the changes in the background population this was probably not due to better medical care for women with GDM alone. The conlusion is that there is still a lot to do to improve outcomes for women with GDM. Study IV was a case control study aiming to evaluate if there was an interaction between GDM and preeclampsia (PE) or if the conditions were independent risk factors for later cardio vascular disease (CVD). We also wanted to analyze how BMI influenced the association between PE and later CVD. We showed that GDM and PE are independently associated with elevated risk for CVD. The association of PE and CVD is not affected by BMI to a great extent as is the case in GDM and CVD.

    List of papers
    1. Overweight and obesity: a remaining problem in women treated for severe gestational diabetes
    Open this publication in new window or tab >>Overweight and obesity: a remaining problem in women treated for severe gestational diabetes
    2016 (English)In: Diabetic Medicine, ISSN 0742-3071, E-ISSN 1464-5491, Vol. 33, no 8, p. 1045-1051Article in journal (Refereed) Published
    Abstract [en]

    Aim: To analyse the impact of overweight and obesity on the risk of adverse maternal outcomes and fetal macrosomia in pregnancies of women treated for severe gestational diabetes.

    Methods This was a population-based cohort study including all singleton pregnancies in Sweden without pre-existing diabetes in the period 1998-2012. Only mothers with an early- pregnancy BMI of ≥18.5 kg/m² were included. Logistic regression analysis was used to determine odds ratios with 95% CIs for maternal outcomes and fetal growth. Analyses were stratified by maternal gestational diabetes/non-gestational diabetes to investigate the impact of overweight/obesity in each group.

    Results: Of 1 249 908 singleton births, 13 057 were diagnosed with gestational diabetes (1.0%). Overweight/obesity had the same impact on the risks of caesarean section and fetal macrosomia in pregnancies with and without gestational diabetes, but the impact of maternal BMI on the risk of preeclampsia was less pronounced in women with gestational diabetes. Normal-weight women with gestational diabetes had an increased risk of caesarean section [odds ratio 1.26 (95% CI 1.16-1.37)], preeclampsia [odds ratio 2.03 (95% CI 1.71-2.41)] and large-for-gestational-age infants [odds ratio 2.25 (95% CI 2.06-2.46)]. Risks were similar in the overweight group without gestational diabetes, caesarean section [odds ratio 1.34 (1.33-1.36)], preeclampsia odds ratio [1.76 (95% CI 1.72-1.81)], large-for-gestational-age [odds ratio 1.76 (95% CI 1.74-1.79)].

    Conclusions: Maternal overweight and obesity is associated with similar increments in risks of adverse maternal outcomes and delivery of large-for-gestational-age infants in women with and without gestational diabetes. Obese women with gestational diabetes are defined as a high-risk group. Normal-weight women with gestational diabetes have similar risks of adverse outcomes to overweight women without gestational diabetes.

    Place, publisher, year, edition, pages
    Hoboken, USA: Wiley-Blackwell Publishing Inc., 2016
    National Category
    Endocrinology and Diabetes
    Identifiers
    urn:nbn:se:oru:diva-50308 (URN)10.1111/dme.13156 (DOI)000379936000005 ()27172974 (PubMedID)2-s2.0-84978818273 (Scopus ID)
    Note

    Funding Agency:

    Research Committee of Örebro County Council

    Available from: 2016-05-27 Created: 2016-05-16 Last updated: 2018-10-24Bibliographically approved
    2. Are gestational diabetes and adiposity independent risk factors for perinatal outcomes?: A population based cohort study in Sweden
    Open this publication in new window or tab >>Are gestational diabetes and adiposity independent risk factors for perinatal outcomes?: A population based cohort study in Sweden
    Show others...
    2018 (English)In: Diabetic Medicine, ISSN 0742-3071, E-ISSN 1464-5491Article in journal (Refereed) Accepted
    Place, publisher, year, edition, pages
    Hoboken, USA: Wiley-Blackwell Publishing Inc., 2018
    National Category
    Endocrinology and Diabetes
    Identifiers
    urn:nbn:se:oru:diva-69788 (URN)
    Available from: 2018-10-24 Created: 2018-10-24 Last updated: 2018-10-24Bibliographically approved
    3. Trends in pregnancy outcomes for women with gestational diabetes mellitus in Sweden 1998-2012: a nationwide cohort study
    Open this publication in new window or tab >>Trends in pregnancy outcomes for women with gestational diabetes mellitus in Sweden 1998-2012: a nationwide cohort study
    Show others...
    (English)Manuscript (preprint) (Other academic)
    National Category
    Endocrinology and Diabetes
    Identifiers
    urn:nbn:se:oru:diva-69789 (URN)
    Available from: 2018-10-24 Created: 2018-10-24 Last updated: 2018-10-24Bibliographically approved
    4. Cardiovascular disease among women with previous preeclampsia and/or gestational diabetes mellitus: a national case control study
    Open this publication in new window or tab >>Cardiovascular disease among women with previous preeclampsia and/or gestational diabetes mellitus: a national case control study
    Show others...
    (English)Manuscript (preprint) (Other academic)
    National Category
    Endocrinology and Diabetes
    Identifiers
    urn:nbn:se:oru:diva-69790 (URN)
    Available from: 2018-10-24 Created: 2018-10-24 Last updated: 2018-10-24Bibliographically approved
  • Public defence: 2018-12-14 09:00 Örebro universitet, Prismahuset, Hörsal P1, Örebro
    Matérne, Marie
    Örebro University, School of Health Sciences.
    Återgång i arbete efter förvärvad hjärnskada - livskvalitet, möjligheter och hinder2018Doctoral thesis, comprehensive summary (Other academic)
  • Public defence: 2018-12-14 10:15 Örebro universitet, Hörsalen, Musikhögskolan, Örebro
    Persson, Josefin
    Örebro University, School of Science and Technology.
    Indoor air quality and chemical emissions of organic compounds in newly built low-energy preschools2018Doctoral thesis, comprehensive summary (Other academic)
  • Public defence: 2018-12-14 13:15 Örebro universitet, Forumhuset, Hörsal F, Örebro
    Tryggvason, Ásgeir
    Örebro University, School of Humanities, Education and Social Sciences.
    Om det politiska i samhällskunskap: Agonism, populism och didaktik2018Doctoral thesis, comprehensive summary (Other academic)