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  • 151.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. 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 universitet, Institutionen för hälsovetenskaper.
    Improving pain management after pediatric tonsil surgery – an ongoing project2018Konferansepaper (Fagfellevurdert)
    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.

  • 152.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Anaesthesia and Intensive Care.
    Lööf, Gunilla
    Department of Paediatric Anaesthesia and Intensive Care, Astrid Lindgren Children’s Hospital, Karolinska University Hospital, Stockholm, Sweden.
    Blomberg, Karin
    Örebro universitet, Institutionen för hälsovetenskaper.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Establishment of resilience in a challenging recovery at home after pediatric tonsil surgery: Children’s and caregivers’ perspectives2021Inngår i: Paediatric and Neonatal Pain, ISSN 2379-5824, Vol. 3, nr 2, s. 75-86Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective of this study was to explore children's and caregivers' experiences and management of postoperative recovery at home after tonsil surgery. The study had an explorative qualitative design with an inductive approach. Twenty children (5-12 years of age) undergoing tonsillectomy or tonsillotomy with or without adenoidectomy participated along with their caregivers in semi-structured interviews at a mean time of 28 days after surgery. The interviews were analyzed with content analysis. One main category emerged from the interviews: children and caregivers struggle to establish resilience in a challenging recovery. The families' resilience relied on their situational awareness and capacity to act, which in turn formed a basis for the ability to return to normal daily life. Children and caregivers described the recovery as an evident interruption of daily life which had an impact on the children's physical and psychological well-being. Both children and caregivers described the pain as a central concern. The families used different pharmacological and complementary strategies to manage the pain, which in some cases were complex. Some families said that the analgesics were insufficient in preventing breakthrough pain, and spoke about a lack of support as well as inadequate and contradictory information from healthcare staff. Caregivers also expressed uncertainty, ambivalence, or anxiety about the responsibility associated with their child's recovery. To optimize and support the recovery after tonsil surgery, it is crucial to obtain knowledge of children's and caregivers' perspectives of postoperative recovery at home. The results indicate that the postoperative period included several troublesome experiences for which neither the children nor the caregivers were informed or prepared. The experience of pain was significant, and often complex to manage. To increase families' resilience, the information provided by healthcare professionals needs to be broadened. Multidisciplinary teamwork is necessary to achieve this goal.

  • 153.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. 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 universitet, Institutionen för hälsovetenskaper.
    Patient reported outcome of pain after tonsil surgery: An analysis of 32,225 children from the National Tonsil Surgery Register in Sweden 2009-20162017Konferansepaper (Fagfellevurdert)
    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.

  • 154.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    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 University Hospital, Huddinge, Sweden.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Patient reported outcome of pain after tonsil surgery: An analysis of 32,225 children from the National Tonsil Surgery Register in Sweden 2009-20162017Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Tonsil surgery is common surgical procedure in children and cause significant pain under postoperative recovery. 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. A total of 32,225 tonsil surgeries on children (aged 1-18 years) during January 2009- November 2016 were included; 13,904 tonsillectomies with or without adenoidectomy (TE±A) and 18,321 tonsillotomies with or without adenoidectomy (TT±A). 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. Pain after tonsil surgery depends on the surgical procedure and technique, as well as factors such as the patient’s age and surgical indication. More studies including pain interventions are needed to improve the care of tonsillectomy patients.

  • 155.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Anaesthesia and Intensive Care.
    Stalfors, Joacim
    Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Sheikh Khalifa Medical City, Ajman, United Arab Emirates.
    Nerfeldt, Pia
    Department of Otorhinolaryngology, Karolinska University Hospital, Stockholm, Sweden; Division of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Patient reported pain-related outcome measures after tonsil surgery: an analysis of 32,225 children from the National Tonsil Surgery Register in Sweden 2009–20162017Inngår i: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 274, nr 10, s. 3711-3722Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective of this study was to describe factors affecting pain after pediatric tonsil surgery, using patient reported pain-related outcome measures (pain-PROMs) from the National Tonsil Surgery Register in Sweden. In total, 32,225 tonsil surgeries on children (1 to\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). Adjustments were made for variables included in the register to compensate for contributable factors in the analysis. When compared to TE ± A for surgical indication obstruction, TT ± A resulted in lower pain-PROMs, shorter use of postoperative analgesics, earlier return to regular food intake, and lower risk for contact with health care services due to pain. Children who underwent TE ± A because of obstruction problems stopped taking painkillers and returned to normal eating habits sooner, compared to children who underwent TE ± A for infectious indications. In both indication groups, TE ± A performed with hot rather than cold technique (dissection and haemostasis) generally resulted in higher pain-PROMs. Older children reported more days on analgesics and a later return to regular food intake after TE ± A than younger ones. No clinically relevant difference between sexes was found. Between 2012 and 2016 (pre-and post-implementation of Swedish national guidelines for pain treatment), the mean duration of postoperative analgesic use had increased. In conclusion, TE ± A caused considerably higher ratings of pain-related outcome measures, compared to TT ± A. For TE ± A, cold surgical techniques (dissection and haemostasis) were superior to hot techniques in terms of pain-PROMs. Older children reported higher pain-PROMs after TE ± A than younger ones.

  • 156.
    Alm, Moa
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Malmskär, Matilda
    Örebro universitet, Institutionen för hälsovetenskaper.
    Att vara patient på en akutmottagning En litteraturstudie2017Independent thesis Basic level (university diploma), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Att vara patient på en akutmottagning
  • 157.
    Almaghrabi, Nibal
    Örebro universitet, Institutionen för hälsovetenskaper.
    Associations between echocardiographic and aortic stiffness parameters2022Independent thesis Advanced level (degree of Master (Two Years)), 30 poäng / 45 hpOppgave
  • 158.
    Al-Maliki, Noor
    Örebro universitet, Institutionen för hälsovetenskaper.
    Utredning av hemolytisk påverkan på TRAKprovresultati KRYPTOR-analyser med hjälp avTRACE-teknik2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Utredning av hemolytisk påverkan på TRAKprovresultat i KRYPTOR-analyser med hjälp av TRACE-teknik
  • 159.
    Almer Carlsson, Sandra
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Johansson, Malin
    Örebro universitet, Institutionen för hälsovetenskaper.
    Traditionell styrketräning och kombinerad styrke- och sprintträning - Hur påverkar de landsvägscyklisters prestationsförmåga?2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Sammanfattning

    Som landsvägscyklist krävs i första hand en hög aerob kapacitet, då tävlingarna ofta pågår i många timmar. Samtidigt behöver cyklister ha god anaerob kapacitet och anaerob effekt, då det är genom spurter och långa branta stigningar som tävlingsloppen avgörs. Under senare år har forskningen slutit sig till att cyklister har nytta av att styrketräna, då det kan leda till prestationsförbättringar genom främst förbättrad arbetsekonomi och anaeroba förmågor. Fram tills nyligen var traditionell tung styrketräning den vanligaste typen av styrketräning bland cyklister, men nu har olika varianter av kombinerad träning blivit allt vanligare, exempelvis där tunga benövningar varvas med explosiva sprinter på cykel.

    Syftet med denna studie var att undersöka effekterna av kombinerad styrke- och sprintträning (KT) samt traditionell styrketräning (TS), som tillägg till ordinarie konditionsträning 2 ggr/vecka under 6 veckor, på olika delar av prestationsförmågan hos landsvägscyklister på motionärsnivå. Prestationsförmågan utvärderades före och efter interventionen genom ett anpassat VO2max-test, Wingate-test samt ett estimerat 1RM-test i liggande benpress där arbetsekonomi, maximal syreupptagningsförmåga, andra ventilatoriska tröskeln, peak power, mean power, power drop och benstyrka registrerades för analys.

    Vid analys av samtliga parametrar efter interventionen kunde ingen effekt av varken KT eller TS observeras. På individnivå kunde en viss förbättring observeras för peak power, benstyrka samt den andra ventilatoriska tröskeln där TS hade fler individer med förbättring. En ökning i power drop kunde också observeras där individer i TS uppvisade en större försämring än KT som presterade likvärdigt vid för- och eftertester.

    Slutsatsen i denna studie är att de observerade resultaten ej stödjer hypotesen om att kombinerad styrke- och sprintträning skulle vara effektivare för utveckling av arbetsekonomi, anaerob effekt samt anaerob kapacitet. Vidare tyder resultaten på att ingen av träningsmetoderna har en positiv effekt på gruppernas medelvärden, men stora individuella skillnader finns där båda träningsmetoderna gett positiva och negativa effekter hos försökspersonerna för de registrerade parametrarna.

  • 160.
    Almkvist, Erik
    Örebro universitet, Institutionen för hälsovetenskaper.
    Betydelsen av att vila 15 minuter innan provtagning för kalium- och natriumanalyser i plasma2021Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Enligt svenska provtagningsanvisningar bör patienter vila i sittande ställning i minst 15 minuter innan provtagningen sker för att optimera resultatet av analysen. Referensintervallen som existerar idag i Sverige för olika analyser är framtagna och baserade på prover som tagits efter att deltagarna vilat 15 minuter i sittande position innan provtagningen. I denna studie samlades venösa blodprover in från patienter och personal i Karlskoga lasarett. Statistiska beräkningar utfördes för att jämföra kalium- och natriumanalyser i plasma efter att deltagaren vilat 15 minuter gentemot att deltagaren tagit en promenad på cirka 50 meter, signifikansnivån bestämdes som 0,05. Analyserna mättes genom en indirekt potentiometrisk metod, ISE, på instrumentet Advia 1800 Chemistry. Resultatet visade att det finns en signifikant skillnad av att vila 15 minuter innan provtagningen äger rum för kalium- och natriumanalyser i plasma gentemot att inte vila. Trots att studien visar att det finns en signifikant skillnad av att patienter vilar 15 minuter innan provtagningen sker är skillnaden inte tillräckligt stor för att påverka resultatet på ett sätt som förändrar läkarbedömningen. Personal bör ändå följa provtagningsanvisningarna för att optimera trovärdigheten och resultatet av analysen.

    Fulltekst (pdf)
    fulltext
  • 161.
    Almozafari, Farah
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Andersson, Emil
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hot och våld på akutmottagningar2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 162.
    Almqvist, Jonas
    et al.
    Uppsala University, Uppsala, Sweden.
    Meckbach, Jane
    The Swedish School of Sport and Health Sciences (GIH), Stockholm, Sweden.
    Öhman, Marie
    Örebro universitet, Institutionen för hälsovetenskaper.
    Quennerstedt, Mikael
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    How Wii Teach Physical Education and Health2016Inngår i: SAGE Open, E-ISSN 2158-2440, Vol. 6, nr 4, s. 1-16Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

     The use of educational computer games in physical education (PE) has become more popular in recent years and has attracted research interest. The aim of the article is to investigate how physical activities and images of the human body are offered by the game. The results show how the “teacher” constituted in the games is one who instructs and encourages the players to exercise and think about their bodies, but not a “teacher” who can help students to investigate, argue, or discuss images of health and the human body. We argue that the use of a wide range and variety of ways of teaching would make the teaching richer and offer a deeper understanding about the body and health.

    Fulltekst (pdf)
    fulltext
  • 163.
    Almqvist, Kjerstin
    et al.
    Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.
    Källström, Åsa
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Appell, Petra
    Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.
    Anderzen-Carlsson, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Faculty of Health, Science, and Technology, Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Mothers’ opinions on being asked about exposure to intimate partner violence in child healthcare centres in Sweden2018Inngår i: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 22, nr 2, s. 228-237Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Intimate partner violence (IPV) constitutes a hidden health risk for exposed mothers and children. In Sweden, screening for IPV in healthcare has only been routine during pregnancy, despite an increase in IPV following childbirth. The arguments against routine questions postpartum have concerned a lack of evidence of beneficial effects as well as fear of stigmatizing women or placing abused women at further risk. Increased understanding of women’s attitudes to routine questions may allay these fears. In this study, 198 mothers in 12 child healthcare centres (CHCs) filled in a short questionnaire about their exposure and received information on IPV at a regular baby check-up visit. The mothers’ lifetime prevalence of exposure to IPV was 16%. One hundred and twenty-eight mothers participated in a telephone interview, giving their opinion on the screening experience. The intervention was well-received by most of the mothers who reported that questions and information on IPV are essential for parents, considering the health risks for children, and that the CHC is a natural arena for this. Necessary prerequisites were that questioning be routine to avoid stigmatizing and be offered in privacy without the partner being present.

  • 164.
    Almroth, Henrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Cardiology, Örebro University Hospital, Örebro, Sweden.
    Andersson, Tommy
    Department of Cardiology, Örebro University Hospital, Örebro, Sweden.
    Fengsrud, Espen
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Cardiology, Örebro University Hospital, Örebro, Sweden.
    Friberg, Leif
    Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
    Linde, P.
    Department of Cardiology, Örebro University Hospital, Örebro, Sweden.
    Rosenqvist, Mårten
    Stockholm South Hospital, Karolinska Institutet, Stockholm, Sweden.
    Englund, A.
    Stockholm South Hospital, Karolinska Institutet, Stockholm, Sweden.
    The safety of flecainide treatment of atrial fibrillation: long-term incidence of sudden cardiac death and proarrhythmic events2011Inngår i: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 270, nr 3, s. 281-290Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective:To assess the safety of long-term treatment with flecainide in patients with atrial fibrillation (AF), particularly with regard to sudden cardiac death (SCD) andproarrhythmic events.

    Design: Retrospective,observational cohort study.Setting.Single-centre study at Örebro University Hospital, Sweden.

    Setting: Single-centre study at Orebro University Hospital, Sweden.

    Subjects: A total of 112 patients with paroxysmal (51%) or persistent (49%) AF (mean age 60 ± 11 years) were included after identifying all patients with AF who initiated oral flecainide treatment (mean dose 203 ± 43 mg per day) between 1998 and 2006. Standard exclusion⁄inclusion criteria for flecainide were used,andflecainidetreatmentwasusually combined withanatrioventricular-blocking agent (89%).

    Main outcome measure: Death was classified as sudden or nonsudden according to standard definitions. Proarrhythmia was defined as cardiac syncope or lifethreatening arrhythmia.

    Results: Eight deaths were reported during a mean follow- up of 3.4 ± .4 years. Compared to the general population, the standardized mortality ratios were 1.57 (95% confidence interval (CI) 0.68–3.09) for allcause mortality and 4.16 (95% CI 1.53–9.06) for death from cardiovascular disease. Three deaths were classified as SCDs. Proarrhythmic events occurred in six patients (two each with wide QRS tachycardia, 1 : 1 conducted atrial flutter and syncope during exercise).

    Conclusion: We found an increased incidence of SCD or proarrhythmic events in this real-world study of flecainide used for the treatment of AF. The findings suggest that further investigation into the safety of flecainide for the treatment of patients with AF is warranted.

  • 165.
    Almström, Johanna
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Larsson, Ann-Charlotte
    Örebro universitet, Institutionen för hälsovetenskaper.
    Skolsköterskans upplevelse av att möta barn med risk för övervikt2015Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Skolsköterskans upplevelse av att möta barn med risk för övervikt
  • 166.
    Almér, Susanne
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hagsten, Malin
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sjuksköterskors erfarenhet av generell behandling vid smärta, prehospitalt samt på akutmottagning2016Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 167.
    Alnemo, John
    et al.
    Department of Prosthetics and Orthotics, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center.
    Tranberg, Roy
    Department of Orthopaedics, Institute of Clinical Sciences, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Jarl, Gustav
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Attitudes and attributes of women and men using therapeutic shoes for diabetic foot complications2019Inngår i: 8th International symposium on diabetic foot: Absttaract book, 2019, s. 117-117, artikkel-id P35.05Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Background: Therapeutic shoes can prevent diabetic foot reulcerations but their use is complicated by the fact that shoes have psychological and social meanings, which is believed to put a larger burden on women than men. The aim was to compare attitudes and attributes of women and men using therapeutic shoes for diabetic foot complications.

    Methods: A questionnaire was posted to 1230 people with diabetes who had been fitted with therapeutic shoes. Women's and men's answers were compared using t-tests, Mann-Whitney U tests and chi-square tests with Fischer's exact tests. P-values < 0.05 were considered statistically significant.

    Results: Questionnaires from 443 (36.0%) respondents (294 men, 149 women, mean age 69.2 years) were analyzed. More men than women (p < 0.05) had paid employment (20.4% vs 9.4%), had someone who reminded them to wear their therapeutic shoes (27.6% vs 10.0%), and had a history of foot ulcers (62.9% vs 46.3%) or minor amputation (17.7% vs 6.7%). More women than men received disability pension (18.8% vs 10.2%). Women reported worse general health, lower internal locus of control regarding ulcer prevention, and more negative attitudes to the appearance and price of therapeutic shoes and how they felt about wearing them in public. Other comparisons were non-significant: other shoe attributes, education, diabetes type, current foot ulcers, major amputations, satisfaction with shoe services, understanding of neuropathy as a risk factor, locus of control regarding ulcer healing, belief in the shoes' efficacy to prevent and heal ulcers, worries about ulcer healing and new ulcerations, self-efficacy, depression, shoe use/adherence, paying a fee for therapeutic shoes, and social support.

    Conclusions: Men had worse foot complications. Women had worse general health, lower internal locus of control regarding ulcer prevention, and more negative attitudes toward therapeutic shoes. Clinicians should pay more attention to their female patients' concerns. Future research and development should focus on improving the weight and appearance of therapeutic shoes, particularly for women. Research is also needed on how to facilitate the adaption and reevaluation process where patients change from viewing shoes purely as items of clothing to also viewing them as medical interventions

  • 168. Alnemo, John
    et al.
    Tranberg, Roy
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jarl, Gustav
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län.
    Are the left and right limbs unequally affected by diabetic foot complications?2019Konferansepaper (Annet vitenskapelig)
  • 169.
    Alnemo, John
    et al.
    Department of Prosthetics and Orthotics, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Tranberg, Roy
    Department of Orthopaedics, Institute of Clinical Sciences, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center.
    Jarl, Gustav
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Are the left and right limbs unequally affected by diabetic foot complications?2019Inngår i: 8th International symposium on diabetic foot: Abstract book, 2019, s. 140-140, artikkel-id P45.04Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Aim: There is some debate about laterality for diabetic foot complications, that is, whether the right and left limbs are unequally affected. Coxon and Gallen (1) found that more amputations were performed on the right limb and Evans et al. (2) interpreted this in the context of foot dominance: they found that most foot ulcers occured on the dominant limb (which for most people is the right one) and speculated that the dominant limb may be more exposed to mechanical stresses and injuries. However, Demetriou et al. (3) did not find any laterality in foot ulcer location. The aim was to investigate laterality for foot ulcers and amputations. Methods: A questionnaire was posted to 1245 people who had diabetes, experience of using therapeutic shoes, and who had attended one of two prosthetics and orthotics clinics during a 12 months’ period. The number of ulcers or amputations on the right and left limb were compared with a two-sided chi-square test. Results: 469 (37.7%) questionnaires were returned. 118 (25.2%) participants reported unilateral foot ulcers, 54 (11.5%) reported unilateral minor amputation, and 21 (4.5%) reported unilateral major amputation. There was no statistically significant right-left difference in foot ulcers, minor amputations or major amputations (Table 1, p-values 0.713-1.000). Conclusions: Our results do not support the hypothesis about laterality for foot ulcers and amputations.

  • 170.
    Al-Sabbagh, Tamarah
    Örebro universitet, Institutionen för hälsovetenskaper.
    Intra, - och interobservatör variabilitet vid mätning av global longitudinell strain med ekokardiografi2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Intra, - och interobservatör variabilitet vid mätning av global longitudinell strain med ekokardiografi
  • 171.
    Al-sabti, Simet
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jämförelse av elektroneurografiresultat mellan arbetsrelaterade skador och andra orsaker vid bekräftad karpaltunnelsyndrom2023Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Karpaltunnelsyndrom är den vanligaste formen av infångningsneuropati hos den vuxna befolkningen. Kända riskfaktorer för karpaltunnelsyndrom inkluderar arbetsskador som upprepad och repetitiv användning av handen och handleden, men även andra orsaker som graviditet, kön, eventuella frakturer med mera. Elektroneurografi (neurografi) är en klinisk undersökningsmetod som används för att diagnostisera och gradera nervskadan av karpaltunnelsyndrom. Syftet med studien var att jämföra motorisk och sensorisk nervledningshastighet och amplitud mellan arbetsrelaterade skador och andra orsaker vid bekräftad karpaltunnelsyndrom.

    Patienter rekryterades från avledningen för klinisk neurofysiologi på Gävle sjukhus som var kallade för en neurografiundersökning med frågeställning karpaltunnelsyndrom.

    Inklusionskriterier i studien var patienter, kvinnor och män i åldern 18–65 år med bekräftad karpaltunnelsyndrom. Neurografi utfördes motorisk och sensoriskt på n. medianus och n. ulnaris bilateralt. Vidare undersöktes n. medianus bilateralt med 14–7 metoden.

    Ingen signifikant skillnad hittades mellan arbetsskador och andra orsaker för karpaltunnelsyndrom vid jämförelse mellan motorisk och sensorisk nervledningshastighet samt amplitud. Ingen skillnad hittades i 14–7 metoden vid registrering av n. medianus mellan grupperna. Inget samband hittades mellan kroppslängd och motorisk nervledningshastighet.

    Fulltekst (pdf)
    Jämförelse av elektroneurografiresultat mellan arbetsrelaterade skador och andra orsaker vid bekräftad karpaltunnelsyndrom
  • 172.
    Alsaifi, Sura
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jämförelse mellan manuell och automatisk blodtrycksmätning i vila och vid submaximal belastning2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Jämförelse mellan manuell och automatisk blodtrycksmätning i vila och vid submaximal belastning
  • 173.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper.
    A repertoire of possibilities: visualized masculinities in a Swedish sportsclub 1908-092015Inngår i: Book of abstracts / [ed] Radmann, A., Hedenborg, S., Tsolakidis, E., European College of Sport Science , 2015, s. 280-280Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Introduction and aim When designing our identities we are inclined to use images of our selves, as well as pictures of ’the others’. Images are interwoven with our culture and society, as well as with definitions of history and truth. The overall aim of this study is to analyse, by using a visual method, masculinizing and de-masculizing processes. More specific, the objective is to study how a dominant masculinity manifested itself in associative visuals (and texts), and how these images of domination changed during from 1908 to 1989. Theory and method Drawing inspiration from Bourdieu (2001) and Connell (1995), the theoretical perspective is based on the production and reproduction of a dominant and hegemonic masculinity manuscript at a associative level. Results from their work reveal that images and expectations about men and women make us asymmetrically associated with e. g. sexuality or age. This means that the norms of masculinity dictate how athletics are visualised or objectified. In turn, the norms and actions of masculinity are hierarchical, i.e. men see themselves in relation to a dominant masculinity or an alternative femininity. (This process always includes several other potential power perceptions.) From this perspective ideals and identities can vary both between men and within the same man, when, for example, the context changes. The method is a textual and visual analysis of how the hegemonic manuscript conditions and permeates the images and texts, e. g. in what is being captured or why, how a photograph is taken, how the athlete is portrayed and so on. More specific, the numerical representations of men and women respectively are counted along with more qualitative characteristics of how men and women were portrayed. Results and discussion The photography of a man always contains a potential to construct and categorise differences of gender. The ambition of the study is to say something universal about the mechanisms of the (re)production of male dominance in an organisation. The overall conclusion shows the difference in being objectified or portrayed, visually and textually, with and without respectively, a preserved subject position and status. Although, there are arguments for a changeable masculinity, sometimes the ideal masculine identity shows little variance. The changing aspects are particularly interesting as the study object grasps over an 80- year period. The discussion will focus on what power mechanisms are being used to reproduce a dominant, masculine order in the association. References Bourdieu, Pierre. (2001). Masculine domination. Cambridge: Polity. Connell, Raewyn. (1995). Masculinities. Berkeley: University of California Press.

  • 174.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper. RF-SISU Örebro County, Örebro, Sweden.
    Achieving gender equity: barriers and possibilities at board level in Swedish sport2022Inngår i: European Sport Management Quarterly, ISSN 1618-4742, E-ISSN 1746-031XArtikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Research questions How is the 'problem' of gender equity described, perceived and experienced by female and male board members in Swedish sport today? What key dilemmas can be identified in the realisation of a gender equitable sport management? Research methods The article builds on research conducted on three Swedish ball sport federations during 2020-2021 and is based on a total number of 27 (12 males, 15 females) structured interviews with top leaders. The methodology employs Fraser's concept of gender justice and the need to pay attention to cultural and economic dimensions in transformative interventions. Results and Findings Three dilemmas relating to the realisation of gender equity are analysed: between quotas and stigmatisation, overcoming gender equity as a side-project and how the democratic infrastructure of Swedish sport enables men's continued dominance. The findings indicate that one-dimensional (affirmative) interventions dominate, which in turn explain why achieving gender equity in Swedish sport is difficult, i.e. cultural interventions only limit the chances of achieving gender equity. Implications To implement transformative interventions, cultural and economic resources need to be equally recognised and redistributed so that the organisations' gender order is deconstructed and participation on equally recognised terms secured.

  • 175.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper. Sport Science.
    Addressing gender equality: enactments of gender and hegemony in the educational textbooks used in Swedish sports coaching and educational programmes2018Inngår i: Sport, Education and Society, ISSN 1357-3322, E-ISSN 1470-1243, Vol. 23, nr 9, s. 840-852Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Sport is often described as a field containing competitive and hierarchy shaping activities. However, in Sweden and elsewhere, this field is also permeated by democratic principles where, for example, everybody has the right to participate in children’s and youth sports regardless of gender, ethnicity or physical ability. In Sweden, there are distinct objectives for gender equality, where women/girls and men/boys should ideally be treated and recognised equally. The aim of this paper is twofold: to examine how gender is enacted in the textbooks used in Swedish sports coaching and educational programmes and to identify whether any of the enactments reflect a hegemonic masculinity. The textbooks used in two of the most extensive courses arranged by the Swedish Sports Confederation, ‘The Platform’ [Plattformen] and ‘Basic Coach Education’ [Grundtränarutbildning] are in focus. The theoretical framework and methodological approach are inspired by research on sport, gender and the hegemonic masculinity thesis. In the process of analysis, the hegemonic perspective is central. During the analysis, four themes are identified as expressions of a hegemonic masculinity and, thus, as obstacles to gender equality. Firstly, the binary sex norm poses a real challenge for the implementation of gender equality because it helps to shape a hierarchy that privileges men and masculinities. Secondly and thirdly, the themes ‘puberty’ and ‘the coach’ appear to be important, in that they support and contest a gendered hierarchy. Finally, there are examples of men, like sport coaches, appearing as genderless, which is interpreted as a hegemonic acceptance of the category of men (as universal and genderless subjects). By critically illuminating these themes, the paper adds to the wider research field of sport, coaching and education programmes and the complexity of gender mainstreaming in sport.

  • 176.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper. RF-SISU Örebro county, Örebro, Sweden.
    Brothers, bruises, and the will to win: a social-ecological hegemony perspective on Swedish ice hockey's past2023Inngår i: Sport in Society: Cultures, Media, Politics, Commerce, ISSN 1743-0437, E-ISSN 1743-0445Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The tradition of Swedish ice hockey as a masculine-dominated territory that encourages characteristics like roughness, aggressiveness, and to some extent violence has been hotly debated. Using historical articles from the Swedish Hockey magazine, and with a perspective combining hegemony with the social-ecological model of violence prevention, this study develops an interpretation of how masculinity traits and violence in Swedish ice hockey interconnect. The historical case provides findings for this interconnection, with meanings of masculinity and a competitive commitment as permeating threads. Triggered by individuals, but also connected to coaches' encouragements, organizations' endeavours, societal, and financial forces, the negotiations around playing styles and allowance levels have been permeated by ideals of masculinity; ideals that enforce the current hegemonic gender order. Ultimately, the article contributes to a more comprehensive understanding of sport violence as an issue that not only impacts or can be utilized by sport organizations and players/practitioners but also its broader societal implications.

  • 177.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper. RF-SISU Örebro County, Örebro, Sweden.
    Historicizing Machoism in Swedish Ice Hockey2022Inngår i: International Journal of the History of Sport, ISSN 0952-3367, E-ISSN 1743-9035, Vol. 38, nr 16, s. 1688-1709Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Male ice hockey has long been regarded as a hyper-masculine sport. More importantly, the so-called machoism has been institutionalized in the ice hockey culture and, due to its comprehensive legitimacy and complexity, it has been impossible to problematize, challenge and ultimately change from within. Identifying ice hockey’s cultural promises, guidelines, psyche, and societal contributions, the controlling of changes is illuminated, which, taken together, help to deepen the understanding of machoism’s stability in sport. Although the journal Hockey is the main historical source, interviews, the media, and biographies have also been used. As Sweden is located between what was then the Soviet Union and North America, the Swedish Ice Hockey Association was inspired by these dominating ice hockey models. The professional and, mostly, Canadian hockey style gradually gained ground. In short, the appreciated masculine ideals interlinked with commercial forces and the tactical strategies of the game. By showing the culture’s stability and complexity, previous research on masculine domination in ice hockey is nuanced and complemented. 

  • 178.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper.
    Is There a Need for a Violence Prevention Programme in Ice Hockey?2019Inngår i: Book of Abstracts / [ed] Breitbarth, Tim, Bodet, Guillaume, Fernández Luna, Álvaro, Burillo Naranjo, Pablo & Bielons, Gerardo, Seville: EASM , 2019, Vol. 1, s. 776-777Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Aim and Research Questions: Against a background of identified masculinity ideals and how they relate to norms of violence in Swedish ice hockey, the overall purpose of this paper is to identify preventive suggestions that can challenge violence-supportive masculinity ideals and norms. The specific research aim is to identify and discuss preventive measures from an individual (coach or player) perspective (i.e. a micro level), club or community perspective (a meso level) and a structural (e.g. rules) perspective (a macro level). The two research questions are: Which ideals have been appreciated in Swedish male ice hockey and what kinds of attitudes to violence in general can be identified? What, more specifically, can be considered as necessary to change in Swedish ice hockey in order to prevent violence and violent behaviour?

    Theoretical Background and Literature Review: By combining research on sport, masculinities (or gender), violence/aggression and prevention, a theoretical discussion is conducted about the link between masculinity and aggressiveness/violence in sport and how this affects and is associated with more general expressions of men’s violence in society and the adequacy of prevention. The point of departure is a ‘broad’ understanding of violence that includes physical, psychological, verbal and other non-physical aspects (Connell, 2005; Flood, 2019). Ice hockey has a long history of violence (Lorenz, 2016)and researchers have examined this culture from several perspectives. Rockerbie (2015)estimates the effect of ice hockey fights on attendance in the NHL and finds that although fighting perhaps was more popular in the early years of the NHL, there is no absolute association between average attendance and fights per game. Other research has shown that male team sports can nurture aggressive and sexist attitudes and behaviour (Messner and Sabo, 1994; Pappas, 2012). Flood’s (2019) work focuses on men and boys and violence prevention and helps us to understand such attitudes and behaviors as an initial step that could, if it escalates, result in men’s violence against women. Although there are strong arguments for male dominated team sports’ objectification of women and femininity and the social problems associated with this, there is a risk of simplification by only attributing such attitudes to participation in ice hockey or a team sport. Alcohol consumption, socialization in a sport, society at large and other factors also need to be taken into account.

    Research Design, Methodology and Data Analysis: Part of a larger project on masculinity ideals and violence norms in Swedish ice hockey from 1965 up until today, the presentation is primarily based on interviews with five Swedish ice hockey coaches. (The project also gathers data from interviews with players, observations from ice hockey games, excerpts from media, examination of the magazine Hockey and (auto)biographies). Taken together, all the coaches had experiences of playing ice hockey themselves from amateur to professional level in Sweden and abroad. The analytical process can be summarized in three steps. Firstly, a thematic analysis was carried out in which different ‘meaning units’ were transformed into ‘condensed meaning units’ and finally collected to ‘codes’. Secondly, the codes or ideals were placed within the theoretical frame and interpreted in terms of an eventual hegemonic, masculine and/or violence-supportive ideal. Lastly, given that some meaning units include norms related to aggression and violence, the discussion section is constructed around preventative suggestions emanating from the findings.

    Results/Findings and Discussion: The main result shows that some of the ice hockey milieu’s positive effects (e.g. community, loyalty, the sense of comfort) to some extent also form the basis as risk factors in developing violent behaviour, (e.g. sexist and derogative attitudes/language, exaggerated hard playing style, collective norms that trigger fights and alcohol consumption). One coach gave an example of the coaches of a junior team he played with (in the early 1990s) who drank alcohol and watched pornographic films in the bus home from away matches. The informant reflected that such behaviour affected the players’ values, their talk about and views of women and their attitudes towards alcohol. Another aspect, highlighted by another informant, is that violence (in a wide sense) can become part of the tactics in certain situations during a game, especially if players are encouraged to ‘provoke and get provoked!’ ie the same qualities that might make someone a successful player could also foster them in violent-supportive attitudes.

    Conclusion, Contribution and Implication: The paper shows how ice hockey, as a male team sport, can nurture and even encourage sexist and violent attitudes but the sport also has a huge preventative potential. The conclusion that can be drawn is that a successful, violence prevention programme in ice hockey (and perhaps also other male dominated team sports) should pay specific attention to such individual behaviour with the aim of minimizing the risk of players developing negative attitudes that in the end nurture patriarchy and enhance the inequalities between men and women.

    Fulltekst (pdf)
    Book of Abstracts
    Fulltekst (pdf)
    Is There a Need for a Violence Prevention Programme in Ice Hockey?
  • 179.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper. Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    ldrott, jämställdhet och organisatorisk makt: Möjligheter och hinder för kvinnor och män att nå höga ledarpositioner inom lagidrott2022Rapport (Annet vitenskapelig)
    Fulltekst (pdf)
    ldrott, jämställdhet och organisatorisk makt: Möjligheter och hinder för kvinnor och män att nå höga ledarpositioner inom lagidrott
  • 180.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper. School of Business and Economics, University of Jyväskylä, Jyväskylä, Finland; Department for sport and public health, RF-SISU Örebro county, Örebro, Sweden.
    Photography, sport and the hegemony of men: a material(-)discursive perspective2023Inngår i: Rethinking history, ISSN 1364-2529, E-ISSN 1470-1154, Vol. 27, nr 2, s. 248-269Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this article, the focus is on a theoretical discussion about how to analyse masculinities and power in historical research based on imagery and visual sources from a material-discursive point of departure. The argument is that analysing photographs in sport and the material-discursive representation of men/masculinities could contribute to a broader understanding of men’s hegemony. The article adds to the field of visual literacy and connects research on visual materials, sports history and critical gender studies. The past of Swedish ice hockey constitutes the case, while the understanding of men/masculinities departs from research by Jeff Hearn, Raewyn Connell and other scholars within the critical studies on men and masculinities field. Using four specific photographs from the Swedish magazine Hockey, the analysis exemplifies how their materiality and discursivity relate to a broader cultural context of the hegemony of men and masculinities. For example, cultural dominance strategies, visual techniques that ‘activate’ a photographed (or objectified) male subject and entitlement are discussed, and how these include discursive and material meanings of masculinity, status, and domination and how such embodiments interconnect with a contextual configuration of the dominant hegemony of men.

  • 181.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper. Örebro County’s Sports Confederation.
    ‘Power in the arm, steel in the will and courage in the breast’: a historical approach to ideal norms and men’s dominance in Swedish club sports2018Inngår i: Sport in History, ISSN 1351-5462, Vol. 38, nr 3, s. 365-402Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    From both a quantitative and qualitative perspective, research shows that men and masculinities have dominated the Swedish sports movement for a long time and that sport as a so-called ‘democratic people’s movement’ has been criticised for being a male movement. Given the self-made claims of the Swedish Sports Confederation’s fostering of inclusivity and democratisation, this study encompasses a critical and historical perspective on the inclusive and exclusive dimensions of sport. The study object is a Swedish sports club and the specific aim is to analyse the prevailing norms and ideals and how they eventually helped to reproduce men’s domination in a local sports club. Chronologically, the paper uses a historical comparative approach studying the club’s 1910s–1920s and 1970s–1980s. The research questions put are: What characterised the norms of the ideal member and collective membership in terms of gender and did these change over time? Is it possible to find specific examples of inclusion and exclusion techniques by studying the club’s photographs and stories? The main result shows subtle and explicit power techniques that reproduced (some) men’s superior position at the club level.

  • 182.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper.
    Review of Men of the World: genders, globalizations, transnational times by Jeff Hearn2016Inngår i: Norma, ISSN 1890-2138, E-ISSN 1890-2146, Vol. 11, nr 1, s. 66-68Artikkel, omtale (Fagfellevurdert)
  • 183.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sport and its potential as a violent preventive arena2018Inngår i: World Congress of Sociology of Sport: ISSA 2018 ABSTRACTS, 2018, s. 48-48Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Through an increased knowledge of the causes of violence, violence prevention can be more effective. Such knowledge thus generates profits for society at large. The sports movement is often perceived as a health supporting arena. However, critical researchhas shown the opposite: For example there is a connection between (male athletes’) sexist and homophobic jargon and the inclination to practice violence against other men and women outside the sports environment. The purpose of this ongoing project is to examine how two traditionally male dominated, Swedish sports (ice hockey and football) can be understood as arenas for political socialization. By interviewing sports men and identifying their attitudes to violence (in a wide sense) a more qualified knowledge can be created about the potential of sports as a violent aggravating arena. Is there a homophobic, sexist and in other ways discriminating discourse in these team sports, and, if so, how can we use this knowledge to create a more adequate basis for preventative actions? Theoretically, inspiration is drawn from critical studies on men and masculinities (e.g. works by Connell, Hearn, Messner) and methodologically the study employs a discursive approach inspired by works from Wetherell and Edley. The discussion will focus on the complex constructions of ‘men’ and ‘masculinities’ and the somewhat contradictive links to violence in these constructions.

  • 184.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper.
    The Art of Being Big, Strong and Full of Power: Swedish Combat Sports, Norms and Gender from the 1990s up until today2016Inngår i: 9th Meeting of the Transnational Working Group for the Study of Gender and Sport: 24th-26th November 2016, Bochum, Germany, 2016Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Generally, men have dominated the field of modern sports. Consequently, many sports carry associations where traditional ‘male’ characteristics and qualities are valued and traditional ‘female’ characteristics and qualities are devalued (see eg Messner, 1992). More precisely, many sports ‘create’ men and ideals of masculinities. In this paper combat sports (MMA, boxing, karate, Japanese jujitsu etcetera) are studied as examples of sports that shape gender and body ideals. Combat sports express at least two typical ideals of masculinity: muscle strength and (sanctioned) control of violence (Brace-Govan , 2004; Gill, 2007). Women who have exercised these sports have thus been challenging men’s ‘monopoly’ of being strong, big, violent and powerful and other traditionally ‘male’ norms. The aim of this paper is to study, from a gender perspective, how Swedish combat sports have changed since the 1990s. The main question is: How is the increased number of women in combat sports to be understood? Is it a sign of a (feminist) emancipation or has the inclusion of women been on exclusive terms - that is, do men’s domination find new ways to exercise its powers? In the end, this paper also raises questions of the changing contents of violence and muscularity. In so far, the material consists of focus group interviews and individual interviews with combat sports women, from the elite to the recreational level. Magazines will be analysed during 2016-2017. Theoretically, the paper draws on theories of hegemony and gender (Connell, 1983, 2005, Hearn, 2015). The preliminary results show that women, on one hand, portray active subjects that challenge male (sporting) traditions and male norms. Combat sports, some women tell, are increasing ones self-esteem and self-confidence. On the other hand, the female versions of combat sports are not taken as seriously as the male version, which becomes obvious by lower compensation and less media attention. Women are also expected to act as feminine subjects and are thereby ‘forced’ to relate their bodies, clothes etcetera to social and more general understandings of feminine ideals (cf. Clasen, 2001).

    Fulltekst (pdf)
    fulltext
  • 185.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper. The Sports Confederation of Örebro County, Örebro, Sweden.
    The need for a violence prevention programme in ice hockey: a case study on how hegemonic masculinity supports and challenges violent behaviour in Swedish ice hockey2021Inngår i: European Sport Management Quarterly, ISSN 1618-4742, E-ISSN 1746-031X, Vol. 21, nr 2, s. 218-236Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Research question: Research has shown that male team sports can nurture aggressive and sexist attitudes and behaviour. Against a background of identified sports and ice hockey masculinities and how they relate to violence norms, the aim of this article is to identify masculinity ideals in need of interventions.

    Research method: As part of a larger project on masculinity ideals and violence norms in Swedish ice hockey, this case study is based on a thematic analysis of interviews with five Swedish ice hockey coaches. Theoretically, the analysis is inspired by work on hegemonic masculinity and violence prevention.

    Results and Findings: The findings derived from the interviews are discussed under three thematic headings: ‘The dual functions of sexism and group dynamics’, ‘Aggression and violence as problematic and progressive’ and ‘The stabilising and transformative role of a competitive environment’. In these, core values of the construction of hegemonic masculinity are identified and discussed.

    Implications: The article contributes knowledge about risk factors in team sports and how attitudes and behaviour in a team or club can be both progressive and destructive at the same time. Based on the study's findings, work on violence prevention and the results of previous research, three preventive actions are suggested: 1. To erase sexist and derogative attitudes and actions so that they do not escalate, 2. Zero tolerance of alcohol consumption and drugs and 3. Change the rules in order to eliminate hard and reckless play.

  • 186.
    Alsarve, Daniel
    Örebro universitet, Institutionen för hälsovetenskaper.
    Vägen till en genusmedveten, våldspreventiv modell för den mansdominerade lagidrotten2020Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 97, nr 2, s. 223-234Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    Forskning indikerar en relation mellan idrottsliga och patriarkala ideal somhos vissa individer riskerar att ta sig uttryck i våld mot kvinnor och andramän. Syftet i denna artikel är att utifrån tidigare forskningsresultat undersökarelationen mellan maskulinitetsideal, våld och idrott samt möjligheterna tillförändring. Teoretiskt tas avstamp i begreppet ”den dominerande hegemoninsmaskulinitetsideal”. Argumentationen kretsar kring behovet av att utvecklaförståelsen av våld inom lagidrott med kroppskontakt genom att placerabetydelser av genus och patriarkala ideal i centrum av en sådan förståelseoch i förebyggande insatser. Med fokus på framtiden, avslutas artikeln meden färdriktning genom att diskutera ett utkast till en genusmedveten, våldspreventivmodell för idrottsrörelsen baserad på tidigare forskning och praktisktarbete inom idrottsrörelsen.

    Fulltekst (pdf)
    Vägen till en genusmedveten, våldspreventiv modell för den mansdominerade lagidrotten
  • 187.
    Alsarve, Daniel
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Sports Confederation of Örebro County, Örebro, Sweden.
    Angelin, Mathias
    Sports Confederation of Örebro County, Örebro, Sweden; Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    ‘It’s freer and easier in a changing room, because the barriers disappear…’: A case study of masculinity ideals, language and social status amongst Swedish ice hockey players2020Inngår i: European Journal for Sport and Society, ISSN 1613-8171, Vol. 17, nr 1, s. 26-46Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Previous research has identified sports-related risk factors that can cause acts of violence outside the sporting milieu. The purpose of this case study is to examine the ideals, language and social status of male ice hockey players and determine whether and how they affect their views of sexuality, aggressiveness and actions outside the ice hockey milieu. The method and material are based on a qualitative content analysis of interviews with six senior ice hockey players in Sweden. Research on masculinity and violence theoretically inspires the study. The findings show that expectations and norms can create increased status in a team and at the same time can also make it difficult for players to fully follow their own values and inner guides. In other words, players can be themselves, yet sometimes have to toe the line and follow the group (even if they do not always want to). Another finding is the dilemma of silence and the difficulties that players face in setting limits for team-mates who, for example, joke in a diminishing and inappropriate way. The article ends with a discussion about the challenges that these results entail regarding progressive (violence-preventative) work within ice hockey at the individual and structural levels.

  • 188.
    Alsarve, Daniel
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Gregory, Michele Rene
    York College/CUNY, Queens NY, USA.
    Beyond the public light: Political strongmen, masculine embodiment and sports organizations2023Inngår i: Routledge Handbook on Men, Masculinities and Organizations: Theories, Practices and Future of Organizing / [ed] Jeff Hearn; Kadri Aavik; David L. Collinson; Anika Thym, London: Routledge, 2023, 1Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    In this chapter we expand the analysis of sports, organizations, and masculinity to include behaviour often hidden in private communications by broadening the definition of the ‘locker room’ to include social media and other online spaces. Drawing upon high-profile events, research on male-dominated sports, and arguments on sports and hegemonic masculinities, we illustrate how strongmen create locker room spaces to embody narratives of hegemonic masculinities that disparage and mock certain groups. Demonstrating their values and ideas on whiteness, masculinity, and domination, the strongmen’s misogynist, homophobic, and racist language constructs women, LGBTQ + individuals, and ethnic minorities as inferior. In particular, the weaponization of misogyny and homophobia serves as a warning not only to women and gay men, but also to ‘non-feminized’ heterosexual men whose behaviour or ideas fall outside dominant ‘normative’ constructions of masculinity. By focussing on hidden (or not intended to be public) communication between men in sports organizations, our analysis illustrates that demeaning behaviour is, on the part of some white men, a response to their fear of social change – prompting an examination of the fragility of hegemonic masculinity.

  • 189.
    Alsarve, Daniel
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jakobsson, Johan
    Örebro universitet, Örebro, Sweden.
    Helgesson, Jens
    Örebro universitet, Örebro, Sweden.
    Idrottsundervisning och maskulinitetens hegemoni: Genus och inflytande i gymnasieskolans ämne ”Idrott och hälsa”2017Inngår i: Scandinavian Sport Studies Forum, E-ISSN 2000-088X, Vol. 8, s. 197-219Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The Swedish upper secondary school and its physical education (PE) should, according to the Lgy11 (the 2011 curriculum of upper secondary school in Sweden), raise aware- ness about and challenge stereotypes of masculinity and femininity. Previous research, however, has concluded that there is an upholding of traditional, hegemonic masculinity ideals through PE. The purpose of this article is to highlight how gender and power influence the outcome of a just education. Theoretical inspiration is taken from Irish Marion Young’s and Raewyn Connell’s work on gender and hegemonic masculinity, and the method involves interviews with PE teachers and observations of PE classes. Dance, ball games, competition, socializing violence, performance of heterosexual norms are identified as key points, which are discussed in terms of norms and power linked to men and masculinity ideals. The results show that the making of masculinity is constantly oc- curring in PE, both in active elements but also during “inactive” breaks. Although strong ideals linked to men and masculinity were identified, there were usually also alternative representations. In other words, the educational gender practices were not identified as unambiguous, but rather as ambiguous and contradictory. However, most respondents showed decided views on how boys and girls naturally “are” in certain ways, which con- ditions a counter-stereotypical approach to education. 

    Fulltekst (pdf)
    Idrottsundervisning och maskulinitetens hegemoni: Genus och inflytande i gymnasieskolans ämne ”Idrott och hälsa”
  • 190.
    Alsarve, Daniel
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Johansson, Emma
    Örebro University, Örebro, Sweden; RF-SISU Örebro län, Sweden.
    A gang of ironworkers with the scent of blood: A participation observation of male dominance and its historical trajectories at Swedish semi-professional ice hockey events2022Inngår i: International Review for the Sociology of Sport, ISSN 1012-6902, E-ISSN 1461-7218, Vol. 57, nr 1, s. 54-72Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Ice hockey has traditionally been a male-dominated culture that has both promoted and legitimised masculine dominance and gender inequality. The question is, how might ice hockey games, or other male-dominated sports, be organised differently and thus become more gender equal? Our ambition in this article is to initiate a discussion about how the construction of gender in ice hockey events operationalises or opposes the dominance of men and the marginalisation of women. The specific purpose is to identify techniques that configure men/masculinities as dominant in the ice hockey culture. Taking critical studies of men and masculinities as the point of departure, with a specific focus on the situational aspects of gender construction, this case study makes use of participatory observations of eight qualification games in Swedish semi-professional ice hockey. Our results show that men and certain types of masculinity dominate in the events framing the game and how this links the ice hockey players and the club with the local body-worker culture and its industrial, economic and historical context. Identification with these men is ideally created amongst male spectators, given that children and women do not have the same obvious place in the event’s narrative. Some clubs seek to include women and children in their matches, which affects both the atmosphere and the situation. By focusing on the events’ introductions and general narratives, and how they make use of a (masculine) version of the place’s past in the present, we discuss how the ice hockey culture contributes to the current hegemony of men and masculinities.

  • 191.
    Alsarve, Daniel
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Strand, Susanne
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Idrottens ansvar att förebygga mäns våld mot kvinnor2023Rapport (Annet vitenskapelig)
    Fulltekst (pdf)
    fulltext
  • 192.
    Alsarve, Daniel
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Tjønndal, Anne
    Nord University, Bodø, Norway.
    ‘The Nordic female fighter’: Exploring women’s participation in mixed martial arts in Norway and Sweden2020Inngår i: International Review for the Sociology of Sport, ISSN 1012-6902, E-ISSN 1461-7218, Vol. 55, nr 4, s. 471-489Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this article is to investigate women’s participation in mixed martial arts in the Nordic countries. The study is based on a qualitative and quantitative methodological approach consisting of individual interviews and focus group interviews with Swedish female mixed martial arts fighters and data from a Norwegian survey of participants in Norwegian mixed martial arts clubs. A total of 12 female fighters were interviewed, while 484 respondents participated in the survey. The results show that women exercising mixed martial arts contain a potential to act as feminist role models through their counter-hegemonic renegotiation of norms and views on femininity and, more specifically, the perception of femininity as something fragile and passive. Despite this progressive potential, the informants unanimously affirm that combat sports in general and in different ways are dominated by males. The data indicates that women still represent a small and marginalised group among mixed martial arts participants in the Nordic countries. Furthermore, women participating in mixed martial arts compete less and are less motivated by performance enhancement (developing as fighters, winning fights/tournaments/titles) compared to the male participants. However, both male and female participants value health and fun as the most important reasons for their participation in mixed martial arts training groups.

  • 193.
    Alshamari, Muhammed
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Radiology.
    Geijer, Mats
    Department of Radiology, School of Medical Sciences, Örebro University, Örebro, Sweden; Department of Medical Imaging and Physiology, Skåne University Hospital, Lund; Lund University, Lund, Sweden.
    Norrman, Eva
    Department of Medical Physics, School of Medical Sciences, Örebro University, Örebro, Sweden.
    Lidén, Mats
    Örebro universitet, Institutionen för hälsovetenskaper.
    Krauss, Wolfgang
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jendeberg, Johan
    Örebro universitet, Institutionen för hälsovetenskaper.
    Magnuson, Anders
    Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
    Geijer, Håkan
    Örebro universitet, Institutionen för hälsovetenskaper.
    Impact of iterative reconstruction on image quality of low-dose CT of the lumbar spineManuskript (preprint) (Annet vitenskapelig)
  • 194.
    Alverland, Vicky
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Wennerstrand Lindqvist, Linn
    Örebro universitet, Institutionen för hälsovetenskaper.
    Strategier riktade mot hälso- och sjukvårdspersonal för att förebygga och reducera stigmatisering av patienter med hiv: Strategies aimed towards healthcare professionals to prevent and reduce stigmatization of patients with hiv2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Strategies aimed towards healthcare professionals to prevent and reduce stigmatization of patients with hiv
  • 195.
    Alwan, Samar
    Örebro universitet, Institutionen för hälsovetenskaper.
    Validering av en LC-MS/MS metod för kvantifiering av Tramadol och dess metaboliter i urin2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 196.
    Alwandawy, Heba
    Örebro universitet, Institutionen för hälsovetenskaper.
    Evaluation of Direct-on-Target Microdroplet Growth Assay as a tool for rapid antibiotic susceptibility testing using MALDI- TOF MS2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 197.
    Alzoubi, Haya
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Svärd, Hanna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sjuksköterskans omvårdnadsåtgärder vid övervikt och fetma bland vuxna- En litteraturstudie2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Sjuksköterskans omvårdnadsåtgärder vid övervikt och fetma bland vuxna - En litteraturstudie
  • 198.
    Al-Zubaidi, Fatimah
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Moberg, Kim
    Örebro universitet, Institutionen för hälsovetenskaper.
    Patienters upplevelse av att leva med hjärtsvikt. En litteraturstudie.2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 199.
    Amba, Yvette Esah
    Örebro universitet, Institutionen för hälsovetenskaper.
    Effekten av sex olika kirurgiska tekniker på  postoperativ smärtintensitet efter visdomstand  operation i underkäke.  En systematisk litteraturöversikt.2020Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 200.
    Amcoff, Karin
    et al.
    Department of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Joossens, Marie
    Department of Microbiology and Immunology, Rega Institute, Katholieke Universiteit, Leuven,Belgium; VIB Center for the Biology of Disease, Leuven, Belgium; Microbiology Unit, Faculty of Sciences and Bioengineering Sciences, Vrije Universiteit, Brussels, Belgium.
    Pierik, Marie J.
    Gastroenterology, University Hospital Maastricht, Maastricht, The Netherlands.
    Jonkers, Daisy
    Gastroenterology, University Hospital Maastricht, Maastricht, The Netherlands.
    Bohr, Johan
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Joossens, Sofie
    Gastroenterology, Catholic University of Leuven (KUL), Leuven, Belgium.
    Romberg-Camps, Mariëlle
    Department of Gastroenterology-Hepatology, Zuyderland Medical Center, Sittard, Netherlands.
    Nyhlin, Nils
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Gastroenterology, Örebro University Hospital, Örebro, Sweden.
    Wickbom, Anna
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Gastroenterology, Örebro University Hospital, Örebro, Sweden.
    Rutgeerts, Paul J.
    Department of Gastroenterology, University Hospital Gasthuisberg, Leuven, Belgium.
    Tysk, Curt
    Department of Gastroenterology, Örebro University Hospital, Örebro, Sweden.
    Bodin, Lennart
    Institute of Environmental Medicine, Unit of Intervention and Implementation Research, Karolinska Institute, Stockholm, Sweden.
    Colombel, Jean-Frederic
    Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York NY, USA.
    Vermeire, Severine
    Department of Gastroenterology, University Hospital Gasthuisberg, Leuven, Belgium.
    Halfvarson, Jonas
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Gastroenterology, Örebro University Hospital, Örebro, Sweden.
    Concordance in Anti-OmpC and Anti-I2 Indicate the Influence of Genetic Predisposition: Results of a European Study of Twins with Crohn's Disease2016Inngår i: Journal of Crohn's & Colitis, ISSN 1873-9946, E-ISSN 1876-4479, Vol. 10, nr 6, s. 695-702Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and Aims: An adaptive immunological response to microbial antigens has been observed in Crohn's disease (CD). Intriguingly, this serological response precedes the diagnosis in some patients and has also been observed in healthy relatives. We aimed to determine whether genetic factors are implicated in this response in a CD twin cohort.

    Methods: In total, 82 twin pairs (Leuven n = 13, Maastricht n = 8, Örebro n = 61) took part: 81 pairs with CD (concordant monozygotic n = 16, discordant monozygotic n = 22, concordant dizygotic n = 3, discordant dizygotic n = 40) and 1 monozygotic pair with both CD and ulcerative colitis. Serology for Pseudomonas fluorescens-related protein (anti-I2), Escherichia coli outer membrane porin C (anti-OmpC), CBir1flagellin (anti-CBir1) and antibodies to oligomannan (anti-Saccharomyces cerevisiae antibody [ASCA]) was determined by standardized enzyme-linked immunoassay.

    Results: All markers were more often present in CD twins than in their healthy twin siblings. Using the intraclass correlation coefficient (ICC), agreements in concentrations of anti-OmpC and anti-I2 were observed in discordant monozygotic but not in discordant dizygotic twin pairs with CD (anti-OmpC, ICC 0.80 and -0.02, respectively) and (anti-I2, ICC 0.56 and 0.05, respectively). In contrast, no agreements were found in anti-CBir, immunoglobulin (Ig) G ASCA and ASCA IgA.

    Conclusions: We show that anti-I2 and anti-CBir1 statuses have specificity for CD and confirm previous reported specificities for anti-OmpC and ASCA. Based on quantitative analyses and observed ICCs, genetics seems to predispose to the anti-OmpC and anti-I2 response but less to ASCA and anti-CBir1 responses.

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