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This paper examines the role of the Ministry of Health (MoH) in Uganda in the process of developing a Sector-Wide Approach (SWAp) within the health sector. Power dynamics are integral to any understanding of development assistance, and SWAps bring with them new opportunities for the deployment of influence. The SWAp process has changed the interaction between the donors and the Government, and the

This paper analyzes the recently undertaken restructuring of the Ministry of Health in Uganda, which was carried out because the previous structure did not comply well with the decentralization framework or policy. The Ministry was put under pressure by higher political levels, supported by the donor community, to restructure. The paper describes the principles that were guiding this operation, an

In Sweden, clear changes in the care of the elderly have occurred during the 1990s, with fewer people being provided public care, although greater efforts are now directed towards those most in need of help. Elderly people are cared for increasingly in other ways: by the family, by means of market-provided care, and by voluntary and informal means. Differences between municipalities are considerab

An increasing number of people with intellectual disability (ID) are reaching older ages today although they experience more health problems than the older population without ID. Leaders in intellectual disability services can greatly influence the conditions for a healthy ageing, and the aim of the present study was to explore healthy ageing in this group from the perspective of the leaders. Inte

In Japan, education has often been used by the government as a means of introducing social changes, due to its high policy implementability. The Japanese law school system is a good example to illustrate Japanese universities' high policy implementability because it was introduced when Japan needs numerous talented lawyers to operate a rule-of-law society. The idea of introducing a law school syst

This thesis describes experimental studies of laser-driven particle acceleration. With the focused intensity of today’s high-power lasers exceeding 10^18 W/cm2,extremely high-gradient accelerators are possible. A number of experiments have been performed using two different laser systems, the Lund multi-TW laser and the Vulcan laser at CLF/RAL, UK, to study aspects ranging from laser system optimi

This paper examines the continuity, change and adaptation of blat – as a Soviet time, informal, economic transaction network, that existed as a response to a non-functional economy. The analysis is based on 33 in-depth interviews conducted in 2009 during a pilot field study in Ukraine and Belarus. The main focus is on individuals’ descriptions, justifications and explanations of their ongoing info

Medieval round churches are often seen as riddles in need of special explanation. Deviant architecture has been explained by three major theories – fortification, multi-functionality and symbolic copying. However, I claim that the round churches were normal except for their elite context and extraordinary plan. I then argue, that the elite consciously choose a “conspicuous architecture”, to use a

Popular Abstract in Swedish Inom vetenskapen finns det många exempel på nätverk av ett stort antal samverkande delar. Det kan vara aktiviteten i en levande cell, myror i en myrstack eller djur i ett ekosystem. Slumpmässiga booleska nätverk, som är ämnet för denna avhandling, är ytterligare ett exempel. Dessa nätverk är matematiska konstruktioner som är förhållandevis lätta att undersöka med hjälp There are many examples of complex networks in science. It can be genetic regulation in living cells, computers on the Internet, or social and economic networks. In this context, Boolean networks provide simplistic models that are relatively easy to handle using computer simulations and mathematical methods. A good understanding of Boolean networks may form a foundation to investigations of more c

Popular Abstract in Swedish Förbättrad patientsäkerhet och omvårdnad av patienter med höftraktur Intervention granskad i det nationella kvalitetsregistret RIKSHÖFT Varje år drabbas ca 18 000 personer i Sverige av höftfraktur efter fall. Höftfraktur är ett samlingsnamn för två frakturtyper i den övre delen av lårbenet. Den ena frakturtypen är lokaliserad till lårbenshalsen (cervikal fraktur) och dAim: Hip fractures are common and costly. The overall aim of this thesis was to explore how different clinical pathways influence safety and quality of care among patients with a hip fracture and to test the usefulness of the national quality register RIKSHÖFT as a working tool. The aim in paper I was to improve the outcome of patients with a hip fracture through optimized preoperative pain relief

The aim of this study was to gain knowledge about the specific needs that a web-based support system for young carers (YCs) must meet. Twelve young people with experience of caring for and supporting a close friend, partner or relative with mental illness (MI) were interviewed about their life situation, support needs and opinions about a hypothetical web-based support system. The transcribed inte

Sverige framhålls ofta som ett föregångsland gällande personlig assistans (PA) och mänskliga rättigheter. Forskning visar dock att bedömningen av rätten till PA styrs av en medicinsk förståelse av funktionshinder och av ekonomiska snarare än funktionshinderpolitiska mål. Nedskärningar har medfört att antalet med statlig assistansersättning har minskat. Syftet med artikeln är att belysa de motstridSweden is often highlighted as a pioneering country in terms of personal assistance (PA) and human rights. However, research shows that the assessment of PA is guided by a medical understanding of disability and by austerity ratherthan by disability policy. Furthermore, the number of people with state-funded PA has decreased. The purpose of the article is to illuminate the contradictions that char

Importance: Family and genetic approaches have traditionally been used to evaluate our diagnostic concepts. Using a novel method, the family genetic risk score (FGRS), can we validate the genetic architecture of major affective and psychotic disorders in a national Swedish sample? Objective: To determine whether FGRSs, calculated for the entire Swedish population, can elucidate the genetic relatio

Since the nineteenth century, the notion of heritage in Tunisia has experienced a number of different identities and political and cultural reorientations which have gradually made it primarily an instrument of tourism-related economic development. The notion of heritage in the country has evolved from one that has been historically stigmatised to a vision of much more mature preservation movement

Background: Primary hyperparathyroidism (pHPT) is a common disease that often remains undetected and causes severe disturbance especially in postmenopausal women. Therefore, national recommendations promoting early pHPT detection by plasma calcium (P-Ca) have been issued in Sweden. In this study we aimed to investigate variation of P-Ca analysis between physicians and health care centres (HCCs) in

Abstract The overall aim of this thesis was to increase knowledge about underlying causes and perioperative risk factors of Acute Confusional State (ACS) in elderly patients with hip fracture and to investigate the effect of a multi-factorial intervention program in order to decrease the number of patients who develop ACS. The aim in paper I was to describe elderly patients with hip fracture on th

Popular Abstract in Swedish Alltsedan expansionen av den högre utbildningen tog fart i Sverige, i slutet av 60-talet, har universitet och högskolor arbetat för att utveckla utbildningskvaliteten. Detta har bland annat gjorts genom satsningar på policys som reglerar exempelvis arbete med kursvärderingar, mångfald, och kurs- och utbildningsplaner. Satsningar har också gjorts på pedagogisk utbildningThe focus in this thesis is to explore theoretical perspectives and strategies for academic development, particularly in a research-intensive university. The purpose is to investigate academic development that aims to support and influence individual academic teachers and groups of teachers, in the different social collegial contexts that they work in, here called microcultures. Building on litera

Popular Abstract in Swedish Conodonter är en numera utdöd grupp havslevande djur vars systematiska ställning länge varit föremål för debatt. De var i det längsta kända enbart genom sina millimeterstora, kalciumfosfatiska element, vilka vi idag vet satt i djurens munhåla. Sådana conodontelement beskrevs för första gången 1856 av Christian Heinrich Pander, men det skulle dröja närmare 130 år innan dThis thesis deals with conodont biostratigraphy and palaeoecology in the Darriwilian (Middle Ordovician) of Baltoscandia, with focus on limestone strata showing traces of the ~ 470 Ma L-chondrite parent body break-up. The evidence for this cosmic event includes abundant centimeter to decimeter-sized fossil meteorites and elevated levels of sediment-dispersed extraterrestrial L-type chromite found