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  • 1.
    Ahlsson, Anders
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Billroth och Brahms: en problemfylld vänskap mellan två ikoner2008In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 105, no 10, p. 755-757Article in journal (Other (popular science, discussion, etc.))
  • 2.
    Ahlsson, Anders
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Universitetssjukhuset, Örebro, Sweden.
    Rädda synen på Bach2014In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no 3-4, p. 100-1Article in journal (Other (popular science, discussion, etc.))
  • 3.
    Alberthson, Maya
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Toftgård, Matilda
    Kulturella skillnader ur ett audionomperspektiv: en intervjustudie om kommunikation i patientmöten2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inom vården är kommunikation mellan vårdgivare och patient en stor del. Kommunikationsprocessen kan försvåras då man tillhör olika kulturer genom t.ex. nationalitet, kön eller socioekonomisk bakgrund. Fenomenet har studerats inom vården tidigare, men studier med hörselvårdsperspektiv har inte påträffats. Denna studie vill därför undersöka hur audionomer ser på kommunikation och de svårigheter som kan uppstå i ett patientmöte.

    Syftet med intervjustudien är att undersöka vilka kommunikationssvårigheter som kan uppståpå grund av kulturella skillnaderi audionomens möte med en patient. Studien inriktas även på hur detta påverkar audionomens arbete och vilka strategier som används för att hantera de svårigheter som uppstår.

    Intervjustudien är av kvalitativ karaktär och har transkriberats, tolkats och analyserats med hermeneutisk ansats. Analysmetod har varit meningskategorisering där viktiga och relevanta delar ur det transkriberade materialet plockats fram och sammanställts till diagram.

    Audionomerna tar upp flera målgrupper där kommunikationen är svår och även vilka strategier de använder för att underlätta patientmötet. Flera audionomer verkar se hörselproblematik som den främsta anledningen till bristande kommunikation. Fortsatt forskning krävs dock för att ta reda på om detta beror på att de inte har några problem att handskas med olika kulturer eller om det beror på avsaknad av kunskap inom detta område.

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    Kulturella skillnader ur ett audionomperspektiv
  • 4.
    Algharbi, Muteb
    et al.
    Postgraduate Dental Education Center, Region Örebro County, Örebro, Sweden.
    Bazargani, Farhan
    Postgraduate Dental Education Center, Region Örebro County, Örebro, Sweden.
    Dimberg, Lillemor
    Postgraduate Dental Education Center, Region Örebro County, Örebro, Sweden.
    Do Different Maxillary Expansion Appliances Influence the Outcomes of the Treatment?2018In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 40, no 1, p. 97-106Article, review/survey (Refereed)
    Abstract [en]

    Background and objectives: There is no consensus in the literature regarding which rapid maxillary expansion (RME) design or activation rate benefits the patients the most. Therefore, the primary aim of this systematic review was to see whether there is a difference in the skeletal and dentoalveolar effects of different RME appliances in children and growing adolescents. The secondary aim was to see whether these effects are different when using different activation protocols for these appliances. Data collection and analysis: The search was done in three databases (PubMed, Cochrane Library, and Web of Science). The following inclusion criteria were used: randomized controlled trial, prospective controlled studies, 15 or more patients in each study, human subjects up to 18 years of age, and RME effects had to be assessed by computed tomography/cone beam computed tomography. Study appraisal and synthesis methods: Quality of the methodology was classified according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) guidelines as high, moderate, or low. Results: The search resulted in 145 titles and abstracts; 109 of them were excluded based on pre-established criteria. Thirty-six full-text articles were assessed for eligibility and 18 of which satisfied the inclusion criteria. Finally, seven articles were deemed eligible for full inclusion and revealed that all appliances and protocols showed significant expansion in the mid-palatal suture. No evidence was found for the cause of dental tipping. Limitations: In this systematic review, having different age groups in each study and using different anatomical landmarks and outcome measures for assessing the skeletal and dental effects made it difficult to conduct a meta-analysis. Conclusions: There is moderate evidence that all designs produce significant expansion at the mid-palatal suture. However, lack of studies comparing appliances and protocols has been found. Finally, no evidence-based conclusions could be drawn about the appliance effect on teeth tipping.

  • 5.
    Alm, Fredrik
    et al.
    Örebro University, School of Health Sciences. Department of Anaesthesia and Intensive Care.
    Lundeberg, Stefan
    Astrid Lindgrens barnsjukhus, Karolinska universitetssjukhus, Stockholm.
    Stalfors, Joacim
    Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; Sheikh Khalifa Medical City, Ajman, United Arab Emirates.
    Nerfeldt, Pia
    Karolinska Universitetssjukhuset, Huddinge.
    Ericsson, Elisabeth
    Örebro University, School of Health Sciences.
    Improving pain management after pediatric tonsil surgery – an ongoing project2018Conference paper (Refereed)
    Abstract [en]

    The National Tonsil Surgery Register in Sweden collects perioperative data from health care professionals and patient reported outcome measures 30 days and 6 months after surgery. Since 2009, patient-reported outcome measures, include questions related to pain.

    Objective: To illustrate the process of improvements, efforts, and the use of a quality register in pain, and pain management after tonsil surgery in Sweden.

    Method: Quantitative and qualitative research.

    Results: Registry data indicated unrelieved postoperative pain with a high proportion of health care contacts. This resulted in the implementation of the Swedish National Guidelines (2013), and patient information published on the website www.tonsilloperation.se. The guidelines recommend multimodal pain treatment with paracetamol combined with COX-inhibitors, and if necessary, oral clonidine rather than opioids as rescue analgesics. A national survey (2015) showed that Swedish ENT-professionals’ opinions of, and the ENT-departments adherence to the guidelines were good. According to the national registry data (2017), the implementation has resulted in longer use of post-operative analgesic and fewer contacts with healthcare. Simultaneously, registry data showed that operating methods and techniques, age, and indication for surgery affect the pain outcome. Results from age-oriented pain diaries and qualitative interviews (2017-2018) capture the children’s and caregivers’ perspectives on pain, and pain treatment. Preliminary results show that type of pain treatment affects the quality of the postoperative care and recovery.

    Conclusion: Pain management after tonsil surgery has been, and still is, a challenge for ENT-professionals and constant improvements are necessary.

  • 6.
    Alm, Fredrik
    et al.
    Örebro University, School of Health Sciences. Department of Anaesthesia and Intensive Care.
    Stalfors, Joacim
    Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden Sheikh Khalifa Medical City, Ajman, United Arab Emirates.
    Nerfeldt, Pia
    Karolinska Universitetssjukhuset, Huddinge.
    Ericsson, Elisabeth
    Örebro University, School of Health Sciences.
    Patient reported outcome of pain after tonsil surgery: An analysis of 32,225 children from the National Tonsil Surgery Register in Sweden 2009-20162017Conference paper (Refereed)
    Abstract [en]

    The objective of this register study was to explore factors affecting pain after pediatric tonsil surgery, using patient-reported outcomes from questionnaires in the National Tonsil Surgery Registry in Sweden, 30 days after surgery.

    Material and method: A total of 32,225 tonsil surgeries on children (aged 1-18 years) during 2009-2016 were included; 13,904 tonsillectomies with or without adenoidectomy (TE±A) and 18,321 tonsillotomies with or without adenoidectomy (TT±A). Pain was evaluated by using patient-reported outcomes from questionnaires in the National Tonsil Surgery Registry in Sweden, 30 days after surgery. Results: In surgery cases of indication obstruction, the TT±A stopped taking painkillers and returned to normal eating habits sooner, and had less contact with health care services due to pain, compared to TE±A. After TE±A, the indication infection group had more days on analgesics and more contacts with health care services due to pain, compared to the indication obstruction group. TE±A with cold-dissection technique resulted in fewer days on painkillers compared to warm-technique, and reduced the number of contacts with health care services due to pain. Older children were affected by more days of morbidity than the younger ones, but there was no gender difference after adjustment for age, dissection technique and hemostasis technique. Implementation of national guidelines for pain treatment (2013) and patient information on the website tonsilloperation.se seems to have increased the days on analgesics after surgery.

    Conclusion: Pain after tonsil surgery depends on the surgical procedure and technique, as well as factors such as the patient’s age and surgical indication.

  • 7.
    Bazargani, Farhan
    epartment of Anatomy and Cell Biology, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Acute Inflammation in Peritoneal Dialysis: Experimental Studies in Rats. Characterization of Regulatory Mechanisms2005In: Swedish Dental Journal. Supplement, ISSN 0348-6672, Vol. 171, p. 1-57Article in journal (Refereed)
    Abstract [en]

    The predominant problems associated with peritoneal dialysis (PD) are ultrafiltration failure and peritonitis. PD maintains a state of intraperitoneal inflammation that affects the structure and function of the peritoneal membrane, potentially impairing ultrafiltration efficiency. Paradoxically, some PD fluids also have anti-inflammatory properties that may compromise the immune defense against peritonitis. This anti-inflammatory feature is mostly due to the glucose degradation products (GDPs), formed during heat-sterilization and storage of PD fluids. The main purpose of the present thesis was to study regulatory mechanisms behind the acute intraperitoneal inflammatory response in PD in the presence and absence of experimental peritonitis. Rats were exposed to a single dose of heat- or filter sterilized PD fluids either as an i.p. injection or as an infusion through an indwelling catheter, with or without supplementations, or pretreatment of the animals. The dwell fluid was analyzed zero, two and four hours later concerning activation of the complement and coagulation cascades, neutrophil recruitment and respiratory burst, ultrafiltration volumes, cytokine-induced neutrophil chemoattractant (CINC-1), rat mast cell protease 2 (RMCP-2), glucose, urea and histamine concentrations and ex vivo/in vitro intraperitoneal chemotactic activity. Exposure to filter sterilized PD fluid alone induced intraperitoneal complement activation and coagulation, neutrophil recruitment and increased the levels of CINC-1 during the dwell. Intraperitoneal concentrations of the mast cell markers histamine and RMCP-2 changed little during the dwells and did not indicate mast cell activation. Low molecular weight heparin (LMWH) and C5 blockade improved ultrafiltration. Pretreatment with cobra venom factor, known decomplementing agent, blocked the CINC-1 release and the neutrophil recruitment and improved ultrafiltration. In combination with experimental peritonitis, heat sterilized PD fluid compared to filter sterilized, inhibited the CINC-1 release and the recruitment of neutrophils to the peritoneal cavity without affecting the intraperitoneal complement activation. The results of the present thesis indicate that addition of LMWH to the PD fluid improves ultrafiltration, probably by blocking C5a activity. C5 blockade seems to improve ultrafiltration by a mechanism that involves a reduction in glucose transport, possibly by reducing C5 induced vasodilatation. Complement activation is an early step in the acute reaction to PD and probably mediates the downstream events that lead to the recruitment of inflammatory cells to the peritoneal cavity. The cells involved in the release of CINC-1 later in this sequence are probably the mesothelial cells. During experimental peritonitis, heat sterilized PD fluids inhibited the neutrophil respiratory burst response of intraperitoneal neutrophils. Heat sterilized PD fluids also inhibit the recruitment of neutrophils to the peritoneal cavity by a mechanism independent of complement activation but probably depending on cytokine CINC-1 release during peritonitis.

  • 8.
    Bazargani, Farhan
    et al.
    Postgraduate Dental Education Center, Örebro, Sweden.
    Feldmann, Ingalill
    Uppsala University, Gävleborg County Council, Gävle, Sweden.
    Bondemark, Lars
    Malmö University, Malmö, Sweden.
    Three-dimensional Analysis of Effects of Rapid Maxillary Expansion on Facial Sutures and Bones: A systematic review2013In: Angle orthodontist, ISSN 0003-3219, E-ISSN 1945-7103, Vol. 83, no 6, p. 1074-1082Article, review/survey (Refereed)
    Abstract [en]

    Objective: To evaluate the evidence on three-dimensional immediate effects of rapid maxillary expansion (RME) treatment on growing patients as assessed by computed tomography/cone beam computed tomography (CT/CBCT) imaging. Materials and Methods: The published literature was searched through the PubMed, Embase, and Cochrane Library electronic databases from January 1966 to December 2012. The inclusion criteria consisted of randomized controlled trials, prospective controlled studies, and prospective case-series. Two reviewers extracted the data independently and assessed the quality of the studies. Results: The search strategy resulted in 73 abstracts or full-text articles, of which 10 met the inclusion criteria. When treating posterior crossbites with a RME device, the existing evidence points out that the midpalatal suture opening is around 20%-50% of the total screw expansion. There seems to be no consistent evidence on whether the midpalatal sutural opening is parallel or triangular. The effect on the nasal cavity dimensions after RME seems to be apparent and indicates an enlargement between 17% and 33% of the total screw expansion. Circummaxillary sutures, particularly the zygomaticomaxillary and frontomaxillary sutures and also spheno-occipital synchondrosis, appear to be affected by the maxillary expansion. Overall, however, the changes were small and the evidence not conclusive. Conclusions: CT imaging proved to be a useful tool for assessment of treatment effects in all three dimensions. The majority of the articles were judged to be of low quality, and therefore, no evidence-based conclusions could to be drawn from these studies.

  • 9.
    Bazargani, Farhan
    et al.
    Postgraduate Dental Education Center, Örebro, Sweden.
    Jonson-Ring, Ingrid
    Public Dental Service, Uppsala County Council, Uppsala, Sweden.
    Neveus, Tryggve
    Uppsala University Children's Hospital, Uppsala, Sweden.
    Rapid Maxillary Expansion in Therapy-Resistant Enuretic Children: An Orthodontic Perspective2016In: Angle orthodontist, ISSN 0003-3219, E-ISSN 1945-7103, Vol. 86, no 3, p. 481-486Article in journal (Refereed)
    Abstract [en]

    Objective: To evaluate whether rapid maxillary expansion (RME) could reduce the frequency of nocturnal enuresis (NE) in children and whether a placebo effect could be ruled out. Methods: Thirty-four subjects, 29 boys and five girls with mean age of 10.7 +/- 1.8 years suffering from primary NE, were recruited. All subjects were nonresponders to the first-line antienuretic. treatment and therefore were classified as "therapy resistant." To rule out a placebo effect of the RME appliance, all children were first treated with a passive appliance for 4 weeks. Rhinomanometry (RM), acoustic rhinometry (AR), polysomnographic registration, and study casts were made at different time points. Results: One child experienced severe discomfort from the RME appliance and immediately withdrew from the study. Following RME, the long-term cure rate after 1 year was 60%. The RM and AR measurements at baseline and directly after RME showed a significant increase in nasal volume and nasal airflow, and there was a statistically significant correlation between reduction in enuresis and increase in nasal volume. Six months postretention, a 100% relapse of the dental overexpansion could be noted. Conclusions: RME has a curative effect in some children with NE, which could be connected to the positive influence of RME on the sleep architecture. Normal transverse occlusion does not seem to be a contraindication for moderate maxillary expansion in attempts to cure NE in children.

  • 10.
    Bazargani, Farhan
    et al.
    Postgraduate Dental Education Center, Örebro, Sweden.
    Magnuson, Anders
    Örebro University Hospital, Örebro, Sweden.
    Lennartsson, Bertil
    Postgraduate Dental Education Center, Örebro, Sweden.
    Effect of Interceptive Extraction of Deciduous Canine on Palatally Displaced Maxillary Canine: A Prospective Randomized Controlled Study2014In: Angle orthodontist, ISSN 0003-3219, E-ISSN 1945-7103, Vol. 84, no 1, p. 3-10Article in journal (Refereed)
    Abstract [en]

    Objective: To evaluate the effect of the extraction of deciduous canines on palatally displaced canines (PDCs), to analyze the impact of the age of the patient on this interceptive treatment, and to assess the outcome of one-sided extraction of a maxillary primary canine on the midline of the maxilla. Materials and Methods: This study included 48 PDCs in 24 consecutive patients with bilateral PDCs. The mean age of the patients at diagnosis was 11.6 years (standard deviation 1.2 years). After randomization, one deciduous canine of each patient was assigned to extraction, and the contralateral side served as control. The patients were then followed at 6-month intervals for 18 months with panoramic and intraoral occlusal radiographs. Results: The rates of successful eruption of the PDCs at extraction and control sites were 67% and 42%, respectively, at 18 months. The difference between the sites was statistically significant, and the effect was significantly more pronounced in the younger participants. A significant decrease in arch perimeter occurred at extraction sites compared to control sites during the observation period. No midline shift toward the extraction side was observed in any patient. Conclusions: The extraction of the deciduous canine is an effective measure in PDC cases, but it must be done in younger patients in combination with early diagnosis, at the age of 10-11 years. Maintenance of the perimeter of the upper arch is an important step during the observation period, and a palatal arch as a space-holding device is recommended.

  • 11.
    Bazargani, Farhan
    et al.
    Postgraduate Dental Education Center, Örebro, Sweden.
    Magnuson, Anders
    Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Löthgren, Hanna
    Public Dental Service, Skane County Council, Helsingborg, Sweden.
    Kowalczyk, Agata
    Postgraduate Dental Education Center, Örebro, Sweden.
    Orthodontic Bonding With and Without Primer: A Randomized Controlled Trial2016In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 38, no 5, p. 503-507Article in journal (Refereed)
    Abstract [en]

    To evaluate the incidence of failure of brackets bonded with and without primer. A single-operator, cross-mouth, randomized controlled trial (RCT). The Orthodontic Department at the Postgraduate Dental Education Centre, A-rebro, Sweden. Ethical approval was granted by the Regional Ethical Review Board, Uppsala, Sweden. The protocol was not published before trial commencement. Fifty consecutive patients requiring bimaxillary orthodontic treatment with fixed appliances and with an equal number of teeth on each side of the dental arch, were included in this RCT. A cross-mouth methodology was applied. In each patient, two diagonal quadrants (i.e. upper right and lower left, or vice versa) were randomly assigned to the primer group (control group) and the contralateral diagonal quadrants to the non-primer group (experimental group). The randomization process was as follows: A computer-manufactured block-randomization list was acquired and stored with a research secretary at the Postgraduate Dental Education Centre. Each time a patient gave consent, the secretary was contacted by e-mail, and information about which quadrants were to be bonded with and without primer was obtained. All incidents of bracket failure and debonding noted in patient records during the 2012-14 observation period were compiled by the other co-author, whom was blinded to the study and did not perform any orthodontic treatment on the study patients. Number of bracket failures over 18 months. Failure rate without primer was 5.5 per cent and with primer 3.1 per cent; P = 0.063, odds ratio (OR) 1.89 [95% confidence interval (CI) 0.97-3.68] in the adjusted model. Younger ages (10-13 years), boys, and mandible were significantly associated with higher failure rates. Interaction tests indicated that younger patients had significantly higher failure rates without (12.1 per cent) than with primer (4.1 per cent), P < 0.001, OR 3.51 (95% CI 1.93-6.38) in the adjusted model. No failure rate differences between study settings were found for older patients (14-18 years). The difference between two groups was powered at 5 per cent. Some clinicians may consider a difference less than 5 per cent clinically significant. Bonding Victory Series (TM) brackets with Transbond (TM) XT with or without Transbond (TM) MIP primer seems overall to work equally well in a clinical setting, except in younger children where lower failure rate was found in the primer setting.

  • 12.
    Berg von Linde, Maria Berg
    et al.
    Department of Cardiology, Faculty of Health, Örebro University, Orebro, Sweden.
    Arevström, Lilith
    Department of Cardiology, Faculty of Health, Örebro University, Orebro, Sweden.
    Fröbert, Ole
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Cardiology, Örebro University Hospital, Örebro, Sweden.
    Insights from the Den: How Hibernating Bears May Help Us Understand and Treat Human Disease2015In: Clinical and Translational Science, ISSN 1752-8054, E-ISSN 1752-8062, Vol. 8, no 5, p. 601-605Article, review/survey (Refereed)
    Abstract [en]

    Hibernating brown bears (Ursus arctos) and black bears (Ursus americanus) spend half of the year in a physically inactive state inside their winter dens without food intake and defecating and no or little urination. Under similar extreme conditions, humans would suffer from loss of lean body mass, heart failure, thrombosis, azotemia, osteoporosis, and more. However, bears exit the den in the spring strong without organ injuries. Translational animal models are used in human medicine but traditional experimental animals have several shortcomings; thus, we believe that it is time to systematically explore new models. In this review paper, we describe physiological adaptations of hibernating bears and how similar adaptations in humans could theoretically alleviate medical conditions. The bear has solved most of the health challenges faced by humans, including heart and kidney disease, atherosclerosis and thrombosis, and muscle wasting and osteoporosis. Understanding and applying this library of information could lead to a number of major discoveries that could have implications for the understanding and treatment of human disease.

  • 13. Bergqvist, L.
    et al.
    Eriksson, Mats
    Örebro University, School of Health and Medical Sciences.
    Kronsberg, S.S.
    Schollin, Jens
    Örebro University, School of Health and Medical Sciences.
    Barton, B.
    Anand, K.J.S.
    Seeing through the blind!: ability of hospital staff to differentiate morphine from placebo, in neonates at a placebo controlled trial2007In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 96, no 7, p. 1004-1007Article in journal (Refereed)
    Abstract [en]

    AIM: To investigate whether professional training and/or clinical experience affect the ability of caregiver to assess clinical signs of pre-emptive morphine analgesia. METHODS: In the Neurological Outcomes & Pre-emptive Analgesia In Neonates trial preterm infants undergoing mechanical ventilation were randomized to receive continuous infusion, either of morphine or placebo blinded. Staff from centres in Sweden (Stockholm and Orebro) completed an assessment form. RESULTS: A total of 360 assessment forms were collected from 52 neonates. In 59% of the cases, caregivers correctly identified patients group. Comparable proportion of answers were correct between physicians, nurses and assistant nurses (63, 60 and 54%, respectively, p = 0.60). Staff with Neonatal intensive care unit experience <1 year identified 63%, as compared to 65% for working 1-5 year, and 55% that has been working >5 years (p = 0.28). Staff's ability to correctly identify group assignment was reduced by amount of additional morphine (p < 0.01) and severity of illness (p = 0.01). CONCLUSIONS: Clinical medical staffs, including neonatologists, have great difficulties in assessing the presence and severity of pain. Further studies should focus on the methods for assessment of prolonged pain in preterm neonates, define the effects of adequate analgesia, and investigate the clinical factors that may alter neonatal responses to acute and prolonged pain.

  • 14. Borg, Erik
    et al.
    Danermark, Berth
    Örebro University, School of Health and Medical Sciences.
    Borg, Birgitta
    Behavioural awareness, interaction and counselling education in audiological rehabilitation: development of methods and application in a pilot study2002In: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 41, no 5, p. 308-320Article in journal (Refereed)
    Abstract [en]

    In conventional audiological rehabilitation, the hearing therapist interacts with the hearing-impaired person and with significant others. In order to strengthen the personality and self-confidence of the hearing-impaired individual, a different strategy was designed and implemented whereby the pedagogic interaction was directed only towards the hearing-impaired individual, who in turn worked as a tutor/aid/counsellor to the communication partner. On the basis of an interactive communication model, new methods for rehabilitation of subjects with moderate hearing impairment were developed and evaluated in a pilot study on 13 men with noise-induced hearing loss. A course programme was developed with three main active components: (1) increased insight and knowledge; (2) education as counsellors with the ability to focus on the problems of the communication partner; and (3) motivation to change through group discussion and reflexive conversation. Increased insight and knowledge were obtained through test and training experiences in a sound environmental chamber, tutorials and discussions. The pedagogic training focused on helping the hearing-impaired subjects to become able communication counsellors in relation to their interlocutors. An act-react, offensive-defensive paradigm was used in conjunction with transactional analysis. Results of the pilot study were evaluated using questionnaires, interviews and a method of dialogue analysis. The results were evaluated for the hearing-impaired and the partner and in recordings of conversations in the home environment. There were clearly positive cognitive and emotional effects seen in the inquiries and interviews. The observations from the dialogue analysis indicated only small effects, with the exception of the two individuals with the most pronounced functional impairment, for whom dialogue was improved after the course. It was concluded that these new methods could contribute new possibilities in rehabilitation programmes, emphasizing the shared responsibility for communication and the unique competence and abilities of the hearing-impaired person.

  • 15.
    Carlander, Ida
    et al.
    Karolinska institutet, Stockholm, Sweden.
    Ternestedt, Britt-Marie
    Örebro University, School of Health and Medical Sciences. Ersta Sköndal högskola, Stockholm, Sweden.
    Sahlberg-Blom, Eva
    Örebro University, School of Health and Medical Sciences.
    Hellström, Ingrid
    Linköpings universitet, Linköping, Sweden.
    Sandberg, Jonas
    Ersta Sköndal högskola, Stockholm, Sweden.
    Being me and being us in a family living close to death at home2011In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 21, no 5, p. 683-695Article in journal (Refereed)
    Abstract [en]

    We used interpretive description to describe how everyday life close to death was experienced and dealt with in families with one member who had a life-threatening illness. We performed 28 individual, couple, and group interviews with five families. We found two patterns, namely, “being me in a family living close to death” and “being us in a family living close to death.” “Being me” meant that every individual in the family had to deal with the impending death, regardless of whether or not he or she was the person with the life-threatening illness. This was linked to ways of promoting the individual’s self-image, or “me-ness.” This pattern was present at the same time as the pattern of “being us,” or in other words, being a family, and dealing with impending death and a new “we-ness” as a group. “Striving for the optimal way of living close to death” was the core theme.

  • 16.
    Carlsson, Per-Inge
    et al.
    ENT-clinic, Central Hospital, Karlstad, Sweden.
    Hall, Malin
    Lind, Karl-Johan
    Danermark, Berth
    Örebro University, School of Health and Medical Sciences.
    Quality of life, psychosocial consequences and audiological rehabilitation after sudden sensorineural hearing loss2011In: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 50, no 2, p. 139-144Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:

    Sudden sensorineural hearing loss (SSHL) is characterized by a rapid loss of hearing, most often of cochlear origin. Very little attention has been paid in the literature to quality of life (QoL), psychosocial consequences and audiological rehabilitation after SSHL.

    DESIGN:

    We studied how level of hearing loss, hearing recovery, tinnitus and vertigo affect QoL after SSHL and the psychosocial consequences of SSHL in terms of sick leave. Furthermore, the audiological rehabilitation given to patients in connection with SSHL and the benefit of the rehabilitation were studied.

    STUDY SAMPLE:

    Three hundred and sixty-nine (369) patients with SSHL were analysed in the present study.

    RESULTS:

    Annoying tinnitus and remaining vertigo after SSHL were the strongest predictors of negative effects on QoL.

    CONCLUSIONS:

    The study indicates that patients with SSHL require extended audiological rehabilitation including a multi-disciplinary rehabilitation approach (medical, social and psychological) to cope with the complex issues that can arise after SSHL.

  • 17.
    Danermark, Berth
    Örebro University, Department of Health Sciences.
    Att (åter)erövra samtalet: en bok om hörselskada och kommunikation2005 (ed. 1)Book (Other academic)
  • 18.
    Danermark, Berth
    et al.
    Örebro University, School of Health and Medical Sciences.
    Coniavitis Gellerstedt, Lotta
    Att höra till: om hörselskadades psykosociala arbetsmiljö2003 (ed. 1)Book (Other academic)
  • 19.
    Davidsson, Magnus
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Herpes Simplex Typ1: Ofarlig infektion eller åkomma som ger komplikationer2012Student paper other, 5 credits / 7,5 HE creditsStudent thesis
  • 20.
    Dimberg, Lillemor
    et al.
    Department of Orthodontics, Postgraduate Dental Education Center, Örebro County Council, Örebro, Sweden.
    Arnrup, Kristina
    Örebro University, School of Health Sciences. Postgraduate Dental Education Center, Örebro County Council, Örebro, Sweden.
    Bondemark, Lars
    Department of Orthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden.
    The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies2015In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 37, no 3, p. 238-247Article, review/survey (Refereed)
    Abstract [en]

    BACKGROUND: Among child and adolescent patients, persistent but untreated malocclusions may or may not have psychological and social impacts on the individual's quality of life.

    OBJECTIVES: To gain knowledge of malocclusions and its impact on oral health-related quality of life (OHRQOL), we conducted a systematic review of quantitative studies for evidence regarding the influence of malocclusions on OHRQOL in children and adolescents.

    MATERIALS AND METHODS: Five databases (MEDLINE via PubMed, EMBASE, Psychinfo, CINAHL, and the Cochrane Library) were searched using specified indexing terms. The following inclusion criteria were used: child or adolescent study population; healthy study participants without syndromes such as cleft lip/palate or severe illness; no previous or ongoing orthodontic treatment among participants; a focus on malocclusions and quality of life; controlled or subgrouped according to malocclusions/no malocclusions; malocclusions and/or orthodontic treatment need assessed by professionals using standardized measures; self-assessed OHRQOL estimated using validated questionnaire instruments; full-text articles written in English or Scandinavian languages. Quality of evidence was classified according to GRADE guidelines as high, moderate, or low.

    RESULTS: The search produced 1142 titles and abstracts. Based on pre-established criteria, the full-text versions of 70 articles were obtained, 22 of which satisfied the inclusion criteria. After data extraction and interpretation, six publications were deemed eligible for full inclusion. All six were of cross-sectional design, and the quality of evidence was high in four cases and moderate in the remaining two. The four studies with a high level of quality reported that anterior malocclusion had a negative impact on OHRQOL, and the two with a moderate level of quality reported that increased orthodontic treatment need had a negative impact on OHRQOL.

    CONCLUSION: The scientific evidence was considered strong since four studies with high level of quality reported that malocclusions have negative effects on OHRQOL, predominantly in the dimensions of emotional and social wellbeing.

  • 21.
    Edelbring, Samuel
    et al.
    Örebro University, School of Health Sciences. Linköping University, Linköping, Sweden.
    Allvin, Renée
    Örebro University Hospital, Örebro, Sweden.
    Karlsson, Katarina
    Linköping University, Linköping, Sweden.
    Hjelmqvist, Hans
    Örebro University, School of Medical Sciences. Örebro University Hospital, Örebro, Sweden.
    Hjelm, Carina
    Linköping University, Linköping, Sweden.
    Brandt, Jonathan
    Capio Specialistvård Motala, Motala, Sweden.
    Tamás, Éva
    Linköping University, Linköping, Sweden.
    Interprofessionell simulering är engagerande och relevant: Utbildningsstrategi som tränar samverkan över yrkesgränser, visar enkätstudie [Interprofessional simulation: an engaging and relevant technique for teamwork practice]2019In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 116, article id FHWLArticle in journal (Refereed)
    Abstract [en]

    Stakeholders in healthcare and education find interprofessional teamwork to be crucial for today’s complex healthcare. Consequently, the students need to prepare for future collaboration with other professions. Interprofessional simulation (IPS) is a technique in which several professions can engage together in clinical scenarios. Using a survey we studied the perceived relevance of two IPS settings in which last-year medical and nursing students participated in acute care scenarios. The findings showed that students perceive IPS as being highly relevant and that students from the other profession contributed to their learning. IPS holds promise as a pedagogical tool towards future interprofessional competence. However, pedagogical improvements can be made, and the professional perspectives can be better balanced. Furthermore, in order to equip students with broader interprofessional competence, scenarios should include several professions and a variety of clinical contexts.

  • 22.
    Edelbring, Samuel
    et al.
    Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
    Dastmalchi, Maryam
    Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden.
    Hult, Håkan
    Department of Behavioural Science and Learning, Linköping University, Linköping, Sweden.
    Lundberg, Ingrid E.
    Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden.
    Dahlgren, Lars-Ove
    Department of Behavioural Science and Learning, Linköping University, Linköping, Sweden.
    Experiencing virtual patients in clinical learning: a phenomenological study2011In: Advances in Health Sciences Education, ISSN 1382-4996, E-ISSN 1573-1677, Vol. 16, no 3, p. 331-345Article in journal (Refereed)
    Abstract [en]

    Computerised virtual patients (VPs) are increasingly being used in medical education. With more use of this technology, there is a need to increase the knowledge of students experiences with VPs. The aim of the study was to elicit the nature of virtual patients in a clinical setting, taking the students experience as a point of departure. Thirty-one students used VPs as a mandatory part of an early clinical rotation in rheumatology. Using the qualitative approach of phenomenology, we interviewed these students and then analysed data regarding their experiences of VPs as a learning activity. The result shows that students perceived VP activities in relation to actual patients, the clinical context and other learning activities. The VPs represented typical clinical cases which encouraged clinical reasoning and allowed for decision making. The students experienced the activities as integrating biomedical knowledge and clinical experience, providing structure that prepared for the unstructured clinical environment and patient encounters under unstressful conditions. However, the VPs were experienced as lacking the emotional interactivity and complexity of actual patients. Theoretical frameworks of clinical reasoning and experiential learning are suggested as foundations for further educational integration of VPs in the clinical environment. VP activities during clinical rotations provide experiences of clinical reality and allow students to solve problems actively. These features are dependent on VP technology but are also contingent on the surrounding environment.

  • 23.
    Edvardsson, Bo
    Örebro University, School of Law, Psychology and Social Work.
    "Mina hypoteser om Stern tycks vara riktiga!"1986In: Personal, människor & arbete, ISSN 0348-5242, no 2, p. 36-36Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    En uppföljande debattartikel efter replikerna på mitt debattinlägg i nr 9, 1985

  • 24.
    Elmazoska, Iris
    et al.
    Örebro University, School of Health Sciences.
    Mäki-Torkko, Elina
    Örebro University, School of Medical Sciences.
    Granberg, Sarah
    Örebro University, School of Health Sciences.
    Widén, Stephen
    Örebro University, School of Health Sciences.
    Associations between recreational noise exposure and hearing function in adolescents and young adults: a systematic reviewIn: Article in journal (Refereed)
  • 25.
    Emilsson, Louise
    et al.
    Örebro University, School of Medicine, Örebro University, Sweden. Primary Care Research Unit, Vårdcentralen Värmlands Nysäter, Värmland County, Värmlands Nysäter, Sweden; Department of Health Management and Health Economy, Institute of Health and Society, University of Oslo, Oslo, Norway.
    Lindahl, B.
    Department of Medical Sciences, Cardiology, and Uppsala Clinical Research Center, University of Uppsala, Uppsala, Sweden.
    Köster, M.
    National Board of Health and Welfare, Stockholm, Sweden .
    Lambe, M.
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Regional Cancer Centre, Uppsala, Sweden.
    Ludvigsson, Jonas F.
    Örebro University Hospital. Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Paediatrics, Örebro University Hospital, Örebro, Sweden.
    Review of 103 Swedish healthcare quality registries2015In: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 277, no 1, p. 94-136Article in journal (Refereed)
    Abstract [en]

    Background and objectives: In the past two decades, an increasing number of nationwide, Swedish Healthcare Quality Registries (QRs) focusing on specific disorders have been initiated, mostly by physicians. Here, we describe the purpose, organization, variables, coverage and completeness of 103 Swedish QRs.

    Methods: From March to September 2013, we examined the 2012 applications of 103 QRs to the Swedish Association of Local Authorities and Regions (SALAR) and also studied the annual reports from the same QRs. After initial data abstraction, the coordinator of each QR was contacted at least twice between June and October 2013 and asked to confirm the accuracy of the data retrieved from the applications and reports.

    Results: About 60% of the QRs covered 80% of their target population (completeness). Data recorded in Swedish QRs include aspects of disease management (diagnosis, clinical characteristics, treatment and lead times). In addition, some QRs retrieve data on self-reported quality of life (EQ5D, SF-36 and disease-specific measures), lifestyle (smoking) and general health status (World Health Organization performance status, body mass index and blood pressure).

    Conclusion: Detailed clinical data available in Swedish QRs complement information from government-administered registries and provide an important source not only for assessment and development of quality of care but also for research.

  • 26.
    Eriksson, Anna L.
    et al.
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Sahlgrenska University Hospital, Gothenburg, Sweden.
    Böttiger, Ylva
    Linköping University, Linköping, Sweden; Linköping University Hospital, Linköping, Sweden.
    Ekman, Agneta
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Reis, Margareta
    Linköping University, Linköping, Sweden; Region Skåne, Sweden.
    Persson, Katarina
    Örebro University, School of Medical Sciences.
    Pettersson Kymmer, Ulrika
    Umeå University, Umeå, Sweden; University Hospital of Umeå, Umeå, Sweden.
    Wallerstedt, Susanna M.
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Sahlgrenska University Hospital, Gothenburg, Sweden.
    Läkemedelsarbete behöver vara integrerat i klinisk utbildning: Att göra många läkemedelsgenomgångar ökar trygghet och reflektion över patientens behandling, visar enkätstudie [Preparing for the licence to prescribe in medical school: a questionnaire study on medical students professional confidence in the art of prescribing]2019In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 116, article id FHCTArticle in journal (Refereed)
    Abstract [en]

    A prerequisite for rational use of medicines is adequate prescribing skills; drug treatment is a complex task requiring diagnostic competence combined with pharmacologic knowledge and patient communication skills. Acquiring professional confidence in the art of prescribing is essential during medical training. The results of this questionnaire study, conducted in four medical schools in Sweden after the course in internal medicine (252 respondents; response rate: 74%; median age: 24 years, 61% female), show that 45% and 62% were confident in performing medication reviews and writing medication summary reports, respectively, i.e. the basics of prescribing. The confidence increased by the number of reviews and reports performed, i.e. the extent of practice (correlation coefficients: 0.41 and 0.38, respectively, both p<0.0001), as did the extent of the students' reflection on important aspects of drug treatment such as adherence, adverse reactions, renal function, dosing, and drug interactions. In multivariate regression analyses, major predictors for confidence in performing medication reviews were extent of practice and extent of clinical supervision. The results suggest that these factors are keys to acquiring professional confidence in the art of prescribing.

  • 27.
    Eriksson, Anni
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Eriksson, Madeleine
    Jämlik vård: en undersökning om den tekniska hörselrehabiliteringen påverkas av patientens ålder2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Jämlik vård är att alla ska bemötas, behandlas och vårdas på lika villkor oavsett enskilda faktorer. I hörselrehabiliteringen ingår det flera delar och varje del ska utgå från helhetsperspektivet och ske i samverkan med den enskilde. Audionomen ska inte påverkas av faktorer såsom kön eller ålder. Tidigare studier visar dock att ålder är en avgörande faktor i många fall, det råder en form av ålderism och åldersdiskriminering inom vården. Inga tidigare studier har hittats på hur den tekniska rehabiliteringen påverkas av ålder inom hörselvården varför detta låg i vårt intresse.

    Syfte: Syftet med studien är att undersöka hur jämlik den tekniska rehabiliteringen är inom hörselvården beroende på patienternas ålder.

    Metod: Studien är deskriptiv retrospektiv och är gjord genom journalgenomgång.

    Resultat: Resultatet visar inte några tydliga skillnader i den tekniska rehabiliteringen beroende på patientens ålder. Patienternas behov varierade mycket både inom grupperna och mellan grupperna. Skillnader kunde dock ses gällande patienter med samma behov och typ av hörapparat där patienter oavsett ålder kunde ha fått olika typer av hörapparater trots samma behov/mål.

    Slutsatser: Inga generella slutsatser kan dras huruvida den tekniska hörselrehabiliteringen är jämlik eller ej. Fler studier behövs inom ämnet där urvalet är större.

  • 28.
    Feldmann, Ingalill
    et al.
    Public Dental Service, Gävle, Sweden; Uppsala University, Region Gävleborg, Sweden.
    Bazargani, Farhan
    Postgraduate Dental Education Center, Örebro, Sweden; Malmö University, Malmö, Sweden.
    Pain and Discomfort During the First Week of Rapid Maxillary Expansion (RME) Using Two Different RME Appliances: A Randomized Controlled Trial2017In: Angle orthodontist, ISSN 0003-3219, E-ISSN 1945-7103, Vol. 87, no 3, p. 391-396Article in journal (Refereed)
    Abstract [en]

    Objectives: To evaluate and compare perceived pain intensity, discomfort, and jaw function impairment during the first week with tooth-borne or tooth-bone-borne rapid maxillary expansion (RME) appliances. Materials and Methods: Fifty-four patients (28 girls and 26 boys) with a mean age of 9.8 years (SD 1.28 years) were randomized into two groups. Group A received a conventional hyrax appliance and group B a hybrid hyrax appliance anchored on mini-implants in the anterior palate. Questionnaires were used to assess pain intensity, discomfort, analgesic consumption, and jaw function impairment on the first and fourth days after RME appliance insertion. Results: Fifty patients answered both questionnaires. Overall median pain on the first day in treatment was 13.0 (range 0-82) and 3.5 (0-78) for groups A and B, respectively, with no significant differences in pain, discomfort, analgesic consumption, or functional jaw impairment between groups. Overall median pain on the fourth day was 9.0 (0-90) and 2.0 (0-71) for groups A and B, respectively, with no significant differences between groups. There were also no significant differences in pain levels within group A, while group B scored significantly lower concerning pain from molars and incisors and tensions from the jaw on day 4 than on the first day in treatment. There was a significant positive correlation between age and pain and discomfort on the fourth day in treatment. No correlations were found between sex and pain and discomfort, analgesic consumption, and jaw function impairment. Conclusions: Both tooth-borne and tooth-bone-borne RME were generally well tolerated by the patients during the first week of treatment.

  • 29.
    Galak, Eduardo
    et al.
    National University of La Plata, Buenos Aires, Argentina; Federal University of Minas Gerais, Belo Horizonte, Brazil.
    Varea, Valeria
    The University of Queensland, Brisbane, Australia; National University of La Plata, Buenos Aires, Argentina.
    Introducción2013In: Cuerpo y Educación Física: Perspectivas latinoamericanas para pensar la educación de los cuerpos / [ed] Valeria Varea & Eduardo Galak, Buenos Aires: Editorial Biblos , 2013, p. 9-14Chapter in book (Refereed)
  • 30.
    Germundsson, Per
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. The Swedish Institute for Disability Research.
    Danermark, Berth
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. The Swedish Institute for Disability Research.
    Vocational rehabilitation, interagency collaboration and social representations2012In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 42, no 4, p. 507-517Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study is to describe and analyse two important dimensions of vocational rehabilitation for disadvantaged groups and persons with disabilities: interagency collaboration and social representations.

    Participants: Four focus group discussions were conducted. The participants were 20 officials of various agencies who had taken part in collaboration projects in vocational rehabilitation.

    Methods: Qualitative content analysis was used for the analysis. The material was categorised and central themes identified.

    Results: Three themes emerged: 'Collaboration Process', 'Other Agencies' and 'Object for Collaboration'. The results indicate that interagency collaboration is very important in vocational rehabilitation, but that there are a number of obstacles to smooth collaboration. The professionals of the different agencies shared social representations to a great extent. Working with people with psychiatric disorders is especially challenging, and conflicts tended to arise between the projects and the home organisations.

    Conclusions: Recognition of others' knowledge and respectfulness toward other professions facilitated vocational rehabilitation and the interagency collaboration process. The agencies' lack of flexibility increased the risk of conflicts as attempts were made to integrate the new working methods developed within the projects into the ordinary activities of the agencies.

  • 31.
    Gonzalez-Calvo, Gustavo
    et al.
    Departamento de Didáctica de la Expresión Musical, Plástica y Corporal, Universidad de Valladolid, Valladolid, Spain.
    Varea, Valeria
    Örebro University, School of Health Sciences.
    Martinez-Alvarez, Lucio
    Departamento de Didáctica de la Expresión Musical, Plástica y Corporal, Universidad de Valladolid, Valladolid, Spain.
    'I feel, therefore I am': unpacking preservice physical education teachers' emotions2020In: Sport, Education and Society, ISSN 1357-3322, E-ISSN 1470-1243, Vol. 25, no 5, p. 543-555Article in journal (Refereed)
    Abstract [en]

    The teaching profession requires an understanding of teachers' and students' emotions, and teachers' emotions can influence their teaching practice, professional development and pedagogical approaches. Furthermore, emotions are embodied and they may have a detrimental effect on wellbeing if they are not addressed properly. This paper explores the emotional dimensions of preservice primary teachers' practicum experiences in physical education (PE). Body journals were used to collect data which were analysed using a Sociology of Emotions (SoE) approach. The findings revealed that preservice teachers' emotions manifest physically during their practicum, especially at particular junctures, such as at the beginning of their teaching. Preservice teachers felt the need to make a 'good impression' within the school through the regulation of their emotions as they faced continual challenges to succeed in unfamiliar teaching circumstances. The conclusions of this study demonstrate the benefits of providing opportunities for preservice PE teachers to reflect on their emotions during the practicum and the consequences that these may have on their bodies and teaching practices.

  • 32.
    González-Calvo, Gustavo
    et al.
    Department of Musical, Plastic and Body Expression, University of Valladolid, Palencia, Spain.
    Varea, Valeria
    Örebro University, School of Health Sciences.
    A Turning Point as an Opportunity to (Re)Think and Give a Voice to One’s Own Body2019In: Societies, E-ISSN 2075-4698, Vol. 9, no 3, article id 60Article in journal (Refereed)
    Abstract [en]

    This article explores the intersectionalities of masculinity, fatherhood, and physical activity in relation to a Physical Education teacher who has been diagnosed with an illness. In so doing, we draw on autobiographical narratives to delve into how embodied subjectivities are constructed to advance knowledge on a new embodied way of being a man and a PE teacher that can be accepted and embraced. The results are organised into three main themes: (1) narratives of continuation: the “before” of chronic illness; (2) narratives of disruption: back pain and temporary physical disability; and (3) restitution narratives: damn it, now that I am a father. The results suggest that narratives such as those presented in this article contribute to the continuously changing process of life projects and that illness can assist in redefining and reconstituting the persona of a PE teacher.

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    A Turning Point as an Opportunity to (Re)Think and Give a Voice to One’s Own Body
  • 33.
    González-Calvo, Gustavo
    et al.
    University of Valladolid, Valladolid, Spain.
    Varea, Valeria
    School of Education, University of New England, Armidale, NSW, Australia.
    Martínez-Álvarez, Lucio
    University of Valladolid, Valladolid, Spain.
    Health and body tensions and expectations for pre-service physical education teachers in Spain2019In: Sport, Education and Society, ISSN 1357-3322, E-ISSN 1470-1243, Vol. 24, no 2, p. 158-167Article in journal (Refereed)
    Abstract [en]

    The importance of the Physical Education (PE) teacher’s body, particularly for teaching PE, has been highlighted in literature. PE teachers are expected to be clear role models to students through their acts, behaviours and bodies. However, their strong embodied subjectivities, particularly those related to their teaching practices, may be problematised. This paper explores the ways in which a group of 15 pre-service PE teachers from a Spanish university constructed perspectives about the body and health in relation to their professional practices. Body journals were used to collect data, which were analysed using a Deleuze-Guattarian approach. The findings reveal the significant emphasis participants placed on their own bodies while teaching PE and the pressure they felt to conform to certain expectations of their professional roles. In response, we propose critical reflection on the content of Physical Education Teacher Education (PETE) programmes and incorporation of alternative pedagogical approaches to alleviate the heavy reliance on pre-service teachers’ bodies.

  • 34.
    Gunnarsson, Lars-Gunnar
    et al.
    Örebro University, School of Medical Sciences.
    Bodin, Lennart
    Örebro University, Örebro University School of Business.
    Epidemiologiskt undersökta samband mellan Alzheimers sjukdom och faktorer i arbetsmiljön2015Report (Refereed)
    Abstract [en]

    Epidemiological evidence on associations between work environment and Alzheimers disease

    Lars-Gunnar Gunnarsson, assistant professor at School of Medicine, Örebro University, Sweden and

    Lennart Bodin, professor emeritus, Department of Statistics, Örebro University, Sweden and senior researcher at Institute of Environmental Medicine, Karolinska Institute, Sweden.

    In this systematic literature review we identified 50 original publications on associations between work and Alzheimer’s disease. GRADE guidelines were used to secure high scientific quality and reliable guidelines were applied to classify the papers. Thirty-one papers fulfilled high quality standards while 19 were methodologically deficient and thus were excluded from our meta-analyses.

    Twenty-seven studies concerned exposure to electromagnetic fields and two published meta-analyses indicated a weighted relative risk (RR) reaching 2.0. Our meta-analysis was only based on twelve high quality publications and the weighted relative risk included statistically over chemicals was evaluated in seven studies and the weighted RR was 1.55 (95% confidence interval 1.19-2.02). Only some few publications concerned pesticides and other chemicals and the weighted RR indicated increased risk.

    Higher education and work complexity were evaluated in eleven publications and our meta-analysis show a reduced the risk for Alzheimer’s disease. The weighted RR was 0.47 (95% confidence interval 0.35-0.63). Both factors were independently and additively protective.

    There are indications of an association between ALS and exposure to heavy muscle work especially in combination with muscle trauma, i.e. professional football players are reported to have an elevated risk. More studies are needed with more precise measures on these exposures.

  • 35.
    Haynes, John E.
    et al.
    School of Education, University of New England, Armidale NSW, Australia.
    Miller, Judith A.
    School of Education, University of New England, Armidale NSW, Australia.
    Varea, Valeria
    School of Education, University of New England, Armidale NSW, Australia.
    Preservice generalist teachers enlightened approach to teaching Physical Education through Teacher Biography2016In: Australian Journal of Teacher Education, ISSN 1835-517X, Vol. 41, no 3, p. 21-38Article in journal (Refereed)
    Abstract [en]

    This paper describes a new learning experience, which was introduced following an examination of the literature regarding preservice primary school teachers' (PPST) notions of their past experience in Physical Education (PE) (Elliott 2013). PPSTs were given the opportunity to recognise, reflect, interrogate and reframe a critical incident from their schooling in PE or Sport. This exercise was designed to enlighten students about their own schooling and the potential impact this event may have on pre-conceived ideas and opinions about teaching PE. Students (N=214) enrolled in off and on campus mode, of a preservice teacher education program in a university located in regional NSW, were asked to provide information about, and to analyse, an incident, either positive or negative that occurred in PE or Sport during their primary or secondary school years. In addition, students were encouraged to reframe the incident and to seek out alternative actions that could have influenced the outcome. The aim was to encourage reflection about how preconceived notions pertaining to PE might be dealt within their present position as a preservice teacher. The PPSTs scripts were analysed using the Leximancer text mining software (Smith, 2000). Findings from the analysis provided themes and concepts, which suggest a similarity for both, off and on campus, males and females. However, there are some subtle differences between the cohorts that may be due to age or experience.

  • 36.
    Hettinger, Eva
    Örebro University, School of Health Sciences.
    Evaluation of CT urography images using an Iterative Model-Based Reconstruction (IMR) at two different dose levels2017Independent thesis Advanced level (degree of Master (Two Years)), 30 credits / 45 HE creditsStudent thesis
  • 37.
    Hillborg, Helene
    et al.
    Örebro University, School of Health and Medical Sciences.
    Danermark, Berth
    Örebro University, School of Health and Medical Sciences.
    Svensson, Tommy
    Nordic School of Public Health, Göteborg, Sweden.
    Professionals' perceptions of and views about vocational rehabilitation for people with psychiatric disabilities2013In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 44, no 4, p. 471-480Article in journal (Refereed)
    Abstract [en]

    Objective: One of the challenges agencies and professionals face is to enable people on sick leave to be successful in their vocational rehabilitation. The objective of this study was to explore and analyze some professionals' perceptions of and views about vocational rehabilitation among people with psychiatric disabilities.

    Participants: Eight professionals from four different agencies (social services, the employment service, the social insurance office, and a psychiatric outpatient setting) working in the area of vocational rehabilitation for people with psychiatric disabilities.

    Methods: Eight in-depth interviews were conducted. The data collected was analyzed using qualitative content analysis together with an interpretive approach.

    Results: The results suggested the respondents were in consensus regarding that which they considered to facilitate or enable successful vocational rehabilitation. Intensive support over a long period of time and a holistic view that takes into account the habits and routines of daily life outside of work as well as the social and psychological aspects of individuals during their rehabilitation processes were considered to be just as crucial to the vocational rehabilitation process as training in the workplace.

    Conclusions: These professionals dealt with a complex vocational rehabilitation system; they felt that their organizations' directives and inability to collaborate successfully with other authorities restricted their scope of action and hindered their exercise of good practice.

  • 38.
    Hultin, Simon
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Härlin, Mattias
    En litteraturstudie med syfte att jämföra standard HLR och HLR med enbart bröstkmpressioner2012Student paper other, 5 credits / 7,5 HE creditsStudent thesis
  • 39.
    Humlebäck, Elin
    Örebro University, School of Health Sciences.
    ”Så jag känner ju att nu får ni ta hand om mig och ta hand om det här och sen så ska jag se fram emot en hörande sommar...”: Förväntningar på hörapparater och hörapparatutprovning hos äldrepatienter2023Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients aged between 65-85 years is a large group of patients in the hearinghealth care. Hence, it is important to learn what their expectations may be comprised ofbecause expectations in potential hearing aid users may affect the result of the hearing aidfitting. Patients with high expectations are often more satisfied with their hearing aids. Theaudiologist can, by being responsive to patient's expectations and wishes, and give patientsadequate information, help patients to reach a more successful hearing rehabilitation.Purpose: The purpose of the study was to investigate expectations on hearing aids andhearing aid fitting in elderly (65-85 years) potential hearing aid users.Study design: Eleven participants were individually interviewed in a qualitative interviewstudywith semi-structured questions. Collected data were analysed with a qualitative contentanalysis.Result: The analysis of the expectations resulted in four different themes: expected effects onhearing, expectations on hearing aids, expectations on the life situation and expectations onhearing aid fitting.Conclusion: The expressed expectations on hearing aids and hearing aid fitting weregenerally positive. The core of the expectations contains improved communication andimproved quality of life. There is an awareness of hearing aid limitations. Audiologists areexpected to have a good reception and spread their knowledge to their patients. To do this, theaudiologist need to get tools to identify and practice meeting patients' expectations and thusensure satisfied hearing aid users.

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    fulltext
  • 40.
    Huvila, Isto
    et al.
    Uppsala University, Uppsala, Sweden; Åbo Akdemi University, Åbo, Finland.
    Eriksson-Backa, Kristina
    Åbo Akdemi University, Åbo, Finland.
    Moll, Jonas
    Uppsala University, Uppsala, Sweden.
    Myreteg, Gunilla
    Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Uppsala University, Uppsala, Sweden.
    Differences in the experiences of reading medical records online: Elderly, Older and Younger Adults compared2018In: Informaatiotutkimus, ISSN 1797-9137, Vol. 37, no 3, p. 51-54Article in journal (Refereed)
  • 41.
    Hägglund, Maria
    et al.
    Health Informatics Centre, Karolinska Institutet, Stockholm, Sweden.
    Heinze, Oliver
    Department of Medical Information Systems, Univ. Hospital Heidelberg, Germany.
    Pobiruchin, Monika
    GECKO Institute for Medicine, Informatics and Economics, Heilbronn University, Germany.
    Pohl, Anna-Lena
    Institute for eHealth and Management in HealthCare, Flensburg University, Germany.
    Scandurra, Isabella
    Örebro University, Örebro University School of Business.
    Schreiweis, Björn
    Department of Medical Information Systems, Univ. Hospital Heidelberg, Germany.
    Wiesner, Martin
    Dept. of Medical Informatics, Heilbronn University, Germany.
    Report on the HEC 2016 Workshop: Opportunities and Challenges of Consumer-centric eHealth Services – An Interdisciplinary Workshop2016Report (Other academic)
    Download full text (pdf)
    Report on the HEC 2016 Workshop: Opportunities and Challenges of Consumer-centric eHealth Services – An Interdisciplinary Workshop
  • 42.
    Jackson, Karin
    et al.
    Örebro University, Department of Nursing and Caring Sciences.
    Ternestedt, Britt-Marie
    Örebro University, Department of Nursing and Caring Sciences. Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden.
    Magnuson, Anders
    Clinical Research Centre, Örebro University Hospital, Örebro, Sweden.
    Schollin, Jens
    Department of Paediatrics, Örebro University Hospital, Örebro, Sweden.
    Quality of care of the preterm infant: the parent and nurse perspective2006In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 95, no 1, p. 29-37Article in journal (Refereed)
    Abstract [en]

    AIM: To study the subjective opinions about what is important in care at neonatal units and child health centres (CHCs) for premature newborns, and to compare these opinions with the care actually given. SUBJECTS: 21 mothers, 20 fathers and 15 nurses at the neonatal unit, and 21 mothers, 14 fathers and 18 nurses at CHCs.

    METHODS: A questionnaire on quality of Care from the Patient's Perspective was used. It contained three dimensions: identity-oriented approach, medical-technical competence and socio-cultural atmosphere. Each dimension was evaluated in terms of subjective importance and perceived reality of given care.

    RESULTS: In general, subjective importance was rated higher than perceived reality both for neonatal care and care at CHCs for the dimensions identity-oriented approach and medical-technical competence. However, higher ratings were given to neonatal care compared to CHCs for medical-technical competence. High-risk diagnoses and very low gestational age in the newborn did not affect the answers. Mothers rated medical-technical competence higher than nurses for neonatal care. Mothers and nurses rated identity-oriented approach higher than fathers for CHCs.

    CONCLUSION: Although both neonatal care and care at CHCs were highly rated, improvements can be made to fulfil the expectations of parents and nurses. Neonatal units seem to be more efficient in taking care of the special needs of these newborns compared to CHCs. The need for an optimal identity-oriented approach, medical-technical competence and socio-cultural atmosphere could strengthen the possibilities of parents to be confident in their parental role.

  • 43.
    Jarl, Gustav M.
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Centre for Rehabilitation Research, Örebro County Council, Örebro, Sweden; Department of Prosthetics and Orthotics, Örebro County Council, Örebro, Sweden.
    Heinemann, Allen W.
    Rehabilitation Institute, Chicago, USA; Nortwestern University Feinberg School of Medicine, Chicago, USA.
    Norling Hermansson, Liselotte M. N.
    Örebro University, School of Health and Medical Sciences. Centre for Rehabilitation Research, Örebro County Council, Örebro, Sweden; Department of Prosthetics and Orthotics, Örebro County Council, Örebro, Sweden.
    Validity evidence for a modified version of the Orthotics and Prosthetics Users' Survey2012In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 7, no 6, p. 469-478Article in journal (Refereed)
    Abstract [en]

    Purpose: To evaluate the validity of a modified version of the Orthotics and Prosthetics Users' Survey (OPUS) with persons using different prosthetic and orthotic (P&O) devices.

    Method: Two-hundred-and-eighty-two adults using prosthesis, orthosis, shoe insoles or orthopaedic shoes completed OPUS. OPUS comprises five modules - Lower and Upper Extremity Functional Status, respectively (LEFS and UEFS), Client Satisfaction with Device and Services, respectively (CSD and CSS), and, Health-Related Quality of Life (HRQoL). Eight new items were added to LEFS and six to UEFS. Rasch analysis was used for data analyses.

    Results: Rating scales functioned satisfactory after some modifications. All modules demonstrated a ceiling effect. Unidimensionality was satisfactory after deleting some items and dividing HRQoL into two subscales, although somewhat weak on CSD and CSS. Item reliability was excellent for all modules and person reliability good for all but CSD and CSS. Some items demonstrated differential item functioning related to sex and age, but the impact on person measures was small.

    Conclusions: This study supports the validity of a modified version of OPUS for persons using different P&O devices, but also reveals limitations to be addressed in future studies. OPUS could be useful in clinical rehabilitation and research to evaluate P&O outcomes.

  • 44.
    Johansson, Emma
    et al.
    Örebro University, School of Health and Medical Sciences.
    Persson, Emma
    Örebro University, School of Health and Medical Sciences.
    Utformande av hörselrelaterad informationsbroschyr och informationsvideo: För omsorgspersonal och närstående2010Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hörselnedsättningar är mycket vanligt idag, framför allt bland äldre och många använder hörapparater. Hörselnedsättningar bland äldre tas på mindre allvar än i andra åldersgrupper, trots att kommunikation är mycket viktigt även inom denna grupp. Ofta läggs ansvaret för äldres hörapparater på omsorgspersonal. Tidigare undersökningar har visat att omsorgspersonal ofta saknar tillräckligt kunnande för att kunna hjälpa de äldre med hörselnedsättning med hörselrelaterade angelägenheter.

    Syfte: Syftet med detta arbete var att utforma ett informationsmaterial i två delar, en skriftlig informationsbroschyr och en inspelad informationsvideo, som behandlar hörsel, hörselnedsättningar, kommunikation och hörhjälpmedel. Målgruppen var personal inom äldreomsorg samt närstående till äldre med hörselnedsättning.

    Metod: Utifrån tidigare forskning, principer för informationsgrafik, modeller för patientundervisning och muntliga framställningar har en informationsbroschyr och en informationsvideo om hörsel och hörselrelaterade angelägenheter utformats.

    Resultat: En informationsbroschyr och en informationsvideo har utformats i detta arbete.

    Slutsatser: Att utforma informationsmaterial har varit ett krävande arbete då det fodrar kunskaper inom många områden. Då mycket layout ingick i arbetet hade det varit bra med mer samarbete med layoutlunniga personer, vilket troligtvis hade kunnat resultera i bättre informationsmaterial. En svårighet med arbetet har varit att veta att innehållet är relevant för målgruppen. Något som inte har värderas här.

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    FULLTEXT01
  • 45.
    Kyberd, Peter
    et al.
    Institute of Biomedical Engineering, University of New Brunswick, Fredericton, Canada.
    Hill, Wendy
    Institute of Biomedical Engineering, University of New Brunswick, Fredericton, Canada.
    Hermansson, Liselotte M. N.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hubbard, Sheila
    Zinck, A.
    Institute of Biomedical Engineering, University of New Brunswick, Fredericton, Canada.
    Jones, Benjamin
    Institute of Biomedical Engineering, University of New Brunswick, Fredericton, Canada.
    Murgia, A.
    Institute of Biomedical Engineering, University of New Brunswick, Fredericton, Canada.
    Introduction to assessment2012In: Grasping the future: advances in powered upper limb prosthetics / [ed] Vincenzo Parenti Castelli, Marco Troncossi, Bentham eBooks, 2012, p. 39-58Chapter in book (Other academic)
    Abstract [en]

    Assessment tools are vital in measuring the outcomes of any practice or procedure. In the development and use of a prosthetic limb, this can be divided into three areas; the basic functions of the design, activities the limb is used for, and the amount the user actually employs the hand in everyday life. Each area is distinct and different and it needs different tools designed specifically for each area in order to reliably measure these outcomes. The development of these tools must include means to make sure the tool measures what the tester thinks it measures and makes sure that such measurements are consistent across time and between testers. Once a consistent set of tools is developed it allows clinicians to discuss and compare devices, training methods and solutions. It also allows investigation of different designs.

    Currently, the emphasis is on the basic practical measurements of function, activity and participation. This uses simple methods based on observation, timing or questionnaires to measure the use of simple prostheses. With newer designs of multifunction hands and microprocessor controllers being introduced, there are more varied control methods for the different hands. This requires more sophisticated methods to measure the impact of the new designs. These new methods include the measurement of the motions of the body and upper limbs with optical methods, and looking at measuring the cognitive load that controlling such hands impose on the user. To allow simple comparisons between users, the tasks and methods have to be constrained. This creates more artificial activities which may themselves be too artificial to tell the observer what they need to know, so the choice of activity is a balance between realistic tasks and reliable results.

  • 46.
    Larsson, Caroline
    Örebro University, School of Health Sciences.
    Berglind, Åsa (Creator)
    Örebro University, School of Medical Sciences.
    Dahlberg, Karuna (Creator)
    Örebro University, School of Health Sciences.
    Ehnfors, Camilla (Creator)
    Örebro University, School of Health Sciences.
    Eklund, Daniel (Creator)
    Örebro University, School of Medical Sciences.
    Hulldin, Johanna (Creator)
    Örebro University, School of Health Sciences.
    Larsson, Caroline (Creator)
    Örebro University, School of Health Sciences.
    Pettersson, Cecilia (Creator)
    Örebro University, School of Health Sciences.
    Örebro University’s Nobel Day Festivities: Book of abstracts, 20202020Collection (editor) (Other academic)
    Download full text (pdf)
    fulltext
  • 47.
    Larsson, Emma
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Sundberg, Edvin
    Mobiltelefoni och cancer: samband eller myt?2012Student paper other, 5 credits / 7,5 HE creditsStudent thesis
  • 48.
    Larsson, Matz
    Örebro University Hospital.
    Vi uppfann musik och dans för att överleva2013In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 39-40, p. 1749-Article in journal (Refereed)
  • 49.
    Lillsunde-Larsson, Gabriella
    Örebro University, School of Health Sciences.
    Kompetensväxling på laboratoriet med hjälp av masterprogram i Örebro: ett bra exempel på professionsutveckling och karriärvägar2022In: Laboratoriet, ISSN 0345-696X, Vol. 4, p. 9-12Article in journal (Other (popular science, discussion, etc.))
  • 50.
    Lindner, Helen Y. N.
    et al.
    Örebro University, School of Health and Medical Sciences. Centre for Rehabilitation Research, Örebro University Hospital, Örebro, Sweden.
    Linacre, John M.
    Department of Occupational Therapy, University of Sydney, Sydney, Australia.
    Hermansson, Liselotte M. N.
    Centre for Rehabilitation Research, Örebro University Hospital, Örebro, Sweden.
    Assessment of capacity for myoelectric control: evaluation of construct and rating scale2009In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 41, no 6, p. 467-474Article in journal (Refereed)
    Abstract [en]

    Objective: To examine the construct and rating scale of the Assessment of Capacity for Myoelectric Control, an assessment to evaluate ability in using a prosthetic hand.

    Design: Cross-sectional study. Subjects: Upper limb prosthesis users with different prosthetic levels/sides and prosthetic experience were included (n=96).

    Methods: Subjects' assessments with the Assessment of Capacity for Myoelectric Control were collected by 6 raters during their regular hospital visits. Rasch analysis was used, since it allowed an analysis of the data at the item and category levels. Dimension, item hierarchy and item fit statistics were used to examine the construct. Different Rasch parameters were used to examine rating scale structure and its use.

    Results: The consistency of item difficulties with clinical knowledge and the unidimensionality confirmed that the construct is valid. Two items functioned unexpectedly (misfit), but the misfit was idiosyncratic to the sample, not systematic to the items. The 4-point rating scale usefully differentiated the subjects on the basis of their abilities. The use of category 2 was somewhat redundant.

    Conclusion: The Assessment of Capacity for Myoelectric Control is a valid assessment that evaluates ability in using a prosthetic hand. Revision of the category 2 definition would improve the functioning of the rating scale.

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