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Individual Face-to-Face Cognitive Behavioural Therapy in Multiple Sclerosis : A Qualitative Study

OBJECTIVE: To investigate how people with multiple sclerosis (MS) experience their participation in individual, face-to-face cognitive behavioural therapy (CBT) aimed at alleviating depressive symptoms.METHOD: Semistructured interviews with 12 participants were conducted after CBT and analyzed using qualitative content analysis.RESULTS: Two main themes emerged: CBT as a demanding process and confr

Hospital utilization and costs for spinal cord stimulation compared with enhanced external counterpulsation for refractory angina pectoris.

Rationale, aims and objectives The aim of this study was to compare acute hospital utilization and costs for patients with refractory angina pectoris undergoing spinal cord stimulation (SCS) versus enhanced external counterpulsation (EECP). Method Seventy-three persons were included in this register study. The acute hospital utilization and costs for SCS and EECP were followed over a period from 1

Diabetic control in community care. The use of clinical evaluation and hemoglobin A1

Diabetic control was evaluated in 50 consecutive patients attending a community care centre, either by clinical criteria or by determination of glycosylated hemoglobin (HbA1). Two methods used for the determination of HbA1 were found to give similar results, namely ion exchange chromatography and agar gel electrophoresis. On a group basis, good correlation was observed between HbA1 samples analyse

Relatives' experiences of the Boston Psychiatric Rehabilitation approach: A qualitative study.

The Boston Psychiatric Rehabilitation (BPR) approach is individualized and characterized by being based entirely on the individual's unique needs and preferences in the areas of working, learning, social contacts, and living environment. Relatives of clients in mental health services influence the client's possibilities for recovery by their everyday relationship. Relatives have, however, traditio

Rehabilitation benefits highly motivated patients: a six-year prospective cost-effectiveness study

Objectives:To compare the six-year outcome of a multidisciplinary rehabilitation program with continued care within primary care in terms of health-related quality of life and cost-effectiveness. Furthermore, predictors of total costs to society were examined. Methods:A prospective, matched, controlled, six-year follow-up was designed. The study included 236 patients (42 men, 194 women) nineteen

Psychiatric services for adolescents with complex mental health needs : A qualitative study of service user preferences

Background: Child and Adolescent Mental Health Services (CAMHS) currently seeks to implement service models that are better suited for young service users with complex mental health needs. This study explored what adolescents view as the key components of a well-functioning contact with CAMHS. Methods: This study was conducted as part of the ongoing implementation of Flexible Assertive Community T

Agency and self-organised care experiences in Sweden's Collaborative Housing for the second half of life

In the Swedish context, ‘intergenerational Collaborative Housing’ and ‘Collaborative Housing for the second half of life’ (CH2L), based on the self-work model, were developed in the 1980s and 1990s. The chapter examines how ageing individuals developed caring practices and mutual support strategies in these collective housing forms and how such practices were adapted during the COVID-19 pandemic.

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

Uppsägning på grund av personliga skäl enligt lagen om anställningsskydd efter 2022 års ändringar

Lagen (1982:80) om anställningsskydd (LAS) genomgick år 2022 en reform som bland annat innebar en förändring av regleringen för uppsägning på grund av personliga skäl i 7 § LAS. Syftet var att öka förutsebarheten för både arbetsgivare och arbetstagare vid uppsägningar. Med hjälp av rättsdogmatisk metod syftar uppsatsen till att analysera och kartlägga reformen i förhållande till uppsägning på gruThe Employment Protection Act (LAS) underwent a reform in 2022 which, among other things, involved a change in the regulation regarding dismissals on personal grounds in Section 7. The purpose of the reform was to increase predictability for both employers and employees in cases of dismissals. Using a legal dogmatic method, the thesis aims to analyse and map the reform in relation to dismissal on

AI in primary care - a general practitioner’s bucket list

While the development and use of Artificial Intelligence (AI) in health care have literally exploded in recent years, general practitioners (GPs) continue to struggle with a fragmented health care system and complex patients with multiple conditions and increasing care needs. An ageing population, task shifting from secondary care to ambulatory services without adequate resource allocation, and po

Development of multi-disciplinary team I-ADL assessment in community health care: an interrater reliability study of the measure of instrumental daily activity

This paper describes a development process concerning the active involvement of staff of different professions in developing and implementing methods for assessment of activities of daily living (ADL) in home-based geriatric rehabilitation. Although a variety of established ADL instruments exist, at the time for this study no I-ADL (Instrumental Activities of Daily Living) instrument suitable for

Mixed Reality in resuscitation and acute homecare scenarios : a proof of concept study

- Specialist supervision of junior health care providers was feasible via the HoloLens 2- Some clinical procedures could potentially be performed with virtual supervision- Mixed reality has the potential to improve specialist involvement and senior decision making, particularly in out of office hours and in the prehospital setting.- A feasibility study using HoloLens 2 in a clinical setting is a r

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

Experiences of security and continuity of care : Patients' and families' narratives about the work of specialized palliative home care teams

Background:: Those who are seriously ill and facing death are often living with physical, emotional, social, and spiritual suffering. Teamwork is considered to be necessary to holistically meet the diverse needs of patients in palliative care. Reviews of studies regarding palliative care team outcomes have concluded that teams provide benefits, especially regarding pain and symptom management. Muc

Global Burden of Stroke

On the basis of the GBD (Global Burden of Disease) 2013 Study, this article provides an overview of the global, regional, and country-specific burden of stroke by sex and age groups, including trends in stroke burden from 1990 to 2013, and outlines recommended measures to reduce stroke burden. It shows that although stroke incidence, prevalence, mortality, and disability-adjusted life-years rates

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

Young people and social exclusion in Sweden

The chapter gives an overall picture of the conditions of labour market entry for young people (16-19 years) and young adults (20-24 years) and their social exclusion in Sweden from the early 1990s until now. The chapter consists of three sections. The first section provides background information on the entry of young people on the Swedish labour market. The overview summarizes research findings

Assistive devices among very old Europeans - Results from the ENABLE-AGE Project

The aim of this study was to investigate use and need for assistive devices (AD) in a cross-national European sample. Data from the ENABLE-AGE research project were utilised involving very old persons in Sweden, Germany, Latvia, Hungary and the United Kingdom. Of the total sample 65% reported that they had and used one or more AD, and 14% reported unfilled need for AD. The most commonly used AD we