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Early and late signs that precede dying among older persons in nursing homes: the multidisciplinary team’s perspective

BackgroundNursing home residents in Sweden are old, frail and usually have multiple morbidities which often make dying a prolonged suffering. It has been found that older persons at nursing homes receive far less palliative care than younger persons, partly because it is difficult to identify when the final stage of life begins. The identification may help the staff to enable the older person and

Psychiatric disorders and cardiovascular diseases during the diagnostic workup of potential breast cancer : a population-based cohort study in Skåne, Sweden

BACKGROUND: An increasing number of women are evaluated for potential breast cancer and may experience mental distress during evaluation. We aim to assess the risks of psychiatric disorders and cardiovascular diseases during the diagnostic workup of potential breast cancer.METHODS: All women with a new diagnosis of unspecified lump in breast (N = 15,714), benign tumor or breast cancer in situ (N =

Cardiovascular Diseases And Psychiatric Disorders During The Diagnostic Workup Of Suspected Hematological Malignancy

Background: Little attention has been given to the risk of cardiovascular and psychiatric comorbidities during the clinical evaluation of a suspected hematological malignancy.Methods: Based on Skåne Healthcare Register, we performed a population-based cohort study of 1,527,449 individuals residing during 2005-2014 in Skåne, Sweden. We calculated the incidence rate ratios (IRRs) of cardiovascular d

Management practices and the quality of primary care

Using the World Management Survey method, the authors mapped and analysed management quality in Swedish primary care centres. On average, private sector providers were better managed than public providers. Centres with a high overall social deprivation among enrolled patients also tended to have higher management quality. Management quality was positively associated with accessibility (length of w

Availability, prices and affordability of essential medicines for treatment of diabetes and hypertension in private pharmacies in Zambia

Objectives: To explore availability, prices and affordability of essential medicines for diabetes and hypertension treatment in private pharmacies in three provinces of Zambia. Methods: A cross-sectional survey was conducted in 99 pharmacies across three Zambian provinces. Methods were based on a standardized methodology by the World Health Organization and Health Action International. Availabilit

Family caregivers and decision-making for older people with dementia

This article addresses the dilemmas concerning legislation, individual autonomy and the reality of everyday life for people coping with dementia. We describe and analyse decision-making in relation to older people with dementia in Sweden, within the area of social work regulated by the Social Services Act and the Parental Act. Swedish legislation is based on the individual’s autonomy and capacity

Analysis of Pharmaceutical Industry Payments to UK Health Care Organizations in 2015

Importance: Drug company payments to health care organizations can create conflicts of interest. However, little is known about such financial relationships, especially outside the United States.Objective: To examine the concentration and patterns of drug company payments to health care organizations in the United Kingdom.Design, Setting, and Participants: This cross-sectional study examined nonre

Exploring patient perspectives : A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon

BACKGROUND: Patient perspectives have received increasing importance within health systems over the past four decades. Measures of patient experience and satisfaction are commonly used. However, these measures do not capture all the information that is available through engaging with patients. An improved understanding of the various types of patient perspectives and the distinctions between them

Individual response in body mass and basal metabolism to the risks of predation and starvation in passerines

Wintering energy management in small passerines has focused on the adaptive regulation of the daily acquisition of energy reserves within a starvation-predation trade-off framework. However, the possibility that the energetic cost of living, i.e. basal metabolic rate (BMR), is being modulated as part of the management energy strategy has been largely neglected. Here, we addressed this possibility

Developing an open innovation culture in Lund’s innovation district

Recent years have brought new directionality to university’s work with innovation – increasing the focus on addressing societal challenges and contributing to much broader frames for impact. Working with complex challenges, where no one actor can do everything by themselves, requires collaboration across actor groups (private sector, academia, public sector, civil society), industrial sectors, dis

Still engaged – healthcare staff’s engagement when introducing a new eHealth solution for wound management : a qualitative study

Background: eHealth solutions have often been considered favourable for improved effectiveness and quality in healthcare services for wound management. Staff engagement related to organisational changes is a key factor for successful development and implementation of a new eHealth solution, like a digital decision support systems (DDSS). It is essential to understand the engagement process in term

Två politiska tal och nationalism: En klusteranalys som utreder nationalismen i två olika politiska tal framförda av Jimmie Åkesson och Donald Trump

Denna uppsats syftar till att undersöka nationalismen och hur den förmedlas i två olika tal. Materialet som har undersökts är Jimmie Åkessons tal i Almedalen 2018 och Donalds Trump`s acceptance speech at the RNC. Uppsatsen utreder skillnader och likheter mellan dessa två tal och på vilket sätt talarna förmedlar nationalism. Med hjälp av en klusteranalys konstruerad av Sonja K. Foss som bygger på e

I den digitala sandlådan : social responsivitet i virtuell lek

Magnus Johanssons uppsats I den digitala sandlådan - vår tids virtuella leksaker i ljuset av social responsivitet, författad 2015 vid Institutionen för kommunikation och medier, Lunds universitet, tar avstamp i debatter om datorspels skadliga inflytande på den sociala människan men med utgångspunkten att dessa debatter är onyanserade. Syftet med uppsatsen är att studera hur interaktionen med dator

Scheduling deadline driven packet flows in HiperAccess

Wireless communication systems are by nature and by regulations limited in bandwidth and hence capacity. Services with high demands on quality of service (QoS) will enforce high demands on the available capacity. This observation motivates the development of schedulers that can deliver the required QoS as well as being resource efficient. In this paper, we provide expressions of the worst case del

Cost-effectiveness of interventions addressing loneliness among adults - A Systematic Literature Review

OBJECTIVES: Loneliness and social isolation are major public health concerns that contribute to numerous health consequences. While many interventions effectively reduce loneliness and social isolation, their cost-effectiveness remain unclear. This study aimed to evaluate and consolidate evidence on the cost-effectiveness of interventions addressing loneliness or social isolation.METHODS: We condu

Comparison of the measurement properties of EQ-5D-5L and SF-6Dv2 in Chinese patients on dialysis

Background: Measuring health-related quality of life (HRQoL) in dialysis patients is essential for clinical assessment and economic evaluation. Despite the emergence and increasing use of updated instruments, evidence comparing their performance in Chinese dialysis patients remains limited. The aim of this study was to compare the measurement properties of the EQ-5D-5L and the SF-6Dv2 instruments

"... människan kan förändras om man ger den verktyg" - En kvalitativ studie av elva frivårdsinspektörers synsätt på kontraktsvårdsutredningar för drogmissbrukare

The object of this essay was to illustrate and analyse what determines that a contract treatment investigation for a drug addict is initiated and what factors influence the investigation itself, from the probation service officer's perspective. We selected the following two questions: - What does the probation service officer see as being the deciding factor for a contract treatment investig

Surroundings and Snow: Ecosystem services related risks and opportunities at Canadian Mountain Holidays

Humanity has a complex relationship with the natural world. One aspect of this relationship is that of dependence on the services that the natural world provides. Commonly referred to as ecosystem services, these are services such as the provisioning of freshwater, timber, and medicines, the regulation of climate, and the maintenance of air quality. This relationship is especially important in the