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  • 51.
    Backman, Helena
    et al.
    Dept of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN unit, Umea university, Umea, Sweden.
    Ekerljung, Linda
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Eriksson, Berne
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, & Dept of Internal Medicine, Central County Hospital of Halland, Gothenburg, Sweden.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Mincheva, Roxana
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Hedman, Linnea
    Dept of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN unit, Umea university, Umea, Sweden.
    Hagstad, Stig
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Lindberg, Anne
    Dept of Public Health and Clinical Medicine, Division of Medicine, Umea university, Umea, Sweden.
    Ullman, Anders
    Center for COPD research, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Rönmark, Eva
    Dept of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN unit, Umea university, Umea, Sweden.
    Lundback, Bo
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Decrease in prevalence of COPD in Sweden after decades of decrease in smoking2018In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 52, no suppl 62, article id OA1935Article in journal (Other academic)
  • 52.
    Backman, Helena
    et al.
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    Eriksson, Berne
    Department of Internal Medicine, Central County Hospital of Halmstad, Halmstad.
    Hedman, Linnea
    Luleå University of Technology, Department of Health Sciences, Nursing Care. Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Jansson, Sven-Arne
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    Sovijärvi, Anssi
    Department of Clinical Physiology and Nuclear Medicine, HUS Medical Imaging Centre, Helsinki University Central Hospital.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Division of Medicine/the OLIN unit, Umeå University.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    Lundbäck, Bo
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    Restrictive spirometric pattern in the general adult population: Methods of defining the condition and consequences on prevalence2016In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 120, p. 116-123Article in journal (Refereed)
    Abstract [en]

    Background

    Attempts have been made to use dynamic spirometry to define restrictive lung function, but the definition of a restrictive spirometric pattern (RSP) varies between studies such as BOLD and NHANES. The aim of this study was to estimate the prevalence and risk factors of RSP among adults in northern Sweden based on different definitions.

    Methods

    In 2008–2009 a general population sample aged 21–86y within the obstructive lung disease in northern Sweden (OLIN) studies was examined by structured interview and spirometry, and 726 subjects participated (71% of invited). The prevalence of RSP was calculated according to three different definitions based on pre-as well as post-bronchodilator spirometry:

    1) FVC < 80% & FEV1/FVC > 0.7

    2) FVC < 80% & FEV1/FVC > LLN

    3) FVC < LLN & FEV1/FVC > LLN

    Results

    The three definitions yielded RSP prevalence estimates of 10.5%, 11.2% and 9.4% respectively, when based on pre-bronchodilator values. The prevalence was lower when based on post-bronchodilator values, i.e. 7.3%, 7.9% and 6.6%. According to definition 1 and 2, the RSP prevalence increased by age, but not according to definition 3. The overlap between the definitions was substantial. When corrected for confounding factors, manual work in industry and diabetes with obesity were independently associated with an increased risk for RSP regardless of definition.

    Conclusions

    The prevalence of RSP was 7–11%. The prevalence estimates differed more depending on the choice of pre- compared to post-bronchodilator values than on the choice of RSP definition. RSP was, regardless of definition, independently associated with manual work in industry and diabetes with obesity.

  • 53.
    Backman, Helena
    et al.
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Eriksson, Berne
    Department of Internal Medicine, Central County Hospital of Halmstad.
    Rönmark, Eva
    National Institute for Working Life, Norrbottens Läns Landsting, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN Unit, Umeå University, Karolinska Institutet, Lung and Allergy Research.
    Hedman, Linnea
    OLIN studies, Norrbotten County Council, Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Jansson, Sven-Arne
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Lindberg, Anne
    Norrbottens Läns Landsting, OLIN studies, Sunderby Hospital, Sunderby sjukhus, Luleå.
    Lundbäck, Bo
    Department of Internal Medicine and Clinical Nutrition, Krefting Research Centre, University of Gothenburg, National Institute of Occupational Health, Medical Division, Umeå, Karolinska Institutet, Lung and Allergy Research, National Institute for Working Life, Centrallasarettet Boden, Lungkliniken, Central Hospital of Norrbotten, Luleå, Boden, The OLIN Study Group.
    Decreased prevalence of moderate to severe COPD over 15 years in northern Sweden2016In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 114, p. 103-110Article in journal (Refereed)
    Abstract [en]

    Background The burden of COPD in terms of mortality, morbidity, costs and prevalence has increased worldwide. Recent results on prevalence in Western Europe are conflicting. In Sweden smoking prevalence has steadily decreased over the past 30 years. Aim The aim was to study changes in prevalence and risk factor patterns of COPD in the same area and within the same age-span 15 years apart. Material and methods Two population-based cross-sectional samples in ages 23-72 years participating at examinations in 1994 and 2009, respectively, were compared in terms of COPD prevalence, severity and risk factor patterns. Two different definitions of COPD were used; FEV1/FVC

  • 54.
    Backman, Helena
    et al.
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Hedman, Linnea
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Jansson, Sven-Arne
    Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Division of Medicine/the OLIN unit, Umeå University.
    Lundbäck, Bo
    Krefting Research Centre, Institute of Medicine, University of Gothenburg.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    A population-based cohort of adults with asthma: mortality and participation in a long-term follow-up2017In: European Clinical Respiratory Journal, ISSN 2001-8525, Vol. 4, no 1, article id 1334508Article in journal (Refereed)
    Abstract [en]

    Background and objective: Asthma is a major public health concern. The aim of this study was to characterize a large population-based cohort of adults with asthma, and to study factors associated with all-cause mortality and non-participation in a long-term follow-up. Design: Random and stratified samples from five population-based cohorts were clinically examined during 1986-2001, and all subjects with asthma were included in the study (n = 2055, age 19-72 years, 55% women). Independent associations between different risk factors and (i) mortality and (ii) non-participation in a clinical follow-up in 2012-2014 were estimated. Results: In 1986-2001, 95% reported any wheeze and/or attacks of shortness of breath in the past 12 months, and/or asthma medication use. Over the up to 28 years of follow-up time, the cumulative mortality was 22.7%. Male gender, current smoking, and lower forced expiratory volume in 1 sec of predicted (FEV1% of predicted) were independent risk factors for mortality, while obesity was associated with non-participation in the follow-up. Older ages, ischemic heart disease, and low socioeconomic status were associated with both mortality and non-participation. Conclusions: The risk factors associated with mortality in this adult population-based asthma cohort were similar to those commonly identified in general population samples, i.e. male gender, current smoking, and lower FEV1% of predicted, while obesity was associated with non-participation in a long-term follow-up. Ischemic heart disease, low socioeconomic status, and older ages were associated with both mortality and non-participation.

  • 55.
    Backman, Helena
    et al.
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University, Umeå, Sweden.
    Hedman, Linnea
    Umea Univ, Dept Publ Hlth & Clin Med, Div Occupat & Environm Med, OLIN unit, Umea, Sweden.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Jansson, Sven-Arne
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University, Umeå, Sweden.
    Sandström, Thomas
    Department of Public Health and Clinical Medicine, Division of Medicine, Umeå University, Umeå, Sweden.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Division of Medicine, Umeå University, Umeå, Sweden.
    Lundbäck, Bo
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Rönmark, Eva
    Umea Univ, Dept Publ Hlth & Clin Med, Div Occupat & Environm Med, OLIN unit, Umea, Sweden.
    Eosinophilic inflammation and lung function decline in a long-term follow-up of a large population-based asthma cohort2018In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 52, no suppl 62, article id OA294Article in journal (Other academic)
  • 56.
    Backman, Helena
    et al.
    Dept of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN unit, Umeå university, Umeå, Sweden.
    Jansson, Sven-Arne
    Dept of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN unit, Umeå university, Umeå, Sweden.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Eriksson, Berne
    Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden, 4 Dept of Internal Medicine, Cen tral County Hospital of Halland, Halmstad, Sweden.
    Hedman, Linnea
    Dept of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN unit, Umeå university, Umeå, Sweden.
    Eklund, Britt-Marie
    Dept of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN unit, Umeå university, Umeå, Sweden.
    Sandström, Thomas
    Dept of Public Health and Clinical Medicine, Division of Medicine, Umeå university, Umeå, Sweden.
    Lindberg, Anne
    Dept of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN unit, Umeå university, Umeå, Sweden.
    Lundbäck, Bo
    Dept of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN unit, Umeå university, Umeå, Sweden Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Rönmark, Eva
    Dept of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN unit, Umeå university.
    Severe asthma: A population study perspective2019In: Clinical and Experimental Allergy, ISSN 0954-7894, E-ISSN 1365-2222, Vol. 49, no 6, p. 819-828Article in journal (Refereed)
    Abstract [en]

    BackgroundSevere asthma is a considerable challenge for patients, health care professionals and society. Few studies have estimated the prevalence of severe asthma according to modern definitions of which none based on a population study.

    ObjectiveTo describe characteristics and estimate the prevalence of severe asthma in a large adult population‐based asthma cohort followed for 10‐28 years.

    MethodsN=1006 subjects with asthma participated in a follow‐up during 2012‐14, when 830 (mean age 59y, 56% women) still had current asthma. Severe asthma was defined according to three internationally well‐known criteria: the ATS workshop definition from 2000 used in the US Severe Asthma Research Program (SARP), the 2014 ATS/ERS Task force definition and the GINA 2017. All subjects with severe asthma according to any of these criteria were undergoing respiratory specialist care, and were also contacted by telephone to verify treatment adherence.

    ResultsThe prevalence of severe asthma according to the three definitions was 3.6% (US SARP), 4.8% (ERS/ATS Taskforce), and 6.1% (GINA) among subjects with current asthma. Although all were using high ICS doses and other maintenance treatment, >40% had uncontrolled asthma according to the asthma control test. Severe asthma was related to age >50 years, nasal polyposis, impaired lung function, sensitization to aspergillus, and tended to be more common in women. Further, neutrophils in blood significantly discriminated severe asthma from other asthma.

    Conclusions and clinical relevanceSevere asthma differed significantly from other asthma in terms of demographic, clinical and inflammatory characteristics, results suggesting possibilities for improved treatment regimens of severe asthma. The prevalence of severe asthma in this asthma cohort was 4‐6%, corresponding to approximately 0.5% of the general population.

  • 57.
    Backman, Helena
    et al.
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Jansson, Sven-Arne
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN Unit, Umeå University.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Muellerova, Hana
    Real-World Evidence&Epidemiology, GSK R&D.
    Wurst, Keele
    Real-World Evidence&Epidemiology, GSK R&D.
    Hedman, Linnea
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN Unit, Umeå University.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Division of Medicine/the OLIN Unit, Umeå University.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN Unit, Umeå University.
    Chronic airway obstruction in a population-based adult asthma cohort: Prevalence, incidence and prognostic factors2018In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 138, p. 115-122Article in journal (Refereed)
    Abstract [en]

    Background

    Asthma and COPD may overlap (ACO) but information about incidence and risk factors are lacking. This study aimed to estimate prevalence, incidence and risk factors of chronic airway obstruction (CAO) in a population-based adult asthma cohort.

    Methods

    During 1986–2001 a large population-based asthma cohort was identified (n = 2055, 19-72y). Subsamples have participated in clinical follow-ups during the subsequent years. The entire cohort was invited to a clinical follow-up including interview, spirometry, and blood sampling in 2012–2014 when n = 983 subjects performed adequate spirometry. CAO was defined as post-bronchodilator FEV1/FVC<0.7.

    Results

    At study entry, asthmatics with prevalent CAO (11.4%) reported more respiratory symptoms, asthma medication use, and ischemic heart disease than asthmatics without CAO (asthma only). Subjects who developed CAO during follow-up (17.6%; incidence rate of 16/1000/year) had a more rapid FEV1 decline and higher levels of neutrophils than asthma only. Smoking, older age and male sex were independently associated with increased risk for both prevalent and incident CAO, while obesity had a protective effect.

    Conclusions

    In this prospective adult asthma cohort, the majority did not develop CAO. Smoking, older age and male sex were risk factors for prevalent and incident CAO, similar to risk factors described for COPD in the general population.

  • 58.
    Backman, Helena
    et al.
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Räisänen, Petri
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    Hedman, Linnea
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Andersson, Martin
    Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Division of Medicine/the OLIN unit, Umeå University.
    Lundbäck, Bo
    Krefting Research Centre, Institute of Medicine, University of Gothenburg.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University.
    Increased prevalence of allergic asthma from 1996 to 2006 and further to 2016: results from three population surveys2017In: Clinical and Experimental Allergy, ISSN 0954-7894, E-ISSN 1365-2222, Vol. 47, no 11, p. 1426-1435Article in journal (Refereed)
    Abstract [en]

    Background

    During the latter half of the 20th century, the prevalence of asthma and many other allergic diseases has increased. Information on asthma prevalence trends among adults after 2010, especially regarding studies separating allergic asthma from non-allergic asthma, is lacking.

    Objective

    The aim was to estimate prevalence trends of current asthma among adults, both allergic and non-allergic, from 1996 to 2016.

    Methods

    Three cross-sectional samples from the same area of Sweden, 20-69 years, participated in surveys with the same questionnaire in 1996 (n=7104 participants, 85% response rate), 2006 (n=6165, 77%) and 2016 (n=5466, 53%), respectively. Allergic rhino-conjunctivitis (ARC) was used as a marker for allergic sensitization to define allergic asthma.

    Results

    The prevalence of current asthma increased from 8.4% (95% CI: 7.8-9.0) in 1996 to 9.9% (95% CI: 9.2-10.6) in 2006 and 10.9% (95% CI: 10.1-11.7) in 2016 (P<.001). Allergic asthma increased from 5.0% (95% CI: 4.5-5.5) in 1996 to 6.0% (95% CI: 5.4-6.6) in 2006 and further to 7.3% (95% CI: 6.6-8.0) in 2016 (P<.001), while the prevalence of non-allergic asthma remained stable around 3.4%-3.8%. The increase in current asthma was most pronounced among women and among the middle-aged. Physician-diagnosed asthma, asthma medication use and ARC also increased significantly, while the prevalence of symptoms common in asthma such as wheeze and attacks of shortness of breath decreased slightly or was stable. The prevalence of current smoking decreased from 27.4% in 1996 to 12.3% in 2016.

    Conclusions and Clinical Relevance

    The prevalence of allergic asthma increased from 1996 to 2006 and further to 2016, while the prevalence of non-allergic asthma remained on a stable prevalence level. The prevalence of symptoms common in asthma decreased slightly or was stable despite a substantial decrease in the prevalence of current smoking. Clinicians should be aware that the previously observed increase in prevalence of allergic asthma is still ongoing.

  • 59.
    Backman, Helena
    et al.
    Department of Public Health and Clinical Medicine, Umeå university, Umeå, Sweden.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Hedman, Linnea
    Department of Public Health and Clinical Medicine, Umeå university, Umeå, Sweden.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Umeå university, Umeå, Sweden.
    Andersson, Martin
    Department of Public Health and Clinical Medicine, Umeå university, Umeå, Sweden.
    Lundbäck, Bo
    Krefting Research center, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Umeå university, Umeå, Sweden.
    Characterization of adults with asthma per GINA treatment steps2019In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 54, no suppl. 63, article id PA4417Article in journal (Other academic)
  • 60.
    Backman, Tess
    et al.
    Ambulance Care, Mora, Sweden.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Borg, Ronja
    Västerås Hospital, Region of Västmanland, Västerås, Sweden.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ambulance nurses' experiences of deciding a patient does not require ambulance care2019In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 783-789Article in journal (Refereed)
    Abstract [en]

    Aim: To describe ambulance nurses’ experience of deciding a patient does not require ambulance care.

    Design:An inductive, empirical study with a qualitative approach.Methods: Data collection was conducted through semi‐structured interviews, and collected data were analysed with qualitative manifest content analysis. Data were collected during the spring 2017, and eight ambulance nurses participated.Results:The findings are presented in one main category, which is “Not very ill but a difficult decision” with totally three subcategories. The ambulance nurse's experi‐ence of making the assessment when the patient has no need for ambulance care is like walking the balance of slack line. This means that the assessment can be both easy and very difficult but something that definitely requires experience, knowledge and dedication.

  • 61.
    Backman, Ylva
    et al.
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Alerby, Eva
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Bergmark, Ulrika
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Gardelli, Åsa
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Hertting, Krister
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Öhrling, Kerstin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Improving the School Environment from a Student Perspective: Tensions and opportunities2012In: Education Inquiry, E-ISSN 2000-4508, Vol. 3, no 1, p. 19-35Article in journal (Refereed)
    Abstract [en]

    Managerial documents for the national school system in Sweden have emphasised taking students’ voices as a starting point in forming education, and several previous studies have indicated the benefits of giving students opportunities to participate in school. This study aimed to explore students’ reflections on what they would do if they were to decide how to make school the best place for learning. A total of 200 students aged 11 to 15 years from four schools (rural and urban) in two municipalities in the northern part of Sweden participated. The empirical data consisted of the students’ written reflections. The findings fall within four themes: (i) influencing educational settings; (ii) striving for reciprocity; (iii) managing time struggles; and (iv) satisfying well-being needs. Tensions between the students’ previous experiences and future visions appeared. The findings can offer direction regarding aspects of the learning environment in school that could be improved.

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    fulltext
  • 62.
    Backman, Ylva
    et al.
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Alerby, Eva
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Bergmark, Ulrika
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Gardelli, Åsa
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Hertting, Krister
    Luleå University of Technology, Department of Arts, Communication and Education, Education, Language, and Teaching.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Öhrling, Kerstin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Learning within and beyond the classroom: compulsory school students voicing their positive experiences of school2012In: Scandinavian Journal of Educational Research, ISSN 0031-3831, E-ISSN 1470-1170, Vol. 56, no 5, p. 555-570Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe, reflect upon, and create a deeper understanding of aspects relevant for promoting a positive school environment from a student perspective. The data was analyzed by using an inductive phenomenological method and based on written responses from 200 Swedish students from grades 5–9. The results indicated that the students found aspects within, as well as beyond, the classroom relevant for a positive school environment. For instance, outings were considered relevant for building and maintaining friendships and for learning processes. Moreover, the students discussed formal and informal conditions and considered social as well as structural circumstances important for having a good time in school. The relation between learning and well-being was also emphasized by the students.

  • 63.
    Barin, Fredrik
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nygren, Marianne
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Anestesisjuksköterskors erfarenheter av att förebygga hypotermi i samband med anestesi2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hypothermia is one of the most common complications of anesthesia. The consequences of hypothermia include disorders of coagulation with increased risk of bleeding, wound infections and cardiac complications. Patients have described hypothermia as the worst experience during hospitalization and value it higher than the surgical pain. Aim: The aim of this study was to describe the anesthesia nurse's experience in preventing hypothermia associated with anesthesia. Method: The study has a qualitative approach. Ten anesthesia nurses, active in an operations department in Västra Götaland county and the region of Västernorrland, participated in the study. The hospitals included in the study were similar in size and what type of surgery performed there. Qualitative semi- structured interviews were used to gather data and the interviews were analyzed with a qualitative content analysis. Results: The analysis resulted in three categories and shows that prevention of hypothermia is important according to the anesthesia nurses and that awareness about hypothermia and its prevention has increased. At the same time, it was described that more could be done. The anesthetic nurses felt that there are good practices that increase safety in the prevention of hypothermia. However, it was described as difficult to keep themselves up to date of the latest research. In order to increase the prerequisites and to further develop the staff group, in hypothermia prevention, a person responsible for hypothermia prevention is needed. Conclusion: Knowledge, experience, research and collaboration in the operations team are fundamental factors for preventing hypothermia in the patient, in the best possible way. The anesthetic nurses do not experience hypothermia as a daily problem but mean that more could be done, within that area. More research is needed regarding the usefulness of a person responsible for hypothermia prevention would represent.

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  • 64.
    Barman, Maria
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ekebjär, Emma
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Att leva med schizofreni: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Schizofreni beskrivs som ett svårt psykiatriskt tillstånd och en komplex gåta. Det är inte en vanlig sjukdom men den utgör en av de mest betungande och kostsammaste i världen. Sjukdomen medför en ofrivillig isolering, ett outhärdlig lidande samt osäkerhet till livet i stort. Sjuksköterskor har en central roll i mötet med dessa patienter och för dess tillfrisknande. För detta krävs det att man förstår samt tar del av patientens unika livsvärld. Syftet med denna litteraturstudie var att beskriva upplevelsen av att leva med schizofreni. Den systematiska litteratursökningen resulteradei 15 stycken vetenskapliga artiklar med kvalitativ ansats. Dessa analyserades genomen kvalitativ innehållsanalys med fokus på det manifesta. Fem stycken slutkategorier kunde slutligen presenteras: att uppleva en förändrad verklighet, att uppleva maktlöshet och sociala utmaningar, att uppleva trygghet i sjukvården, att känna sig älskad och finna gemenskap samt att uppleva hopp och finna copingstrategier. Resultat visade att personer med schizofreni upplevde ensamhet till följd av förlorad självkontroll samt stigmatisering. Den förlorade kontrollen över tillvaron resulterade även i en känsla av maktlöshet. Slutsatser av denna litteraturstudie var att ökad kunskap gällande sjukdomen har en positiv inverkan på individenslivskvalité. Kunskap avser så väl personens egen kunskap samt omgivningens förståelse för hur denna sjukdom ter sig.

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  • 65.
    Barud, Nina
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Bernulf, Cecilia
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Kvinnors upplevelse av att leva med endometrios - en litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Endometrios är en sjukdom som drabbar var tionde kvinna i fertil ålder. Sjukdomen är svår att fastställa, vilket gör att det kan ta flera år tills en diagnos ställs. Smärta och rikliga menstruationsblödningar är vanliga symtom som påverkar hela livets existens. Syfte: Litteraturstudiens syfte var att beskriva kvinnors upplevelser av att leva med endometrios. Metod: Litteraturstudien genomfördes med kvalitativ innehållsanalys enligt Bengtsson (2016). Resultat: Resultatet visade att kvinnor med endometrios upplevde att hela livet påverkades av sjukdomen. Kvinnorna hade mestadels negativa erfarenheter av vården, många besvärliga kroppsliga symtom, problem med sina partners och familj samt svårigheter att få ihop vardagen. Slutsats: Att vårdpersonal behöver mer kunskap om sjukdomen för att det ska bli en förbättring av endometriosvården, att kvinnor inte ska behöva lida på grund av sen diagnos och svåra symtom.

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  • 66.
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    et al.
    Imperial College London, UK.
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    Imperial College London, UK; Middlesex University, UK.
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    World Health Organization, Switzerland.
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    Imperial College London, UK.
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    Imperial College London, UK.
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    World Health Organization, Switzerland.
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    Imperial College London, UK.
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    Imperial College London, UK.
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    Harvard T.H. Chan School of Public Health, USA.
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    Harvard T.H. Chan School of Public Health, USA.
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    Harvard T.H. Chan School of Public Health, USA.
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    World Health Organization, Switzerland.
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    Indian Council of Medical Research, India.
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    Imperial College London, UK.
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    University of California, Berkeley, USA.
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    Imperial College London, UK.
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    Imperial College London, UK; WHO Collaborating Centre on NCD Surveillance and Epidemiology, UK.
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    Al-Quds University, Palestine.
    Hamid, Zargar Abdul
    Center for Diabetes and Endocrine Care, India.
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    Birzeit University, Palestine.
    Acosta-Cazares, Benjamin
    Instituto Mexicano del Seguro Social, Mexico.
    Adams, Robert
    The University of Adelaide, Australia.
    Aekplakorn, Wichai
    Mahidol University, Thailand.
    Aguilar-Salinas, Carlos A.
    Instituto Nacional de Ciencias Médicas y Nutricion, Mexico.
    Agyemang, Charles
    University of Amsterdam, The Netherlands.
    Ahmadvand, Alireza
    Non-Communicable Diseases Research Center, Iran.
    Ahrens, Wolfgang
    Leibniz Institute for Prevention Research and Epidemiology-BIPS, Germany.
    Alhazzaa, Hazzaa M.
    King Saud University, Saudi Arabia.
    Al-Othman, Amani Rashed
    Kuwait Institute for Scientific Research, Kuwait.
    Raddadi, Rajaa Al
    Ministry of Health, Saudi Arabia.
    Ali, Mohamed M.
    World Health Organization Regional Office for the Eastern Mediterranean, Egypt.
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    Luxembourg Institute of Health, Luxembourg.
    Alvarez-Pedrerol, Mar
    ISGlobal Centre for Research in Environmental Epidemiology, Spain.
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    World Health Organization Regional Office for the Eastern Mediterranean, Egypt.
    Amouyel, Philippe
    Lille University and Hospital, France.
    Amuzu, Antoinette
    London School of Hygiene & Tropical Medicine, UK.
    Andersen, Lars Bo
    Sogn and Fjordane University College, Norway.
    Anderssen, Sigmund A.
    Norwegian School of Sport Sciences, Norway.
    Anjana, Ranjit Mohan
    Madras Diabetes Research Foundation, India.
    Aounallah-Skhiri, Hajer
    National Institute of Public Health, Tunisia.
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    Norwegian Institute of Public Health, Norway.
    Aris, Tahir
    Ministry of Health Malaysia, Malaysia.
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    Indian Council of Medical Research, India.
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    University of Strasbourg and Strasbourg University Hospital, France.
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    University of Yaoundé 1, Cameroon.
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    Regional Authority of Public Health, Banska Bystrica, Slovakia.
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    Shahid Beheshti University of Medical Sciences, Iran.
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    Indian Council of Medical Research, India.
    Bahijri, Suhad
    King Abdulaziz University, Saudi Arabia.
    Balakrishna, Nagalla
    Indian Council of Medical Research, India.
    Bandosz, Piotr
    Medical University of Gdansk, Poland.
    Banegas, José R.
    Universidad Autónoma de Madrid, Spain.
    Barbagallo, Carlo M.
    University of Palermo, Italy.
    Barceló, Alberto
    Pan American Health Organization, USA.
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    Mohammed V University de Rabat, Morocco.
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    University of Pernambuco, Brazil.
    Bata, Iqbal
    Dalhousie University, Canada.
    Batieha, Anwar M.
    Jordan University of Science and Technology, Jordan.
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    Federal University of Maranhao, Brazil.
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    University of Sydney, Australia.
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    University of Auckland, New Zealand.
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    University Tunis El Manar, Tunisia.
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    University Medical Science, Cuba.
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    Universidad Peruana Cayetano Heredia, Peru.
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    Lithuanian University of Health Sciences, Lithuania.
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    University of São Paulo, Brazil.
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    B. J. Medical College, India.
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    Chirayu Medical College, India.
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    Sunder Lal Jain Hospital, India.
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    The Aga Khan University, Pakistan.
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    The Aga Khan University, Pakistan; The Hospital for Sick Children, Canada.
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    Shandong University of Traditional Chinese Medicine, China.
    Bi, Yufang
    Shanghai Jiao-Tong University School of Medicine, China.
    Bjerregaard, Peter
    University of Southern Denmark, Denmark; University of Greenland, Greenland.
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    University of Oslo, Norway.
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    University of Oslo, Norway.
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    University of Gothenburg, Sweden.
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    National Institute for Public Health and the Environment, The Netherlands.
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    University of Turin, Italy.
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    University College London, UK.
    Boddy, Lynne M.
    Liverpool John Moores University, UK.
    Boehm, Bernhard O.
    Nanyang Technological University, Singapore.
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    German Institute of Human Nutrition, Germany.
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    CEMIC, Argentina.
    Bongard, Vanina
    Toulouse University School of Medicine, France.
    Bovet, Pascal
    Ministry of Health, Seychelles; University of Lausanne, Switzerland.
    Braeckman, Lutgart
    Ghent University, Belgium.
    Bragt, Marjolijn C. E.
    FrieslandCampina, Singapore.
    Brajkovich, Imperia
    Universidad Central de Venezuela, Venezuela.
    Branca, Francesco
    World Health Organization, Switzerland.
    Breckenkamp, Juergen
    Bielefeld University, Germany.
    Brenner, Hermann
    German Cancer Research Center, Germany.
    Brewster, Lizzy M.
    University of Amsterdam, The Netherlands.
    Brian, Garry R.
    The Fred Hollows Foundation New Zealand, New Zealand.
    Bruno, Graziella
    University of Turin, Italy.
    Bueno-De-mesquita, H. B.
    National Institute for Public Health and the Environment, The Netherlands.
    Bugge, Anna
    University of Southern Denmark, Denmark.
    Burns, Con
    Cork Institute of Technology, Ireland.
    de León, Antonio Cabrera
    Universidad de La Laguna, Spain.
    Cacciottolo, Joseph
    University of Malta, Malta.
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    Ministry of Health, Tonga.
    Cameron, Christine
    Canadian Fitness and Lifestyle Research Institute, Canada.
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    Hospital Santa Maria, CHLN, Portugal.
    Can, Günay
    Istanbul University, Turkey.
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    Universidade Federal de Juiz de Fora, Brazil.
    Capuano, Vincenzo
    Cardiologia di Mercato S. Severino, Italy.
    Cardoso, Viviane C.
    University of São Paulo, Brazil.
    Carlsson, Axel C.
    Karolinska Institutet, Sweden.
    Carvalho, Maria J.
    University of Porto, Portugal.
    Casanueva, Felipe F.
    Santiago de Compostela University, Spain.
    Casas, Juan-Pablo
    University College London, UK.
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    Associazione Calabrese di Epatologia, Italy.
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    India Diabetes Research Foundation, India.
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    Duke-NUS Graduate Medical School, Singapore.
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    Imperial College London, UK.
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    National Institute of Medical Statistics, India.
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    University College London, UK.
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    Academia Sinica, Taiwan.
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    Capital Institute of Pediatrics, China.
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    Duke University, USA.
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    Kailuan General Hospital, China.
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    University of Oxford, UK.
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    Duke-NUS Graduate Medical School, Singapore.
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    The Gertner Institute for Epidemiology and Health Policy Research, Israel.
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    Lausanne University Hospital, Switzerland.
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    Ministry of Health and Welfare, Taiwan.
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    Victor Babes University of Medicine and Pharmacy Timisoara, Romania.
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    Seoul National University College of Medicine, South Korea.
    Cho, Yumi
    Korea Centers for Disease Control and Prevention, South Korea.
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    University of Southern Denmark, Denmark.
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    Medical University of Silesia, Poland.
    Cifkova, Renata
    Charles University in Prague, Czech Republic.
    Claessens, Frank
    Katholieke Universiteit Leuven, Belgium.
    Clays, Els
    Ghent University, Belgium.
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    Agency for Preventive and Social Medicine, Austria.
    Cooper, Cyrus
    University of Southampton, UK.
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    University College London, UK.
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    Cork Institute of Technology, Ireland.
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    IRCCS Istituto Neurologico Mediterraneo Neuromed, Italy.
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    Institut Pasteur de Lille, France.
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    Westmead University of Sydney, Australia.
    Craig, Cora L.
    Canadian Fitness and Lifestyle Research Institute, Canada.
    Crujeiras, Ana B.
    CIBEROBN, Spain.
    D’Arrigo, Graziella
    National Council of Research, Italy.
    D’Orsi, Eleonora
    Federal University of Santa Catarina, Brazil.
    Dallongeville, Jean
    Institut Pasteur de Lille, France.
    Damasceno, Albertino
    Eduardo Mondlane University, Mozambique.
    Damsgaard, Camilla T.
    University of Copenhagen, Denmark.
    Dankner, Rachel
    The Gertner Institute for Epidemiology and Health Policy Research, Israel.
    Dauchet, Luc
    Lille University and Hospital, France.
    De Backer, Guy
    Ghent University, Belgium.
    De Bacquer, Dirk
    Ghent University, Belgium.
    de Gaetano, Giovanni
    IRCCS Istituto Neurologico Mediterraneo Neuromed, Italy.
    De Henauw, Stefaan
    Ghent University, Belgium.
    De Smedt, Delphine
    Ghent University, Belgium.
    Deepa, Mohan
    Madras Diabetes Research Foundation, India.
    Deev, Alexander D.
    National Research Centre for Preventive Medicine, Russia.
    Dehghan, Abbas
    Erasmus Medical Center Rotterdam, The Netherlands.
    Delisle, Hélène
    University of Montreal, Canada.
    Delpeuch, Francis
    Institut de Recherche pour le Développement, France.
    Deschamps, Valérie
    French Public Health Agency, France.
    Dhana, Klodian
    Erasmus Medical Center Rotterdam, The Netherlands.
    Di Castelnuovo, Augusto F.
    IRCCS Istituto Neurologico Mediterraneo Neuromed, Italy.
    Dias-Da-costa, Juvenal Soares
    Universidade do Vale do Rio dos Sinos, Brazil.
    Diaz, Alejandro
    National Council of Scientific and Technical Research, Argentina.
    Djalalinia, Shirin
    Non-Communicable Diseases Research Center, Iran.
    Do, Ha T. P.
    National Institute of Nutrition, Vietnam.
    Dobson, Annette J.
    University of Queensland, Australia.
    Donfrancesco, Chiara
    Istituto Superiore di Sanità, Italy.
    Donoso, Silvana P.
    Universidad de Cuenca, Ecuador.
    Döring, Angela
    Helmholtz Zentrum München, Germany.
    Doua, Kouamelan
    Ministère de la Santé et de la Lutte Contre le Sida, Côte d’Ivoire.
    Drygas, Wojciech
    The Cardinal Wyszynski Institute of Cardiology, Poland.
    Dzerve, Vilnis
    University of Latvia, Latvia.
    Egbagbe, Eruke E.
    University of Benin, Nigeria.
    Eggertsen, Robert
    University of Gothenburg, Sweden.
    Ekelund, Ulf
    Norwegian School of Sport Sciences, Norway.
    El Ati, Jalila
    National Institute of Nutrition and Food Technology, Tunisia.
    Elliott, Paul
    Imperial College London, UK.
    Engle-Stone, Reina
    University of California Davis, USA.
    Erasmus, Rajiv T.
    University of Stellenbosch, South Africa.
    Erem, Cihangir
    Karadeniz Technical University, Turkey.
    Eriksen, Louise
    University of Southern Denmark, Denmark.
    Escobedo-De la Peña, Jorge
    Instituto Mexicano del Seguro Social, Mexico.
    Evans, Alun
    The Queen’s University of Belfast, UK.
    Faeh, David
    University of Zurich, Switzerland.
    Fall, Caroline H.
    University of Southampton, UK.
    Farzadfar, Farshad
    Tehran University of Medical Sciences, Iran.
    Felix-Redondo, Francisco J.
    Centro de Salud Villanueva Norte, Spain.
    Ferguson, Trevor S.
    The University of the West Indies, Jamaica.
    Fernández-Bergés, Daniel
    Hospital Don Benito-Villanueva de la Serena, Spain.
    Ferrante, Daniel
    Ministry of Health, Argentina.
    Ferrari, Marika
    Council for Agricultural Research and Economics, Italy.
    Ferreccio, Catterina
    Pontificia Universidad Católica de Chile, Chile.
    Ferrieres, Jean
    Toulouse University School of Medicine, France.
    Finn, Joseph D.
    University of Manchester, UK.
    Fischer, Krista
    University of Tartu, Estonia.
    Flores, Eric Monterubio
    Instituto Nacional de Salud Pública, Mexico.
    Föger, Bernhard
    Agency for Preventive and Social Medicine, Austria.
    Foo, Leng Huat
    Universiti Sains Malaysia, Malaysia.
    Forslund, Ann-Sofie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Forsner, Maria
    Dalarna University, Sweden.
    Fortmann, Stephen P.
    Stanford University, USA.
    Fouad, Heba M.
    World Health Organization Regional Office for the Eastern Mediterranean, Egypt.
    Francis, Damian K.
    The University of the West Indies, Jamaica.
    Franco, Maria Do Carmo
    Federal University of São Paulo, Brazil.
    Franco, Oscar H.
    Erasmus Medical Center Rotterdam, The Netherlands.
    Frontera, Guillermo
    Hospital Universitario Son Espases, Spain.
    Fuchs, Flavio D.
    Hospital de Clinicas de Porto Alegre, Brazil.
    Fuchs, Sandra C.
    Universidade Federal do Rio Grande do Sul, Brazil.
    Fujita, Yuki
    Kindai University, Faculty of Medicine, Japan.
    Furusawa, Takuro
    Kyoto University, Japan.
    Gaciong, Zbigniew
    Medical University of Warsaw, Poland.
    Gafencu, Mihai
    Victor Babes University of Medicine and Pharmacy Timisoara, Romania.
    Gareta, Dickman
    University of KwaZulu-Natal, South Africa.
    Garnett, Sarah P.
    The University of the West Indies, Jamaica.
    Gaspoz, Jean-Michel
    Geneva University Hospitals, Switzerland.
    Gasull, Magda
    CIBER en Epidemiología y Salud Pública, Spain.
    Gates, Louise
    Australian Bureau of Statistics, Australia.
    Geleijnse, Johanna M.
    Wageningen University, The Netherlands.
    Ghasemian, Anoosheh
    Non-Communicable Diseases Research Center, Iran.
    Giampaoli, Simona
    Mahidol University, Thailand.
    Gianfagna, Francesco
    University of Insubria, Italy.
    Giovannelli, Jonathan
    Lille University and Hospital, France.
    Giwercman, Aleksander
    Lund University, Sweden.
    Goldsmith, Rebecca A.
    Nutrition Department, Ministry of Health, Israel.
    Gonçalves, Helen
    Federal University of Pelotas, Brazil.
    Gross, Marcela Gonzalez
    Universidad Politécnica de Madrid, Spain.
    Rivas, Juan P. González
    The Andes Clinic of Cardio-Metabolic Studies, Venezuela.
    Gorbea, Mariano Bonet
    National Institute of Hygiene, Epidemiology and Microbiology, Cuba.
    Gottrand, Frederic
    Université de Lille 2, France.
    Graff-Iversen, Sidsel
    Norwegian Institute of Public Health, Norway.
    Grafnetter, Dušan
    Institute for Clinical and Experimental Medicine, Czech Republic.
    Grajda, Aneta
    Children’s Memorial Health Institute, Poland.
    Grammatikopoulou, Maria G.
    Alexander Technological Educational Institute, Greece.
    Gregor, Ronald D.
    Dalhousie University, Canada.
    Grodzicki, Tomasz
    Jagiellonian University Medical College, Poland.
    Grøntved, Anders
    University of Southern Denmark, Denmark.
    Gruden, Grabriella
    University of Turin, Italy.
    Grujic, Vera
    University of Novi Sad, Serbia.
    Gu, Dongfeng
    National Center of Cardiovascular Diseases, China.
    Gualdi-Russo, Emanuela
    University of Ferrara, Italy.
    Guan, Ong Peng
    Singapore Eye Research Institute, Singapore.
    Gudnason, Vilmundur
    Icelandic Heart Association, Iceland.
    Guerrero, Ramiro
    Universidad Icesi, Colombia.
    Guessous, Idris
    Geneva University Hospitals, Switzerland.
    Guimaraes, Andre L.
    State University of Montes Claros, Brazil.
    Gulliford, Martin C.
    King’s College London, UK.
    Gunnlaugsdottir, Johanna
    Icelandic Heart Association, Iceland.
    Gunter, Marc
    Imperial College London, UK.
    Guo, Xiuhua
    Capital Medical University, China.
    Guo, Yin
    Capital Medical University, China.
    Gupta, Prakash C.
    Healis-Sekhsaria Institute for Public Health, India.
    Gureje, Oye
    University of Ibadan, Nigeria.
    Gurzkowska, Beata
    Children’s Memorial Health Institute, Poland.
    Gutierrez, Laura
    Institute for Clinical Effectiveness and Health Policy, Argentina.
    Gutzwiller, Felix
    University of Zurich, Switzerland.
    Halkjær, Jytte
    Danish Cancer Society Research Centre, Denmark.
    Hambleton, Ian R.
    The University of the West Indies, Barbados.
    Hardy, Rebecca
    University College London, UK.
    Kumar, Rachakulla Hari
    Indian Council of Medical Research, India.
    Hata, Jun
    Kyushu University, Japan.
    Hayes, Alison J.
    University of Sydney, Australia.
    He, Jiang
    Tulane University, USA.
    Hendriks, Marleen Elisabeth
    Academic Medical Center of University of Amsterdam, The Netherlands.
    Cadena, Leticia Hernandez
    National Institute of Public Health, Mexico.
    Herrala, Sauli
    Oulu University Hospital, Finland.
    Heshmat, Ramin
    Chronic Diseases Research Center, Iran.
    Hihtaniemi, Ilpo Tapani
    Imperial College London, UK.
    Ho, Sai Yin
    University of Hong Kong, China.
    Ho, Suzanne C.
    The Chinese University of Hong Kong, China.
    Hobbs, Michael
    University of Western Australia, Australia.
    Hofman, Albert
    Erasmus Medical Center Rotterdam, The Netherlands.
    Hormiga, Claudia M.
    Fundación Oftalmológica de Santander, Colombia.
    Horta, Bernardo L.
    Universidade Federal de Pelotas, Brazil.
    Houti, Leila
    University of Oran 1, Algeria.
    Howitt, Christina
    The University of the West Indies, Barbados.
    Htay, Thein Thein
    Independent Public Health Specialist, Myanmar.
    Htet, Aung Soe
    University of Oslo, Norway.
    Htike, Maung Maung Than
    International Realtions Division, Nay Pyi Taw.
    Hu, Yonghua
    Peking University Health Science Center, China.
    Husseini, Abdullatif
    Birzeit University, Palestine.
    Huu, Chinh Nguyen
    National Institute of Nutrition, Vietnam.
    Huybrechts, Inge
    International Agency for Research on Cancer, France.
    Hwalla, Nahla
    American University of Beirut, Lebanon.
    Iacoviello, Licia
    IRCCS Istituto Neurologico Mediterraneo Neuromed, Italy.
    Iannone, Anna G.
    Cardiologia di Mercato S. Severino, Italy.
    Ibrahim, Mohsen M.
    Cairo University, Egypt.
    Ikeda, Nayu
    National Institute of Health and Nutrition, Japan.
    Ikram, M. Arfan
    Erasmus Medical Center Rotterdam, The Netherlands.
    Irazola, Vilma E.
    Institute for Clinical Effectiveness and Health Policy, Argentina.
    Islam, Muhammad
    The Aga Khan University, Pakistan.
    Ivkovic, Vanja
    UHC Zagreb, Croatia.
    Iwasaki, Masanori
    Niigata University, Japan.
    Jackson, Rod T.
    University of Auckland, New Zealand.
    Jacobs, Jeremy M.
    Hadassah University Medical Center, Israel.
    Jafar, Tazeen
    Duke-NUS Graduate Medical School, Singapore.
    Jamil, Kazi M.
    Kuwait Institute for Scientific Research, Kuwait.
    Jamrozik, Konrad
    The University of Adelaide, Australia.
    Janszky, Imre
    Norwegian University of Science and Technology, Norway.
    Jasienska, Grazyna
    Jagiellonian University Medical College, Poland.
    Jelakovic, Bojan
    University of Zagreb School of Medicine, Croatia.
    Jiang, Chao Qiang
    Guangzhou 12th Hospital, China.
    Joffres, Michel
    Simon Fraser University, Canada.
    Johansson, Mattias
    International Agency for Research on Cancer, France.
    Jonas, Jost B.
    Ruprecht-Karls-University of Heidelberg, Germany.
    Jørgensen, Torben
    Research Centre for Prevention and Health, Denmark.
    Joshi, Pradeep
    World Health Organization Country Office, India.
    Juolevi, Anne
    National Institute for Health and Welfare, Finland.
    Jurak, Gregor
    University of Ljubljana, Slovenia.
    Jureša, Vesna
    University of Zagreb, Croatia.
    Kaaks, Rudolf
    German Cancer Research Center, Germany.
    Kafatos, Anthony
    University of Crete, Greece.
    Kalter-Leibovici, Ofra
    The Gertner Institute for Epidemiology and Health Policy Research, Israel.
    Kapantais, Efthymios
    Hellenic Medical Association for Obesity, Greece.
    Kasaeian, Amir
    Tehran University of Medical Science, Iran.
    Katz, Joanne
    Johns Hopkins Bloomberg School of Public Health, USA.
    Kaur, Prabhdeep
    National Institute of Epidemiology, India.
    Kavousi, Maryam
    Erasmus Medical Center Rotterdam, The Netherlands.
    Keil, Ulrich
    University of Münster, Germany.
    Boker, Lital Keinan
    Israel Center for Disease Control, Israel.
    Keinänen-Kiukaanniemi, Sirkka
    Oulu University Hospital, Finland.
    Kelishadi, Roya
    Research Institute for Primordial Prevention of Non Communicable Disease, Iran.
    Kemper, Han CG
    VU University Medical Center, The Netherlands.
    Kengne, Andre P.
    South African Medical Research Council, South Africa.
    Kersting, Mathilde
    Research Institute of Child Nutrition, Germany.
    Key, Timothy
    University of Oxford, UK.
    Khader, Yousef Saleh
    Jordan University of Science and Technology, Jordan.
    Khalili, Davood
    Shahid Beheshti University of Medical Sciences, Iran.
    Khang, Young-Ho
    Seoul National University, South Korea.
    Khaw, Kay-Tee H.
    University of Cambridge, UK.
    Khouw, Ilse M. S. L.
    FrieslandCampina, Singapore.
    Kiechl, Stefan
    Medical University Innsbruck, Austria.
    Killewo, Japhet
    Muhimbili University of Health and Allied Sciences, Tanzania.
    Kim, Jeongseon
    National Cancer Center, South Korea.
    Klimont, Jeannette
    Statistics Austria, Austria.
    Klumbiene, Jurate
    Lithuanian University of Health Sciences, Lithuania.
    Koirala, Bhawesh
    B P Koirala Institute of Health Sciences, Nepal.
    Kolle, Elin
    Norwegian School of Sport Sciences, Norway.
    Kolsteren, Patrick
    Institute of Tropical Medicine, Belgium.
    Korrovits, Paul
    Tartu University Clinics, Estonia.
    Koskinen, Seppo
    National Institute for Health and Welfare, Finland.
    Kouda, Katsuyasu
    Kindai University, Faculty of Medicine, Japan.
    Koziel, Slawomir
    Polish Academy of Sciences Anthropology Unit in Wroclaw, Poland.
    Kratzer, Wolfgang
    University Hospital Ulm, Germany.
    Krokstad, Steinar
    Norwegian University of Science and Technology, Norway.
    Kromhout, Daan
    Wageningen University, The Netherlands.
    Kruger, Herculina S.
    North-West University, South Africa.
    Kubinova, Ruzena
    National Institute of Public Health, Czech Republic.
    Kujala, Urho M.
    University of Jyväskylä, Finland.
    Kula, Krzysztof
    Medical University of Lodz, Poland.
    Kulaga, Zbigniew
    The Children’s Memorial Health Institute, Poland.
    Kumar, R. Krishna
    Amrita Institute of Medical Sciences, India.
    Kurjata, Pawel
    The Cardinal Wyszynski Institute of Cardiology, Poland.
    Kusuma, Yadlapalli S.
    All India Institute of Medical Sciences, India.
    Kuulasmaa, Kari
    National Institute for Health and Welfare, Finland.
    Kyobutungi, Catherine
    African Population and Health Research Center, Kenya.
    Laamiri, Fatima Zahra
    Higher Institute of Nursing Professions and Technical Health, Morocco.
    Laatikainen, Tiina
    National Institute for Health and Welfare, Finland.
    Lachat, Carl
    Ghent University, Belgium.
    Laid, Youcef
    National Institute of Public Health of Algeria, Algeria.
    Lam, Tai Hing
    University of Hong Kong, China.
    Landrove, Orlando
    Ministerio de Salud Pública, Cuba.
    Lanska, Vera
    Institute for Clinical and Experimental Medicine, Czech Republic.
    Lappas, Georg
    Sahlgrenska Academy, Sweden.
    Larijani, Bagher
    Endocrinology and Metabolism Research Center, Iran.
    Laugsand, Lars E.
    Norwegian University of Science and Technology, Norway.
    Bao, Khanh Le Nguyen
    National Institute of Nutrition, Vietnam.
    Le, Tuyen D.
    National Institute of Nutrition, Vietnam.
    Leclercq, Catherine
    Food and Agriculture Organization, Italy.
    Lee, Jeannette
    National University of Singapore, Singapore.
    Lee, Jeonghee
    National Cancer Center, South Korea.
    Lehtimäki, Terho
    Tampere University Hospital, Finland.
    Lekhraj, Rampal
    Universiti Putra Malaysia, Malaysia.
    León-Muñoz, Luz M.
    Universidad Autónoma de Madrid, Spain.
    Li, Yanping
    Harvard T.H. Chan School of Public Health, USA.
    Lilly, Christa L.
    West Virginia University, USA.
    Lim, Wei-Yen
    National University of Singapore, Singapore.
    Lima-Costa, M. Fernanda
    Oswaldo Cruz Foundation Rene Rachou Research Institute, Brazil.
    Lin, Hsien-Ho
    National Taiwan University, Taiwan.
    Lin, Xu
    University of Chinese Academy of Sciences, China.
    Linneberg, Allan
    Research Centre for Prevention and Health, Denmark.
    Lissner, Lauren
    University of Gothenburg, Sweden.
    Litwin, Mieczyslaw
    The Children’s Memorial Health Institute, Poland.
    Liu, Jing
    Beijing Anzhen Hospital, Capital Medical University, China.
    Lorbeer, Roberto
    University Medicine Greifswald, Germany.
    Lotufo, Paulo A.
    University of São Paulo, Brazil.
    Lozano, José Eugenio
    Consejería de Sanidad Junta de Castilla y León, Spain.
    Luksiene, Dalia
    Lithuanian University of Health Sciences, Lithuania.
    Lundqvist, Annamari
    National Institute for Health and Welfare, Finland.
    Lunet, Nuno
    Universidade do Porto, Portugal.
    Lytsy, Per
    University of Uppsala, Sweden.
    Ma, Guansheng
    Peking University, China.
    Ma, Jun
    Peking University, China.
    Machado-Coelho, George LL
    Universidade Federal de Ouro Preto, Brazil.
    Machi, Suka
    The Jikei University School of Medicine, Japan.
    Maggi, Stefania
    National Research Council, Italy.
    Magliano, Dianna J.
    Baker IDI Heart and Diabetes Institute, Australia.
    Maire, Bernard
    Institut de Recherche pour le Développement, France.
    Makdisse, Marcia
    Hospital Israelita Albert Einstein, Brazil.
    Malekzadeh, Reza
    Tehran University of Medical Sciences, Iran.
    Malhotra, Rahul
    Duke-NUS Graduate Medical School, Singapore.
    Rao, Kodavanti Mallikharjuna
    Indian Council of Medical Research, India.
    Malyutina, Sofia
    Institute of Internal and Preventive Medicine, Russia.
    Manios, Yannis
    Harokopio University, Greece.
    Mann, Jim I.
    University of Otago, New Zealand.
    Manzato, Enzo
    University of Padova, Italy.
    Margozzini, Paula
    Pontificia Universidad Católica de Chile, Chile.
    Markey, Oonagh
    University of Reading, UK.
    Marques-Vidal, Pedro
    Lausanne University Hospital, Switzerland.
    Marrugat, Jaume
    Institut Hospital del Mar d’Investigacions Mèdiques, Spain.
    Martin-Prevel, Yves
    Institut de Recherche pour le Développement, France.
    Martorell, Reynaldo
    Emory University, USA.
    Masoodi, Shariq R.
    Sher-i-Kashmir Institute of Medical Sciences, India.
    Mathiesen, Ellisiv B.
    UiT The Arctic University of Norway, Norway.
    Matsha, Tandi E.
    Cape Peninsula University of Technology, South Africa.
    Mazur, Artur
    University of Rzeszow, Poland.
    Mbanya, Jean Claude N.
    University of Yaoundé 1, Cameroon.
    McFarlane, Shelly R.
    The University of the West Indies, Jamaica.
    McGarvey, Stephen T.
    Brown University, USA.
    McKee, Martin
    London School of Hygiene & Tropical Medicine, UK.
    McLachlan, Stela
    University of Edinburgh, UK.
    McLean, Rachael M.
    University of Otago, New Zealand.
    McNulty, Breige A.
    University College Dublin, Ireland.
    Yusof, Safiah Md
    Universiti Teknologi MARA, Malaysia.
    Mediene-Benchekor, Sounnia
    University of Oran 1, Algeria.
    Meirhaeghe, Aline
    Institut National de la Santé et de la Recherche Médicale, France.
    Meisinger, Christa
    Helmholtz Zentrum München, Germany.
    Menezes, Ana Maria B.
    Universidade Federal de Pelotas, Brazil.
    Mensink, Gert B. M.
    Robert Koch Institute, Germany.
    Meshram, Indrapal I.
    Indian Council of Medical Research, India.
    Metspalu, Andres
    University of Tartu, Estonia.
    Mi, Jie
    Capital Institute of Pediatrics, China.
    Michaelsen, Kim F.
    University of Copenhagen, Denmark.
    Mikkel, Kairit
    University of Tartu, Estonia.
    Miller, Jody C.
    University of Otago, New Zealand.
    Miquel, Juan Francisco
    Pontificia Universidad Católica de Chile, Chile.
    Miranda, J. Jaime
    Universidad Peruana Cayetano Heredia, Peru.
    Mišigoj-Durakovic, Marjeta
    University of Zagreb, Croatia.
    Mohamed, Mostafa K.
    Ain Shams University, Egypt.
    Mohammad, Kazem
    Tehran University of Medical Sciences, Iran.
    Mohammadifard, Noushin
    Isfahan Cardiovascular Research Center, Iran.
    Mohan, Viswanathan
    Madras Diabetes Research Foundation, India.
    Yusoff, Muhammad Fadhli Mohd
    Ministry of Health Malaysia, Malaysia.
    Molbo, Drude
    University of Copenhagen, Denmark.
    Møller, Niels C.
    University of Southern Denmark, Denmark.
    Molnár, Dénes
    University of Pécs, Hungary.
    Mondo, Charles K.
    Mulago Hospital, Uganda.
    Monterrubio, Eric A.
    Instituto Nacional de Salud Pública, Mexico.
    Monyeki, Kotsedi Daniel K.
    University of Limpopo, South Africa.
    Moreira, Leila B.
    Universidade Federal do Rio Grande do Sul, Brazil.
    Morejon, Alain
    University Medical Science, Cuba.
    Moreno, Luis A.
    Universidad de Zaragoza, Spain.
    Morgan, Karen
    RCSI Dublin, Ireland.
    Mortensen, Erik Lykke
    University of Copenhagen, Denmark.
    Moschonis, George
    Harokopio University, Greece.
    Mossakowska, Malgorzata
    International Institute of Molecular and Cell Biology, Poland.
    Mostafa, Aya
    Ain Shams University, Egypt.
    Mota, Jorge
    University of Porto, Portugal.
    Motlagh, Mohammad Esmaeel
    Ahvaz Jundishapur University of Medical Sciences, Iran.
    Motta, Jorge
    Gorgas Memorial Institute of Public Health, Panama.
    Mu, Thet Thet
    Department of Public Health, Myanmar.
    Muiesan, Maria Lorenza
    University of Brescia, Italy.
    Müller-Nurasyid, Martina
    Helmholtz Zentrum München, Germany.
    Murphy, Neil
    Imperial College London, UK.
    Mursu, Jaakko
    University of Eastern Finland, Finland.
    Murtagh, Elaine M.
    Mary Immaculate College, Ireland.
    Musa, Kamarul Imran
    Universiti Sains Malaysia, Kota Bharu, Malaysia.
    Musil, Vera
    University of Zagreb, Croatia.
    Nagel, Gabriele
    Ulm University, Germany.
    Nakamura, Harunobu
    Kobe University, Japan.
    Námešná, Jana
    Regional Authority of Public Health, Banska Bystrica, Slovakia.
    Nang, Ei Ei K.
    National University of Singapore, Singapore.
    Nangia, Vinay B.
    Suraj Eye Institute, India.
    Nankap, Martin
    Helen Keller International, Cameroon.
    Narake, Sameer
    Healis-Sekhsaria Institute for Public Health, India.
    Navarrete-Muñoz, Eva Maria
    CIBER en Epidemiología y Salud Pública, Spain.
    Neal, William A.
    West Virginia University, USA.
    Nenko, Ilona
    Jagiellonian University Medical College, Poland.
    Neovius, Martin
    Karolinska Institutet, Sweden.
    Nervi, Flavio
    Pontificia Universidad Católica de Chile, Chile.
    Neuhauser, Hannelore K.
    Robert Koch Institute, Germany.
    Nguyen, Nguyen D.
    University of Pharmacy and Medicine of Ho Chi Minh City, Vietnam.
    Nguyen, Quang Ngoc
    Hanoi Medical University, Vietnam.
    Nieto-Martínez, Ramfis E.
    Universidad Centro-Occidental Lisandro Alvarado, Venezuela.
    Ning, Guang
    Shanghai Jiao-Tong University School of Medicine, China.
    Ninomiya, Toshiharu
    Kyushu University, Japan.
    Nishtar, Sania
    Heartfile, Pakistan.
    Noale, Marianna
    National Research Council, Italy.
    Norat, Teresa
    Imperial College London, UK.
    Noto, Davide
    University of Palermo, Italy.
    Nsour, Mohannad Al
    Eastern Mediterranean Public Health Network, Jordan.
    O’Reilly, Dermot
    The Queen’s University of Belfast, UK.
    Oh, Kyungwon
    Korea Centers for Disease Control and Prevention, South Korea.
    Olayan, Iman H.
    Kuwait Institute for Scientific Research, Kuwait.
    Olinto, Maria Teresa Anselmo
    University of Vale do Rio dos Sinos, Brazil.
    Oltarzewski, Maciej
    National Food and Nutrition Institute, Poland.
    Omar, Mohd A.
    Ministry of Health Malaysia, Malaysia.
    Onat, Altan
    Istanbul University, Turkey.
    Ordunez, Pedro
    Pan American Health Organization, USA.
    Ortiz, Ana P.
    University of Puerto Rico, Puerto Rico.
    Osler, Merete
    Research Center for Prevention and Health, Denmark.
    Osmond, Clive
    MRC Lifecourse Epidemiology Unit, UK.
    Ostojic, Sergej M.
    University of Novi Sad, Serbia.
    Otero, Johanna A.
    Fundación Oftalmológica de Santander, Colombia.
    Overvad, Kim
    Aarhus University, Denmark.
    Owusu-Dabo, Ellis
    Kwame Nkrumah University of Science and Technology, Ghana.
    Paccaud, Fred Michel
    Institute for Social and Preventive Medicine, Switzerland.
    Padez, Cristina
    University of Coimbra, Portugal.
    Pahomova, Elena
    University of Latvia, Latvia.
    Pajak, Andrzej
    Jagiellonian University Medical College, Poland.
    Palli, Domenico
    Cancer Prevention and Research Institute, Italy.
    Palloni, Alberto
    University of Wisconsin-Madison, USA.
    Palmieri, Luigi
    Istituto Superiore di Sanità, Italy.
    Panda-Jonas, Songhomitra
    Ruprecht-Karls-University of Heidelberg, Germany.
    Panza, Francesco
    University of Bari, Italy.
    Parnell, Winsome R.
    University of Otago, New Zealand.
    Parsaeian, Mahboubeh
    Tehran University of Medical Sciences, Iran.
    Pecin, Ivan
    University of Zagreb, Croatia.
    Pednekar, Mangesh S.
    Healis-Sekhsaria Institute for Public Health, India.
    Peeters, Petra H.
    University Medical Center Utrecht, The Netherlands.
    Peixoto, Sergio Viana
    Oswaldo Cruz Foundation Rene Rachou Research Institute, Brazil.
    Peltonen, Markku
    National Institute for Health and Welfare, Finland.
    Pereira, Alexandre C.
    Heart Institute, Brazil.
    Pérez, Cynthia M.
    University of Puerto Rico, Puerto Rico.
    Peters, Annette
    Helmholtz Zentrum München, Germany.
    Petkeviciene, Janina
    Lithuanian University of Health Sciences, Lithuania.
    Peykari, Niloofar
    Non-Communicable Diseases Research Center, Iran.
    Pham, Son Thai
    Vietnam National Heart Institute, Vietnam.
    Pigeot, Iris
    Leibniz Institute for Prevention Research and Epidemiology-BIPS, Germany.
    Pikhart, Hynek
    University College London, UK.
    Pilav, Aida
    Federal Ministry of Health, Bosnia and Herzegovina.
    Pilotto, Lorenza
    Cardiovascular Prevention Centre, Italy.
    Pistelli, Francesco
    University Hospital of Pisa, Italy.
    Pitakaka, Freda
    University of New South Wales, Australia.
    Piwonska, Aleksandra
    The Cardinal Wyszynski Institute of Cardiology, Poland.
    Plans-Rubió, Pedro
    Public Health Agency of Catalonia, Spain.
    Poh, Bee Koon
    Universiti Kebangsaan Malaysia, Malaysia.
    Porta, Miquel
    Institut Hospital del Mar d’Investigacions Mèdiques, Spain.
    Portegies, Marileen L. P.
    Erasmus Medical Center Rotterdam, The Netherlands.
    Poulimeneas, Dimitrios
    Alexander Technological Educational Institute, Greece.
    Pradeepa, Rajendra
    Madras Diabetes Research Foundation, India.
    Prashant, Mathur
    Indian Council of Medical Research, India.
    Price, Jacqueline F.
    University of Edinburgh, UK.
    Puiu, Maria
    Victor Babes University of Medicine and Pharmacy Timisoara, Romania.
    Punab, Margus
    Tartu University Clinics, Estonia.
    Qasrawi, Radwan F.
    Al-Quds University, Palestine.
    Qorbani, Mostafa
    Alborz University of Medical Sciences, Iran.
    Bao, Tran Quoc
    Ministry of Health, Vietnam.
    Radic, Ivana
    University of Novi Sad, Serbia.
    Radisauskas, Ricardas
    Lithuanian University of Health Sciences, Lithuania.
    Rahman, Mahmudur
    Institute of Epidemiology Disease Control and Research, Bangladesh.
    Raitakari, Olli
    Turku University Hospital, Finland.
    Raj, Manu
    Amrita Institute of Medical Sciences, India.
    Rao, Sudha Ramachandra
    National Institute of Epidemiology, India.
    Ramachandran, Ambady
    India Diabetes Research Foundation, India.
    Ramke, Jacqueline
    University of New South Wales, Australia.
    Ramos, Rafel
    Institut Universitari d’Investigació en Atenció Primària Jordi Gol, Spain.
    Rampal, Sanjay
    University of Malaya, Malaysia.
    Rasmussen, Finn
    Karolinska Institutet, Sweden.
    Redon, Josep
    University of Valencia, Spain.
    Reganit, Paul Ferdinand M.
    University of the Philippines, Philippines.
    Ribeiro, Robespierre
    Minas Gerais State Secretariat for Health, Brazil.
    Rigo, Fernando
    Health Center San Agustín, Spain.
    de Wit, Tobias F. Rinke
    PharmAccess Foundation, The Netherlands.
    Ritti-Dias, Raphael M.
    Hospital Israelita Albert Einstein, Brazil.
    Rivera, Juan A.
    Instituto Nacional de Salud Pública, Mexico.
    Robinson, Sian M.
    University of Southampton, UK.
    Robitaille, Cynthia
    Public Health Agency of Canada, Canada.
    Rodríguez-Artalejo, Fernando
    Universidad Autónoma de Madrid, Spain.
    Rodriguez-Perez, María Del Cristo
    Canarian Health Service, Spain.
    Rodríguez-Villamizar, Laura A.
    Universidad Industrial de Santander, Colombia.
    Rojas-Martinez, Rosalba
    Instituto Nacional de Salud Pública, Mexico.
    Rojroongwasinkul, Nipa
    Mahidol University, Thailand.
    Romaguera, Dora
    CIBEROBN, Spain.
    Ronkainen, Kimmo
    University of Eastern Finland, Finland.
    Rosengren, Annika
    University of Gothenburg, Sweden.
    Rouse, Ian
    Fiji National University, Fiji.
    Rubinstein, Adolfo
    Institute for Clinical Effectiveness and Health Policy, Argentina.
    Rühli, Frank J.
    University of Zurich, Switzerland.
    Rui, Ornelas
    University of Madeira, Portugal.
    Ruiz-Betancourt, Blanca Sandra
    Instituto Mexicano del Seguro Social, Mexico.
    Horimoto, Andrea R. V. Russo
    Heart Institute, Brazil.
    Rutkowski, Marcin
    Medical University of Gdansk, Poland.
    Sabanayagam, Charumathi
    Singapore Eye Research Institute, Singapore.
    Sachdev, Harshpal S.
    Sitaram Bhartia Institute of Science and Research, India.
    Saidi, Olfa
    Faculty of medicine of Tunis, Tunisia.
    Salanave, Benoit
    French Public Health Agency, France.
    Martinez, Eduardo Salazar
    National Institute of Public Health, Mexico.
    Salomaa, Veikko
    National Institute for Health and Welfare, Finland.
    Salonen, Jukka T.
    University of Helsinki, Finland.
    Salvetti, Massimo
    University of Brescia, Italy.
    Sánchez-Abanto, Jose
    National Institute of Health, Peru.
    Sandjaja,
    Ministry of Health, Indonesia.
    Sans, Susana
    Catalan Department of Health, Spain.
    Santos, Diana A.
    Universidade de Lisboa, Portugal.
    Santos, Osvaldo
    Institute of Preventive Medicine and Public Health, Portugal.
    Dos Santos, Renata Nunes
    University of Sao Paulo Clinics Hospital, Brazil.
    Santos, Rute
    University of Porto, Portugal.
    Saramies, Jouko L.
    South Karelia Social and Health Care District, Finland.
    Sardinha, Luis B.
    Universidade de Lisboa, Portugal.
    Sarrafzadegan, Nizal
    Isfahan Cardiovascular Research Center, Iran.
    Saum, Kai-Uwe
    German Cancer Research Center, Germany.
    Savva, Savvas C.
    Research and Education Institute of Child Health, Cyprus.
    Scazufca, Marcia
    University of Sao Paulo Clinics Hospital, Brazil.
    Rosario, Angelika Schaffrath
    Robert Koch Institute, Germany.
    Schargrodsky, Herman
    Hospital Italiano de Buenos Aires, Argentina.
    Schienkiewitz, Anja
    Robert Koch Institute, Germany.
    Schmidt, Ida Maria
    Rigshospitalet, Denmark.
    Schneider, Ione J.
    Federal University of Santa Catarina, Brazil.
    Schultsz, Constance
    Academic Medical Center of University of Amsterdam, The Netherlands.
    Schutte, Aletta E.
    MRC North-West University, South Africa.
    Sein, Aye Aye
    Ministry of Health, Myanmar.
    Sen, Abhijit
    Norwegian University of Science and Technology, Norway.
    Senbanjo, Idowu O.
    Lagos State University College of Medicine, Nigeria.
    Sepanlou, Sadaf G.
    Digestive Diseases Research Institute, Iran.
    Shalnova, Svetlana A.
    National Research Centre for Preventive Medicine, Russia.
    Sharma, Sanjib K.
    B P Koirala Institute of Health Sciences, Nepal.
    Shaw, Jonathan E.
    Baker IDI Heart and Diabetes Institute, Australia.
    Shibuya, Kenji
    The University of Tokyo, Japan.
    Shin, Dong Wook
    Seoul National University College of Medicine, South Korea.
    Shin, Youchan
    Singapore Eye Research Institute, Singapore.
    Shiri, Rahman
    Finnish Institute of Occupational Health, Finland.
    Siantar, Rosalynn
    Singapore Eye Research Institute, Singapore.
    Sibai, Abla M.
    American University of Beirut, Lebanon.
    Silva, Antonio M.
    Federal University of Maranhao, Brazil.
    Silva, Diego Augusto Santos
    Federal University of Santa Catarina, Brazil.
    Simon, Mary
    India Diabetes Research Foundation, India.
    Simons, Judith
    St Vincent’s Hospital, Australia.
    Simons, Leon A.
    University of New South Wales, Australia.
    Sjostrom, Michael
    Karolinska Institutet, Sweden.
    Slowikowska-Hilczer, Jolanta
    Medical University of Lodz, Poland.
    Slusarczyk, Przemyslaw
    International Institute of Molecular and Cell Biology, Poland.
    Smeeth, Liam
    London School of Hygiene & Tropical Medicine, UK.
    Smith, Margaret C.
    University of Oxford, UK.
    Snijder, Marieke B.
    Academic Medical Center of University of Amsterdam, The Netherlands.
    So, Hung-Kwan
    The Chinese University of Hong Kong, China.
    Sobngwi, Eugène
    University of Yaoundé 1, Cameroon.
    Söderberg, Stefan
    Umeå University, Sweden.
    Soekatri, Moesijanti YE
    Health Polytechnics Institute, Indonesia.
    Solfrizzi, Vincenzo
    University of Bari, Italy.
    Sonestedt, Emily
    Lund University, Sweden.
    Song, Yi
    Peking University, China.
    Sørensen, Thorkild I. A.
    University of Copenhagen, Denmark.
    Soric, Maroje
    University of Zagreb, Croatia.
    Jérome, Charles Sossa
    Institut Régional de Santé Publique, West Africa.
    Soumare, Aicha
    University of Bordeaux, France.
    Staessen, Jan A.
    University of Leuven, Belgium.
    Starc, Gregor
    University of Ljubljana, Slovenia.
    Stathopoulou, Maria G.
    INSERM, France.
    Staub, Kaspar
    University of Zurich, Switzerland.
    Stavreski, Bill
    Heart Foundation, Australia.
    Steene-Johannessen, Jostein
    Norwegian School of Sport Sciences, Norway.
    Stehle, Peter
    Bonn University, Germany.
    Stein, Aryeh D.
    Emory University, USA.
    Stergiou, George S.
    Sotiria Hospital, Greece.
    Stessman, Jochanan
    Hadassah University Medical Center, Israel.
    Stieber, Jutta
    Helmholtz Zentrum München, Germany.
    Stöckl, Doris
    Helmholtz Zentrum München, Germany.
    Stocks, Tanja
    Lund University, Sweden.
    Stokwiszewski, Jakub
    National Institute of Public Health-National Institute of Hygiene, Poland.
    Stratton, Gareth
    Swansea University, UK.
    Stronks, Karien
    University of Amsterdam, The Netherlands.
    Strufaldi, Maria Wany
    Federal University of São Paulo, Brazil.
    Sun, Chien-An
    Fu Jen Catholic University, Taiwan.
    Sundström, Johan
    Uppsala University, Sweden.
    Sung, Yn-Tz
    The Chinese University of Hong Kong, China.
    Sunyer, Jordi
    ISGlobal Centre for Research in Environmental Epidemiology, Spain.
    Suriyawongpaisal, Paibul
    Mahidol University, Thailand.
    Swinburn, Boyd A.
    The University of Auckland, New Zealand.
    Sy, Rody G.
    University of the Philippines, Philippines.
    Szponar, Lucjan
    National Food and Nutrition Institute, Poland.
    Tai, E. Shyong
    National University of Singapore, Singapore.
    Tammesoo, Mari-Liis
    University of Tartu, Estonia.
    Tamosiunas, Abdonas
    Lithuanian University of Health Sciences, Lithuania.
    Tang, Line
    Research Centre for Prevention and Health, Denmark.
    Tang, Xun
    Peking University Health Science Center, China.
    Tanser, Frank
    University of KwaZulu-Natal, South Africa.
    Tao, Yong
    Peking University, China.
    Tarawneh, Mohammed Rasoul
    Ministry of Health, Jordan.
    Tarp, Jakob
    University of Southern Denmark, Denmark.
    Tarqui-Mamani, Carolina B.
    National Institute of Health, Peru.
    Taylor, Anne
    The University of Adelaide, Australia.
    Tchibindat, Félicité
    UNICEF, Cameroon.
    Theobald, Holger
    Karolinska Institutet, Sweden.
    Thijs, Lutgarde
    University of Leuven, Belgium.
    Thuesen, Betina H.
    Research Centre for Prevention and Health, Denmark.
    Tjonneland, Anne
    Danish Cancer Society Research Centre, Denmark.
    Tolonen, Hanna K.
    National Institute for Health and Welfare, Finland.
    Tolstrup, Janne S.
    University of Southern Denmark, Denmark.
    Topbas, Murat
    Karadeniz Technical University, Turkey.
    Topór-Madry, Roman
    Jagiellonian University Medical College, Poland.
    Torrent, Maties
    IB-SALUT Area de Salut de Menorca, Spain.
    Toselli, Stefania
    University of Bologna, Italy.
    Traissac, Pierre
    Institut de Recherche pour le Développement, France.
    Trichopoulou, Antonia
    Hellenic Health Foundation, Greece.
    Trichopoulos, Dimitrios
    Harvard T.H. Chan School of Public Health, USA.
    Trinh, Oanh T. H.
    University of Pharmacy and Medicine of Ho Chi Minh City, Vietnam.
    Trivedi, Atul
    Government Medical College, India.
    Tshepo, Lechaba
    Sefako Makgatho Health Science University, South Africa.
    Tulloch-Reid, Marshall K.
    The University of the West Indies, Jamaica.
    Tuomainen, Tomi-Pekka
    University of Eastern Finland, Finland.
    Tuomilehto, Jaakko
    Dasman Diabetes Institute, Kuwait.
    Turley, Maria L.
    Ministry of Health, New Zealand.
    Tynelius, Per
    Karolinska Institutet, Sweden.
    Tzotzas, Themistoklis
    Hellenic Medical Association for Obesity, Greece.
    Tzourio, Christophe
    University of Bordeaux, France.
    Ueda, Peter
    Harvard T.H. Chan School of Public Health, USA.
    Ukoli, Flora A. M.
    Meharry Medical College, USA.
    Ulmer, Hanno
    Medical University of Innsbruck, Austria.
    Unal, Belgin
    Dokuz Eylul University, Turkey.
    Uusitalo, Hannu M. T.
    University of Tampere Tays Eye Center, Finland.
    Valdivia, Gonzalo
    Pontificia Universidad Católica de Chile, Chile.
    Vale, Susana
    University of Porto, Portugal.
    Valvi, Damaskini
    Harvard T.H. Chan School of Public Health, USA.
    van der Schouw, Yvonne T.
    University Medical Center Utrecht, The Netherlands.
    Van Herck, Koen
    Ghent University, Belgium.
    Van Minh, Hoang
    Hanoi School of Public Health, Vietnam.
    van Rossem, Lenie
    University Medical Center Utrecht, The Netherlands.
    van Valkengoed, Irene GM
    Academic Medical Center of University of Amsterdam, The Netherlands.
    Vanderschueren, Dirk
    Katholieke Universiteit Leuven, Belgium.
    Vanuzzo, Diego
    Centro di Prevenzione Cardiovascolare Udine, Italy.
    Vatten, Lars
    Norwegian University of Science and Technology, Norway.
    Vega, Tomas
    Consejería de Sanidad Junta de Castilla y León, Spain.
    Velasquez-Melendez, Gustavo
    Universidade Federal de Minas Gerais, Brazil.
    Veronesi, Giovanni
    University of Insubria, Italy.
    Verschuren, WM Monique
    National Institute for Public Health and the Environment, The Netherlands.
    Verstraeten, Roosmarijn
    Institute of Tropical Medicine, Belgium.
    Victora, Cesar G.
    Universidade Federal de Pelotas, Brazil.
    Viegi, Giovanni
    Italian National Research Council, Italy.
    Viet, Lucie
    National Institute for Public Health and the Environment, The Netherlands.
    Viikari-Juntura, Eira
    Finnish Institute of Occupational Health, Finland.
    Vineis, Paolo
    Imperial College London, UK.
    Vioque, Jesus
    Universidad Miguel Hernandez, Spain.
    Virtanen, Jyrki K.
    University of Eastern Finland, Finland.
    Visvikis-Siest, Sophie
    INSERM, France.
    Viswanathan, Bharathi
    Ministry of Health, Seychelles.
    Vollenweider, Peter
    Lausanne University Hospital, Switzerland.
    Voutilainen, Sari
    University of Eastern Finland, Finland.
    Vrdoljak, Ana
    UHC Zagreb, Croatia.
    Vrijheid, Martine
    ISGlobal Centre for Research in Environmental Epidemiology, Spain.
    Wade, Alisha N.
    University of the Witwatersrand, South Africa.
    Wagner, Aline
    University of Strasbourg, France.
    Walton, Janette
    University College Cork, Ireland.
    Mohamud, Wan Nazaimoon Wan
    Institute for Medical Research, Malaysia.
    Wang, Ming-Dong
    Public Health Agency of Canada, Canada.
    Wang, Qian
    Xinjiang Medical University, China.
    Wang, Ya Xing
    Beijing Tongren Hospital, China.
    Wannamethee, S. Goya
    University College London, UK.
    Wareham, Nicholas
    University of Cambridge, UK.
    Weerasekera, Deepa
    Ministry of Health, New Zealand.
    Whincup, Peter H.
    St George’s, University of London, UK.
    Widhalm, Kurt
    Medical University of Vienna, Austria.
    Widyahening, Indah S.
    Universitas Indonesia, Indonesia.
    Wiecek, Andrzej
    Medical University of Silesia, Poland.
    Wijga, Alet H.
    National Institute for Public Health and the Environment, The Netherlands.
    Wilks, Rainford J.
    The University of the West Indies, Jamaica.
    Willeit, Johann
    Medical University Innsbruck, Austria.
    Wilsgaard, Tom
    UiT The Arctic University of Norway, Norway.
    Wojtyniak, Bogdan
    National Institute of Public Health-National Institute of Hygiene, Poland.
    Wong, Jyh Eiin
    Universiti Kebangsaan Malaysia, Malaysia.
    Wong, Tien Yin
    Duke-NUS Graduate Medical School, Singapore.
    Woo, Jean
    The Chinese University of Hong Kong, China.
    Woodward, Mark
    University of Sydney, Australia; University of Oxford, UK.
    Wu, Frederick C.
    University of Manchester, UK.
    Wu, Jianfeng
    Shandong University of Traditional Chinese Medicine, China.
    Wu, Shou Ling
    Kailuan General Hospital, China.
    Xu, Haiquan
    Institute of Food and Nutrition Development of Ministry of Agriculture, China.
    Xu, Liang
    Capital Medical University, China.
    Yamborisut, Uruwan
    Mahidol University, Thailand.
    Yan, Weili
    Children’s Hospital of Fudan University, China.
    Yang, Xiaoguang
    Chinese Center for Disease Control and Prevention, China.
    Yardim, Nazan
    Ministry of Health, Turkey.
    Ye, Xingwang
    University of Chinese Academy of Sciences, China.
    Yiallouros, Panayiotis K.
    University of Cyprus, Cyprus.
    Yoshihara, Akihiro
    Niigata University, Japan.
    You, Qi Sheng
    Capital Medical University, China.
    Younger-Coleman, Novie O.
    The University of the West Indies, Jamaica.
    Yusoff, Ahmad F.
    Ministry of Health Malaysia, Malaysia.
    Zainuddin, Ahmad A.
    Universiti Teknologi MARA, Malaysia.
    Zambon, Sabina
    University of Padova, Italy.
    Zdrojewski, Tomasz
    Medical University of Gdansk, Poland.
    Zeng, Yi
    Duke University, USA.
    Zhao, Dong
    Beijing Anzhen Hospital, Capital Medical University, China.
    Zhao, Wenhua
    Chinese Center for Disease Control and Prevention, China.
    Zheng, Yingfeng
    Singapore Eye Research Institute, Singapore.
    Zhou, Maigeng
    Chinese Center for Disease Control and Prevention, China.
    Zhu, Dan
    Ministry of Health, Turkey.
    Zimmermann, Esther
    University of Cyprus, Cyprus.
    Cisneros, Julio Zuñiga
    Gorgas Memorial Institute of Public Health, Panama.
    A century of trends in adult human height2016In: eLIFE, E-ISSN 2050-084X, Vol. 5, article id e13410Article in journal (Refereed)
    Abstract [en]

    Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5–22.7) and 16.5 cm (13.3– 19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8– 144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries.

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  • 67.
    Berell, Carolin
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nilsson, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Kvinnors upplevelser av cytostatika-relaterade biverkningar: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Cytostatika är en vanlig behandlingsmetod vid cancersjukdom där syftet kan vara kurativt, adjuvant eller palliativt. Behandlingen medför en rad olika biverkningar som till stor del kan påverka patientens dagliga liv. Syftet med denna litteraturstudie var att beskriva kvinnors upplevelser av cytostatika-relaterade biverkningar och hur dessa biverkningar påverkade deras dagliga liv. 13 vetenskapliga artiklar låg till grund för studien och analyserades utifrån kvalitativ innehållsanalys med en manifest ansats. Analysen resulterade i åtta innehållsområden med tillhörande kategorier som beskriver upplevelser relaterade till en specifik biverkning. Innehållsområdena var Illamående och kräkningar, Fatigue, Alopecia, Kognitiva förändringar, Kemosensoriska förändringar, Sköra slemhinnor, Klimakteriebesvär och Minskad sexuell lust. Vi anser att denna studie kan ligga till grund för sjukvårdspersonal i deras dagliga arbete och ge ytterligare kunskap och förståelse för hur varje biverkning kan upplevas. Studien kan också vara relevant för kvinnor och deras familjer som stöd, och att ge information om hur det kan upplevas och ge dem en känsla av att de inte är ensam som går igenom dessa problem.

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  • 68.
    Berg, Viktoria
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Vasara-Hammare, Stina
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Faktorer som påverkar arbetstillfredsställelse hos sjuksköterskor som arbetar i glesbygd: En integrerad litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sjuksköterskebrist är ett stort problem och rekrytering är särskilt svårt i glesbygden. Vårdarbete i glesbygden är komplext, där sjuksköterskor behöver vara flexibla och mångsidiga. Syftet med studien var att sammanställa kunskap om vad som påverkar arbetstillfredsställelse för sjuksköterskor som arbetar i glesbygd. En integrerad litteraturöversikt utfördes där 19 vetenskapliga artiklar valdes ut genom en systematisk databassökning och som därefter ingick i analysen. Av dessa hade elva kvantitativ ansats, fyra kvalitativ ansats och fyra hade mixad metodansats. Tre kategorier och nio subkategorier av faktorer som påverkade arbetstillfredsställelse framkom i resultatet. De kategorier som framkom var social förankring i glesbygden, sjuksköterskeprofessionen, samt organisation och vårdgivare. För att kunna rekrytera sjuksköterskor till glesbygd behövs kunskap om villkoren för att utföra omvårdnad i glesbygd, ett lyhört ledarskap, kontinuerlig fortbildning och adekvata resurser för sjuksköterskor så att de kan tillgodose patienters behov av vård och omvårdnad. Förslag på ytterligare forskning är att belysa sjuksköterskors arbetsvillkor i skandinaviska glesbygdsmiljöer för att få kunskap om möjligheter att bedriva vård och omvårdnad med god kvalitet i glesbygd.

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  • 69.
    Berglund, Johanna
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nygren Engin, Maria
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Upplevelser av att leva med traumatisk ryggmärgsskada: En litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Traumatisk ryggmärgsskada kan få förödande konsekvenser för individen och drabbar både den skadade och personens anhöriga. Skadan kan orsaka stort lidande och personerna behöver finna hopp om att det finns en framtid och återanpassa sig till det nya livet med skada. Syftet med litteraturstudien var att beskriva upplevelser av att leva med traumatisk ryggmärgsskada. Sex kategorier formades ur analysen, att känna sorg och förlust över livet som var, att känna sig deprimerad och önska ett bättre psykologiskt stöd, att känna sig exkluderad ur samhället och ha behov av sociala kontakter, att acceptera den nya identiteten och hitta fungerande vardagsrutiner, att inse vikten av relationer och gott stöd i vardagen samt att finna hopp och acceptans genom en kristen tro. Studien gjordes med en kvalitativ manifest innehållsanalys med en induktiv ansats och omfattade tio artiklar. Traumatiska skador överlag kan orsaka en stor sorg till följd av det förlorade jaget. Personerna hamnar i ett lidande där de kan genomgå flera olika faser efter händelsen. För att finna acceptans i den nya situationen kan personerna förväntas genomgå en transitionsprocess. Anhöriga drabbas också hårt och får inte bli förbisedda av vården. Att drabbas av en traumatisk ryggmärgsskada förändrar hela den skadade personens värld. Det är viktigt att sjuksköterskor har kunskap om hur personerna upplever den nya situationen, vilka behov de har och processen de genomgår för att komma tillbaka till livet. Kunskapen behövs för att kunna bemöta dem på ett bra sätt och ge goda förutsättningar för en lyckad rehabilitering både fysiskt och psykiskt.

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  • 70.
    Bergman, Maria
    et al.
    Division of Surgery, Sunderby Hospital.
    Stenudd, Monica
    Division of Surgery, Sunderby Hospital.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    The experience of being awake during orthopaedic surgery under regional anaesthesia2012In: International Journal of Orthopaedic and Trauma Nursing, ISSN 1878-1241, E-ISSN 1878-1292, Vol. 16, no 2, p. 88-96Article in journal (Refereed)
    Abstract [en]

    To undergo orthopaedic surgery and then return home the same day is becoming more common. People feel there are benefits with day surgery as it affects their daily life less than having to spend several days in hospital. The aim of this study was to describe people’s experience of being awake while undergoing orthopaedic surgery under regional anaesthesia. Ten people who had orthopaedic day surgery under regional anaesthesia participated; eight women and two men. Data were collected in personal, qualitative interviews and analysed using qualitative thematic content analysis. The analysis resulted in two themes and seven categories. The findings show that the staffs’ consideration and professionalism were significant for the participants’ wellbeing during surgery. The environment in the operating theatre ward is described as inspiring safety, calm and warmth. A good exchange of information between the person who will undergo orthopaedic surgery and the nurse does not depend primarily on how long they spend together; it is more about how they make contact with each other and how the nurse’s presence is experienced by the person.

  • 71.
    Bergman, Åsa
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Warnström, Ivy
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Faktorer av betydelse för patientsäker kommunikation vid telefonrådgivning på hälsocentraler: distriktssköterskors och sjuksköterskors perspektiv2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Abstrakt

    Telefonrådgivning är ett snabbt växande område som involverar allt fler sjuksköterskor och distriktssköterskor. Särskilt på hälsocentraler är telefonrådgivning ett nytt och allt mer omfattande arbetsmoment. En god kommunikation mellan sjuksköterska och patient kan förstärka patientsäkerheten vid telefonrådgivning. Syftet med studien var att undersöka faktorer av betydelse för patientsäker kommunikation vid telefonrådgivning på hälsocentraler utifrån distriktssköterskors och sjuksköterskors perspektiv. Metoden som använts är en tvärsnittsstudie, där en frågeenkät skickades ut via mail med länk till Google forms, till 70 distriktssköterskor och sjuksköterskor som arbetar på hälsocentraler i Norrbotten. Av de 70 enkäter som skickades ut besvarades 51, vilket gav en svarsfrekvens på 72,9%. Resultat visade att utbildning i telefonrådgivning gör att upplevelsen av stress minskar, distriktssköterskor och sjuksköterskor värderar erfarenhet som en av de viktigaste faktorerna för patientsäker kommunikation. Datoriserat beslutstöd, kunskap om samtalsprocessen, systematisk utveckling av samtal samt uppföljning och utvärdering av egna råd är andra faktorer av betydelse för patientsäker kommunikation. Slutsatser är att patientsäker kommunikation vid telefonrådgivning nås genom regelbunden utbildning och utveckling i kommunikationsfärdigheter samt tillgång till rätt stöd.

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  • 72.
    Bjarte, Johanna
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Libell, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ambulanssjuksköterskors strategier inför omhändertagande av barn2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 73.
    Bjurvald Gistedt, Alexander
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ambulanssjuksköterskors erfarenheter av prehospital hantering av ofri luftväg hos spädbarn2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Ambulanssjuksköterskors möte med akut sjuka barn är få och larmen med sjuka spädbarn är ännu färre. Med en ökad centralisering ökar även fenomenet av prehospitala förlossningar och i förlängningen exponeringen av det nyfödda barnet och deras eventuella komplikationer. Syftet: Beskriva ambulanssjuksköterskors erfarenheter av prehospital hantering av ofri luftväg hos spädbarn. Metod: En kvalitativ intervjustudie genomfördes med sju ambulanssjuksköterskor där datan analyserades med innehållsanalys. Resultat: Två kategorier: Att vara i behov av ökad kompetens och Att ge och få stöd är viktigt var resultatet av analysen. Ambulanssjuksköterskorna beskrev att de hade lite erfarenhet av luftvägshantering prehospitalt på spädbarn. De upplevde att deras utbildning var bristfällig i området. Allt detta beskrevs vara faktorer som skapade en negativ stress runt hela processen av omhändertagandet. De fann trots detta möjligheten att ge föräldrarna stöd och fann själva stöd hos sina kollegor både kompetensmässigt under tiden av omhändertagande och känslomässigt efteråt. Slutsats: Spädbarn med ofri luftväg är en patientgrupp med komplexa vårdbehov, där ambulanssjuksköterskan utmanas kompetensmässigt och känslomässigt. För att säkerställa en optimal och säker vård till dem, finns ett behov av ökad kunskap inom området. Detta skulle kunna skapa en känsla av trygghet hos personalen i en osäker situation som ett spädbarn med ofri luftväg innebär. Fortsatt forskning rekommenderas inom föräldrarnas perspektiv inom området.

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  • 74.
    Björk, Emma
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Jonsson, Kimberly
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Prehospital vård av patienter med kritiska tillstånd i glesbygd – sjuksköterskors upplevelser.2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Centralisering av sjukvård har bidragit till färre antal akutmottagningar. Antalet ambulanstransporter har blivit fler och avstånden till sjukhus längre, vilket ställer höga krav på ambulanspersonalens kompetens. I glesbygd ställs ambulanspersonalen ofta inför utmaningar då för få resurser finns att tillgå. Syfte: att beskriva sjuksköterskors upplevelser av att prehospitalt vårda patienter med kritiska tillstånd i glesbygd. Metod: Nio legitimerade sjuksköterskor som arbetade på två olika ambulansstationer belägna i glesbygd i Norra Sverige intervjuades med semistrukturerade intervjuer. Den transkriberade texten analyserades med kvalitativ innehållsanalys. Resultat: Analysen av intervjuerna resulterade i fem kategorier: Att långa avstånd förlänger vårdtiden, Att bristande resurser försvårar omhändertagandet, Att känna sig ensam och otillräcklig, Att trygghet i teamet stärker omvårdnaden av patienten, Att utbildning och utveckling bidrar till ökad trygghet. Sjuksköterskorna i ambulans i glesbygdstudien upplevde att det var påfrestande att stå ensam med stora och för patienten livsavgörande beslut. De upplevde att arbetet krävde mycket av dem som sjuksköterskor då de fick vårda patienter med kritiska tillstånd under en lång tid på grund av långa avstånd och samtidigt hade för få resurser att tillgå. Vidare upplevdes arbetet som utmanande och deltagarna beskrev att de alltid försökte lösa situationerna efter de förutsättningar som fanns. Ett väl fungerande samarbete med kollegor beskrevs vara viktigt. Sjuksköterskorna beskrev även att det var viktigt att ha en bred kompetens inom akutsjukvård. Slutsats: Prehospital vård i glesbygd och omhändertagande av patienter med kritiska tillstånd är utmanande. Sjuksköterskor bör besitta bred kompetens och utbildning inom akutsjukvård kan främja omvårdnaden i komplexa situationer. Utvecklingsområden har identifierats under studiens process och ytterligare forskning inom området är önskvärt för vidare kliniska implikationer.

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  • 75.
    Björk, Sabine
    et al.
    Umeå University, Department of Nursing.
    Juthberg, Christina
    Umeå University, Department of Nursing.
    Lindkvist, Marie
    Umeå universitet, Department of Statistics, Umeå School of Business and Economics, Umeå University.
    Wimo, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Neurogeriatrics, Karolinska Institutet.
    Sandman, Per-Olof
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Winblad, Bengt
    Karolinska institutet, Department of Clinical Neuroscience and Family Medicine, Karolinska institute, Department of Geriatric Medicine, Umeå University, Department of Geriatric Medicine, Department of Clinical Physiology, Umeå university, Department of Neurology, Umeå university.
    Edvardsson, David
    Umeå University, Department of Nursing, Umeå university, School of Nursing and Midwifery, University of Dundee.
    Exploring the prevalence and variance of cognitive impairment, pain, neuropsychiatric symptoms and ADL dependency among persons living in nursing homes: a cross-sectional study2016In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, no 1, article id 154Article in journal (Refereed)
    Abstract [en]

    BackgroundEarlier studies in nursing homes show a high prevalence of cognitive impairment, dependency in activities of daily living (ADL), pain, and neuropsychiatric symptoms among residents. The aim of this study was to explore the prevalence of the above among residents in a nationally representative sample of Swedish nursing homes, and to investigate whether pain and neuropsychiatric symptoms differ in relation to gender, cognitive function, ADL-capacity, type of nursing-home unit and length of stay.MethodsCross-sectional data from 188 randomly selected nursing homes were collected. A total of 4831 residents were assessed for cognitive and ADL function, pain and neuropsychiatric symptoms. Data were analysed using descriptive statistics and the chi-square test.ResultsThe results show the following: the prevalence of cognitive impairment was 67 %, 56 % of residents were ADL-dependent, 48 % exhibited pain and 92 % exhibited neuropsychiatric symptoms. The prevalence of pain did not differ significantly between male and female residents, but pain was more prevalent among cognitively impaired and ADL-dependent residents. Pain prevalence was not significantly different between residents in special care units for people with dementia (SCU) and general units, or between shorter-and longer-stay residents. Furthermore, the prevalence of neuropsychiatric symptoms did not differ significantly between male and female residents, between ADL capacities or in relation to length of stay. However, residents with cognitive impairment and residents in SCUs had a significantly higher prevalence of neuropsychiatric symptoms than residents without cognitive impairment and residents in general units.ConclusionsThe prevalence rates ascertained in this study could contribute to a greater understanding of the needs of nursing-home residents, and may provide nursing home staff and managers with trustworthy assessment scales and benchmark values for further quality assessment purposes, clinical development work and initiating future nursing assessments.

  • 76.
    Björkvall, Alice
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Wiberg, Magdalena
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Litteraturstudie om hur sexuell hälsa påverkas av prostatacancer2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Prostatacancer är den vanligaste cancerformen hos män som har en påverkan på den sexuella hälsan och livskvalitén i stor utsträckning. Sexualitet är en viktig del av människan genom livet och bör därför beaktas av vården. Syftet med litteraturstudien var att beskriva mäns upplevelser av hur den sexuella hälsan påverkades av prostatacancer. Tretton vetenskapliga artiklar analyserades med manifest innehållsanalys. Genom en sammanställning och analysering av data utformades tre kategorier med sex underkategorier. Resultatet visade att männen hade känslomässiga upplevelser i samband med val av behandling, kroppsliga förändringar, förlust av förmågor och sjukdomens påverkan på den sexuella hälsan. Vidare beskrevs en genomgående brist av stöd och information från sjukvården. Det framkom också att männen upplevde att de sexuella förändringarna hade en inverkan på deras självbild, nära relationer och framtida hopp. Vidare diskuterades resultatet med slutsatsen att sjukvården måste utvecklas för att kunna möta patienter i behov av stöd och frågor kring sexuell hälsa. 

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  • 77.
    Björnström, Anna
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Eriksson, Ellen
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Upplevelsen av att leva med förlamning till följd av ryggmärgsskada - en analys av ett narrativ2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Att drabbas av en ryggmärgsskada innebär en enorm påfrestning för en persons välmående. Det innebär också stora förändringar och utmaningar i det vardagligalivet. Syftet med denna litteraturstudie var att beskriva upplevelsen av att leva medförlamning till följd av ryggmärgsskada. För att besvara studiens syfte analyserades ett narrativ i form av en självbiografi. Självbiografin var skriven av en person somdrabbats av helkroppsförlamning till följd av ryggmärgsskada. Analysen resulterade i sex kategorier; känslor av frustration och sorg, begränsningar i vardagen då kroppenblivit ens fiende, att känna skam och förlust av integritet, att vilja bevara den manvar och livet som var tidigare, betydelsen av relationer och att vara beroende av andraoch att fokusera på det goda i livet och finna styrka. Resultatet visade på sorg över förlusten av kroppsliga funktioner. Det framkom att det fanns svårigheter attacceptera den förändrade livssituationen och den förändrade kroppen. Livet efter ryggmärgsskadan kom även att innebära känslor av skam och förlust av integritet.Relationer sågs vara av stor betydelse. Därför är det viktigt att vårdpersonal arbetar personcentrerat och ser till patientens individuella behov och anpassar vården efterdetta. Genom en ökad förståelse hos vårdpersonalen kan de på ett bättre sätt ge stöd till personer som drabbats av ryggmärgsskada.

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  • 78.
    Blidner, Lasse
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Carpelan, Siri
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Anestesisjuksköterskans hantering av medicinsk syrgas under generell anestesi – en enkätstudie2019Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
    Abstract [en]

    Abstract Background: Oxygen administration is aimed at treating threatening or manifest hypoxia, which in the worst case is directly deadly. Traditionally it has been regarded risk-free and safe, but recent years studies have found that excessive use of oxygen poses risks of adverse effects. Negative effects include, amongst others, atelectasis formation, reduced cardiac output and tissue perfusion. There is variation in perioperative oxygen- and ventilator settings, and patients are subjected to considerable risks in regards to hypoxia and hyperoxemia. The aim of this study was to investigate how nurse anaesthetists manage the administration of perioperative oxygen to patients >18 years of age under general anaesthesia, without pulmonary disorders, with ASA classification I-II. Method: Cross-sectional study; an electronic survey was sent out to practicing nurse anaesthetists in a total of eight hospitals in the regions Västra Götaland, Stockholm and Norrland in Sweden. 575 surveys were sent out and the response rate was 33.2%. Analyzes were conducted in SPSS with tests including Chisquare and Kruskal-Wallis among others. The comments that were provided at the end of the survey were analyzed and categorized. Results: 71.20% stated that they strive for an SpO2 of 96-98%, the majority also stated they’d adjust FiO2 to lower levels when SpO2 was 100%. Most participants based their oxygen-settings on local practice at their place of work, followed by what they learned during their specialization. No significant differences were found in regards to level of education or work experience. There were regional differences where Västra Götaland to a higher extent would administer oxygen during transport to the postoperative unit than Stockholm would. The lowest level of FiO2 the participants would consider differed between Västra Götaland and Norrland, and in Stockholm nurses were more active in adjusting FiO2 perioperatively compared to the two other regions. Discussions: Variations in how the participants responded were discussed in the light of the specialized nurse core competences. The significant differences that were found were based on region, which could be explained by variations in routines and organizational culture between different clinics. The non-completion rate and it’s possible importance for the validity of the study was discussed. Conclusions/clinical implications: Local practice needs to be based on current evidence and not solely on tradition. Research regarding oxygen and its beneficial and detrimental effects is complex, and perhaps the perception that hyperoxemia is risk-free is common. It’s possible that training opportunities or seminars on oxygen treatment could balance practice more towards avoiding both hypoxia and hyperoxemia.

  • 79.
    Blomberg, Barbro
    et al.
    Linnaeus University.
    Widerlund, Lena
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lindqvist, Anne-Marie
    University of Helsinki.
    Support and service for persons with intellectual disabilities: A study of changes and consequences in Finland and Sweden 1990-20102011In: Changes and New directions in Human Services: Selected conference proceedings of the 14th international Research Conference held at Luleå University of Technology, Human Work Science, September 2010 / [ed] Elisabeth Berg, Luleå: Luleå tekniska universitet, 2011, p. 31-37Conference paper (Other academic)
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  • 80.
    Blomberg, Barbro
    et al.
    Institutionen för socialt arbete, Linnéuniversitetet.
    Widerlund, Lena
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lindqvist, Ann-Marie
    Helsingfors Universitet.
    Stöd och service till personer med utvecklingsstörning: en studie om förändringar i Sverige och Finland mellan åren 1990 och 20102010In: Socialvetenskaplig tidskrift, ISSN 1104-1420, E-ISSN 2003-5624, Vol. 17, no 3-4, p. 289-307Article in journal (Refereed)
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  • 81.
    Blomgren, Ida
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Woutila, Anneli
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Förebyggande omvårdnadsåtgärder mot diabetessår som sjuksköterskan kan utföra hos personer med typ 2-diabetes: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Typ 2-diabetes är en växande folksjukdom som ökar världen över för varje år. Typ 2-diabetes leder ofta till komplikationer kopplade till sensoriska och cirkulatoriska nedsättningar och i kombination med högt blodsocker försvåras läkningsprocessen och ökar uppkomsten av diabetessår. Diabetsessår är svårläkta och kan leda till amputation. Syftet med studien var att samla kunskap över vilka omvårdnadsåtgärder som sjuksköterskan kan använda sig av för att förebygga diabetessår hos personer med typ 2-diabetes.

    Metod: Denna studie är en systematisk litteraturöversikt. En systematisk litteratursökning gjordes i CINAHL och Web of Science, där 14 artikler valdes ut efter kvalitetsgranskningen. Inklusionskriterier var personer med typ 2-diabetes och exklusionskriterier var farmakologiska åtgärder, olika typer av omläggningsmaterial och kirurgiska åtgärder.

    Resultat: I resultatet framkom två huvudkategorier som förebyggande åtgärder mot uppkomst av diabetessår, dessa kategorier var information och utbildning samt identifikation och kontroll av foten. Personen behöver stöd och information av sjuksköterskan för att förstå vikten av egenkontroll och hur den kan utföras. Sjuksköterska är oftast den som först möter personen och behöver därför i ett tidigt skede identifiera riskfaktorer för att förebygga uppkomsten av diabetessår.

    Slutsats: Genom ett personcentrerat och evidensbaserat arbete kan sjuksköterskan uppnå målet med att utforma individanpassade omvårdnadsåtgärder, hos personer med diabetessår och förbättra hälsan hos individerna.

     

    Nyckelord: Typ 2-diabetes, diabetessår, förebyggande åtgärder, omvårdnadsintervention och systematisk litteraturöversikt. 

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  • 82.
    Boberg, Elin
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Tunlind, Madeleine
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Anestesisjuksköterskans strategier vid vård av patienter som sviktar i vitala funktioner2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Anestesisjuksköterskans arbete i en högteknologisk och dynamisk miljö ställer krav på handlingsberedskap och kvalifikationer såsom ledarskap, initiativförmåga och samarbete. Patienter som sviktar i vitala funktioner är en utmaning inte minst på operationsavdelningen. Anestesisjuksköterskan har en betydelsefull roll i operationsteamet vid vård av dessa akut sjuka patienter. Behandlingar för olika kritiska tillstånd finns väl beskrivna i litteraturen men anestesisjuksköterskans strategier i vården av patienter som sviktar i vitala funktioner behöver synliggöras och kan ge kunskap om anestesisjuksköterskans specifika anestesiologiska omvårdnadsarbete. Syftet med studien var att undersöka anestesisjuksköterskans strategier vid vård av patienter som sviktar i vitala funktioner. Studiens design var kvalitativ och en icke- experimentell tvärsnittsstudie genomfördes med kritisk incidentteknik som metod för analys av data. Ord och meningar som motsvarade syftet lyftes ut från svaren och kategoriserades. Analysen resulterade i fyra slutkategorier med strategier vid vård av patienter som sviktar i vitala funktioner: samarbeta och kommunicera med anestesiolog och operationsteamet; skapa en handlingsplan för patientens omvårdnad; förbereda genom att iordningställa läkemedel och medicinsk-teknisk utrustning på operationssalen samt optimera patientens tillstånd och förebygga ytterligare svikt. Resultatet av denna studie visar att yrkeserfarenhet spelar en viktig roll i omvårdnaden kring patienten som sviktar i vitala funktioner. Kunskap om och tidigare erfarenhet av kritiska situationer kan ge bättre förberedelse och handlingsplaner för oväntade och akuta händelser. Anestesisjuksköterskans förmåga att göra kontinuerliga bedömningar och prioriteringar är av stor vikt för att förebygga ytterligare svikt. Noggranna förberedelser i form av information kring patienten, ingreppet och anestesiformen samt läkemedel och utrustning ger bättre handlingsberedskap. Kommunikation och samarbete sker kontinuerligt mellan anestesisjuksköterskan och anestesiolog samt operationsteam där samtliga yrkeskategorier strävar efter en bibehållen patientsäkerhet.

  • 83.
    Boman, Chamilla
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ödman, Petra
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Att leva med hjärntrötthet, ett osynligt handikapp: En integrerad kunskapsöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Hjärntrötthet är ett tillstånd som uppskattningsvis 200 000 personer i Sverige lider av. Hjärntrötthet kännetecknas av en extrem mental trötthet som innebär att personerna som lider av detta behöver mycket mer vila och längre återhämtning än friska individer. Syftet med studien var att sammanställa kunskap om hjärntrötthet som uppkommer efter stroke eller traumatisk hjärnskada (TBI). Tre frågeställningar formulerades; Hur upplever personer som lever med hjärntrötthet att det vardagliga livet påverkas? Vilka strategier används för att hantera hjärntrötthet? Vilka omvårdnadsinterventioner finns? En litteraturstudie genomfördes för att besvara syftet och frågeställningarna. Litteraturöversikten bestod av 14 vetenskapliga artiklar som granskades och analyserades. Resultatet visade att hjärntrötthet är ett mångfasetterat fenomen som påverkar personernas liv i högsta grad. Intryck, förmågor och prestationer påverkas, liksom relationer och det vardagliga livet. En slutsats som drogs var att hjärntrötthet är ett osynligt handikapp som inte bara påverkar den som drabbas utan även personer i dennes omgivning. Därför bör sjuksköterskan vara tydlig och kunna informera om detta tämligen okända fenomen. Sjuksköterskan bör även ha kunskap om olika omvårdnadsinterventioner samt kunna vägleda personer som lider av hjärntrötthet att finna strategier för att hantera vardagen.

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  • 84.
    Boman Gren, Johanna
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Södergren, Simon
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Hjärtstoppslarm hos patient på vårdavdelning: upplevelser hos intensivvårdssjuksköterskor som arbetat mindre än 5 år2017Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Dödligheten hos patienter som drabbats av hjärtstopp på vårdavdelningar är hög men med tidig hjärt-lungräddning (HLR) och tidig defibrillering så ökar chansen för överlevnad. Intensivvårdssjuksköterskan som ingår i akutteamet får ett larm om hjärtstopp och tillsammans med kollegor gör de en utryckning till patienten på avdelningen för att stötta och hjälpa till i den akuta situationen. Dessa situationer kan vara kaotiska och stressfyllda. Syfte: Syftet med studien var att beskriva intensivvårdssjuksköterskors upplevelser av hjärtstoppslarm och hjärtstopp på vårdavdelning som jobbat mindre än 5 år. Metod: En kvalitativ intervjustudie genomfördes på ett mindre länsdelssjukhus i norra Sverige. Data samlades in genom semistrukturerade intervjuer med nio intensivvårdssjuksköterskor med mindre än fem års yrkeserfarenhet som intensivvårdsjuksköterskor. Intervjuerna spelades in, transkriberades ordagrant och analyserades med kvalitativ innehållsanalys. Resultat: Analysen resulterade i fyra kategorier; Utmanande och spännande att bära hjärtstoppslarmet, Hjärtstoppslarm kräver planering och förberedelse, Övning och ett nära samarbete skapar trygghet och Stress påverkar handlingsförmågan. Resultatet visade att oerfarna intensivvårdssjuksköterskor upplever en viss form av stress men att de fann en trygghet i sina kollegor i akutteamet och att deras samarbete fungerar bra. Dock så kunde samarbetet med vårdavdelningens personal samt den medicinläkare som kommer till den patient som drabbats av hjärtstoppet fungera mindre bra och kommunikationen dålig. De upplevde ett behov av kontinuerlig HLR-träning dels med andra professioner samt mer scenarioövningar. Konklusion: Oerfarna intensivvårdssjuksköterskor kände sig trygga med hjärtstoppsteamet men upplevde otrygghet då de befann sig i en okänd miljö då en patient drabbats av hjärtstopp på vårdavdelning. Bristande rutiner och osäkerhet bland personalen kunde påverka den stress som uppstod negativt. Genom att utarbeta en gemensam rutin och träna tillsammans skulle arbetet kring hjärtstoppet kunna bli mindre stressfyllt och mer effektivt.

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  • 85.
    Boqvist, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Informationssystem på anestesi vid Sunderby sjukhus1999In: Ventilen, ISSN 0348-6257, no 3, p. 4-5Article in journal (Other academic)
  • 86.
    Boqvist, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Parent''s experience of being with their child at the operation theatre and of being present during introduction of anaesthesia2004In: Workgroup of European nurse researchers. Biennial conference (12 : Lisboa : 2004), Lisbon: WENR , 2004, p. 15-Conference paper (Other academic)
  • 87.
    Boström, Josefin
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Viklund, Sara
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Omvårdnadsåtgärder som främjar hopp till personer med cancer - en kunskapsöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    När en person får diagnosen cancer kan detta innebär en stor kris för denne. Vilket kan leda till en känsla av hopplöshet. Därför blir hoppet en viktig resurs samt kraftkälla för personen som drabbats av cancer, en kraft som driver människan framåt. Syftet med denna studie var att sammanställa kunskap om omvårdnadsåtgärder som främjar känslan av hopp till personer med cancer. Syftet besvarades utifrån de två frågeställningarna, Vilka omvårdnadsåtgärder främjar hopp samt hur kan sjuksköterskan omsätta de identifierade omvårdnadsåtgärderna i det dagliga omvårdnadsarbetet.Sammanställning av data gjordes genom en kunskapsöversikt. Analysen baserades på 10 identifierade artiklar, dessa låg sedan till grund för resultatet. Resultatet bestod av 8 slutkategoriervar av 5 innehöll omvårdnadsåtgärder så som samhörighet och stöd, omsorg, kommunikation och information, meningsfulla aktiviteter, minnen och kortsiktiga mål samt genom önskan och tro. Men även 3 slutkategorier som behandlade sjuksköterskans omsättande av omvårdnadsåtgärderna. Dessa var i form av relationen mellan sjuksköterskan och personen, kommunikation samt information. Resultatet har visat att sjuksköterskan kan använda sig av omvårdnadsåtgärder för att främja hopp hos personer med cancer. Men eftersom att hoppet är komplext krävs det att sjuksköterskan kan möta personens behov utifrån dennes förutsättningar. Detta för att omvårdnadsåtgärderna ska bli främjande för hoppet.

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  • 88.
    Boström, Madelene
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Magnusson, Klara
    ICU, Northern Älvsborgs County Hospital.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nursing patients suffering from trauma: critical care nurses narrate their experiences2012In: International Journal of Orthopaedic and Trauma Nursing, ISSN 1878-1241, E-ISSN 1878-1292, Vol. 16, no 1, p. 21-29Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe critical care nurses' experiences of nursing patients suffering from trauma. Eight critical care nurses were interviewed. Qualitative thematic content analysis was applied to the data and resulted in one theme; 'Needing to feel in control and part of a team', with six categories; 'different ways of dealing with uncertainty', 'feelings of responsibility and security', 'wanting to relieve the pain', 'supporting the relatives', 'suppressing one's own feelings', and 'reflecting over one's work'. The findings show the importance of preparation for caring for a patient suffering from trauma. Standardized care of the patient according to Advanced Trauma Life Support was described as a good basis, but for the quality of care to be good this always had to be complemented with personal nursing care for the patient and care for their relatives. This study contributes knowledge about meeting critically ill patients suffering from trauma and suggestions about how to cope with thoughts that might arise after a serious situation in nursing care

  • 89.
    Brännmark, Ida
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Granström, Olivia
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Personers upplevelse av att leva med venösa bensår: -En litteraturstudie2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Venösa bensår är ett stort problem för hälso- och sjukvården och bidrar till ett stort lidande för personer som lever med detta. Venösa bensår betecknas som en folksjukdom på grund av det stora antalet personer som är drabbade. Syftet med denna litteraturstudie var att beskriva personers upplevelse av att leva med venösa bensår. Metoden som användes var en kvalitativ innehållsanalys med manifest ansats. Nio vetenskapliga artiklar analyserades och sammanställdes till ett slutgiltigt resultat med fyra kategorier som svarade an mot syftet: att känna sig skamsen, ensam och isolerad på grund av såren, att ständigt bli påmind och begränsad av smärtan, att påverkas av andras attityder samt att påverkas av behandlingen. Resultatet visade att skammen bidrog till att personer isolerade sig från omgivningen, smärtan begränsade personer i sitt dagliga liv, omgivningens attityder påverkade personer negativt och behandlingen upplevdes vara besvärande. Interventioner framtagna för personer med venösa bensårs upplevelse kan öka deras välbefinnande, men det är av stor vikt att vidare omvårdnadsforskning görs inom området på grund av den rådande okunskapen som har framkommit bland befintlig personal.

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  • 90.
    Brännström, Margareta
    et al.
    Department of Nursing, Umeå University, Sweden. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Grönlund, Catarina Fischer
    Department of Nursing, Umeå University, Sweden.
    Zingmark, Karin
    Luleå University of Technology, Department of Health Sciences, Nursing Care. Norrbotten County Council, Sweden.
    Söderberg, Anna
    Department of Nursing, Umeå University, Sweden.
    Meeting in a 'free-zone': Clinical ethical support in integrated heart-failure and palliative care2019In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 18, no 7, p. 577-583Article in journal (Refereed)
    Abstract [en]

    Background: Integrating heart-failure and palliative care combines expertise from two cultures, life-saving cardiology and palliative care, and involves ethically difficult situations that have to be considered from various perspectives. We found no studies describing experiences of clinical ethical support (CES) in integrated cardiology and palliative care teams.Objective: Our aim is to describe experiences of CES among professionals after a period of three years working in a multidisciplinary team in integrated heart-failure and palliative homecare.Method: The study design was descriptive qualitative, comprising interviews with seven professionals from one integrated heart-failure and palliative care team who received CES over a three-year period. The interview data were subjected to qualitative content analysis.Results: The CES was found to offer possibilities for meeting in an ethical ‘free-zone’ where the participants could relate to each other beyond their various professional roles and specialties. The trust within the team seemed to increase and the participants were confident enough to express their points of view. Together they developed an integrated understanding, and acquired more knowledge and a comprehensive view of the ethically difficult situation of concern. The CES sessions were considered a means of becoming better prepared to deal with ethical care issues and developing action strategies to apply in practice, from shared standpoints.Conclusion: Participating in CES was experienced as meeting in an ethical ‘free-zone’ and seemed to be a means of facilitating integration of palliative and heart-failure care.

  • 91.
    Brückel, Anja
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Salo, Zandra
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Faktorer som påverkar vårdtagarens delaktighet vid behandlingen av svårläkta bensår: En integrerad litteraturöversikt2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Vårdtagare med svårläkta bensår är en stor grupp av vuxna individer. Sjuksköterskor möter dessa vårdtagare ibland under flera år och att leva med ett svårläkt bensår är en stor utmaning som kan leda till förlust av självständighet och/eller kontroll. Hälso- och sjukvårdslagen och Socialtjänstlagen lyfter båda fram delaktighet och självbestämmande som viktiga grundprinciper. Lagarnas intentioner ger uttryck för en människosyn som innebär att människor kan fatta egna beslut om sin behandling och kan ta ansvar för sig själv och andra efter den egna förmågan och med stöd av professionell vårdpersonal. Syftet med litteraturstudien var att sammanställa kunskap om vilka faktorer som påverkar vårdtagarens delaktighet vid behandlingen av svårläkta bensår och utgick från frågan: Vilka faktorer påverkar vårdtagares delaktighet i behandling av svårläkta bensår? För att besvara syftet valdes Whittemore och Knafls metodartikel för integrerad litteraturöversikt. Författarna gjorde en fritextsökning i fem databaser och två av dessa gav relevanta träffar. Tretton artiklar valdes ut för analys och resultatet presenterades i fyra kategorier: fysiska och psykosociala faktorer; interventionsrelaterade faktorer; utbildning och kunskapsrelaterade faktorer; relationer och kommunikationsrelaterade faktorer. Delaktighet har stor betydelse för vårdtagare med svårläkta bensår och har en stor inverkan på deras livskvalitet. Genom att ta hänsyn till de olika faktorerna som påverkade delaktigheten kan följsamheten öka och delaktigheten förbättras. Resultatet visade att en holistisk syn på vårdtagaren och deras situation främjade delaktighet. Det vill säga att man fick anpassa interventionerna till vårdtagarna, se till att de fick relevant och adekvat information och att man hade ömsesidig respekt för varandra och ett gemensamt mål. Behandlingen bör fortsätta efter bensåret har läkt genom regelbundna uppföljningar. Detta stödjs av sjuksköterskeutbildningen där man ska arbeta utifrån ett personcentrerat och holistiskt perspektiv.

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  • 92.
    Bunne, Joakim
    et al.
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN Unit, Umeå University.
    Moberg, Helena
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN Unit, Umeå University.
    Hedman, Linnea
    Luleå University of Technology, Department of Health Sciences, Nursing Care. Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN Unit, Umeå University.
    Andersson, Martin
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN Unit, Umeå University.
    Bjerg, Anders
    Department of Women's and Children's Health, Karolinska Institutet.
    Lundbäck, Bo
    Krefting Research Centre, Institute of Medicine, University of Gothenburg.
    Rönmark, Eva
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, the OLIN Unit, Umeå University.
    Increase of allergic sensitization in schoolchildren: two cohorts compared 10 years apart2017In: The Journal of Allergy and Clinical Immunology: In Practice, ISSN 2213-2198, Vol. 5, no 2, p. 457-463Article in journal (Refereed)
    Abstract [en]

    Background

    Time trends of incidence of allergic sensitization are unknown and recent trends of prevalence and risk factors are lacking.

    Objective

    To estimate the incidence, prevalence, remission, risk factors, and time trends for allergic sensitization among schoolchildren followed from age 7 to 8 years to age 11 to 12 years.

    Methods

    In 2006, all children in grades 1 and 2 aged 7 to 8 years in 2 municipalities in northern Sweden were invited to a questionnaire survey and to skin prick testing to 10 common airborne allergens. The cohort was reexamined in 2010, with additional blood sampling for specific IgE. Participation rates were 90% (n = 1700) at age 7 to 8 years and 85% (n = 1657) at age 11 to 12 years. The results were compared with a cohort examined by identical methods 10 years earlier.

    Results

    The prevalence of positive skin prick test result to any allergen increased from 30% at age 7 to 8 years to 41% at age 11 to 12 years (P < .001). The cumulative 4-year incidence was 18%, while remission was low. Sensitization to pollen and furred animals was most common. A family history of allergy was significantly associated with incident sensitization, whereas the presence of furred animals at home was negatively associated. The prevalence at age 7 to 8 years and at age 11 to 12 years and the 4-year incidence were all significantly higher compared with the cohort examined 10 years earlier.

    Conclusions

    The prevalence of allergic sensitization increased by age as a consequence of a high incidence and a low remission. The trends of increasing incidence and prevalence among schoolchildren imply future increases in the prevalence of allergic diseases.

  • 93.
    Burman, Natalia
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sjuksköterskans möjligheter att arbeta patientsäkert nattetid: En integrerad litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sjuksköterskan är en yrkeskategori som finns tillgänglig under dygnets alla timmar. Nattarbete utförs under särskilda förhållanden med utmaningar som trötthet och dygnsrytmsanpassning. Detta ställer särskilda krav på sjuksköterskan för att kunna arbeta patientsäkert. Syftet med arbetet var att sammanställa kunskap om sjuksköterskans möjligheter att arbeta patientsäkert nattetid. Studien genomfördes som en integrerad litteraturöversikt och utgick från två frågeställningar: Vilka faktorer påverkar sjuksköterskan att arbeta patientsäkert nattetid? samt Vilka strategier kan sjuksköterskan använda för att arbeta patientsäkert nattetid? Litteratursökningen gjordes i två databaser och resulterade i sexton artiklar med kvalitativ och kvantitativ ansats. Resultatet visade att de faktorer som påverkar möjligheten att arbeta patientsäkert nattetid var bemanning, rutiner, arbetstider och sjuksköterskans arbetsförhållanden. Strategier som sjuksköterskan kan använda för att arbeta patientsäkert nattetid var tupplur under nattrasten, planering av nattarbetspasset och kontroll av ljusexponering. Slutsatser som drogs av arbetet var att ett systematiskt patientsäkerhetsarbete skulle kunna öka förutsättningarna för sjuksköterskan att arbeta patientsäkert. Interventioner som nattsjuksköterskan skulle kunna använda riktas på att minska risk för misstag och undvika nödsituationer, vilket  är aktuellt under nattskift då sjuksköterskan kan vara trött och sömnig, samt bemanningstätheten är lägre.  

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  • 94.
    Bykachev, Kirsi
    et al.
    University of Eastern Finland.
    Tossavainen, Kerttu
    University of Eastern Finland.
    Kumpulainen, Kirsti
    University of Eastern Finland.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Wilson, Philip
    University of Aberdeen.
    Bjørvig, Siri
    University Hospital of North Norway.
    Borgen, Morten
    University Hospital of North Norway.
    Multi-professional collaboration and consultation: Improving child and adolescent psychiatry with eHealth2016Conference paper (Other academic)
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  • 95.
    Bykachev, Kirsi
    et al.
    University of Eastern Finland.
    Tossavainen, Kerttu
    University of Eastern Finland.
    Kumpulainen, Kirsti
    University of Eastern Finland.
    Wilson, Philip
    University of Aberdeen.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Bjørvig, Siri
    University Hospital of North Norway.
    Borgen, Morten
    University Hospital of North Norway.
    Improving psychiatry services for children and adolescents with eHealth in peripheral areas2016Conference paper (Other academic)
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  • 96.
    Börjesson, Kristoffer
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Vallius, Tero
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Vad sjuksköterskor upplever som arbetsrelaterade stressfaktorer: en litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Arbetsrelaterad stress är vanligt förekommande inom omvårdnadsyrket. Stress kan ha en betydande inverkan på enskilda sjuksköterskors hälsa och deras förmåga att utföra uppgifter. Syftet med litteraturstudien var att beskriva vad sjuksköterskor upplever som arbetsrelaterade stressfaktorer. Totalt inkluderades 11 artiklar från två databaser som svarade mot syftet, vilka sedan analyserades genom kvalitativ innehållsanalys. Totalt resulterade det i fyra slutkategorier: krävande arbetsförhållanden, bristande samarbete och kommunikation, att inte kunna påverka och inte bli respekterad i yrkeskunnandet samt obalans mellan ansvar och förmåga. Resultatet visade att sjuksköterskor upplevde hög arbetsbelastning, tidsbrist, bristande kommunikation mellan vårdpersonal och otillräckligt ledarskap som faktorer till stress och något som i sin tur kan påverka vårdkvaliteten. Resultatet ger kunskap om sjuksköterskors upplevelser av stressfaktorer på arbetet. Fynden visar att omvårdnadsarbete och organisationer behöver omstruktureras för att sjuksköterskor ska få en bättre arbetsmiljö.

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  • 97.
    Carlström, Rebeccah
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Ek, Susanna
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Transpersoners upplevelse av möten med hälso- & sjukvårdspersonal2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Tidigare forskning (folkhälsomyndigheten, 2016; Wurm, 2017) har påvisat brister i kunskap och bemötande mot HBTQ+ personer, men även positiva möten.

    Syfte: Syftet med studien är att beskriva transpersoners upplevelser av möten med hälso-& sjukvårdspersonal.

    Metod: Denna studie är baserad på enkäter där svarsfrekvensen var 24 stycken. En kvalitativ metod med öppna frågor valdes för att få beskrivande svar. Analysen mynnade ut i tre övergripande teman, att bli accepterad för den man är, att mötas med kunskap, varsamhet och lyhördhet och att mötas för sitt vårdbehov med respekt och utan fördomar.

    Resultat: Resultatet påvisar att det förekommer bra möten i vården även om det är var övervägande negativa. Detta beror på att transpersonerna upplever sig ifrågasatta, ej respekterade och har en känsla av att de behöver jobba hårdare än cispersoner för att få den hjälp de har rätt till. Analysen mynnade ut i tre övergripande teman, En förväntan att bli accepterad för den man är, En önskan att mötas med kunskap, varsamhet och lyhördhet och En önskan att mötas för sitt vårdbehov med respekt och utan fördomar.

    Slutsats: Slutsatsen som författarna tar i denna studie är att bemötandet kan bli bra om personalen visar en lyhördhet, en acceptans och öppenhet när de möter transpersoner. Studien visar också på att möten kan bli bra om personalen är påläst och inte ställer irrelevanta frågor under besöket. Det vill säga att personalen själva tar ansvar för att hitta den information de behöver istället för att fråga transpersonen.

  • 98.
    Clair, Cecilia
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Strategier för att lindra preoperativ oro och ångest inför anestesi – anestesisjuksköterskors erfarenheter2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Att genomgå anestesi är många gånger förknippat med oro och ångest. Detta blir ett problem i den anestesiologiska omvårdnaden. I tidigare studier har man sett att många patienter som ska genomgå anestesi har en känsla av oro eller ångest i olika nivåer. Vanliga anledningar till att oro och ångest skapas är känslan av att tappa kontrollen, att vara dåligt informerad eller att patienten har en dålig erfarenhet sedan tidigare anestesier. När anestesisjuksköterskan träffar patienten i det preoperativa samtalet innan anestesin kan upptäckten av oro eller ångest identifieras och anestesisjuksköterskan behöver använda sig av omvårdnadsåtgärder för att lindra oron eller ångesten. Detta medför ett behov av att beskriva anestesisjuksköterskors erfarenheter av olika strategier för att lindra oro och ångest inför anestesi. Syftet med studien var att undersöka erfarna anestesisjuksköterskors erfarenheter av strategier för att lindra preoperativ oro och ångest hos vuxna inför anestesi. Studien består av en intervjustudie med kvalitativ ansats där datainsamlingen gjordes med intervjuer i semistrukturerad form. Studien innefattade intervjuer med sex verksamma anestesisjuksköterskor med minst fem års erfarenhet som arbetade på ett sjukhus i södra Sverige. Dataanalysen som användes var kritisk incident teknik och där framkom fyra olika kategorier, anestesisjuksköterskans bemötande, att ge information preoperativt, avledande omvårdnad för att skapa trygghet och läkemedel som ett alternativ. Kategorierna beskriver anestesisjuksköterskans strategier för att lindra oro och ångest inför anestesi. Med en spridning av olika lindrande omvårdnadsstrategier kan medvetenheten öka för användning av olika strategier hos både nya och erfarna anestesisjuksköterskor samt sjuksköterskor inom preoperativa enheter, vilket i sin tur lindrar patientens oro och ångest inför anestesi och kan medföra mindre komplikationer och en kortare vårdtid samt en bättre perioperativ upplevelse för patienten.

  • 99.
    Dabija, Marius
    et al.
    Division of Surgery, Sollefteå Hospital, Sollefteå, Sweden.
    Fedog, Fredrik
    Division of Surgery-Anaesthesia, Stavanger University Hospital, Stavanger, Norway.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Gustafsson, Silje
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Difficult Airways: Key Factors for Successful Management2019In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 1, p. 151-159Article in journal (Refereed)
    Abstract [en]

    Purpose: To describe anesthetic nurses’ experiences of key factors for thesuccessful management of difficult airways in adult patients.Design: This study had a qualitative observational and descriptive designfollowing the critical incident technique.Methods: Twelve experienced anesthetic nurses were interviewed.Findings: We identified five key factors for the successful management ofdifficult airways: identification of the difficult airway, creating a plan ofaction, remaining calm and focusing on the task, technical skills, and usingthe equipment. Identification of the difficult airway implies preassessmentwith standardized methods and actively observing for signsindicative of a difficult airway. Having all equipment available atbedside during induction and creating a backup plan increases the actionforce in unexpected situations. A calm and methodical work procedurefacilitates the management of the difficult airway as well as selectingtechniques and equipment according to the patient and situation.Conclusions: Reflective practice can aid the anesthetic nurse in drawingon experience and remaining calm in acute situations.

  • 100.
    Dabija, Marius Nicolae
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nuland Fedog, Fredrik
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Framgångsrika faktorer vid hantering av svår luftväg hos vuxna – ur anestesisjuksköterskans perspektiv2017Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
    Abstract [en]

    Background: Respiratory complications are related to the anesthesia of the patient as depriving the patient of the ability to breathe himself. Respiratory complications are a threat to the patient`s life and wellbeing. Anesthetic nurses work very independently and develop an experience-basedknowledge of the handling of difficult airway. Aim: Successfulfactors in managing severe respiratory tract in adults - from the anestheticnurse'sperspective. Method: This study had a qualitative design with inductive approach and Critical IncidenceTechnique (CIT). Twelve interviews with anestheticnurses with a minimum of 3 years of experience were completed. Result: Medical equipment such as tubes, scopes and guidewires make it easiertohandle a difficult airway. Basic handles such as jaw lift, patient positioning and use of a triangular pillow are successful criteria for handling difficult airways. Acareful pre-assessment with standardized methods such as Mellampati, Tyreomental distances makes it possible to identify patients who risk a severe airway prior to the onset of anesthesia. Planning theirwork and being prepared for difficult situations in the form of a reserve plan were identified as successfactors. An anesthetic nurse knowledge and skills also play in, as well as the ability to handle stress and maintain a good working environment in acute and unexpected situations. Conclusion: The study described various successful strategies that the anesthesianurse can use to perform and ensure the management of a severe airway. However, more studies on the different strategies are required, as well as several studies on team work and how the interaction between anesthesianurses and anestheticnurses affects the work.

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