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  • 1.
    Abbasghomi, Amir
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Olsson, Markus
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Svårt sjuka barn i prehospital miljö: -        En intervjustudie om ambulanssjuksköterskans upplevelse av att vårda svårt sjuka eller skadade barn prehospitalt2017Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 2.
    Abbasi, Seyed
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Determinants of social inequalities in cardiovascular disease among Iranian patients2018Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Background and objectives: Cardiovascular disease (CVD) is the single largest cause of mortality in the world. Similar to other health issues, CVD is generally affected either by individual risk factors, which may influence the risk for developing an illness or its complications, or by social indicators (social determinants of health). There is evidence from developed countries which shows that the so-called "upstream factors"—including social determinants such as political, social, spiritual, cultural, and economic factors—may affect the prevalence and incidence of CVD. Scarce evidence from studies in low- and middle-income countries also suggests that social factors may affect the distribution of CVD across population groups. However, there is a dearth of such data in Iran, where only a few small-sizedstudies have focused on the social determinants of health. Therefore, the present thesis sought to fill this gap by assessing the effects of socioeconomic status (SES) on the distribution of CVD and the relevant inequalities within the Iranian context.

    Methods: This thesis is based on four studies, which used data from the Tehran Heart Center’s Databases. In Study I, a total of 44,820 patients who underwent coronary angiography at Tehran Heart Center between 2005 and 2010 were recruited. Then, their pre- and post-procedural data—including demographics, CVD risk factors, symptoms, and laboratory tests—were compared between men and women. In Study II, 6,246 patients with acutecoronary syndrome who were hospitalized between March 2004 and August 2011 were included and, based on their education and their employment status, were divided into high- and low-SES groups. Thereafter, the effect of SES on the in-hospital death of the patients was evaluated. In Study III, 20,165 patients with documented coronary artery disease who underwent coronary angiography at Tehran Heart Center were enrolled and CVD risk factors and severity (measured by the Gensini score) were assessed among the six major Iranian ethnic groups. In Study IV, 9,088 patients with acute coronary syndrome who were hospitalized at Tehran Heart Center between May 2007and June 2014 were recruited and the association between in-hospital death due to acute coronary syndrome and place of residence (rural/urban) was assessed using logistic regression adjusted for potential confounders.

    Results: In this thesis, the data analyses were based on the hypothesis that there is a potential association between the different socioeconomic indicators and the selected cardiovascular outcomes. In Study I, among the recruited participant, 25,363 men and 11,995 women had coronary artery disease and the women not only were significantly older, less educated, and more overweight but also had higher blood levels of triglyceride, cholesterol, low-density lipoprotein, high-density lipoprotein, and fasting blood sugar than the men. Moreover, hypertension and diabetes mellitus showed the strongest association in the women with coronary artery disease (OR=3.45, 95% CI: 3.28to 3.61 and OR=2.37, 95% CI: 2.26 to 2.48, respectively). In addition, the frequency of post-procedural recommendations for non-invasive procedures was higher in the women than in the men (20.1% vs 18.6%; P<0.001). In StudyII, of the 6,246 recruited patients with acute coronary syndrome, 3,290individuals were considered low-SES and 2,956 high-SES individuals. In-hospital death occurred in 79 (1.26%) patients: 1.9% in the low-SES and 0.6% in the high-SES groups. After adjustment for the possible cofounders, our multivariate analysis demonstrated a significant effect of the patients’ SES on their in-hospital death and a lower in-hospital mortality rate was shown in the high-SES patients (OR=0.30, 95% CI: 0.09 to 0.98; P=0.046). In Study III, the Fars (8.7%) and Gilak (8.6%) ethnic groups had the highest frequency of having at least four simultaneous risk factors. Additionally, the mean Gensini score was lowest in the Lurs (67.5±52.8) and highest among the Gilaks (77.1±55.9). The multivariable regression analysis indicated that the Gilaks showed the worst CVD severity (β: 0.056, 95% CI: 0.009 to 0.102; P=0.018), followed by the Turks (β: 0.032, 95% CI: 0.005 to 0.059; P=0.020), and the lowest CVD severity, was detected in the Lurs (β: -0.087, 95% CI: -0.146 to -0.027;P=0.004). Study IV showed that while smoking (P=0.002), positive family history of coronary artery disease (P=0.003), higher body mass index (P=0.013),and hyperlipidemia (P=0.026) were more prevalent in the urban patients, the rural patients showed lower educational levels (P<0.001) and higher frequency of unemployment (P=0.009). Meanwhile, in-hospital death occurred in 135 (1.5%) patients: 125 (1.5%) urban and 10 (1.2%) rural. To adjust the effects of the possible confounders, we utilized the Firth regression model, which showed no significant difference regarding in-hospital death betweenthe rural and urban patients (OR=1.57, 95% CI: 0.376 to 7.450; P=0.585).

    Conclusions: The aim of this thesis was to investigate the effects of social determinants (particularly SES) on CVD and its modifiable risk factors among Iranian patients. Results showed that medical treatment for CVD was more recommended (by treating physicians) to the women than the men, and the low-SES patients with acute coronary syndrome were more likely to die in the hospital than their high-SES counterparts. In addition, the thesis found heterogeneity in the distribution of the traditional risk factors for CVD as well as CVD severity in the major Iranian ethnic groups. Further, there were no differences concerning the in-hospital death rates due to acute coronary syndrome between the urban and rural patients after adjustment for the potential confounders.

    Fulltekst (pdf)
    fulltext
  • 3.
    Abbasi, Seyed H
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    De Leon, AP
    Division of Social Medicine, Department of Public Health Sciences, Karolinska Intitutet, Sweden.
    Kassaian, SE
    Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
    Karimi.,, AA
    Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Soares, Joaquim J. F.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Macassa, Gloria
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gender Differences in the Risk of Coronary Artery Disease in Iran2012Inngår i: Iranian Journal of Public Health, ISSN 0304-4556, Vol. 41, nr 3, s. 36-47Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Given gender differences in the risk of coronary artery disease (CAD), the present study sought to investigate these dissimilarities amongst patients who underwent angiography at a major, tertiary heart hospital in Iran. Methods: Between 2005 and 2010, 44,820 patients who underwent coronary angiography were enrolled in a registry. Pre-procedural data such as demographics, CAD risk factors, presenting symptoms, and laboratory tests, as well as postprocedural data were collected. The data were, subsequently, compared between the men and women. Results: Out of the 44,820 patients (16,378 women), who underwent coronary angiography, 37,358 patients (11,995 women) had CAD. Amongst the CAD patients, the females were not only significantly older, less educated, and more overweight than were the males but also had higher levels of triglyceride, cholesterol, low-density lipoprotein, highdensity lipoprotein, and fasting blood sugar (P< 0.001). Of all the risk factors, hypertension and diabetes mellitus showed the strongest association in our female CAD patients (OR=3.45, 95%CI: 3.28-3.61 and OR=2.37, 95%CI: 2.26- 2.48, respectively). Acute coronary syndrome was more prevalent in the men (76.1% vs. 68.6%, P< 0.001), and chronic stable angina was more frequent in the females (31.4% vs. 23.9%, P< 0.001). With respect to post-procedural recommendations, the frequency of recommendations for non-invasive modalities was higher in the females (20.1% vs. 18.6%, P< 0.001). Conclusion: Hypertension and diabetes mellitus had the strongest association with CAD in our female patients. In the extensive CAD patients, medical treatment was recommended to the women more often.

    Fulltekst (pdf)
    fulltext
  • 4.
    Abbasi, Seyed H
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap. Tehran University of Medical Sciences, Tehran, Iran.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Jalali, Arash
    Teheran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
    Soares, Joaquim
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Macassa, Gloria
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap. Högskolan i Gävle.
    Ethnic differences in the risk factors and severity of coronary artery disease: a patient-based study in Iran2018Inngår i: Journal of Racial and Ethnic Health Disparities, ISSN 2197-3792, Vol. 5, nr 3, s. 623-631Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Diverse ethnic groups may differ regarding the risk factors and severity of coronary artery disease (CAD). This study sought to assess the association between ethnicity and CAD risk and severity in six major Iranian ethnic groups.

    Methods In this study, 20,165 documented coronary artery disease patients who underwent coronary angiography at a tertiary referral heart center were recruited. The demographic, laboratory, clinical, and risk factor data of all the patients were retrieved. The Gensini score (an indicator of CAD severity) was calculated for all, and the risk factors and severity of CAD were compared between the ethnical groups, using adjusted standardized residuals, Kruskal–Wallis test, and multivariable regression analysis.

    Results The mean age of the participants (14,131 [70.1%] men and 6034 [29.9%] women) was 60.7 ± 10.8 years. The Fars (8.7%) and Gilak (8.6%) ethnic groups had the highest prevalence of ≥4 simultaneous risk factors. The mean Gensini score was the highest for the Gilaks (77.1 ± 55.9) and the lowest among the Lors (67.5 ± 52.8). The multivariable regression analysis showed that the Gilaks had the worst severity (β 0.056, 95% CI 0.009 to 0.102; P = 0.018), followed by the Torks (β 0.032, 95% CI 0.005 to 0.059; P = 0.020). Meanwhile, the Lors showed the lowest severity (β −0.087, 95% CI −0.146 to −0.027; P = 0.004).

    Conclusions This study found that there was heterogeneity in CAD severity and a diverse distribution in its well-known traditional risk factors among major Iranian ethnic groups.

    Fulltekst (pdf)
    fulltext
  • 5.
    Abbasi, Seyed
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Ponce De Leon, Antonio
    Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
    Kassaian, Seyed Ebrahim
    Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
    Karimi, Abbasali
    Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Jalali, Arash
    Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
    Soares, Joaquim
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap. Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden .
    Macassa, Gloria
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap. Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden .
    Socioeconomic status and in hospital mortality of acute corony syndrome: Can education and occupation serves as preventive measures?2015Inngår i: International Journal of Preventive Medicine, ISSN 2008-7802, E-ISSN 2008-8213, Vol. 6, artikkel-id Art. no. 6:36Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Socioeconomic status (SES) can greatly affect the clinical outcome of medical problems. We sought to assess the in‑hospital mortality of patients with the acute coronarysyndrome (ACS) according to their SES.

    Methods: All patients admitted to Tehran Heart Center due to 1st‑time ACS between March 2004 and August 2011 were assessed. The patients who were illiterate/lowly educated (≤5 years attained education) and were unemployed were considered low‑SES patients and those who were employed and had high educational levels (>5 years attained education) were regarded as high‑SES patients. Demographic, clinical, paraclinical, and in‑hospital medical progress data were recorded. Death during the course of hospitalization was considered the end point, and the impact of SES on in‑hospital mortality was evaluated.

    Results: A total of 6246 hospitalized patients (3290 low SES and 2956 high SES) were included (mean age = 60.3 ± 12.1 years, male = 2772 [44.4%]). Among them, 79 (1.26%) patients died. Univariable analysis showed a significantly higher mortality rate in the low‑SES group (1.9% vs. 0.6%; P < 0.001). After adjustment for possible cofounders, SES still showed a significant effect on the in‑hospital mortality of the ACS patients in that the high‑SES patients had a lower in‑hospital mortality rate (odds ratio: 0.304, 95% confidence interval: 0.094–0.980; P = 0.046).

    Conclusions: This study found that patients with low SES were at a higher risk of in‑hospital mortality due to the ACS. Furthermore, the results suggest the need for increased availability of jobs as well as improved levels of education as preventive measures to curb the unfolding deaths owing to coronary artery syndrome.

    Fulltekst (pdf)
    fulltext
  • 6.
    Abbasi, Seyed
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Jalali, A
    Soares, Joaquim
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Macassa, Gloria
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Mortality by acute Coronary syndrome in Iran: Does place of residence matter?Inngår i: Artikkel i tidsskrift (Fagfellevurdert)
  • 7.
    Abbasian, Saeid
    et al.
    Uppsala universitet. Inst för kvinnors och barns hälsa..
    Sarkadi, Anna
    Instititutionen för kvinnors och barns hälsa vid Uppsala universitet.
    Working together: A study on co-produced parenting support services in a Swedish municipality2012Inngår i: Barn, ISSN 0800-1669, Vol. 30, nr 4, s. 129-148Artikkel i tidsskrift (Fagfellevurdert)
  • 8.
    Abdi, Nawal
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Englund, Charlotte
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Stöd efter en hjärtinfarkt: - Patientens erfarenheter2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 9.
    Abdihakim, Aden
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Moberg, Edvin
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Föräldrars upplevelser av att leva med barn 0-12 år som har typ 1-diabetes: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 10.
    Abdulaahi, Mustaf
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Ottosson, Erik
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Livet efter en allogen stamcellstransplantation- ur ett patientperspektiv: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 11.
    Abdullah, Abu Sayeed Md.
    et al.
    Centre for Injury Prevention and Research Bangladesh (CIPRB), Dhaka, Bangladesh.
    Dalal, Koustuv
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Halim, Abdul
    Centre for Injury Prevention and Research Bangladesh (CIPRB), Dhaka, Bangladesh.
    Rahman, A. K. M. Fazlur
    Centre for Injury Prevention and Research Bangladesh (CIPRB), Dhaka, Bangladesh.
    Biswas, Animesh
    Centre for Injury Prevention and Research Bangladesh (CIPRB), Dhaka, Bangladesh; Örebro University, Örebro.
    Effects of climate change and maternal morality: Perspective from case studies in the rural area of Bangladesh2019Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, nr 23, artikkel-id 4594Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study explored the community perception of maternal deaths influenced by natural disaster (flood), and the practice of maternal complications during natural disaster among the rural population in Bangladesh. It also explored the challenges faced by the community for providing healthcare and referring the pregnant women experiencing complications during flood disaster. Three focus group discussions (FGDs) and eight in-depth interviews (IDIs) were conducted in the marginalized rural communities in the flood-prone Khaliajhuri sub-district, Netrakona district, Bangladesh. Flood is one of the major risk factors for influencing maternal death. Pregnant women seriously suffer from maternal complications, lack of antenatal checkup, and lack of doctors during flooding. During the time of delivery, it is difficult to find a skilled attendant, and referring the patient with delivery complications to the healthcare facility. Boats are the only mode of transport. The majority of maternal deaths occur on the boats during transfer from the community to the hospital. Rural people feel that the maternal deaths influenced by natural disaster are natural phenomena. Pre-preparation is needed to support pregnant women during disasters. There is unawareness of maternal health, related care, and complications during disasters among local health service providers and volunteers. 

    Fulltekst (pdf)
    fulltext
  • 12.
    Abdulrahman Ali, Duaa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Saari, Frida
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Att vårda patienter med kronisk obstruktiv lungsjukdom: Sjuksköterskans upplevelse2016Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund:

    Kronisk obstruktiv sjukdom är en allvarlig, icke reversibel sjukdom som ses som den tredje största dödsorsaken i världen och försämrar individens dagliga liv. Sjuksköterskan är viktig i samarbetet med patienten för att uppnå en bra vård samt för att upptäcka och förhindra en dålig nutritionsstatus och minska risken för negativ sjukdomsutveckling. Syfte: Att belysa sjuksköterskans upplevelse av att vårda patienter med KOL. Metod: En litteraturöversikt uppbyggd på 12 vetenskapliga artiklar. Litteratursökningen gjordes i PubMed och Cinahl. Artiklarna som inkluderats var av kvalitativ och kvantitativ design. Resultat: Sjuksköterskan upplevde osäkerhet och otillräcklighet i mötet med patienterna. De upplevde att skapa en tillitsfull relation var viktig för att kunna ge rätt vård och på så sätt kunna motivera patienterna till att förstå vikten av nutrition. Diskussion: Det är viktigt att öka sjuksköterskans egen kunskap för att kunna upprätthålla patientsäkerheten. Travelbees omvårdnadsteori kan i stort sett användas i mötet och vårdarbetet av patienter med KOL. Slutsats: Bättre kunskap om sjukdomen ger sjuksköterskan bättre förutsättning att vårda patienter med kronisk obstruktiv sjukdom och minska sjukhusinläggningar och besök.

    Fulltekst (pdf)
    fulltext
  • 13.
    Abrahamsson, Agneta
    et al.
    School of Health Sciences, Jönköping University, Jönköping, Sweden .
    Lindmark, Ulrika
    School of Health Sciences, Jönköping University, Jönköping, Sweden .
    Gerdner, Arne
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för socialt arbete. School of Health Sciences, Jönköping University, Jönköping, Sweden .
    Sense of coherence of reindeer herders and other Samis in comparison to other Swedish citizens2013Inngår i: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 72, nr 1, s. Art. no. 20633-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. Samis are indigenous people in north Europe. In the territory called Sapmi (Lapland), reindeer herding is the traditional base for the Sami economy. The relation between living conditions and positive health of the Swedish Samis has been sparsely studied. As health is closely linked to sense of coherence (SOC), an understanding of the background factors to SOC may contribute knowledge that might be useful in promoting living conditions and health. Methods. The study examines relations between the level of SOC and background factors from surveys in a Sami population (n = 613) in comparison to a non-Sami population (n = 525) in Sweden, and in comparison between 2 subsamples of Samis, that is, herders and non-herders. Results. There are more similarities than differences between the Sami and non-Sami populations. However, dividing the Sami population, reindeer herders had significantly lower SOC, and in specific the subcomponent manageability, that is, less ability to use available resources to meet different demands in life, compared to non-herders. Conclusions. In addition to age and health, predictors of SOC are related to the life form of reindeer husbandry and the belonging to the herding community.

    Fulltekst (pdf)
    Abrahamsson_Sense_of_coherence
  • 14.
    Abrahamsson, Eila
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Lingman, Denise
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Personer med Diabetes typ 2 erfarenhet av att genomföra livsstilsförändringarEn litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 15.
    Abrahamsson, Eila
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Lingman, Denise
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Personer med Diabetes typ 2 erfarenhet av att genomföra livsstilsförändringarEn litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 16.
    Adamsson Abdel Halim, Hanna
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Patientens upplevelse av att leva med en implanterbar defibrillator (ICD): - en litteraturöversikt2013Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: En implanterbar defibrillator (ICD) har till uppgift att återställa hjärtats rytm vid en arytmi. Implantationerna ökar stadigt, studier har dock visat att sjuksköterskor inte upplever sig ha tillräckligt med kunskaper om ICD:n och de upplevelser som patienter kan väntas få efter implantation. Syfte: Syftet var att belysa patienters upplevelse av att leva med en implanterbar defibrillator. Metod: Uppsatsen är gjord som en litteraturöversikt med 15 kvalitativa vetenskapliga artiklar inkluderade. Artikelsökningar gjordes i databaserna Cinahl, Pubmed och PsycInfo. I analysen identifierades meningsenheter som delades in i olika teman och underteman utifrån likheter och olikheter. Resultat: Patienterna visade sig ha dubbla känslor gentemot ICD:n, upplevelser som identifierades var: besvikelse, tacksamhet, rädsla/ångest, trygghet, känna sig begränsad och acceptans. Diskussion: Några patienter upplevde bland annat ett bristande stöd från hälsopersonalen, det är viktigt att sjuksköterskan försöker förstå patientens perspektiv för att kunna vara ett så bra stöd som möjligt. Slutsats: Studien bidrog med kunskap om vilka olika upplevelser ICD-patienter kan ha efter en implantation. Eventuella orsaker till upplevelserna skulle kunna ligga till grund för framtida studier.

    Fulltekst (pdf)
    fulltext
  • 17.
    Addo, Michelle Yaa
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Sjuksköterskors erfarenheter av att bemöta personer med HIV/AIDS2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 18.
    Adler, Daniel
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Analys av gjorda och insläppta mål över matchtid i herrallsvenskan i fotboll2011Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Den ultimata indikatorn på ett fotbollslags prestation är matchresultatet som beror på balansen av gjorda och insläppta mål. Syftet med studien var att analysera de allsvenska herrlagens målproduktion under säsongen 2010. Detta för att undersöka de svenska elitlagens förekomst av gjorda och insläppta mål över matchtid. Ytterligare syfte var att undersöka om framgångsrika och mindre framgångsrika lag uppvisar olika mönster gällande dessa parametrar. Samtliga 240 matcher, totalt 600 mål, från säsongen 2010 studerades på förekomst av mål över matchtid. Målen kategoriserades lagvis i åtta stycken tidsperioder. Lagen delades även in i tre olika grupper beroende på tabellplacering. Resultaten baserat på samtliga lag visade signifikant större andel gjorda mål under den andra halvleken jämfört med den första, 55,2% mot 44,8% (p<0,05). Inga signifikanta skillnader mellan 15-minutersperioderna kunde ses. Däremot sågs signifikanta skillnader mellan 15-minutersperioderna inom de olika grupperna. Topplagen uppvisade signifikant större andel insläppta mål under period 76-90min jämfört med 31-45min, 46-60min och 61-75min (p<0,05). Mittenlagen uppvisade signifikant mindre andel insläppta mål under period 76-90min jämfört med 31-45min, 46-60min och 61-75min (p<0,05). Sammanfattningsvis, svenska herr-elitlag följde en ökande trend av gjorda mål över matchtid med större andel mål under andra halvleken jämfört med första. Resultaten antydde även att topplagen uppvisade hög resultatmässig prestation genom hela matcherna medan bottenlagen uppvisade låg prestation och mittenlagen varierande prestation, vilket delvis förklarar varför grupperna placerar sig i toppen, botten och mitten av tabellen.

    Fulltekst (pdf)
    fulltext
  • 19.
    Adogoy, Wegahta
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Zemichael, Saliem
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Vårdpersonalens erfarenheter av att vårda kvinnor som genomgått könsstympning: En litteraturöversikt2016Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund:

    Kvinnlig könsstympning innebär en partiell eller total borttagning av de yttre kvinnliga könsorganen av icke medicinska skäl. Könsstympning är koncentrerad till 30 länder i Afrika, Mellanöstern samt Asien. Mer än 200 miljoner av de kvinnor och flickor som lever idag har genomgått könsstympning. Det finns många kulturella anledningar till varför kvinnor könsstympas. Det varierar från kultur till kultur. Vissa gör det för att kvinnan ska bli ren, vacker och betraktas som en moralisk kvinna som hennes familj kan vara stolt att senare lämna över till en annan familj för giftemål. Det finns fyra olika typer av ingrepp som alla kan leda till komplikationer. Syfte: Syftet med denna litteraturöversikt är att belysa vårdpersonalens erfarenheter av att vårda kvinnor som genomgått könsstympning. Metod: Metoden har varit litteraturöversikt grundad på sex kvalitativa artiklar, sju kvantitativa artiklar och två artiklar med kombination av båda metoderna. Artiklarna har hämtats från tre olika databaser; Pub med, Cinahl och Academic Search. Resultat: Två huvudkategorier: komplexiteten i omvårdnaden vid mötet med främmande kulturer samt behov av kunskap och utbildning. Vårdpersonal ansåg att de har brist på kunskap. Mötet med kvinnor som genomgått könsstympning och deras familjer var komplicerad. Delvis beror detta på språkproblem delvis på kulturella skillnader. Diskussion: Både vårdpersonal och patienter kände sig säkra när vårdpersonalen var välutbildat och hade god kunskap. Resultatet har diskuterats utifrån Chios (2008) omvårdnads-teori "the theory of cultural marginality". Slutsats: Genom att införa formell utbildning, både teoretisk och praktisk tryggheten öka hos vårdpersonalen och det påverkar vården positivt. De kvinnor som genomgått könsstympning kommer även träffa annan vårdpersonal än barnmorskor. Därför anser författarna att det behövs mer forskning om sjuksköterskors och annan vårdpersonals erfarenheter av att vårda dessa kvinnor.

  • 20.
    Adrian Hansson, Anna
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Kan gravida kvinnor som lider av övervikt eller fetma minska de negativa effekterna övervikten har på fostret och på barnets framtida hälsa?: -en systematisk litteraturstudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 21.
    Adykhamova, Mihraj
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Sjuksköterskors upplevelse av den psykosociala arbetsmiljön på psykiatrisk vårdavdelningar2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 22.
    Adén, Camilla
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Sjöberg, Caroline
    Strategier som sjuksköterskan använder vid bedömning av akut och postoperativ smärta2008Independent thesis Advanced level (degree of Master (One Year)), 80 poäng / 120 hpOppgave
    Fulltekst (pdf)
    FULLTEXT01
  • 23.
    Afvander, Anna
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Myrén, Linda
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Användbarhet och begränsning med motiverande samtal i samband med rehablitering till arbete.: En kvalitativ intervjustudie med specialister från Arbetsförmedlingen.2014Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 24.
    Aglen, B.
    et al.
    Nord Trondelag Univ Coll, Fac Hlth Sci, N-7601 Levanger, Norway .
    Hedlund, M.
    Telemark Univ Coll, Porsgrunn, Norway .
    Landstad, B. J.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Self-help and self-help groups for people with long-lasting health problems or mental health difficulties in a Nordic context: A review2011Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 39, nr 8, s. 813-822Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this review is to provide systematic knowledge of research from Nordic countries about the meaning of self-help and self-help groups when these are used as a concept or method addressing issues related to long-lasting health problems or mental health difficulties. Methods: Included were studies conducted in the Nordic countries that were published between January 1999 and September 2009. These studies investigated self-help and self-help groups addressing issues related to long-lasting health problems. Results: A total of 83 publications met the inclusion criteria. Four major characteristics of self-help were found to be present in the publications: self-help as an intrapsychological process, self-help as an interpsychological or group process, self-help as a coping, individual learning or empowerment process, and self-help as an alternative or complement to medical treatment. Of the 83 studies, 72 publications used a professional treatment perspective for studying self-help and 11 publications used a perspective derived from alternative or complementary therapies. Conclusions: The review shows that most of the research on self-help and self-help groups for people with long-lasting health problems or disability is conducted with an interest to improve the professional healthcare system. That is, the health-promotion strategy is mainly considered in the framework of treatment or care settings. This means that self-help in this context does not challenge the dominant biomedical health model. © 2011 the Nordic Societies of Public Health.

  • 25.
    Agnerling, Emma
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Kombinationen av bikarbonat- och koffeinsupplementering förbättrar löpprestation i ett Beep-test2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 26.
    Ahderine, Veronica
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Lagerbäck, Madeleine
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Upplevelser av given omvårdnad. - Utifrån personer med Anorexia nervosa.2014Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 27.
    Ahderinne, Camilla
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Föräldrars upplevelse av att få ett förtidigt fött barn - En litteraturstudie.2015Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 28.
    Ahlblom, Sofie
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Chefers arbete med den organisatoriska och sociala arbetsmiljön: En kvalitativ studie i ett medelstort privatägt företag.2020Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
  • 29.
    Ahlby, Bitte
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Löfstaf, Carina
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    2015Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 30.
    Ahlgren, Christina
    et al.
    Umeå Univ, Dept Community Med & Rehabil, SE-90187 Umeå, Sweden .
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Struggle for time to teach. Teachers experiences of their work situation.2011Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 40, nr Suppl 1, s. 111-118Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The objective of this study was to from a gender perspective, explore elementary school teacher' experiences of their work situation, and identify conditions that could be health risks. Participants: Eighteen female teachers who work in an elementary school in Northern Sweden. Method: Thematic interviews were conducted using an interview guide. The interviews were tape-recorded and transcribed verbatim. Qualitative content analysis was used to analyse the transcribed text and interpretations were made within gender theory. Results: Four categories emerged: "Squeezed between dream and reality", "Effort to keep up with demands", "We can make it together" and "The school needs men's qualities". The categories were linked together with the theme "A struggle for time to teach". The theme describes the conflict between the teachers' ambitions to teach and create a stimulating learning environment versus the increased need for behaviour control that took time from classroom work. Beside work at the school, the teachers carried a large burden of domestic work.Conclusions: Teachers' work includes both endless demands and great joy. Their work is structured within the schools gender system in which caring duties are subordinated despite a growing demand for behaviour control. Traditional gender roles affect their domestic work load.

  • 31.
    Ahlgren, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Work resumption or not after rehabilitation?: A descriptive study from six social insurance offices.2004Inngår i: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 27, nr 3, s. 171-180Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective of this study was to describe measures and outcomes of vocational rehabilitation at six local national insurance offices in the same county in Sweden. Data were collected from mainframe registers and other records at each office. There were great differences in sickness allowance, incapacity rate, selected rehabilitation measures and resuming work. The percentage of sick-listed people who received any rehabilitation measure differed from 1.2 to 8.7%. The gender distribution for the study population was 36% men and 64% women and the predominant diagnosis was musculoskeletal pain conditions, which was followed by psychiatric disorders. Outcomes varied from office B, which reported 58% fully fit after completed planned rehabilitation, to office C, which reported only 24% fully fit. The clear differences in outcome between the offices indicate that various rehabilitation measures differ in effectiveness. The rehabilitation measure 'investigation of working ability' was not linked to any great proportion of people resuming work, but showed a greater correspondence to full disability pension. There were also large differences in social and demographic factors in the different municipalities. The effect of these on the rehabilitation process requires further investigation.

  • 32.
    Ahlgren, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Schüldt Ekholm, Kristina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Selection of clients for vocational rehabilitation at six local social insurance offices.: a combined register and questionnaire study on rehabilitation measures and attitudes among social insurance officers.2008Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 40, nr 3, s. 178-184Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: The aim of this study was to evaluate possible differences between local social insurance offices with regard to their selection of clients for vocational rehabilitation. A further aim was to determine whether social insurance officers from different local insurance offices have uniform attitudes regarding professional practice in their application of the insurance system. METHODS: A register-based investigation of 815 vocational rehabilitees served by 6 local social insurance offices in a Swedish county. The study was supplemented with a questionnaire to 30 officers about attitudes to social insurance. RESULTS: The office with the lowest rate of sick-listing periods exceeding one year, and a high frequency of employment training, showed the highest degree of work resumption and the lowest pension rate after vocational rehabilitation. There were wide differences in attitude among the local social insurance officers regarding professional practice in their application of the system. CONCLUSION: Intra-county differences occur in handling people on sick-leave who undergo vocational rehabilitation. The local social insurance offices with the highest and lowest outcome rates of work resumption and disability pension, respectively, select clients for vocational rehabilitation from different categories of cases. Social insurance officers from different local offices differ in their attitudes towards the social insurance system and its clients.

    Fulltekst (pdf)
    fulltext
  • 33.
    Ahlgren, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Schüldt Ekholm, Kristina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Work resumption after vocational rehabilitation: a follow-up two years after completed rehabilitation2007Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 28, nr 4, s. 343-354Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A short-term evaluation of vocational rehabilitation (VR) may give conclusions not automatically applicable over a longer term. The present study follows up alterations in work resumption or in social insurance benefits from the time of completed VR and during the following two years. AIM: The primary objective was to evaluate work resumption among previous sick-leavers granted vocational rehabilitation. The aim of the follow-up was to assess the stability of the outcome of VR over time and to analyse factors of importance for clients that remained at work. METHOD: A register investigation was based on 815 cases where the clients had taken part in vocational rehabilitation and were served by one of six local social insurance offices of a Swedish county. RESULTS: Of the clients studied, 52.4% had attained full working capacity The proportion had decreased to 37.4% two years later. One factor that differed between those who resumed work and those who returned to sick leave was the duration of the previous sick-leave period. Those who returned to work had had shorter sick leave, had jobs to return to and had received job training as a vocational rehabilitation measure. CONCLUSIONS: The clients with the best chances of being in work two years after completed vocational rehabilitation were those with short sickness absence, who had been selected for job training as a vocational rehabilitation, were aged 16-29 years and were employed in industry.

  • 34.
    Ahlgren, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Broman, Lisbet
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Disability pension despite vocational rehabilitation: A study from six social insurance offices of a county2005Inngår i: International Journal of Rehabilitation Reserch, ISSN 0342-5282, Vol. 28, nr 1, s. 33-42Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Many long-term sick-listed individuals move from vocational rehabilitation to pension, rather than reaching the goal of return to work. There is thus reason to consider whether rehabilitation resources are being used optimally. Individuals receiving disability pensions are consuming financial and personnel resources at the insurance offices and also consume a large amount of health care. The general objective of the study was to evaluate the proportion of individuals granted vocational rehabilitation but then obtaining temporary or permanent disability pensions. All persons receiving any kind of rehabilitation and attending one of six local national insurance offices in a county in Sweden in 1998 and 1999 were studied. A 2-year follow-up was carried out to assess changes in status among those who had received temporary disability pensions. Of all individuals receiving rehabilitation, 46.2% ended up with a disability pension allowance. In addition, a large portion of the temporary disability pensions was transformed to permanent disability pensions within 2 years. For clients with a temporary disability pension, the rate of resuming work was close to nil. Among rehabilitation measures, investigation showed the lowest figures of work resumption while job training showed the best outcome in this respect. The study concluded that a large portion of the financial and personnel resources allocated by the national insurance offices to rehabilitation resulted in disability pensions.

  • 35. Ahlström, B H
    et al.
    Skarsäter, I
    Danielson, Ella
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    The meaning of major depression in family life: the viewpoint of the ill parent2010Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, nr 1-2§, s. 284-293Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim and objective.

    The aim was to elucidate the meaning of major depression in family life

    from the viewpoint of an ill parent.

    Background.

    Major depression according to Diagnostic and Statistical Manual of

    Mental Disorders is common and may appear repeatedly over several

    years, and affects family life. Depression in parents has a negative

    impact on family function and children's health; however, studies

    regarding the deeper understanding of major depression in family life

    are lacking.

    Design.

    A qualitative explorative study using narrative interviews with eight

    parents who were identified with major depression.

    Methods.

    A phenomenological-hermeneutic method of interpretation was used for

    analysing interview texts and included naive understanding, a

    structural analysis where text was divided into meaning units, which

    were condensed and abstracted, and finally a comprehensive

    understanding.

    Result.

    Two themes were extracted: 'to be afflicted in an almost unmanageable

    situation' with sub-themes 'feeling hopelessly bad', 'being worthless',

    'being unsatisfied' and the theme 'to reconcile oneself to the

    situation' with sub-themes 'being active', 'being satisfied' and

    'maintaining parenthood'.

    Conclusion.

    Comprehensive understanding revealed the parents' simultaneous

    suffering and dignity in family life; suffering with serious lack of

    well-being and health, destroyed self-confidence and unhappiness, and

    dignity with strength, confidence and joy in children. The movement

    between suffering and dignity complicated family life. Dignity was

    threatened by the awareness that suffering in major depression was

    recurrent. Dignity had to be repeatedly restored for self and the

    family, and family dignity has to be restored before others outside the

    family circle.

    Relevance to clinical practice.

    A deeper understanding of the meaning of major depression in family

    life is helpful and for healthcare professionals to prevent individual

    and family suffering by assisting and preserving dignity.

     

  • 36. Ahlström, B H
    et al.
    Skärsäter, I
    Danielson, Ella
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Major depression in a family: what happens and how to manage - a case study2007Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 28, nr 7, s. 691-706Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Major depression challenges the ways of living for both individuals and families. The aim of this study was to describe what happens and how to manage major depression in a family. The case in this paper is a family with a mother who is suffering major depression and her son and daughter. Narrative interviews and qualitative content analysis were conducted. The findings revealed six themes: "a stealthy intruder," "moving slowly to helplessness," "saving the situation," "protecting oneself and others," "conveying things that are beyond words," and the "dispersal of shadows." These themes elucidated the family members' varying views of depression and the unique ways they managed the situation.

     

     

  • 37.
    Ahlström, Jenny
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Höglund, Susanne
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Sjuksköterskans roll i den palliativa vården - en litteraturöversikt.2015Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
  • 38.
    Ahlström, Pauline
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Wie, Lina
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Att återgå till arbete efter stressrelaterad ohälsa: -En intervjustudie om betydelsen av psykosociala faktorer2015Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 39.
    Ahmadi, Marsal
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Sjuksköterskors erfarenheter av mötet med patienter med HIV-infektion2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 40.
    Ahmed, Leila
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Hälsofrämjande ledarskap ur anställdas perspektiv: - En kvalitativ intervjustudie2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 41.
    Ahmed Shire, F Sagal
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Healthcare professional´s experience of promoting maternal mental health: a qualitative study in Saudi Arabia.2015Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
  • 42.
    Ahokas, E K
    et al.
    Unit of Biology of Physical Activity, University of Jyväskylä.
    Kyrolainen, H
    Unit of Biology of Physical Activity, University of Jyväskylä.
    Mero, AA
    Unit of Biology of Physical Activity, University of Jyväskylä.
    Walker, S
    Unit of Biology of Physical Activity, University of Jyväskylä.
    Hanstock, Helen
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ihalainen, Johanna K.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Unit of Biology of Physical Activity, University of Jyväskylä.
    Minimal effect of water immersion on markers of inflammation and muscle damage after intensive exercise2019Inngår i: Proc Physiol Soc 44, 2019, artikkel-id C43Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Water immersion methods, such as cold water immersion and contrast water therapy are popular recovery interventions after athletic training and competition. Nevertheless, post-exercise cold water immersion may actually inhibit hypertrophic signalling pathways and muscle adaptation to training (1). It is has been commonly assumed that the mechanism of impaired training adaptation is mediated by blunted inflammatory responses to muscle-damaging exercise, although this assumption has been questioned by recent data (2). A weakness of previous studies is omission of active recovery in water immersion interventions, which would arguably be utilised in addition to water immersion by athletic populations. The aim of this study was to compare the influence of three water immersion methods, performed after active recovery, on inflammatory responses to muscle-damaging exercise. Nine male participants (age 20-35 y) performed an intensive exercise protocol, consisting of maximal jumps and sprinting, on four occasions. After each trial, participants completed one of four recovery protocols in a randomised, crossover design (ACT, active recovery only, 10 min cycling; heart rate 120-140 b/min; CWI, active recovery followed by 10 min cold water immersion, 10°C; TWI, active recovery followed by 10 min temperate water immersion, 24°C and CWT, active recovery followed by contrast water therapy, 10 min alternating 10°C and 38°C in 1 min cycles). The study was conducted in accordance with the Declaration of Helsinki and approved by the local ethical review board. Venous blood samples were collected pre-exercise and 5 min, 60 min, 24 h, 48 h and 96 h post-exercise, then analysed for myocyte chemoattractant protein 1 (MCP-1) and creatine kinase (CK) using ELISA and high-sensitivity C-reactive protein (hs-CRP) using a chemiluminescence assay. Two-way repeated measures ANOVA was used to compare biomarker concentrations between groups over time. There were no differences in biomarker concentrations during exercise and recovery between groups across the six time points, however main effects of time were present for all three markers (MCP-1: F(2.32, 18.56) = 23.1, p < 0.0001; CK: F(2.059, 16.47) = 8.74, p = 0.002; hs-CRP: F(1.07, 8.57 = 13.8, p = 0.005). Tukey’s post-hoc analysis of simple time effects revealed increases in MCP-1 at post-5 min versus pre in all groups except CWT. In TWI and CWI, MCP-1 was still elevated above pre at 60 min post-exercise. hs-CRP peaked at 24 h post-exercise in all groups. CK was elevated at post-60 versus pre in all groups and at post-24 except in CWT. Our findings suggest that use of cold or thermoneutral water immersion in combination with active recovery may slightly prolong the immediate post-exercise elevation in MCP-1 but have minimal overall effect on markers of inflammation and muscle damage.

  • 43.
    Ahokas, Essi K.
    et al.
    University of Jyväskylä, Jyväskylä, Finland.
    Ihalainen, Johanna K.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. University of Jyväskylä, Jyväskylä, Finland.
    Kyröläinen, Heikki
    University of Jyväskylä, Jyväskylä, Finland.
    Mero, Antti A.
    University of Jyväskylä, Jyväskylä, Finland.
    Effects of Water Immersion Methods on Postexercise Recovery of Physical and Mental Performance2019Inngår i: Journal of Strength and Conditioning Research, ISSN 1064-8011, E-ISSN 1533-4287, Vol. 33, nr 6, s. 1488-1495Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to compare the effectiveness of 3 water immersion interventions performed after active recovery compared with active recovery only on physical and mental performance measures and physiological responses. The subjects were physically active men (age 20-35 years, mean ± SD 26 ± 3.7 years). All subjects performed a short-term exercise protocol, including maximal jumps and sprinting. Four different recovery methods (10 minutes) were used in random order: cold water immersion (CWI, 10° C), thermoneutral water immersion (TWI, 24° C), and contrast water therapy (CWT, alternately 10° C and 38° C). All these methods were performed after an active recovery (10-minute bicycle ergometer; heart rate [HR] 120-140 b·min, 60-73% from age-calculated maximum HR), and the fourth method was active recovery (ACT) only. Within 96 hours after exercise bouts, recovery was assessed through a 30-m maximal sprint test, maximal countermovement jump (CMJ), self-perceived muscle soreness and relaxation questionnaires, and blood lactate, creatine kinase, testosterone, cortisol, and catecholamine levels. The self-perceived feeling of relaxation after 60-minute recovery was better (p < 0.05) after CWI and CWT than ACT and TWI. Statistically significant differences were not observed between the recovery methods in any other marker. In the 30-m sprint test, however, slower running time was found in ACT (p < 0.001) and CWT (p = 0.005), and reduced CMJ results (p < 0.05) were found in ACT when the results were compared with baseline values. Based on these findings, it can be concluded that CWI and CWT improve the acute feeling of relaxation that can play a positive role in athletes' performance and well-being.

  • 44. Ahs, Fredrik
    et al.
    Pissiota, Anna
    Michelgård, Asa
    Frans, Orjan
    Furmark, Tomas
    Appel, Lieuwe
    Fredrikson, Mats
    Disentangling the web of fear: amygdala reactivity and functional connectivity in spider and snake phobia.2009Inngår i: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 172, nr 2, s. 103-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective was to study effects of fear on brain activity, functional connectivity and brain-behavior relationships during symptom provocation in subjects with specific phobia. Positron emission tomography (PET) and (15)O water was used to measure regional cerebral blood flow (rCBF) in 16 women phobic of either snakes or spiders but not both. Subjects watched pictures of snakes and spiders serving either as phobic or fear-relevant, but non-phobic, control stimuli depending on phobia type. Presentation of phobic as compared with non-phobic cues was associated with increased activation of the right amygdala and cerebellum as well as the left visual cortex and circumscribed frontal areas. Activity decreased in the prefrontal, orbitofrontal and ventromedial cortices as well as in the primary somatosensory cortex and auditory cortices. Furthermore, amygdala activation correlated positively with the subjective experience of distress. Connectivity analyses of activity in the phobic state revealed increased functional couplings between voxels in the right amygdala and the periamygdaloid area, fusiform gyrus and motor cortex. During non-phobic stimulation, prefrontal activity correlated negatively with amygdala rCBF, suggesting a phobia-related functional decoupling. These results suggest that visually elicited phobic reactions activate object recognition areas and deactivate prefrontal areas involved in cognitive control over emotion-triggering areas like the amygdala, resulting in motor readiness to support fight or flight.

  • 45.
    Ahs, Fredrik
    et al.
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Sollers, John J
    Department of Psychology, The Ohio State University, Columbus, Ohio, USA.
    Furmark, Tomas
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Fredrikson, Mats
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Thayer, Julian F
    Department of Psychology, The Ohio State University, Columbus, Ohio, USA; Mannheim Institute of Public Health, Mannheim Medical Faculty, University of Heidelberg, Mannheim, Germany.
    High-frequency heart rate variability and cortico-striatal activity in men and women with social phobia2009Inngår i: NeuroImage, ISSN 1053-8119, E-ISSN 1095-9572, Vol. 47, nr 3, s. 815-20Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Identifying brain systems that regulate or modulate autonomic nervous system functions may identify pathways through which psychosocial factors can influence health and disease. Reduced high-frequency heart rate variability (HF-HRV) characterizes anxiety disordered patients and is predictive of adverse myocardial events. Sex differences in the prevalence of anxiety disorders and cardiac diseases implicate the possibility of sex specific neural regulation of HF-HRV. We investigated the correlation between HF-HRV and regional cerebral blood flow (rCBF) in 28 subjects (15 women) with social phobia undergoing a stressful public speaking task. Regional CBF was measured with [(15)O] water positron emission tomography. Stress induced rCBF correlated positively with HF-HRV in the right supra genual anterior cingulate cortex Brodmann's area (BA) 32, the right head of the caudate nucleus and bilaterally in the medial prefrontal cortex (BA10), extending into the dorsolateral prefrontal cortex (BA46) in the left hemisphere. Men showed larger positive co-variation in the caudate than women. These findings underscore the importance of the emotional division of the anterior cingulate cortex, the prefrontal cortex and the striatum in cardiovagal activity. The study replicates and extends results from published functional neuroimaging studies on cardioregulatory or modulatory areas in healthy subjects to men and women with social phobia. Moreover, caudate functions, possibly related to dopaminergic neurotransmission, have sexually dimorphic effects on vagal modulation of the heart.

  • 46.
    Aimée Temahagari, Marie
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    FAKTORER SOM PÅVERKAR VÅRDPERSONALENS UTFÖRANDE AV MUNVÅRD HOS ÄLDRE PÅ SÄRSKILT BOENDE: En litteraturöverskikt2016Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 47.
    Ainegren, Mats
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Roller skis' rolling resistance and grip characteristics: influences on physiological and performance measures in cross-country skiers2012Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The aim of this thesis was to investigate roller ski characteristics; classical and freestyle roller skis’ rolling resistance coefficients (μR) and classical style roller skis’ static friction coefficients (μS), and to study the influence of different μR and μS on cross-country skiers’ performance and both physiological and biomechanical indices. The aim was also to study differences in skiing economy and efficiency between recreational skiers, female and male junior and senior elite cross-country skiers.The experiments showed that during a time period of 30 minutes of rolling on a treadmill (warm-up), μR decreased significantly (p<0.05) to about 60-65 % and 70-75 % of its initial value for freestyle and classical roller skis respectively. Also, there was a significant influence of normal force on μR, while different velocities and inclinations of the treadmill only resulted in small changes in μR.The study of the influence on physiological variables of a ~50 % change in μR showed that during submaximal steady rate exercise, external power, oxygen uptake, heart rate and blood lactate were significantly changed, while there were non-significant or only small changes to cycle rate, cycle length and ratings of perceived exertion. Incremental maximal tests showed that time to exhaustion was significantly changed and this occurred without a change in maximal power, maximal oxygen uptake, maximal heart rate and blood lactate, and that the influence on ratings of perceived exertion was non-significant or small.The study of classical style roller skis μS showed values that were five to eight times more than the values of μS reported from on-snow skiing with grip-waxed cross-country skis.The subsequent physiological and biomechanical experiments with different μS showed a significantly lower skiing economy (~14 % higher v̇O2), higher heart rate, lower propulsive forces coming from the legs and shorter time to exhaustion (~30 %) when using a different type of roller ski with a μS similar to on-snow skiing, while there was no difference between tests when using different pairs of roller skis with a (similar) higher μS.The part of the thesis which focused on skiing economy and efficiency as a function of skill, age and gender, showed that the elite cross-country skiers had better skiing economy and higher gross efficiency (5-18 %) compared with the recreational skiers, and the senior elite had better economy and higher efficiency (4-5 %) than their junior counterparts, while no differences could be found between the genders.

    Fulltekst (pdf)
    Doctoral thesis 125
  • 48.
    Ainegren, Mats
    et al.
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Ainegren, Mats
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    The rolling resistances of roller skis and their effects on human performance during treadmill roller skiing2010Licentiatavhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Modern ski-treadmills allow cross-country skiers, biathletes and ski-orienteers to test their physical performance in a laboratory environment using classical and freestyle techniques on roller skis. For elite athletes the differences in performance between test occasions are quite small, thus emphasising the importance of knowing the roller skis’ rolling resistance coefficient, µR, in order to allow correct comparisons between the results, as well as providing the opportunity to study work economy between different athletes, test occasions and core techniques.

    Thus, one of the aims of this thesis was to evaluate how roller skis’ µR is related to warm-up, mass, velocity and inclination of the treadmill. It was also necessary to investigate the methodological variability of the rolling resistance measurement system, RRMS, specially produced for the experiments, with a reproducibility study in order to indicate the validity and reliability of the results.

    The aim was also to study physiological responses to different µR during roller skiing with freestyle and classical roller skis and techniques on the treadmill as a case in which all measurements were carried out in stationary and comparable conditions.

    Finally, the aim was also to investigate the work economy of amateurs and female and male junior and senior cross-country skiers during treadmill roller skiing, i.e. as a function of skill, age and gender, including whether differences in body mass causes significant differences in external power per kg due to differences in the roller skis’ µR.

    The experiments showed that during a warm-up period of 30 minutes, µR decreased to about 60-65% and 70-75% of its initial value for freestyle and classical roller skis respectively. For another 30 minutes of rolling no significant change was found. Simultaneous measurements of roller ski temperature and mR showed that stabilized mR corresponds to a certain running temperature for a given normal force on the roller ski. The study of the influence on mR of normal force, velocity and inclination produced a significant influence of normal force on mR, while different velocities and inclinations of the treadmill only resulted in small changes in mR. The reproducibility study of the RRMS showed no significant differences between paired measurements with either classical or the freestyle roller skis.

    The study of the effects on physiological variables of ~50% change in µR,showed that during submaximal steady state exercise, external power, oxygen uptake, heart rate and blood lactate were significantly changed, while there were non significant or only small changes to cycle rate, cycle length and ratings of perceived exertion. Incremental maximal tests showed that time to exhaustion was significantly changed and this occurred without a significantly changed maximal power, maximal oxygen uptake, maximal heart rate and blood lactate, and that the influence on ratings of perceived exertion was non significant or small.

    The final part of the thesis, which focused on work economy, found no significant difference between the four groups of elite competitors, i.e. between the two genders and between the junior and senior elite athletes. It was only the male amateurs who significantly differed among the five studied groups. The study also showed that the external power per kg was significantly different between the two genders due to differences in body mass and mR, i.e. the lighter female testing groups were roller skiing with a relatively heavier rolling resistance coefficient compared to the heavier testing groups of male participants.

    Fulltekst (pdf)
    FULLTEXT01
  • 49.
    Ainegren, Mats
    et al.
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Ainegren, Mats
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Carlsson, Peter
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Tinnsten, Mats
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Roller ski rolling resistance and its effects on elite athletes’ performance2008Inngår i: ENGINEERING OF SPORT 7, VOL 2, 2008, Vol. 11, nr 3, s. 393-400Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Modern ski-treadmills allow cross-country skiers, biathletes and ski-orienteers to test their physical fitness in a laboratory environment whilst performing classical and freestyle (skating) techniques on roller skis. For elite athletes the differences in performance between test occasions are quite small, thus emphasising the importance of knowing the roller skis’ rolling resistance in order to allow the correct comparison between the results of different test occasions. In this study the roller skis’ rolling resistance has been measured using equipment on the ski-treadmill. The study investigates the influence of significant changes in rolling resistance on physiological variables. The results show that during submaximal exercise, heart rate, blood lactate, power and oxygen uptake are significantly changed by different rolling resistances, while there are no significant or only small changes to cycle rate, cycle length and ratings of perceived exertion. Incremental maximal tests show that time to exhaustion is significantly changed by different rolling resistances and this occurred without significant changes in maximal oxygen uptake and heart rate, and the influence on maximal power and ratings of perceived exertion were insignificant or small.

  • 50.
    Ainegren, Mats
    et al.
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Ainegren, Mats
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Carlsson, Peter
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Tinnsten, Mats
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Roller ski rolling resistance and its effects on elite athletes’ performance2009Inngår i: Sports Engineering, ISSN 1369-7072, E-ISSN 1460-2687, Vol. 11, nr 3, s. 143-157Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Modern ski-treadmills allow cross-country skiers, biathletes and ski-orienteers to test their physical fitness in a laboratory environment whilst performing classical and freestyle (skating) techniques on roller skis. For elite athletes, the differences in performance between test occasions are quite small, thus emphasising the importance of knowing the roller skis’ rolling resistance in order to allow the correct comparison between the results of different test occasions. In this study, the roller skis’ rolling resistance was measured on the ski-treadmill’s surface using a roller ski rolling resistance measurement system specially produced for this purpose. The study investigated the influence of significant changes in rolling resistance on physiological variables. The results showed that during submaximal exercise, power, oxygen uptake, heart rate and blood lactate were significantly changed by different rolling resistances, while there were no significant or only small changes to cycle rate, cycle length and ratings of perceived exertion. Incremental maximal tests showed that time to exhaustion was significantly changed by different rolling resistances and this occurred without significant changes in maximal power, maximal oxygen uptake, maximal heart rate and blood lactate, and that the influence on ratings of perceived exertion were insignificant or small.

     

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