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Leaderless Management as the Solution to Struggles Over the Moral Center of Healthcare? : Ward Nurses’ Critique of Management as “Real Utopias” in the Public Sector

Through a historization of the Swedish public sector together with vignettes grounded in interviews, this paper questions managerialism in the public sector. The chapter argues for leaderless management as a shift of attention from managerialism toward worker control. The chapter explores what nurses identify as central areas of conflict shaping their work, and what forms of change they view as ne

Design and evaluation of non-planar material extrusion on A3-axis printer

The use of material extrusion (MEX) has increased rapidly due to the affordability of 3D printers. This has led to a growing demand for improved print quality, high fidelity, strength, or fast print times. In this study, a non-planar approach for better surface quality is investigated. The hardware of a 3-axis MEX printer was developed together with testing new software for non-planar slicing. The

Seeing loss through land : On the emergence of disproportionate climate-related loss and damage in agrarian Cambodia

Klimatet förändras på ett sätt som gör förlusterna mer påtagliga. Människor och platser i det globala syd vars ekonomier och försörjning på landsbygden är centrerade kring mark och naturresurser anses vara särskilt sårbara för klimatförändringar och förväntas uppleva oproportionerligt stora klimatrelaterade förluster. Bevisen för sådana oproportionerliga bördor och de orättvisor de leder till växeThe climate is changing in ways that make loss more present. People and places in the Global South whose economies and rural livelihoods are centred on land and natural resources are considered particularly vulnerable to climate change and are expected to disproportionately experience climate-related loss. Evidence of such disproportionate burdens and the injustices they engender is growing and ga

Antimicrobial stewardship programs; a two-part narrative review of step-wise design and issues of controversy Part I : step-wise design of an antimicrobial stewardship program

Regardless of one’s opinion of antimicrobial stewardship programs (ASPs), it is hardly possible to work in hospital care and not be exposed to the term or its practical effects. Despite the term being relatively new, the number of publications in the field is vast, including several excellent reviews of general and specific aspects. Work in antimicrobial stewardship is complex, and includes not on

Assessment of value for resource allocation in cancer care

There has been an increased interest in ways of measuring the value of new therapeutic options in oncology. An example of this in a European context is the ESMO Magnitude of Clinical Benefit Scale (ESMO-MCBS). The purpose of this study is to analyse how the value scales, exemplified with ESMO-MCBS, developed mainly to assist decisions by physicians, relate to other measures of clinical benefit and

“Det är en tröja att dö för” : fansen och skapandet av den medierade seriemördaren

I följande uppsats, “Det är en tröja att dö för”, kommer den digitala seriemördarfandomen Serialkillershop att analyseras utifrån denna centrala betraktelse: fansens deltagande i konstruktionen av den medierade seriemördaren. Den kombinerade metoden fallstudie och kvalitativ textanalys används för att nå en djupare förståelse för denna process. Webbsidan Serialkillershop är ett exempel på en typ a

The EU way or the Huawei : A comparative study of the values projected onto Europe’s 5G network by the Chinese Communist Party and the European Union

Title: The EU Way, or the Huawei? A comparative study of the values projected onto Europe’s 5G network by the Chinese Communist Party and the European Union. The purpose of this investigation is to look closer on the value-tension between the European Union and the Chinese Communist Party regarding which values are present in the official policies of these entities and how these values are projec

Land-atmosphere exchange of carbon in a high-Arctic wet tundra ecosystem

Popular Abstract in Swedish Under den senaste tiden har problematiken med klimatförändringarna debatterats livligt. För att kunna förutspå den framtida omfattningen av klimatförändringarna och vilka konsekvenser dessa kommer att ha är det ytterst relevant att känna till utbytet av växthusgaser mellan atmosfär och jordens alla ekosystem. Arktiska ekosystem är ytterst känsliga för den globala uppvärArctic ecosystems play a key role in the terrestrial carbon (C) cycle, but spa-tially explicit data on the C exchange is scarce in these remote areas. The global warming is especially dominant in the Arctic, and these areas are vul-nerable to climate change. It is therefore important to quantify and understand the processes affecting the C dynamics in these regions. In this thesis, the land-atmosp

Pain, power and patience - A narrative study of general practitioners' relations with chronic pain patients

Background: Chronic pain patients are common in general practice. In this study "chronic pain" is defined as diffuse musculoskeletal pain not due to inflammatory diseases or cancer. Effective patient-physician relations improve treatment results. The relationship between doctors and chronic pain patients is often dysfunctional. Consultation training for physicians and medical students can improve

Psychometric properties of the DISABKIDS Chronic Generic Module (DCGM-37) when used in children undergoing treatment for cancer

Background: The aim was to evaluate data quality and psychometric properties of an instrument for measurement of health-related quality of life: DISABKIDS Chronic Generic Module (DCGM-37) used in school-aged children with cancer. Methods: All school-children diagnosed with cancer in Sweden during a two-and-a-half year period were invited to participate in the study. Analysis was performed on combi

Healthcare system intervention for safer use of medicines in elderly patients in primary care-a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change.

The elderly population is increasing and with advanced age comes a higher risk for contracting diseases and excessive medicine use. Polypharmacy can lead to drug-related problems and an increased need of health care. More needs to be done to help overcome these problems. In order for new models to be successful and possible to implement in health care they have to be accepted by caregivers. The ai

Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery

Background: The Medical Outcomes General Health Survey (SF-36) is a widely used health status measure; however, limited evidence is available for its performance in orthopedic settings. The aim of this study was to examine the magnitude and meaningfulness of change and sensitivity of SF-36 subscales following orthopedic surgery. Methods: Longitudinal data on outcomes of total hip replacement (THR,

Goals of Care Conversations Documented by an Embedded Emergency Department-Palliative Care Team during COVID

Background: There has been growing interest around integrating palliative care (PC) into emergency department (ED) practice but concern about feasibility and impact. In 2020, as the COVID pandemic was escalating, our hospital's ED and PC leadership created a new service of PC clinicians embedded in the ED. Objectives: To describe the clinical work of the embedded ED-PC team, in particular what was

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The access and use of administrative health data in Germany is limited by several factors. Due to the large number and heterogeneity of data holders, data are usually only available in fragmented form, and access is often regulated in a non-transparent manner. Linkage of health data with other data sources is hardly possible for legal and logistic reasons. These limitations directly affect the abi