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Older people´s public health care and social services. Functional ability, health complaints, agreement in needs assessment and care satisfaction

The overall aim was to describe and compare functional ability and health complaints of older people receiving municipal care in relation to housing and informal care, and factors associated with medical health care, municipal care and informal care. Further, the aim was to investigate agreement in needs assessments between personnel and older people and to investigate care satisfaction and health

Hirschsprung´s Disease & Gastroesophageal Reflux. Aspects on Two Gastrointestinal Motility Disorders in Childhood

Popular Abstract in Swedish Det enteriska nervsystemet (ENS) utgör mag-tarmkanalens eget nervsystem, ibland refererat till som “the second brain” då det uppvisar stora likheter med det centrala nervsystemet (CNS). Rubbningar i ENS ger bland annat störningar i tarmens motorik. Denna avhandling handlar om två sjukdomar i mag-tarmkanalen hos barn som bägge är uttryck för en rubbad motorik; HirschspruGastrointestinal motility disorders are common in childhood and in this thesis we look at two of them, i.e. Hirschsprung´s Disease (HD) and gastroesophageal reflux disease (GERD) in five different studies. HD is a congenital disease characterized by an abscence of ganglion cells in myenteric and submucous ganglia, most commonly in the distal part of the large bowel. In Paper I, we have studied th

Cognitive behavioural therapy in multiple sclerosis: A randomized controlled pilot study of acceptance and commitment therapy.

OBJECTIVE: The aim of this study was to design a trial that could evaluate the effect of acceptance and commitment therapy as a group-intervention for multiple sclerosis patients with psychological distress. DESIGN: Randomized controlled trial with assessment at pretreatment, end of treatment, and at 3-month follow-up. SUBJECTS: Multiple sclerosis outpatients with elevated symptoms of anxiety and/

Secondary Fracture Prevention: Plucking The Low Hanging Fruit

It is well known that one fragility fracture begets another. Fracture Liaison Services have been shown to narrow the care gap that exists in the care of patients with fragility fractures. A secondary fracture prevention programme "OPTIMAL" (Osteoporosis Patient Targeted and Integrated Management for Active Living) has been in existence in the public restructured hospitals and polyclinics of Singap

Service-oriented Process Control with Grafchart and the Devices Profile for Web Services

To fulfill increasing requirements within the manufacturing sector, highly flexible and adaptable automation systems are needed. It is desirable to have one integrated approach that stretches from the process planning phase, through the implementation phase and all the way to the phase for execution of the process control logics. One promising approach is to use the concepts of service-oriented ar

Cyclosporine, tacrolimus and sirolimus retain their distinct toxicity profiles despite low doses in the Symphony study.

BACKGROUND: Reducing side effects of immunosuppressive regimens has become a priority in transplantation medicine because of the large number of patients and grafts that succumb to infection in the short term and cardiovascular disease in the long term. The Symphony study was a 12-month prospective, randomized, open-label, multi-centre, four parallel arm study that aimed to evaluate the safety and

Early supported discharge after stroke and continued rehabilitation at home coordinated and delivered by a stroke unit in an urban area.

OBJECTIVE: To explore the characteristics and outcome of patients after stroke admitted to early supported discharge (ESD) services, and to investigate changes over time. STUDY POPULATIONS: Patients admitted between June 1997 and September 1998 and participating in a follow-up study (n = 87) and all patients admitted in 2005-06 (n = 226). Background populations: All stroke cases in Malmö alive 3 m

The prognostic value of Ki67 is dependent on estrogen receptor status and histological grade in premenopausal patients with node-negative breast cancer.

The aim of this study was to evaluate the prognostic value of Ki67 in relation to established prognostic factors in lymph node-negative breast cancer, and furthermore, whether the prognostic impact was dependent on estrogen receptor (ER) status and histological grade. In 200 premenopausal patients, with 5 years of follow-up, Ki67 was determined on tissue microarrays. In univariate analysis, Ki67 (

Fake drugs that could kill are on the rise in Western countries – here’s why

Fake medicines – illegal and substandard pharmaceuticals – have until now largely been a problem in low and middle-income countries. Ranging from lifestyle products to lifesaving medicines, such products are now also on the rise in the Western world. The spread is concerning, as fake medicines can be completely ineffective or extremely toxic.

Distal radial fractures - Prognostic radiological factors/classification

Different kind of classifications system for distal radius fractures has been published for almost a century. Very few of these has been validated. AOs classification in its three main group has a good observer agreement and is quiet simple as so. A evidence based Swedish treatment algorithm is proposed and good uniform outcome score (DASH) is demonstrated.

Enriched environment reduces apolipoprotein E (ApoE) in reactive astrocytes and attenuates inflammation of the peri-infarct tissue after experimental stroke.

Apolipoprotein E (ApoE), a cholesterol transporter and an immunomodulator, is brain protective after experimental stroke and implicated in brain repair. Here, we study the involvement of ApoE in the restoration of brain function after experimental stroke, by using animal housing conditions that differentially improve recovery after occlusion of the middle cerebral artery occlusion (MCAO). We found

Ta plats eller få plats? : Studier av marginaliserade människors förändrade vardagsliv

Syftet är att studera och analysera processer vars mål är att förändra vardagen för två marginaliserade grupper, så att de i större utsträckning blir delaktiga i samhället. De två undersökta grupperna är manliga unga narkomaner och äldre utvecklingsstörda. Avhandlingen består av tre geografiska perspektiv: 1) det tidsgeografiska synsättet, 2) känslan för platsen och 3) socialgeografiska teorier omThe aim is to study and analyse processes intended to change the daily lives of two marginalised groups and enable them to participate to a greater extent in the community. The two marginalised groups are young male drug addicts and older intellectually disabled. The thesis is permeated by three geographic perspectives: 1) the time-geographic approach, 2) sense of place and 3) social-geographic th

Decentralized Provision of Primary Helathcare in Rural Bangladesh: a study of government facilities

Bangladesh has made significant progress in health indicators in recent years in spite of her low level of income. This is mainly due to the commitment of the state supported by donors in providing preventive care with respect to child health and family planning. However, there are serious problems related to both access and quality of curative care that hurt the poor most. Infrastructures for ser

Cultivating awareness at school. Effects on effortful control, peer relations and well-being at school in grades 5, 7, and 8

Effects of a mindfulness-based program, Compassion and Attention in the Schools (Compas), were studied in 358 pupils in grades 5, 7, and 8 in Sweden. An experimental group undertook Compas practices in class three times a week during an eight-week period. A control group undertook content area academic lessons . Pre-/post-intervention analyses showed a significant improvement in the experimental gEffects of a mindfulness-based program, Compassion and Attention in the Schools (Compas), were studied in 358 pupils in grades 5, 7, and 8 in Sweden. An experimental group undertook Compas practices in class three times a week during an eight-week period. A control group undertook content area academic lessons . Pre-/post-intervention analyses showed a significant improvement in the experimental g

Towards a Better functioning Single Market for Services

Since the European Union’s inception, creating a well functioning, competitive and integrated market has been at the heart of the Unions project. The four freedoms, free movement of persons, goods, services and capital, which led to the opening of the boarders, have been one of the main forces behind growth in Europe. Today, Europe has become the world’s biggest economy and the Single Market is it

Imaging technologies in experimental pulmonary fibrosis research : essential tool for enhanced translational relevance

Pulmonary fibrosis remains a devastating and often fatal condition due to the lack of effective treatments that halt disease progression. Rodent models of pulmonary fibrosis are crucial to identify candidate targets and novel therapeutic agents. However, the attrition rate of novel drug candidates in clinical trials remains high. This review suggests complementing traditional methods used to evalu